Digital Commons Network^™

Understanding Social And Cognitive Influences In Medical Students' Learning Processes For Step 1: An Interpretivist Case Study., Ashley Elaine Triplett

Electronic Theses and Dissertations

This qualitative interpretivist case study explores, at a singular institution, medical students’ perspectives on the social and cognitive factors influencing the learning process as students prepare for the Step 1 examination. While prior research regarding medical students Step 1 preparation have focused primarily on wellness, stress, and career outcomes, limited studies have examined medical students' lived experiences to navigate what occurs during the learning process while they prepare for this critical exam. Utilizing a qualitative case study approach, this dissertation draws on fourteen student interviews, seven that passed Step 1 on their first attempt, and seven that failed. Findings reveal …

The Important Of Female Coaches: What Barriers They Face, Why They Stay, And What Can Be Done To Attract More., Hayley E. Yourous

Electronic Theses and Dissertations

After the passage of Title IX, there has been an increase in the number of females participating in sports; however, the same cannot translate to women in coaching or leadership positions (Acosta & Carpenter, 2014; Hart et al., 1986; LaVoi & Baeth, 2018). The purpose of this hermeneutic phenomenological study was to explore the lived experiences of females who had served as head coaches in the high school setting with at least eight years of experience as a head coach. The NCAA (2022) reported in 2020 that female coaches accounted for 41.3% of female teams' head coaches, both intercollegiate and …

What Will It Take To Keep You? A Phenomenological Investigation Of Teacher Career Decisions In Title I Elementary Schools., Tonya Nicole Holt

Electronic Theses and Dissertations

This qualitative phenomenological study explored the factors influencing teachers’ decisions to remain in or leave Title I elementary schools in Kentucky. Grounded in Herzberg’s Motivation–Hygiene Theory, the study examined the interplay of intrinsic motivators and extrinsic conditions that shape teacher satisfaction, commitment, and attrition. Twelve current Title I teachers participated in semi-structured interviews designed to capture their lived experiences and perceptions of work in high poverty contexts. Analysis revealed a balance of pull factors—such as purpose, relationships, and supportive leadership—and push factors—including workload, resource limitations, and inadequate administrative support. Leadership quality emerged as the central variable mediating these forces. Teachers …

Be Yourself: Life History Of Gay K-12 Educators In Kentucky And Their Lived Experiences., Kevin L. Garner

Electronic Theses and Dissertations

This qualitative life history study explored the lived experiences of gay male educators navigating authenticity, visibility, and advocacy in K–12 schools across Kentucky. Using Queer Theory as the primary framework, complemented by Queer Pedagogy, Culturally Relevant Pedagogy, and Minority Stress Theory, the research examines how social, institutional, and political contexts shape the professional lives and identity expression of gay men working in educational settings. Semi-structured, in-depth interviews were conducted with ten participants, each sharing life narratives that illuminated the intersection between personal authenticity and professional identity within politically and religiously conservative environments. Through reductive analysis and thematic …

Articulator Volume 31, Issue 4

Metro Denver Dental Society Articulator Magazine

The 4^th Quarter 2025 of the MDDS Articulator Magazine offers a preview of the 2026 Rocky Mountain Dental Convention, taking place January 22–24 in Denver. The collection spotlights RMDC speakers and the future of dentistry, from the rise of AI and the shift toward integrated whole-health care to the hidden challenges of chronic illness, and a commitment to preserving natural dentition. The articles challenge dental professionals to rethink assumptions, embrace interdisciplinary collaboration and adopt more personalized and evidence-driven approaches to care.

Hkc03 - Leading A Horse To Water: Understanding The Potential Consequences Of Ordeals In Subsidized Tariff Pricing, Evan Plous Kresch, Carlota Loran Lopez

Oberlin College Kasper Economics and Business Working Paper Series

Water utilities attempting to balance widespread network access with financial stability in providing services often employ Increasing Block Tariffs (IBTs), where volumetric rates increase nonlinearly with water consumed. The widespread adoption of IBTs by utilities across the world is partly attributed to their ability to cross-subsidize smaller monthly users; however, this often leads to the undesirable outcome that large poor households are shifted into higher tariff blocks. To address this, water utilities often adopt a“social tariff”, with significantly lower rates specifically targeted at poor households. However, most of these social tariff policies require households to opt-in or apply to the …

Prostitution In Video Games: Stigma, Violence And Male Pleasure, Laura Aguilera-Ávila, Lara Escobar Hernández

Dignity: A Journal of Analysis of Exploitation and Violence

Prostitution has traditionally been framed in society as a space significantly determined by patriarchal hierarchies, in addition to being affected on many occasions by stigmatisation and violence. The representation of prostitution and of those who practice it in the media is a topic of special interest, since the discourses and messages disseminated by the media play a fundamental role in socialisation. Video games are not exempt from this debate: with millions of players worldwide and a special reach among young people, they are among the most influential media outlets today. This qualitative research analyses a series of titles, both AAA …

Implementation Of The Modified Severity Assessment Scale (Msas) For Alcohol Withdrawal In An Inpatient Psychiatric Unit, Grace R. Lindsey

Doctor of Nursing Practice

Background: Alcohol withdrawal is a potentially life-threatening condition frequently seen in psychiatric inpatient settings, especially among individuals with co-occurring alcohol use disorder and mental illness. The Clinical Institute Withdrawal Assessment for Alcohol Scale-revised, while widely used, depends on patient self-report, making it less effective for individuals with altered mental status or psychosis.

Purpose: This quality improvement project implemented the Modified Severity Assessment Scale, an objective, observation-based alcohol withdrawal protocol, in an inpatient psychiatric setting to improve safety, treatment accuracy, and care standardization.

Objectives: The project focused on ensuring full staff adoption of the protocol, reducing intensive care unit transfers …

Implementation Of An Information Sheet For Pediatric Patients With Autism Spectrum Disorder In An Inpatient Setting To De-Escalate Aggressive Behaviors And Reduce Seclusion Rates, Megan R. Castro

Doctor of Nursing Practice

Introduction: Research shows that most seclusion events in pediatric psychiatric settings involve pediatric patients with neurodevelopmental disorders, particularly autism spectrum disorder (ASD). A lack of provider expertise contributes to elevated seclusion rates, highlighting the need for evidence-based, ASD-informed care.
Purpose: To reduce seclusion events within a pediatric psychiatric facility in South Texas, by implementing an evidence-based intervention upon admission that could decrease aggressive behaviors and the likelihood of requiring seclusion. Evidence summary: Literature and guidelines underscore the importance of identifying sensory triggers and calming strategies at admission. Collaborative care and personalized interventions, such as a patient information sheet that identifies …

Leadership With A Counseling Perspective: Exploring The Influence Of Counseling Skills On Elementary Principalship Effectiveness, Julie Thacker

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to determine if there are counseling skills that effective elementary school principals possess and to identify those counseling characteristics. The participants consisted of elementary school principals holding membership in the Indiana Association of School Principals. They were asked about school locale, type, administrator gender and race, building level, pre-service training institution, years as an administrator, length of time in current school, counseling licensure, and presence of a licensed school counselor in the school. A total of 201 participants began the survey, and 143 completed it, resulting in a completion rate of 71%. Through exploratory …

Initiative Fatigue, Courtney Wildoner

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study examined the prevalence of initiative fatigue in K–12 education and its relationship to emotional, mental, and physical work fatigue. The sample included 169 participants who identified as public school educators, school-based leaders, or district office staff. Participants completed the Three-Dimensional Work Fatigue Inventory (Frone & Tidwell, 2015) and the School-Wide Initiative Inventory (O’Quinn, 2018). Findings showed that initiative fatigue is most strongly rooted in concerns about the implementation process rather than the initiatives themselves. The “how” of implementation emerged as a significantly greater challenge than the “what,” functioning as a job demand that depletes emotional, mental, and …

Anatomy Of Authority: Dissecting The Rare Species Of Women Deans, Marlana K. Beck

All-Inclusive List of Electronic Theses and Dissertations

This dissertation explores the lived experiences of women physician medical school deans, aiming to understand the factors that influence their career pathways and the challenges they face in achieving and maintaining leadership roles in academic medicine. Despite the increasing number of women entering the medical profession, there remains a significant gender disparity in leadership positions, particularly in the role of medical school dean. This study addresses the gap between the growing number of women physicians and the disproportionately low number of women in senior academic leadership roles. The research is grounded in feminist and role congruity theories, which provide a …

“I Found My Place:” Exploring The Counterspace Experiences Of Black Alumni On Historically White College Campuses, Jacquelyn Burns Rucker

All-Inclusive List of Electronic Theses and Dissertations

This qualitative study explored the life experiences of Black alumni and their participation in intentional, multicultural programming of cultural facilities to create a sense of counterspace for Black students on historically White college campuses. The study captured the stories of 12 Black alumni who graduated from seven historically White institutions (HWIs), between the years of 2010 and 2016, across four different states. The 12 study participants completed undergraduate and terminal degrees during the years 2009 - 2016 and identified as Black, African, or bi-racial. The interviews, conducted during the Covid-19 pandemic, were conducted on zoom. The theoretical framework of the …

All Things Equal: Uncovering The Extent Sexism Influences Higher Education Through Faculty Perceptions Of The Inner Workings Of The Academy, Jonathan Yorkowitz

All-Inclusive List of Electronic Theses and Dissertations

The history of critical systemic issues in higher education has been well documented in recent literature (Delgado & Stefancic, 2017, Freire, 2018, and Wilder, 2013). Among the critical issues noted, sexism has remained a significant influence suppressing opportunities for women within higher education in the United States. bell hooks (1981, 2003, 2014) shared research about the specific systemic challenges encountered by Black women in the academy, providing a key connection between sexism and racism. The lack of significant proposed solutions to address sexism in higher education scholarship, along with the need for an updated and more comprehensive understanding of faculty …

Quality Of Life And Mental Health: A Qualitative Exploration Of Perceived Factors That Impact Older Adults, Chasiti Herring

All-Inclusive List of Electronic Theses and Dissertations

Enhancing quality of life and well-being is a universal phenomenon across the lifespan. As the population ages, older adults are in great need of supportive services to enhance quality of life and their ability to manage their mental health. The purpose of this study is to examine the quality of life (QoL) of older adults. This study aimed to provide valuable research in the area of QoL through the exploration of perceived factors that impact the older adult population. This exploratory qualitative research study consisted of 10 older adult participants between the ages of 65 and 95. Research recruitment prioritized …

Exploring Online Teaching Self-Efficacy Among University Faculty Members During The Period Of Covid-19 Pandemic, Sarah Alamri

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study is to examine faculty’s perceptions of their self-efficacy regarding online teaching and some variables that may affect online teaching efficacy. A quantitative survey was administered to examine whether three faculty variables (online teaching experience, professional development experience, and COVID-19) predict a significant portion of the variance in faculty self-efficacy in online teaching on four subscales: student engagement, instructional strategies, classroom management, and teachers’ computer use. Faculty participants were recruited from King Khalid University in the Kingdom of Saudi Arabia. Data were collected using a web-based survey adapted from Robinia (2008). The data collected in this …

Implementing Pain Curricula In Prelicensure Physical Therapy Education: Faculty Perspectives And Experiences, John D. Kiesel

All-Inclusive List of Electronic Theses and Dissertations

The impact of pain on society has implications for individuals’ well-being and the overall health of society. Despite the high prevalence of pain, many new healthcare providers often lack the confidence and skills to manage patients with pain effectively. This phenomenological research study aimed to understand the lived experiences of faculty responsible for developing and delivering pain education to prelicensure physical therapy students. A secondary purpose was to examine the barriers that exist from the perspective of faculty members with subject matter expertise in pain education to implementing effective pain education in prelicensure curricula. Prelicensure pain education is essential for …

Exploring Teacher Beliefs And Perceptions About Teaching Reading, And Self-Efficacy For Implementing Reading Instructions, Richmond Osei Amakye

All-Inclusive List of Electronic Theses and Dissertations

Reading proficiency among learners at the elementary school level remains a national concern despite several decades of research, investments, and policy reforms aimed at improving literacy outcomes. The Science of Reading (SoR) framework, grounded in decades of interdisciplinary research, emphasizes explicit, systematic, and evidence-based instruction across five core components — phonemic awareness, phonics, fluency, vocabulary, and comprehension. This study examined elementary teachers’ beliefs about teaching reading, perceptions of the SoR, and self-efficacy in implementing reading instruction. Quantitative data were collected from teachers in west-central Indiana via an online survey that measured their beliefs about teaching reading, perceptions of SoR, self-efficacy …

School Attendance In Southern Illinois: A Mixed Methods Analysis Of Trends And Implications, Mary Beth Goff

Ed.D. Capstone Reports

The purpose of the study was to examine the demographic data reported on the Illinois School Report Card within the four southernmost Regional Offices of Education to determine the rates of chronic absenteeism. Following the identification of chronic absenteeism numbers, this study sought to analyze the relationships between subgroups to determine correlations within data sets. In order to develop an understanding of potential interventions, interviews were conducted with districts that were both successfully addressing absenteeism and those not experiencing success within each of the Regional Offices of Education. The findings of the study aim to contribute insights for educators and …

Integrated Perspectives: Florida Ems Workforce And Agency Synthesis 2025, Michael Lozano

Florida Center for Emergency Medical Services Research Reports

The Florida Center for Emergency Medical Services (FL-CEMS) integrated findings from the 2024 EMT and Paramedic Renewal Survey (49,200 clinicians), the 2025 EMS Provider Survey (260 agencies), and 2024 NREMT Cognitive & Certification exam outcomes to provide a comprehensive picture of Florida’s EMS workforce and training environment.

Evidence Based Project: Japanese Immigrant Elderly Couples In The Midwest, Isabel Anderson

Student Projects

This paper examined the unique needs and challenges of Japanese immigrant elderly couples living in the rural Midwest of the United States through the lens of systemic family therapy. The focus family consisted of an elderly husband showing early signs of dementia and a wife who recognized the necessity of transitioning to independent living. Their adult daughter and son-in-law’s involvement intensified intergenerational tension, as traditional cultural norms granted the husband decision-making authority. The study provided a statistical overview of Japanese immigrant families in the U.S., highlighting aging trends, linguistic barriers, and geographic dispersion. Common psychosocial and systemic issues such as …

Athletic Participation Among Students And Its Correlation To Increased Outcomes In Academic Performance, Benjamin Carl Anderson

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study investigated the correlation between student participation in athletic-based extracurricular activities and academic performance among high school students in rural Indiana. The research sought to determine whether athletic involvement contributes to academic success indicators such as PSAT and SAT scores, and school attendance. The study looked at how athletics can serve as a lever for improving academic outcomes and supporting students in meeting the criteria for postsecondary readiness. Key research questions explored the influence of gender, ethnicity, grade level, and attendance on academic performance within the subset of students participating in athletics. A review of the literature supported …

“I Was The Only One Who Was Alone:” The Impacts Of Covid-19 Pandemic On International Students In U.S. Higher Education, Lawrence Ejiofo

All-Inclusive List of Electronic Theses and Dissertations

This research examined the impact of the COVID-19 pandemic on international students. The study focused on their academic, racial, emotional, psychological stress and trauma experiences. The student participants interpreted these experiences through their lens and backgrounds as international students. They expressed the feelings of desertion and abandonment during the pandemic. The findings showed that the impacts sustained and endured by international students during the COVID-19 pandemic were real, painful, disturbing, and emotional. The image created of the US and other first world countries in the 21st century was very damaging and showed failure of leadership management. It had been more …

Keeping The Beat: A Case On The Effects Of Communication In Musical Teams During Performances, Shane Christie

Theses/Capstones/Creative Projects

This case study examined whether the effects of positive team affect and team communication quality on the performance quality, or taskwork quality, of teams comprised of musicians, and if team communication quality could further improve the taskwork quality of a group of musicians. It was believed that participants with higher positive team affect scores would perform at a higher taskwork quality than those with lower positive team affect scores. In addition, it was believed that participants that engaged in higher-quality team communication during performances would strengthen this relationship, further increasing taskwork quality. The participants were divided into teams, and the …

Post-Discharge Transitions Of Care Pharmacists Follow-Up Impact On Patient Care, Lesly Rapado, Sara Panella, Elaina Rosario, Emilie Collongette, Faaria Quadri, Beatriz Jimenez-Cadilla, Amanda Gronniger

Nursing & Health Sciences Research Journal

Introduction: This quality improvement project assessed the impact of a newly implemented transitions of care (TOC) pharmacist service at a large health system. The service involves a comprehensive review of recently discharged value-based care individuals, including chart review and, when necessary, telephonic follow-up by the pharmacist 3-6 days post-discharge.

Methods: This retrospective evaluation compared two groups: pre-implementation (September 1st, 2023 - January 30th, 2024) and post- implementation (March 1st, 2024 - July 30th, 2024) of TOC pharmacist service, focused on patient evaluations 3-6 days post-discharge. The primary outcome was a composite of 30-day re-hospitalization rates including urgent care, emergency department, …

The Nebraska Bird Review (December 2025) 93(4), Whole Issue

Nebraska Bird Review

Changes to The Nebraska Bird Review, by Janis Paseka

Fall Field Report, August–November 2025, by W. Ross Silcock

First definitive records of Hermit Thrush and Wilson’s Warbler subspecies for Nebraska, by Stephen J. Brenner and Joel G. Jorgensen

Ogallala Fall Field Days, Sept. 26–28, 2025

Index to Volume 93

Subscription and Organization Information

Changes To The Nebraska Bird Review, Janis Paseka

Nebraska Bird Review

As of this issue, The Nebraska Bird Review has been in existence for 93 years, looking very much now as it did when it began in 1933. However, due to the increasing costs of printing and postage, there will be some changes in its future. Our newsletter, The Burrowing Owl, is already provided online to our members, in a user-friendly and informative form. Future issues of The Nebraska Bird Review will also utilize a digital format to offer a more timely and colorful publication.

This is the final issue for which Ross Silcock will be compiler of the seasonal …

Georgia Teachers’ And Leaders’ Perceptions Of Teacher Evaluations, Jessica Okelley

Dissertations

This research is a quantitative, non-experimental study that analyzes teachers’ and leaders’ perceptions of teacher evaluations in Georgia. The goals were to identify similarities and differences in teachers’ and leaders’ perceptions and to determine what factors may contribute to any identified differences. The study was conducted in a high-performing, suburban school district using two similar surveys and Likert scale questions to assess levels of agreement with various statements about the teacher evaluation process. This work was rooted in Self-Determination Theory and Postpositivism.

The study found that teachers and leaders have several common perceptions, like a general disbelief in evaluations’ capacity …

Exiting Commercial Sexual Exploitation, Jeanne L. Allert, Sherri L. Wyatt

Dignity: A Journal of Analysis of Exploitation and Violence

This study presents one of the largest qualitative samples of exited female survivors of commercial sexual exploitation in the United States to date. One hundred and eighty-nine female survivors participated in a national survey. The participants described their motivations for exiting commercial sexual exploitation, the pathways they followed, the forces that hindered their exit and increased their recidivism, and the assistance they received that ensured a permanent exit. Some of the findings challenge popular narratives on recidivism rates and what keeps women in exploitation, revealing complex relational, behavioral, economic, and systemic influences. Participants spoke about the unanticipated value of incarceration, …

Developing Confidence, Developing Skills: The Perceived Effect Of Professional Development On Online Teaching, Michael S. Hill, Cassandra M. D. Hart, Rachel B. Baker, Di Xu, Emily Alonso, Alyssa Nguyen, Kim D'Arcy, Cheryl Bailey, Tim Vannorman, Vivian Nguyen, Jennifer Pakula

Benerd College Faculty Articles

A large body of research has documented weaker student performance in online courses relative to face-to-face courses across multiple outcomes, including grades, course completion, and persistence. These gaps are particularly pronounced for underserved students. In response, colleges and universities have sought to improve the quality of online instruction by providing technology resources, student and faculty technical support, and, the focus of this study, professional development for faculty teaching online. However, despite the increasing popularity of professional development for online instructors, evidence on its effectiveness in shaping faculty practices and confidence remains limited. This study used survey data from 82 faculty …