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Beyond The Genome: The Racialized Exposome, Flourishing, And Stress Biology In African Americans, A Non-Exhaustive Review, Enye Washington

University Honors Theses

Racial health disparities remain an enduring challenge in the United States, disproportionately impacting African American communities through higher rates of chronic disease and premature mortality. This non-exhaustive literature explores how the racialized exposome - a term denoting the totality of social, environmental, and structural stressors rooted in systemic racism - biologically embeds itself via stress-responsive pathways. Specifically, it examines the interaction between racial stress, flourishing, and key biological markers, including allostatic load and telomere length, considering the gut-brain axis. The review highlights robust evidence that chronic exposure to racial discrimination and structural adversity contributes to multisystem dysregulation and accelerated cellular …

Veterans And Higher Education: How Military Service Affects The College Student Experience, Sean M. Berryman

Theses and Dissertations

Higher education has, in the past, paved the road to success for many Americans. Since it currently seems to be the consensus in American society, in general, that a college degree is needed to secure a good job, which leads to a good income in order to provide for oneself and one’s family, college is the road most Americans choose in order to achieve these goals. Since World War II (WWII), veterans have increasingly sought college degrees post-service to bring them in line with their civilian counterparts: they obtained experience in the military, now the degree gives veterans the opportunity …

Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic

Walden Dissertations and Doctoral Studies

The hospitality industry in the Southeast United States plays a vital role in economic growth but faces leadership challenges that impact employee engagement and organizational commitment. Hospitality industry leaders should understand these challenges that disrupt service quality and negatively impact customer satisfaction and organizational stability. The purpose of this quantitative correlational study was to examine the relationship between transformational leadership, employee engagement, and organizational commitment in the hospitality industry of the Southeast United States. The participants were 100 full-time hospitality employees who completed the Multifactor Leadership Questionnaire, Organizational Commitment Questionnaire, and Utrecht Work Engagement Scale. The results revealed significant positive …

Dismissing Human Trafficking: Forced Arbitration Of Survivors’ Civil Suits, Annie Smith, Daniel Werner

Villanova Law Review (1956 - )

No abstract provided.

Applying The Nonadoption, Abandonment, Scale-Up, Spread, And Sustainability (Nasss) Framework To Adapt The Champ App For Pediatric Feeding Tube Weaning: Application And Case Report., Dana Bakula, Alexandra Zax, Sarah T. Edwards, Kristina Nash, April Escobar, Rachel Graham, Amy Ricketts, Ryan Thompson, Sarah Bullard, Julianne Brogren, Leah Shimmens, Lori A. Erickson

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Evidence-based tube feeding (TF) weaning involves reducing the volume of tube feeds to induce hunger, with interdisciplinary monitoring to allow for proactive medical, nutritional, and behavioral intervention as needed. This can be done outpatient; however, the current standard of care requires a high degree of medical monitoring and care coordination, which can be challenging to implement. The CHAMP App is a mobile app designed for remote patient monitoring of children born with congenital heart conditions who are at high risk for medical morbidity and mortality. The CHAMP App remote patient monitoring program would be ideally suited to improve medical …

Understanding The Challenges And Needs Of Postpartum Soldiers In Fitness Training, Sarah Elizabeth Eaton

Doctoral Dissertations and Projects

Postpartum females are consistently faced with unique challenges within the military setting. Prior studies have illustrated increased risks of musculoskeletal injury and psychological distress in military postpartum females due to insufficient recovery time and inconsistent unit support (Acton, 2021; Armitage et al. 2014; Darroch et al., 2023). The purpose of this phenomenological study was to explore the lived experiences of Army postpartum females, aged 18-45, who have delivered over 36 weeks, either vaginal or cesarean, who have given birth within the last two years, as they navigate the physical and psychological challenges of preparing for the Army Combat Fitness Test …

From Assistance To Impact: The Expanding Role Of Undergraduate Teaching Assistants In Higher Education, Erin Measom

Theses and Dissertations

This dissertation is presented in a three-article format. It explores the evolving role of undergraduate teaching assistants (UTAs) in higher education, with a particular focus on how they facilitate interaction, engagement, and student success in online courses. As higher education institutions expand online learning and seek innovative ways to enhance student support, UTAs have emerged as key players in bridging the gap between students and instructors. The first article provides a scoping review of the literature on UTAs, tracing their historical evolution and examining their expanding role. While traditionally viewed as logistical or grading assistants, UTAs are increasingly taking on …

The Colors Of Good And Evil: A Quantitative Study On The Effect Of Disney Animated Feature Films On Audience Color Association, Grace Mallory Hayes

Masters Theses

The purpose of this quantitative research study was to determine what impact Disney animated feature films have on audience color association. The problem is that Disney assigns colors to certain movie roles that are in contrast to what color theory posits or would assume. This study sought to determine if audiences that are highly saturated in Disney animated feature films receive a different message from colors than someone who does not regularly consume Disney films. This research examines the impact of Disney habitually assigning colors to characters in contrast to their traditional meaning on the emotional association of viewers through …

The Not-So Wonderful World Of Disney: How Disney Films Usurp What Is In The Bible, Jacquelyn Irene Cortez

Doctoral Dissertations and Projects

Disney films are often chosen as entertainment for families and their main target audience is children. While many adults still choose to watch these films, there is a darker side to these films. A majority of these films depict magic and/or witchcraft in them. The ideologies of feminism and toxic masculinity are on display in many of their films. And finally, a lot of these films mock God and what is in the Bible. When looking at popular films such as The Little Mermaid and Frozen, these films are teaching children about magic and making deals with the devil. Disney’s …

Strengthening Communication Between Staff And Health Providers In A Mental Health Setting, Michael Tricoli

Doctoral Dissertations and Projects

Communication between nursing staff and providers is essential for supporting optimum patient outcomes. Each component of the communication process needs to be clearly defined to create an environment of safety for both patients and caregivers. The SBAR (situation, background, assessment, recommendation) is a nurse-driven protocol that is widely used as a communication and documentation template in health care organizations. This format is currently not being used effectively on the mental health units where the evidence-based project was implemented. Recognizing and reiterating the value of SBAR as a communication tool is necessary when communication deficits are noted. The purpose and scope …

The U.S. And Japan: Containing A Rising China?, Kaitlyn Elizabeth Early

Doctoral Dissertations and Projects

This research involved investigating the impact that the coherence between international relations (IR) theories and national strategies and policy practice through effective implementation (independent variables) have on China’s perceived vulnerabilities (CPV; dependent variable) using the Cold War, the United States, and Japan case studies. The research focused on how the coherence between these variables could shape CPV and strategic calculations, particularly concerning Taiwan and the South China Sea. Additionally, the research involved analyzing how the modern strategies of conventional deterrence (i.e., the strategy of denial and integrated deterrence) influence CPV. This study was guided by the hypothesis that the degree …

Strategies For Time Management Challenges Of The First-Year Secondary School Music Educator, Jamey Bartlett Derks

Doctoral Dissertations and Projects

Despite the number of first-year music educators, there is a lack of research on the challenges of time management that first-year teachers face. Time management affects first-year secondary music teachers in areas that challenge their success in the classroom. This study recovered first-year music educators’ perspectives and experiences in the music classroom, specifically regarding time management challenges. Guided by Husserl’s phenomenological research model, this qualitative phenomenological research study identified perspectives that must be explored and documented concerning first-year music educators’ time management challenges. Perspectives on lesson planning, classroom management, and mentor assistance have emerged as themes through studying a small …

Exploring Age And Employee Experience Among Healthcare Workers Post-Covid-19 Pandemic, Sheila-Celestine Bonner

Doctoral Dissertations and Projects

This study focused on the well-being of healthcare employees and their experience following COVID-19. The pandemic has negatively affected adults over the age of 50 in the United States and limited their ability to return to work. Older adults who have returned to work have faced challenges with discrimination, lack of work, stress, and other factors. A survey of 59 adult healthcare workers, 21 years and older, was conducted to determine whether there is a relation between age and perceptions of organizational support during the pandemic including work factors such as stress, job satisfaction, and age discrimination. A non-experimental research …

A Hermeneutic Phenomenology Study Interpreting The Lived Experience Of K-12 Teachers: The Role Of Technology Integration In Shaping Academic Performance, Kathy S. Vaughan

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenology study was to interpret the lived experience of K-12 teachers and the role of technology integration in shaping academic performance. The theory guiding this study was Bronfenbrenner's theory, which described how important the environments surrounding the individual were in affecting development. The central research question guiding this study was, "How do K-12 teachers interpret their lived experiences with technology integration and its role in shaping academic performance?" Participants in the study included K-12 teachers from the southeastern United States with at least three years of experience integrating technology. The participants were selected using purposive …

Therapists’ Inclusion Of Forgiveness During Cognitive Processing Therapy For Post-Traumatic Stress Disorder, Marybeth Goodman

Doctoral Dissertations and Projects

This study investigated whether the inclusion of an evidence-based forgiveness therapy during a course of Cognitive Processing Therapy (CPT) for Post-Traumatic Stress Disorder (PTSD) improved the efficacy of the treatment. This quasi-experimental, quantitative study examined 201 completed episodes of care from CPT-trained and rostered clinicians. Participants were divided into two groups. Group one contained clinicians who used no less than 46 minutes of an evidence-based forgiveness therapy intervention (n = 102), and group two (n = 99) contained clinicians who did not utilize an evidence-based forgiveness intervention. Pre- and post-treatment PTSD symptom severity was measured using the PTSD Checklist for …

Teachers' Lived Experiences Of Work Intensification In A New Jersey High School, John Joseph Manning

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore high school teachers’ lived experiences with work intensification in northern New Jersey. The theory that guided this study was Apple’s teacher work intensification thesis as it helps to explain the organizational conditions that lead to increases in teacher workloads, as well as teachers’ responses to work intensification. The central research question for this study involved exploring the lived experiences of 10 public high school teachers in New Jersey managing perceived feelings of time poverty due to work intensification. Sub-questions were used to explore teachers’ value of time during their workday, …

Improving New Graduate Nurse Clinical Judgment By Training Preceptors On The Use Of The Tanner Model, Denise E. Carr

Doctoral Dissertations and Projects

New graduate nurses (NGNs) often enter the workforce with deficits in clinical judgment, which has been further exacerbated by pandemic-related limitations in clinical education. This project aimed to improve NGN clinical judgment by training preceptors to use the Tanner Clinical Judgment Model (TCJM) and Lasater Clinical Judgment Rubric (LCJR). A quasi-experimental evaluation design was used to compare outcomes between two groups of preceptor–preceptee pairs. Half of the preceptor participants received training on the TCJM and LCJR, while the other half did not. Clinical judgment development was measured using the LCJR pre- and post-orientation. Additional preceptor feedback regarding the implementation and …

Identifying Effective Counseling Strategies For Working With Women Who Endorse A Strong Black Woman Schema: Exploring The Perspectives Of African American Clinicians, Jacqueline Javonne Hill

Doctoral Dissertations and Projects

African American women underutilize mental health services despite experiencing high rates of psychological distress. Existing literature has not fully explored how the Strong Black Woman (SBW) schema influences this behavior. The purpose of this phenomenological study was to understand how the lived experiences of African American women positively influenced or impeded their help-seeking behaviors to address mental health problems through the lens of African American women mental health clinicians via Zoom Video Communications. This study addressed the gap in research on how cultural norms, systemic barriers, and therapeutic strategies shape access to care for this population.

Semi-structured interviews were conducted …

Emdr Future Template Study, Helen Jimenez

Doctoral Dissertations and Projects

Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic modality designed to reduce the emotional impact of distressing experiences using bilateral stimulation (Shapiro, 1999). Social anxiety remains a widespread mental health concern with social and personal consequences (Asakura et al., 2023). This study examined whether three EMDR Future Template sessions could reduce mild to moderate social anxiety. Seventeen adults, ages 18 to 65, who either self-reported or were clinically diagnosed with social anxiety completed three weekly telehealth sessions lasting 20 to 30 minutes each. In each session, the seventeen participants focused on anticipated future social scenarios and visualized adaptive responses …

Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani

Doctoral Dissertations and Projects

Adjunct faculty, who are employed on a contractual, as-needed basis, comprise nearly 70% of the higher education workforce in the United States. Despite their essential role, they often face challenges that may impact their well-being and organizational commitment. This quantitative, non-experimental study examined the relationships between workload, course format, compensation, institutional support, and burnout among adjunct faculty. Data was collected from 85 adjunct faculty members across the United States using an online survey. Guided by the Job Demands-Resources (JD-R) Theory and Social Exchange Theory (SET), multiple regression analyses were conducted to explore the predictive effects of workload, compensation, and institutional …

The Lived Experiences Of Young Adult Children Of Veterans Attachment In Responses To Unique Lifestyle Challenges, Amanda M. Fife

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe young adult children of veterans’ experiences with frequent relocations. Military-connected youth experience unique stressors that their civilian peers do not encounter and may experience frequent disruptions in attachment relationships. The theories guiding this study are John Bowlby and Mary Ainsworth’s attachment theory, Norman Garmezy’s resiliency theory, and Lazarus and Folkman’s transactional theory of stress and coping. These theories provide the structural framework for understanding the meaning of attachment, factors that promote resiliency, and structures for coping with stress. Individual interviews were conducted with each of the 10 selected participants that meet …

Crossing The Line: How Larry Doby, Jack Johnson, And The Syracuse Eight Broke The Color Barriers And Demanded Equality In Sports, Joey O'Ryan Adams

Doctoral Dissertations and Projects

This dissertation examines how Jack Johnson, Larry Doby, and the Syracuse Eight broke racial barriers in sports. In this dissertation, the lives of several people who broke racial barriers in sports will be examined. First, there is the life and times of Jack Johnson, the first African American heavyweight boxing champion, known for his larger-than-life attitude and his willingness to live his life on his own terms. Then, Larry Doby will be explored. He was the second African American to break the color barrier in Major League Baseball and the first to do so in the American League. Lastly, the …

The Experiences Of Itinerant Teachers Of The Deaf/Hard Of Hearing Promoting Self-Determination Skills Among K-12 Students With Hearing Loss: A Phenomenological Study, Rebecca E. Rhodes

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the experiences of promoting self-determination skills in students with hearing loss to address their listening and learning challenges for itinerant teachers of the deaf/hard of hearing at K-12 public schools in the United States. The theory guiding this study was Ryan and Deci’s self-determination theory through the lens of teachers of the deaf/hard of hearing promoting competency, autonomy, and relatedness skills in relation to self-determination for addressing challenges among students with hearing loss. The study's central research question was: What are the experiences of itinerant teachers of the deaf/hard of …

A Hermeneutic Phenomenological Study Exploring Transition Planning For High School Seniors With An Individualized Education Program. Are We Doing Enough?, Chrystal A P Morgan

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to discover the views of high school seniors with an Individualized Education Program (IEP) and their experiences with transition planning. This study identified that there is more work to do in inclusive education in understanding how to implement transition planning goals and utilizing collaborative efforts from all educators, the students, and their parents. Most of the available research discussed building awareness towards implementing transition planning, which aimed at building self-awareness in the educator. The theory guiding this study is Bandura’s social cognitive theory. Bandura’s social cognitive theory is based on the belief …

Exploring The Differences Of Gender On Physician Burnout And Perceptions Of Work Environment, Holly C. Adams

Doctoral Dissertations and Projects

Physician burnout is a growing public health crisis, threatening care quality, patient safety, and workforce sustainability. Research suggests gender may influence burnout levels and perceptions of the work environment. This quantitative, cross-sectional study examined gender differences in physician burnout and workplace perceptions among U.S. physicians that impact burnout. A total of 170 licensed physicians completed an online survey using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS (MP)) and the Areas of Worklife Survey (AWS). MANOVA results indicated a significant multivariate effect of gender on burnout. Follow-up ANOVA testing revealed that gender was significantly related to emotional exhaustion and personal accomplishment. …

Diversity Matters In Public Education: A Phenomenological Study, Monique A. Jackson

Doctoral Dissertations and Projects

The purpose of this transcendental, phenomenological study was to describe the lived experiences of diverse public-school educators who are overlooked for promotion and educational advancement opportunities within public school systems in the State of Texas. The theories guiding this study were Marilyn Brewer's optimal distinctiveness theory, which advocates how every individual needs to belong and feel uniquely accepted, and James House's social support theory, which purports the importance of groupthink--a concept that leans toward togetherness. The central research question, What are the lived experiences of diverse, public-school educators who are overlooked for promotion and educational advancement opportunities within public school …

The Procrastinating Perfectionist: Examining Task Self-Efficacy & Procrastination Types On Life Task Performance, Michelle Lynn Capozzi

Doctoral Dissertations and Projects

Perfectionism is a personality trait that can manifest either adaptively or maladaptively, typically developing during childhood and adolescence. Less research has examined perfectionistic adjustment issues in adulthood compared to childhood and adolescence. Research indicates that adult perfectionists tend to procrastinate on tasks related to academia and job settings. However, little is known about passive and active procrastination types among adult perfectionists when completing life tasks. Since self-efficacy can produce motivation, adult perfectionists may be more or less likely to procrastinate based on how they perceive their capabilities. This study examined how perfectionism types (maladaptive, adaptive, non-perfectionist) impacted life task performance …

Electro Transcranial Magnetic Stimulation (Etms) Effects On Pharmacoresistent Sleep Disorders Using A Quantitative Electroencephalogram (Qeeg), Sarah Diane Dean

Doctoral Dissertations and Projects

The following quantitative correlational study investigated the effects of eTMS on individuals with pharmacoresistant sleep disorders using a qEEG. This research measures the dimensions of anxiety, depression and quality of life (QoL) as it relates to untreated secondary diagnosis. Additionally, this research examines the activity level of the dorsolateral prefrontal cortex in relation to eTMS treatments. It was found that correlation with anxiety (rs = -.466, p < .001), depression (rs = -0.556, p < 0.001), quality of life (rs = -.436, p < .001), and sleep disturbances (rs = -0.452, p < 0.001), have a statistically significant negative correlation with dlPFC activity level. Finally, it was found that eTMS does have a statistically significant relationship with sleep disturbances as well as anxiety, depression and general quality of life (U (195) = 4647, p = .971). This is important to the field of neuroscience as it provided a more precise form of individualized neuromodulation through the use of a uncommon type of transcranial magnetic stimulation.

Building Resilience In Ministry With Effective Supports Amid The Covid-19 Pandemic: A Phenomenological Study Of Long-Tenured Pastors In The Southeastern United States, Tina Marie Powell

Doctoral Dissertations and Projects

This phenomenological study, which involved long-tenured pastors in a southeastern state in the United States, explored how these pastors framed resiliency in ministry during COVID-19 and what tools or practices helped them to be resilient. The study also explored the effects of social distancing on the demands of ministry, on pastors, and their congregations, and if earlier resiliency practices continued to suffice. Pastors were often the first professionals people went to when guidance was needed in every aspect of life. Pastors aided with not only spiritual guidance, but also, they were sought after for guidance in mental health and emotional …

Exploring Orchestration's Influence On Harmonic Analysis: A Conductor's Perspective, Tyron C. Barnes

Doctoral Dissertations and Projects

Despite emphasizing training and conducting techniques and overall music interpretation, minimal research investigates how orchestration impacts harmonic analysis when studying music scores. Conducting textbooks often emphasize the ability to study a music score; however, they place minimal emphasis on how orchestration influences harmonic analysis. A research gap on the impact of orchestration on harmonic analysis presents potential for professional growth for aspiring and seasoned conductors. By investigating novel methodologies, conductors can enhance their comprehension of the intricate relationships between instrumental components and harmonic frameworks in wind band compositions. Examining the viewpoints of fifteen beginner and experienced band directors from public …