Digital Commons Network^™

Students As Information Responders – Extending Our Understanding Of Students At A Pwi, Anyiah S. Chambers

Theses and Dissertations--Communication

As school shootings continue to rise across the United States, understanding how students respond to and share information during crises has become a critical concern for higher education institutions. While prior research has examined the role of students as first information responders (FIRs) during emergencies, few studies have investigated how these processes unfold among Black and non-Black students at predominantly white institutions (PWIs). This mixed methods study is a replication and extension of Omilion-Hodges and Edwards (2021), examining how undergraduate Black and non-Black students at PWIs evaluate, construct, and disseminate crisis-related messages, particularly during active-shooter events. Grounded in channel specification …

Anchoring Roots And Spreading Branches: The Growth And Regulation Of Art Therapy In Singapore, Christine Phang

Art Therapy | Doctoral Dissertations

The development of art therapy in Singapore has advanced rapidly over the last two decades. Yet, to date, there has not been a comprehensive overview of art therapy in Singapore. Additionally, more research is needed to understand how the complex component of regulation can benefit the profession of art therapy. This study therefore set out to paint a picture of art therapy in Singapore, capture the art therapy community’s thoughts and opinions concerning regulation, and identify actionable ways to advance the profession. A mixed method design was employed which utilized a survey and interviews to gather quantitative, qualitative, and arts-informed …

Creativity In A Flash: Exploring The Perceived Therapeutic Effects Of Combining Creative Arts Therapies And Flash Technique, Celia J. Gagnon

Art Therapy | Doctoral Dissertations

Since the onset of the COVID-19 pandemic, research has revealed a significant strain on mental healthcare systems and healthcare professionals. Concurrently, there has been a rapid escalation in the prevalence of anxiety, depression, loneliness, and adolescent suicide rates, all of which have reached critical levels (World Health Organization, 2025; World Health Organization, 2022; Institute for Health Metrics and Evaluation, 2025; American Psychiatric Association, 2024). Post-pandemic, these statistics continue to rise across all nations and socioeconomic groups (WHO, 2025). Consequently, there is an urgent need to intensify research that supports the enhancement of mental health services globally (Institute for Health Metrics …

Enhancing Self-Acceptance And Reducing Anxiety Through Tree Ring Self-Portraits In Art Therapy: A Mixed-Methods Study, Stacey Kamp

Art Therapy | Doctoral Dissertations

This mixed-methods dissertation examined the therapeutic potential of the Tree Ring Self-Portrait, a novel art therapy intervention designed to enhance self-acceptance and reduce anxiety through symbol-based, life-phase self-portraiture grounded in narrative meaning-making and image-based processing (White & Epston, 1990; Moon, 2010; Hinz, 2020). Adults who self-identified with anxiety-related concerns were recruited through community and clinical referral sources and completed a standardized three-session intervention involving reflective mapping of life phases, a watercolor-based concentric-ring self-portrait process, and a guided review of the completed artwork with semi-structured interviews. The final sample (n = 20; ages 22–74) included participants with varied engagement in psychotherapy …

Reducing Live Discharges In Hospice Care Through A Bundled Intervention, Fiona P. White

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction

 Among Medicare fee-for-service hospice beneficiaries, the national live discharge rate increased from 16.9% in FY2021 to 19.1% in FY2025. At a Medicare-certified hospice agency in a southern state, the pre-intervention live discharge rate of 35.3% substantially exceeded national norms, with 68.7% of events representing patient-initiated revocations.

Methods

 A pre-post quality improvement design guided by the Plan-Do-Study-Act framework was implemented over 8 weeks at a single site with 106 newly admitted hospice patients and 15 clinical staff. The four-component bundled intervention comprised Revocation Risk Assessment administration within 24 hours of admission, structured patient and caregiver education within 72 hours of …

Shared Decision-Making To Improve The Vaccination Rate Among Older Patients, Muxian Chen

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Vaccines recommended for patients over the age of 50 include those for influenza (Flu), COVID-19, respiratory syncytial virus (RSV), pneumococcal disease, shingles, hepatitis A, hepatitis B, and a booster dose of the Tetanus, diphtheria, and pertussis (Tdap) vaccine every 10 years (American Association of Retired Persons, 2025). Unfortunately, these vaccines are often not adequately discussed during patient visits or are mentioned only briefly, without a clear plan for administration (American Association of Retired Persons, 2025). A vaccination bundle, which included resources for all vaccines and the opportunity to receive vaccines such as flu, COVID-19, RSV, Pneumococcal, Tdap, shingles, and …

A Chronic Pain Self-Management Quality Improvement Bundle For Veterans, Srijana D. Baniya

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction: Veterans often face challenges accessing care services due to limited awareness of available resources for support, Self-care, and mental health (Harding et al., 2019; Patel et al., 2024). Given the high prevalence of Chronic pain and opioid use in this population, Self-management (SM) education and non-pharmacologic interventions are required to address the biological, psychological, and social effects of pain (Bair et al., 2015; Mumba et al., 2024; Nahin, 2017; Higgins et al., 2020). This Quality improvement project aims to determine whether implementing an evidence-based SM bundle for chronic pain improved Pain severity scores and increased understanding of SM strategies. …

The Role Of White Racial Identity Development In Leadership Practices: An Interpretive Phenomenological Study In White Educational Leaders, Kaitlyn Ryan

Theses and Dissertations

This qualitative study examined how white educational leaders experience and make meaning of their racial identity development as they lead adult professional learning focused on racial equity and culturally responsive practice. Grounded in Helms’s White Racial Identity Development (WRID) model and guided by Interpretative Phenomenological Analysis (IPA), the study explored the lived experiences of ten white leaders across PK–12 and Institution of Higher Education (IHE). Data were collected through three semi‑structured interviews per participant and analyzed using IPA’s six‑step process. Five major themes emerged: transformational experiences that shifted leaders’ understanding of race and privilege; the critical role of white affinity …

Reclaiming Connection: Narrative Differences Between Traumatic And Positive Birth Experiences, Ryan O. Sesker

Undergraduate Honors Theses

Traumatic birth experiences can disrupt mental health and maternal bonding between mother and infant. While clinical outcomes often prioritize infant health, less attention has been given to how birth experiences shape maternal confidence and feelings of confidence and adequacy as a new parent. This study examines what factors within birth experiences influence maternal self-perception and confidence during the postpartum period. Drawing on Maternal Role Attainment Theory and self-efficacy theory, this research explores how perceived loss of control, medicalization, provider interactions, and emotional support affect maternal identity formation. Using a qualitative approach, this research analyzes publicly available birth stories shared on …

Meiji And Myth: The Emperor, Totemic Principles, And Unity, Ella Jean H. Fernandez

Undergraduate Honors Theses

The purpose of this study was to investigate the complex relationship between religion and state during the Meiji era (1868-1912). Specifically, how central governmental and religious figures craft a sense of unity and national identity. The primary research question of this study is: How did the Meiji Emperor’s development as a totem unite the people and grant credibility to the Meiji era (1868-1912)? A totem in this context is a functioning symbol that is both representative and sacred. This study was conducted through the analysis of primary source documents, Imperial shrine activity, and historical context sources. Through analysis of these …

Comparing Consent Culture: Are Kinky People More Concerned About Consent?, Hannah Tarleton

Graduate Research Theses & Dissertations

The BDSM community has become an increasingly popular subject of study in relation to consent culture; however, the bulk of this research has been qualitative and lacks comparison to non-BDSM practitioners. The theory of planned behavior was used to design a measure comparing consent culture across 668 BDSM practitioners and non-practitioners. As predicted, the relationships specified by theory of planned behavior was replicated for both BDSM practitioners and nonpractitioners. Contrary to predictions, no significant differences were found between BDSM practitioners and non-practitioners for norms or behavioral intentions; however, BDSM practitioners reported significantly higher perceived behavioral control. Within the BDSM community, …

The Influence Of China’S Economic Soft Power: The Perceptions Of Youth In The Case Of Cambodia As A Small State, Mommarolin Srey

Graduate Research Theses & Dissertations

The debate on the continued rise of China remains relevant and central in global politics. China has been employing soft power as a strategic approach to enhance its reputation as a global power on the international stage. While China has made tremendous efforts in soft power diplomacy to foster positive perceptions among many countries, the global survey on the perception of China remains largely negative with only a slight increase in positive perceptions. This thesis examines the younger generation or youth perceptions of China’s economic soft power. This qualitative research uses the case study of Cambodia as small state and …

How Autistic Children Define Novel And Real Words, Henry James Tomiser

Graduate Research Theses & Dissertations

Word knowledge is highly valuable to Autistic individuals, and although much research has characterized Autistic children’s vocabulary breadth (i.e., the number of lexical entries), less attention has been paid to vocabulary depth (i.e., the richness with which one understands a given word). In this exploratory post-hoc study, 11 Autistic children (one assigned female at birth) participated in novel and real word learning paradigms in which child-friendly referents were paired with CVCV word forms. Participants were then asked to provide open-ended definitions of the words. Definitions were parsed into meaningful subunits, or semantic features. Semantic features were coded by type of …

Exploring Factors Predicting Teachers’ Intentions To Use Digital Games In Saudi Elementary Schools, Thamarah M. Alqahtani

Graduate Research Theses & Dissertations

Despite the potential benefits of integrating digital games in teaching and learning environments, little research has been carried out to understand the perception of elementary school teachers in the Kingdom of Saudi Arabia (KSA) towards integrating digital games into the classroom. This study aims to understand Saudi elementary teachers’ intention of using the digital games in elementary school classrooms using Theory of Planned Behavior (TPB) model, and to provide crucial insights for the KSA’s Ministry of Education’s (MOE) administrators in developing evidence-based teacher training and effective school technology-integration policies. The Theory of Planned Behavior (TPB) was used to assess Saudi …

Influence Of Parental Immigration On Children Of Latino Immigrants’ Attachment And Substance Use, Leilanis Cancel-Lopez

Graduate Research Theses & Dissertations

This study aimed to explore how children of Latino immigrants described their attachment and substance use experiences. The narrative that formed implies that throughout their adolescence, children of Latino immigrants use substances in part to cope with their parents’ heightened expectations for the participants to perform well in school/work/life. Additional results find that children of Latino immigrants also form a sense of exoneration for their parents upon reaching young adulthood. Clinical implications include the use of a systemic perspective when approaching children of immigrants when treating substance use and the inclusion of this narrative when creating prevention strategies for immigrant …

Madness In The Mixtape: Gothic Literature And Pop Music, Nicholas Dertinger

Graduate Research Theses & Dissertations

In Gothic literature, madness has often been connected to the outliers of what is considered socially normal. This dissertation explores the enduring theme of madness, particularly the figure of the “madwoman,” in both women’s literature and in its “afterlife”—or continuing conversation with—contemporary pop music. Through a comparative analysis of songs including Kate Bush’s “Wuthering Heights” (1978), Beyoncé’s “Hold Up” (2016), Lady Gaga’s “Plastic Doll” (2020), Olivia Rodrigo’s “good 4 u” (2021), Billie Eilish’ “What Was I Made For?” (2023), Paramore’s cover of “Burning Down the House” (2024), Taylor Swift’s “mad woman” (2020) and Florence + the Machine’s “Dream Girl Evil” …

Testing A Self-Affirmation Intervention To Increase The Likelihood Of Seeking Emotional Social Support, Selena Heinlein

Graduate Research Theses & Dissertations

Needing help is a common occurrence in the everyday lives of many people. Seeking help, however, is not. Even though most people experience needing help regularly, many people do not ask for help. Not asking for help when it is needed may be caused by several factors. Some people may not ask for help because they think it is going to be awkward, while others may not ask for help because they think they are going to be negatively perceived by others. These fears may get worse when needing to seek emotional social support for a personal issue, since this …

Hot Topic Of The Cold War: Analyzing The Bomb In American Media During The Late Twentieth Century, Ryan Lambert

Graduate Research Theses & Dissertations

This thesis explores nuclear war–related media (i.e., media involving “the Bomb”) from the late twentieth century, beginning in the early 1950s and ending in the late 1990s, although media from the 2000s and beyond are briefly touched on. Unlike other studies of nuclear war narratives, this analysis intends to explore this media through a rhetorical framework of an “eroding” society, and the “erosion” concepts of the 50s–70s paved the way for cumulative “erosion” storylines in the 80s (the height of the Cold War), and then “restoration” storylines in the 90s (after the end of the Cold War). This framework is …

Photovoice Exploration Of Afghan Refugee Background Women's Food-Related Well-Being, Eileen C. Lindemann

Graduate Research Theses & Dissertations

More than 117,000 Afghans have been relocated to the United States following the U.S. military withdrawal in August 2021. Research indicates that Afghan refugees resettled in the U.S. are at increased risk of psychological distress, with Afghan women particularly susceptible compared with Afghan men, and diet-related chronic disease. However, research also shows that traditional food and eating customs foster cultural identity, social support, integration, and well-being. The purpose of this study was to collaboratively explore the food-related well-being and daily life contexts of resettled refugee participants through the photovoice method, a participatory research strategy in which participants photograph aspects of …

Personality Theories, Leswin Laubscher

Open Education Materials

Introduction to Personality Theories

Ai Exposure And Job Security Perceptions Among College Students, Isabela Voka

Honors College Theses

This study focuses on how college students and people in their early careers perceive the impact of artificial intelligence (AI) on job security. Concerns about automation and job instability have grown in importance as AI technologies continue to change the modern workforce. This study uses qualitative content analysis to examine publicly accessible Reddit and YouTube debates to find recurrent themes in people's perceptions of how AI would affect their future career. Thematic coding techniques were used to analyze 68 internet posts and responses. The results show that the most common issue was employment instability, especially with reference to regular and …

Trust Is Difficult To Gain, Yet Easily Broken: The Impact Of Negative Police Encounters On Police–Community Relations, Brooke J. Pirozek

Honors College Theses

Trust between law enforcement agencies and their respective communities is arguably one of the most contentious issues within contemporary criminal justice research in the United States. This is because, despite the fact that law enforcement institutions rely significantly on the public's assistance and cooperation in fighting crime and enforcing social order, there still exist negative relations between law enforcement and their communities, mainly attributed to feelings of unfair treatment, abuse of power, and a lack of accountability. This study seeks to understand the role of negative police encounters in shaping community trust and perceptions of police legitimacy, with a special …

The Financial Effects Of Clinically Significant Readmissions In Florida Hospitals, Brian Patrick Cotton

Doctor of Business Administration Dissertations

This study examines how the financial performance of hospitals in the state of Florida impacts the quality of care. This study used data from 2017-2019 to evaluate how the number of hospital readmissions – a proxy for care quality – are associated with and vary in relation to the stability of the financial resources held by the hospital. The Hospital Readmission Reduction Program (HRRP), a Medicare value-based purchasing program, uses a mandatory pay-for-performance process that was initiated to decrease the 30-day hospital readmission rate. Hospitals with high readmissions are held accountable and financially encouraged to increase their quality of care …

Cultivating Positive Emotion Through Gratitude: A Mixed-Methods Study Of World Language Teachers, Allyson Magrath Power

Doctor of Education (Ed.D.)

Teacher well-being is an increasingly urgent concern, particularly in shortage-area subjects such as World Languages. This study examined whether a structured gratitude intervention could support the well-being and resilience of World Language teachers. Using a convergent mixed-methods design, the study collected quantitative and qualitative data from participants who completed weekly gratitude journaling across four themes: Acknowledgment, Attention, Appreciation, and Action. Quantitative findings revealed a positive trend on the Gratitude Questionnaire, with results approaching statistical significance, suggesting a meaningful improvement in participants’ positive emotions. Qualitative analysis indicated increased emotional awareness, more intentional self-care practices, and greater reflection on supportive relationships in …

Behind The Curtain: A Literature Review Of Personal And Ecological Risk Factors And Current Multi-Level Interventions For Performing Artists, Christopher A. Robles

Social Work Theses

Performing artists experience psychological distress, including anxiety, depression, burnout, and substance use disorders, at rates significantly exceeding those of the general population. Guided by Bronfenbrenner’s Ecological Systems Theory (EST) and the Person-in-Environment (PIE) perspective, this structured literature review synthesizes research published between 2010 and 2026 to examine individual personality traits, environmental stressors across meso- and macro-systems, and existing multi-level mental health interventions for performing artists. Findings reveal that while traits such as high openness to experience, sensory processing sensitivity, and perfectionism foster artistic expression, they also heighten vulnerability to occupational stressors, financial precarity, social isolation, and venue-based substance exposure. Current …

Flirting Motivations Across Communication Media: Face-To-Face Versus Online Context, Charles Afful Maccarthy

Graduate Research Theses & Dissertations

This study examined whether individuals' motivations for flirting differ across communication contexts, specifically face-to-face and online interactions. Drawing on Henningsen’s (2004) six flirting motivations – relational, sexual, fun, esteem, instrumental, and exploring – and Walther’s (1996) Hyperpersonal Model, this research tested whether flirting motivations influence the choice of communication medium. Using a quantitative mixed-design approach, 103 participants were randomly assigned to reflect on either a face-to-face or online (social media) flirting experience and completed a structured questionnaire measuring the six motivations. Data were analyzed using a 2 (communication medium: face-to-face versus online) x 6 (motivation type) mixed ANOVA. Results revealed …

A Multi-Case Qualitative Study Exploring Counseling Skills Courses For The Presence Of The Practice Of Counselor Reflexivity, Timothy Marlin Olsen

Graduate Research Theses & Dissertations

Counselor reflexivity is an integral component of the skill set and professional identity of the effective counselor. However, counseling skills and methods courses often do not include the teaching of this practice within their curriculum of valuable counseling techniques. Further, there also exists a gap in scholarly counseling literature about counselor reflexivity. Through this qualitative multi-case study of five counseling skills/counseling methods courses I sought to discover if counselor educators understood and subsequently taught this practice which seems to be underrepresented in such courses. First, through a review of supporting literature my study revealed no clear delineation of counselor reflexivity …

The Current State Of Behavioral Health Curriculum Within Professional Athletic Training Programs, Bethany R. Rohl

Graduate Research Theses & Dissertations

Behavioral health concerns among adolescents and young adults have increased in recent years, placing greater expectations on athletic trainers (ATs) to recognize and respond to these conditions in clinical practice. Although accreditation standards require behavioral health competencies within professional athletic training education, variability may exist in how faculty are prepared to teach this content. This study examined athletic training faculty preparation for teaching behavioral health, how programs implement and assess behavioral health content, and faculty perceptions of student satisfaction with behavioral health education.

Consensual qualitative research method was used. Eleven athletic training faculty (9 females, 2 males; age = 37.91 …

Exploring The Impact Of Social Identity-Based Support Groups On Students' Sense Of Belonging In Higher Education, Jasmine D. Patel

University of the Pacific Theses and Dissertations

Students who hold marginalized social identities report experiencing a lower sense of belonging at their institutions of higher education than their peers. A low sense of belonging has in turn been linked to lower academic performance, lower scores on mental health and well-being measures, and lower rates of degree completion. Utilizing a mixed method approach, this researcher examines the experiences of students who participated in a social identity-based support group intervention intended to improve the sense of belonging of students who hold marginalized social identities. Eight university students participated in the support group intervention over the course of one academic …

(Critical) Hope As An Arrow: A Mixed Methods Study On Student-To-School Counselor Ratios And Student Outcomes In High-Poverty School Districts, Hien Pham

University of the Pacific Theses and Dissertations

School counselors serve on the front line of student support in K-12 public school settings. However, not all school districts are adequately resourced nor require school counselors as essential members of the school team. Review of extant literature found that school counselors’ service delivery is affected by issues related to role clarity, program evaluation and existing policy. A lack of understanding of school counselors’ work and inconsistent training in program evaluation hinders the implementation of a comprehensive school counseling program, with high student-to-school counselor ratios remaining the status quo. In California, the Local Control Funding Formula (LCFF) legislation holds local …