Digital Commons Network^™

Teacher Perspectives Of Supporting High School Students Who Are Sex Trafficked In Northeast Ohio: A Qualitative Study, Melanie Timco

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the perspectives of supporting students who are actively sex trafficked for the teachers at high schools in Northeast Ohio. The theory guiding the study was Bandura’s social cognitive theory as it applies to the formation of teacher perspectives based on cognitive, behavioral, and environmental factors. Teachers shared their perspective of supporting students who were actively sex trafficked in high school through hermeneutic phenomenology. I utilized criteria and snowball sampling of 12 high school teachers in Northeast Ohio. Open-ended surveys, interviews, and focus groups were conducted with teachers to render their …

The Perceived Understanding Of Emotional Well-Being And Needs Among Older Adults In Rural West Virginia: A Phenomenological Study, Amanda M. Phillips

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the experiences of older adults regarding emotional well-being in rural West Virginia. Havighurst’s activity theory on aging provided the lens for guiding the research and was supplemented with a framework of reablement. The in-depth literature review showed prevalent trends and limitations in current research on the rural aging population’s efforts to maintain and meet their emotional well-being needs. An essential aspect of the literature review was the limited resources available in rural communities in general. Semi-structured interviews were conducted with 11 participants recruited from the public. As part of the data …

The Impact Of Trauma On The Presentation Of Obsessive-Compulsive Disorder, Nina Rose Eberly

Doctoral Dissertations and Projects

Obsessive-compulsive disorder (OCD) is a prevalent mental health condition that has previously been linked to traumatic life experiences. Understanding the connection between trauma and OCD symptomatology is essential for developing clinical interventions. This study examined whether a history of abuse is related to an OCD diagnosis, whether a post-traumatic stress disorder (PTSD) diagnosis is correlated with heightened OCD symptoms, and whether experiencing multiple types of traumas increased OCD symptom severity. Statistical analyses, including correlation and regression analyses, were conducted along with thematic analysis of qualitative interview data. Participants with a comorbid diagnosis of OCD and PTSD exhibited elevated OCD symptoms. …

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. …

A Strategy For Helping Mother And Daughter Churches Foster A Healthy Symbiotic Relationship, Timothy Blazer

Doctoral Dissertations and Projects

This action research project explores the dynamic relationship between mother churches and daughter churches within the context of church multiplication, with particular emphasis on the mutual benefits and shared challenges that emerge throughout the planting process. Central to the study is the guiding research question: “Will applying biblical principles of church planting partnership between mother and daughter churches enable church plants to thrive and flourish?” While much of the existing literature centers primarily on individual church planters, this study focuses on how mother churches and their church plants can experience growth and vitality through intentional and collaborative partnerships. The purpose …

Understanding Educators’ Experiences With Chronic Student Absenteeism In Rural High Schools In Southwest Virginia: A Phenomenological Study, Tina Louise Dean

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand educators’ experiences and the influences chronic absenteeism has on low-income rural high school students in Southwest Virginia. The theory guiding this study was Bandura’s social cognition theory on learning, which develops through interaction and modeling. The central research question was, “How do teachers describe their experiences with chronic student absenteeism in rural high schools in Southwest Virginia?” A hermeneutic phenomenological design was used, and the researcher focused on 10 educators from rural high schools in southwest Virginia who had experienced student chronic absenteeism and/or truancy. Data for this study was collected …

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 …

The Indications Of The Need For Training For Biblical Worship Principles In Evangelical Churches In Texas, Carlos Benson

Doctoral Dissertations and Projects

Despite numerous Evangelical churches in Texas, most churchgoers hold limited ideas about what defines worship. There is a shortage of biblically principled teaching in the Evangelical Church, particularly in the areas of First and God-honoring worship and its practices, including the Great Commission. This research primarily defines and explores the current state of worship in the Evangelical Church. This research examines how the original Adam and Eve beings, created to worship, have transformed into present-day worshipers. Today's worshipers include Sunday-only attendees, schedule-driven individuals, and spiritually drained souls, with a particular focus on those in Texas. This study will also provide …

The Title Of My Project: Screen Time And Children's Health, Elisabeth Hernandez

Doctoral Dissertations and Projects

Excessive screen time is harmfully affecting families emotionally, physically, and mentally (Brindova et al., 2014). Eating habits, physical exercise, sufficient sleep each night, and communication with family and peers are increasingly declining as screen time is increasing (Siegle, 2017). With the rise in screen time, young people are spending more time alone (Gingold et al., 2014). Behrens et al. (2019) “explored the cause of anxiety and depression in children as it relates to the use of technology” (p. 474). Since the increase in technological advances, there has also been an increase in cyberbullying. “Setting limits on the amount of time …

Exploring The Role Of Online Fan Communities During And After The Covid-19 Pandemic: A Phenomenological Study, Misha Alarie

Doctoral Dissertations and Projects

During the COVID-19 pandemic, individuals increasingly turned to online fandom communities for social support and companionship. The purpose of this qualitative study was to investigate the impact of digital communities on individuals' social support networks throughout and beyond the pandemic. Through an exploration of participants' lived experiences within virtual spaces, specifically Reddit, the research sought to comprehend how interactions within online fandoms address individuals' social needs and influence their overall well-being. The research examined how people find online communities, their interactions, perceptions of group dynamics, how these spaces can change them, and their role in offering support during and after …

The Impact Of The Mcgirt Supreme Court Decision On Federal Water Policy Within Shared Watersheds, Travis Alexander Younce

Doctoral Dissertations and Projects

This dissertation explored the following research question: What are the public policy implications of the McGirt Supreme Court decision on federal water policy and regulations governing shared watersheds between state, tribes, and federal control? Specifically, this study examined the changing freshwater availability within Oklahoma and Montana. Oklahoma is one of the nation’s most diverse water management lands, with over 85% of its water within tribal boundaries. Eleven lakes and reservoirs in central Oklahoma provide water to the increasingly urbanized population. This dissertation aimed to identify integrated regulations regarding water policy and impacts by examining requirements, use, clarity, and climatological data …

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 …

A Comparison Of School Index Score And Per-Pupil Spending Of Four School Environments, Elizabeth Ann Springer

Doctoral Dissertations and Projects

This quantitative study examined the relationship between school environment and both school index scores and per-pupil spending across four distinct public school types in Michigan: in-person district schools, in-person charter schools, virtual district schools, and virtual charter schools. The primary purpose was to explore whether significant differences exist in the school index scores and per-pupil expenditures among these school environments, with particular attention to virtual schools, which remain underrepresented within educational policy research. Initial analysis using MANOVA was supplemented with non-parametric testing due to violations of normality assumptions. Findings indicate significant differences in both spending and school index scores across …

Telepsychiatry In The Management Of Chronic Mental Illness: A Quantitative Study, Jason Andrew Lam

Doctoral Dissertations and Projects

The use of emergency departments for chronic mental illness is a growing problem and contributes to overcrowding. Preventing psychiatric patients from using an ED for their chronic mental illness is a key part of reducing this problem. Telepsychiatry allows patients to access psychiatric care from wherever it is convenient to them with shorter wait times for appointments. This study compared emergency department use between in-person and telepsychiatry utilizers to determine if one group had fewer occurrences than the other. Through an anonymous online survey, data was collected and analyzed using quantitative analysis techniques. This study concluded that patients using telepsychiatry …

The Experiences Of University Health Science Students Participating In A Short-Term Medical Mission Trip, Peggie L. Williamson

Doctoral Dissertations and Projects

The purpose of this qualitative descriptive phenomenological study was to explore the experiences of university health science students who participated in a short-term medical mission trip (STMMT). Student participation in a STMMT was generally defined as active involvement in an 8-day healthcare initiative undertaken by supervised university health science students who provided medical care and education to underserved regions. Purposeful criterion and convenience sampling were used to select ten participants from a group of university health science students registered for a STMMT to Belize in 2025. The two theories guiding this study were Husserl’s Transcendental Theory, designed to provide a …

Exploring School-Based Early Intervention For Developmental Disabilities: A Phenomenological Study Of Parental Experiences, Brenda Nichol Webb

Doctoral Dissertations and Projects

Today it is estimated that one in six children in the United States has one or more developmental disabilities or other developmental delays. There is a large body of evidence pointing to the necessity of early intervention to improve both short and long-term life outcomes for individuals with developmental disabilities from both the medical and social sciences. Despite this fact, the identification process during early childhood from a parental perspective remains under- researched. The purpose of this phenomenological study was to examine the lived experiences of parents of children with developmental disabilities during the evaluation process and receipt of services …

A Phenomenological Study Exploring The Role Of Resilience In Trauma Recovery Of Those Living In Southeastern Rural America, Summer D. Loduca

Doctoral Dissertations and Projects

This qualitative phenomenological study explored the ways in which adults who live in rural communities in the Southeastern United States convalesce from trauma within the framework of barriers and limited access to mental health services. Garmezy’s (1991) developmental psychology approach to resilience, which highlights internal and external protective factors, guides this study as personal resilience, and how it contributes to trauma recovery in underserved settings, is explored. Ten participants aged 32 to 49, engaged in semi-structured interviews as they shared their lived experiences of coping with, and healing from, trauma. Five principal themes were reach in analyzing the data through …

Growth, Maturation, And Selection Of Elite Youth Ice Hockey Players, Ryan Podell

Doctoral Dissertations and Projects

Maturity status may influence the selection of elite youth ice hockey teams in the United States. Assessing biological maturity status could provide insight into the prevalence of maturation related selection biases. Thus, the purpose of this study was to establish normative maturity status ranges, determine if maturity or relative age effect selection biases existed, and compare levels of agreement between methods to predict maturity status for elite youth ice hockey players in the United States. Part one of this study assessed the biological maturity status and birth months for 126 athletes, ranging 9-16 years of age, from an elite youth …

Christian Schoolteachers’ Shared Experiences Of Learning And Teaching In The Face Of The Covid-19 Pandemic On The East Coast Of The United States, Elizabeth Joy Geddes

Doctoral Dissertations and Projects

This phenomenological study sought to better understand and describe the lived experiences of Christian schoolteachers who provided in-person instruction during COVID-19. Using a qualitative phenomenological design, 12 ACSI Christian schoolteachers from the East Coast of the United States were asked to share their stories of providing in-person instruction during the fall of 2020. While studies have explored the challenges and adaptations of public-school educators during COVID-19, there remains a significant gap in understanding the experiences of Christian schoolteachers who navigated in-person instruction amidst the pandemic. The gap highlights the need for focused research to capture the unique perspectives, challenges, and …

Tax Cuts And Jobs Act: A Study On Behavioral Economic Theory, Tax Incentives, And Christian Influence, Tyler James De Haan

Doctoral Dissertations and Projects

The Tax Cut and Jobs Act was tax legislation in the United States that affected the charitable giving tax deduction. The problem is that neoclassical economics assumes that a decrease in charitable tax deductions will decrease charitable behavior. The purpose of the study is to understand how Christian influence impacts charitable behavior after a decrease in the charitable tax deduction. The study’s methodology will be mixed methods. The study’s design will be an explanatory sequential cross-unit case study. The study sample consists of Christian and public university alumni associations. The data will be collected in two ways. First, data will …

Poverty And Education: A Hermeneutic Phenomenological Qualitative Study On Student–Teacher Relationships, Anthony J. Lee Jr.

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the perception of cultivating supportive teacher-student relationships among Black students for teachers at a school district in the Northeastern United States. At this stage in the research, cultivating supportive teacher-student relationships among Black students was defined as how teachers positively relate in the classroom in ways that positively affect academic outcomes. The theory guiding this study was student involvement theory (Astin, 1984). This theory explains how students change and develop through their motivational involvement with the institution, curriculum, and social atmosphere. The central research question was: What challenges do teachers …

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 …

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 …

Parent's Help-Seeking For, And Care Of, A Sick Or Injured Child During Covid-19 Pandemic Lockdowns: A National Online Survey In Türkiye, Bahar Aksoy, Sarah Neill

School of Nursing and Midwifery

Aim: This study aimed to investigate how COVID-19 lockdowns in Türkiye influenced parents' actions when their child was ill or injured and how they perceived the impact of the lockdown on the severity of their child's illness and the treatment received. Methods: This descriptive, and cross-sectional mixed method was conducted with 104 parents whose children experienced illness or injury during the pandemic lockdowns between July and September 2022. Data was collected through online survey using snowball sampling method. Descriptive statistics and pearson's chi-square test were used for statistical analysis, while free-text data was subjected to thematic analysis. Results: Of the …

Drug Development Studies Supporting Zileuton As A Parenteral Adjuvant To Attenuate Antibiotic-Associated Nephrotoxicity, Cole S Hudson, James E Smith, Linh T Vuong, Nicholas S Teran, Nazanin Pouya, David Sheikh-Hamad, Xinli Liu, Shama Kajiji, Vincent H Tam

Faculty, Staff and Students Publications

Glycopeptide, polymyxin, and aminoglycoside antibiotics are among the most commonly used agents to treat drug-resistant bacterial infections; however, their clinical use is hindered by nephrotoxicity. We previously reported that zileuton has the potential to attenuate antibiotic-associated nephrotoxicity in an animal model. Here, we further report the development of a parenteral formulation and exploration of dosing strategies for zileuton. The solubility, stability, and multi-dose safety of two zileuton formulations were evaluated. Zileuton serum and renal tissue pharmacokinetics were evaluated after a single dose and compared to steady state after 10 days. Different dosing strategies of zileuton to attenuate vancomycin-, polymyxin B-, …

Applying The Practical, Robust, Implementation And Sustainability Model (Prism) To A Community-Based Youth Participatory Action Research Program, Nicholas Szoko, Tyia K Wilson, Ebonie Slade, Ti'yanna Risher, Marquise Wheeler, Elizabeth Miller, Alison J Culyba

2020-Current year OA Pubs

BACKGROUND: Youth participatory action research (YPAR) represents an empowerment-based process in which youth identify and address issues in their schools and communities. YPAR has been applied in diverse settings, but evaluations of YPAR implementations using an implementation and dissemination science (IDS) framework are limited. Our goal was to use the Practical, Robust, Implementation & Sustainability Model (PRISM) to evaluate a multisite community-based YPAR program.

METHODS: We identified three community sites to implement Youth Leadership in Action (YLIA+), an eight session YPAR intervention. Any youth aged 13 and older was eligible to participate. Guided by PRISM, we collected data using: (1) …

Mri-Based Radiomics For Outcome Stratification In Pediatric Osteosarcoma, Esther Ngan, Dolores Mullikin, Ashok J Theruvath, Ananth V Annapragada, Ketan B Ghaghada, Andras A Heczey, Zbigniew A Starosolski

Faculty, Staff and Students Publications

Background/Objectives: Osteosarcoma (OS) is the most common malignant bone tumor in children and adolescents; the survival rate is as low as 24%. Accurate prediction of clinical outcomes remains a challenge due to tumor heterogeneity and the complexity of pediatric cases. This study aims to improve predictions of progressive disease, therapy response, relapse, and survival in pediatric OS using MRI-based radiomics and machine learning methods. \

Methods: Pre-treatment contrast-enhanced coronal T1-weighted MR scans were collected from 63 pediatric OS patients, with an additional nine external cases used for validation. Three strategies were considered for target region segmentation (whole-tumor, tumor …

Iodine-Promoted Oxidative Cross-Coupling For The Synthesis Of (E)-2-(3-Oxo-3-Phenylprop-1-En-1-Yl)-3-Phenylquinazolin-4(3 H)-One Via C-H Activation: Development Of Synthetic Tlx Agonists, Lingaiah Maram, Puhan Zhao, Thomas Koelblen, Lamees Hegazy, Thomas P Burris, Bahaa Elgendy

2020-Current year OA Pubs

We report the development of an efficient iodine-promoted oxidative cross-coupling reaction for the synthesis of (

A Comprehensive Review Of Frugal Artificial Intelligence: Challenges, Applications, And The Road To Sustainable Ai, Nancy Girdhar, Aditya Raj, Deepak Sharma, Vinay Singh, Antoine Doucet, Matthias Renz

School of Engineering, Computing and Mathematics

Artificial Intelligence (AI) has demonstrated its transformative impact in creating learning models, processing extensive datasets, and executing intricate calculations rapidly. Nevertheless, achieving optimal performance with AI models demands substantial investment in powerful and expensive high-end hardware. The learning models running on the hardware are complex, requiring massive data and huge training time. However, the race to achieve higher accuracy and computational limitations of AI further poses a threat to the environment and thus provides motivation to develop AI technology that is cost-effective, scalable, and suitable for resource-constrained environments, Frugal Artificial Intelligence, or Frugal AI. The objective of this paper is …