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The Effect Of Supervisor Multicultural Competence And Supervisor Cultural Humility On The Supervisory Working Alliance And Trainee Nondisclosure: A Structural Equation Model, Johnny Liang

Selected Full-Text Dissertations 2020-

Parental post-traumatic stress disorder (PTSD) symptoms have been associated with various psychological and behavioral outcomes in their offspring. Utilizing a sample of (N=330) adult offspring of trauma-exposed parents, this study used self-report and behavioral measures to examine the relationship between parental PTSD symptom severity and adult participant’s romantic attachment insecurity, pathological personality traits, and facial emotion recognition (FER) accuracy for subtle emotional expressions. Additionally, it explored the role of maladaptive parenting behaviors on these associations. Results indicated that higher parental PTSD was associated with higher levels of parental care and an affectionate constraint parenting style. Additionally, parental PTSD was related …

Perceptive Portraits: A Qualitative Study Exploring The Adolescent Experience Of Connectedness Through Their Words And Photos, Emily Anne Guthrie Strong

Dissertations

The mental health of children and adolescents in the United States has been in a state of crisis for over a decade. Connectedness, defined as the level of closeness individuals have to other individuals, groups, or institutions, has been shown to be a preventative and protective factor in adolescent mental health. The purpose of this qualitative study was to explore how adolescents experienced connectedness and the meaning they ascribed to those experiences. This study was guided by the following questions:

Q1 How do adolescents describe their experience of connectedness both inside and outside of school?

Q2 What meaning do adolescents …

Exploring Moral Distress In Hospital-Based Nurse Case Managers: A Qualitative Descriptive Study, Mary Margaret Leas

Dissertations

Moral distress is a well-known phenomenon among hospital-based bedside nurses that is damaging and dangerous to patients, nurses, the healthcare system, and society. There is a gap in the literature related to the experience of moral distress (MD) among hospital-based nurse case managers. The purpose of this qualitative research study was to understand the experience of MD for the hospital-based nurse case manager and identify triggering events and consequences of MD. The following research questions guided this study:

Q1 What is the experience of MD among hospital-based nurse case managers?

Q1a What do they identify as causes or precursors of …

Teaching Strategies Clinical Educators Use To Develop Undergraduate Students’ Clinical Reasoning Skills, Lisa González

Dissertations

The purpose of this study was to describe the teaching strategies nurse educators used to develop students' clinical judgment in the clinical education setting. A significant gap in clinical education has persisted for years with a need for evidence to guide teaching and learning that emphasizes clinical judgment. Concerns regarding underdeveloped clinical judgment skills in new graduate nurses have led to initiatives and research aimed to increase clinical judgment emphasis in nursing education. The following research questions guided this study:

Q1 What teaching strategies do clinical nurse educators use to develop students’ clinical reasoning and clinical judgment skills in the …

Wearing The Keffiyeh: Solidarity, Resistance, Activism, Catherine Harper Ph.D, Tasnim Alahdal, Rawan Gamal Agha

Arts and Design

The Palestinian keffiyeh is a distinctly patterned black-and-white woven double-cloth, hand-stitched scarf, originally used by farmers of the region. It became a prominent symbol of Palestinian nationalism from mid-twentieth century. Adopted by Yasser Arafat in the 1960s, it became a masculinist icon of Palestine’s politics of resistance, extended by female Palestinian liberationist Leila Khaled’s hijabi-like use, and then mobilised by wider leftist, activist, even Israel-critical Jewish, protest groups in the West.

In recent years, keffiyeh-patterned scarves, accessories, even dresses and skirts – in a range of colours – have appeared periodically in Western fashion stores, on couture catwalks, and …

What Hinders Electric Vehicle Diffusion? Insights From A Neural Network Approach, Monica Bonacina, Mert Demir, Antonio Sileo, Angela Zanoni

Fondazione Eni Enrico Mattei Working Papers

The transition to a zero-emission vehicle fleet represents a pivotal element of Europe’s decarbonization strategy, with Italy’s participation being particularly significant given the size of its automotive market. This study investigates the potential for battery electric cars (BEVs) to drive decarbonization of Italy’s passenger vehicle fleet, focusing on the feasibility of targets set in the National Integrated Plan for Energy and Climate (PNIEC). Leveraging artificial neural networks, we integrate macroeconomic indicators, market-specific variables, and policy instruments to predict fleet dynamics and identify key factors influencing BEV adoption. We forecast that while BEV registrations will continue growing through 2030, the growth …

Clemson Commencement Program, August 2025, Clemson University

Clemson Commencement Programs

No abstract provided.

Quantifying Irreversible Climate Losses: Methods And Metrics For Non-Economic Loss And Damage, Mahmoud Elfeky

COP30

No abstract provided.

Schools As Hubs For Cultivating Climate Literacy And Action In Egypt, Kenzy Al Ruwaini

COP30

No abstract provided.

Student Loan Default: Does Race/Ethnicity Or Socioeconomic Status Play A Larger Role In Student Loan Default In Texas Public 4-Year Institutions?, Traci Armes

All-Inclusive List of Electronic Theses and Dissertations

This study investigated whether Black students were more likely to default on federal student loans compared to Pell Grant-eligible students who completed their degree programs at public four-year institutions in Texas. The study examined Black, White, Asian, and Hispanic Pelleligible and non-Pell-eligible students to determine whether socioeconomic status or race/ethnicity played a more significant role in determining default rates. The analysis was limited to four-year public institutions in Texas to control for the excessive default rates prevalent in two-year and proprietary institutions. The study was also limited to students who had completed their degree programs. Historically Black Colleges and Universities …

Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth

All-Inclusive List of Electronic Theses and Dissertations

This study utilized an online survey to target primary caregivers of a child aged 5-18. The survey highlighted factors regarding caregiver involvement in suicide prevention efforts, such as their knowledge, comfort and confidence intervening with a youth experiencing suicidality, and barriers to doing so. It was found that caregivers who had experienced suicide prevention training reported higher levels of comfort and confidence intervening with their own child and another child than those who had not, as well as lower levels of worry. Higher levels of education were also found to predict lower levels of worry, suggesting that further training and …

Later Wittgenstein’S Metaphysics, Jeremy Barris

Humanities Faculty Research

Introduction

Ludwig Wittgenstein, in different ways in his earlier and later work, famously denies the general meaningfulness and consequently the legitimacy of traditional philosophical questions. Accordingly, he also denies the meaningfulness and legitimacy of any metaphysics. I focus here on Wittgenstein’s later view. In that view, words and statements are given their meanings by their uses in specific contexts of everyday life. As a result, any attempt to use words to talk or think about anything outside of those contexts literally deprives those words of their meaning. But traditional philosophical questions, and metaphysical questions and statements in particular, are characterized …

Beyond World War I: Post-War Trauma In Agatha Christie’S The Mysterious Affair At Styles, Alayna Puckett

All Theses

This thesis reexamines Agatha Christie’s The Mysterious Affair at Styles as a literary response and representation to World War I, arguing that it deserves recognition as a novel of wartime trauma rather than being confined solely to the realm of popular detective fiction. Influenced by Christie’s firsthand experiences as a wartime nurse, the novel subtly weaves themes of personal wartime experience and trauma into its plot, characters, and setting. Christie’s protagonist, Mr. Hastings, represents the returning soldier attempting to reintegrate into society, while Hercule Poirot—a Belgian refugee—embodies the war’s broader displacement and disruption. Set during World War I in a …

Factors Associated With Postpartum Depression Among Women Attending Postnatal Clinics In A Tertiary Care Hospital In Nairobi, Kenya, Cecilia Muthoni Njoga

Master of Medicine in Family Medicine

Background 

Postpartum depression (PPD) is a major mental health disorder affecting women during the postpartum period with a global prevalence of up to 17.22%. This prevalence has been shown to be higher in low and middle-income countries. In Kenya, about a fifth of women are affected. PPD can lead to poor infant growth and interference with maternal-child bonding. Additionally, women with PPD experience a lower quality of life and their children have an increased risk of developing and psychotic disorders later in life. Understanding the factors associated with PPD is crucial for early diagnosis and intervention. The study aimed to …

Utahns’ Understanding & Support Of Environmental Equity & Justice, Dallin Johnson, Jordan Rowley, Stacia Ryder, Jennifer E. Givens, Avery C. Edenfield, Harley Thomas

Utah People and Environment Poll (UPEP)

Utah faces its fair share of environmental problems. Top concerns among residents are issues of drought, air quality, and the drying of the Great Salt Lake (1). However, research suggests that the impacts of environmental issues like disasters, pollution, resource overuse and climate change are not shared equally across society (2). This is a challenge for environmental justice, which maintains the need for fair treatment and outcomes for all people, regardless of race, ethnicity, and class, with respect to the enforcement of environmental laws, regulations, and policies (3). Put more simply, everyone is entitled to a clean and healthy environment …

Incidence Of Peripheral Intravenous Cannula Complications And Associated Factors Among Paediatric Patients At A Tertiary-Care Referral Hospital, Vanessa Minsari Ogega

Master of Medicine in Paediatrics and Child Health

Introduction: Peripheral intravenous catheters (PIVCs) are widely used in clinical practice and are a major source of procedure-related pain in children. Their use is associated with complications including occlusion, dislodgement, infiltration, extravasation, phlebitis, and, rarely, bloodstream infections.

Objectives: To determine the incidence and risk factors associated with PIVC complications among paediatric patients aged 1 day to 18 years at Aga Khan University Hospital, Nairobi. The study also assessed the average survival time of PIVCs.

Methods: A prospective cohort study was conducted on 320 PIVCs among 192 children admitted between August and October 2024. Data collected included patient demographics, clinical characteristics, …

Co-Creating Play:Utilizing Comics To Potentialize Participatory Self-Determination In Marginilized Young Adults, Marlin Mcknight

Graduate Theses and Dissertations

Storytelling has long served as a vital mechanism for preserving cultural heritage, transmitting values, and fostering intergenerational connection (Moeshlin, 2024). Despite this significance, graphic narratives such as comics and graphic novels have been historically marginalized—dismissed as trivial “children’s media” or reduced to entertainment rather than recognized as culturally resonant tools (McCloud, 1993). This marginalization intensified as comics evolved to depict adult themes and, at times, harmful stereotypes, triggering social backlash that stigmatized their utility for younger audiences (Segran, 2020). Consequently, scholarly exploration of comics’ therapeutic potential has stagnated, hindered by the medium’s tumultuous history. This study bridges this gap by …

Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk

Electronic Theses and Dissertations

Anxiety and irritability are common developmentally normative emotions in early childhood, yet are also related to risk for psychopathology in childhood, adolescence, and adulthood. Parenting behaviors, including parent accommodation, may influence this risk. Parent accommodation is the parent modification of child/family routines and/or avoidance of activities to reduce child distress and has been documented widely in the anxiety literature. Although some research has examined parent accommodation of anxiety in preschool-aged children, most research has investigated accommodation of anxiety in clinical samples of school-aged children. Further, despite high rates of co-occurrence between child anxiety and irritability, research on parent accommodation of …

Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha

Electronic Theses and Dissertations

Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …

Assessing Medical Decision-Making Capacity: The Importance Of Patient Values., Emilee M. Ertle

Electronic Theses and Dissertations

A medical decision-making capacity (MDC) assessment is the assessment of an individual to determine whether they can make their own medical decisions or if a proxy decision maker must make care decisions on their behalf. These assessments are necessary when individuals experience cognitive impairments which limit their ability to think through complex medical decisions. Best practice for MDC assessments is a growing area of research, with no standard approach to guide assessment planning. The current study builds upon the field’s knowledge of capacity assessments by investigating 1) what methods and measures clinicians utilize in capacity assessments, 2) what factors influence …

Dementia Caregiving Styles: Characterizing Dementia Caregivers Via A Novel Framework., Darby M. Simon

Electronic Theses and Dissertations

As dementia rates increase, effective family caregivers are crucial to meeting the increasing demand for dementia care. However, dementia caregiving is a demanding experience, and caregivers have varying strategies for providing care, leading to positive and negative outcomes and appraisals of their caregiving experience. Limited research explores this relationship, and extant work is qualitative with no clinical measure. This study adapted a pre-existing framework/measure from a different caregiver population (parents) to explore a) if the same framework applied to both caregiving populations and b) the associations between the styles and psychological well-being and other caregiving variables. Exploratory Factor Analysis tested …

Promoting Metacognitive Awareness Through Exploratory Learning., Ryan J. Patrick

Electronic Theses and Dissertations

Exploratory learning engages learners in novel problem solving before direct instruction. This process is designed to lead learners to experience productive failure. Productive failure, however, has been shown to benefit learners by improving the recognition of knowledge gaps, relevant problem features, and deep structures. This allows learners to better attend to relevant information during the subsequent instruction and improves conceptual understanding. This dissertation investigates the role of metacognitive awareness during exploratory learning, in attempt to identify additional metacognitive mechanisms that support exploratory learning. Two experiments tested the theory that exploratory learning promotes metacognitive awareness in exploratory learning. Groups in both …

My Achilles Years., Ash William Bittner

Electronic Theses and Dissertations

This dissertation is a historically and rhetorically grounded creative project exploring the traumas of war. This project is divided into three broad chapters, each using a different (and relevant) approach to cover the content contained within that chapter. The first chapter relies on that historical grounding, exploring the history of PTSD as it is currently understood, before exploring ancient Greek poetry and theater and both the historical and military contexts for each, before finally discussing modern warfare and the “Forever War” of the American War on Terror that lasted for nineteen years. With the historical grounding set, it moves into …

Ecosystem Services Of Urban Green Spaces In Louisville, Ky., Julia Kachanova

Electronic Theses and Dissertations

Accelerating urbanization poses critical challenges to urban green spaces (UGS), vital for ecological balance and human health. Rapid development often results in fragmented habitats, biodiversity loss, and diminished ecosystem service delivery. There is an urgent need to explore and evaluate novel strategies capable of enhancing urban resilience, such as implementing urban orchards, and managing existing parks and gardens in sustainable ways. This dissertation explores how different forms of urban green spaces (UGS) contribute to the provision and maintenance of critical ecosystem services that support human well-being and urban biodiversity. By analyzing UGS impact on ecosystem service provisioning and long-term sustainability, …

Mental Health Service Utilization Among Arab/Middle Eastern In The Us: Structural Disparities, Digital Access, And Stigma-Related Barriers., Fatima M. Aldarweesh

Electronic Theses and Dissertations

Arab Middle Eastern (AME) United States (US) college-attending students are more susceptible to disproportionate mental health problems and underutilization of mental healthcare services due to cultural, structural, and psychosocial barriers. The study examines mental health service utilization and mental health outcomes among AME, particularly focusing on the impact of structural, cultural, and psychosocial determinants grounded in Andersen and Aday’s Health Services research model and Corrigan’s stigma framework. The three interconnected aims use secondary nationally representative data from the Healthy Minds Study (HMS) 2019-2024. The study was analyzed using logistic regression and generalized structural equation modeling across three aims to identify …

Predictor-Informed Bayesian Nonparametric Clustering., Md Yasin Ali Parh

Electronic Theses and Dissertations

In this dissertation, we performed clustering of observations such that the cluster membership is influenced by a set of predictors. To that end, we employ the Bayesian nonparametric Common Atom Model (CAM), which is a nested clustering algorithm that utilizes a (fixed) group membership for each observation to encourage more similar clustering of members of the same group. CAM operates by assuming each group has its own vector of cluster probabilities, which are themselves clustered to allow similar clustering for some groups. We extend this approach by treating the group membership as an unknown latent variable determined as a flexible …

The Influence Of Psychological, Biological, And Social Determinants On Disordered Eating Behaviors Among U.S. Young Adults: Evidence From Nhanes 2015-2018., Samantha Kaye Gerbine

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs) are influenced by biological, social, and psychological factors, yet research often narrowly focuses on White, college-aged women. This study assessed the predictors and prevalence of DEBs in a nationally representative sample of U.S. young adults using data from the 2015–2018 National Health and Nutrition Examination Survey (NHANES). Survey weights were applied to generate national estimates. Descriptive statistics characterized the sample, and logistic regressions tested biological, social, and psychological predictors of DEBs. A composite risk score was developed using variables retained in the final model. The unweighted sample (n = 1,062) represented 64 million U.S. young adults. …

"That’S Not A Meal, Bestie”: Humor, Identity, & Feminized Consumption In “Girl Dinner”., Claire Tudor

Electronic Theses and Dissertations

This thesis examines the viral “Girl Dinner” trend as a case study in how gendered consumption, digital identity, and feminist humor intersect in digital spaces. Using “Girl Dinner” as a rhetorical artifact, this thesis explores how women use gendered trends to navigate visibility, labor, and autonomy in online spaces. Through thematic analysis of TikTok content, media coverage, and branded adaptations, the research traces the evolution of the trend from a lighthearted joke to a site of cultural negotiation. This study reveals that while “Girl Dinner” may appear empowering and relatable on the surface, it often reinforces traditional gender expectations under …

Rhetorical Analysis Of Kristen Bell's Articulation Of Imperfect Motherhood On Armchair Expert., Sarah J. Neff

Electronic Theses and Dissertations

This thesis explores how Kristen Bell’s articulation of imperfect motherhood, as heard on the popular podcast Armchair Expert, contributes to broader social discourses surrounding motherhood, empowering some mothers while inadvertently constraining others. Using rhetorical analysis grounded in Goffman’s dramaturgical approach, facework theory, and McGee’s theory of fragments, this study explores Bell’s discourse and performance of motherhood within the podcast medium. The podcasting medium provides a rich source for rhetorical analysis due to the long form interview content, and emotionally nuanced content, leading to a stronger connection with the audience. This is evident with the new headlines that follow Bell’s appearance …

The Substance Of Reality: Moral Perfectionism In Shakespeare's Hamlet., David Wright

Electronic Theses and Dissertations

Through a selection of and close reading of key passages, I offer an interpretation of Hamlet that seeks to illuminate the play as an important work of moral philosophy, and to situate the play within a strand of moral philosophy named moral perfectionism by Stanley Cavell. Indeed, Hamlet is a masterpiece of Renaissance drama, but when read with attention to moral perfectionism, the play yields additional layers of meaning. Hamlet is a “philosophical drama” that navigates the “moral calling of philosophy”—a text that seems to, almost uncannily, elicit the audience to think reflectively, to ask fundamental human questions along …