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Understanding Medication Adherence Among American Indian/Alaska Native People With Type 2 Diabetes Within A Commercial Health System, Leandra Bitterfeld

Dissertations

American Indian/Alaska Native (AI/AN) adults experience higher rates of type 2 diabetes and worse glycemic control than non-Hispanic White Americans. Despite the importance of medication adherence for T2DM management, there is only one study in the last 15 years examining the relationship between medication adherence and A1C among AI/ANs. Furthermore, T2DM research among AI/ANs has largely been conducted within Indian Health Service and Tribal healthcare systems, though most AI/ANs live outside of reservations, meaning many use commercial health systems. The purpose of this dissertation is twofold. We sought to first understand the experience of AI/AN people accessing T2DM in a …

Implementation And Outcomes Of A Digital Onboarding Taskforce In The Acute Care Setting, Julianna Lenoir, Alexzandra Gentsch, Akshay Krishnan, Jeffrey Ndubisi, Marissa Witmer, Kristin L. Rising, Brooke Worster, Angela M. Gerolamo

Jefferson Center for Connected Care Faculty Papers

INTRODUCTION: Use of digital health technology can improve patient health outcomes; however, not all patients have the knowledge and skills to download a health app and access a patient portal. Providing digital onboarding support to hospitalized patients has potential to overcome some barriers to accessing needed education in the community, including both having the time and a location to receive education. To address this, our team developed the Jefferson Digital Onboarding Taskforce (JeffDOT), a group of staff and students who approach hospitalized patients and provide one-on-one teaching on how to sign up for and use a patient portal.

METHODS AND …

In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs

Walden Dissertations and Doctoral Studies

Counselor educators lack an in-depth understanding of the unique needs and experiences of African American women with binge eating behavior, leading them to be ill-equipped to train counselors to meet these culturally specific needs. As a result of this study, counselor educators were able to understand how African American women experience binge eating behavior, enhancing training for counselors. This qualitative study included a transcendental phenomenological approach and focused on providing answers regarding the lived experiences of African American women with binge eating behavior during their binge eating episodes. Semistructured interviews with eight African American women with binge eating behavior were …

A Quantitative, Predictive Correlational Design Study Examining The Relationship Between School Principal’S Transformational, Transactional, And Laissez-Faire Leadership Style And School Culture In A Public High School, Michelle Andrews

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive correlational design study is to examine how well the school principal's transformational, transactional, and laissez-faire leadership style predicts school culture among public high schools in eastern Maryland. This study is important because a principal’s leadership style can have a direct impact on school culture, and understanding that relationship could influence student achievement, teacher satisfaction, and overall school effectiveness. The purpose of this study is to add to the literature regarding the impact of a principal’s leadership. The study uses a convenience sample of 73 teachers from traditional public high schools in the eastern region …

A Phenomenological Study: The Lived Learning Experience Of Learning-Disabled Formerly Incarcerated Individuals With Learning-Based Ptsd Symptoms, Sirsey H. Martinez

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived K—12th grade learning experience of formerly incarcerated adults with specific learning disorders (SLDs) and learning-based posttraumatic stress disorder (PTSD) symptoms. This study aimed to understand how specific learning disorders affected school learning experiences and obtain input on how to improve learning in schools. A transcendental phenomenological approach was utilized in this qualitative study to obtain and report trustworthy research findings that represented the overall essence of the participants’ lived learning experiences. Ten formerly incarcerated adult males with specific learning disorders and learning-based PTSD symptoms were interviewed. Data was …

Jesus’S Dual Human And Divine Nature In The Gospel Of John: Transcending Maslow’S Self-Actualization With Divine Mission And Obedience, Willie Trevale Reynolds Sr.

Doctoral Dissertations and Projects

This dissertation explores how the Gospel of John presents Jesus’s dual human and divine nature as the basis for a fulfillment model that surpasses Maslow’s concept of self-actualization. The study integrates narrative, rhetorical, comparative, and theological approaches. Through these methods, it shows that John places fulfillment in divine mission and obedience rather than in human potential or psychological development. John’s Gospel also depicts Jesus addressing human needs—physical, emotional, relational, and spiritual. At the same time, it reframes fulfillment as participation in God’s redemptive work. By contrasting Maslow’s hierarchy with the Johannine narrative, the dissertation argues that Jesus embodies completeness through …

Nursing Faculty Attitudes Toward Artificial Intelligence: A Quantitative Causal-Comparative Cross-Sectional Study, Micaela Mcspadden

Doctoral Dissertations and Projects

The rapid growth of artificial intelligence (AI) in healthcare has highlighted the importance of understanding how nursing faculty perceive this technology. Although prior studies have explored public views, nurses’ perceptions, and faculty attitudes toward technology and curriculum change, limited research has focused on nursing faculty perspectives toward AI. Through the lens of the Theory of Reasoned Action (TRA) and the Technology Acceptance Model (TAM), this study examined factors that influence nursing faculty attitudes toward AI in nursing education. This study used a quantitative, causal-comparative, cross-sectional design with 263 nursing faculty participants from undergraduate pre-licensure programs in the United States. Participants …

Exploring Grief And Loss Experiences In Young Adults Living With Chemical Intolerances, Abby Leanne Steeves

Doctoral Dissertations and Projects

Individuals with chronic illnesses characterized by chemical intolerances experience symptom- and stigma-related losses within the physical, environmental, occupational, social, and psychological domains of life. A variety of grief responses can come with non-death related, or living, losses such as these. The aim of the present qualitative phenomenological study was to fill a gap in the current literature on grief and loss in this marginalized population by exploring how young adults with chemical intolerances experience grief pertaining to illness-related loss within their unique developmental context and stage of the developmental lifespan. This research was important because young adulthood is marked by …

Using Equine-Assisted Therapeutic Interventions (Eati) For Military Spouse Overstimulation For Mental And Physical Well-Being: A Qualitative, Phenomenological Study, Melissa A. Crook

Doctoral Dissertations and Projects

Military spouses of deployed service members experience a multitude of stressors that pile up and can result in overstimulation. This overstimulation can result in psychosocial vulnerabilities such as burnout, anxiety, depression, and other conditions. The purpose of this phenomenological study was to investigate the impact of Equine Assisted Therapeutic Interventions (EATI) on military spouses experiencing overstimulation. The theory guiding this study was the social cognitive theory with a social constructivism framework. Military spouses need a healthy outlet to reduce their overstimulation and burnout symptoms, mentally and physically. From the qualitative perspective, a Demographics and Background Survey was collected and analyzed …

Nurturing Mature Adolescents: An Advanced Psycho-Educational Program Exploring The Effectiveness Of Social-Emotional Competence Among Adolescent Middle School Students- Phase I Action Research Pilot Study, Nkeiruka M. Maduike

Doctoral Dissertations and Projects

Adolescence is a critical period marked of development marked by increased emotional and social challenges that shapes adolescents’ future well-being. This Phase I qualitative action research pilot study examined the effectiveness of the Nurturing Mature Adolescents (N.M.A.) psychoeducational program in enhancing emotional regulation and interpersonal skills among middle school students. Guided by Bandura’s Social Learning Theory, nine participants aged 11–14 engaged in a four-week intervention featuring structured lessons, observational learning, and self-efficacy strategies. Pre- and post-interviews and demographic surveys were analyzed using descriptive, In Vivo, process, emotion, and evaluation coding methods. Findings revealed consistent improvements in emotional awareness, self-regulation, communication, …

The Relationship Between Hr Practices And Employee Engagement: Mediating Role Of Perceived Organizational Support Across Job Classifications, Mike Mcdaniel

Doctoral Dissertations and Projects

Employee engagement is critical for organizational success, but recent trends have shown it to be in decline. This has prompted the need for more research into the antecedents that drive overall employee engagement levels. Grounded in perceived organizational support theory, job demands-resources theory, social exchange theory, and goal setting theory, this quantitative study examined the relationship of HR practices on employee engagement while exploring the mediating effect of perceived organizational support and the moderating effect of job classification. Responses from 180 participants were collected via an anonymous online survey comprised of the Utrecht Work Engagement Scale, HR Practices Perception Questionnaire, …

Covid-19 Event Impact: Religious/Spiritual Coping And Posttraumatic Growth In Adult Female Survivors Of Childhood Sexual Abuse, Mindy Barrett Perlman

Doctoral Dissertations and Projects

The COVID-19 pandemic presented a unique collective trauma that has disproportionately impacted vulnerable populations, including adult female survivors of childhood sexual abuse (CSA). This quantitative, non-experimental, correlational study examined the relationship between spiritual/religious coping and posttraumatic growth (PTG) among this population, while also exploring the psychological impact of the COVID-19 pandemic and the mediating role of religious/spiritual coping. Grounded in Tedeschi and Calhoun’s Posttraumatic Growth Theory and Pargament’s Religious Coping Theory, this study utilized the Posttraumatic Growth Inventory (PTGI), the Brief Religious Coping Scale (Brief RCOPE), and the Impact of Event Scale–Revised (IES-R) adapted for COVID-19 to assess trauma exposure, …

A Phenomenology Of High School Educators’ Experiences Teaching Students With Traumatic Backgrounds In South Carolina, Amanda R. Eron

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to describe educators’ lived experiences teaching high school students who have experienced trauma in South Carolina. This study focused on the following central research question: How do educators describe their lived experiences teaching high school students who have experienced trauma in South Carolina? The study explores three research sub-questions: (1) How do educators describe and understand the complex demands they experience and the available resources they have within their classroom, schools, and school district? (2) How do educators describe their experience with trauma-related training or education? (3) How do educators describe their …

Domestic Violence Survivors And Resiliency: An Investigation Of Belief In God And Faith Factors Impacting Survivors’ Ability To Leave And Thrive Post-Violence, Sherry A. Palmer

Doctoral Dissertations and Projects

The purpose [KC1.1]of this phenomenological study is to describe the role of faith in the process of leaving an abusive relationship for IPV survivors who believe in God from MA. The theories guiding the study include the survival theory of DV created by Gondolf and Fisher (1988), which believes victims of DV as survivors who most times do desire and seek help and should not be viewed as passive victims. Further, resilience theory builds on survival theory, which will guide the inquiry regarding resiliency. Survival theory and resilience theory both view survivors of DV not as helpless victims but as …

Phenomenological Qualitative Study Exploring The Lived Experiences Of Women With Terminal Degrees Related To The Gender Gap In Education Leadership Roles, Ashley Walker

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the gender gap within education leadership for female teachers with terminal degrees within a Midwestern suburban school district and geographically similar educators recruited via Facebook. The theory that guided this study was Bandura’s theory of self-efficacy as it explains the relationship between self-efficacy and the choice to pursue professional leadership roles. Using purposeful and snowball sampling, 10 women were selected to participate in this study. Nine women who fit the selection criteria were recruited from the XYZ school district, and one participant was recruited via Facebook. Data were collected through …

The Emotional Residue Of Elementary: Exploring The Lived Experiences Of Elementary School Counselors With Students Exhibiting High-Risk Suicidal Thoughts Or Behaviors, Katlyn Greene Kegley

Doctoral Dissertations and Projects

This phenomenological study explored the prevalence of high-risk suicidal thoughts and behaviors in elementary school children in Virginia, and how these incidents impacted their elementary school counselor. It examined the professional and personal impact that high-risk suicide events with elementary school students have on their elementary school counselor. Data was collected through semi-structured interviews. After data analysis, four themes emerged: the counselor’s role and identity (advocacy, compartmentalization, risk assessment and safety planning, and focus on relationships); confidentiality (protecting student’s information and pressure to maintain); transformative experiences (clinical versus school counseling backgrounds, vigilance, mental health impact, and changes to school counseling …

Predicting Emotional Intelligence Based On Cultural Dimensions And Narcissism Among Military And Educational Leaders, Juan P. Remy

Doctoral Dissertations and Projects

The purpose of this quantitative predictive correlational design study is to examine how well cross-cultural dimensions and narcissistic tendencies predict emotional intelligence among military and educational leaders. This study is important because it will identify how cross-cultural dimensions and narcissistic tendencies influence the emotional intelligence of military and educational leaders. The sample consisted of 90 of 122 military leaders who had attended any professional military education (PME), and 120 educational leaders were recruited from a population of 183 within a military school district in the central United States. The data were collected using the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), …

A Causal-Comparative Study Of Student Perception Of The Usefulness Of Llms For Academic Achievement Among Business Technology Course Levels (200, 300, And 400) When Comparing Free Versus Paid Llm Access, Wendy Chun

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study was to determine if there is a difference in student perceived usefulness of large language models (LLMs) for academic achievement among undergraduate business students at different business technology course levels (200, 300, and 400) when comparing access to free versus paid LLMs. This study is important because it contributes to a practical understanding of the impact of LLM-assisted learning on students' perception of how LLMs contribute to academic achievement at the undergraduate level; therefore, this study contributes to the literature by providing empirical-based information on how a student perceives the effectiveness of using …

Improving Muscle Tonus Of “Weak” Muscles In Non-Specific Chronic Low Back Pain: A Case Series Addressing The Role And Impact Of Proprioceptive Response And Isolated Isometric Exercises, Jeffrey S. Tardiff

Doctoral Dissertations and Projects

Nonspecific chronic low back pain affects most people through-out the world at some point within their lives, negatively impacting 80%-90% of the overall population, their families, and their communities. Thus far, the outcome of most studies indicate that the best form of treatment for this specific problem is a form of resistance training exercises, core stability exercises, mobilization, manual therapy, and or proprioceptive training with no consensus on which provides the best outcomes. The purpose of this study was to explore an individualized approach in treatment utilizing methods shown to improve muscle tonus or “stability” in muscles of the abdomen, …

Brainspotting And The Strong Black Woman Schema: A Pretest–Posttest Study On Psychological Wellness, Iiesha Lasha Ricks

Doctoral Dissertations and Projects

Black women in the United States experience disproportionate health disparities resulting from the intersecting effects of racism and sexism. Although researchers widely acknowledge these disparities, they have given less attention to how race- and gender-based oppression affect mental health outcomes. Brainspotting (BSP) is a trauma-informed approach emphasizing clinician attunement and a nonjudgmental space for processing distress. While BSP has shown promise with diverse populations, few studies have specifically examined its use with adult Black American women. This quantitative pretest–posttest study investigated the efficacy of BSP in improving psychological wellness among Black women and whether endorsement of the Strong Black Woman …

The Lived Experiences Of Implementing Social-Emotional Learning Competencies In The Classroom Of Teachers In A Southern State: A Phenomenological Study, Lakenya King

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the lived experiences of teachers in a southern state who implemented social-emotional learning (SEL) competencies in the classroom. The study was guided by Goleman's theory of emotional intelligence (EI), which focused on SEL needs and benefits. The central research question was: What are the lived experiences of teachers who implemented SEL competencies in the classrooms in a southern state? This study used a transcendental phenomenological design to gain insight into the phenomenon from 10 teachers in a public district in a southern state who implement SEL competencies in the classroom. …

Employee Commitment, Engagement, And Performance When Shifting To A Virtual Workplace, Ariyana C. Brown

Doctoral Dissertations and Projects

The COVID-19 pandemic contributed to the accelerated implementation of remote work, leading to a decline in employee attitudes toward organizational commitment and productivity following the shift to a virtual workplace. This shift has resulted in high turnover rates and difficulty achieving continued success. Previous research has focused on the impact of remote work on employee productivity but lacks data showing how to improve employee attitudes toward commitment in a remote work environment. This study used a fixed design with correlational methods to determine how employee attitudes toward commitment have been affected by the shift to a remote workplace, leading to …

A Phenomenological Study Of Rural North Carolina Middle School Teachers’ Motivational Factors Influencing Achieve3000 Implementation, Catherine Anne Schwoebel

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the perceived teacher motivation of rural middle school English Language Arts Teachers at Cape Fear County Schools. The theory that guided this study was Deci and Ryan’s theory on self-determination. The central research question was how rural middle school ELA teachers’ perceptions of the three basic psychological needs of autonomy, competence, and relatedness influence their motivation to implement Achieve3000 in the classroom. This transcendental phenomenological study employed individual interviews, analysis of journal prompt responses, and focus groups to explore the perceptions of motivational factors influencing Achieve3000 implementation among rural North …

The Impact Of Street Medicine Programs On Addressing Poor Health Outcomes In Unhoused Populations, Lori R. Kelley

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the problem of poor health among unhoused populations based on the perspectives of outreach workers and shelter staff. This study was conducted in Monroe County, Indiana. The theory guiding this study was social ecological theory by Urie Bronfenbrenner. Social ecological theory was used to understand how social ecological layers impact poor health in unhoused populations. Hermeneutic phenomenology was used with purposive maximum variation sampling to gather seven study participants with lived experience of working with unhoused populations. Data collection included one-on-one interviews, observation, and documentation review. After data collection was completed, …

A Transcendental Phenomenological Study Of The Influence Of Leadership Styles On Teacher Retention In Rural Schools In South Carolina, Kayla Francena Carter

Doctoral Dissertations and Projects

This transcendental phenomenological study explored the influence of principal leadership on teacher retention in rural schools in South Carolina. Grounded in the theoretical framework of self-efficacy, the study examined how specific leadership behaviors and practices shape teachers' decisions to remain in or leave their positions. The central research question guiding this study was: How does a principal's leadership style impact teacher retention in rural areas in South Carolina? A purposeful sample of 12 certified elementary, middle, and high school teachers with at least three years of experience working in rural schools participated in the study. Data was collected through open-ended …

From Theology To Practice: A Faith-Based Financial Literacy Program For Church Leaders And Congregants, Jacklyn Morrison

Doctoral Dissertations and Projects

This Dissertation-in-Praxis addresses the pressing need for financial literacy within church communities by developing a faith-based financial education program tailored for Reignited Worship Center in Las Vegas, Nevada. Despite the abundance of biblical teachings on stewardship, many churches and their members experience chronic financial instability, limiting ministry effectiveness and personal well-being. The praxis project identifies a gap between theological understanding and practical financial management among African American congregants, exacerbated by systemic economic challenges and limited educational resources. Guided by biblical principles and a holistic ministry approach, this study proposes a comprehensive program integrating scriptural stewardship with practical financial tools. The …

Dance Movement For Wounded Warriors With Mental Health Diagnoses: A Phenomenology, Amelia Ann Forsmo

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to understand how dance movement can improve the psychological health of military veterans who are experiencing a mental health disorder such as posttraumatic stress disorder. The theories guiding this study are Carl Rogers’ humanistic perspective, Schlossberg’s transition theory, and the post-traumatic growth theory. A purposive sample of 12 to 15 veterans will be selected for participation in this study. Each veteran will have different military backgrounds, various battle wounds, and unique experiences with dance movement or dance movement therapy. For this reason, these perspectives allow each participant to be prioritized and heard. …

Predicting The Attitudes Towards Mathematical Modeling Of Primary Math Teachers: The Role Of Self-Efficacy And Motivation, Brenden Rawls

Doctoral Dissertations and Projects

The purpose of this non-experimental quantitative predictive correlational study was to investigate the extent to which efficacy for pedagogy in mathematics, efficacy for teaching mathematics content, effectance motivation in mathematics, years of experience, and access to statistics, data science, or mathematical modeling courses predict attitudes toward constructivist practices in mathematical modeling of Virginia primary school mathematics teachers. The goal of the research was to understand what affective characteristics support effective adoption Virginia's mathematics curriculum change. Higher levels of mathematics teacher self-efficacy have been associated with constructivist instructional practices and higher levels of student achievement. The sample included kindergarten through fifth-grade …

Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks

Walden Dissertations and Doctoral Studies

Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …

Effect Of Spirituality On The Mental Health Of Adults Who Experienced Bullying In Their Childhood, Celiana Rodriguez-Gonzalez

Doctoral Dissertations and Projects

Bullying experiences in childhood have been found to significantly affect mental health in adulthood, particularly through depression and anxiety. Spirituality has been identified as a protective factor for mental health, contributing to quality of life, satisfaction, and purpose. It may also buffer the effects of violence and bullying. This correlational study examined the relationships among childhood bullying, spirituality, and adult mental health in a sample of individuals from Puerto Rico (N=124). Specifically, whether spirituality moderates the relationship between childhood bullying and adult mental health outcomes. Results indicated that childhood bullying was moderately associated with higher levels of anxiety and depression, …