Digital Commons Network^™

Promoting The Use Of Suicide Prevention Mobile Applications Among Clinicians To Reduce Suicide & Suicidal Behaviors In Adults Aged 18-45, Papetua Jepkoech Kimutai

Doctoral Dissertations and Projects

Suicide among adults aged 18-45 has increased significantly and has become a challenge to public health worldwide. The purpose of this scholarly project was to promote the use of suicide prevention mobile applications by clinicians to reduce suicide and suicidal behaviors among adults (18-45 years old). Safety Plan suicide prevention mobile app was used in addition to the standard method of preventing suicide. A quasi-experimental design was conducted to promote a suicide prevention mobile app in clinical practice. The clinician participants included three family nurse practitioners (FNPs) and five psychiatric mental health nurse practitioners (PMHNPs)The data were collected using pre …

How Irish Women Survived During The Ulster Plantation, Theresa Cartabuke

Doctoral Dissertations and Projects

When the English implemented the Ulster Plantation, many political, social, economic, and religious changes occurred throughout Ireland. When discussing this topic, women largely have been left out of the equation. This dissertation will bring forth new evidence regarding the ways in which Irish women were able to survive during the Ulster Plantation. Many life-altering changes occurred during this time and many women had to do what was necessary to ensure their survival by adapting to new environments and the English way of life. This dissertation will discuss how women were able to utilize English law to benefit their lives and …

Exploring The Lived Experience Of Women Seeking Treatment For Genito-Pelvic Pain And Penetration Disorder: A Phenomenological Study, Emily M. Lacy

Doctoral Dissertations and Projects

This study explored the lived experiences of women seeking treatment for genito-pelvic pain, aiming to identify how each person experiences barriers and facilitators toward obtaining treatment as well as their outlook on the future regarding treatment. The research sought to provide an understanding of their experiences, with implications for minimizing current barriers and building accessibility and awareness. A qualitative phenomenological design was utilized to obtain the data from participants through semi-structured individual interviews. Nine individual interviews were completed with women between the ages of 27 and 44-years-old who have experienced symptoms of genito-pelvic pain for at least 1 year and …

Perceived Career Barriers Among Women Working In Public Transportation Based On Leadership Development Training And Race: A Causal-Comparative Study, Tamika Gunn White

Doctoral Dissertations and Projects

This quantitative, causal-comparative study investigated differences in perceived career barriers among women engaged in leadership development training programs and those who were not, with a specific focus on their racial backgrounds. The research targets women within the public transportation workforce, utilizing a convenience sample comprising individuals willing and able to provide insights into the issue of perceived career barriers among women in this sector. Purposive inclusion criteria encompass self-identifying as a woman, reporting ages between 25 and 65, and current employment in the public transportation sector. The Perception of Barriers Scale assessed career- and education-related barriers. The data collection procedure …

Leadership Professional Development On Teacher Self-Efficacy: A Causal-Comparative Study, Yolanda Michelle Gilyard

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study is to determine if there is a difference in self-efficacy between teachers who are in the process of receiving leadership professional development, those who have completed leadership professional development, and those who have not received leadership professional development. This study is significant because it aims to determine if self-efficacy is different between teachers who are in the process of receiving leadership professional development, those who have completed leadership professional development, and those who have not received leadership professional development. The school district is a Title 1 school with an 87.9% poverty rate. Due …

A Phenomenological Study On The Mental Health Stigmatization And Faith Of Christian African American Genx Men, Kenneth Jerlette Mickie

Doctoral Dissertations and Projects

The primary goal of this study was to examine the Mental health stigmatization and the faith of Christian African American GenX men. Mental Health within the African American community is a topic that is often considered taboo and seldom discussed. African faith plays a prominent role, many still experience contradictory feelings about receiving mental health treatment due to the worry of being judged and stigmatized. Therefore, it is critical to understand African Americans' perceptions of depression and views of depression treatment, including cultural stigmas and religious, spiritual, and socioeconomic barriers that may deter individuals from seeking or accepting treatment in …

A Hermeneutic Phenomenological Study: The School Principal's Experiences With Education Law, Vanessa Calderon Donahue

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study is to understand the school principal’s experiences with education while managing their school sites. The study applies Knowles' theory of adult learning to create relevant and practical learning and to produce continuous professional development programs on education law for school principals. The central research question guiding this study is: How prepared are principals when addressing legal issues while managing their schools? This hermeneutic phenomenology research study utilizes a constructivist approach to build an understanding of school principals' experiences with education law based on the insights of study participants. The participants comprised ten elementary, …

A Phenomenological Study Of Middle School Teachers Implementing Social-Emotional Learning, Post Covid-19 At A Predominantly Hispanic School, Kutana Nichol Parrish

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the lived experiences of the ten middle school teachers implementing social and emotional learning, post COVID in a predominately Hispanic suburban school in Gwinnett County School District in Georgia. The theory guided by this study is emotional intelligence by psychologist Daniel Goldman but was first used by Peter Salovey and John Mayer in 1990. Daniel Goldman defines emotional intelligence as having the ability to identify nonverbal cues, using emotion to guide one’s thinking, understanding information that is communicated, and actions of emotions, and the capability to self-regulate emotions. Collaborative for …

Military Members Mental Health And Adverse Childhood Experiences: The Mediating Role Of Mental Toughness, Maureen Kenyon James

Doctoral Dissertations and Projects

Military members’ mental health has been in the spotlight for many years. Although Australia and the United States have strong, robust forces, exposure to this high-stress environments can take its toll. This study is important to keep our armed forces in top mental and physical health and look after them post-service. We need to know what can protect mental health and how to minimize the risks to health and well-being. The purpose of this study is to ask the question, “To what extent are Adverse childhood experiences related to military members' mental health status, and is this relationship mediated by …

Parental Phubbing And Adolescent Social Anxiety, Julie Ann Bowman

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore how parents experience social anxiety in their children, of ages six to fourteen, in the presence of parental phubbing. The modified version of Moustakas’ modified version of Stevick-Colaizzi-Keen’s analysis method was used to gather and analyze data. Participant requirements included being at least 21 years of age, having a child between the ages of 6-14, own a cell phone with texting and internet capabilities, and speak English fluently. Fifteen participants were used, however, data saturation was found by the ninth participant. This study explored two research questions: How do parents …

A Phenomenology Of Post-Adoption Experiences Of Adoptive Parents, Omowunmi Omotade Ehikhametalor

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to describe the post-adoption experiences of adoptive parents in Jamaica. Studies carried out in other jurisdictions are valuable but do not capture the unique experiences of adoptive parents in Jamaica; therefore, this current study sought to fill the research gap. This study's theoretical framework comprises Schlossberg’s transition theory, attachment theory, and parent effectiveness training (PET). Data were collected from a stratified purposive sample of twelve participants using a brief demographic survey, in-depth interviews, and participant journaling. The data were analyzed using Moustakas’ model, and four themes emerged, namely: the inception of adoptive parenthood, the journey …

Finding A Correlation Between Emotional Intelligence And Burnout In Music Teachers In Southeastern Pennsylvania, Richard Raymond Freda

Doctoral Dissertations and Projects

Despite studies showing that individuals with higher levels of emotional intelligence report higher job satisfaction and happiness, relatively few studies have looked at the relationship between higher levels of emotional intelligence and lower levels of teacher burnout, especially among music teachers. With so many music teaching positions going unfilled and many music teachers leaving the profession, it was imperative to find a way to keep music teachers in the classroom. By making teachers aware of their emotional intelligence and how to understand their emotions, it is possible that more music teachers can be retained. In this quantitative study, music teachers …

Hormone Therapy Among Women Within A Clinical Setting: Health Literacy And Teach Back Method To Increase Understanding Of Potential Benefits And Risks Of Treatment, Mariah L. Petersen

Doctoral Dissertations and Projects

The purpose of this project was to examine hormonal therapy among women between the ages of 40 and 55 within a clinical setting. This project assessed women’s understanding of hormonal therapy for various treatments as well as the risks. The intervention utilized the teach-back method. The project also included the 10 essential elements the provider needs to be competent in the teach-back method. A pre- and post-test were given to patients to measure improvement of knowledge and understanding. The goal is to improve patients’ understanding of these treatments and to help them ask questions if they do not fully understand …

Racial Reconciliation In Black And White: A Qualitative Study Of Live Mississippi Blues Music Communication, Christian Patterson

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological research effort is to investigate a problem regarding communication between Black and White Mississippians in live Mississippi blues music settings. The central research question for this study is as follows: Can live Mississippi blues music communication be used as a tool to strengthen race relations between Black and White Mississippians? Few studies exist regarding this matter. Understanding this phenomenon is relevant because racial reconciliation is critical to the Magnolia State’s future success, and research has proven that music can unify individuals. To facilitate comprehension, a thorough literature review describes Mississippi’s racial challenges from the …

Progress & Reconciliation: The Legacy Of The Southern Military Tradition At The Carlisle School (1892 - 1930), Jesse Davis

Doctoral Dissertations and Projects

This dissertation examines the evolution of southern progressivism and national reconciliation from 1892 to 1930 through the lens of the Carlisle Military School in Bamberg, South Carolina. By analyzing archival documents related to the school's history and local newspapers from Bamberg County, this research reveals how southern progressivism influenced changes in the school's mission and the actions of its leadership leading up to World War I. The study highlights how South Carolina and Bamberg County played pivotal roles in advancing national reconciliation through programs and evolving missions at the Carlisle Military School. The years surrounding World War I acted as …

Exploring Spiritual Leadership Theory's Beneficial Member Outcomes By Women Who Founded And Lead Nonprofit Evangelical Christian Organizations, Barrie Milton Lewis

Doctoral Dissertations and Projects

The problem under investigation has two facets: the lack of testing the Spiritual Leadership Theory (SLT) in religious organizations and the lack of any study of Christian women who lead the nonprofit evangelical ministry organization or the classical Christian education (CCE) school they founded or cofounded. This qualitative phenomenological study addressed this problem by exploring the phenomenon of beneficial member outcomes from SLT’s practice by these women who lead those Christian organizations. The literature review includes SLT’s compatibility with Christian leadership and an extensive analysis of the biblical, theological, and historical literature concerning the leadership role of women in the …

Addressing A Lack Of Counseling Programs To Diminish The Psychological, Emotional, And Mental Impacts Of Church Closure Grief, Marcel Berrios

Doctoral Dissertations and Projects

Besides spiritual activities, the social activities that happen in church buildings are vital to the functioning of most communities; therefore, churches play a central role in the social fabric and social infrastructure of communities in ways not necessarily thought about until they are no longer around. The looming absence of this role or function of the church becomes the overarching focus to address when an announcement is made that a church is permanently closing. Lost in navigating the business and community aspects of a church closure is the congregation's metamorphic spiritual, emotional, and psychological journey. Subsequently, many church members are …

Implementing A Patient Decision Aid Tool To Improve Knowledge Of Lung Cancer Screening And Lung Cancer Screening Rates In A Primary Care Setting, Emily Evans Brown

Doctoral Dissertations and Projects

It is well known that lung cancer is a devastating disease affecting many individuals in the United States. Through education and early screening efforts, lung cancers can be identified earlier when they can be more easily treated. This evidence-based practice project was developed for the purpose of improving patient and provider knowledge of lung cancer screening and to increase lung cancer screenings in primary care. The evidence-based lung cancer screening educational tool, referred to as a patient decision aid tool, was implemented in a family medicine practice setting over a 10-week period. After the 10-week implementation, there was an increase …

Solution-Focused Pastoral Counseling For Bereavement, Wayne A. Benner

Doctoral Dissertations and Projects

The topic of this action research is Solution-Focused Pastoral Counseling for grief and bereavement. The need for the research completed is for hospice chaplains to have a workable tool to use for grief and bereavement. The problem is that many hospice chaplains do not have a framework to use for counseling in grief. The action researcher worked on the thesis of if chaplains use Solution-Focused Pastoral Counseling for grief they will be more effective. The research was completed using Solution-Focused Pastoral Counseling to counsel six participants in grief. Each participant completed a pre-counseling questionnaire and a post-counseling questionnaire to assess …

Accessing Cancer Care Through A Community Diagnostic Clinic, Joy Lynn Bartholomew

Doctoral Dissertations and Projects

Access to diagnostic centers, innovative cancer research and best clinical practices is limited outside metropolitan areas and academic institutions. Cancer patients in rural communities are a marginalized population faced with unique barriers to high quality care from early detection through screening, streamlined diagnostics, and participation in clinical trials. One-stop clinics (OSC) in the community setting may lessen the diagnostic interval (DI), reduce the economic burden of unnecessary imagining or procedures, minimize sociodemographic discrepancies, and positively affect time to treatment and clinical trial participation. The first step is to better understand the community cancer population and their diagnostic journey. Next, an …

Cytoplasmic And Mitochondrial Calcium Influences Retinal Ganglion Cell Survival To Axon Injury, Sean Mccracken

Arts & Sciences Graduate Student Theses and Dissertations

Retinal Ganglion Cell (RGC) death is the final outcome in optic neuropathies like glaucoma and traumatic optic nerve injury, which represent the leading cause of irreversible blindness worldwide. There are currently no treatments for these diseases targeting RGCs directly, and mechanisms underlying RGC death are unclear. Calcium ion (Ca2+) dysregulation occurs in almost all neurodegenerative conditions, including glaucoma, which has been studied in rodents using a robust injury model of traumatic axon injury, optic nerve crush (ONC). However, the impact of homeostatic Ca2+ regulation in RGCs response to glaucoma or ONC is unknown. Furthermore, while some mechanisms that regulate Ca2+ …

The Effect Of A Low-Carbohydrate Diet On Evoked Pain And Quality Of Life In Non-Hispanic Black Women With Knee Osteoarthritis: A Pilot Study, Asia M Wiggins, Larissa J Strath, Gray E Mcpherson, Barbara A Gower, Amy M Goss, Burel R Goodin, Robert E Sorge

2020-Current year OA Pubs

BACKGROUND: Knee osteoarthritis (KOA) is a prevalent chronic pain condition that can significantly impact quality of life and contribute to recognized chronic pain racial disparities. We have shown that a low-carbohydrate diet (LCD) can reduce KOA-related pain. Our previous work suggested that the LCD was more beneficial for women and non-Hispanic Black (NHB) adults, but our sample was not sufficiently diverse. Thus, we sought to determine whether the LCD may be beneficial for NHB women with KOA on measures of self-reported and evoked pain.

METHODS: Fourteen NHB women (M = 55.93, S.D. = 7.79 years of age) with KOA were …

Exploring The Homeostatic Functions And Driving Forces Of Lymphatic Outflow Pathways From The Central Nervous System, Zachary Matthew Papadopoulos

Arts & Sciences Graduate Student Theses and Dissertations

Lymphatic drainage from the central nervous system (CNS) has been noted and described for several hundred years, yet its physiological roles have remained unclear. The fluid homeostasis of the CNS has long stood as an area of scientific interest due to primary disorders including hydrocephalus. However, the early days of neuroimmunology leaned on the lack of lymphatic vasculature in the CNS as a contributing explanation for ‘immune privilege’ in the CNS. As a result, the importance of lymphatics in CNS homeostasis has remained poorly understood and controversial. Following a renaissance in interest in the contribution of lymphatics to CNS homeostasis, …

Studying The Dynamics Of Neuromodulators In The Brain By Fluorescence Lifetime Imaging, Pingchuan Ma

Arts & Sciences Graduate Student Theses and Dissertations

Neuromodulators in the brain are fundamental to neuronal functions and animal behaviors in health and diseases. The modulatory actions of neuromodulators highly rely on their spatiotemporal dynamics. Recent research has demonstrated the importance of both sustained and transient change in neuromodulators, likely due to tonic and phasic neuromodulator release. However, no traditional methods could simultaneously record both types of dynamics. Fluorescence lifetime of optical reporters could offer a solution because it both allows high temporal resolution and is impervious to sensor expression differences across chronic periods. Nevertheless, no fluorescence lifetime change across the entire classes of neuromodulator sensors was previously …

A Study Of Thomas Oord’S Open Theism And Theodicy, Olaoluwa Apata

Doctoral Dissertations and Projects

Open theism’s opposition to the traditional Christian view and its rejection of the classical definitions of God’s attributes, character, and divine impassibility continually creates a point of contention between the two worldviews. As one of the leading voices in this movement, Thomas Oord offers what can be described as a refined argument in support of Open theism in contemporary theological and philosophical studies. His open theism holds that due to God’s kenotic act and uncontrolling love, his ability to know the future is limited and he cannot prevent evil. Oord introduces his version of open theism with the goal of …

Improving Early Detection Of Skin Cancer Through Enhanced Screening Practices, Ashley Cline

Doctoral Dissertations and Projects

With an effort to enhance early detection and intervention, this research investigates the urgent need for better skin cancer screening procedures. Developing and evaluating a multicomponent intervention to improve skin cancer screening and increase skin cancer early detection rates in primary care settings was the purpose of this project. In order to assess the use of improved screening procedures for early skin cancer detection in the primary care setting at the Complete Health organization’s Ormond Beach branch, the evidence-based practice study used a quasi-experimental approach. The project focused on the clinical question of whether implementing enhanced screening practicessuch as patient …

Brain Volumes, Cognitive, And Adaptive Skills In School-Age Children With Down Syndrome, Rebecca Grzadzinski, Kelly Botteron, Natasha Marrus, Robert Mckinstry, Et Al.

2020-Current year OA Pubs

BACKGROUND: Down syndrome (DS) is the most common congenital neurodevelopmental disorder, present in about 1 in every 700 live births. Despite its prevalence, literature exploring the neurobiology underlying DS and how this neurobiology is related to behavior is limited. This study fills this gap by examining cortical volumes and behavioral correlates in school-age children with DS.

METHODS: School-age children (mean = 9.7 years ± 1.1) underwent comprehensive assessments, including cognitive and adaptive assessments, as well as an MRI scan without the use of sedation. Children with DS (n = 35) were compared to available samples of typically developing (TD; n …

Health Equity Innovation In Precision Medicine: Data Stewardship And Agency To Expand Representation In Clinicogenomics, Patrick J Silva, Vasiliki Rahimzadeh, Reid Powell, Junaid Husain, Scott Grossman, Adam Hansen, Jennifer Hinkel, Rafael Rosengarten, Marcia G Ory, Kenneth S Ramos

Center for Medical Ethics and Health Policy Staff Publications

Most forms of clinical research examine a very minute cross section of the patient journey. Much of the knowledge and evidence base driving current genomic medicine practice entails blind spots arising from underrepresentation and lack of research participation in clinicogenomic databases. The flaws are perpetuated in AI models and clinical practice guidelines that reflect the lack of diversity in data being used. Participation in clinical research and biobanks is impeded in many populations due to a variety of factors that include knowledge, trust, healthcare access, administrative barriers, and technology gaps. A recent symposium brought industry, clinical, and research participants in …

Secondary Teachers’ Perceptions About Strategies To Teach Reading Comprehension, Carol Judd

Walden Dissertations and Doctoral Studies

This study examined the challenges teachers faced in teaching reading comprehension to secondary students within the study school. Reading comprehension is a key skill for academic success, yet many students struggle to understand complex texts in subjects such as history, science, and mathematics. The purpose of this research is to assess how teachers perceive the integration of reading strategies in core content areas and the impact of professional development on their teaching practices. The conceptual framework used to guide this study was the social cognitive theory of self-efficacy, which suggests that teachers' beliefs in their abilities to implement effective strategies …

Introduction 16(6) 2024: Special Issue: Emerging Scholar Research Summaries, Rosalind Latiner Raby

Journal of Comparative & International Higher Education

No abstract provided.