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2022

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Withdrawing Antipsychotics For Challenging Behaviours In Adults With Intellectual Disabilities: Experiences And Views Of Prescribers, Gerda De Kuijper, Joke De Haan, Shoumitro Deb, Rohit Shankar Dec 2022

Withdrawing Antipsychotics For Challenging Behaviours In Adults With Intellectual Disabilities: Experiences And Views Of Prescribers, Gerda De Kuijper, Joke De Haan, Shoumitro Deb, Rohit Shankar

Peninsula Medical School

International current best practice recommends the discontinuation of antipsychotics for challenging behaviours in people with intellectual disabilities (ID), due to lack of evidence of efficacy and risks of harmful side-effects. In clinical practice, discontinuation may be difficult. The aim of this study was to gain insight into prescribers’ practice by investigating their experiences with the discontinuation of long-term antipsychotics for challenging behaviour. From professionals’ associations thirty-four registered ID physicians, psychiatrists and specialist mental healthcare nurses were recruited who completed an online questionnaire in this survey–study. Almost all participants had attempted to deprescribe antipsychotics for their patients with ID. Sixty-five percent …

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Extension’S Use Of Zoom To Address A Public Health Risk Among Older Adults, Dorothy P. Brandon, Ciji L. Griffin, Darlene Minniefield, Danielle D. Rudolph, Donna L. Gullatte, Nkenge C. Hyter, Pamela G. Irby, Juana I. Christian, Cynthia L. Whittaker Dec 2022

Extension’S Use Of Zoom To Address A Public Health Risk Among Older Adults, Dorothy P. Brandon, Ciji L. Griffin, Darlene Minniefield, Danielle D. Rudolph, Donna L. Gullatte, Nkenge C. Hyter, Pamela G. Irby, Juana I. Christian, Cynthia L. Whittaker

Journal of Extension

Mandates that require social distancing and sheltering-in-place to stop the spread of the coronavirus have worsened an already concerning public health issue for older adults –social isolation and loneliness. Alabama Extension System at Alabama A&M University developed a program focused on helping older adults connect with family and friends. A descriptive study of 37 older adults indicated that their knowledge, ability, and comfort with implementing Zoom sessions increased significantly after completing the program. Findings show the potential use of the Zoom for Seniors program in preventing social isolation or loneliness among older adults.

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Model Of Community, Local, And Regional Food Systems Extension Programming, Kim L. Niewolny, Eric Bendfeldt, Joyce Latimer, Lorien Macauley Dec 2022

Model Of Community, Local, And Regional Food Systems Extension Programming, Kim L. Niewolny, Eric Bendfeldt, Joyce Latimer, Lorien Macauley

Journal of Extension

Community, local, and regional food systems (CLRFS) programming reflects important issues and priorities that intersect with Extension and the sustainability of our food system. CLRFS programming in Extension, however, is still developing slowly while food movements grow nationally. This article describes a CLRFS model and complementary process for conducting listening sessions with Extension professionals and community leaders to develop and enhance CLRFS programming to address critical food system needs. A recommendation for Cooperative Extension is that such a tool may aid CLRFS program potential as an integrated “food, farm, and health” approach for community-level application.

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New Mexico 4-H Online Horse Bowl Tournament, Jason L. Turner, Ryan W. Craig, Talisha L. Valdez, Halee M. Prather, Zane E. Webster, Sara K. Marta, Mindy G. Turner Dec 2022

New Mexico 4-H Online Horse Bowl Tournament, Jason L. Turner, Ryan W. Craig, Talisha L. Valdez, Halee M. Prather, Zane E. Webster, Sara K. Marta, Mindy G. Turner

Journal of Extension

Under COVID-19 public health order constraints, Extension professionals used readily available technology (e.g., Google Forms, Zoom, Facebook Live, and QuizBowl Pro) to conduct a traditional 4-H quiz bowl contest entirely in a virtual setting as an innovative means of offering positive youth development in a structured environment when most New Mexicans were homebound and unable to travel. Participation in the virtual contest was substantially greater than similar in-person contests in the preceding five-year period, and youth reported an increase in equine knowledge as well as life skill development.

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Challenges Experienced By Aquaponic Hobbyists, Producers, And Educators, D Allen Pattillo, David J. Cline, Janelle V. Hager, Luke A. Roy, Terrill R. Hanson Dec 2022

Challenges Experienced By Aquaponic Hobbyists, Producers, And Educators, D Allen Pattillo, David J. Cline, Janelle V. Hager, Luke A. Roy, Terrill R. Hanson

Journal of Extension

We used an online survey to document challenges experienced by aquaponic hobbyists (n = 81), producers (n = 117), and educators (n = 75). Responses were distilled into the following categories: 1) operations and management; 2) facilities, location, and system design; 3) knowledge and educational resources; 4) funding; 5) economic viability; 6) plant culture; 7) marketing and distribution; 8) fish culture; 9) human factors; 10) regulations and certifications. Training and research in these areas are needed to advance the aquaponics industry.

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Nutrition Education In Food Pantries: Perceptions Of Pantry Personnel Towards Implementation, Chelsea Allison, Christopher T Sneed, Marissa Mcelrone, Kristin Riggsbee, Janie Burney Dec 2022

Nutrition Education In Food Pantries: Perceptions Of Pantry Personnel Towards Implementation, Chelsea Allison, Christopher T Sneed, Marissa Mcelrone, Kristin Riggsbee, Janie Burney

Journal of Extension

Extension programming can be effective at delivering nutrition education to food pantry clients. This study aimed to understand the perceptions of food pantry personnel towards nutrition education. A mixed methods survey was administered to food pantry personnel (n=53). Most (62.3%) reported their food pantry was church-affiliated, and few (22.6%) reported any Extension collaboration. Qualitative themes included perceptions that nutrition education was resource intensive, clients were not interested in nutrition education, and differing attitudes towards nutrition education. When working with food pantries, Extension should educate personnel about the importance of nutrition education, offer resources, and facilitate programming.

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Leveraging The Covid-19 Fermentation Trend To Enhance Nutrition And Food Safety Extension Efforts, Thais M. Ramos, Hanna Louvau, Heesun Kim, Maria L. Marco, Erin Dicaprio Dec 2022

Leveraging The Covid-19 Fermentation Trend To Enhance Nutrition And Food Safety Extension Efforts, Thais M. Ramos, Hanna Louvau, Heesun Kim, Maria L. Marco, Erin Dicaprio

Journal of Extension

Our program aimed to increase knowledge related to fermented foods. Over 400 stakeholders registered for a webinar series that focused on defining fermented foods, health benefits of fermenting foods, and the safety of fermented foods. Participants indicated increases in knowledge and overall satisfaction with the content of the fermentation curriculum. The impact of the COVID-19 pandemic on the program outcomes are discussed.

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Is There An Economic Advantage To Planting Diverse Summer Annual Forage Mixtures?, Kelly Mercier, Chris Teutsch, Ray Smith, Kenny Burdine, Edwin Ritchey, Eric Vanzant Dec 2022

Is There An Economic Advantage To Planting Diverse Summer Annual Forage Mixtures?, Kelly Mercier, Chris Teutsch, Ray Smith, Kenny Burdine, Edwin Ritchey, Eric Vanzant

Journal of Extension

This study examined economic implications of planting summer annual mixtures of grasses, legumes, and forbs at varying nitrogen rates. No differences in yield occurred between the three mixtures, indicating that mixtures with lowest seed cost will be most economical. Applying N resulted in yield increases of 12.26 lb DM per lb N applied. Although yield responses to N were positive, sensitivity analyses showed that applying N resulted in positive net returns only when hay prices were high and N prices were low. When utilization rates are accounted for, enterprise budgets determined grazing to be 18% cheaper to implement than haying.

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Development And Assessment Of A Food Safety Training Program For Farmers’ Market Vendors, Joshua Scheinberg, Rama Radhakrishna, Catherine Cutter Dec 2022

Development And Assessment Of A Food Safety Training Program For Farmers’ Market Vendors, Joshua Scheinberg, Rama Radhakrishna, Catherine Cutter

Journal of Extension

Based on results collected through a comprehensive needs assessment of farmers market (FM) vendors in Pennsylvania, the purpose of this study was to develop and pilot-test a customized, food safety training program for FM vendors. A customized 3-hour, in-person, training program was developed and pilot tested. Using pre- and post-test assessment tests through piloted training, the results found participants scores on knowledge questions increased significantly by ~20% (p

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Through The Looking Glass: Worship Music With Indigenous Sounds In Los Angeles And Manila, Maria Rica Bartolome Silbol Dec 2022

Through The Looking Glass: Worship Music With Indigenous Sounds In Los Angeles And Manila, Maria Rica Bartolome Silbol

Doctoral Dissertations and Projects

Despite the Philippines’ wonderful indigenous music and talents, Manila Baptist and Los Angeles Baptist churches do not utilize indigenous sounds in typical worship practices. This paper contends that the untapped resources of cultural sounds may contribute to a dynamic worship experience that resonates more effectively as Filipino. This study investigates the absence of indigenous sound in two Filipino Baptist churches from Los Angeles and Manila (QC). It analyzes relevant ethnic music components and each church’s response to the fusion of indigenous and traditional music in the worship experience. The explanatory sequential mixed method will focus on an artistic-creative study to …

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Phenomenological Study On Use Of Sports And Exercise For Veterans With Ptsd, Hope Angelina Torres Dec 2022

Phenomenological Study On Use Of Sports And Exercise For Veterans With Ptsd, Hope Angelina Torres

Doctoral Dissertations and Projects

This phenomenological research was intended to explore the effectiveness of sports and exercise to decrease or manage D-PTSD symptoms in veterans. The study was framed around four research questions: How do veterans describe the impact sports and exercise have on their D- PTSD?, When there are PTSD symptoms being experienced prior to engaging in a sport or exercise, how does the veteran feel after the sport or exercise is completed?, What do veterans describe as the primary catalyst that draws them to engage in combative sports?, What is the holistic connectedness with sports and exercise for veterans with D- PTSD …

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The Final Amen: Designing And Implementing A Christlike System For The Closure Of Waypointe Christian Fellowship, Christopher E. Sherwood Dec 2022

The Final Amen: Designing And Implementing A Christlike System For The Closure Of Waypointe Christian Fellowship, Christopher E. Sherwood

Doctoral Dissertations and Projects

Like a myriad of other churches across the country, WayPointe Christian Fellowship (WCF) experienced a long decline leading to a critical question: Should the church permanently close? In the case of WCF, the answer was yes, which led to other questions about how to accomplish the task while maximizing God's glory, minimizing the pain felt by those involved, and preparing the congregation to migrate to another body of believers. This thesis project was designed to enable the leaders of WCF and other church leaders to answer these questions. In this pursuit, a comprehensive closure plan was created and implemented at …

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Perspectives Of Middle School Band Members On High School Band, Frank J. Poolos Dec 2022

Perspectives Of Middle School Band Members On High School Band, Frank J. Poolos

Doctoral Dissertations and Projects

Student retention is essential for band programs at any level to succeed and grow. This study includes results of student surveys of current high-school students who took band during their middle school years, seeking essential factors affecting student perceptions about continuation into high school band programs. Research into band student enrollment and retention exist, yet limited resources focus on transitioning from middle to high school. Studies indicate that participation in large music ensembles, such as bands, provides social, emotional, and academic benefits. Increasing student retention across this transition could yield improved student experiences and achievement in music and beyond. Existing …

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The Role Of Evangelical Beliefs In The Attainment Of Posttraumatic Growth Among Adult Survivors Of Child Sexual Abuse, Sandra Jean Mcmillan Dec 2022

The Role Of Evangelical Beliefs In The Attainment Of Posttraumatic Growth Among Adult Survivors Of Child Sexual Abuse, Sandra Jean Mcmillan

Doctoral Dissertations and Projects

Posttraumatic growth (PTG) is a post-trauma outcome that is extraordinarily complex due to the many subjective aspects and various emerging models regarding the mechanisms leading to it. Studies have led to traditional models of PTG; however, some special populations have limited data regarding factors leading to PTG. Adult survivors of child sexual abuse (CSA) are a distinct population due to the unique sequela emerging from CSA. Religious or spiritual growth is a recognized domain that has been shown to predict PTG; however, no study to date has examined Evangelical Protestant beliefs in relation to PTG among adults with a history …

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The Effect Of Language Used In The Home On Academic Achievement In English Language Learners With Special Needs, Rebecca Dawn Bramblett Dec 2022

The Effect Of Language Used In The Home On Academic Achievement In English Language Learners With Special Needs, Rebecca Dawn Bramblett

Doctoral Dissertations and Projects

The number of students classified as English language learners enrolled in schools in the United States continues to multiply yearly. An increasing number of these students also qualify for special education services. Students in either group have underperformed compared with their general education peers for years, and the basic academic proficiency levels of these students are concerning when either language proficiency or disability is considered separately. However, when a lack of language of proficiency is compounded with a disability, academic proficiency levels become even more concerning. While student language proficiency and disability are well-researched in terms of academic performance, the …

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A Phenomenological Study On The Experiences Of Christian Mothers Navigating Through Societal Worldviews And Social Movements, Holly Amber Neavitt Dec 2022

A Phenomenological Study On The Experiences Of Christian Mothers Navigating Through Societal Worldviews And Social Movements, Holly Amber Neavitt

Doctoral Dissertations and Projects

This study will investigate the lived experiences of Christian mothers as they navigate through various societal worldviews and influences. By examining the available studies on the misuse of Christian doctrine that facilitate the patriarchal worldview and the feminist movement to abolish faith-based gender assignment, the need to investigate the experiences of Christian mothers will be identified. Moreover, the burden of social conformity will be examined. Motherhood can feel like unfamiliar territory as mothers take on their role of motherhood. Investigating these influences and identifying the common experiences mothers face will help to better support Christian mothers. Investigating these lived experiences …

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The Lived Experience Of Athletic Training Faculty Who Have Transitioned To A Master Of Athletic Training Program Including Interprofessional Education: A Transcendental Phenomenological Study, Shelby Nicole Martin Dec 2022

The Lived Experience Of Athletic Training Faculty Who Have Transitioned To A Master Of Athletic Training Program Including Interprofessional Education: A Transcendental Phenomenological Study, Shelby Nicole Martin

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore current athletic training faculty perceptions regarding their transition from an undergraduate degree to a master’s level athletic training program that includes interprofessional education (IPE). IPE can be defined as a collaborative learning experience between two or more healthcare profession programs. The theory guiding this study was Schlossberg’s transition theory. The connection between Schlossberg’s transition theory and faculty perspectives on transition from an undergraduate to graduate curriculum was how the faculty cope before, during, and after the transition. Purposeful, snowball sampling was used to select 10 participants sharing the common experience …

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Drug Evaluation And Classification Program: An Evaluation And Validation Study In The State Of Florida, Micah Moore Dec 2022

Drug Evaluation And Classification Program: An Evaluation And Validation Study In The State Of Florida, Micah Moore

Doctoral Dissertations and Projects

Over the past several decades, the fatality rates in traffic crashes related to drug-impaired driving have increased significantly. Specialized law enforcement officers are currently being deployed to help reduce the number of drug-related traffic crash fatalities and identify drugged impaired drivers. The National Highway Traffic Safety Administration (NHTSA) and the International Association of Chiefs of Police (IACP) developed the drug evaluation and classification program (DECP) to certify law enforcement officers as drug recognition experts (DREs). An evaluation and validation study was conducted on the DECP in Florida. The purpose of the study was to evaluate the DECP in Florida to …

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The Relationship Between Young Adult Attachment And Loneliness Factors With Their Childhood Social Media Usage Patterns, Kenneth Walter Mark Dec 2022

The Relationship Between Young Adult Attachment And Loneliness Factors With Their Childhood Social Media Usage Patterns, Kenneth Walter Mark

Doctoral Dissertations and Projects

Social media use has become an integral and often ignored part of children’s lives because it is rationalized not to be detrimental to their future development. However, childhood social media use was associated with insecure attachment styles and possible loneliness issues emerging in young adulthood. Past research examined social media use and secular attachment in the present only, without examining spiritual attachment or loneliness levels. This is the first research study to explore longitudinally the relationship between past childhood social media use and current young adult (aged 18-24) secular attachment, spiritual attachment, and loneliness levels. The population (N = 149) …

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Communicating The Gospel Authentically: Message Transmission Between The Christian Music Artist And The Audience, Lindsey Montez Graham Dec 2022

Communicating The Gospel Authentically: Message Transmission Between The Christian Music Artist And The Audience, Lindsey Montez Graham

Doctoral Dissertations and Projects

This study seeks to establish that congruence between the Christian artist and the piece directly affects the process of Message Transmission. Artist authenticity and perceived artist authenticity are central to this study. Authentic expression must be believed in the heart and then confessed with the mouth (Romans 10:9–10; Matthew 12:34; Matthew 15:18). In the secular space there is an expectation for the artist to embody or emulate the performance piece temporarily while performing the song, but to not “be” the piece in life. In the Christian setting, however, the artist is communicating the means by which people should live their …

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A Training Program For Adult Mentors Working With Teenagers To Enhance Their Spiritual Health And Church Life, Mark Damon Albertino Dec 2022

A Training Program For Adult Mentors Working With Teenagers To Enhance Their Spiritual Health And Church Life, Mark Damon Albertino

Doctoral Dissertations and Projects

A major problem facing the church is that a significant number of teenagers leave after high school. The researcher addressed the problem of teenagers leaving Taylorsville Church of God after high school by training adult members to mentor the church’s teenagers. In the program, seven adult mentors, which included six females and one male, and six teen mentees, which included four females and two males, participated. The training program included the following topics: mentor spiritual health, servanthood, church life, active listening, parents, empathy, compassion, spiritual health of teenagers, and current teen issues. Through a series of interviews with the adult …

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The Impact Of Covid-19 On The Mental Health Well-Being Among Staff Of A Domestic Violence Shelter, Tonisia Lynette Brown-Cotten Dec 2022

The Impact Of Covid-19 On The Mental Health Well-Being Among Staff Of A Domestic Violence Shelter, Tonisia Lynette Brown-Cotten

Doctoral Dissertations and Projects

The purpose of this qualitatively study via the Case Study approach was to recognize the impact that coronavirus disease-2019 (COVID-19) had on the mental health of randomly selected female domestic violence shelters’ board members, staff, volunteers, and counselors and therapists. To guide this study, the theory of integrating existing knowledge of a topic generated an in-depth, multi-faceted understanding of a complex issue. The case study aimed to answer how COVID-19 impacted higher levels of stress, depression, anxiety, and post-traumatic stress symptoms in the female gender. The study focused on the experiences of vicarious trauma (VT), secondary traumatic stress (STT), compassion …

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Understanding Student Experiences Of College Mental Health-Related Resources And Policies Since The Covid-19 Pandemic: A Qualitative Study, Donna Aron Sepulveda-Shelton Dec 2022

Understanding Student Experiences Of College Mental Health-Related Resources And Policies Since The Covid-19 Pandemic: A Qualitative Study, Donna Aron Sepulveda-Shelton

Doctoral Dissertations and Projects

The purpose of this qualitative study was to understand the experiences regarding mental health-related resources and policies since the beginning of the COVID-19 pandemic for undergraduate students at higher education institutions in northern Georgia. The theory guiding this study is Bandura’s social cognitive theory, as it explores motivators and factors for human behavior and attitude. A phenomenological research design was used to determine common themes among college students enrolled in higher education institutions in northern Georgia before and throughout the entirety of the COVID-19 pandemic. The higher education institutions were within an 80-mile radius, as these colleges were required to …

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Comparing Student Perceptions In Traditional And Online Anatomy & Physiology Courses At The Community College Level, Benjamin Curtis Wright Dec 2022

Comparing Student Perceptions In Traditional And Online Anatomy & Physiology Courses At The Community College Level, Benjamin Curtis Wright

Doctoral Dissertations and Projects

This paper is intended to compare student perceptions of learning environments within anatomy & physiology I and II courses at the community college level. Literature suggests that student perceptions vary depending on the learning environment. The purpose of this study stems from very little research within science courses. Students participating in the research will be grouped into two categories based on the type, of course, they are completing: A traditional face-to-face course or a distance education course. All learning materials within the courses are identical. The Distance Education Learning Environments Survey (DELES) will be used to gather data on student …

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The Nature Of Confession For Forgiveness In 1 John 1:5–2:6, Carleton Edward Hafer Dec 2022

The Nature Of Confession For Forgiveness In 1 John 1:5–2:6, Carleton Edward Hafer

Doctoral Dissertations and Projects

The purpose of this study on 1 John 1:5–2:6 is to examine whether repeated confession of post-salvific sins is required either for additional forgiveness or to maintain fellowship with God. This dissertation argues that John teaches that confession is required for salvation and results in complete forgiveness at the moment of salvation; however, despite what is commonly taught, John never teaches ongoing post-salvific confession for forgiveness or to maintain fellowship with God. While post-salvific confession may benefit a believer on a psychological level, that is not what John taught in 1 John. From God’s standpoint, the relationship is not impaired …

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Teacher Retention Crisis After Natural Disaster Trauma And A Global Pandemic, Kimberly Marie Jarrard Dec 2022

Teacher Retention Crisis After Natural Disaster Trauma And A Global Pandemic, Kimberly Marie Jarrard

Doctoral Dissertations and Projects

Natural disasters affect the communities of over one million students and educators in the United States every year; however, school-based preparedness and prevention programs are nearly non-existent across disaster-prone areas. School-based trauma intervention programs are somewhat present in schools; however, it is more expensive and at a cost, and most public school systems do not have funds readily available to spend. However, the price is more significant on the adolescents' and educators' mental health and communities affected when they are only treated reactively rather than proactively. There are many studies on the results and after-effects of trauma on the mental …

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Best Strategies To Address Burnout Among Healthcare Professionals: An Integrative Review, Kimberly Ann Delbo Dec 2022

Best Strategies To Address Burnout Among Healthcare Professionals: An Integrative Review, Kimberly Ann Delbo

Doctoral Dissertations and Projects

The purpose of this integrative literature review (ILR) is to provide a comprehensive summary and analysis of past empirical and theoretical literature related to the phenomenon of burnout while sharing a synthesis of literature. This ILR explores, critiques, summarizes, and analyzes best practices and interventions to address burnout and promote engagement and well-being among health care workers within acute care hospitals. The scientific basis for this ILR was the premise that a relationship exists between burnout interventions and organizational cultures which can be positively influenced by relational and social leadership styles that reduce work-related stressors and create positive, professional, healthy …

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Non-Christian, Japanese College Students’ Perspectives Of Engaging With God Through The Participatory Components Of Christian Worship, Jacqueline Leigh Bencke Dec 2022

Non-Christian, Japanese College Students’ Perspectives Of Engaging With God Through The Participatory Components Of Christian Worship, Jacqueline Leigh Bencke

Doctoral Dissertations and Projects

This study seeks to examine the extent to which non-Christian college students in Japan perceive their engagement with the biblical God while participating in daily chapel services at Kyūshū Lutheran College. The research employs a mixed-methods approach, analyzing survey and focus group data to explore whether a relationship exists between students’ participation in chapel committee activities and their perceived spiritual engagement. Responses to Lynn Underwood’s Daily Spiritual Experience Survey, the Centrality of Religiosity Scale, and the Centrality of Buddhist Religiosity Scale are combined to create a general spiritual profile of respondents. Worship leaders and missionaries who are in positions of …

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Arlington’S Freedmen’S Village: Becoming Untethered, Gavin Gerard Harrell Dec 2022

Arlington’S Freedmen’S Village: Becoming Untethered, Gavin Gerard Harrell

Doctoral Dissertations and Projects

This investigative study will discuss how the Freedmen's Village was designed as a community for the formerly enslaved to demonstrate what they could achieve with freedom. However, residents arriving at the Village found that they still had many restrictions placed on them and their labor, like de-facto slavery. The Freedmen’s Bureau was in charge of the Freedmen's Village. The Freedmen’s Village refused to allow able-bodied individuals to go without work, demonstrating the importance of employment. Furthermore, private agencies collaborated with both Freedmen's Village and the Freedmen’s Bureau to provide job opportunities outside of the Village for some residents. Many of …

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How Does The Use Of Telemonitoring In Adult Patients With Uncontrolled Hypertension Improve Blood Pressure Control? An Integrative Review, Lucie Bakop Dec 2022

How Does The Use Of Telemonitoring In Adult Patients With Uncontrolled Hypertension Improve Blood Pressure Control? An Integrative Review, Lucie Bakop

Doctoral Dissertations and Projects

Hypertension is an evolving problem worldwide and it constitutes a great risk for cardiovascular diseases. Despite the research and new drugs on the market to manage high blood pressure, hypertension remains the leading cause of disability-adjusted life and death worldwide. With many people suffering from hypertension around the world, and the burden of uncontrolled hypertension, it is imperative to find an intervention that can improve blood pressure control. To better target uncontrolled hypertension, the conventional method of management of high blood pressure based on in-person visits has shown some limitations and it must be combined with a contemporary approach that …

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