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My Msw Journey, Kaela Metcalfe

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Determinants Of Antenatal Care Utilization: A Community-Based, Cross-Sectional Study In Morang And Sunsari Districts, Eastern Nepal, Sunil Shah, Chandra Jha

Journal of Social, Behavioral, and Health Sciences

This study examined the factors influencing antenatal care (ANC) utilization in the eastern region of Nepal, focusing on the Morang and Sunsari districts, with the aim of identifying key determinants affecting ANC uptake and assessing the extent of ANC service utilization among mothers. Using lot quality assurance sampling, a community-based, descriptive, cross-sectional design was employed, surveying 164 mothers who had given birth within the previous 12 months; data were collected from June through November 2023. Data were collected through a semi-structured questionnaire and analyzed using SPSS, with descriptive statistics, chi-square tests, and logistic regression. Findings revealed that 80.5% of respondents …

From Silence To Confidence: Empathy-Driven And Trauma-Informed Education For Refugee Children, Suparna Bagchi

School of Law, Humanities and Social Sciences

Aim(s):This reflective piece explores how schools in the United Kingdom (UK) can meaningfully support refugee children affected by war and conflict. Drawing on insights from a doctoral study, it reflects on how empathy and trauma awareness can foster belonging among refugee children, encouraging meaningful educational practice in times of global conflict.Method/Rationale:The study was conducted in mainstream primary schools in south-west England. It included qualitative data collected through semi-structured interviews with teachers and parents, observation of students’ classroom activities, field notes and classroom and corridor displays. This article presents a reflective narrative of a teacher’s experience with two Syrian refugee sisters, …

The Effect Of Escape Room Simulation On The Self-Efficacy And Communication Levels Of Novice Critical Care Nurses, Lauren A. Femino, Kim Chapman, Julie A. Marshall, Shelby A. Trull, Jennifer A. Dibenedetto

The Lahey Journal

Abstract 

Introduction: Novice critical care nurses often report having low self-confidence and effective communication skills when transitioning to the ICU practice, often due to stress, limited experience, and unfamiliarity with critical care environments. These challenges can not only affect their job satisfaction and retention rates, but also pose serious risks to patient safety and outcomes. The purpose of this evidence-based practice (EBP) project was to assess the impact of an escape room simulation on the self-efficacy and communication skills of novice critical care nurses.

Methods: An evidence-based practice (EBP) project with pre-test and post-test design was conducted to …

From “Fixer” To “Facilitator”: A Clinical Review Of Shared Medical Appointments As A Strategy For Workforce Sustainability, Barbara A. Slusher

Lynchburg Journal of Medical Science

Clinician burnout remains a significant threat to workforce sustainability, particularly in resource-constrained settings managing complex chronic diseases. While shared medical appointments (SMAs) have demonstrated clear benefits in patient satisfaction and access, their impact on clinician well-being and professional fulfillment is less clearly defined. This review evaluates whether participation in SMAs improves clinician satisfaction and mitigates burnout by facilitating a conceptual transition from isolated “Fixer” to collaborative “Facilitator.”

A targeted literature search of PubMed, the Cochrane Library, and Google Scholar identified peer-reviewed publications examining shared medical appointments and clinician-centered outcomes, including burnout, clinician satisfaction, and workforce sustainability. …

The Use Of Psilocybin For Managing Refractory Behavioral Health Conditions: A Narrative Review, Rachel N. Clark

Lynchburg Journal of Medical Science

The purpose of this review is to evaluate the possible benefits of using psilocybin (C₁₂H₁₇N₂O₄P), a naturally occurring psychoactive compound found in certain species of mushrooms, in the treatment of multiple forms of mental illness and substance use disorders, either as monotherapy or in conjunction with traditional psychiatric medications. The compound has high affinity for several serotonin receptors, including 5-HT_1A, 5-HT_2A, and 5-HT_2C, which are located throughout the cerebral cortex and thalamus. A comprehensive search of electronic databases was conducted, identifying studies that assessed pharmacokinetics, therapeutic …

Comparing Student-Centered And Traditional Approaches In Mandatory Middle School Music, Charmian Cavanagh

Masters Theses

The purpose of this applied research study is to examine the effectiveness of a traditional theory-based music curriculum compared with an alternative, practice-centered curriculum on the motivation, engagement, and learning outcomes of middle school students enrolled in mandatory general music classes at an inner-city school in Camden, New Jersey. Theory instruction has long served as a foundation of music education; however, many students in required general music settings demonstrate low engagement and limited long-term connection to musical study. Research will explore whether a curriculum that prioritizes creativity, cultural relevance, and active music-making better supports student interest and achievement. Findings will …

The Dream Itself Was Home”: Imaginary Homelands As A Model For Analyzing Contemporary African Return Narratives, Renee King

Masters Theses

Although contemporary African return narratives featuring female protagonists explore a wide range of themes, they consistently portray women who struggle to situate themselves within an increasingly globalized world. In these narratives, the homeland initially functions as a stabilizing anchor that emboldens the protagonist to pursue education or employment abroad, yet works such as Doreen Baingana’s Tropical Fish and Chimamanda Adichie’s Americanah reveal that the homeland the protagonists once treated as immutable ultimately exposes itself as a dream. This destabilization unsettles the notion of an unshakeable cultural identity and demonstrates how migration reshapes both the self and the meaning of home. …

Co-Dominion: The Changing Nature Of The Adamic Covenant In An Age Of Artificial Intelligence, Corey Hastings

Masters Theses

Theologians and religious bodies attest to the rising influence of artificial intelligence (AI) in governments, the economy, and the lives of the people of God. Through the covenant with Adam, God gave humans the blessing of dominion and capabilities unique to creation to till the earth. Today, humans retain the image of God but AI increasingly displaces human functions with coordinated agency. Using Hebrew language exegesis of passages from Genesis, Exodus, and Leviticus, this study compares capabilities gifted to humans with the scope of current and near future AI models. It incorporates direct artifact analysis of a large-language model as …

A Biblical Understanding Of Discipleship As A Pedagogy For The Fear Of The Lord, Desirae Jeffreys

Masters Theses

The fear of the Lord is a significant topic found throughout scripture, yet it is a concept that lacks recognition in our culture, and even in some churches today. The reality is that there is confusion about how to define the fear of the Lord and, thereby, confusion about how to teach the fear of the Lord. This thesis provides a biblical understanding of the fear of the Lord as described in Proverbs 1–9. The fear of God is evaluated through the lens of instruction throughout these chapters, providing a basis of understanding for the complexity of the definition of …

The Experience Of Sleep And Academic Performance Among African American College Students: A Case Study, Jamean Alma Alexander

Walden Dissertations and Doctoral Studies

The transition to college presents significant challenges for African American college students, particularly in developing effective study habits and maintaining healthy sleep behaviors that support academic success. Despite growing evidence linking sleep and academic performance, limited research has explored how African American students attending historically Black colleges and universities (HBCUs) perceive these experiences. The purpose of this qualitative case study was to explore the perceptions and experiences of African American college students regarding sleep habits, study habits, and academic performance. Guided by three research questions, data were collected through semi structured interviews with 12 African American students attending HBCUs in …

Effective Strategies Human Resource Business Leaders Use To Decrease Employee Turnover, Dorothy Norton

Walden Dissertations and Doctoral Studies

Employee turnover continues to be a widespread organizational challenge because it increases recruitment and training costs, disrupts productivity, and negatively affects organizational performance and sustainability. The research problem was that some business leaders lack effective strategies to reduce employee turnover. The purpose of this qualitative pragmatic inquiry project was to explore strategies business leaders use to reduce employee turnover. Herzberg’s two-factor theory served as the conceptual framework for the study. The participants were six business leaders with responsibility for employee retention who successfully implemented employee retention strategies. Data were gathered through semistructured interviews and analyzed using Braun and Clarke’s reflexive …

Treatment Alternatives To Incarceration Program (Taip) Counselor’S Perceptions Of The Effectiveness Of Taip Within West Texas, Patricia Arenas

Walden Dissertations and Doctoral Studies

Substance abuse remains a major challenge in the U.S. probation system, as recidivism persists despite specialized treatment programs such as the Treatment Alternatives to Incarceration Program (TAIP) available in Texas. This issue matters to policymakers, judges, community supervision officers, TAIP administrators, treatment providers, and local communities because decisions about funding, supervision, sanctions, coordination, and service delivery affect rehabilitation outcomes, public safety, and reoffending. This transcendental phenomenological study explored TAIP counselors’ perceptions of the program’s effectiveness in treating substance abuse offenders and reducing recidivism in West Texas. Guided by Husserl’s phenomenology, data were collected through semi structured interviews with four TAIP …

Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams

Walden Dissertations and Doctoral Studies

Pulmonary hypertension (PH) is a progressive, life-limiting disease that significantly affects quality-of-life (QoL). Limited research has explored lived experiences of individuals with PH. Guided by Parse’s human becoming theory, this qualitative descriptive phenomenological study explored the lived experiences of individuals affected by PH and examined how activity-induced respiratory distress affected QoL. The research Question was: How do individuals with PH describe the impact of activity-induced respiratory distress on their QoL. I conducted interviews with nine participants, including eight adults diagnosed with PH and one caregiver of an individual with PH. Data were analyzed using Saldaña's comparative coding framework to identify …

Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett

Walden Dissertations and Doctoral Studies

Early childhood teachers are often the first to observe behaviors that could be a result of trauma. The problem that was addressed in this study is that preschool teachers are not adequately trained to effectively address the social, emotional, and academic needs of children who have experienced trauma. Framed by Bandura’s theory of self-efficacy, the purpose of this basic qualitative study was to explore preschool teachers’ preparedness and training needs to effectively respond to children who have experienced trauma. Data were collected through semistructured interviews with 10 general education preschool teachers, who have at least 2 years of teaching experience. …

Integrating Character Education Into The Elementary School Curriculum: A Case Study On Enhancing Student Engagement And Moral Development, Saebyuk Hwang

Doctoral Dissertations and Projects

The purpose of this qualitative case study is to explore how character education is integrated across academic subjects and what factors may influence its implementation by teachers and engagement by students at a private Christian elementary school in South Korea. The theory guiding this study is Kolb’s experiential learning theory as it explains how students learn and develop moral understanding through direct experience, reflection, and active engagement within real-world contexts. The central research question guiding this study is: How is character education integrated across academic subjects in a private Christian elementary school, and what factors influence its implementation by teachers …

Examining High School Special Education Teachers’ Experience Implementing Social-Emotional Curriculum In Public Schools: A Transcendental Phenomenological Study, Trisha Rae Dorsey

Doctoral Dissertations and Projects

This transcendental phenomenological study examined the experiences of high school special education teachers implementing social-emotional learning in Capitol County Public Schools, guided by Bandura’s social cognitive theory. The study explored how professional development, teacher self-efficacy, institutional support, and perceived student outcomes influenced social-emotional learning implementation. A transcendental phenomenological design examined the shared experiences of 11 teachers using interviews, follow-up surveys, and document analysis. Three themes emerged: (a) instructional practices and social-emotional learning integration, (b) implementation experiences and challenges, and (c) perceived student outcomes. Participants identified positive teacher–student relationships, behavioral modeling, and embedded SEL instruction as essential to implementation, while professional …

A Phenomenological Study Of The Perceptions Of Teachers On Utilizing Art Therapy To Help Students With Ieps And Emotional Dysregulation, Lisa Marie Powell

Doctoral Dissertations and Projects

This purpose of this qualitative phenomenological study is to focus on the perceptions of teachers observing and implementing art therapy interventions with their students in the classroom setting. This study will aim to provide students with IEPs between the ages of 5 and 18 more support with emotional dysregulation by bringing more awareness to teachers on how to manage these concerns in their classroom using art therapy (Bosgraff et al., 2020). The study will aim to unveil the challenges of art therapy efficacy, based on teachers' perception of therapeutic art interventions for elementary through high school-level students. Through teacher observations …

An Analysis Of Artificial Intelligence Systems On The Teaching Of Music Improvisation, Composition, And Instrumental Pedagogy, Carter K. Murphey

Doctoral Dissertations and Projects

Artificial intelligence (AI) has experienced a significant boom in the first half of the 2020s and has significant implications for the fields of music composition, music production, and music education. AI Large language models (LLMs) such as ChatGPT are frequently used sources for students on a wide range of academic subjects, and can provide in-depth, well-informed and eloquently written explanations in a matter of seconds. Music generative AI programs such as Suno and UDIO can almost instantaneously compose and produce musical recordings from word-generated prompts from users. Noise cancelling AI software such as Moises can create isolated instrumental tracks from …

Faith, Function, Formality: Integrating Gospel Vocal Techniques Into Western Classical Pedagogy, Korwind Z. Stokes

Doctoral Dissertations and Projects

This applied qualitative case study explored the integration of gospel-derived vocal techniques within Western classical choral pedagogy in a secondary music education setting. The study addressed a gap in music education literature concerning the intentional use of gospel-derived vocal practices as pedagogical resources within formal secondary choral instruction. Guided primarily by constructivist learning theory and informed by culturally responsive teaching, the study examined how students’ prior musical experiences could serve as a foundation for learning Western classical vocal concepts. The study was conducted within a public high school choral program and focused on the intentional incorporation of gospel-derived techniques during …

Phenomenological Study Of How College Educators Perceive The Effectiveness Of Professional Development Programs In Enhancing Their Attitudes Towards Inclusive Learning Strategies, Robbi-Gail Batura

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the perceptions of college educators regarding the effectiveness of professional development programs in enhancing their attitudes towards inclusive learning strategies. For this study, the central phenomenon was defined as the influence of professional development programs on educators’ approaches to inclusive practices in the classroom. The theory guiding this study is the theory of planned behavior, which explores the relationships between individuals' attitudes and behaviors. The central research question for this study is how do college educators perceive professional development programs as influencing their attitudes toward inclusive learning practices? This study …

An Analysis Of The Influence Of Physical Environment In The Classroom Setting On Student Behavior: A Case Study, Lora Jane Moliterni

Doctoral Dissertations and Projects

In this study, the relationship between the physical learning environment and student behavior in 6:1:1 and 12:1:1 special education programs in public schools in a northeastern state is analyzed. The research question addresses how the physical special education learning environment that teachers create influences student behavior outcomes. The design relates to how a flexible learning environment appears to influence the behaviors of special education students, teachers’ standards for organizing the physical learning environment based on students' needs, and students' ownership of that environment. Social learning theory correlates with the study by analyzing how the physical environment contributes to on-task focus …

The Impact Of Choral Participation On The Mental Health Of Adolescents, Sheila L. Ramsey

Doctoral Dissertations and Projects

Adolescent anxiety and depression continue to present significant challenges for schools, prompting increased interest in educational experiences that may support students’ psychological well-being. The purpose of this quantitative causal-comparative study was to examine the relationship between participation in school-based choral ensembles and the mental health of adolescents. Grounded in Social Identity Theory, the study compared depression and anxiety symptoms between choir participants and nonparticipants and examined whether the length of choir participation was associated with these outcomes. Participants included 26 students enrolled in Grades 9-12 at a public high school in Mississippi. Data were collected using the Patient Health Questionnaire …

A Causal-Comparative Study Of Communication Competence Among Adult English As A Second Language Learners Taught Using Communicative, Content-Based, And Task-Based Instruction, Aymen Al-Dujaili

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study was to examine how English as a second language curriculum and instruction strategies impact interpersonal communication competence among adult learners. This study addresses gaps in the literature by investigating differences in interpersonal communication competence among adult ESL learners taught using communicative, content-based, and task-based instruction, providing empirical evidence to inform educators, policymakers, and employers. The sample consisted of 159 ESL adult learners. Instrumentation included the Interpersonal Communication Competence Scale to assess interpersonal communication competence, a Likert-scale survey to evaluate the potential effects of their communication style. Data collection involved recruiting ESL adult learners, …

Barriers And Benefits Of Trauma-Informed Practices: A Phenomenological Study Of K -12 Central Mississippi Educators In Predominantly Minority Rural School Districts, Melissa M. Barney

Doctoral Dissertations and Projects

Adverse childhood experiences and trauma vulnerability among K-12 students in rural areas, low income, and ethnically diverse communities highlight need for school-based early interventions through trauma-informed practices. However, many educators lack adequate trauma training to manage student trauma. The purpose of this qualitative phenomenological study is to examine the barriers and benefits of trauma informed practices in five rural Mississippi school districts serving predominately historically marginalized African American and Latinx low-income students. Guided by Urie Bronfenbrenner’s Ecological Systems Theory, this study explores how cultural norms, community dynamics and school policies contribute to trauma exposure, educator responses, and policy implementation, as …

A Phenomenological Study Of The Lived Experiences Of Transition Assistance Program Counselors After Their Related Training And The Challenges Of Transitioning Service Members From The Military, Paul Emmanuel Joseph Ii

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to address gaps in the education and training provided to Transition Assistance Program (TAP) counselors at Crestview military base. A phenomenological research approach was used to discover themes and experiences shared amongst said counselors. The central research question was: What are the lived experiences of transition assistance counselors in supporting service members’ transitions to civilian life? This study was conducted at a South-Central United States military installation that was one of the largest and most diverse military bases in the U.S. The Schlossberg transition model guided the research and included dimensions such as …

Assessing The Feasibility Of An Online Gaming Ministry And Developing An Action Plan To Train Apologists For Outreach., Alexander R. Mooney

Doctoral Dissertations and Projects

The purpose of this research project is to assess the feasibility of an online gaming ministry and to develop an action plan to train apologists for outreach. This study is necessary due to several key developments over the last few years, including the growth of social media and digital platforms, the rise of content creation on platforms like YouTube, Twitch, Facebook, and X, the COVID-19 pandemic, which increased the need for digital ministry, and the overall growth of Gen Z in religion and faith. Because of these points, the need for developing digital ministry and online gaming ministry has grown. …

Exploring Experiences Of Home Education Parents In Homeschool Curriculum Modification: A Transcendental Phenomenological Study, Anne Elizabeth Smoak

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to explore the experiences of home education parents modifying the curriculum at their homeschool. The theory guiding this study is the expectancy-value theory, as it shows the connection between attainment value, intrinsic value, and utility value in the context of parents who choose to modify home education. The central research question is as follows: What are the lived experiences of parents modifying curriculum at their homeschool? The examination of these experiences was explored using a qualitative methodology for the research, and the chosen research design for this study is a transcendental phenomenological …

Exploring Instructional Strategies To Foster Responsible Translation Application Use In Developmental English Hybrid Courses At A Community College: A Case Study, Leah Carmona

Doctoral Dissertations and Projects

The purpose of this qualitative instrumental single case study was to explore how instructors in Developmental English (DE) hybrid courses reinforce the understanding of ethical implications and responsible decision-making when using translation applications for first-year college students who are English language learners (ELL) at a community college. Guided by Ajzen's theory of planned behavior, this study explored how instructors can shape ELLs' attitudes, social influences, and perceived ability regarding responsible decision-making in hybrid learning environments. The central research question guiding this case study was: How do instructors in Developmental English hybrid courses at a community college reinforce first-year college ELLs' …

Grace, Reciprocity Norms, Adverse Life Events, Religious Struggle, Salience Of Religion, Relationship To God As Modifiers, Calvin Jay Slot

Doctoral Dissertations and Projects

The purpose of this quantitative study was to determine whether adverse life events, reciprocity norms, relationship to God, salience of religion, religious struggle and/or grace moderate the frequency of church attendance-physical health relationship or if the psychospiritual variables interact with adverse life events (ALE). 1,000 participants were recruited through Prolific to produce a sample representative of the United States population. An additional 20 participants were recruited through pastors of three churches in Illinois. Multiple linear regression revealed relationship to God, religious struggle, reciprocity norms, and ALE were moderators. Additionally, religious struggle and negative reciprocity norms interacted with adverse life events, …