Digital Commons Network^™

Beyond Catharsis: The Evolution Of Popular Tragedy In Video Game Narratives, Nicole E. Chancey

Master’s Theses

“Beyond Catharsis: The Evolution of Popular Tragedy in Video Game Narratives,” establishes a connection between traditions of Tragedy and video game narratives, arguing that the ways in which tragedy manifests within interactive media is an extension and development of previous, more formal understandings of Tragedy. Using Oxenfree (2016), Elden Ring (2022), and Baldur’s Gate 3 (2023), this thesis claims video games feature adaptations of traditional tragedy and catharsis that expand the genre. Through players directly instigating the action of the game, the allowances and limitations of the player’s agency, and the instances of misfortunate fates, interactive narratives translate tragic concepts—outlined …

Queer Life In Nineteenth-Century America: A Historical Literature Review, Vivian Wright

SURF Posters 2025

In recent political discourses, queerness has often been treated as a modern phenomenon, and many people tend to think of queerness as a twentieth-century invention. Historians, however, have shown this to be false; an extensive amount of historical work details the lives of those who did not conform to sexual or gender norms in nineteenth-century America. This review surveys such works, analyzing nearly twenty different works spanning the course of nearly fifty years. By examining these works chronologically, the development of the field of queer history can be understood in the context of social and political developments occurring in the …

Geochronology And Geomorphology Of The Brule Spillway Of Glacial Lake Duluth, Madeline Josephine Laaksonen

All Graduate Theses, Dissertations, and Other Capstone Projects

During the Late Pleistocene and Early Holocene, a series of dyssynchronous advances and retreats resulted in the evolution of the Upper St. Croix River Valley. Proglacial lakes forming at the margins of the retreating ice within the Lake Superior Basin and subsequent multiple drainage events through the Brule Spillway have also drastically shaped the landscape. As a result, the Brule Spillway and broader St. Croix River valley presents an important case study to spillover processes occurring in proglacial landscapes and the reorganization of regional drainage networks and creation of a new hydrogeomorphic regime. While prior literature on the Spillway exists, …

Parents In Action For Change, Faisuly Correa Rojas

Education | Graduate Culminating Projects

This handbook offers a structured framework for parents in Marin County’s advocacy group, aimed at informing them about special education and bullying prevention practices to better advocate for their children's education.

Identifying Barriers To The Utilization Of Translation Services Among Immigrant Populations With Limited English Proficiency, Adama Barry

Doctor of Nursing Practice Projects

Background: The number of patients with limited English proficiency (LEP) has increased in the United States, indicating the growing importance of addressing their healthcare needs. Aim: To examine existing translation services and explore the challenges healthcare providers encounter in their use.

Methods: A mixed-methods cross-sectional survey was conducted among providers, registered nurses, and medical assistants at a diverse urgent care clinic in a city in Washington State.

Results: Interpreter availability, technological disruptions, training gaps, and interpreter accuracy emerged as significant barriers.

Implications for Practice: Comprehensive improvements in interpreter service accessibility, technological reliability, and cultural competency training.

Address The Gap In Nursing Knowledge Regarding Patients At End Of Life In An Inpatient Oncology Setting, Sala Oh, Tracey Trinh

Doctor of Nursing Practice Projects

Background: Nurses often lack the knowledge of providing end of life (EOL) care and do not feel adequately prepared to confidently provide care. Identifying barriers to providing quality care could demonstrate improved symptom management for EOL patients and nursing confidence.

Aims: To identify knowledge gaps for oncology nurses working with EOL patients, develop nursing education, and ultimately improve patients’ symptom management.

Methods: This was a needs assessment of nurses (n=79) working in an inpatient oncology unit. A survey was distributed to obtain barriers in nursing knowledge and an educational module was created. A quality improvement study was then performed to …

Unmet Perinatal Mental Health Needs Of Racially And Ethnically Marginalized Pregnant Birthing People, Courtney Sholar

Doctor of Nursing Practice Projects

Background: The negative impacts of perinatal mental illness are vast, including impaired physiological health of the birthing parent and child, impaired bonding, poor childhood socioemotional development, and financial burden. Although birthing parents of all racial and ethnic backgrounds can experience such outcomes, racially and ethnically marginalized birthing parents and their children are subject to compounded risk for poor outcomes. Little to no studies have specifically and solely examined perinatal mental health needs and preferences of racially and ethnically marginalized birthing parents in the Seattle area. Examination of such needs are necessary to implement interventions downstream that effectively reduce the perinatal …

Blood Pressure Self-Monitoring Intervention Among Low-Income Pregnant And Postpartum Individuals In Nurse-Family Partnership: A Qualitative Program Evaluation Assessing Self-Efficacy And Health Literacy, Sherilynn Soo, Antonia Powicki

Doctor of Nursing Practice Projects

Background: Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal morbidity and mortality in the United States, disproportionately affecting low-income and marginalized populations. Blood pressure self-monitoring (BPSM) has emerged as a promising intervention to support management of HDP. This study evaluated the impact of a BPSM program on self-efficacy and health literacy among low-income, first-time pregnant and ostpartum individuals enrolled in Snohomish County’s Nurse-Family Partnership (NFP) program.

Methods: This qualitative program evaluation involved semi-structured interviews with 10 participants enrolled in the BPSM program. Interviews were conducted via secure video conferencing, transcribed, and analyzed using inductive thematic analysis supported …

Exploring Prenatal Care Providers' Perceptions Of Barriers To Physical Activity During Pregnancy: A Survey Of Obstacles And Attitudes, Tania Nambo-Escobar

Doctor of Nursing Practice Projects

Despite the well-established benefits of physical activity during pregnancy, most pregnant individuals in the United States fail to meet recommended guidelines. The aim of this quality improvement project, conducted through Seattle University College of Nursing, was to explore prenatal care providers’ perceptions of barriers to physical activity counseling during pregnancy. Using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, a mixed-methods survey was distributed to midwives and obstetric nurses at Neighborcare Health clinics. The survey assessed providers' beliefs, perceived barriers, and current practices related to physical activity counseling. Results showed that while most providers acknowledged the importance of physical activity, they …

An Integrative Approach To Diabetes Education In The Immigrant Somali Community, Bilal Kadri, Amina Osman

Doctor of Nursing Practice Projects

Diabetes mellitus is a chronic disease with numerous health and financial ramifications, especially for vulnerable populations like Somali immigrants. Effective management of diabetes requires adequate knowledge and management skills. Traditional diabetes education programs are ineffective for Somali immigrants because they do not account for their unique social, cultural, and traditional backgrounds. This study implemented a culturally sensitive, in-person, interactive education session for 14 first-generation Somali immigrants with type 2 diabetes. The effectiveness of the study was evaluated with pre- and post-education tests, as well as the participants’ self-confidence in managing diabetes. Mean test scores and a paired t-test were calculated …

Pain Versus Neuropsychiatric Symptoms In Residents With Dementia: A Nursing Staff Educational Training, Rebecca Hildreth

Doctor of Nursing Practice Projects

BACKGROUND: Pain assessment in patients with dementia is challenging due to cognitive and communication impairments, making the older adult population highly susceptible to poor pain assessment and treatment.

AIM: The purpose of this project is to accurately identify the cause of agitation in residents with dementia. Specific aims include 1) to collect background demographic data on residents, 2) to educate nursing staff on pain assessment in dementia patients, and 3) to educate nursing staff about the risks associated with antipsychotic medications to prioritize using non-pharmacologic interventions to treat agitation.

METHODS: A chart review of residents residing in a suburban, Pacific …

Exploring Barriers And Opportunities For Formally Integrating A Compensated Community Health Worker Program To Manage Hypertension Into The Healthcare System In Puno, Peru, Miye Dittmann

Doctor of Nursing Practice Projects

Hypertension is the leading cause of preventable mortality worldwide. Community health workers (CHWs) can be potential aids in managing hypertension in Peru. CHWs in Peru are currently not formally practicing or compensated for chronic disease management. Effectiveness of CHWs for hypertension care is being assessed in the The Addressing Hypertension and Diabetes through Community-Engaged Systems (ANDES) Trial. Through semi-structured interviews with healthcare providers and healthcare administrators, this study aims to understand scalability and feasibility integrating CHWs into hypertension management into Peru’s national healthcare system. Following transcription of interviews, inductive and deductive analysis identified key themes and subthemes. Participants described a …

Undergraduate Nursing Students’ Perceptions, Knowledge, And Barriers To Accessing Student Mental Health Services, Margot Sprague

Doctor of Nursing Practice Projects

Background: While improving the mental health of college students is a worldwide goal of the World Health Organization, programs to address student needs in the United States are underresourced, complex to access, and frequently confusing. In 2024, the National College Health Assessment found that 21% of college students scored high in severe psychological distress, 50% were positive for loneliness, 11% reported self-injury over the previous 12 months, and 28% scored positive on suicidal screening. Nursing students have increased levels of depression, anxiety, sleep disturbances, stress-related illness, and suicide. Aim: The first aim of this project was to identify perceptions, knowledge, …

Treating Social Media Addiction In Adolescents: A Scoping Review With Implications For Music Therapy Practice, Roman D. Swain

Theses and Dissertations--Music

With the rapid expansion of online connectivity, concerns have emerged regarding the influence of digital interactions on adolescents’ real-world relationships and mental health. Social media use can expose adolescents to harmful content and disrupt the brain’s pleasure centers, increasing the risk of developing addictive patterns of use. Such disruptions may interfere with daily functioning and contribute to negative mental health outcomes. Given the impact of music on the brain’s reward system, music therapy may offer a beneficial approach for helping adolescents develop mindfulness of social media use and strengthen offline social connections. This thesis presents a scoping review of current …

Examining The Adjustment, Acculturation, And Well-Being Of International Arab Students In The United States: Implications For Policy And Practice, Hassan A A Kh A A Arab

Wayne State University Dissertations

This paper explored Arab international students studying in the United States to see whether they face acculturation stress, adjustment, or well-being issues. I found that my sample (N=95) experienced moderately high well-being distress and acculturative stress. However, the sample showed resilience and positive adjustment in all aspects, psychological (M=34.7), social (M=38.5), and academic (M=37.4). Moreover, well-being score from a modified GHQ survey came with high SD, indicating some students were dealing with serious mental issues, while others were doing well (M=42.92, SD=5.52). The majority of my participants were males (74.7%), single (75.8%), and graduate students (50.5%). Chi-square analysis found a …

Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling

Theses and Dissertations--Psychology

Due to multilevel factors, including a high prevalence of tobacco use, the burden of some cancers is disproportionately higher in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community than the general population. Evidence-based tobacco treatment delivery with high rates of tobacco cessation would be a powerful tool for secondary cancer prevention in the LGBTQ community, yet few studies have explored this issue. The current study aimed to 1) uncover both positive and negative aspects related to the lived experience and treatment of LGBTQ cancer survivors who use tobacco, 2) elucidate barriers and facilitators of tobacco treatment and cessation, and …

Evaluating The Acceptability Of Ptsd Treatment Among Justice-Involved Women In Kentucky With Histories Of Opioid Use, Jesse P. Mccann

Theses and Dissertations--Psychology

Rates of trauma and PTSD as well as histories of opioid use are high among justice-involved women, particularly in Kentucky. However, there are many barriers to receiving treatment. There is a pressing need for brief, trauma-focused interventions that can be more feasibly delivered in jail or prison settings as well as by community clinicians serving women on probation or parole. This study explores the acceptability of treatment for PTSD, particularly Written Exposure Therapy (WET), among justice-involved women on probation or parole with a history of illicit or nonmedical prescription opioid use. The research aims to deepen our understanding of factors …

A Dual Process Model Perspective On Associations Between Parent And Offspring Problem Drinking, Karallyn E. Fitisone

Theses and Dissertations--Psychology

Parental problem drinking (PPD) is a well-established risk factor for adolescent alcohol use, yet the complex mechanisms involved remain underexplored. The present study addresses this critical gap by examining how PPD, parent emotion socialization, and emerging adult problem drinking are associated within the framework of the Dual Process Model of Substance Use. Participants were 2,036 undergraduates who completed an online survey assessing PPD, retrospective reports of parental reactions to their negative emotions in childhood, and students’ current levels of problem drinking, negative urgency, negative emotional reactivity, and emotion-regulation difficulties. Structural equation modeling was used to clarify the roles of emotion-related …

Enhancing Faculty Self-Efficacy In Student Retention Through Teas Reading Comprehension Score Education, Katina A. Ennis

Doctor of Nursing Practice Projects

Student retention remains a persistent challenge for Associate Degree in Nursing (ADN) programs, with significant implications for the nursing workforce amid a national shortage. Faculty self-efficacy in interpreting and utilizing academic readiness data, particularly ATI TEAS reading comprehension scores, is often limited, leading to missed opportunities for early intervention. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted educational intervention could enhance faculty self-efficacy in using TEAS reading comprehension scores to support at-risk students and improve retention strategies.

The project employed a quantitative pre- and post-intervention design using the validated Teacher’s Sense of Efficacy Scale (TSES) …

Quality Improvement Project: Empowering Nursing Instructors For Effective Simulation Facilitation, Brittany N. Hilson

Doctor of Nursing Practice Projects

Simulation-based education is vital in nursing education, enhancing clinical skills and decision-making in a controlled environment. The DNP Quality Improvement (QI) project aimed to increase nursing faculty self-efficacy in facilitating simulation-based education by providing targeted training in high-fidelity simulation technology. A needs assessment at the school of nursing project site revealed that the faculty lacked sufficient experience and confidence in using simulation equipment. The impact of the simulation-based intervention was evaluated by applying a paired sample t-test, utilizing pre- and post-assessment data. Following a four-week intervention, the results demonstrated that 69.2% of participants showed a significant increase in self-efficacy, with …

The Association Between Medication Adherence, Internalized Stigma And Social Support Among Outpatients With Major Depressive Disorder In A Malaysian Hospital: A Cross-Sectional Study, Martha Sajatovic

Faculty Scholarship

Background: Internalized stigma and medication non-adherence pose significant challenges for treating major depressive disorder (MDD), leading to disability, increased suicide risk, and morbidity. Limited data exists on modifiable factors associated with adherence in lower-resourced settings like Malaysia. This study aimed to investigate poor adherence prevalence and the demographic and clinical factors associated with poor medication adherence among patients with MDD. Methods: This cross-sectional survey recruited participants using universal sampling from a major hospital in Selangor, Malaysia. Participants answered questionnaires consisting of demographic and clinical information (medical history, duration of anti-depressant treatment for MDD, psychiatric ward admission history, and any medication …

Southern Adventist University Adult Degree Completion Catalog 2024-2025, Southern Adventist University

Catalog, Adult Degree Completion

Southern Adventist University's adult degree completion catalog for the academic year 2024-2025.

Holding Fossil Fuel Producers Accountable In U.S. And Other Foreign Courts: A Climate Justice Pathway For Sierra Leone, Jamil Sahid Fofanah

Colorado Environmental Law Journal

No abstract provided.

Leveraging Transformer-Based Ocr Model With Generative Data Augmentation For Engineering Document Recognition, Wael Khallouli, Mohammad Shahab Uddin, Andres Sousa-Poza, Jiang Li, Samuel Kovacic

Engineering Management & Systems Engineering Faculty Publications

The long-standing practice of document-based engineering has resulted in the accumulation of a large number of engineering documents across various industries. Engineering documents, such as 2D drawings, continue to play a significant role in exchanging information and sharing knowledge across multiple engineering processes. However, these documents are often stored in non-digitized formats, such as paper and portable document format (PDF) files, making automation difficult. As digital engineering transforms processes in many industries, digitizing engineering documents presents a crucial challenge that requires advanced methods. This research addresses the problem of automatically extracting textual content from non-digitized legacy engineering documents. We introduced …

Racial And Rural Disparities In Financial Toxicity And Healthcare Transitions Among Adolescent And Young Adult Cancer Survivors In Kentucky, Jean S. Edward, Brent J. Shelton, Lauren Corum, Haafsah Fariduddin, Katie Brown, John A. D’Orazio, Kimberly D. Northrip

Physiology Faculty Publications

Introduction: Adolescent and young adult cancer survivors, especially racial/ethnic minorities and rural residents are particularly vulnerable to financial toxicity due to limited healthcare access, socioeconomic disparities, and cultural/language barriers. These social determinants of health compound financial hardship and contribute to poor healthcare transitions from pediatric to adult care, leading to worse outcomes and higher mortality rates. Methods: Our cross-sectional survey study examined racial (Black vs White) and geographic (rural vs urban) disparities in financial toxicity and healthcare transition outcomes among 260 adolescent and young adult cancer survivors through the Kentucky Cancer Registry. Survey data were collected on financial toxicity, healthcare …

Assessing Attitudes Towards Plagiarism Among Health Professionals: The Impact Of Scientific Writing Training, Humera Adeeb, Brekhna Jamil, Ihsan . Ullah

Health Professions Education

Purpose. Plagiarism is a common form of academic misconduct with damaging consequences to researchers and science. There is a need to explore attitudes towards plagiarism and adopt strategies to mitigate its effects.

Method. A cross-sectional analytical study was conducted among health professionals attending a course at Khyber Medical University. Data were collected from 1st September 2022 to 31st January 2023. Attitudes towards plagiarism questionnaire, with 29 items on a five-point Likert scale, was distributed on google forms to 240 participants. Age, gender, qualification, previously attended course on scientific writing and authoring an article were described as proportions. The unpaired t-test …

The Role Of Organizational Routines In Perpetuating Disparities Among African American Students In Secondary Advanced Academic Programs: A Mixed Methods Study, J. Nichelle Wimbush

Theses and Dissertations

The academic excellence gap, which refers to the disproportionalities of minority groups in advanced academic programs, presents challenges for educational leaders striving to provide access to equitable educational opportunities for all students. This study, guided by Charles Tilly’s opportunity hoarding, examines the systematic underrepresentation of African American students in advanced academic programs. Using a transformative mixed methods design, the researcher analyzes enrollment patterns, the intersectionality of race and gifted identification in K-5, and teacher and leader perceptions of how organizational routines influence student enrollment in advanced academic courses, grades 9-12, in a school district in West Central Georgia. Redacted student …

Targeting Als: A Multi-Cellular Study On The Potential Therapeutic Role Of Azole-Based Compounds, Alisha R. Kennedy

Theses and Dissertations

Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurodegenerative disorder that leads to the degeneration of motor neurons, which control voluntary muscle movements such as eating, speaking, and breathing. As these neurons are damaged, voluntary movement ceases, leading to a fatal outcome. The survival time of ALS patients varies, ranging from a few months to up to 10 years. Chapter 1 of this thesis provides an overview of ALS, highlighting the role of transactive response DNA-binding protein 43 (TDP-43), a key feature in ALS and other neurodegenerative diseases. The aggregation of TDP-43, particularly due to …

To Be Loved Is To Be Seen: Gazing As A Form Of Interpretation In The Turn Of The Screw, Yasmin Mezayek

Theses and Dissertations

The heated discourse that would follow Henry James’s novella “The Turn of the Screw” centered on whether the ghosts were real or not. With Shoshana Felman’s groundbreaking article “Turning the Screw of Interpretation” a new-found focus on the ambiguities, as opposed to finding a singular, definitive meaning of the novella would usurp the Freudian and anti-Freudian arguments. With the governess’s sight being the main source of debate, reading the novella through the Lacanian lens of the Gaze, the Imaginary, and the Symbolic offer unprecedented explanations and arguments for the governess’s behavior. Given the contemporary shift to discussing the ambiguities of …

Lights, Camera, Action: A Student's Perspective On Reimagining Film Production Opportunities, Ma'lon I. Lane

Theses and Dissertations

The pursuit of a crew job in the film industry is a multifaceted endeavor, offering various pathways that cater to diverse aspirations and circumstances. Central to this exploration is the question of whether attending a university and obtaining a degree in film is essential for success. I was determined to answer the following: What is the likelihood that a higher education in Film Production leads to more efficient job acquisition in the film industry? The project is considered narrative, originating from the personal quality of the research questions. I used my resources to gather qualitative data through interviews of film …