Digital Commons Network^™

Human Trafficking In The Er: Will You Recognize The Signs?, Lauren Neff

Doctor of Nursing Practice Projects

Current data reveals that 88% of human trafficking (HT) victims seek some form of health care while being trafficked. More specifically, 63% seek care in the emergency department setting (McAmis et al., 2022). A recent literature review indicates that regarding human trafficking and healthcare, there is a lack of awareness and knowledge on the issue. Healthcare team members often have little to no education or knowledge of potential signs and symptoms of a victim in a trafficking situation. The purpose of this DNP project was to increase healthcare staff knowledge of human trafficking (HT) and, more specifically, nurses in an …

Type 2 Diabetes Education And Knowledge In The Adult Hmong Community, Sheng Yang

Doctor of Nursing Practice Projects

Type 2 Diabetes is a chronic health condition that affects many individuals, but specifically has been found to significantly affect minority population groups. There has been very limited research regarding understanding the etiology of the disease in the Hmong community that migrated to the United States from Southeast Asia. The purpose of this project was to design and implement an evidence-based, culturally appropriate educational intervention in the Hmong language to increase knowledge of Type 2 Diabetes among the adult Hmong community in Burke County and Catawba County, NC areas. The intervention was delivered to a total of 30 participants who …

Recognizing Adult Male Mental Health Needs: An Intervention Looking At Education In Rural Communities, Eugene W. Winans Jr

Doctor of Nursing Practice Projects

This DNP Project examined the role of student nurses and their confidence levels when assisting adult male patients experiencing a mental health crisis. The majority of suicide acts are attributed to men. Thus, this subject requires specific insight and instructions when it comes to proper ways to assist these patients. Incorporating evidence from a pre-test and post-test survey, this project demonstrates that student nurses lack confidence in how to deal with men who are experiencing a mental health crisis. The analysis gained from this project demonstrates the important role nurses play in recognizing, speaking to, and assisting in the treatment …

Stress To Success: The Impact Of Aromatherapy On Nursing Students With Test Anxiety, Patricia A. Mullens

Doctor of Nursing Practice Projects

Test anxiety has been identified as a significant problem in pre-licensure nursing students. This project aims to investigate how aromatherapy can alleviate the stress and anxiety associated with lower test scores and the emotional and psychological impacts it has on students' overall well-being. A literature review supported that students who experience test anxiety characteristically scored lower on high-stakes nursing exams than students who did not experience the same stress. The potential results of this project are multifaceted and include improved test scores, enhanced students’ psychological well-being, and completion of their nursing degree.

Overdose Response Training For Volunteers In A Homeless Shelter, Heather Lynne Smallwood

Doctor of Nursing Practice Projects

The opioid overdose epidemic is a critical health crisis across the country. The homeless population is substantially more at risk of overdose death compared to the general public. Naloxone is a life-saving medication for reversing opioid overdose and is available to ambulance and emergency care services, but support persons are also in regular contact with opioid users and training (Fine et al., 2022). This DNP Project was created to educate volunteers at a homeless shelter in the event of an opioid overdose. The objective of the project was to increase the knowledge of opioid overdose signs and symptoms and naloxone …

Preserving Memories, Building Relationships, Jamie H. Cochran

Doctor of Nursing Practice Projects

Loneliness among adults aged 65 and older is a significant health concern linked to negative physical and mental outcomes, especially in rural communities. This DNP project implemented a 4-week scrapbooking intervention within a faith-based rural community in North Carolina to reduce feelings of loneliness. Guided by Watson’s Theory of Human Caring, participants engaged in collaborative arts activities designed to foster social connection and emotional expression. The potential results of this project are multifaceted, including improved social engagement, emotional well-being, and strengthened community bonds. The findings support integrating creative, relationship-centered strategies into community nursing practice to enhance well-being among older adults.

Hand Hygiene Education For Personal Care Staff In Congregated Care Settings: A Quality Improvement Initiative, Saunders Noel

Doctor of Nursing Practice Projects

For many years, proper hand hygiene has been emphasized as one of the most important defenses in helping to prevent illnesses. The World Health Organization (WHO) is a major organization that stresses the importance of proper hand hygiene and disease prevention. However, hand hygiene education and knowledge must be acquired to successfully utilize the correct steps in combating illnesses and diseases. Hand hygiene is a learned behavior and emphasizing education and awareness is important to successful adoption. This DNP project was implemented to personal care staff in a congregated care setting located in the southeastern part of Virginia. The project …

Fatal Futures: Slow Violence, Utopia, And The Postnatural Human In Contemporary American Literature, Shelby Roberts

Theses and Dissertations--English

Fatal Futures: Slow Violence, Utopia, and the Postnatural Human in Contemporary American Literature investigates the ways in which ideas of futurity are articulated in narratives that conceptualize both the end of the world and post-calamity society through the lens of a pessimistic, queer approach to understanding the future. The purpose of this project is to not only build previous research in the configurations of the body in queer, gothic, and speculative American writing as a whole, but to enter into a developing conversation surrounding Appalachian literature through the idea of kinship (the broadening of relationships both chemical and postnatural) as …

Washington University Magazine, August 2025

Washington University Magazine

No abstract provided.

Spatial Analysis Of American Chestnut (Castanea Dentata) Distribution And Ecology In Kentucky’S Federal Lands, Jacob Raymond Pease

Murray State Theses and Dissertations

Anthropogenic factors have been the cause of the decline of tree species across the globe. From unsustainable logging and development to disease and improper management, threats to forests have taken their toll. The American chestnut (Castanea dentata) was once an integral basal tree species in Appalachian forests, but chestnut blight drove the species to functional extinction by the mid-1900s. The recent creation of genetically modified chestnuts gives hope for future restoration of the species throughout its historical range. Despite blight resistance, effective restoration will require optimal site selection for finding and planting chestnuts, which will maximize limited resources. …

An Examination Of Middle School Enrollment And Participation In The National Ffa Organization, Melanie Dorminey

Murray State Theses and Dissertations

Middle school agricultural education programs and opportunities for middle school students to be members of the National FFA Organization were first made available in 1988. The Perkins V Act of 2018 provided the first federal funding to support middle school career and technical education programs. In conjunction with the federal funding provided by the Perkins V Act of 2018, the National FFA Organization adopted a national middle school membership affiliation program where middle school FFA chapters could pay a flat fee for all students enrolled in middle school agricultural education courses over the traditional membership of paying per individual student. …

The Equitability Of Virtual Public High School Education In Urban School District, Carissa Jury

Murray State Theses and Dissertations

Virtual education has become an integral component of modern high school education, particularly in urban districts where diverse student populations require flexible and equitable learning environments. This qualitative study explores the equitability of virtual public high school education in an urban school district, focusing on accessibility, student experiences, and policy implications. Using social constructivism and ecological systems' theory as theoretical frameworks, this research investigates factors influencing equitable outcomes, including access to technology, teacher and community support, and socioeconomic status. Data was collected through structured interviews and focus groups with students and parents engaged in virtual education. Key findings indicate that …

The Correlation Between Working From Home And Depression, Anxiety & Stress And The Moderating Effect Of Parenting, Lauren H. Marshall

Murray State Theses and Dissertations

This thesis explores the impact of working from home on depression, anxiety and stress and whether parenting has a moderating role in its impact. The number of individuals working from home increased dramatically because of the pandemic and many individuals continue to work from home despite the absence of government-issued lockdowns and the diminishing threat of the COVID-19 virus. Earlier pre-pandemic research supports several positive work-related outcomes of working from home; however, little consideration has been given to the long-term impact of this major change in the way we work on individual’s mental health. Social isolation, an increase in sedentary …

The Link Between Poor Student Reading Proficiency And College And Career Readiness, James D. Kirkland Iii

Murray State Theses and Dissertations

The ability to read proficiently is a skill often considered necessary for the success of an individual while in school and after graduating from high school. Although reading proficiency plays a large role in an individual's success, many students in our nation’s schools struggle to read and comprehend the texts they are presented with in their academic courses. The purpose of this research study was to determine whether a link existed between the reading proficiency and college and career readiness of high school agriculture students. The study used a mixed methods approach that collected both qualitative and quantitative data to …

Master Of Disguise: Humor, Disguise, And Performance Anxiety, Jordan Pearsall

Murray State Theses and Dissertations

This study examined humorous facial disguise in relation to social anxiety during a speech task. Social anxiety is characterized by a strong desire to present a positive image of oneself to others, while simultaneously doubting one’s ability to do so (Clark & Wells, 1995). Performance anxiety is a subtype of social anxiety that affects individuals in various performative contexts, to include public speaking. Previous research has examined the relationship between social anxiety and facial concealment through face-masking (Karimi 2024; Saint & Moscovitch, 2021), concluding that facial concealment can serve as a safety behavior intended to reduce social anxiety. Further, humor …

Out Of The Circle: Exploring Religious Ostracism In Cyberball, Ralph D. Stewart Iii

Murray State Theses and Dissertations

The purpose of this study was to investigate the psychological effects of social ostracism in group settings, particularly in relation to social identity theory (Tajfel & Turner, 1979) and the need to belong (Baumeister & Leary, 1995). Collective self-esteem, hostility, and belonging were examined to see if they changed significantly with the implementation of ostracism through the Cyberball paradigm (Williams, 2000). The relationship between ostracism, hostility, and religious fundamentalism was also explored. Though insignificant results from subsequent analysis were obtained, these results suggest weaker ostracism effects for interpersonal measures rather than intrapersonal measures consistent with findings by Hartgerink et al. …

Essays On Application Of Machine Learning To Financial Statement Fraud, Lin Xia

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is composed of two studies, both of which revolve around the application of machine learning to financial statement fraud. The first study entitled, “Complementary Role of Algorithm and Theory for Financial Statement Fraud” investigates the nature of relationship of theory building research and machine learning algorithms. Recent research on financial statement fraud has seen an increase in the use of machine learning techniques. While some machine learning based studies build on variables from causal inference research, others claim that machine learning algorithms work better with raw accounting variables and thus cast doubt on the role of …

How Do The Commitments Required To Be An Agricultural Education Teacher Impact The Children Of Female Agricultural Education Teachers As Perceived By Their Children?, Danielle Nicole Grant

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study is to explore how adult children of women agricultural education teachers articulate their experiences growing up with their mother working in the agricultural education field. This will be examined through the following research. The phenomenological study focused on the perceptions of five adult children of female agricultural education teachers in a single state. The research was conducted through recorded virtual interviews with a targeted list of pre-determined questions. Five themes emerged after utilizing Colaizzi’s phenomenological method of analysis: 1) Mother’s Commitment to Implementing the Three Circle Model, 2) The Need for Outside “Maternal” Role Assistance, …

Analysis Of The Public Acceptance Of Cryptocurrency In The Central African Republic, Bruno Gbado

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation explores the public acceptance of cryptocurrency in the Central African Republic (CAR), applying the Technology Acceptance Model (TAM) as the theoretical framework. The study adopts a research model and survey instrument derived from a previous published research paper. Data were collected through paper-based surveys from 357 respondents, mostly students and faculty members at the University of Bangui in the CAR. The responses were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with Smart PLS software. The results reveal that increased awareness of cryptocurrency significantly boosts its acceptance, with factors such as perceived ease of use and perceived …

Racial And Ethnic Threat And The Accessibility Of The Legal Recreational Cannabis Market In California, Kathryn L. Burnham

Graduate Theses, Dissertations, and Problem Reports (ETD)

Racial and Ethnic Threat and the Accessibility of the Legal Recreational Cannabis Market in California

By Kathryn L. Burnham

Drug prohibition has a racialized history in the United States (US). Cannabis became synonymous with the perceived enhanced criminality of Black and Hispanic populations by the White public. Despite similar prevalence of cannabis use among people who are Black, White, and Hispanic, the vilification and stigmatization of Black and Hispanic cannabis users began in the early 1900s and continued for over a century. As individual states continue to legalize cannabis use and public opinion favors the federal legalization of cannabis, it …

Coming Out To My Christian Loved Ones: Online Workshop Effectiveness For Increasing Lgbtq+ Individuals And Lgbtq+ Ally Communication Efficacy And Impacts On Personal-Enacted Identity Gaps, Samantha Renee Leggett-Bradley

Graduate Theses, Dissertations, and Problem Reports (ETD)

It is not uncommon for passages from the Christian Bible to produce schisms in families, friendships, mentorships, workplace relationships, individual churches, and denominations. These challenging conversations are often around LGBTQ+ topics. Many marginalized LGBTQ+ individuals and allies in these spaces become outgroup members who feel insecure and less confident enacting aspects of their own identities or identities they support. A lack of communication efficacy for how to navigate LGBTQ+ related conversations with Christian loved ones may lead to detrimental physical, mental, and emotional outcomes.

This study surveyed 134 LGBTQ+ individuals and allies as well as conducted semi structured interviews with …

The Dark Tetrad And The Intention To Invest In Cryptocurrency, Amy Bauer-Sinicin

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Dark Tetrad comprises four distinct negative personality traits with some overlapping qualities: narcissism, Machiavellianism, psychopathy, and sadism. Characterized as being risky and speculative, cryptocurrencies are not backed by government banks like fiat currencies, nor do they offer the same privacy when engaging in transactions.

Narcissists may view cryptocurrency investment as an opportunity to showcase their financial acumen, reinforcing their self-image. Machiavellians see the decentralized, loosely regulated market as ideal for exploiting opportunities through strategic manipulation. Psychopaths, drawn by the market’s volatility, may engage in exploitative schemes for personal gain. Sadists may find satisfaction in the power and control they …

Beyond My Control: The Role Of Sense Of Control On Cognitive Functioning And Depressive Symptoms In Older Adults, Sabine Lohmar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression and depressive symptoms commonly coincide with mild cognitive impairment (MCI) and dementia in older adults (Ismail et al., 2017; Panza et al., 2010), with its prevalence varying based on dementia severity, diagnostic criteria, and dementia subtype (Chi et al., 2015; Ismail et al., 2017; Leung et al., 2021; Lopez et al., 2003). This relationship is hypothesized to exist for a variety of reasons, including that depressive symptoms occur as an emotional response to cognitive functioning (Bennett & Thomas, 2014; Richard et al., 2013). Emotional responses may be explained by a decline in sense of control, or the belief in …

Positioning The Online Learner: How The Use Of Technology Matters, Susan E. Taylor

Graduate Theses, Dissertations, and Problem Reports (ETD)

While technology is a normal part of life both for personal and professional uses, this study focuses on how the use of technology positions the online learner. Understanding how technology tools position the learner can help instructors of online courses make meaningful and intentional instructional decisions for the technology tools they utilize. The research on the impact of technology tools in the field of education is limited. The main objective of this qualitative case study was to explore the use of technology tools in an online course to determine how those tools position the learner.

Data were collected from course …

Three Essays On The Interaction Between Macroeconomics, Money, And Government Bonds, Zejun Jiang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation, ''Essays on the Interaction between Macroeconomics, Money, and Government Bonds,” has three chapters that study how macroeconomics (e.g., inflation), government bonds, and money interact with each other. It provides insights into how households make optimal maturity choices in government bonds, how households own different types of government bond assets, and how money growth can help understand the cross-country inflation after COVID-19.

The first chapter develops an intertemporal portfolio choice model to investigate the optimal household portfolio choice for government bonds across maturities. The U.S. Treasury data displays a higher holding share of long-term government bonds. Adding uncertain labor …

Girl Gamers, Online Community, And Social Identity Theory: The Role Of Positive Distinction Strategies On Group Engagement On R/Girlgamers, Rachael Green

Graduate Theses, Dissertations, and Problem Reports (ETD)

Identity theorists have studied the complex relationship between gender and gaming for over two decades, but research on how women persist in gaming communities despite harassment remains underdeveloped. Grounded in Social Identity Theory, this dissertation examines the subreddit r/GirlGamers to evaluate the prevalence and impact of positive distinction strategies in countering identity threats. Based on a mixed-methods approach, the findings highlight three key strategies (group permeability, social creativity, and social competition) alongside themes of emotion, structural inequality, and interpersonal violence. Statistical tests indicate that posts employing at least one positive distinction strategy receive significantly more upvotes and comments than those …

Deep Learning-Driven Biometric Security: Advancing Liveness Detection And Anti-Spoofing Techniques, Banafsheh Adami

Graduate Theses, Dissertations, and Problem Reports (ETD)

Biometric authentication has become a key part of our everyday lives—from unlocking smartphones with a fingerprint or face to verifying identities in banks and airports. These systems rely on our unique physical or behavioral traits, making them both convenient and secure. Unlike passwords, biometrics cannot be forgotten or stolen in the traditional sense. However, they are not without risk. One of the biggest concerns is spoofing: attempts by attackers to fool systems using fake biometric traits, such as silicone fingerprints or AI-generated videos.

As generative AI tools become more powerful and accessible, the ability to create convincing fake biometric data …

Neural And Computational Approach To Understanding Environmental Modulation Of Behavioral Identity In Zebrafish, John W. Hageter

Graduate Theses, Dissertations, and Problem Reports (ETD)

Organisms rely on behavior for survival. Animals engage in behaviors that allow for feeding, mating, exploring and navigating their environment among others. Necessary for these behaviors to develop are the environmental factors and underlying circuitry which make behavior possible. Specifically, how the environment guides underlying neural circuitry to develop unique facets or phenotypes of a larger behavior are key to understanding why unique behaviors exist. In this thesis, I build foundational evidence for determining these mechanisms through the use of the zebrafish local search behavior. This is a behavior that zebrafish employ following the loss of environmental illumination where they …

An Intersectional Approach To Examining The Impact Of Cigarette Taxes On Tobacco Use By Urbanization Level, Andrea R. Milstred

Graduate Theses, Dissertations, and Problem Reports (ETD)

Rates of traditional tobacco use have reached a century-level low though not universally with some vulnerable populations continuing high rates of tobacco use, such as those located in geographically isolated areas of the United States (US). Rural populations experience a unique set of challenges (i.e., decreased access to health promoting resources, high density of tobacco retailers, increased pro-tobacco advertising) that compound to produce a “cumulative disadvantage” ultimately increasing their risk of tobacco use. To curb and prevent tobacco use, tobacco control policies, such as excise taxes, can be implemented. At least one study suggests tobacco control policies are less effective …

F/Utility: A Sculptural Exploration Of Futility, Utility, And The Absurd, Asha Cabaca

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis provides context for my MFA thesis exhibition, F/UTILITY, displayed in the Laura Mesaros Gallery at West Virginia University. My sculpture visually references various aspects of human culture, drawing from the natural environment, urban architecture, and ideas of work and play. These elements, often contradictory and incongruous, are, in fact, humorously subverted, transformed, and combined so that the resulting artwork is serious, playful, and arbitrary all at once. At the same time, the uncertain and sometimes involuntary interactivity of my work prompts a phenomenological viewer experience. My practice is informed by the philosophical and literary absurd, focusing on not-knowing …