Digital Commons Network^™

The Latina Career Journey: Experiences Of Latinas In Accounting, Alba Ruth Prato

Theses and Dissertations

Latina voices remain largely silent in the scholarship on leadership, and their representation in leadership roles lags behind other minority and majority groups. This research explored the Latina career journey through in-depth narrative interviews with 19 Latinas who told the stories of how they carry out their role, act on opportunities, navigate between cultures, and overcome challenges. Through comprehensive qualitative analysis using a grounded theory approach, a theoretical framework emerged that brings to light the larger social and cultural forces that impact the management arena and function as levers that, when activated, hinder and facilitate the emergence of Latina leaders. …

Navigating Embodied Self-Awareness States To Produce Work-Enhancing Adaptive Stress Responses, Kristina Banfield

Theses and Dissertations

Work-related stress is increasingly problematic for middle managers and executives, leading to escalating problems of burnout, turnover, diminished performance, and compromised well-being. However, given the same stressor, differential outcomes are observable across individuals, ranging from paralysis to agitation, and even enhanced performance. Individuals’ responses to stress are strongly influenced by their mental models, physiology, and nervous systems—all of which can be deliberately modulated to promote more adaptive stress responses. The purpose of this study was to examine managers’ experiences of their modulated self-awareness states to optimize their stress response for work performance. A purposive sample of 10 senior managers and …

Addressing Inappropriate Polypharmacy: Investigating Perceived Facilitators And Barriers To U.S. Pharmacists' Ability To Recommend Deprescribing, Susanne Steiner

Theses and Dissertations

While the concurrent use of multiple prescriptions (polypharmacy) is common for those with chronic conditions, professional ownership is lacking when it comes to tapering or discontinuing potentially inappropriate medications. Our growing elderly population is especially vulnerable to negative risks associated with polypharmacy. Pharmacists are highly educated and skilled healthcare professionals working as critical touchpoints with patients; yet they are not empowered to deprescribe potentially inappropriate medications directly. This qualitative research study examined the perceived barriers and facilitators pharmacists encounter when pursuing deprescribing recommendations and initiatives with prescribers, healthcare staff, patients, and caregivers. Findings from this study revealed three key implications …

Veterans, Providers, Moral Injury, And The Integration Of Spirituality In Clinical Care, Claire Muldrew

Theses and Dissertations

Moral Injury (MI) is known to be prevalent among military populations, however, the integration of spirituality into the treatment of veterans with trauma/posttraumatic stress disorder (PTSD) is an understudied topic. This systematic review sought to explore how mental health clinicians and chaplains view the integration of spirituality in the course of clinical care with traumatized veterans who experience MI. Utilizing qualitative methodology, the existing knowledge base was studied to shed light on this topic and to also identify the similarities and differences between these types of providers. The meta-aggregation approach was applied to analysis of the available data and a …

The Examination Of Workplace Well-Being In The Context Of Conversations On Artificial Intelligence, Haille Trimboli

Theses and Dissertations

This study explored the relationship between technological advancements in the workplace, particularly artificial intelligence (AI), and employee well-being. As the use of AI in organizational practices increases, this study sought to examine how fostering social connections, primarily through AI-focused conversations, could enhance employee well-being amid these technological shifts. This research employed a mixed-methods framework with an embedded convergent core design to collect qualitative and quantitative data from employees at a global organization that made recent, significant investments in AI. This methodology integrated pre- and post-intervention surveys to assess changes in employee well-being and an analysis of team discussions about AI …

Fostering A Culture Of Belonging Within Women Working In A Hybrid Environment, Jam Narte Harley

Theses and Dissertations

This research discusses the opportunity presented by the post-pandemic return to work to support Diversity, Equity, Inclusion, and Belonging initiatives by creating a new belonging framework for women working in a hybrid environment. The transition to remote and hybrid work arrangements amid the pandemic highlighted the importance of leaders tackling ongoing challenges in leadership and management, such as digital transformation and remote management, which led to rapid change, anxiety, and uncertainty. The lack of daily contact has significantly impacted workplace relationships and highlighted the importance of belongingness for employees' well-being and retention. Hybrid work arrangements are likely to become a …

The Power Of Organizational Purpose In Customer Engagement, Claudio Ludovisi

Theses and Dissertations

In a hyperconnected world, direct customer engagement is becoming a significant competitive advantage. Technologies like database marketing, social media, personalization, and artificial intelligence are widely available to create and support direct relationships with customers at scale; yet, as evidenced by the unabated rise in marketing and paid media costs, firms continue to use third parties to engage their audiences. At the same time, organizational purpose has been shown to drive firm value, but majority of research has focused on internal dynamics of purpose rather than its effect on external stakeholders and customers in particular. Very little has been empirically studied …

Lifting The Voices Of Cisgender Female Survivors Of Sexual Violence: A Systematic Review Of Their Experiences With Formal Support Providers/Systems, Madeleine Walker

Theses and Dissertations

This qualitative systematic review aimed to recognize what adult cisgender female survivors of sexual violence said about their experiences with formal support providers upon disclosure and their recommendations to enhance the disclosure process. Using a deductive content analysis of nice qualitative studies, the researcher identified and explored supportive and unsupportive formal support providers’ behaviors. Results indicated that supportive experiences typically involved aspects of both emotional support and tangible aid. Unsupportive experiences mainly focused on how providers responded to and negatively treated cisgender female survivors during the entirety of the investigation process. Also, cultural factors, such as race, gender, ethnicity, and …

Vamc Supervisors’ Perceptions Of Servant Leadership’S Role In Retention, Laticia Swartout

Theses and Dissertations

Servant Leadership is a phenomenon that has existed for centuries and continues to make waves today. While entities using this leadership style are generally non-profits, the United States government has chosen to use it in some of its federal agencies. More specifically, the U.S. Department of Veterans Affairs enlists Servant Leadership to achieve its organizational goals, like retaining employees. The purpose of this study was to understand the perceptions of the role Servant Leadership plays in assisting supervisors in retaining employees. The research question was: How do supervisors perceive Servant Leadership’s role in retention at the Greater Los Angeles Veterans …

Psychotherapeutic Interventions For Individuals Experiencing Auditory Verbal Hallucinations: A Systematic Review, Keren Shemesh

Theses and Dissertations

The objective of this review was to systematically review the available research on psychotherapeutic interventions for individuals experiencing Auditory Verbal Hallucinations (AVH). This review focused on interventions evaluated using Randomized Control Trials (RCTs). Data on the treatment protocols and their efficacy was reviewed, as well as proposed mechanisms of change. Included treatment protocols were evaluated for their attention to culture. Using specific search criteria, 17 studies were identified and evaluated. Out of the 17 included studies, three utilized individual and group Cognitive Behavioral Therapy for Psychosis (CBTp) as their intervention of choice and six utilized individually created therapies based upon …

The Impact Social Support And Community-Based Programs Have On The Reduction Of Recidivism, Lysa Lynnette Liggins

Theses and Dissertations

Recidivism is defined as the tendency for an individual to relapse into criminal behavior after being incarcerated. This poses a challenge to the criminal justice system and there is a growing recognition of the role that receiving social support plays in decreasing the rate of recidivism. This research provides a comprehensive review of the literature that examines the impact of social support on reducing recidivism. This study reviews and synthesizes findings about community-based programs’ positive impact on formerly incarcerated individuals. Also, it explores the five components of social support: emotional support, informational support, tangible support, networking support, and affirmation of …

An Examination Of Emerging Technologies In Supply Chain Management And Their Impacts On Efficiency In The Automotive Industry, Wafaa A. Barakat

Theses and Dissertations

The automotive supply chain sector is facing immense transformation, particularly with the emerging digital technologies in supply chain management. This paper examines the emerging technologies in supply chain management and their impacts on efficiency in the automotive industry. This research strives to examine the underlying aspects of the automotive supply chain integration in United States companies. For the study, there is the application of the exploratory study. The reason is that there is no vivid perspective of the characteristics and the scope. The study design used is a qualitative analysis of 10 automotive personnel from different multipliers of the automotive …

The Black Experiences Of Education In The Southern United States Of America: Retracing The Geographical Impacts Of Family, History, And Society On Academic Achievement, Chanel L. Fort

Theses and Dissertations

In today's global digital knowledge economy, we need learners to achieve academically toward the expectations of the future of work. Therefore, academic achievement is critical. Yet, academic achievement disparities exist globally. In the United States of America, the Black-White academic achievement gap has persisted since the beginnings of the achievement movement in 1970. The widening gaps of interest for this study focused on the U.S. Black-White achievement differences in the Southern U.S. states. The study analysis was quantitative and used t-test, ANOVA, and multiple regression as the statistical analysis techniques, analyzing the parent, family, community, and regional relationships with Grade …

Empowering Black Women Professors Teaching Within Predominantly White Institutions: Exploring Success Strategies And Best Practices Amidst Challenges, Wendy Perkinson

Theses and Dissertations

Throughout the historical journey of Black women in America, spanning from enslavement (Best, 2015) to activism as abolitionists, advocates for women's suffrage (Sesko & Biernat, 2010), and leadership in civil rights (Rushing, 2021), Black women's resilience shines through amid challenges. This study investigates the phenomenological experiences of Black women professors teaching in predominantly white institutions (PWIs) who are often marginalized because of racial and gender intersectional bias (K.W. Crenshaw, 2017). It explores the challenges these professors endure and examines the success methods they employ to overcome their challenges while discovering their needs for personal and professional success. The study's framework …

Anchored In Faith, Soaked In Blood: Black Social Activists Strategies For Developing Equitable Policy In Education, Civil Rights, And Citizenship, Sharletta Michelle Green

Theses and Dissertations

Religious beliefs and the use of race to create a narrative of inferiority plague education, civil rights, and citizenship policy development and implementation, causing harm to Black citizens. Public education is the bedrock of a democratic society. Civil rights and the ability to exercise those rights within a country are vital elements of citizenship. A well-educated populace provides a country's position and power. Equitable education, civil rights, and the vestiges of full citizenship in the U.S. for Black people have been a constant battle. This fight has been at the forefront of the demands for this nation since Reconstruction. Black …

Parental Engagement In Distance Education: A Phenomenological Study Of Middle School Parents’ Perspectives During Unanticipated School Closures Due To Covid-19, Williams Alberto Olmedo

Theses and Dissertations

The COVID-19 pandemic, a significant disruptor of traditional educational environments, has led to a notable shift in parental involvement in children’s education, particularly in middle schools. This study, therefore, delves into the dynamics of parental engagement during remote learning, focusing on the challenges parents faced and the strategies they employed to support their children's academic needs. The research questions aimed to understand how parents adapted their involvement in their children’s education during the pandemic, and the study also scrutinized successful communication strategies between parents and schools.

Data was collected through interviews with 11 middle school participants to understand how parents …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …

The Role Of Sleep And Social-Ecological Supports In The Association Between Racial Discrimination And Cardiometabolic Risk In Black Youth, Jelaina R. Shipman-Lacewell

Theses and Dissertations

Black youth are at an increased risk for poor short and long-term cardiometabolic health, including obesity, hypertension, and type 2 diabetes. Racial discrimination and poor sleep are theorized as key factors contributing to cardiometabolic health. While adult studies support sleep as a pathway through which discrimination is associated with health, there is a critical gap in our knowledge of this pathway in youth. Socio-ecological supports may protect Black youth against stressors, including racism. However, studies of the protective nature of these factors in Black youth have primarily focused on psychological and behavioral outcomes. Thus, the current study built upon previous …

From Suicidal Ideation To Suicide Attempt: Clarifying The Role Of Painful And Provocative Events, Mallory Stephenson

Theses and Dissertations

The Interpersonal-Psychological Theory of Suicide hypothesizes that capability for suicide is acquired in part through exposure to physically painful and/or fear-inducing experiences, referred to as painful and provocative events (PPEs). Studies of PPE exposure offer an opportunity to characterize potential targets for suicide prevention and inform efforts to identify individuals at elevated suicide risk. However, the literature on PPE exposure and risk for suicidality has been limited by a reliance on cross-sectional designs, lack of genetically informed research, inclusion of risk-taking behaviors as potential PPEs, and focus on risk over resilience. In this dissertation, we aimed to address these knowledge …

The Influence Of Flavor On The Abuse Liability Of A Heated Tobacco Product And Its Feasibility As A Menthol Cigarette Substitute, Augustus White

Theses and Dissertations

Heated Tobacco Products (HTPs) purport to expose people that use cigarettes to fewer of the harmful or potentially harmful constituents of tobacco while still delivering reinforcing amounts of nicotine (Auer, Concha-Lozano et al., 2017). An exemplar of the HTP class, IQOS, and its three varieties of “HeatSticks” have been authorized by the Food and Drug Administration (FDA) as “Modified Risk Tobacco Products” (MRTP). However, as the FDA is planning to ban menthol as a characterizing flavor in cigarettes, questions remain regarding whether characterizing flavors should be permitted in HTPs (FDA, 2022e). New evidence regarding HTP abuse liability (i.e., the likelihood …

“I Know What Nothing Means”: Nostalgia, Hope, And The Postmodern Search For The Sublime, Kathryn L. Donati

Theses and Dissertations

Amid simultaneous crises of self, nation, digital citizenship, global health, climate change, and socio-political polarization, to name but a few of the catastrophes that seem to define life in the global West in the twenty-first century, where do we find hope? Do we find it at all? Is there any hope to be found? These are the questions that serve as the genesis for this undertaking in which I locate the origin of these crises far before the events of the 2016 and 2020 elections, far before even the panic of Y2K. I begin my examination of hope in contemporary …

Living The American Dream? College Experiences Of Undocumented Students In An Era Of Rising Xenophobia And Political Turmoil, Sandra Y. Ting Ph.D.

Theses and Dissertations

This research study sought to deepen the understanding of the journeys of undocumented and DACAmented college students in an era of escalated xenophobia and political unrest. Three noteworthy themes emerged from the sentiments expressed by participants. The experiences they described included: 1) the turmoil of undocumented status eliciting unique and empowering demonstrations of resourcefulness, creativity, and self-advocacy, 2) motivation and stress from their respective citizenship statuses existing as two mutually dependent facets of a unified whole, 3) a community of support from other undocumented and/or DACAmented peers as a necessity for wellbeing. These critical outcomes culminate in the conditioning to …

Shinners, Alexis E. Mabry

Theses and Dissertations

Shinners is a project that aims to examine the position of women in subcultures and capture conversations of women in subcultural sports. Within feminism, sociological constructs, campy horror, and personal experience I am manifesting the physical and mental obstacles faced in the subcultural sport of Bicycle Motocross (BMX) through photography, painting, collage, video, and sculpture. I interpret images posted to social media of injuries obtained while riding BMX as forms of empowerment, bodily gore as extreme evidence of participation, performative violence, valorizing the understanding of both the physical and psychological pain of failure, and the use of failure as a …

Validation Of A Screening Tool For Sleep Apnea In Children, Brandon Khor

Theses and Dissertations

Objective: The aims of this study were to (1) determine the ability of a pediatric obstructive sleep apnea (POSA) questionnaire to identify high-risk patients through confirmation with an at-home sleep apnea test (HSAT) and (2) to evaluate the correlation between high-risk patients as identified by the questionnaire (PM-STOP-Bang) and an already validated POSA screening tool.

Methods: Orthodontic patients aged 12-17 who met the inclusion criteria were consecutively enrolled in the study (n=16). At the initial orthodontic appointment, the clinician filled out the PM-STOP-Bang questionnaire. Subsequently, participants were invited to complete a one-night HSAT (WatchPat, WP-Itamar-Medical, Caesarea, Israel), which recorded diagnostic …

Factors Important To Underrepresented Minority Applicants In Ranking Orthodontic Programs, Alyssa Patterson

Theses and Dissertations

Purpose: To determine if there was a difference in desirability of various factors used by applicants ranking orthodontic programs depending on their racial or ethnic background.

Method: A survey was distributed to orthodontic residents to assess overall preferences, and differences in desirability of various factors between underrepresented minority (URM) and non-URM applicants.

Results: For applicants overall, “clear aligner therapy training”, “good quality of clinical faculty” and “high number of cases started” had the highest mean desirability. “Racial and ethnic diversity among current and former residents”, “racial and ethnic diversity among faculty” and “participation in care of Medicaid patients” were significantly …

A Radiographic Analysis Of Teeth With Carrier-Based Obturation Requiring Retreatment, Robert W. Rudnicki

Theses and Dissertations

Objective: The purpose of this study was to determine observer accuracy and agreement in detecting carriers using preoperative radiographs, as well as to identify potential radiographic indicators for the presence of carriers.

Methods: A chart review was conducted for patients seen at the VCU graduate endodontic clinic. Eligible cases included previously treated teeth that were nonsurgically retreated, with and without identified carriers. 100 cases were identified, including 61 carrier and 39 non-carrier cases. Preoperative radiographs were randomized, and evaluators assessed each case for the presence of carrier-based obturation. Evaluators included three endodontists, one general dentist, and four endodontic residents. Statistical …

Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo

Theses and Dissertations

Compared to the amount of research conducted on how to identify and understand children with Attention-Deficit Hyperactivity Disorder (ADHD), there has been relatively little work done to understand the lived experiences of adults with ADHD. Increased understanding of how adults with ADHD conceptualize themselves in the context of their diagnosis would help clinical experts tailor research and treatments to better serve these communities. However, there are several barriers towards conducting high-quality qualitative research, including time- and labor-intensity. This study, informed by qualitative research traditions, used innovative data sources (i.e., social media) and analytic techniques (i.e., machine learning) to reduce these …

Characteristics Of Permanent Teeth Diagnosed With Pulpal Necrosis: A Retrospective Study, William Lee

Theses and Dissertations

Objective: To determine associations of pulpally necrotic teeth with demographics, clinical findings, radiographic presentation, and periapical status.

Methods: Virginia Commonwealth University uses AxiUm software to record dental treatment and treatment notes. The current study involves a keyword search using the term “pulpal necrosis”. Factors compiled and evaluated included but not limited to patient demographics, location in the dental arch, clinical findings, radiographic presentation, and periapical status.

Results: Data has revealed that teeth with pulpal necrosis can present with a variety of different clinical findings. All of the following were observations of teeth with pulpal necrosis. A total of 325 teeth …

Relations Between Adverse Childhood Experiences And Substance Use In Adolescents And Emerging Adults: The Moderating Role Of Exposure To Community Violence And Community Support And Community Recognition, Kiara Brown

Theses and Dissertations

Due to historical and current systemic racial inequities, African American adolescents and emerging adults living in low-income urban communities bear the burden of higher rates of adverse childhood experiences (ACEs) and exposure to community violence. Both exposure to ACEs and community violence are linked to higher levels of substance use. However, limited research exists on how exposure to community violence exacerbates the association between ACEs and higher frequencies of substance use in adolescence and emerging adulthood. There is also a need to understand how community-level protective factors may weaken the relations between ACEs and higher rates of substance use. The …

Chronobiology Of Meal Timing In Early-Stage Hypertension: Effects On Renal And Vascular Function, Natalie J. Bohmke

Theses and Dissertations

Introduction: Previous research determined that a Western-style meal acts as a stressor to the kidney and contributed to impaired blood pressure and vascular function. Despite an understanding of acute postprandial physiology in humans, studies have not investigated the impact of the time of day of meal consumption on physiology. Methods: Ten participants with elevated or stage-one hypertension underwent a randomized crossover trial with a controlled feeding intervention of a Western-style meal in the morning or the evening. Participants completed a run-in day to standardize diet followed by the experimental day. On day 2, participants completed ambulatory blood pressure, core temperature, …