Digital Commons Network^™

Diabetes Education In Buncombe County, Deonna Nicole Blount

Doctor of Nursing Practice Projects

The growing number of Americans living with diabetes has reached an all-time high. According to the Centers for Disease Control and Prevention (CDC) (2026), there are 40.1 million people diagnosed with or underdiagnosed with diabetes. Evidence has shown that with education tailored to the patient's lifestyle, changes can be made and healthier lifestyles exhibited. Understanding the why of the patients can assist in changes that are feasible and can be implemented for the now and the future. Several studies outlined by Alonso-Carril et al. (2024), Lander et al. (2022), and Hodges et al. (2019) showed that education was implemented and …

Spreading Awareness To Adults About Cardiovascular Disease And Improving Healthy Lifestyle Habits, Madison L. Eldridge

Doctor of Nursing Practice Projects

Introduction: The intention of this Doctor of Nursing Practice evidence-based project was to evaluate if providing education to the target community would increase awareness and knowledge of cardiovascular disease and healthy lifestyle habits. The goal was to increase educational knowledge and promote awareness of cardiovascular disease and healthy lifestyle habits.

Background: Cardiovascular disease (CVD) is a critical health issue that prevails across the state of North Carolina, while continuing to remain one of the leading causes of death across the south-center Piedmont area of North Carolina. Several studies have proven that increasing knowledge on cardiovascular risks, promoting healthy exercise, and …

Improving Overall Morale Of Nurses By Implementing A Serenity Room, Ruth B. Clarke-Johnson

Doctor of Nursing Practice Projects

Nursing, while a highly respected profession grounded in research and scientific practice, continues to face persistent challenges related to staff retention and morale. Key contributors include burnout related to high workloads, challenging staffing ratios, lack of supportive leadership, and an aging workforce. Together, these factors hinder healthcare organizations’ ability to sustain a stable and experienced staff. The implementation of a serenity or relaxation room is supported by growing evidence highlighting its positive effects on nurse morale and stress reduction. A review by Mileski et al. (2022) found wellness spaces significantly reduced burnout, emotional exhaustion, and stress while improving resilience, job …

Critical Success Factors For An Effective Security Risk Management Program: An Exploratory Case Study, Jason A. Williams, Humayun Zafar, Saurabh Gupta

Faculty Articles

This paper evaluates the perceived effectiveness of the security risk management (SRM) programs at a Fortune 500 firm. Layers of management and staff participated in the study. Perceived effectiveness of their SRM programs was based on nine critical success factors (CSFs). Interviews confirmed six initial CSFs (Executive Management Support, Organizational Maturity, Open Communication, Risk Management Stakeholders, Team Member Empowerment, and Holistic View of an Organization) that were extracted from the literature. They were confirmed and synthesized with three additional CSFs (Security Maintenance, Corporate Security Strategy, and Human Resource Development). Implications for SRM are discussed.

A Case Study Of California Postsecondary Faculty Collaboration On Rubric Development To Foster Student Learning, Emmanuel Kwadwo Frimpong

Dissertations

Although perceived as the ‘gold standard’ strategy for conquering complex problems, collaboration can be ignored by intellectuals who prefer to work independently. This oversight may occur even in the face of challenging problems such as assessment of scholarships, institutional effectiveness, strategizing, and even the crafting of effective rubrics for assessing student learning. The scholarly literature clearly reveals that real difficulties often refuse to respond to routine assignments or common bureaucratic patterns. Additionally, 21st century conflicts may require creative solutions involving interdependence, joining of forces and brains, or vision sharing. Effective assessment of student learning within higher education may reflect just …

The Influence Of Black African American Fathers’ Parenting Styles On Young Adult Children’S Attachment Styles: The Roles Of Gender And Fathers’ Residence, Robert Baptiste Thompson

Dissertations

Parenting

Black African American (BAA) fathers in the United States are frequently mischaracterized as absent or uninvolved, reinforcing deficit-based narratives rooted in historical and systemic racism. Such portrayals obscure the meaningful and sustained roles many BAA fathers play in their families and fail to account for the cultural, structural, and contextual conditions that shape paternal involvement and parenting practices. Although a growing body of research has documented the importance of father involvement for child development, comparatively limited empirical attention has been given to how BAA fathers’ parenting styles influence their children’s attachment—particularly as a function of fathers’ co-residency histories. This …

Associating Emotional Intelligence, Cultural Intelligence, And Inclusive Leadership: A Correlational Study Of Seventh-Day Adventist Pastors And Church Leaders In Canada, Damson Anim Oppong

Dissertations

Problem

In an increasingly polarized world, church leaders are expected to foster inclusion, belonging, and unity within diverse congregations. Inclusive leadership (IL), supported by emotional intelligence (EQ) and cultural intelligence (CQ), may offer a relational leadership posture well-suited to this challenge. Growing evidence suggests that relational qualities such as EQ and CQ help leaders develop inclusive communities, foster belonging, and bridge differences (Thomas & Inkson, 2017; Wise, 2022). Emotional and cultural intelligence are studied increasingly in organizational settings, but little is known about how they affect inclusive leadership in faith-based institutions, such as among pastors and church leaders in the …

Beyond The Brotherhood: Exploring Communal Leadership In Masculinity Contest Cultures, Scott A. Metzler

Antioch University Dissertations & Theses

This phenomenological study explores the lived experiences of formal and informal leaders who exercise communal leadership, characterized by collaboration, inclusion, and relational focus, within the masculinity contest cultures of law enforcement and the fire service, where strength, competition, and hierarchical leadership often rule the day. Through in-depth qualitative interviews with 19 participants across the United States, this research investigates how and why leaders choose to challenge organizational norms, how they perceive the effects of their decisions on themselves and others, and how they navigate the tensions and contradictions between communal leadership and hypermasculine cultural expectations. The findings reveal that leaders …

Diagnosing The Discourse: How The Academy Of Breastfeeding Medicine Constructs And Constrains Treatment Of Tethered Oral Tissues, Mary E. Miller

Antioch University Dissertations & Theses

While breastfeeding is recognized as fundamental to global public health, oral restrictions that can affect infant latch, milk transfer, and feeding efficiency warrant further examination within policy frameworks. This dissertation proposes an expanded conceptualization of tethered oral tissues (TOTs) that encompasses not only anatomical frenal restrictions but also fascial tensions, neuromuscular limitations, and other conditions restricting orofacial function that may be congenital or acquired. The purpose of this study was to critically examine how this clinical guidance document shapes understandings and responses to TOTs. Using Carol Bacchi’s “What’s the Problem Represented to Be?” approach, a critical discourse analysis of the …

Navigating Financial Futures: A Case Study Of A Targeted Financial Literacy Program For African American College Students, Michael L. James

Antioch University Dissertations & Theses

This dissertation presents a qualitative analysis of a targeted financial literacy program designed for African American college students. The dissertation examined how African American college students describe and make meaning of their participation in a targeted financial literacy program, particularly in relation to the program’s structure, content, and delivery. Despite growing interest in financial literacy education, interventions that acknowledge the persistent wealth gap and systemic financial inequities faced by African Americans remain underexplored. Employing a case study research method within a program understanding framework, this study investigated a program at Historically Black Colleges and Universities (HBCUs). Findings reveal that the …

Music And Language Arts Integration And Its Impact On Reading Comprehension: A Social Action Research Study, Felisha L. Coady

Antioch University Dissertations & Theses

This action research study examines the interconnectedness of music and language arts, specifically focusing on reading comprehension. In this study, a program called Music Connections was developed and used as a pilot to improve reading comprehension skills in primary education. The targeted population of the Music Connections program was 30 third-grade students in an inner-city school in Ohio. After six weeks of reteaching concepts through the Music Connections program, students were given a second interim with these concepts to show results and mastery. Data from this study showed that students who participated in the Music Connections program (Group A) grew …

Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap

Antioch University Dissertations & Theses

This study explores the lived experiences of counselors who encountered moral injury when sociopolitical, institutional, and organizational conditions constrained their ability to practice in alignment with their personal morals, professional values, and the counseling profession’s code of ethics. Participants (N = 15) included licensed counselors who self-identified as having experienced moral injury in response to directives from legitimate authorities that conflicted with professional ethics, social justice commitments, or client welfare. Grounded in social ecological systems theory, this phenomenological study employed a confidential, cross-sectional online survey. Reflexive thematic analysis identified seven themes: (a) Profit Over People, (b) Structural Forces Contributing to …

Exploring Relational Leadership And Psychological Safety During Ai Integration In The Workplace, Solmaz Kaynama

Antioch University Dissertations & Theses

This study explores employee psychological safety, or its lack, during artificial intelligence (AI) integration in the workplace through a relational leadership lens. The population included employees of for-profit business corporations currently integrating or adopting AI technologies (N = 14). Participants completed in-depth, semi-structured interviews. Results showed eight themes: relational leadership creates a psychologically safe workplace climate; unsupportive and dysfunctional leadership erodes trust and psychological safety; psychological safety determines whether employees speak up openly or hold back; employees’ experience daily work through workplace culture, pace, and remote or hybrid conditions; AI may delivers immediate productivity benefits while introducing new psychological and …

Feeling Seen By Being Heard: A Constructivist Critical Incident Study Of The Listening Experiences Of Ciswomen Of Color For The Development Of An Inclusive Listening Praxis For Leaders, Christina Zhong-Wen Chang

Antioch University Dissertations & Theses

This study examines how listening shapes inclusive workplaces by exploring the listening experiences of 23 professional cisgender women of color working in predominantly white institutional spaces. Although listening is a fundamental part of communication, it is frequently undervalued and overlooked in leadership literature. Using the constructivist critical incident technique (CCIT) methodology, the research analyzed 88 significant moments when participants felt distinctly heard or unheard by leaders. Findings reveal that listening operated as a relational practice signaling respect, affirmation of voice, and anchoring leadership in accountability, while enabling leaders to engage perspectives beyond their own. Four listening types emerged: Listening Withheld, …

Emotionally Healthy Black Men: Guidelines For Supporting Mental Health Treatment For Black Men In Ohio, Eira Nichell Yates

Antioch University Dissertations & Theses

This study examines the barriers that prevent Black men in Ohio from seeking treatment for depression and other mental health conditions and explores strategies to improve engagement and outcomes. Although depression is the most prevalent mental health disorder in the United States, it remains underdiagnosed and undertreated among Black men, contributing to persistent mental health disparities. The limited body of research addressing help-seeking behaviors within this population necessitated the use of a Delphi methodology to obtain expert consensus on key challenges and promising practices. A panel of subject-matter experts in mental health, social services, and culturally responsive care participated in …

The Effects Of Meditation On Compassion And Cultural Humility In Mental Health Professionals, Jamie Kostek

Antioch University Dissertations & Theses

The purpose of this study was to examine the effects of a brief, secular, Buddhist-inspired meditation program on self-compassion, compassion for others, and cultural humility on mental health professionals. Using a single-group pretest-posttest design, licensed clinicians (N = 13) participated in a five-week Anytime Anywhere Meditation (Tergar International, 2024) program. Results indicated statistically significant increases in mindfulness, self-compassion, and cultural humility. Additionally, strong positive correlations were found between mindfulness and self-compassion, and between self-compassion and compassion for others. Findings suggest that brief, secular meditation programs rooted in traditional Buddhist practices may support both clinician well-being and culturally responsive practice.

A Qualitative Exploration Of Counselor Traits And Wellness Practices, Emily Velidow

Antioch University Dissertations & Theses

This study is a qualitative thematic analysis of counselor wellness practices as well as how selfidentified personal traits are part of how a counselor practices and prioritizes wellness. Theoretical underpinnings of the study integrate trait activation theory (Tett & Burnett, 2003), Martin Seligman’s wellbeing theory (Seligman, 2011), and Urie Bronfenbrenner’s ecological systems theory (Bronfenbrenner, 1977). Participants included nineteen licensed counselors (N=19). Analyzed responses lead to four main themes, each with two to four subthemes. Resulting themes included (1) intentional caseload and workday structure, (2) deliberately emphasizing physical wellness, (3) setting boundaries attending to mental and emotional energy, and (4) the …

The Conservation Value Of Silvicultural Systems For Breeding And Post-Fledging Bird Communities In Northeastern North America, Christopher Andrew Liazos

Antioch University Dissertations & Theses

Forest bird community decline in the eastern United States is partly due to the lack of early-and-late-successional forests stemming from historic land use. Silviculture can create underrepresented forest age classes and structures to support avian communities during the breeding and post-fledging periods. In southwestern New Hampshire, we conducted a case study evaluating avian conservation value indices across silvicultural systems. Our goal was to observe how avian conservation value indexes and abundance differed between recently managed and unmanaged stands. We surveyed 215 breeding and 118 post-fledging points across 22 sites using point counts and vegetation surveys. Conservation values in the breeding …

Navigating Family, Culture, And Well-Being: A Qualitative Study Of First-Generation Adult Children Of Middle Eastern Immigrants In The United States, Ramona Amely

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of first-generation adult children of Middle Eastern immigrant parents/caregivers living in the United States. This was a phenomenological study with reflexive thematic analysis. Participants (N=10) were interviewed via Zoom, and transcripts were analyzed using Reflexive Thematic Analysis (RTA). The results included four themes: (1) Migration Contact and Cultural Formation, (2) Bicultural Identity Development, (3) Family System Adaptation, and (4) Emotional Socialization and Psychological Impact. This study highlights how first-generation adult children of Middle Eastern immigrants navigate complex, interwoven processes of bicultural identity development, family adaptation, and emotional socialization shaped …

The Lived Experience Of Survivors Of Narcissistic Abuse, Jessica Williams

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of narcissistic abuse survivors through a grounded theory approach to generate a model that can assist people in recognizing patterns and traits of narcissistically abusive relationships. Guided by relational-cultural theory, this study further seeks to examine the ways narcissistic abuse damages relational connections and to highlight elements of healthy, growth-fostering relationships. The population of focus included self-selected narcissistic abuse survivors who are adults over the age of 18 (N = 8). The results indicated three themes, each with additional subthemes, which include: (a) early behavior – performative displays and …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart

Antioch University Dissertations & Theses

After gaining popularity in the United States of America (USA) in the 1960s and 1970s, Buddhist mindfulness was introduced to clinical psychology and investigated for its potential psychological healing effects. In the years since, mindfulness has been widely used in empirically supported treatments (ESTs) in clinical psychology in the USA to treat a wide variety of psychological conditions and disorders. This dissertation examines and compares conceptualizations and implicit understandings of mindfulness in early (Theravāda) Buddhism and in ESTs in clinical psychology in the USA. Through textual narrative analysis of two Buddhist sutta and 10 clinical psychology journal articles, this study …

Leading With Heart: The Impact Of Emotional Intelligence On School Principal Performance, Gregory Lucas

Antioch University Dissertations & Theses

The role of school principals has evolved significantly in recent years, particularly in response to the challenges posed by the COVID-19 pandemic. Declining student mental health, chronic absenteeism, and heightened levels of anxiety and depression among teachers have underscored the need for school leaders to adopt a more holistic approach to leadership. Principals are now expected to address not only academic and administrative responsibilities but also the social and emotional well-being of their school communities. Emotional intelligence (EQ) has emerged as a critical competency for effective leadership, enabling principals to navigate complex interpersonal dynamics, foster positive school climates, and support …

Beyonce´, The Womanist Entertainer: Womanism, Anti-Racism And Cultural Pride In Beyonce´ Knowles Carter’S Music, Nena Carpenter

Antioch University Dissertations & Theses

This research explores the latter portion of Beyoncé Knowles-Carter’s career and her distinguishing herself as a womanist/feminist icon. Beyoncé Knowles-Carter has been regarded as a popular music icon since her days as the lead singer in the R&B group Destiny's Child. The group’s music, including songs like "Say My Name" and "Independent Women", have often been recognized by cultural critics as empowerment anthems for women and girls. When Beyoncé performed at the Video Music Awards in 2014, the sample of Chimamanda Ngozi Adichie's 2013 Ted Talk on feminism in her song "Flawless" precipitated a more focused discourse about the authenticity …

Decolonizing Teacher Mindsets With Precolonial Worldview Precept Reflection And Transformation, Gabriela Armendariz

Antioch University Dissertations & Theses

Colonial education systems, rooted in Western epistemologies, have perpetuated a legacy of settler colonialism that continues such problems as environmental disconnection, inequality, and power dynamics that disadvantage marginalized and Black, Indigenous, People of Color (BIPOC) communities. While decolonizing education has generally been about critically examining how entrenched colonial practices shape curricula, teaching methods, and institutional policies, the emphasis of my proposed study is a focus on contrasting precolonial (Indigenous) worldview precepts, using the contrasting but non-dualistic worldview chart created by Four Arrows and Darcia Narvaez (Wahinkpe Topa [Jacobs], 2024). In partnership with K-12 educators from major school districts across the …

An Autoethnography Of A Scholar Practitioner: Applying Social-Emotional Learning In A Math Classroom Through A Feminist Lens, Resha Layla Hissen

Antioch University Dissertations & Theses

Math anxiety occurs when individuals experience fear and stress while engaging in mathematical tasks (Lopez-Ramírez et al., 2025). While math anxiety is often examined through its impact on students, this autoethnography explores it through the lived experience of a Middle Eastern female mathematician and educator. Grounded in social-emotional learning (SEL) and feminist theory, this study investigates how personal, cultural, and gender-related experiences of mathematical trauma have shaped the author’s pedagogical approach. By tracing a personal journey from anxiety and emotional suppression to empowerment and reflective teaching, this work highlights strategies for integrating SEL and feminist-informed practices into K-12 public school …

A Qualitative Study Of Existential Paralysis As A Pathway To Meaning And Purpose Among Generation Z, Oksana V. Panchenko

Antioch University Dissertations & Theses

This study examines the lived experiences of emerging adults from Generation Z (N = 26) with a qualitative reflexive thematic analysis. Data was collected with an online survey and open ended prompts. Twelve themes were identified as part of data analysis: (1) Feeling Lost, Immobilized, Isolated and Overthinking, (2) Feeling Depressed and Experiencing Identity Erosion and Functional Disruption, (3) Anxiety, the Struggle for Authentic Connection, and Fear About the Future, (4) Social Media, Comparison, and Fear of Missing Out, (5) Cultural and Sociopolitical Pressures on Self-Expression, (6) Ambiguous Loss and Disconnection in Social Presence, (7) Social Skills, Self-Confidence, and Adaptation …

Do You See What I Hear?: The Effects Of Musical Harmony On Cultural Perception And Recognition, Marvin Martin Williams

Antioch University Dissertations & Theses

This study explores whether listeners can identify the differences in harmonic progressions in a musical composition, and, if so, whether those differences can elicit a cultural or social perception of the origins of the music. By investigating how audiences respond to variations in harmony, specifically traditional versus altered harmonic treatments, the research offers a framework for music producers, educators, healthcare providers, and other cultural gatekeepers to better understand and engage with audiences on an empathetic and meaningful level. The underlying hypothesis posits that harmony in music does more than evoke emotion but may inform a cultural interpretation, thus presenting an …

Octavia E. Butler's Healing Heroines: An Exploration Of Black Girl Magic In The Patternist Series, Monique Skinner

Antioch University Dissertations & Theses

This study explores the concept of healing as Black Girl Magic in the five novels that make up Octavia E. Butler’s Patternist series. Through textual analysis backed in Afrofuturist theory the study answers the questions: How does Butler depict Black women as healers in the Patternist series? and What is her vision of Black women in the Afrofuture? On a deeper level, the study uses character analysis to examine the literary trope of the Black woman healer and how her magical power translates as literal Black Girl Magic. Through a journey of speculative literary discovery, we uncover the archetypes of …

A Content Analysis Of Black Women's Race And Gender Depiction In American History Textbooks, Le'marqunita De'sharay Lowe

Antioch University Dissertations & Theses

Using a race and gender analytical lens, this research study examined how Black women were depicted in four secondary Advanced Placement Pearson’s history textbooks. Content analysis was the methodology to collect data from Pearson’s Advanced Placement history textbooks. Captions and images were analyzed to observe the patterns and themes that displayed the intersection between Black women's race and gender depiction. The interdisciplinary fields of history and education allowed an in-depth analysis of race and gender to be conducted throughout this research study. Two research questions were answered throughout this study. What do captions and images teach about the race and …