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Analytics Framework For Cyberattack Risk, Severity, And Timing Prediction Using Survival - Aware Sequence Modeling, Mariia Voronina Jan 2026

Analytics Framework For Cyberattack Risk, Severity, And Timing Prediction Using Survival - Aware Sequence Modeling, Mariia Voronina

Theses and Dissertations

This study aimed to develop an analytics framework for cyberattack risk, severity, and timing prediction using survival-aware sequence modeling. The primary objective was to analyze the temporal dynamics of cyberattacks by jointly considering attack type, severity, risk, and time-to-attack, and to evaluate whether these components can be effectively modeled within a probabilistic framework. The analysis was conducted using a synthetically generated cyberattack dataset designed for cybersecurity research purposes. The dataset included multiple attack categories, such as DDoS, Intrusion, Malware, severity levels, and engineered risk measures. Python was used as the primary programming language for data analysis and model development. The …


Exploring Perceived School Administrator Leadership Support And Teacher Burnout, Matthew H. Stifelman Jan 2026

Exploring Perceived School Administrator Leadership Support And Teacher Burnout, Matthew H. Stifelman

Theses and Dissertations

Burnout is an issue that affects those in numerous occupational settings and comes with tremendous risks for physical and psychological consequences (Edú-Balsania et al., 2022). Burnout is defined as one’s psychological response to chronic work stressors that can cause cognitive, emotional, or physical health damage (Maslach & Leiter, 2016). Decades of research have identified numerous risk factors for burnout across occupations. Risk factors include job and personal values, workload, lack Burnout is an issue that affects those in numerous occupational settings and comes with tremendous risks for physical and psychological consequences (Edú-Balsania et al., 2022). Burnout is defined as one’s …


Beliefs And Recommendations Of Parents And Teachers For Internalizing Vs. Externalizing Disorders: A Thematic Analysis, Kyle Macdonald Jan 2026

Beliefs And Recommendations Of Parents And Teachers For Internalizing Vs. Externalizing Disorders: A Thematic Analysis, Kyle Macdonald

Theses and Dissertations

The prevalence of mental health disorders among school-aged children continues to rise, underscoring the importance of effective collaboration between families and schools. This qualitative study explored how parents (N=11) and teachers (N=11) perceive the causes, severity, and most appropriate interventions for internalizing (e.g., anxiety, depression) and externalizing (e.g., ADHD, conduct) disorders. Using vignette-based interviews and thematic analysis, six central themes emerged: (1) causal attributions (biological vs. environmental), (2) links between causes, symptom permanence, and intentionality, (3) intervention preferences, (4) importance of collaboration, (5) perceptions of severity, and (6) gendered interpretations of symptoms. 12 of the 22 participants (5 parents, 7 …


The Impact Of Music Education On Language Acquisition Of English Language Learners, Andrew David Frey-Gould Jan 2026

The Impact Of Music Education On Language Acquisition Of English Language Learners, Andrew David Frey-Gould

Theses and Dissertations

Schools continue to face increasing accountability pressures to improve English language proficiency outcomes for English Language Learners (ELLs), while access to arts education, particularly music, has declined in many districts. This study examines whether music education can serve as an effective and equitable support for language development among elementary ELL students. The purpose of this causal-comparative study was to determine whether participation in ensemble-based music programs (i.e., band, orchestra, and chorus) is associated with greater gains in English language proficiency than participation in compulsory general music instruction. This study is grounded in Krashen’s Second Language Acquisition theory and Patel’s resource-sharing …


Investigating The Lived Experiences Of Students In The Online Community College Learning Environment, Kevin Allen Fleming Jan 2026

Investigating The Lived Experiences Of Students In The Online Community College Learning Environment, Kevin Allen Fleming

Theses and Dissertations

The rapid expansion of online learning in higher education following the COVID-19 pandemic has transformed community colleges, positioning virtual education as both an access strategy and an institutional survival mechanism. Despite significant growth in online education programs, persistent gaps remain in understanding how students experience learning within fully online environments. This qualitative phenomenological study investigates the lived experiences of undergraduate students enrolled in asynchronous online courses at a public community college in upstate New York. Grounded in Constructivist learning theory and informed by User Experience design principles, the study explores how students engage with and through institutional learning technologies, construct …


Interference Under Pressure: Task-Switching And Cognitive Control In Adhd, Rocio Belen Varela Jan 2026

Interference Under Pressure: Task-Switching And Cognitive Control In Adhd, Rocio Belen Varela

Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is a widespread neurodevelopmental condition associated with significant academic difficulties, often resulting in students scoring a year below average on standardized examinations (Lawrence et al., 2020; Mohammadi et al., 2019). A proposed core feature of the disorder involves impairments in working memory (WM), specifically the Central Executive component responsible for attentional control (Alderson et al., 2013; Kofler et al., 2008). These WM operations are governed by two cognitive control modalities: proactive control (sustained, anticipatory maintenance) and reactive control (cue-driven, on-demand processing) (Braver et al., 2007). This quasi-experimental study investigated whether a natural tendency toward reactive control grants …


Program Evaluation: A Study To Evaluate A Traditional Suspension Program Versus An Alternate Suspension Program, Ruth Desronvil Jan 2026

Program Evaluation: A Study To Evaluate A Traditional Suspension Program Versus An Alternate Suspension Program, Ruth Desronvil

Theses and Dissertations

In the United States, millions of students face out-of-school suspensions from public schools each year. Black and Hispanic students, in particular, are suspended at higher rates than their white peers (Cobb-Clark et al., 2015). Students miss class time and valuable learning, which widens the achievement gap between Black, Hispanic, and White students. Suspended students also face additional consequences, such as social alienation from schools and a higher likelihood of engagement in delinquency. Several programs seek to improve the effects of suspensions on students’ outcomes. In this dissertation response, I examine the effectiveness of one such program: an alternative suspension educational …


Don’T Hit Mommy! Associations Between Harsh Parenting And Aggression In Toddlerhood: The Moderating Role Of Temperament, Serah Betancourt Jan 2026

Don’T Hit Mommy! Associations Between Harsh Parenting And Aggression In Toddlerhood: The Moderating Role Of Temperament, Serah Betancourt

Theses and Dissertations

Physical aggression is known to be particularly common in toddlerhood. Further, harsh parenting practices and certain temperament traits in children have been found to be associated with aggressive behaviors. Recently, aggression has been demonstrated to be differentiated between provoked and unprovoked aggression. The current study examined early aggression and explored the mechanisms by which harsh parenting practices and temperament traits may predict different types of aggression and how that may also change depending on the stage of development in toddlerhood. That is, we proposed that harsh parenting would be more strongly associated with provoked aggression among toddlers with higher negative …


Mentoring Matters: A Phenomenological Study Of How Principals Support New Teacher Development And Retention In Inner-City Catholic Schools, Helena Castilla-Byrne Jan 2026

Mentoring Matters: A Phenomenological Study Of How Principals Support New Teacher Development And Retention In Inner-City Catholic Schools, Helena Castilla-Byrne

Theses and Dissertations

The purpose of this qualitative study is to examine the lived experiences surrounding the phenomenon of being a new teacher in an inner-city Catholic school by looking at teachers’ professional learning and development to facilitate the new teacher’s retention, growth, well-being, and success in inner-city Catholic schools through the lens of the school principal leading them. According to the National Education Association, 55 percent of educators are thinking about leaving the profession earlier than they had planned (Walker, 2022). With many new teachers leaving the profession within the first few years, schools must find ways to support and retain them. …


Vulnerable Narcissism In Borderline Personality Disorder: Impact On Emotion Dysregulation, Identity Disturbance, And Rejection Sensitivity In Psychiatric Inpatients, Lauren Baker Lloveras Jan 2026

Vulnerable Narcissism In Borderline Personality Disorder: Impact On Emotion Dysregulation, Identity Disturbance, And Rejection Sensitivity In Psychiatric Inpatients, Lauren Baker Lloveras

Theses and Dissertations

Borderline personality disorder (BPD) is a severe personality disorder frequently seen in clinical settings due to high service utilization. It is characterized by emotion dysregulation, identity disturbance, suicidal behavior, fear of abandonment, and impulsive or risky behavior. BPD is categorized as a Cluster B personality disorder, alongside narcissistic personality disorder (NPD), which is defined by grandiosity, attention-seeking, and a lack of empathy. NPD can be further conceptualized across two subtypes: grandiose narcissism and vulnerable narcissism (VN). Unlike grandiose narcissism, VN has been largely neglected in research – despite overlapping features with personality and mood disorders, especially BPD. These shared features …


Umbralisib Antagonizes Multidrug Resistance In Abcb1- Overexpressing Cancer Cells, Letao Bo Jan 2026

Umbralisib Antagonizes Multidrug Resistance In Abcb1- Overexpressing Cancer Cells, Letao Bo

Theses and Dissertations

Overexpression of ATP-binding cassette (ABC) transporters, particularly ABCB1, is a major mechanism of multidrug resistance (MDR) and contributes to chemotherapy failure by reducing intracellular drug accumulation. Umbralisib is a dual inhibitor of phosphoinositide 3-kinase delta (PI3Kδ) and casein kinase 1 epsilon (CK1ε) that was developed for the treatment of hematologic malignancies; however, it was later withdrawn due to safety concerns. In the present study, we found that umbralisib has the potential to reverse ABCB1-mediated MDR. The MTT assay demonstrated that umbralisib significantly sensitized ABCB1-overexpressing KB-C2 and SW620/Ad300 cells, as well as ABCB1-transfected HEK293 cells. Mechanistic assays revealed that umbralisib enhanced …


Exploratory Research Into U.S.-Based College/University Population Perceptions And Security Responses To On-Campus Active Shooter Incidents, Donald E. Stanton Jan 2026

Exploratory Research Into U.S.-Based College/University Population Perceptions And Security Responses To On-Campus Active Shooter Incidents, Donald E. Stanton

Theses and Dissertations

On-campus active shooter incidents challenge U.S.-based Institutions of Higher Learning (IHLs) as they are usually only identifiable after the first shot. My mixed-methods, exploratory study was conducted to fill gaps in the limited research regarding on-campus active shooter incidents. Using purposive sampling, I identified two IHL security directors for the initial qualitative phase of my research. I conducted separate virtual interviews to discuss active shooter-specific responses, policies, procedures, security measures, potential active shooter-specific security systems, and their views on the importance of open-campus learning and social environments. We also discussed their active shooter response postures and whether they believed their …


Prevention Of Inflammation-Associated Neurodegeneration: Assessing The Efficacy Of N,N-Dimethylacetamide (Dma) In Lipopolysaccharide (Lps)-Induced Neuroinflammation Using C57bl/6 Mice, Teeshavi Devi Acosta Jan 2026

Prevention Of Inflammation-Associated Neurodegeneration: Assessing The Efficacy Of N,N-Dimethylacetamide (Dma) In Lipopolysaccharide (Lps)-Induced Neuroinflammation Using C57bl/6 Mice, Teeshavi Devi Acosta

Theses and Dissertations

Neurological function is closely linked to both longevity and quality of life. While some degree of neurodegeneration occurs naturally with aging, pathological neurodegeneration leads to devastating functional decline. The mechanisms underlying these processes remain incompletely understood; however, neuroinflammation is recognized as a key driver of neuronal dysfunction and death. Emerging evidence indicates that neuroinflammatory cascades can precede and potentiate hallmark features of neurodegenerative diseases, including synaptic loss and cognitive decline observed in Alzheimer’s disease (AD). Activation of the NF-κB signaling pathway contributes to amyloid beta (Aβ) peptide production, further amplifying a cycle of inflammation and neuronal injury. Preclinical work from …


Understanding Workplace Psychological Safety Among Latina Professionals: An Exploration Of Intersectional Experiences, Michal Tapia Jan 2026

Understanding Workplace Psychological Safety Among Latina Professionals: An Exploration Of Intersectional Experiences, Michal Tapia

Theses and Dissertations

Latina professionals represent one of the fastest-growing segments of the U.S. workforce, yet they remain disproportionately underrepresented in executive and C-suite roles. This disparity reflects structural conditions that shape access to voice, support, advancement, and decision-making authority.

This mixed-methods study examined psychological safety among 145 Latina professionals across the United States, defined as the belief that one can speak up, ask for help, disagree, or raise concerns without fear of negative consequences (Edmondson, 1999, 2019). The study explored how identity, relationships, leadership, workplace support, inclusion, mentorship, and structural barriers shape psychological safety at work.

Quantitative analyses showed that workplace support …


Decline Of Male Enrollment In Higher Education, Oscar Valenzuela Jan 2026

Decline Of Male Enrollment In Higher Education, Oscar Valenzuela

Theses and Dissertations

The study examined the decline in male enrollment and completion in higher education, aiming to identify the reasons for the decline and to propose possible solutions. Using a qualitative phenomenological design, the study employed semi-structured interviews to collect data from males aged 18 to 40. The findings indicate that numerous factors contribute to why males are not enrolling in or completing higher education, and reveal key thematic groups, including Early Work Life, Home Life, Support Systems, Challenges, and Choices and Decisions. These results suggest that cultural background, socioeconomic status, and gender norms affect the decisions males make concerning higher education. …


“I Love What I Do, I Just Don't Love Where I Do It,”: An Exploration Of Job-Related Tension And Well-Being Of Professional Academic Advisors, Cynthia Cruger Jan 2026

“I Love What I Do, I Just Don't Love Where I Do It,”: An Exploration Of Job-Related Tension And Well-Being Of Professional Academic Advisors, Cynthia Cruger

Theses and Dissertations

This dissertation examines the intersection of job-related tension and workplace well-being among professional academic advisors through the lens of the Job Demands-Resources (JD-R) model. The purpose of the study is to address a gap in advising scholarship by exploring job demands and resources in advisors’ experiences in different advising models and institution types. A scoping literature review addresses advising as a profession, positive organizational psychology frameworks such as the PERMA model, and job-related tension concepts like role overload and ambiguity. Existing research indicates advisors have high job satisfaction despite job tension, and the JD-R theory is used to set a …


Performance-Based Funding’S Influence On Higher Education Through The Eyes Of Department Chairs, Jonathan W. Lackland Jan 2026

Performance-Based Funding’S Influence On Higher Education Through The Eyes Of Department Chairs, Jonathan W. Lackland

Theses and Dissertations

Performance-based funding (PBF) has become a widely adopted policy in higher education, linking state appropriations to measurable outcomes such as graduation rates, degree completions, and workforce alignment. While PBF aims to enhance institutional accountability and efficiency, its implementation has raised significant concerns about equity and political influence. This dissertation examines the political equity and implications of PBF policies through a mixed-methods approach, including surveys, interviews with department chairs, and critical discourse analysis of state statutes and legislative debates. The findings reveal that PBF often exacerbates inequities, particularly for non-flagship universities serving diverse and under-resourced student populations. Department chairs expressed concerns …


An Application Of Molecular Dynamics To Hed Plasma Physics: Point And Group Defect Diffusion In Coulomb Crystals, Levi Webb Jan 2026

An Application Of Molecular Dynamics To Hed Plasma Physics: Point And Group Defect Diffusion In Coulomb Crystals, Levi Webb

Theses and Dissertations

Molecular dynamics (MD) simulations are used to explore the microscopic behaviors of complex systems that cannot be easily studied experimentally. In particular, the microphysics of high energy density (HED) astrophysical plasma environments remain inaccessible by modern experiment---even in laser facilities, these plasmas exist only on short timescales that do not lend easily to investigation. The diffusion of point and group defects through crystallized plasmas in the cores of white dwarfs and neutron star crusts, called Coulomb crystals, has potentially macroscopic implications for the evolution of these bodies. Thus, I employ the widely-used MD code LAMMPS to simulate small Coulomb crystal …


The Impact Of Sports Betting Legalization On Marital Status, Hosea Gitonga Njogu Jan 2026

The Impact Of Sports Betting Legalization On Marital Status, Hosea Gitonga Njogu

Theses and Dissertations

This study examines the causal Impact of sports gambling legalization on marital stability in the United States using data from the Current Population Survey Annual Social and Economic Supplement (CPS-ASEC) and the American Community Survey (ACS) from 2013 to 2024. The analysis leverages variation in the staggered adoption of state-level sports gambling laws and applies two-way fixed effects, event-study, and the Callaway and Sant’Anna (2021) difference-in-differences estimators, controlling for geographic and individual characteristics. Legalization increases divorce rates by 0.42 percentage points in the CPS and 0.51 percentage points in the ACS, corresponding to increases of 2.4% and 2.6%, or approximately …


Finding, Founding, And Forging: Queer Formulations Of Family In Nineteenth-Century British Novels, Brian Hicks Jan 2026

Finding, Founding, And Forging: Queer Formulations Of Family In Nineteenth-Century British Novels, Brian Hicks

Theses and Dissertations

This dissertation examines how nineteenth-century British novels imagine and negotiate queer formulations of family at moments when biological kinship, marriage, and inheritance were increasingly formalized as social and legal imperatives. Reading canonical texts by Austen, Shelley, Wilde, Brontë, and Hardy, alongside the proto-modern and modernist work of Joseph Conrad and Virginia Woolf, I argue that these novels resist consanguinity as the sole basis of family and instead theorize queer kinship as something found, founded, or forged through affinity, care, and shared orientation rather than blood or reproduction. Drawing on queer theory, feminist criticism, phenomenology, and Foucauldian accounts of power and …


The Impact And Sustainability Of A School Improvement Grant On Student Outcomes In An Elementary Setting, Tiesha Denise Reed Jan 2026

The Impact And Sustainability Of A School Improvement Grant On Student Outcomes In An Elementary Setting, Tiesha Denise Reed

Theses and Dissertations

The purpose of the study was to examine the impact and sustainability of the School Improvement Grant (SIG) Transformation Model and to determine its impact on a low-performing elementary school. The research study used a quantitative research design to investigate the effects of the SIG on student achievement and school annual reporting data across three time periods: pre-intervention (2014-2015), post-intervention (2016-2017), and six years after the grant ended (2022-2023). The research design was appropriate because it allowed the researcher to collect archival data and examine potential differences across time periods. The independent variable was the three time periods, and the …


Improving Retention Rates Of Teachers Through Analysis Of Second-Career Educators, Colton Perry Jones Jan 2026

Improving Retention Rates Of Teachers Through Analysis Of Second-Career Educators, Colton Perry Jones

Theses and Dissertations

Teacher retention rates have been an issue in education for decades. New teachers continue to leave the field at an alarming rate, despite research and attempts to improve their retention. This study focuses on the population of second-career educators and their reasons for remaining in the field at a higher rate than traditional teachers (those who enter the field directly out of college). The researcher’s focus is to determine which experiences and skills gained by second—career teachers in their previous careers result in them experiencing lower rates of attrition once entering education. A qualitative study will be conducted using semi-structured …


Determining Knowledge Gaps In Natural Disaster Preparedness: An Exploratory Analysis Of Socioeconomic Variables And Response Quality, Michelle S. Repass Jan 2026

Determining Knowledge Gaps In Natural Disaster Preparedness: An Exploratory Analysis Of Socioeconomic Variables And Response Quality, Michelle S. Repass

Theses and Dissertations

This exploratory study examines potential knowledge gaps in natural disaster preparedness across socioeconomic groups in Lee County, Alabama and identifies communication barriers affecting response behavior through the lens of the knowledge gap hypothesis. Survey data from 20 residents were analyzed using an objective socioeconomic status (OSES) score based on household income and highest level of education. Results indicate that while most respondents reported access to weather alerts and favorable behavioral responses that align with current guidelines from the National Weather Service, gaps are present in comprehension, response timing, and engagement in risky behavior that could delay protective action. Findings suggest …


Practicing Contemporary Documentation: An Analysis Of Historic Influences And Personal Inspirations, Zoee D. Rasso Jan 2026

Practicing Contemporary Documentation: An Analysis Of Historic Influences And Personal Inspirations, Zoee D. Rasso

Theses and Dissertations

For my Honors Thesis, I proposed and created a solo exhibition of my artwork, researching the inspiration behind this work to determine its place within in the context of contemporary art history. My work as an artist centers on stylized, psychologically charged portraits of birds. Looking at art history, birds as artistic subjects are historically rooted in documentation, from scientific illustrations and game paintings to ukiyo-e. Analyzing my own creative influences such as James Audubon, Walton Ford, and Safet Zec, this Thesis explores my artistic background and influences, examining how I have developed as an artist over my tenure at …


Exploring Secondary Stem Teachers’ Experiences In Online Learning Environments: A Directed Content Analysis Using The Community Of Inquiry Framework, Tiffany Janese Lester Jan 2026

Exploring Secondary Stem Teachers’ Experiences In Online Learning Environments: A Directed Content Analysis Using The Community Of Inquiry Framework, Tiffany Janese Lester

Theses and Dissertations

This study is a directed qualitative content analysis of 21 peer-reviewed studies published between 2020 and May 2025 on secondary STEM teaching in online environments. Using the Community of Inquiry framework, I examined how teaching, social, and cognitive presence shaped instructional strategies, teacher experiences, and reported challenges. Coding with deductive and inductive methods identified recurring themes: teachers adapted to digital platforms, navigated uneven levels of digital fluency, and implemented intentional strategies to maintain social interaction. The studies also revealed persistent equity gaps in access and participation alongside innovative approaches to course and pedagogical design. These themes demonstrate how secondary STEM …


Album Production: A Pedagogical Tool In Collegiate Brass Performance, Alex Doolittle Jan 2026

Album Production: A Pedagogical Tool In Collegiate Brass Performance, Alex Doolittle

Theses and Dissertations

This graduate research project investigates the value of musical album production within collegiate brass performance training and pedagogy. Within the collegiate sphere, brass pedagogy has long centered on live performance, such as juries, recitals, and ensemble participation as a primary performance tool; however, the 21st-century musical landscape is deeply rooted in technological and digital artistic dissemination. This study is used to push the boundaries of how technology can be interpreted in brass pedagogy by asking: How does album production function as a pedagogical tool in collegiate brass performance training?

In this project, I used an auto-ethnographic case study design, serving …


Ai And Its Impacts On Modern Theatre, Micaiah J. Byrd Jan 2026

Ai And Its Impacts On Modern Theatre, Micaiah J. Byrd

Theses and Dissertations

What do you think of when you type a question into a search engine, and the “AI Overview” pops up without your having to request it? What may happen if theatre students and theatre industry professionals have that same ability to type in a prompt into an AI generator, and it has the ability to produce an output of a theatrical design concept with that same level of ease. Is this even possible with the programs that we have now, or could it be anticipated that this could be possible in the future. Would this be a benefit or would …


Reframing Sexual Assault And Intimate Partner Violence Through A Maternal And Child Health Lens: Implications For Integrated Prevention, Policy, And Practice, Daija C. Gibson Jan 2026

Reframing Sexual Assault And Intimate Partner Violence Through A Maternal And Child Health Lens: Implications For Integrated Prevention, Policy, And Practice, Daija C. Gibson

Theses and Dissertations

Sexual assault and intimate partner violence remain persistent public health concerns in the United States, with significant consequences for individual health, family stability, and population well-being. Although these forms of violence are frequently addressed through criminal justice and behavioral health frameworks, less attention has been given to their implications within maternal and child health, where relational dynamics, life course development, and intergenerational outcomes are central. This study reframed SA and IPV as core MCH issues to examine how integrated, systems-based approaches can strengthen prevention efforts. A structured literature review and systematic synthesis of peer-reviewed studies published between 2015 and 2026 …


Evaluation Of Valley Healthcare System Inc. School-Based Health Clinic/Center At Dorothy I. Heights Elementary School In Columbus, Georgia, Nakia Ford Jan 2026

Evaluation Of Valley Healthcare System Inc. School-Based Health Clinic/Center At Dorothy I. Heights Elementary School In Columbus, Georgia, Nakia Ford

Theses and Dissertations

School-Based Health Centers (SBHCs) are an important strategy for addressing health disparities and improving educational outcomes among underserved students. In Columbus, Georgia, barriers such as limited insurance, transportation challenges, and provider shortages contribute to unmet health needs, which are linked to increased absenteeism. To address these issues, Valley Healthcare System, Inc. (VHCS) implemented a School-Based Health Clinic (SBHC) at Dorothy I. Heights Elementary School. This study evaluates the effectiveness of the SBHC in improving student attendance outcomes. A quasi-experimental, difference-in-differences design compared Dorothy I. Heights Elementary School (treatment group) before and after SBHC implementation (2021–2022 and 2022–2023) with a similar …


The Importance Of Multi-Component Strategies And Healthcare Worker Compliance In Preventing Healthcare-Associated Infections: A Systematic Review, Michelle Northcut Jan 2026

The Importance Of Multi-Component Strategies And Healthcare Worker Compliance In Preventing Healthcare-Associated Infections: A Systematic Review, Michelle Northcut

Theses and Dissertations

Healthcare-associated infections (HAIs) remain a preventable threat to patient safety and are linked to morbidity, mortality, antimicrobial resistance, and increased healthcare costs (CDC, 2024; AHRQ, 2024). Evidence suggests that 30–70% of HAIs may be prevented through consistent application of infection prevention practices; however, implementation and adherence gaps persist (CDC, 2024). This systematic review examined the relationship between healthcare worker compliance with infection prevention practices and infection outcomes and explored how institutional and organizational factors influenced both compliance and infection outcomes.

Following PRISMA 2020 guidelines, searches were conducted in PubMed, CINAHL, ProQuest, and Google Scholar for studies published between 2015 and …