Digital Commons Network^™

From Policy To Practice: How Institutional Interpretations Of Ferpa Shape The Campus Safety Conversation, Britney Deaver

Electronic Theses and Dissertations

The Family Educational Rights and Privacy Act (FERPA) is a foundational federal law designed to protect the privacy of student education records. FERPA includes exceptions—such as for health and safety emergencies—that institutions may interpret and apply in varied ways. This qualitative study explores how higher education professionals across diverse institutional contexts conceptualize and apply the health or safety exception, and how those interpretations influence campus safety practices and policy-making. Through semi-structured interviews with compliance officers and administrators, the research examines the intersection of federal policy, institutional culture, and individual judgment.

Findings reveal a range of interpretations shaped by institutional risk …

Educator Perceptions Of Mindfulness Education In Rural Elementary Schools In Tennessee, Mary C. Shepherd-Mcgown

Electronic Theses and Dissertations

The purpose of this phenomenological study was to examine educator perceptions of mindfulness instruction and the alignment of school policies in rural elementary schools in Tennessee. Despite growing interest in mindfulness in education, few studies have investigated how these practices are experienced and implemented within under-resourced, rural contexts.

Guided by Bandura’s Social Learning Theory (SLT) and framed conceptually by the Whole-School Mindfulness (WSM) model, the study explored how social, organizational, and policy factors influence the adoption of mindfulness practices. SLT provided a theoretical lens for understanding how educator behaviors are shaped through observation, modeling, and reinforcement, while the WSM framework …

Teacher Perceptions Of The Effectiveness Of Voluntary Pre-Kindergarten Attendance, Kimberly Taylor

Electronic Theses and Dissertations

The purpose of this study was to identify the perceptions of educators with respect to student enrollment in voluntary pre-kindergarten classes provided through the Tennessee Department of Education in public schools. The data collection strategy used to gain teacher perspectives was through conducting one-on-one interviews with 15 educators in three Tennessee school districts. To qualify for the study, teachers must have been teaching in kindergarten classrooms that receive students who had previously been enrolled in the school’s pre-kindergarten program. Data collection and analysis were based on the Grounded Theory approach which uses data that is systematically gained and analyzed to …

Bud On The Ballot: A County-Level Analysis Of Citizen Support For Cannabis Legalization, Amelia G. Jennings

Electronic Theses and Dissertations

Cannabis research has often emphasized usage rates among certain groups of citizens, focusing mostly on demographic factors. A less studied topic within the cannabis literature pertains to the predictors of voting patterns of legalization referendums. Past research on this topic has examined states with similar characteristics, which calls into question the generalizability of results. The current study attempts to broaden the scope of knowledge in this area by partially replicating a previous study that explored county-level voting patterns, while also exploring the potential influence of the declining agricultural industry in predicting support for cannabis legalization. This was accomplished by analyzing …

Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat

Electronic Theses and Dissertations

Individuals with polycystic ovary syndrome (PCOS) face an increased risk of poor perinatal health, yet little is known about whether negative healthcare experiences contribute toward these outcomes. Patients with PCOS have reported experiencing invalidation by healthcare providers; however, the effects of these encounters in postpartum populations remain unclear. Using data from an online survey, the current study investigated whether PCOS status moderated the relationships between invalidating communication by healthcare providers, pregnancy and birth complications, postpartum depression, and postpartum anxiety. While experiences of invalidating communication by healthcare providers predicted worse perinatal health, those with PCOS solely experienced an increased risk of …

"That Was Something I Had To Get Used To”: Communication Challenges Of African Graduate Teaching Assistants, Mohammed Hafiz Nabila

Electronic Theses and Dissertations

This qualitative study examined the communication challenges and adaptive strategies of African Graduate Teaching Assistants (AGTAs) in U.S. higher education, focusing on East Tennessee State University. The study aimed to understand how AGTAs navigate linguistic, cultural, and institutional barriers in their teaching roles. Using semi-structured interviews with seven participants, data were analyzed through thematic analysis to identify key patterns and meanings. Findings revealed challenges related to accents, cultural adjustment, and limited institutional preparation. Faculty mentorship played a vital role in shaping AGTAs’ confidence, interpretation of challenges, and professional growth. However, lack of support often led to isolation and self-doubt. The …

Perceptions Of Practitioners: An Examination Of Practices For Retention And Support Of Special Education Teachers, Megan L. O'Dell

Electronic Theses and Dissertations

Teacher attrition remains a critical challenge in public education, particularly among special education teachers who face unique legal, instructional, and emotional demands. This phenomenological study explored the lived experiences of current and former K–5 special education teachers to better understand the practices and resources that influence their decision to remain in or leave the profession. The central research question investigated how leadership, professional learning, and working conditions shape teacher sustainability in special education roles. Twelve participants, including six currently employed special education teachers and six who had exited the profession, participated in semi-structured interviews. Data analysis revealed five major themes: …

Mountain Communities During A Time Of War: A Case Study Of The Hutsul Region In The Carpathian Mountains Of Ukraine, Pavlo Rybaruk

Electronic Theses and Dissertations

This thesis investigates the ethno-ecological technologies employed by the Hutsul people within the highland agrarian economy of the Carpathian Mountains. Over centuries, the Hutsuls have developed ethno-ecological technologies that maintain ecological integrity while supporting community livelihoods.

The study addresses three primary research questions: What are the most important ethno-ecological technologies of the Hutsul highland economy? How might these traditional ethno-ecological practices be applied to economic, agricultural, and tourism development in the Hutsul region? How might these traditional ethno-ecological practices be combined with contemporary approaches to encourage sustainable development in the region?

The research explores the devastating impact of the Russian …

Covering The Care: Utilization Rate Trends Among Children Ages 0-18, Erica Plante, Deborah Fournier

All Materials

This data brief provides a retrospective analysis of medical claims from NH Medicaid and commercial insurers, examining trends in utilization rates for selected medical services among children ages 0–18 over a six-year period (2018–2023).1 It is the second of a three-part series of Covering the Care analytic reports exploring healthcare utilization trends in New Hampshire.

Safety In Stability: A Cdc-Guided Evaluation Of Hospital Fall Prevention Practices, Matthew C. Dougherty

Electronic Theses and Dissertations 2020 - Present

Hospital falls remain a persistent and preventable cause of patient harm, emphasizing the need for continuous evaluation of fall prevention practices. This project assessed the effectiveness of AdventHealth Orlando’s fall prevention policy using the Centers for Disease Control and Prevention (CDC) Program Evaluation Framework. A mixed-methods design incorporated quantitative analysis of 12 months of fall data and qualitative feedback from frontline staff surveys and discussions. Results demonstrated a decrease in total falls from 549 in the previous year to 528 in the current year, indicating early progress despite the incomplete reporting period. Unit-level analysis showed a mean improvement of 16.9% …

From Awareness To Action: Improving Advanced Directives With The Five Wishes In College Aged Young Adults, Dina M. Giovanetti

Electronic Theses and Dissertations 2020 - Present

This quality improvement project aimed to increase early education, initiation, documentation, and completion rates of advance directives (ADs), specifically the Five Wishes, among college-aged young adults (18–24 years old) in a concierge primary care setting. The project addressed the low engagement and completion rates of ADs in this population, which can result in inadequate end-of-life care planning. The initiative involved training all staff members through collaborative instruction, informational sessions, and personalized provider-patient discussions. A convenience sample of eligible patients was identified via chart review. Inclusion criteria included English-speaking young adults aged 18–24, regardless of comorbid conditions who were members of …

Heartmath: A Stress Reduction Program For Healthcare Providers In An Addiction Treatment Setting, Dihana C. Ruiz

Electronic Theses and Dissertations 2020 - Present

Work-related stress significantly impacts the well-being of healthcare providers, specifically nurses and nurse practitioners, in addiction treatment facilities. This Quality Improvement (QI) project implemented the HeartMath Quick Coherence Technique to reduce stress and enhance resilience among staff, thereby improving the well-being of healthcare providers and the quality of care. The project utilized a pre- and post-intervention design with five participants, two registered nurses, and three nurse practitioners. Participants received training on HeartMath techniques, the EmWave Pro sensor, and the InnerBalance smartphone application. Over a six-week period, participants practiced Quick Coherence meditation for five minutes, twice daily, to achieve heart rate …

Persons With Alzheimer’S Disease And Related Dementias And Caregiver Burnout: A Quality Improvement Project, Reede A. Walke

Electronic Theses and Dissertations 2020 - Present

Alzheimer's Disease and Related Dementias (ADRD) represented an escalating public health challenge, profoundly affecting individuals, families, and healthcare systems. As the number of individuals diagnosed with ADRD rises, the prevalence of caregiver burden and burnout among those providing care also increases. The purpose of this quality improvement project was to evaluate the existing assessment processes for caregiver burnout and determine the effectiveness of the Zarit Burden Interview (ZBI), a measurement which identifies caregivers’ levels of stress, at a memory disorder center in south Florida. Sixteen caregivers reported overall mild-to-moderate caregiver burden, with a mean ZBI score of 22.19 (SD = …

Implementing Primary Care Fall Prevention With The Steadi Algorithm Toolkit, Roslyn Pechet

Electronic Theses and Dissertations 2020 - Present

Falls among older adults remain a leading cause of morbidity and mortality, especially in underserved populations. The Centers for Disease Control and Prevention (CDC) developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) toolkit to help providers systematically identify and address fall risks. The purpose of this Doctor of Nursing Practice (DNP) project was to implement and evaluate integration of the CDC STEADI toolkit within primary care at Palm Beach Program of All-Inclusive Care for the Elderly (PACE) Greenacres. The aim was to train the interprofessional leadership team to use the STEADI program to enhance knowledge, confidence, screening, and implementation …

The Effect Of Shared Decisions On Intertemporal Choice, Rosemarie M. Davidson

Masters Theses

Substance use disorders are a significant public health concern, and improving treatment outcomes requires a better understanding of the behavioral processes that influence drug consumption. Delay discounting, or the tendency to overvalue immediate reinforcers, is reliably more severe among individuals with substance use disorders. Recent work suggests that shared decision-making may increase tolerance for delayed rewards; however, prior studies used procedures that confounded delay to token delivery with delay to token exchange, limiting conclusions. The present study evaluates delay discounting across individual and social decision-making contexts using a traditional delay discounting paradigm.

Ten undergraduate participants completed sessions involving choices between …

Evaluating Psychosocial Stressors And Mental Well-Being Of Construction Professionals From The Management Standpoint: An Exploratory Study, Md Tauhidul Karim

Masters Theses

Construction professionals face persistent workplace stressors that undermine their mental well-being outcomes. Despite progress in general job-related stressors, social and interpersonal aspects of psychosocial stressors traditionally remain underexplored in the construction management research. The present study examines how social and interpersonal factors influence construction workers’ mental well-being and how management’s awareness, responsiveness, and strategic roles evolved in the transition of the COVID-19 pandemic at the organizational level. An integrative mixed-methods approach was employed, combining a systematic literature review, a bibliometric analysis, and an exploratory case study to capture the current landscape of mental well-being and management standpoints in the US …

Neurogenesis And Functional Recovery Of Murine Retinal Ganglion Cells After Glaucoma Induction Following Treatment With Pnu-282987, Samantha Luzadre

Masters Theses

Experiments were performed to demonstrate electrical recovery in glaucoma-induced adult mice after neurogenesis of retinal ganglion cells (RGCs). Newly derived RGCs were induced following eye drop treatment with a selective alpha7 nicotinic acetylcholine receptor agonist, PNU-282987. Both sexes of transgenic (RlbpCre-ER (CRE⁺) and Rosa-tdTomato (tdTomato⁺)) adult mice were utilized to trace newly generated RGCs originating from Müller glia (MG). Experimental mice were injected with hypertonic saline into the episcleral vein of anesthetized mice to significantly increase intraocular pressure (IOP) and induce glaucoma-like conditions. One month after the injection and after significant death of RGCs occurred, mice …

An Investigation Of Collateral Activity Effects On Behavior Maintained By A Drl 72‑Second Schedule, Cassidy M. Graham

Masters Theses

Impulsivity is a key behavioral trait with broad implications for clinical disorders such as Attention Deficit Hyperactivity Disorder ADHD, and substance use disorders SUD, where impaired inhibitory control contributes to maladaptive outcomes. In preclinical research, animal models provide valuable tools for examining behavioral processes associated with impulsivity. The Differential Reinforcement of Low Rates (DRL) schedule, offers a precise measure of response inhibition and timing by requiring subjects to withhold responses for reinforcement. This study employed DRL72s schedule to investigate impulsive action in male and female Sprague-Dawley rats, with an emphasis on sex-based differences and the potential influence of environmental factors. …

"Gross Normality" And "Marked Deviation": A Qualitative Study Of Disability Theory In Three Periods Of Sociological Literature, Kelsey Sullivan

Masters Theses

In the 20th century, three theoretical perspectives concurrently dominated sociological discussions of disability. Functionalism and Talcott Parsons argued for a pathologized framework in the form of a “sick role” occupied by disabled people. Interactionism and Erving Goffman emphasized the stigmas faced by individual disabled people, and the ripple-effects of those stigmas. Finally, disabled activists, inspired by social constructionism, championed the social model of disability. This model purported that disability is a social condition, resulting from systemic barriers imposed upon people who do not fit the mental or physiological norm. This project, through a content analysis of 30 historical journal articles, …

The Role Of C-X-C Chemokine Receptor Type 5 (Cxcr5) On Sex-Dependent Neurobehavioral Changes In The Sub Clinically Sensitized Individuals With Repeated Allergen Exposure, Dilini Vimarshani Ekanayake Ekanayake Mudiyanselage

Theses and Dissertations

Food allergen consumption has been suspected to influence mood and behavior in individuals who are sensitized but tolerant to the food. Using a mouse model of subclinical cow’s milk allergy (CMA), we previously showed that C57BL/6J mice sensitized to β-lactoglobulin (BLG, Bos d 5) exhibited elevated BLG-specific IgE levels even without observable allergic reactions, suggest developing immune responses towards the allergen. We also observed elevated cytokine and chemokine levels, astrogliosis and cortical demyelination along with behavioral changes such as anxiety-like and depression-like behavior after consuming a whey-containing diet for two weeks. Furthermore, we demonstrated the possible immune cell infiltration and …

Cross Cancer Toxicogenomic Modeling Of Arsenic Exposure Identifies A Four Gene Signature For Lung Cancer Risk, Joshua Kennedy

Theses and Dissertations

Arsenic is a naturally occurring carcinogenic element linked to DNA damage via reactive oxidation and epigenetic alteration that is ubiquitous throughout nature and has been associated with oncogenesis in the lungs, bladder, skin, and liver. Lung Cancer is both the most diagnosed cancer worldwide and the deadliest, comprising approximately 12.4% of all cancers globally and contributing to more human cancer death than any other condition, with roughly 90% of cases arising due to tobacco smoking, which exposes the user to arsenic trioxide and synergistic carcinogenicity when exposure includes both smoking and consumption of arsenic-contaminated drinking water. A novel set of …

Thermodynamic Evaluation Of The Thermal Methane Pyrolysis Process, Chinaecherem S. Okwuonu

Theses and Dissertations

Natural gas flaring is a persistent challenge which undermines global sustainability and decarbonization efforts as it leads to the waste of valuable energy resources alongside the release of harmful greenhouse gases into the environment. Even when natural gas is utilized through commonly adopted pathways, significant emission of carbon dioxide tends to be realized. Methane pyrolysis offers a promising route in which methane can be decomposed into solid carbon and hydrogen gas with no direct CO2 emissions. However, despite extensive studies of the methane pyrolysis process, a fundamental thermodynamic rationale of the process behavior remains insufficiently explored. This study 1) develops …

Optimizing Virtual Reality User Experience With Balanced Integration Of Quality Attributes, Ananth Ramaseri

Theses and Dissertations

This dissertation presents a real-time adaptive framework for mitigating cybersickness and enhancing user experience in virtual reality (VR) environments by dynamically adjusting key visual rendering parameters in response to users’ head movements. Conventional VR systems typically rely on fixed or manually configured settings that do not account for individual motion patterns or varying susceptibility to discomfort, leading to suboptimal usability and degraded immersion. In response, this work integrates software architecture tactics with data-driven machine learning models to proactively manage cybersickness while preserving rendering performance.

The proposed system employs a client–server architecture based on the Model-View-Controller (MVC) pattern. We conducted a …

Identity Formation Through The Lived Experiences Of Immigrant Muslim High School Students, Badera Muhanna

Theses and Dissertations

The growing number of Muslim students enrolled in U.S. public schools necessitates a more comprehensive understanding of their unique experiences within their educational environments. This phenomenological qualitative study investigated Muslim students' perceptions of their lived experiences in a high school in the Northern Great Plains of the United States. Six Muslim students in their junior and senior years were selected to participate in semi-structured interviews. Through the lens of Bronfenbrenner’s ecological systems theory, this study aimed to deepen understanding of how Muslim students develop their sense of identity and the factors that contribute to this development. The findings revealed that …

Examining The Utility Of Haptic Feedback To Improve Pilot Situational Awareness & Performance: A Psychophysiological Approach, Jessica Van Bree

Theses and Dissertations

Pilot situational awareness (SA) has been deemed to be a critical component of flight efficacy, efficiency, and overall mission success. Studies have shown that several incidents and accidents have been the result of level-one SA errors, meaning that members of the flight crew have failed to accurately perceive the elements in their environments. As such, several strategies have been investigated to improve pilot SA. One potential avenue of research is the addition of haptics in to the flight deck. In some studies, the implementation of haptics have shown to improve piloting tasks, pilot safety, and aircraft control. The current study …

Adaptive Reuse Of Underutilized Strip Malls: Creating Mixed-Use Continuum Care Campuses For Seniors, Julie Le Nguyen

Theses

As suburban commercial landscapes continue to decline, underutilized strip malls present an opportunity to reimagine aging-supportive environments through adaptive reuse. This thesis investigates how these sites can be transformed into mixed-use senior housing and continuum-care campuses through adaptive reuse strategies. Using a comparative case study methodology, the research examines a range of precedents—including senior housing retrofits, dementia villages, and community-based mixed-use developments—to identify key spatial, programmatic, and environmental principles that support aging populations. A five-part evaluative framework assesses project performance across site integration and green space, social and intergenerational engagement, programmatic and service integration, mixed-use activation, and cognitive and environmental …

A Decision Support System For Global Vaccine Funding: Data-Driven Proposal Scoring, Epidemiological Risk Modeling, And Portfolio Optimization, Ashutosh Kumar

Theses

Global health financing must continually stretch limited immunization resources across competing priorities, and Gavi, the Vaccine Alliance, plays a central role in this landscape. This work reframes Gavi’s funding decisions as a multi-objective portfolio optimization problem that jointly considers health impact, equity, cost-effectiveness, sustainability, and epidemiological interdependence. To operationalize this approach, this study develops a decision support system grounded in Modern Portfolio Theory, treating each proposal as an asset characterized by expected return and risk. Proposal returns are estimated through a heterogeneous data-fusion pipeline that generates quantitative, multi-objective scores aligned with Gavi’s strategic priorities, while epidemiological risk is quantified using …

Analyzing The Hidden Impact Of Work Stress On Mental Health, Shaikha Aljabry

Theses

Occupational stress and deteriorating mental health constitute an increasing issue in the global community, and the problem of how job demands, personal resources, and cognitive processes interrelate to determine employee well-being is hardly known. This dissertation will study these dynamics by incorporating theory-driven Structural Equation Modeling (SEM) with data-driven Machine Learning (ML) methods that offer explanatory and predictive information. The study examines the influences of job demands, personal resources, effort–reward imbalance (ERI), emotional labor, cognitive appraisal, and social support on the stress and mental health outcomes of a sample of 5,000 employees working in various industries and regions of the …

Adaptive Design Solutions For Golfers With Arm Impairment, Samuel Hao-Yu Wang

Theses

Golf is a game of precision, focus, and enjoyment for everyone, regardless of age, physical condition, or experience. However, for many people with disabilities, full participation in the game can be challenging. This project created an inclusive golfing experience for players with physical disabilities by assisting them with specific actions required in golf. The goal was to design solutions that reduce limitations caused by impairments, enabling players to enjoy the game with greater freedom. The United States Disabled Golf Association recognizes 14 sport classes of physical impairments, categorizing competitors by different types and levels of disability. This project focused on …

Unmasking Corruption And Bribery Using Predictive Analytics, Maha Salem

Theses

The initiative (Unmasking Corruption and Bribery Using Predictive Analytics) aims to identify employees in government sectors who commit corruption and bribery by addressing issues such as the lack of transparency, fairness, equality, and public trust, as well as weakened loyalty and poor reputation. This project focuses on data analytics and predictive modeling to detect suspicious or high-risk employee behaviors related to corruption and bribery. The main objective is to reduce these unethical activities in government sectors, strengthen integrity, and promote transparency and public trust through predictive capabilities. It also seeks to raise awareness about how serious and harmful these crimes …