Digital Commons Network^™

Sustaining The Score: A Narrative Inquiry Comparing California Teacher Induction And Adult Ensemble Participation For Music Educator Longevity And Growth, David Haley Green

Doctoral Dissertations and Projects

The relationship between music educators' participation in adult ensembles and any perceived benefits to their teaching careers remains underexplored. At a time when teacher recruitment and retention rates are unsustainable, this information can help provide ways to engage educators in a way that benefits both themselves and the academic success of their students. This qualitative study examines the perspectives of music educators across a wide variety of ages and grade levels. This study compares explicitly the formal, mandated support of California’s teacher induction program with the informal, voluntary support found in adult ensembles. Many music educators in California began their …

Pneuma And Logos: Strengthening Sermon Preparation Through A Spirit-And-Word Approach To Biblical Exegesis, Natalie Barnoske

Doctoral Dissertations and Projects

Powerful preaching results from honoring the Word and Spirit as active participants in the sermon preparation process. However, the influence of postmodernism and the lack of resources clarifying this convergence point have led to a polarization of perspectives in biblical exegesis. Therefore, this DMIN action research project designed, implemented, and evaluated a Pneuma and Logos Approach to biblical exegesis based on five essential pillars of hermeneutics, derived from William Oliverio’s Pentecostal Hermeneutics in the Late Modern World. By integrating inductive skills of biblical exegesis with holistic habits of Lectio Divina, this project proposes that stronger sermon preparation skills can be …

Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch

Walden Dissertations and Doctoral Studies

Summary This quality improvement initiative aimed to enhance stroke knowledge through an evidence-based staff education program for medical-surgical emergency department (ED) overflow nurses. The impetus for the project stemmed from recognition of the need for enhancing prompt response and communication during acute stroke events. Variations in stroke knowledge among nursing staff contributed to delays in recognizing and responding to stroke symptoms. The practice-focused question guiding this Doctor of Nursing Practice (DNP) project addressed whether the implementation of an evidence-based stroke education program could improve nursing knowledge. The purpose of the project was to evaluate whether an evidence-based stroke education program …

Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion

Walden Dissertations and Doctoral Studies

The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …

The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor

Walden Dissertations and Doctoral Studies

Physical therapists and physical therapy students are susceptible to overuse and postural-related injuries related to computer work, lifting, and transferring patients. An effective technique for musculoskeletal dysfunction is instrument assisted soft tissue mobilization (IASTM) self-care. The purpose of this phenomenological qualitative study was to better understand the lived experiences of physical therapists and physical therapy students who are trained in IASTM self-care. The theoretical foundation for this study was the health belief model (HBM), which proposes that one’s beliefs strongly influence behavior change. In alignment with HBM, research questions related to the participants’ beliefs regarding the perceived threat of not …

Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez

Walden Dissertations and Doctoral Studies

This capstone research project involved examining foster care alumni who successfully graduated from Master of Social Work (MSW) programs as full-time students. The purpose of this study was to address resilience factors and this population’s perceptions of barriers, resilience, and success in terms of completing full-time MSW programs and career outcomes. The resiliency theory and a strength-based-perspective were frameworks for this research. This basic qualitative research study involved using purposive sampling, and 11 foster care alumni were interviewed who graduated from full-time MSW graduate programs in the United States. Through thematic analysis, themes emerged were lack of economic resources impacting …

Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint

Walden Dissertations and Doctoral Studies

This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …

Monte Carlo Stellar Evolution Models And Their Application On Globular Clusters, Jiaqi Ying

Dartmouth College Ph.D Dissertations

Stellar evolution models serve as fundamental tools in astronomy, essential for interpreting the interiors and evolutionary stages of stars, and have wide applications in astronomy, from searching for exoplanets to estimating the age of the universe. This thesis explores the inherent uncertainties arising from the complex physics used in stellar evolution models. By adopting a Monte Carlo approach to vary over 20 key stellar evolution parameters, we quantify their impact on model predictions, highlighting substantial influences on age, luminosity, and temperature. Through a detailed analysis of Milky Way globular clusters (GCs), this work rigorously investigates the uncertainties inherent in stellar …

Implementation Of A Triage System For The Residents At A Residential Facility To Improve Triage Assessment Skills Of The Staff As Well As Improve The Level And Timeliness Of Care, Andrew J. Choi Rn, Neha Gopal Rn, Andres N. Padilla Rn, Dana Son

Master's Projects and Capstones

Triage is an integral part of the clinical process which involves assessing patients and determining their level of care in order to get them appropriate, timely treatment. Several countries utilize a standardized triage system with established criteria to aid staff in their decision-making during assessments (Peta et al., 2023). The Nursing and Residential Triage (NaRT) tool, from the Manchester Triage System (MTS), was shown to enhance staff clinical assessment skills and help avoid inappropriate ED transfers during a study among older adults in a residential facility (Markey et al., 2024). For this project, the main issue identified at the residential …

Enhancing Patient Safety: Fall Prevention Through Video Education, Fithawit T. Zere

Master's Projects and Capstones

Abstract

Problem: Globally, hospital falls remain a leading cause of injuries, increased costs, short and long-term disability and emotional impact on patients/families. Despite required prevention measures, a local hospital experienced rising fall rates during 2024 (n=71);13 of these occurred in the Med-telemetry microsystem. Although multiple strategies and financial investments occurred, nursing compliance with the fall prevention “bundle” remained suboptimal.

Context: Thirteen falls resulted in $182,000 in 2024. A quality improvement (QI) project was initiated over 12 weeks after routine audits revealed inconsistency in application of several components of the required bundle: particularly, the fall prevention video upon admission.

Interventions: A …

A Teleoisrael And The Μυστήριον Of Mercy: The Identity Of Πᾶς Ἰσραήλ And The Apocalyptic Realignment Of God’S Covenant People In Romans 9–11, James Matthew Nowotny

Doctoral Dissertations and Projects

This dissertation explores the meaning of Paul's assertion in Romans 11:26 that "all Israel will be saved," situating it within the broader theological and literary context of Romans 9–11. The study addresses the complex question of Israel’s identity in Paul’s writings, arguing that Paul envisions a future eschatological salvation for ethnic Israel that coheres with God’s covenantal promises while incorporating Gentile believers into the redemptive plan through union with Christ. Utilizing exegetical analysis, intertextual engagement with the Old Testament, and investigation of Second Temple Jewish conceptions of Israel, the study proposes a nuanced model termed TeleoIsrael—a theological construct reflecting the …

Evidence-Based Autism Assessments: Utility Of A School-Based Autism Evaluation Fidelity Checklist, Melissa Rose

Doctoral Dissertations and Projects

Research has demonstrated limited use of evidence-based autism assessments in school settings. The use of fidelity checklists for evidence-based interventions for autism are a focus of research; however, there are not any fidelity checklists or tools for measuring evidence-based autism assessments. This study used an exploratory sequential mixed methods design to create and utilize a school-based autism assessment fidelity checklist rubric with a retrospective model. This study began with a focus group to refine the rubric and provide social validity. Then, the rubric was used to measure the fidelity of 52 initial school-based autism assessments across two time periods, one …

Sexual And Relationship Satisfaction Among Monogamous Heterosexual Married Female Survivors Of Primary Caregiver Childhood Sexual Abuse, Andrea K. Diaz

Doctoral Dissertations and Projects

Childhood sexual abuse can have devastating lifelong impacts for children who were abused by a primary caregiver. Research shows links to a gamut of adverse risks including physical health problems, intimate partner violence and revictimization, mental health concerns, interrupted life roles, interpersonal relationship attachment, sexuality, communication, and social support issues. Many studies are limited in delineating sexual orientation and relationship status. Despite significant research related to childhood sexual abuse, a gap in the literature exists. The presented qualitative phenomenological study sought to understand sexual and relationship satisfaction among monogamous heterosexual female survivors of primary caregiver childhood sexual abuse within the …

Building Culture And Enhancing Patient Safety: A Readability Analysis Of Internal Healthcare Communications, Trevor M. Kinsey

Doctoral Dissertations and Projects

Effective internal communication is essential to creating a shared organizational safety culture, improving knowledge diffusion, and delivering high quality patient care. This study examined the readability of internal healthcare communications, including policies, procedures, and internal newsletter articles, at a mid-sized healthcare system in Michigan. Readability significantly influences cognitive load, information retention, and knowledge diffusion. Poor readability hinders these items, limiting engagement and knowledge transfer. By utilizing established readability tools, including the Flesch Reading Ease and Flesch-Kincaid Grade Level scales, this quantitative, cross-sectional study aimed to determine whether internal healthcare documents meet the readability standards recommended by the American Medical Association. …

Childhood Emotional Maltreatment: A Phenomenological Approach Of Its Influence On Adult Attachment And Romantic Relationships, Patricia A. Smetana

Doctoral Dissertations and Projects

This phenomenological qualitative study examined the lasting effects, if any, of childhood emotional maltreatment (CEM) on adult females' romantic relationships. The research explored participants’ perceptions of relationship fundamentals that influence adult attachment formation and the quality of romantic relationships, emphasizing the crucial role of adult attachment in relational quality and overall well-being. Online, two-part semi-structured interviews were conducted with each participant, yielding a total of 22 interviews. These interviews investigated the participants’ perceptions of how CEM shaped their views of their own and others’ behaviors within adult romantic relationships. The study focused exclusively on adult female survivors of CEM, excluding …

Lived Experiences Of Black Clergy Counseling White Female Survivors Of Intimate Partner Violence In Predominantly White Churches Of Christ, Archie Ray Green

Doctoral Dissertations and Projects

This hermeneutical phenomenological study was conducted to explore the lived experiences of Black male pastors in predominantly White Churches of Christ who provide pastoral care to White female survivors of intimate partner violence (IPV). These Black male spiritual leaders often serve as the initial point of contact for individuals seeking help, yet they may face unique challenges shaped by cross-racial, gender, and theological dynamics. This study examined how spiritual beliefs, educational preparation, and ministerial experiences influenced the responses of the participants to IPV. The findings revealed that in the absence of formal IPV training and institutional protocols, pastors often relied …

Stressors Causing Career And Technical Education Teachers To Experience Burnout: Hermeneutic Phenomenology, Christina C. Perez

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the stressors and coping strategies for Career and Technical Education (CTE) teachers in career and technical education in Texas’ public education system. The theory guiding this study was the transactional model of stress and coping proposed by Richard Lazarus and Susan Folkman. The use of this theory will impact the lives of CTE teachers facing challenges in their current roles and taking on extra duties compared to non-CTE teachers. The central research question focused on how CTE teachers experience major sources of stress and burnout. In addition, the sub-questions will support …

Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati

Walden Dissertations and Doctoral Studies

Pressure injuries (PIs) are unfortunate events that can impact all healthcare system stakeholders. In-patient nursing units such as medical surgical (med surg) units are facing challenges in nursing practice in initiating prevention measures and reducing the incidents of hospital-acquired pressure injuries (HAPIs). The nursing staff’s lack of knowledge can lead to nursing practice issues, poor patient outcomes, and be costly. The purpose of this Doctor of Nursing Practice (DNP) staff education project was to educate nursing staff in initiating pressure injury (PI) prevention measures to avoid HAPI events in the hospital. The practice-focused question examined if providing education to med …

Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …

Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa

Walden Dissertations and Doctoral Studies

Objective This project aimed to enhance nursing staff knowledge and engagement in evidence-based fall prevention strategies, addressing the practice problem of inconsistent staff education and the absence of a standardized fall prevention protocol, contributing to high patient fall rates in acute care settings. Design The project employed an educational session both in-person and online. A pre- and post-test education design, utilizing knowledge assessments (pre-test and post-test) and qualitative feedback to evaluate the impact of a structured education program on nursing staff knowledge related to fall prevention. The education module focused on risk assessment tools, including the Morse Fall Scale, and …

Relativistic Quantum Kinetic Theory: Higher Order Contributions In Assisted Schwinger Pair Production, James P. Edwards, Naser Ahmadiniaz, Sebastian M. Schmidt, Christian Kohlfürst

School of Engineering, Computing and Mathematics

Quantum kinetic theory is an important tool for studying nonequilibrium, nonperturbative and nonlinear interactions within an open quantum system, and as such is able to provide an unprecedented view on particle production in the relativistic, ultrahigh intensity regime of quantum electrodynamics. By reorganizing the relativistic quantum transport equations for Abelian plasmas and integrating them with a perturbative expansion, we significantly expand the scope for kinetic theories to further elucidate the peculiarities of particle production at a spectral level.

Improving The Medication Communication Domain Of The Hospital Consumer Assessment Of Healthcare Providers And Systems Survey In A Pediatric Hospital, Bailey N. Godwin

Doctoral Dissertations and Projects

Patient education is a key responsibility of nurses. Providing education is the most effective when the teach-back method is used in combination with tangible education materials. Patient satisfaction in the pediatric setting is measured using the Child Hospital Consumer Assessment of Healthcare Providers and Systems survey (Child-HCAHPS). This evidence-based practice project aimed to improve patient/caregiver satisfaction scores for medication education on the Child-HCAHPS survey through comprehensive medication education and improved usage of patient education materials at discharge. Three pediatric units within an academic health institution in central North Carolina were identified for participation in the intervention by their managers and …

A Quantitative Examination Of School Psychologists And The Relationships Between Work-Life Balance, Burnout, And Turnover Intentions, Brittany Leigh Storti

Doctoral Dissertations and Projects

Research for the past twenty-five years has documented that there is a national shortage of school psychologists across the United States. It is vital to study the magnitude of school psychologists working in the educational field and the impact of work-life balance has on burnout and turnover intentions. The study surveyed 75 school psychologists who work in a brick-and-mortar, hybrid, and virtual setting across the United States to compare the relationships and to determine if there is a difference between turnover intentions based on work setting. A moderation analysis and an ANOVA determined that the research failed to reject the …

An Exegesis Of Matthew 18:15-17 And The Hermeneutical Challenges Of Unrepentant Sexual Immorality, Jennifer Morris

Masters Theses

Sexual immorality (πορνεία) is mentioned twenty-five times in the New Testament. In one of the earliest cases of church discipline, Paul addresses a particular example of sexual immorality, namely incest, where a member of the Corinthian church is engaging in consensual sexual relations with his father’s wife (1 Cor. 5, New International Version).¹ Church discipline can be viewed with a negative connotation; however, disciples of Christ understand He rebukes and disciplines those He loves (Heb. 12:6; Rev. 3:19) through His Word (“rebuking” and “correcting” in 2 Tim 3:16).² Thus, the scriptural basis for church discipline practices are the …

Pass It On: Developing Children's Identity With Biblical Storytelling At First Baptist Church Of Sanford, Caleb Mccord

Doctoral Dissertations and Projects

In a culture where many youths are not only leaving the church but also facing psychological issues like identity crises, it is important that children develop their identity as God’s Word prescribes rather than the preference-based identities pushed by secular parties. To best ensure this development, then it is essential that children receive biblical storytelling from both the church and also the parents at home, the latter of which is underutilized in many modern Christian homes. This thesis posits that if parents are made aware of the need for biblical identity development and trained to do so, then they will …

Development Of A Physiologically Based Pharmacokinetic (Pbpk) Model And Evaluation Of Antioxidant Capacity For Polypodium Leucotomos Extract, Christopher L. Basel

Doctoral Dissertations and Projects

The purpose of this study was to develop an equation to calculate the approximate concentration of active components in orally administered Polypodium leucotomos fern extract (PLE) and to develop physiologically based pharmacokinetic (PBPK) models for an active component of PLE or its metabolite to address the need for human pharmacokinetics (PK). Model differences based on ethnic groups were also investigated. This was a quantitative study using secondary data. It has been estimated that skin cancers account for approximately 40% of all human cancers and that approximately 13,000 people will die of skin cancer in 2024. People with darker skin experience …

Authentic Disciples Of Christ: An Exegetical Analysis Of Jesus’S Expectations Of His Disciples’ Behaviors, Jessika S. Sandel

Doctoral Dissertations and Projects

The fulfillment of the Great Commission demands that the Church possess a clear and objective understanding of what constitutes a disciple. Because the New Testament does not present a specific definition of a disciple, local churches adopt culturally-shaped paradigms—conversion-only evangelism, curriculum-driven frameworks, or programmatic models—that fragment the biblical vision and conflate orthodoxy and orthopraxy. This study addresses this tension by articulating a biblically-formed composition of a disciple, arguing that authentic disciples do not merely confess belief but are Spirit-formed witnesses to Christ’s redemption, reflecting his identity through enduring faith marked by love, obedience, perseverance, and gospel proclamation. Motivated by theological …

Leadership, Personality Traits, And Teacher Training Characteristics Of Secondary Band Directors In Small Alabama Schools, Robbin Nicol Holder

Doctoral Dissertations and Projects

This quantitative, quasi-experimental study aimed to determine the disparities in the leadership, personality traits, and teacher training characteristics of successful public and private secondary band directors in small schools in Alabama. The study focused on identifying perspectives that have not been previously explored or documented. A survey was conducted among band directors at Alabama secondary schools with a daily average enrollment of 300 or fewer students in grades nine through eleven. This information was based on data provided by the Alabama Department of Education and reported by the Alabama High School Athletic Association. The research encompassed dependent variables in leadership, …

Biblical And Spiritual Disciplines And The Worship Leader, Milagros Rodriguez Trinidad

Doctoral Dissertations and Projects

Despite the expectation of spiritual leadership from worship leaders, many of them may struggle with consistently practicing biblical and spiritual disciplines. This qualitative study examines the need for spiritual preparation, the importance of spiritual community, and the spiritual life of the worship pastor/leader, all of which are central to the spiritual health of worship leaders. To build and grow in the daily practice of spiritual disciplines and to mature in spiritual formation, worship leaders must have a correct understanding of these disciplines and a humble spirit to self-evaluate their presence through the lens of Scripture. This understanding is crucial not …

Childhood Adversity And The Development Of The Imposter Phenomenon, Elissa M. Jeter

Doctoral Dissertations and Projects

The imposter phenomenon comprises a set of emotions, cognitions, and behaviors occurring throughout the lifespan of an individual to protect against feelings of inadequacy. The consequences of the imposter phenomenon are significant to both individuals and the organization they work for, as it can cause significant emotional fatigue and burnout. These consequences include anxiety, depression, isolation, burnout, and job abandonment. Throughout decades of research, there have been mixed results regarding the causes of the imposter phenomenon. A possible commonality among these causes of the imposter phenomenon is childhood adversity. The sample used in this study was adults between the ages …