Digital Commons Network^™

The New Normal: A Qualitative Study Exploring The Experiences Of Today's Academic Nursing Faculty, Lisa R. Scott

Dissertations and Theses

There is a long-standing shortage of academic nursing faculty. This shortage limits the ability of nursing colleges to expand student enrollment, creating a barrier to addressing the nation’s need for well-trained nurses. Despite decades of targeted interventions, the faculty shortage remains a pressing challenge for nursing education and the broader healthcare system. This qualitative study examined the lived experiences of academic nursing faculty navigating dynamic educational and healthcare landscapes. Drawing on semi-structured interviews with 12 full-time, doctorally-prepared faculty members with at least six years of experience, the study explored how participants responded to rapid technological advancements, increasing diversity, the long-term …

Analysis Model For Transnational Organized Crime In Latin America And Effective Solutions, Connor Barral

Harriet L Wilkes Honors College Theses 2020 - Present

This thesis argues that the most effective policy approaches for remedying transnational organized criminal activity require international, state, and local dimensions. I conduct a comparative case study of El Salvador and Mexico that highlights the successes of Nayib Bukele’s severe crackdown and preventative methods in El Salvador and the specific inadequacies of Claudia Sheinbaum and Andrés Manuel López Obrador’s negotiation and cooperation strategies in Mexico. In both cases, the ‘war on drugs’ pushed for by the United States limited effectiveness on the international level and inhibited the formation of effective multilateral agreements. But the progress made on the local and …

Melanaphis Sacchari/Sorghi Complex: Current Status, Challenges And Integrated Strategies For Managing The Invasive Sap-Feeding Insect Pest Of Sorghum, Alejandro Vasquex, Joseph Edward Belsky, Neetu Khanal, Hena Puri, Devi Balakrishnan, Neelendra K. Joshi, Joe Louis, Glenn Studebaker, Rupesh Kariyat

Entomology and Plant Pathology Faculty Publications and Presentations

Melanaphis sacchari (Zehntner;Hemiptera: Aphididae), sugarcane aphid (SCA), is an invasive phloem-feeder found worldwide with a wide host range of economically important plants including sorghum and sugarcane. Given its high reproductive capacity and ability to rapidly spread over long distances, SCA presents challenges for effective control, leading to substantial economic losses. Recent studies have identified two multiloci SCA genotypes specialized in feeding on sugarcane (MLL-D) and sorghum (MLL-F) in the USA, which raises concerns as the USA is the second largest sorghum-producing country. This has encouraged research towards identifying these two biotypes where some research has stated them as two species; …

Linking Nutrient Cycling And Ecological Dynamics: A Case Study Of Internal Phosphorus Loading In The Lake Kanasatka Watershed, Georgia Bunnell

Master's Theses and Capstones

Even with extensive implementation of best management practices to mitigate external nutrient loading, numerous New Hampshire lakes are experiencing diminished water quality due to internal phosphorus loading (IPL). Remobilization of legacy nutrients like phosphorus can lead to more frequent and prolonged cyanobacteria blooms and exacerbate the process of eutrophication. This is the case for Lake Kanasatka, located in Moultonborough, New Hampshire, where IPL contributes to nearly 25% of its total phosphorus budget, with that percentage increasing towards 50% by the end of summer, as the hypolimnion becomes anoxic. After years of monitoring and watershed management, Lake Kanasatka received an aluminum …

Investigating The Role Of School Leaders’ Feedback In Texas Noncertified Teachers’ Professional Growth And Self-Efficacy, Sonja R. Long

Electronic Theses and Dissertations

The problem addressed in this study was that the role of school leaders’ feedback in noncertified teachers’ professional growth and self-efficacy is unknown. The purpose of this case study was to investigate the perspectives of noncertified teachers’ understanding of their school leaders’ feedback and how those practices contributed to their professional growth and self-efficacy. A qualitative case study approach was used, with data collected from 12 participants across six Texas school districts through semistructured interviews, questionnaires, and classroom observation documents. Data were transcribed, coded, and analyzed thematically, with triangulation and member-checking ensuring credibility. Two key findings emerged. First, supporting professional …

Why Teachers Stay: A Multiple Case Study Of Retention In Small To Midsized Schools, Karen Shaw Ewton

Electronic Theses and Dissertations

Teacher retention presents a critical challenge for small to midsized school districts, often compounded by limited resources and unique community dynamics. Using Herzberg’s twofactor theory, this qualitative study explored factors influencing teacher retention in districts with retention rates exceeding 85%. Semistructured interviews with nine teachers examined the impact of hygiene factors, such as administrative support and compensation, and motivators, like autonomy and professional growth. Thematic analysis revealed that administrative support and equitable workloads prevent dissatisfaction, while motivators such as meaningful relationships, recognition, and relevant professional development drive commitment. Professional development emerged as both a motivator and a hygiene factor based …

The Relationship Between Anxiety, Self-Esteem, And Religiosity Among College Students At A Private Christian University, Maximo Fuentes Rojo Jr

Electronic Theses and Dissertations

ABSTRACT This study investigates the relationships among anxiety, self-esteem, and religiosity in a sample of 131 college students attending a private Christian university. Anxiety is a prevalent mental health concern for college students, often leading to detrimental effects on academic performance and overall well-being (Center for Collegiate Mental Health, 2020, 2022, as cited in Tan et al., 2023). Self-esteem, a critical component of self-concept, plays a significant role in mental health outcomes, with lower self-esteem linked to higher levels of anxiety (Baumeister et al., 2003; Beck, 1967). Religiosity has been identified as a potential coping mechanism, offering emotional support and …

Longing For The Prodigal: Nonviolent Communication And The Journey From Estrangement To Understanding, Amelia D. Little

Electronic Theses and Dissertations

This study explores how parents who practice nonviolent communication (NVC) navigate conflict with their adult children, offering insights into how collaborative conflict resolution can transform intergenerational relationships. Drawing on family systems theory and sanctification theory, this qualitative study examines how parents shift from coercive and avoidant conflict strategies to become more empathetic and collaborative. Semi-structured interviews with ten NVC-practicing parents demonstrate that NVC extends traditional conflict styles theory (Kilmann & Thomas, 1978) by emphasizing emotional awareness as essential components of effective collaboration. Additionally, narrative analysis highlights how family storytelling reframes past conflicts, fostering relational healing. The study contributes to family …

Social Identity And Eating Behaviors: How Cultural Norms Impact Disordered Eating, Cierrah J. Fulenwider

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs), such as frequent dieting, emotional eating, and obsessive “clean eating,” are increasingly prevalent in our society and have been linked to significant physical and psychological health risks. However, the role of sociocultural influences, such as discrimination and social media, are often overlooked. This study examined the relationship between disordered eating behaviors and perceived discriminatory experiences, social media use, physical self-description, and attitudes toward eating among undergraduate college students. The sample consisted of 110 undergraduate students. Participants completed an electronic survey comprised of the Everyday Discrimination Scale-S (EDS-S), Social Media Usage Scale (SMUS), Eating Attitudes Test-26 (EAT-26), …

The Effects Of Loving-Kindness Meditation (Lkm) On Relationship Satisfaction In Couple Therapy, Ruimeng Gao

Electronic Theses and Dissertations

This thesis explores the integration of loving-kindness meditation (LKM) into couple therapy sessions and its impact on relationship satisfaction. Meditation, historically rooted in religious practices, has increasingly been adopted in Western therapeutic contexts due to its demonstrated benefits for mental health and interpersonal well-being. Although mindfulness-based interventions have gained popularity in psychotherapy, research specifically examining the use of LKM in couple therapy remains limited. This study investigates whether incorporating LKM into therapy sessions enhances relationship satisfaction compared to standard therapy alone. Couples were randomly assigned to either a control group, which received standard therapy, or an experimental group, which practiced …

Implementation Of Houdini Guidelines Nurse-Driven Protocol To Lower Catheter-Associated Urinary Tract Infections And Foley Utilization Days, Tammie N. Collins

Electronic Theses and Dissertations

Catheter-associated urinary tract infections are a common issue in healthcare settings. These issues contribute to hospital-acquired infections and can lead to complications and increased healthcare costs. The quality project evaluated the impact of the HOUDINI guidelines nursedriven protocol to reduce infection rates and Foley utilization days. A structured guideline for Foley catheter safe removal was implemented using a quantitative method. Catheter-associated urinary tract infection rates and Foley utilization days pre- and postintervention were tracked. Data were collected using the electronic health records, infection control data sheets, and the HOUDINI checklists. A baseline assessment of catheter-associated urinary tract infections rates was …

It Starts With Trust: How Mid-Level Student Affairs Supervisor Trust Behaviors Impact Entry-Level Staff Leave Intention, Latonya Monique Robinson

Electronic Theses and Dissertations

This dissertation examines the impact of how higher education student affairs mid-level managers (supervisors) develop and maintain trust with directly supervised entry-level staff (employees). Intervention in complex student development-oriented activities, student crises, and political protests has increased since the 1930s at higher education institutions throughout the United States. Entry-level or frontline student affairs staff manage these challenges most frequently. Yet these professionals often leave their positions within 3 years. Studies have highlighted inconsistent supervision as one of three reasons entry-level staff vacated their roles. Although many researchers have investigated why these staff members exited the field, less knowledge exists about …

Non-Esl High School Teachers’ Instructional Training And Professional Development Needs And Their Emergent Bilingual Student Classrooms, Brynn Erin Caddell

Electronic Theses and Dissertations

The U.S. emergent bilingual student population continues to grow and is projected to increase nationwide. The growing population of students has specific academic and social needs that need to be addressed and provided for emergent bilingual students to be successful. This qualitative case study examined the instructional needs of high school non-English as a second language (ESL) teachers who serve emergent bilingual students and how the district can support the instructional practices of high school teachers in an urban school district in Texas. The problem addressed in this study was the lack of instructional training and professional development for secondary …

An Examination Of How Professional Relationships And Professional Development Influence The Lived Experiences Of African American Women Serving As Superintendents In Texas, Tiffany L. Linwood

Electronic Theses and Dissertations

This qualitative research study investigated the effects of professional relationships and professional development on the experiences of 11 African American women superintendents in Texas, a historically underrepresented minority in educational leadership. It explored the challenges these women have had in advancing to and excelling in superintendent positions, emphasizing the need for mentoring, networking, and ongoing professional development. Despite the variety of students, educational leadership, especially at the superintendent level, is primarily White and male. This study used qualitative approaches, particularly semistructured interviews, to explore the perspectives of African American women superintendents about how professional relationships and growth impact their careers. …

An Exploration Of The Influence Of Occupational Mentorship On The Success Of Black Female Executive Leaders In Educational Sales, Bashelia H. Ward

Electronic Theses and Dissertations

The dearth of Black women in executive-level leadership roles within U.S. business organizations persists due to numerous barriers such as tokenism; racial fatigue; stereotypes; a lack of identity; and the intersection of race, gender, and social injustices impeding their upward mobility in the educational sales industry. Despite recognizing the potential for change through tools and programs, the absence of robust occupational mentorship emerges as a pivotal barrier hindering the transformation of Black women’s roles in these educational sales environments. The sample size for this hermeneutical qualitative study was seven Black women in the K–12 educational sales industry. Data collection methods …

Goal Attainment In Pmm2-Cdg: A New Approach Measuring Meaningful Clinical Outcomes, Sanne Verberkmoes, Gina L Mazza, Andrew C Edmondson, Fernando Scaglia, Seishu Horikoshi, Bryce Kuschel, Mirian C H Janssen, Jehan Mousa, Austin Larson, Rameen Shah, Georgia Mcdonald, Kyriaki Sarafoglou, Gerard Berry, Tamas Kozicz, Christina Lam, Eva Morava

Faculty, Staff and Students Publications

Patient-centered outcomes, including patient-reported outcomes (PROs), are increasingly important in healthcare and research, though their use in rare diseases remains limited. In disorders with significant phenotypic variation, selecting appropriate outcome measures is crucial to ensuring the relevance of clinical trials for the patient population. Phosphomannomutase 2-CDG (PMM2-CDG) involves a complex genotype-phenotype relationship, making it challenging to predict clinical outcomes and select reliable measures for clinical trials. Caused by biallelic pathogenic variants in the PMM2, PMM2-CDG displays highly variable clinical severity, underscoring the need for personalized outcome measures. One such so far unexplored, individualized approach is Goal Attainment Scaling (GAS), which …

Spaceflight Associated Neuro-Ocular Syndrome (Sans) And Its Countermeasures, Tuan Nguyen, Joshua Ong, Tyson Brunstetter, C Robert Gibson, Brandon R Macias, Steven Laurie, Thomas Mader, Alan Hargens, Jay C Buckey, Mimi Lan, Peter Wostyn, Cihan Kadipasaoglu, Scott M Smith, Sara R Zwart, Benjamin J Frankfort, Sarah Aman, Jessica M Scott, Ethan Waisberg, Mouayad Masalkhi, Andrew G Lee

Faculty, Staff and Students Publications

Astronauts can develop a distinct collection of neuro-ophthalmic findings during long duration spaceflight, collectively known as Spaceflight Associated Neuro-ocular Syndrome (SANS). These clinical characteristics include optic disc edema, hyperopic refractive shifts, globe flattening, and chorioretinal folds, which may pose a health risk for future space exploration. Obtaining knowledge of SANS and countermeasures for its prevention is crucial for upcoming crewed space missions and warrants a multidisciplinary approach. This review examines the potential causes and countermeasures of SANS, including space anticipation glasses, lower body negative pressure, venoconstrictive thigh cuffs, impedance threshold devices, translaminar pressure gradient modulation, centrifugation, artificial gravity, pharmaceuticals, and …

Evaluating The Test-Negative Design For Covid-19 Vaccine Effectiveness Using Randomized Trial Data: A Secondary Cross-Protocol Analysis Of 5 Randomized Clinical Trials, Leah I B Andrews, M Elizabeth Halloran, Kathleen M Neuzil, Lars Van Der Laan, Yunda Huang, Jessica Andriesen, Mayur Patel, Leigh H Fisher, Holly Janes, Nadine Rouphael, Stephen R Walsh, Deborah A Theodore, Hong-Van Tieu, Magdalena Sobieszczyk, Hana M El Sahly, Lindsey R Baden, Ann R Falsey, Thomas B Campbell, Colleen F Kelley, Catherine Mary Healy, Lilly Immergluck, Benjamin Luft, Ian Hirsch, Guy De Bruyn, Carla Truyers, Frances Priddy, Kelsey M Sumner, Brendan Flannery, Dean Follmann, Peter B Gilbert, Covid-19 Prevention Network (Covpn)

Faculty, Staff and Students Publications

Importance: The test-negative design (TND) has been widely used to assess postmarketing COVID-19 vaccine effectiveness but requires further evaluation for this application.

Objective: To determine whether the TND reliably evaluates vaccine effectiveness against symptomatic COVID-19 using placebo-controlled vaccine efficacy randomized clinical trials (RCTs).

Design, setting, and participants: This secondary cross-protocol analysis constructed TND study datasets from study sites in 16 countries across 5 continents using the blinded phase cohorts of 5 harmonized phase 3 COVID-19 Prevention Network RCTs: COVE (Coronavirus Vaccine Efficacy and Safety), AZD1222, ENSEMBLE, PREVENT-19 (Prefusion Protein Subunit Vaccine Efficacy Novavax Trial COVID-19), and VAT00008. Participants included adults …

The Central Role Of Cytochrome P450 Reductase (Cpr) In Hyperoxic Lung Injury, Deven Narke, Bhagavatula Moorthy

Faculty, Staff and Students Publications

Introduction: Hyperoxic lung injury results from excessive supplemental oxygen therapy in conditions such as bronchopulmonary dysplasia (BPD) in preterm infants and acute respiratory distress syndrome (ARDS) in adults. This review explores the role of cytochrome P450 reductase (CPR) in hyperoxic lung injury.

Areas covered: Hyperoxia induces the production of reactive oxygen species in excessive amounts, overwhelming the body's antioxidant defenses and exacerbating lung injury in ARDS/BPD. This review examines the differential roles of CPR-dependent enzymes in the context of hyperoxic lung injury. Additionally, we highlight the potential of targeting CPR to study mechanisms of lung injury and leverage gene-editing technologies …

Expert Consensus For Key Components Of A High-Quality Ventral Hernia Repair Operative Note, Jonathan S Lall, Said Maldonado, Nicole B Lyons, Gina Adrales, Karla Bernardi, Anne P Ehlers, Hobart Harris, Julie Holihan, William Hope, Jeffrey E Janis, Michele Loor, Clayton Petro, Luke Putnam, Caroline E Reinke, John Scott Roth, Christopher Senkowski, Kendell Sowards, Shirin Towfigh, Daniel Dante Yeh, Zuhair Ali, Mike K Liang

Faculty, Staff and Students Publications

Background: Ventral hernia repair (VHR) is one of the most commonly performed procedures by surgeons; however, there remains a lack of consensus for key components of operative reporting. Prior literature has identified several key elements that are recommended for inclusion in ventral hernia repair operative notes, but it is unclear whether these details alone make for a high-quality operative note. This study sought to determine whether experts agree on what factors make a ventral hernia repair operative note high-quality.

Study design: A prospective exploratory sequential survey-based mixed-methods design was used for round 1. Conclusions via thematic analysis from survey responses …

Nanoparticle Contrast-Enhanced Computed Tomography And Magnetic Resonance Imaging Of Vascularization Of A Subcutaneous Niche For Islet Transplantation, Simone Capuani, Jocelyn Nikita Campa-Carranza, Nathanael Hernandez, Renuka T R Menon, Rohan Bhavane, Gabrielle E Rome, Laxman Devkota, Ketan B Ghaghada, Ananth V Annapragada, Corrine Ying Xuan Chua, Andrew A Badachhape, Alessandro Grattoni

Faculty, Staff and Students Publications

Revascularization plays a critical role in the successful engraftment of transplanted pancreatic islets, which are inherently rich in capillaries to meet their high metabolic demands. Innovative islet encapsulation strategies such as the NICHE (neovascularized implantable cell homing and encapsulation), generate a prevascularized transplantation site that allows for direct integration of the graft with the systemic circulation. Timing the transplantation is key to maximizing islet engraftment and survival, especially in diabetic individuals, who exhibit impaired wound healing. Therefore, in this study, we explored different methods to assess vascular development within NICHE in vivo in a non-invasive fashion. We effectively tracked neoangiogenesis …

Recommendations For Design, Execution, And Reporting Of Studies On Experimental Thoracic Aortopathy In Preclinical Models, Alan Daugherty, Dianna M Milewicz, David A Dichek, Ketan B Ghaghada, Jay D Humphrey, Scott A Lemaire, Yanming Li, Ziad Mallat, Yvan Saeys, Hisashi Sawada, Ying H Shen, Toru Suzuki, Zhen Zhou

Faculty, Staff and Students Publications

There is a recent dramatic increase in research on thoracic aortic diseases that includes aneurysms, dissections, and rupture. Experimental studies predominantly use mice in which aortopathy is induced by chemical interventions, genetic manipulations, or both. Many parameters should be deliberated in experimental design in concert with multiple considerations when providing dimensional data and characterization of aortic tissues. The purpose of this review is to provide recommendations on guidance in (1) the selection of a mouse model and experimental conditions for the study, (2) parameters for standardizing detection and measurements of aortic diseases, (3) meaningful interpretation of characteristics of diseased aortic …

Genetics, Manifestations, And Management Of Catecholaminergic Polymorphic Ventricular Tachycardia, Shubh Desai, Oliver M Moore, Xander H T Wehrens

Faculty, Staff and Students Publications

Purpose of review: Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a devastating heritable channelopathy that can lead to sudden cardiac death in children and young adults. This review aims to explore genetics, the cardiac and extracardiac manifestations of mutations associated with CPVT, and the challenges involved with managing phenotypically variable variants.

Recent findings: The understanding of the genetics and mechanisms of CPVT continues to grow with recent discoveries including alternative splicing of cardiac TRDN and calmodulin gene variants. Additionally, there is an increasing recognition of the extra-cardiac manifestations such as epilepsy, neurodevelopmental delay, and glucose homeostasis abnormalities in RyR2 variant carriers. …

Functional Genomics In Age-Related Macular Degeneration: From Genetic Associations To Understanding Disease Mechanisms, Rinki Ratnapriya, Felix Grassman, Rui Chen, Alex Hewitt, Jianhai Du, Daniel R Saban, Caroline C W Klaver, John Ash, Dwight Stambolian, Santa J Tumminia, Jiang Qian, Deeba Husain, Sudha K Iyengar, Anneke I Den Hollander

Faculty, Staff and Students Publications

Genome-wide association studies have been remarkably successful in identifying genetic variants associated with age-related macular degeneration (AMD), demonstrating a strong genetic component largely driven by common variants. However, progress in translating these genetic findings into a deeper understanding of disease mechanisms and new therapies has been slow. Slow progress in this area can be attributed to limited knowledge of the functional impact of AMD-associated non-coding variants on gene function, the molecular mechanisms and cell types underlying disease. This review offers a comprehensive overview of functional genomics approaches to uncover the genetic, epigenetic, cellular and molecular mechanisms underlying AMD and outlines …

Screening For Oropharyngeal Cancer: The Time Is Now, Kristina R Dahlstrom, Erich M Sturgis, Karen S Anderson

Faculty, Staff and Students Publications

No abstract provided.

Bile Acid And Microbiome Interactions In The Developing Child, Mary Elizabeth M Tessier, Benjamin L Shneider, Joseph F Petrosino, Geoffrey A Preidis

Faculty, Staff and Students Publications

Interactions between the gut microbiome and bile acids are complex and are linked to outcomes in pediatric liver disease by mechanisms that are incompletely understood. In adults, primary bile acids are synthesized in the liver and secreted into the intestine, where complex communities of gut microbes deconjugate, oxidize, epimerize, and 7α-dehydroxylate bile acids into a diverse array of unconjugated, secondary, allo-, iso-, and oxo-bile acids. In contrast, the infant gut microbiota contains a simple, Bifidobacterium-dominant community that transitions to a more diverse, adult-like community as additional microbes colonize the gut. This microbial succession gradually confers deconjugation, oxidation, epimerization, and 7α-dehydroxylation …

Reducing Diabetic Ketoacidosis Incidence In Children With Type 1 Diabetes Through Wraparound Services At Texas Children's Hospital: The Reach Program, Selorm Dei-Tutu, Fulfilled Ighalo, Pavandeep Rakhra, Rebecca Butler, Amelia Martinez, Kelly Timmons, Don Buckingham, David D Schwartz, Meghan Craven

Faculty, Staff and Students Publications

Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of

Screening For Oropharyngeal Cancer: The Time Is Now, Kristina R Dahlstrom, Erich M Sturgis, Karen S Anderson

Faculty, Staff and Students Publications

No abstract provided.

Exploring Principals' Equity Mindset As It Applies To Their Practice Within A Mexican-U.S. Border Community, Sonia D. Aguilar

Open Access Theses & Dissertations

The study's aimed to explore principals' equity mindset to respond to the research question: How do principals' lived experiences, identity, beliefs, attitudes, and values construct their understanding of equity, and how does it impact their practice within the school communities they serve? The study employed narrative inquiry as a methodology to gain knowledge and understanding of principals' conceptualization of equity and how equity emerges in their practice. These principals' rich descriptive narratives showed that their understanding and embodiment of equity are reflected within their practice. Their inherent values, beliefs, attitudes, and overall sense of self and upbringing are at the …

A Texas-Sized Problem: Abortion Policy And Public Perception On The Border, Sabrina Bustillos

Open Access Theses & Dissertations

The present study is an examination of the impacts Texas' abortion restrictions have had on residents of El Paso, Texas. As of 2022, virtually all instances of abortion are illegal in the state of Texas. Despite the complete overturn of Roe V. Wade, in addition to Texas' passage of the "Texas Heartbeat Act", lawmakers have continued to propose and enact laws that encourage the intimidation, investigation, and punishment of anyone suspected of aiding and abetting an abortion, regardless of whether it occurred outside of state lines. These policies are ever-changing and impact millions of Texans, whether they know it or …