Digital Commons Network^™

The Relative Strength Of Justice-Related Satisfaction, Posttraumatic Maladaptive Beliefs, And Self-Compassion In Predicting Perceived Control Over Stressful Events, Katherine Mooney

Walden Dissertations and Doctoral Studies

Coercive control and domestic violence perpetrated by men against women are global social problems sustained by patriarchal norms that normalize gender-based violence. These norms often contribute to victims' maladaptive self-beliefs, leading women to believe they provoked the abuse. When survivors seek legal protection, they may experience revictimization through legal processes that minimize their claims and enable perpetrators to continue exerting power and control through the justice system. As a result, dissatisfaction with the legal system may reinforce self-blame, while low self-compassion may further undermine women's perceived control over stressful events in both the short and long term. While previous research …

Experiences With Microaggression Of African American Female Faculty Who Work In Predominantly White Institutions, Teffany Jonte Malone

Walden Dissertations and Doctoral Studies

The problem addressed through this study is the gap in the literature on the experiences of African American female faculty in higher education institutions with racial microaggressions while working in predominantly White institutions (PWIs). Grounded in Delgado and Stefancic’s critical race theory, the purpose of this basic qualitative study was to explore African American female faculty’s experiences with racial microaggressions and recommended support their institutions can put in place at PWIs in California. For this basic qualitative design, data were collected through semistructured interviews with 15 African American female faculty members employed at PWIs in California. Through qualitative content analysis, …

Effective Leadership Strategies For Sustaining Radiology Departments During And After The Covid-19 Pandemic, Tameron Shanay Reed

Walden Dissertations and Doctoral Studies

Pandemic-driven workforce challenges highlighted the urgent need for radiology leaders to retain skilled staff and sustain service delivery. The COVID-19 pandemic raised considerable concerns for radiology leaders regarding future preparedness for patient safety, care outcomes, hospital expenses, and hospital profitability. Grounded in the Vroom expectancy theory, the purpose of this qualitative pragmatic inquiry was to explore successful strategies radiology department leaders used to retain employees, improve supply inventory management, and develop ambulatory and virtual services during and after the COVID-19 pandemic. Data were gathered through semistructured interviews with six successful radiology leaders and publicly accessible documents in northern Louisiana. The …

A Proposal For An Evidence-Based Program For Communication Continuity, Yavonne G. Evans

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) executive leadership project is a practice-focused quality improvement initiative to reduce avoidable 30-day hospital readmissions in a skilled nursing facility by implementing the INTERACT communication tools, SBAR and STOP & WATCH. The practice problem is the lack of a standardized communication process for recognizing changes in resident conditions, contributing to preventable hospitalizations. The project's purpose was to develop an evidence-based communication process that promotes early recognition and timely provider intervention. The practice-focused question asked whether implementing INTERACT communication tools would improve communication and reduce avoidable acute care transfers. A focused literature search was conducted. …

Evaluating Mentorship, Professional Networking Participation, And Leadership Classifications For Women In Health Service Organizations, Marina Nagy Hanna

Walden Dissertations and Doctoral Studies

Despite women comprising a substantial portion of the U.S. health care workforce, they continue to be underrepresented in leadership across health service organizations. Mentorship and professional networking opportunities are commonly used to support women’s professional growth; however, inequities in leadership attainment remain prevalent, particularly among women from racial and ethnic minority backgrounds. The purpose of this quantitative archival comparative study was to examine associations across mentorship participation indicators, professional networking participation indicators, leadership classifications, and racial and ethnic classifications. The study was underpinned by intersectionality theory and social capital theory, which supported examination of how demographic identities and access to …

Organization Change Process Initiative Suicide Risk Assessment Screening Implementation, Dawn Marie Zaccardo

Walden Dissertations and Doctoral Studies

Suicide remains a leading cause of preventable death among individuals receiving psychiatric care, emphasizing the need for consistent suicide risk assessment practices in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) quality improvement project addressed inconsistent suicide risk screening and documentation by implementing a standardized evidence-based suicide risk assessment protocol in an outpatient psychiatric clinic. Guided by the Johns Hopkins Evidence-Based Practice Model, the project incorporated staff education, workflow standardization, leadership support, and stakeholder engagement to improve provider adherence to organizational policy requiring suicide risk screening during every patient encounter. Deidentified retrospective chart audits conducted before and after …

How Texas Early Childhood Teachers Collaborate To Support Students With Disabilities, Anna Weathers

Walden Dissertations and Doctoral Studies

The problem addressed in this study was it was not known how Texas early childhood special education (EGSE) teachers and early childhood general education (ECGE) teachers use collaboration to identify, place, and support students with disabilities (SWDs). Framed by Colby’s collaboration theory, the purpose of this basic qualitative study was to explore the experiences of Texas ECSE and ECGE teachers when collaborating regarding identification, placement, and support for SWDs. Data were collected in semstructured interviews with 11 ECSE and 11 ECGE teachers who taught in Texas early childhood settings. Data were analyzed using thematic analysis with open coding, leading to …

Higher Education Instructors’ Perspectives On The Challenges Of Implementing Competency-Based Learning In Coursework, Sammie Leo Davis Jr

Walden Dissertations and Doctoral Studies

Higher education instructors face challenges in implementing competency-based learning (CBL) in their coursework. Grounded in Vygotsky’s social constructivist theory, the purpose of this basic qualitative study was to explore the perspectives of higher education instructors on the challenges and their needs to implement CBL in coursework. For this basic qualitative design, semistructured interviews were conducted with 12 higher education instructors who had at least 2 years of experience teaching CBL courses. Data were analyzed using qualitative content analysis and inductive coding to identify codes and categories, with the following five themes emerging: CBL implementation depends on (a) aligned assessment, curriculum …

Una Homecoming 1999, University Of North Alabama

Documents

"Yesterday, Today, and Tomorrow" Homecoming program, 1999.

Una Homecoming 2017, University Of North Alabama

Documents

"Reeling in the Years" Homecoming program, 2017.

Una Homecoming 2009, University Of North Alabama

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"Leo and Una-The Dynamic Duo Heroes in the Making" Homecoming program, 2009.

Una Homecoming 2008, University Of North Alabama

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"Blast from the Past" Homecoming program, 2008.

Una Homecoming 2006, University Of North Alabama

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"Shake Rattle and Roar" Homecoming Program, 2006.

Una Homecoming '89, University Of North Alabama

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"Lion Country-The Pride Continues" Homecoming 1989 Program

Medical Tourism Patient Guidance: A Content Analysis Of Risk Reduction Guidelines Available To Global Health Seekers., Alicia Mason, Angela Ashmore

Faculty Submissions

This study examines medical tourism (MT) patient guidance messages intended to reduce procedural risks—those directly related to biomedical treatments—and process risks, which involve logistical, administrative, and interpersonal challenges of seeking healthcare abroad. The analysis focuses on print and digital publications authored by individuals independent of the MT industry, including policy researchers, travel health experts, lifestyle reporters, and consumer-focused medical travel writers. Using a two-phase digital and database search strategy, 27 publications from 2009 to 2024 were identified and analyzed using exploratory content analysis methods. Findings reveal important differences in the scope and depth of guidance aimed at reducing risks for …

Sidama Women's Perceptions Of Female Genital Mutilation/Cutting And Marital Fidelity, Mekonnen Doyamo

Walden Dissertations and Doctoral Studies

Female Genital Mutilation/Cutting (FGM/C) affects women from the Sidama region of Ethiopia differently from women in other parts of Ethiopia, which results in different physical and psychological consequences. The purpose of this qualitative case study was to explore why the Sidama people’s FGM/C custom differs from that of other parts of Ethiopia. A case study methodology was used to answer the following research question: How does the practice of FGM/C among the Sidama people in Ethiopia differ from that in other regions regarding its cultural significance and rituals? Moreover, how do community attitudes and beliefs surrounding FGM/C among the Sidama …

Implementation Of A Fall-Prevention Clinical Practice Guideline In A Neurological Rehabilitation Center, Ron L. Adolph

Walden Dissertations and Doctoral Studies

This executive summary presents the final plan for implementation of an evidence-based fall-prevention clinical practice guideline on an open neurological rehabilitation unit. It does not propose a new device, a new electronic platform, or a separate education-only initiative. The practice change is the implementation and evaluation of a structured interdisciplinary clinical practice guideline designed to reduce inpatient falls and improve the reliability of daily prevention practices. The unit reports a baseline fall rate of 6.3 falls per 1,000 patient days. Thirty-five staff members from nursing, therapy, and support roles completed the survey, and 57% reported that patients had experienced falls …

English As A Second Language Students’ Perceptions On Their Reasons To Persist In An Adult Learning Program In Connecticut, Laurie Anne Winek

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that 30% of the English as a second language (ESL) students drop out of classes after the first 2 weeks in an adult education program in Connecticut. Grounded in Tinto’s model of student departure, the purpose of this study was to explore ESL students’ perceptions on reasons they persisted in an adult education program in Connecticut. For this basic qualitative design, semistructured interviews were conducted with five students. The data analysis procedures used open coding and categories, with eight themes emerging: ESL students persisted when their instructors cultivated lifelong learning; included …

The Lived Experiences Of Midlife Black Women In Atlanta Managing Hypertension Through Nonpharmacological Interventions, Beth Feagins

Walden Dissertations and Doctoral Studies

In this qualitative phenomenological study, the beliefs and lived experiences of midlife, low-income Black women with hypertension were explored, concentrating on understanding how social determinants of health influence effects adherence to diet, physical activity and stress management. Social determinants of health and how health beliefs shape adherence to behaviors were examined. The study was guided by a dual theory approach of the social cognitive theory and theory of planned behavior. Six women, identified as Black, between the ages 40-60, diagnosed with hypertension and living in Atlanta, Georgia, participated in the study. Data was analyzed using Moustakas’ phenomenological analysis and revealed …

Training Strategies For Employees To Use Electronic Human Resource Management Systems, Anita Wright

Walden Dissertations and Doctoral Studies

Ineffective electronic human resource management (e-HRM) training can weaken HR employees’ ability to use digital human resource (HR) systems that support HR operations, employee services, and workplace efficiency. HR managers in small to medium-sized enterprises (SMEs) recognize that poor e-HRM training undermines employees’ confidence, consistency, and accuracy in HR tasks. Grounded in the technology acceptance model (TAM), the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective strategies some SME HR managers use to train HR employees to use e-HRM systems. The participants were eight SME HR managers in the southeastern United States with experience …

Strings Attached: Science Regulation By Science Funders, Nicholson W. Price Ii

Reviews

Who regulates the physical and informational risks of scientific research? Who makes sure that researchers keep intensely personal data secret, or lock their dangerous chemicals away safely, or don't haphazardly create superviruses that could kill us all? You could be forgiven for assuming it was, well, a regulator—OSHA or the CDC or some similar entity that can promulgate binding rules and enforce them. But as Doni Bloomfield shows in the fascinating How Science Grantmakers Govern, you’d be (mostly) wrong. Instead, a key substantive and procedural regulator of the risky business of scientific research is, in fact, the funder of that …

Postmodern Fantasy & Its Twin Traditions, Skyler J. Alexander

Honors Thesis

Fantasy literature is diverse and difficult to categorize; nevertheless, throughout the twentieth century two main subgenres emerged: sword-and-sorcery and high fantasy. This thesis examines the differences and similarities between these two traditions, how contemporary examples of the genre fit into or diverge away from the traditions that influenced them, and proves in the negative what and how much of contemporary fantasy fiction is original to itself, with no prominent antecedent. The analysis was performed by comparatively reading two contemporary fantasy novels, The Eye of the World by Robert Jordan and A Game of Thrones by George R. R. Martin, with …

Influence Of Lumpectomy Cavity Depth On Plan Quality In 3d Arc-Based Simultaneous Integrated Boost For Whole-Breast Radiotherapy, Emmett Dwyer

Masters Projects

Abstract

Purpose: Dynamic conformal arc (DCA) is a three-dimensional (3D) radiation therapy technique that can be used to deliver a simultaneous integrated boost (SIB) during whole-breast irradiation (WBI). This study investigated whether the depth of the lumpectomy cavity affects the feasibility of creating a successful DCA SIB treatment plan for breast radiotherapy.

Methods and Materials: 30 patients who previously received WBI followed by a 3D sequential boost (SeqB) were selected for this retrospective study. A DCA plan was created for each patient and combined with the original whole-breast tangent fields to create a SIB plan. Each plan was required to …

Mitigation Of The Seductive Details Effect In Children, Allison S. Dobuler

Electronic Theses and Dissertations 2020 - Present

The present thesis examines if interspersing guiding questions between sections of an expository text can mitigate the seductive details effect, in which the addition of interesting but tangentially related information to the base text may hinder the ability to learn the essential material, for typically developing children. Participants were given two passages to read, one with seductive details and one without. They either had no guiding questions for both passages or guiding questions interspersed between the text of both passages. They were given retention and comprehension assessments for both passages. While the guiding questions did not mitigate the seductive details …

A Comprehensive In-Silico Pipeline For The Discovery Of Non-Toxic, Stable Antimicrobial Peptides From Databases For Targeting Multi-Drug Resistant K. Pneumoniae, Pranab D. Sharma, Abdullah A. Noman, Al Hafiz

Faculty Articles

The rapid emergence of multidrug-resistant Klebsiella pneumoniae has significantly reduced the effectiveness of conventional antibiotics, highlighting the need for alternative therapeutic strategies. This study employed a comprehensive in silico pipeline to identify antimicrobial peptides (AMPs) targeting the essential DNA replication initiator protein DnaA. A total of 28,361 peptide sequences were collected from publicly available AMP databases and sequentially filtered based on peptide length, net charge, GRAVY score, instability index, antimicrobial activity, toxicity, hemolytic potential, aggregation propensity, sequence similarity and favorable amphipathic properties. Four peptides satisfied all selection criteria and were subjected to structural prediction, membrane-binding analysis, protein–DNA docking, protein–peptide docking, …

Experiences Of Novice Assistant Principals: Perceptual Evidence From Texas, Gregory Vidal

Electronic Theses and Dissertations

Assistant principals play essential roles in supporting instructional leadership and campus operations. However, limited research has examined how novice assistant principals experience their transition into administration and interpret their preparation and support. This study addressed the gap in understanding how novice assistant principals in a suburban Texas public school district made sense of their preservice preparation and early leadership practice, and how these experiences shaped their perceptions of training and organizational supports. The purpose of this qualitative, experiential, phenomenological study was to explore the lived experiences of novice assistant principals during their first three years in the role. The study …

Creating Sustainable School And Home Gardens: Creating An Outreach Booth, Aurora Hughes Villa, Tyelar Haines, Rita Hagevik, Kathy Cabe Trundle, Michelle Parslow

All Current Publications

An outreach booth is a physical presentation that allows your audience to learn more about a subject and how they can participate. It provides information on a topic (e.g., an environmental issue or a community project) through direct interaction with experts in the field. Through this approach, people become engaged, and discussions emerge that foster a sense of community around the topic. Interested in creating one for yourself? Follow the steps outlined in this fact sheet.

Emergency Reinfusion Of Vaginally Salvaged Red Cells After Vacuum-Assisted Vaginal Delivery In A Jehovah's Witness: A Case Report, William Hughes

Peninsula Medical School

Perinatal blood management is critical for all obstetric patients as peripartum haemorrhage is common, unpredictable, and consequences can be severe. Patients who do not consent to allogeneic transfusion of blood products introduce additional complexity and are at greater risk of morbidity and mortality. There is growing evidence that reinfusion of autologous blood salvaged from vaginal deliveries is safe and can be lifesaving. Delivering this potentially lifesaving care requires that staff well trained in intraoperative cell salvage are always resident on the delivery suite, and that the delivery suite multidisciplinary team is familiar with the procedure. Here we present a case …

Development And Evaluation Of Personalised Post-Diagnostic Dementia Support Based In Primary Care: The D-Pact Research Programme, Tomasina M. Oh, Hannah Wheat, Richard Byng, Sarah Morgan-Trimmer, Michael Clark, Sarah Griffiths, Paul Clarkson, Victoria Allgar, Angela Bate, Saqba Batool, Rebecca Beresford, Noor Butt, Joseph Coombes, Siobhan Creanor, Sonia Dalkin, Zoe Doran, Nicolas Farina, Leanne Greene, Alex Gude, Margaret Hart, Jane Horrell, Basharat Hussain, Wendy Ingram, Hannah Jones, Reena Lasrado, Tanya Lee, Baber Malik, Rosemarie Mccabe, Antonieta Medina-Lara, Nia Morrish

Peninsula Medical School

Background: Dementia affects nearly 1 million people in the United Kingdom and their unpaid carers physically, psychologically, socially and economically, highlighting that both need support. Post-diagnostic support is recognised as inadequate globally. In England, it is fragmented or absent apart from primary care – leaving many feeling unsupported as the condition progresses. The Dementia PersonAlised Care Team research programme began in 2018 to address evidence gaps on the effectiveness of dementia support roles and what constitutes ‘good’ support. Objective: Dementia PersonAlised Care Team aimed to develop and evaluate an intervention comprising dementia support workers based in primary care, supporting people …

Perilaku Merokok Dan Paparan Informasi Bahaya Merokok Di Media Pada Penduduk ≥15 Tahun: Analisis Potong Lintang Gats Indonesia 2021, Hana Aulia Putri, Izza Nayla Paramitha, Nuha Nazeeha, Rahma Amalia

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. Smoking remains a significant health problem in Indonesia. Although anti-smoking information is disseminated through various media, exposure levels and effectiveness among adults are not clearly documented.

Objective. To describe the proportion of anti-smoking information exposure among Indonesian adults by media type (television, radio, billboards, newspaper/magazines, internet, and others) and compare exposure between smokers and non-smokers using GATS 2021 data.

Methods. Cross-sectional study using Global Adult Tobacco Survey (GATS) Indonesia 2021 data. A total of 9,156 respondents aged ≥15 years were analyzed descriptively to determine exposure proportions by smoking status across multiple media channels.

Results. Television showed the highest exposure …