Digital Commons Network^™

The Impacts Of Experiential Learning On Moral Development, Jacob Tyler Greenfield

Graduate Theses, Dissertations, and Problem Reports (ETD)

Burnout remains a widely studied phenomenon in the healthcare literature, with much of the focus placed on reactive mitigation strategies that lack meaningful engagement with moral development. Healthcare education programs rarely incorporate formal learning experiences that promote moral development as a means of addressing burnout symptoms. This qualitative single case study examined how health professions students describe the impact of experiential learning on their moral development. Participants engaged in adapted photovoice methods, focus groups, and interviews to reflect on how serving as a Project MUSHROOM student leader influenced their morality. Four themes emerged: 1) recognizing bias and the need to …

Trust, Literacy, And Choice: Exploring How Taxpayers Decide Between Self-Preparation And Professional Assistance, Bethany Jo Elam

Graduate Theses, Dissertations, and Problem Reports (ETD)

Each year, taxpayers must decide whether to self-prepare their tax return or hire a tax professional. While the decline in paper filing has made electronic filing the standard, the ease of access to both DIY tax software and tax professionals allows taxpayers to switch between these options each year if they wish. While previous research has focused on tangible predictors such as cost and accuracy, psychological factors, such as trust, remain largely unexplored in the modern tax-filing environment. This study investigates the relationship among perceived tax literacy among taxpayers, various dimensions of trust, and the intention to use tax software. …

Bridging The Gap: An Innovative Life Skills And Job Readiness Initiative For Those Facing And/Or Experiencing Homelessness, Alyssa Rae Lester

Graduate Theses, Dissertations, and Problem Reports (ETD)

Homelessness disrupts occupational functioning across all domains of daily life, yet individuals in transitional housing frequently lack access to structured life skills programming tailored to their current level of functioning. This doctoral capstone project developed, implemented, and evaluated a life skills and job-readiness curriculum at the West Virginia Coalition to End Homelessness West Run transitional housing facility in Morgantown, West Virginia. Grounded in Bronfenbrenner's Ecological Model of Human Development and the Bridging the Transition from Homeless to Housed framework, the curriculum addressed four domains: personal development, household management, financial literacy, and vocational readiness. A mixed-methods design combined a structured staff …

Interpersonal Dark Side Of Impostor Thoughts: Predicting Workplace Ostracism Via Surface Acting And Cognitive Dissonance, And The Moderating Role Of Self-Leadership, Asiye Zeytonli

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation investigates the "interpersonal dark side" of workplace impostor thoughts

(WIT), exploring how the internal experience of feeling like a professional fraud translates into

the social exclusion of colleagues through defensive ostracism. While prior literature has

extensively documented the intrapersonal distress associated with the impostor phenomenon,

such as anxiety and burnout this research addresses a critical gap by examining how these

internal states drive behaviors that harm the organizational social fabric. Drawing upon an

integration of Conservation of Resources (COR) theory and Cognitive Dissonance Theory

(CDT), I propose and test a dual-pathway model. The first pathway (COR) suggests that …

Taxpayers Willingness To Use Ai Conversational Tools, Nessrine Mesto-Assaad

Graduate Theses, Dissertations, and Problem Reports (ETD)

With the rapid emergence of Artificial Intelligence Conversational Tools (AICTs), such as ChatGPT and Google Gemini, and their widespread use, the need to understand users’ acceptance of this emerging technology has increased. Prior research has investigated users’ acceptance of AICTs in hospitality, tourism, e-commerce, and retail industries. However, users’ acceptance of the use of AICTs for tax information remains relatively underexplored in the tax context. Therefore, this study investigates taxpayers’ willingness to accept and use AICTs for tax-related questions when e-filing their tax returns. Drawing on the Artificial Intelligence Device Use and Acceptance (AIDUA) model as a research framework, this …

Framing Addiction In The Age Of Vaping: A Journalism-Focused Reporting Toolkit, Jessica L. Riley

Graduate Theses, Dissertations, and Problem Reports (ETD)

This project addresses a critical gap in journalism practice: the lack of accessible, evidence-based guidance for reporting on addiction. Particularly as it relates to nicotine, tobacco and vaping. Journalists play a key role in shaping public understanding of substance use, yet existing resources often focus on opioids, lack specificity, or fail to keep pace with rapidly evolving nicotine products and scientific research. As a result, reporters may struggle with inconsistent terminology, unclear risk communication and the potential for unintentionally stigmatizing language.

Grounded in media effects theory, health communication and stigma research, this project examines how journalistic language and framing influence …

Bangladeshi Students' Experiences With Formative Feedback At West Virginia University, Habiba Jahan Seam

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines how Bangladeshi international graduate students at West Virginia University experience, interpret, and utilize written formative feedback within higher education in the United States. It explores how students' prior educational and cultural experiences in Bangladesh shape their engagement with feedback in a different academic context. I used a qualitative approach to collect data through two rounds of semi-structured interviews and three focus group discussions with Bangladeshi graduate students to better understand how individuals make sense of formative feedback throughout their academic journey. Findings indicate that prior educational experiences play a meaningful role in shaping how students interpret and …

Shaping Occupational Self-Efficacy In Complex Jobs: Cognitive Flexibility, Role Stressors, And The Workplace, Carolyn Henn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Career advancement in many professions requires employees to move beyond a single specialized role and perform effectively across different responsibilities. These complex jobs often combine technical work, project oversight, client interaction, financial accountability, and coordination with others. Successfully managing these overlapping responsibilities requires strong occupational self-efficacy, but not much is known about the factors that shape employees’ confidence in their ability to perform in complex jobs, particularly under role stress. This study uses cross-sectional survey data from 132 full-time professionals working in complex, multi-role jobs across a range of industries to examine how cognitive flexibility, role stressors, and job demands …

A Survey Of Disability-Inclusive K-12 Public School Music Programs In The United States Where Best Buddies Friendship Programs Have Been Established, Geena Louise Jeffries Mattox

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the presence and structural characteristics of disability-inclusive band, orchestra, and choir programs serving students with intellectual and developmental disabilities (IDDs) in K-12 public schools across the United States that implement the Best Buddies School Friendship Program. Intellectual and Developmental Disabilities is defined as group of chronic, lifelong conditions that originate before age 22, affecting physical, learning, language, or behavior areas. Despite federal legislation, peer reviewed scholarship specifically addressing access to performance-based music ensembles for students with IDDs remain comparatively limited. Employing a survey distributed nationwide within a defined population of schools implementing Best Buddies Programs, administered via …

Examining Moral Susceptibility In Ai Vs. Human-Assisted Decision-Making, Seth James Fogle

Graduate Theses, Dissertations, and Problem Reports (ETD)

Artificial intelligence (AI) systems are increasingly integrated into decision-making contexts, yet their influence on ethical judgment remains unclear. This study examines whether advice from an AI advisor, compared to a human advisor, affects moral susceptibility in a consumer decision-making scenario. Using a 2 × 2 between-subjects experimental design (advisor type × price condition), this research tests whether personal agency, perceived objectivity, and diffusion of responsibility operate as psychological mechanisms underlying ethical decision-making.

Results indicate that advisor type did not significantly influence moral susceptibility, nor did it significantly affect the proposed mediators. Additionally, the price condition did not moderate these relationships. …

The Hidden Process Of Student Placements: Perspectives From Slp, Ot, And Pt Coordinators, Almara Jane Sidney Hutchinson

Graduate Theses, Dissertations, and Problem Reports (ETD)

This comparative multi-case study examined the unseen processes behind clinical placement planning in allied health education. Clinical placements are essential to preparing students in speech-language pathology (SLP), occupational therapy (OT), and physical therapy (PT); however, little research has explored how Directors and Coordinators of Clinical Education (DCE/CCEs) navigate the complex decision-making involved in planning these experiences. Guided by Greco and Myers’ (2024) framework conceptualizing placement planning as an interaction between process and experience, this study explored how coordinators described their planning processes and the role of student-centeredness within them.

Semi-structured interviews were conducted with 12 DCEs/CCEs representing SLP, OT, and …

So There I Was, Jesse Marie Baggett

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written thesis provides a description and analysis of my thesis exhibition, So There I Was, which presents a body of ceramic sculptures and paintings that explore themes of adventure, travel, and shared experiences. The work reimagines personal experiences through a cast of animal characters, with a rabbit acting as a stand-in for myself. These narratives are inspired by events from my own life and are transformed into imaginative scenes that emphasize playfulness, wonder, and storytelling.

The sculptures combine toy-like animal figures, pull carts, and miniature architectural structures to create playful environments that resemble playsets or staged scenes where …

Provider Satisfaction Between General Dentists And Endodontists, Vaidehi Kumar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: Burnout and low professional fulfillment are major issues for dental providers, impacting their well-being, patient care, and workforce stability. While burnout has been widely studied in dentistry, less is known about professional fulfillment and how it varies by specialty and work environment. This cross-sectional study compared professional fulfillment and burnout between general dentists and endodontists, and examined how practice setting, demographics, and job factors affect occupational well-being. Methods: Licensed dentists (n=147; 72 general dentists and 75 endodontists) participated in an anonymous online survey. The Professional Fulfillment Index (PFI) was used to measure three sub-domains: Professional Fulfillment, Interpersonal Disengagement, and …

Behavioral Adaptation To Systematically Changing Local Conditions Of Reinforcement, Kento Yasukawa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Adaptation is the continual process of behavioral change in response to changes in environmental contingencies. One example of adaptation is to track the temporal distribution of reinforcers. The present dissertation investigated how responding tracked cyclically changing reinforcement schedules (i.e., cyclic interval [CI]) and how such tracking was influenced by concurrently available alternative reinforcement schedules. Across two experiments, four pigeons responded under a CI 60-s schedule in which the interreinforcer intervals (IRIs) changed systematically according to a sinusoidal function. The primary dependent variable was postreinforcement pauses (PRPs), with local response rates (response rates per IRI) examined as a secondary measure of …

An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.

Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and …

Improving Sedative Administration In Patients Receiving Paralytics During Intubation: A Quality Improvement Initiative Within A Large Academic Medical Center In West Virginia, David Bryon Underwood

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Awake paralysis (AWP) occurs when long-acting neuromuscular blockers outlast short-acting sedatives during intubation, leaving patients chemically paralyzed but conscious. This highlights the critical need for timely post-intubation sedation.

Background: A 2024 review in the Neurological Critical Care Unit (NCCU) revealed that 72% of patients who received rocuronium were not given a post-intubation sedative. The difference in duration of action of paralyzing agents versus sedatives can result in patients being conscious while paralyzed, potentially resulting in hemodynamic instability and psychological harm.

Purpose: The quality improvement initiative aimed to reduce the number of patients receiving neuromuscular blocking agents without post-intubation sedation. …

Video-Based Heart Failure Education: A Feasibility Study, Avery Pivont

Graduate Theses, Dissertations, and Problem Reports (ETD)

Video-Based Heart Failure Education: A Feasibility Study

Avery Pivont

Background:  Heart failure (HF) is a leading cause of hospitalization in the U.S., contributing to high readmission rates and significant healthcare costs. Many of these readmissions are preventable and often stem from inadequate patient education. Effective patient education is a critical component of HF management; however, many healthcare facilities lack specialized HF nurse educators, resulting in inconsistent patient education.

Problem Statement: A quality improvement team at a large academic hospital identified increased heart failure (HF) readmission rates across an entire health system, largely attributed to inconsistent discharge education and limited availability …

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Wellness Policies In Action: A Wscc-Based Comparative Analysis Of District-Level Policy And School-Level Practices, Leanne Denise Watson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The United States Department of Agriculture utilized the policy platform to implement and reinforce federal mandates aimed to improve health outcomes for student-aged youth, requiring all schools participating in the National School Lunch and/or Breakfast Program to develop a written wellness policy beginning with the 2016-2017 school year. However, the resulting impacts on school environments are unclear. The Whole School, Whole Community, Whole Child (WSCC) model is a recommended framework to influence wellness policies and school practices and support the holistic development of students. Nonetheless, current literature calls for more research applying the model to support its use. The purpose …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Empowered Choices: A Quality Improvement Women’S Health Initiative In Faith-Based Nursing For Women Recovering From Substance Use Disorder, Jennifer Mewshaw

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Women with substance use disorder (SUD) face higher rates of unplanned pregnancy, reproductive infections, and delayed prenatal care. Faith community nurses (FCNs) often already serve within this community and have a long history of promoting public health interventions. However, they lack the knowledge and confidence in sexual and reproductive health (SRH) education.

Evidence Review: A literature review identified barriers to SRH care for women with SUD and the role of FCNs in community and public health interventions. Evidence supports providing FCNs with the knowledge and skills to deliver SRH education and support for women with SUD using trauma-informed and …

Development Of A Protocol To Improve The Use Of Diabetes-Specific Formula, Lauren Nicole Sanetrik

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Enteral nutrition (EN) is often necessary for hospitalized patients who are unable to meet their nutritional needs orally. Patients with diabetes mellitus (DM) receiving EN are at risk of hyperglycemia, which contributes to poor wound healing, infection, and prolonged hospitalization. Diabetes-specific formulas (DSFs) are designed to optimize glycemic control compared with standard formulas (SFs); however, their use is inconsistent due to the absence of standardized protocols.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a protocol to increase DSF utilization among patients with DM receiving EN, with the goal …

Cultural Perceptions And Willingness Or Reluctance To Use Ai Chatbots For Emotional Support By International African Students In Higher Educational Institutions In The United States, Zakariah Issah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The increasing use of artificial intelligence (AI) chatbots for emotional support underscores the need to understand how cultural perceptions shape their adoption among international African students in higher education institutions in the United States. Guided by the Technology Acceptance Model (TAM) and Social Stigma Theory, this qualitative study explored the perceptions, motivations, and barriers influencing the use of AI chatbots for emotional support. Semi-structured interviews were conducted with 20 undergraduate and graduate students from 10 African countries. The findings reveal that participants viewed AI chatbots as conditional and situational sources of emotional support rather than replacements for human relationships. Convenience, …

Romantic Narrative In Three Early Piano Cycles By Robert Schumann: Papillons, Op. 2; Fantasiestücke, Op. 12; And Kinderszenen, Op. 15, Lingqing Huang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research project compares Romantic instrumental narrative in Robert Schumann’s Papillons, Op. 2; Fantasiestücke, Op. 12; and Kinderszenen, Op. 15, with particular attention to how pianists communicate cyclic continuity in performance. In this study, narrative continuity refers to relationships formed across ordered short pieces through contrast, interruption, return, literary association, fantasy, memory, tonal and motivic recall, and the shaping of sound and time. Comparative score analysis shows that Schumann creates a distinct form of continuity in each cycle. In Papillons, he creates a public, ballroom-based form through masquerade, waltz-like dance, abrupt entrances, interruption, and the gradual dissolution of the social …

Improving Access To Treatment For Alcohol Use Disorder For Veterans: An Evidence-Based Practice Policy Analysis, Mary Rizzo

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Alcohol use disorder (AUD) is common among veterans and is associated with poor health outcomes. Although extended-release naltrexone (XR-NTX) is an effective treatment, maintenance injections at the VA Pittsburgh Healthcare System are only available at the main medical center, requiring many veterans to travel long distances each month.

Purpose: The purpose of this evidence-based practice policy analysis was to evaluate the feasibility of offering XR-NTX injections at Community-Based Outpatient Clinics (CBOC) and develop a policy recommendation to improve access to care.

Intervention: This project examined the current XR-NTX administration process and compared it with alternative approaches used within the …

A Mixed Methods Study Of The Transition To Adult Health Care For Sexual Minority Young Adults With Chronic Pain: Understanding The Impact Of Stigma, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minorities with chronic pain are likely to experience stigma stemming from their sexual identity and chronic pain. Pain stigma and sexual minority stigma are associated with increased health disparities and differences in health care utilization, particularly for adults. The transition to the adult health care system appears to be a critical point to understand the impact of stigma on health care utilization to then improve outcomes. With a sample of 48 sexual minority young adults with chronic pain, the current study investigated transition experiences using an explanatory, sequential mixed-methods design that was both observational and cross-sectional. Participants completed quantitative …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

Exploring Chinese Students’ Lived Experiences And Perceived Development In A Structured Cross-Cultural International Collaborative Degree Program: A Qualitative Case Study In The Context Of The Wvu–Tufe 3+1 Collaborative Program, Zhongmin Zhao

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this qualitative case study is to examine the lived experiences and perceived development of Chinese students within the structured 3+1 cross-cultural international collaborative program. Grounded in Schlossberg’s Transition Theory and Chickering’s Seven Vectors of Identity Development Framework and guided by the four theoretical propositions, this study explores how the Chinese students experience the challenging transition from their home institution to the host institution, how the students participating in the program perceive their developmental growth across multiple developmental dimensions, and how the students perceive the program structures and institutional practices as supporting or hindering their development.

Data were …

The Hidden Costs Of Consumption: A Multi-Context Investigation On Stigma And Social Judgment, Siti Nuraisyah Suwanda

Graduate Theses, Dissertations, and Problem Reports (ETD)

Consumption is not always as simple as an exchange of value between a buyer and a seller. In many contexts, what individuals choose to consume or not consume can carry social meaning, leading to judgment and devaluation. While prior research has explored stigma broadly in marketing and consumer behavior, less attention has been given to stigma that caused specifically by consumption choices. This dissertation addresses this gap by examining how consumption becomes socially evaluated and judged across different contexts, with the goal of advancing both theoretical understanding and practical insights into socially sensitive consumption.

Essay One develops the foundation by …

Disaster Exposure, The Perception Of Physiological Pain, And Psychological Distress Across Adulthood, Esha Azhar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Climate change brings with it an increase in the occurrence of natural disasters, such as hurricanes, wildfires, severe storms, etc. In the aftermath, afflicted individuals may suffer adversely, especially in their physical and mental health. Previous research has found older adults to be faring better after experiencing a disaster compared to younger adults, which has been attributed to their better mental health associated with aging and gaining experience with adversities (Strough et al., 2023; 2025). The current study examined the psychological distress and physiological pain of individuals across the adult lifespan after experiencing a disaster. Participants were part of the …