Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri

Antioch University Dissertations & Theses

There is an ongoing need for more relational, process-oriented multicultural supervision training models and research to address multicultural issues through a sociocultural perspective in cross-ethnoracial supervision. BIPOC therapists have often reported inadequate multicultural education and training as well as responsiveness from their White supervisors. As supervisors themselves, BIPOC therapists are often overlooked and understudied in the couple/marriage, family therapy (C/MFT) field, which remains predominantly Eurocentric. As a process-oriented model, multicultural orientation (MCO), especially its primary organizing pillar, cultural humility, appears highly relevant to BIPOC supervisors working across ethnoracial and cultural lines with their supervisees. However, neither the MCO nor broader …

Mental Health Therapists’ Experiences Of Moral Injury, Mary Krome

Antioch University Dissertations & Theses

Moral injury refers to the psychological, social, behavioral, and spiritual consequences that may result from experiences involving perceived violations of deeply held moral values and beliefs. Although research on moral injury has expanded beyond military populations, limited attention has been given to the experiences of mental health therapists, and qualitative investigations of this phenomenon remain scarce. Therefore, this project provides a qualitative assessment of mental health therapists’ lived experiences of moral injury, using an ecosystemic approach and accounting for biopsychosocial factors that influence experiences of moral injury. Six mental health therapists completed the Moral Injury and Distress Scale and endorsed …

A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt

Antioch University Dissertations & Theses

Wearable fitness technologies have become increasingly integrated into contemporary health and wellness culture, providing users with continuous access to physiological and behavioral data related to movement, sleep, stress, recovery, and overall health. Research has demonstrated that wearable devices can increase physical activity and support health behavior change (Ferguson et al., 2022; Koivisto & Hamari, 2019). Although less is known about how these technologies influence individuals’ lived experiences of their bodies. Understanding this relationship is particularly important given growing concerns regarding embodiment, self-surveillance, and the psychological effects of health-tracking technologies (Bergsland, 2017; Rapp, 2021). Drawing on theories of mind-body connection and …

Bi+ Cismale Experiences With Straight Cismale Friends, Taylor M. Hardock

Antioch University Dissertations & Theses

Minority Stress Theory (2006) posits that individuals with a marginalized sexual identity have unique challenges and stressors. Bisexual+, or bi+, individuals have particular stressors related to not holding a monosexual identity, including specific mental health challenges. Research has shown that friendship can have many positive benefits on individuals, though the literature looking at friendship among bi+ identifying people is very limited. This qualitative study investigates the experiences of friendship between bi+ and straight cis men, especially as they may relate to minority stress and experiences of resilience and community belongingness. A thematic analysis was utilized to understand the personal experiences …

“I May Flourish In Spite Of The Obstacles": A Deaf Queer Minority Stress Model, Maya E. Weaver

Antioch University Dissertations & Theses

The current study explores the intersectional experiences of individuals who identify as both d/Deaf and Lesbian, Gay, Bisexual, and Queer/Questioning, among other marginalized sexual identities. Historically, both Deaf and queer communities have faced significant oppression and discrimination; yet little research has examined the unique challenges encountered by those living at the intersection of these two identities, with most of the existing deaf literature focusing on heterosexual individuals and most of the queer literature centering around non-Deaf individuals. This study sought to address that gap by, within an exploration of their unique form of minority stress, investigating how identifying with both …

Adverse Childhood Experiences Of Individuals Charged Or Convicted Of Homicide In Their Youth, Marcus Krodel

Antioch University Dissertations & Theses

Adverse Childhood Experiences (ACEs) represent a collection of distressful events occurring during childhood and have been shown to have a negative impact on future functioning. ACEs were utilized in the current study to increase our understanding of a unique population among court-involved individuals: juveniles charged or convicted of homicide. Court decisions have established that juveniles convicted of homicide are both distinct from their adult counterparts and present with dissimilar risk and protective factors. The current study explored a sample of 66 individuals who were charged or convicted of homicide while in their youth. Each participant was retroactively assigned an ACEs …

Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio

Antioch University Dissertations & Theses

Racial and autistic identity development both involve navigating stigma, seeking community, and contending with dominant frameworks that constrain authentic self-expression, yet existing research has not examined how these processes interact for individuals holding both identities. These interactions unfold within structural conditions such as diagnostic disparities, culturally specific ableism, and racialized consequences of visible autistic expression, which shape how identity development proceeds for BIPOC autistic adults. This study investigated whether and how the core identity processes of exploration and commitment proceeded for this population. Nine BIPOC autistic adults participated in written interviews analyzed through constructivist grounded theory, with identity status theory …

Hospitality As A Philosophy Of Care, Freddy Clark

Antioch University Dissertations & Theses

This study examines hospitality as a philosophy of care and a practice of social justice, particularly within marginalized communities. While hospitality is often understood as a gesture of kindness or a function of the service industry, this research reframes it as an ethical and relational practice grounded in human dignity, mutuality, and community formation. It explores how hospitality extends beyond transactional exchanges to become a transformative expression of care that challenges exclusion and affirms belonging. Drawing on interdisciplinary frameworks, the study integrates biblical narratives, including the Good Samaritan and Matthew 25:35–40, philosophical perspectives from Emmanuel Levinas and Jacques Derrida, and …

Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano

Antioch University Dissertations & Theses

This dissertation examines the profound existential paradox faced by individuals who have identified with nihilistic beliefs and ideas while attempting to seek meaning through therapy. Nihilism, characterized by the belief in the inherent meaninglessness of existence, poses a significant challenge to the traditional therapeutic framework, which often centers on the pursuit of meaning and purpose. This dichotomy poses a unique conundrum for individuals who embrace nihilistic perspectives shaped by identification with nihilistic lyrics and themes in alternative music genres such as metal, goth, grunge, and punk. Alternative music culture often serves as a vehicle for expressing and internalizing nihilistic beliefs, …

Good News For The Poor And More: Reclaiming Martin Luther King, Jr.'S Radical Gospel Of Economic Justice In Pursuit Of The Beloved Community, Lester A. Mccorn

Antioch University Dissertations & Theses

This dissertation, Good News for the Poor and More: Reclaiming Martin Luther King Jr.’s Radical Gospel of Economic Justice in Pursuit of the Beloved Community, argues that Martin Luther King Jr.—one of the most transformational American leaders of the 20th century—should be best understood as a central figure within the Black Social Gospel tradition whose rhetoric constitutes a sustained socio-political and theological critique of economic injustice. Moving beyond interpretations that limit King to racial integration and civil rights, this study demonstrates that his preaching confronts the structural realities of poverty, racial capitalism, and militarism as interrelated forms of systemic …

Climate Resilience In Action: Process-Based Equity For Co-Governed, Socially Cohesive, Ecologically Integrated Democracies Through The Design And Implementation Of Nature-Based Solutions, Donna Choih

Antioch University Dissertations & Theses

Nature-based Solutions (NbS) governance and behavior have the potential to become more equitable, beginning with a closer examination of what equity entails. Governance and behavior together are the actions manifest from internal dispositions and thoughts that facilitate the process of decision-making, in this case, for equitable NbS. This critical review seeks to (1) address the gap in literature on human development and behavioral dimensions of procedural justice for NbS by further defining process-based equity (PbE), and (2) present a framework of best practices for equitable NbS. This framework, along with a complementary conceptual model, was developed using the Preferred Reporting …

The Psychological Process Of Decolonizing The Colonized Self: A Grounded Theory Based On Hong Kongers’ Decisions After The 2019 Protests, Lai Kwan Shirley Lo

Antioch University Dissertations & Theses

Hong Kong, a British colony for over a century, was returned to China in 1997. In 2019, the proposal of an extradition bill sparked widespread outrage, leading to a year of unprecedented social unrest. The protests eventually dissipated with the advent of the COVID-19 pandemic and the Chinese central government’s tightening controls. Although the state characterized its interventions as decolonization, a significant wave of Hong Kongers responded by leaving their homeland to cultivate new lives in the “Western world,” including Britain. How does a colonized population willingly return to their colonizer after decolonization? This study sets out to search for …

Green Space: Investigation Into The Role Pocket Parks Play In Biodiversity And Human Well-Being, Jacalyn Speicher

Antioch University Dissertations & Theses

Natural communities and the birds that inhabit them are essential to the physical and emotional well-being of human residents in urban settings. The action research undertaken in this study addresses the social and environmental justice issues of equity, accessibility, and diversity afforded avian and human communities in the design of pocket parks within the urban landscape. As urbanization consumes the natural landscape, people and birds must adapt to the novel challenges of a changing environment. I studied 10 pocket parks identified in Center City, Philadelphia, Pennsylvania between January and June 2026. This time frame spanned the seasons from winter to …

Women In Science: A Theoretical, Historical, And Creative Work, Stephen M. Devito

Antioch University Dissertations & Theses

This creative dissertation investigates the barriers that patriarchy has historically created for women scientists as they pursue scientific discovery. It also examines theater as a critical and creative practice for challenging the patriarchal system. To contextualize this inquiry, the study reviews literature on women scientists whose significant contributions were historically minimized, overlooked, or neglected. Additionally, multiple plays, movies, and creative theatrical works are discussed in the literature review, with particular emphasis on different styles of using theater to illuminate the achievements of women scientists. The creative component of this dissertation is an original musical play that explores Albert Einstein’s relationship …

Botox Detection And Face Analytics Using Deep Learning, Audison Beaubrun, Gabriella Pangelinan, Michael King

Electrical Engineering and Computer Science Faculty Publications

Non-surgical cosmetic procedures like Botox are increasingly common, yet their impact on facial analytics systems remains unexplored. We curate a novel dataset of 1,990 before-and-after images from 390 individuals who received cosmetic injectables. Using this dataset, we demonstrate that these subtle facial modifications measurably affect age estimation: FairFace and FaceXFormer show statistically significant shifts toward younger age estimates (-1.43 and-3.27 years, p <0.05), while MiVOLO remains stable. We also show these modifications are detectable: training deep learning models (ResNet-50, DenseNet-121, ConvNeXt-Tiny) to classify cosmetically-altered faces achieves up to 89% accuracy. Our findings reveal that even minor, non-surgical facial changes can bias age-based analytics and are algorithmically detectable-raising critical concerns for privacy, fairness, and robustness as facial analytics expand into high-stakes domains like insurance, hiring, and health assessment. © 2026, Florida Online Journals, University of Florida. All rights reserved.

Improving Staff Knowledge And Consistency In Sat And Sbt Practices In The Critical Care Unit: A Quality Improvement Initiative, Morgan Crapo

Master's Theses and Capstones

Abstract

Background: Spontaneous Awakening Trails (SATs) and Spontaneous Breathing Trials (SBTs) are key components of the ICU Liberation Bundle and have been associated with shorter durations of mechanical ventilation, reduced intensive care unit (ICU) length of stay (LOS), and improvement in patient outcomes. Despite having strong evidence supporting their use, implementation remains inconsistent due to knowledge gaps, workflow barriers and interdisciplinary communication challenges.

Local Problem: This quality improvement (QI) project aimed to improve critical care nurses’ knowledge and confidence regarding the implementation of SATs and SBTs through an evidence-based educational intervention.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, this QI …

Improving Timely Pain Reassessments And Documentation Using Nurse Education And Visual Reminders: A Quality Improvement Project, Madison Grace

Master's Theses and Capstones

Background: Effective pain management requires nurses to complete and document an entire pain assessment cycle, including the initial assessment, intervention, and reassessment (Wolters Kluwer, paragraph 5, 2020). Timely reassessments are essential for determining whether interventions were effective or if additional actions need to be taken to improve patient pain and comfort. Despite established hospital policies and guidelines, inconsistencies in timeliness of pain reassessments and associated documentation are a common challenge faced.

Local Problem: Baseline chart audits on a 22-bed combined pediatric and adult medical-surgical unit identified opportunities to improve adherence to timely pain assessments and documentation. With only 65% percent …

Improving Staff Perceptions Of Effective Communication Through Frequent Micro-Team Huddles: A Quality Improvement Initiative, Sara Krslovic

Master's Theses and Capstones

Abstract 

Background: Effective communication among interdisciplinary team members is essential for safe, coordinated patient care. An outpatient primary care clinic identified inconsistent and non-inclusive communication within assigned micro-teams, particularly between nurses and providers, creating an opportunity to implement a structured communication strategy.

Local Problem: Communication within micro-teams lacked a standardized process, and nurses were often excluded from routine communication with providers. Prior to implementation, no formal micro-team huddles had occurred within the previous six months.

Methods: A four-week quality improvement initiative was conducted using the Plan-Do-Study-Act (PDSA) framework. Weekly, micro-team huddles were implemented between nurses, providers, and the medical assistant …

Implementing A Nurse Re-Education Program To Promote Timely Use Of The Jada® System In The Postpartum Hemorrhage Cascade: A Quality Improvement Project, Maegan E. Doody

Master's Theses and Capstones

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, …

A Quality Improvement Project: Enhancing Nursing Knowledge And Patient Safety In The Prevention Of Hospital-Acquired Pressure Injuries (Hapis) In A Medical-Surgical Unit, Kristen Vartabedian

Master's Theses and Capstones

Background: Hospital-acquired pressure injuries (HAPIs) are a significant quality indicator within the hospital system. HAPIs increase hospitalization, morbidity, and associated healthcare costs. The current evidence suggests that ongoing nursing education can improve pressure injury prevention and help in the early identification.

Local Problem: Nurses within a medical-surgical unit demonstrated a gap in knowledge in the identification of hospital acquired pressure injuries and lack of accuracy when charting skin findings. Thus, contributing to a delay in recognition and treatment of HAPIs.

Methods: This quality improvement project utilized the Plan-Do-Study-Act (PDSA) framework to guide implementation of educational flipbooks. Materials contained standardized wound …

Reducing Readmissions For Copd Through Improved Education: A Gap Analysis, Raphael Gaughan

Master's Theses and Capstones

No abstract provided.

Enhancing Patient Safety And Team Communication Via Standardized Unit Handoff Tools In Inpatient Rehabilitation, Julia Rae Before

Master's Theses and Capstones

Abstract

Background: Interdisciplinary safety huddles in healthcare are used to facilitate staff communication, voice patient safety concerns and identify high acuity patients, as well as identify current unit issues that need resolution. Using characteristics of safety huddles, revising patient report sheets to include pertinent safety information often shared during huddles may lead to an increase in staff perception of communication as well as awareness to patient safety concerns. Within an in-patient rehabilitation hospital, anonymous staff reports indicated dissatisfaction with interprofessional communication and microsystem data revealed increased events of adverse patient outcomes and safety concerns. Baseline data indicated inconsistent patient handoff …

A Patient-Centered Approach To Improving Patient And Family Education On Perioperative Processes To Reduce Anxiety: A Quality Improvement Initiative, Ashley Lauren Doherty

Master's Theses and Capstones

Background: Perioperative anxiety is common among surgical patients and their family members. Anxiety may be increased by uncertainty and limited understanding of the surgical experience. Improving perioperative education may enhance understanding, reduce anxiety, and support a more patient and family centered surgical experience.

Local Problem: A Post-Anesthesia Care Unit (PACU) identified knowledge gaps in patient and family education about the perioperative process. The existing waiting room bulletin board was outdated and provided limited information. PACU nurses observed anxiety-related behaviors and confusion among patients and family members about the perioperative process. Patient satisfaction surveys routinely collected by the hospital also demonstrated …

Improving Operating Room First-Case On-Time Starts And Reducing Turnover Times: A Quality Improvement Project, Ashley Cote

Master's Theses and Capstones

Abstract

Background: Delays in first case on-time starts (FCOTS) contribute to decreased operating room (OR) efficiency, increased healthcare costs, workflow disruptions, and reduced staff and patient satisfaction. Evidence suggests that standardized workflows, improved communication, and Lean Six Sigma methodologies can improve perioperative efficiency and reduce delays.

Local Problem: Baseline data from a local OR microsystem demonstrated an FCOTS rate of 77%, below the organizational benchmark of 80%. Root cause analysis identified inconsistent preoperative workflows, communication gaps, and variable staff adherence to standardized processes as primary contributors to delayed first-case starts.

Methods: A quality improvement project utilizing the Define, Measure, Analyze, …

Improving Early Ambulation After Cardiac Surgery Using Nurse Education And Workflow Cues: A Quality Improvement Project, Nathan Seeley

Master's Theses and Capstones

Background: Early ambulation following cardiac surgery is an evidence-based practice that promotes postoperative recovery, reduces complications, and supports earlier discharge (Cook et al., 2024; Engelman et al., 2019; Kanejima et al., 2020). Despite its recognized benefits, consistent implementation remains challenging in busy inpatient settings due to workflow demands, competing priorities, and patient-related barriers.

Local Problem: Inconsistent early ambulation practices were identified on the Cardiac Surgical Step-Down Unit, creating an opportunity to improve adherence to evidence-based postoperative mobility practices.

Methods: This quality improvement project used the Plan-Do-Study-Act (PDSA) model to evaluate the impact of a brief nurse-focused educational intervention on early …

Advancing Safe Medication Administration During Pediatric Emergency Care Through Nurse Education: A Quality Improvement Project, Ciera Hunter

Master's Theses and Capstones

Background: Due to the increased complexities of pediatric medication administration, preventable errors occur at a higher rate than in general adult populations. Rural emergency departments (EDs) often see fewer pediatric patients and have less specialized support available on-site. Nurse continuing education is an evidence-based intervention to reduce medication administration errors making it vital to supporting patient safety and maintaining pediatric readiness.

Local Problem: The microsystem is a rural, critical access hospital in northern New England. In 2021, the microsystem scored 66/81 on the National Pediatric Readiness Project’s (NPRP’s) ED Assessment. In 2026, the score dropped 11 points to 55/81. Contributing …

Improving Effective Completion Of Catheter Care Using A Reminder System To Minimize Incidence Of Catheter-Associated Urinary Tract Infections: A Quality Improvement Project, Morgan K. Leonard

Master's Theses and Capstones

BACKGROUND: CAUTI rates can be decreased by implementing a care cluster for RNs for CAUTI care into morning assessments and medication administration to ensure it is being done regularly with reminders through cards at the computers in patient rooms. LOCAL PROBLEM: The local problem in the microsystem were the catheter-associated urinary tract infection (CAUTI) rates at 1.199, while the national benchmark is 1.000 (Medicare, n.d.).

METHODS: Reminder cards were placed in patient rooms on the computers which are highly utilized by staY while providing patient care to serve as a reminder to complete catheter care in a high task burden …

Improving Efficiency In The Intensive Care Unit Through Reduction Of Nurse Burnout: A Quality Improvement Initiative, Johanna Grace Koroma

Master's Theses and Capstones

Abstract

Background: Intensive care unit (ICU) nursing is prone to high levels of burnout, which poses concern for staff wellbeing, patient safety, and microsystem strain (Kerlin et al., 2020). Educational interventions may serve as a means of increasing awareness on the issue and reducing the effects of burnout, through promotion of evidence-based management strategies.

Local Problem: One ICU microsystem identified several key contributing factors to nurse burnout, including staffing shortages, limited resources, competing responsibilities within the macrosystem, and insufficient organizational support (Zhang et al., 2025). Baseline survey data of the population observed a prevalence of 50% “high” burnout profiles among …

Increasing Patient Feedback Survey Completions Through Patient-Centered Nursing Communication: A Quality Improvement Project, Lindsey E. Pawlowski

Master's Theses and Capstones

Background: Patient feedback is essential to providing the best possible nursing care. Positive patient experiences can impact overall patient satisfaction, loyalty, and trust.

Local Problem: On a pediatric unit at a New England hospital, an assessment of the microsystem revealed that there was a low number of monthly patient feedback survey completions, which limited insight into patient experiences.

Aim Statement: The primary aim of this project was to increase the number of monthly National Research Corporation (NRC) surveys to ten by June 30, 2026.

Methods: This quality improvement project was guided by the Plan-Do-Study-Act (PDSA) model. The first stage of …

Incorporating Structured Safety Huddles To Improve Nursing Communication And Reduce Medical-Surgical Inpatient Fall Rates: A Quality Improvement Project, Alexia K. Leonard

Master's Theses and Capstones

BACKGROUND: Patient falls are a significant concern for patient safety in the acute care setting and are typically connected to inadequate communication during shift transitions. Bedside shift report is considered the standard of care, however, barriers are still present when shifting patient care responsibilities among nursing staff. A literature review identified standardized safety huddles as an evidence-based practice to improve areas of communication, teamwork, situational awareness, and patient safety. This quality improvement (QI) project concentrated on the implementation of a standardized evening safety huddle in order to improve nursing communication and reduce patient falls on an inpatient medical-surgical/telemetry unit. METHODS: …