Digital Commons Network^™

The Relationship Between Morality, Perceptions Of Self And Others, And Purpose In Life: A Moderation Analysis, Ashley Burgess Leininger

Doctoral Dissertations and Projects

Morality is an understudied construct in psychological research, despite its fundamental role in shaping human behavior and self-perception. This quantitative study examined whether purpose in life moderated the relationship between morality and perceptions of the self and others. Two hypotheses were tested, H1: There will be a relationship between morality and perception of self and others; H2: Purpose in life will moderate the relationship between morality and perception of self and others. Ninety-one individuals recruited through Amazon Mechanical Turk completed the Purpose in Life scale (PIL), Moral Foundation Questionnaire (MFQ30), Rosenberg’s Self Esteem Scale (RSES), and the Collective Self-Esteem Scale …

Motivation To Hunt: A Qualitative Semiotic Analysis Of Moral Conflict Theory And Social Judgment Theory Of Influential Women Hunters On Instagram, Brittany Alexandra Hosmer Longoria

Doctoral Dissertations and Projects

This qualitative research investigates the motivations of women hunters on Instagram through semiotic analysis grounded in moral conflict theory and social judgment theory. Hunting is primarily male-dominated, but the emergence of women hunters on social media challenges stereotypes and shines new light on the dynamics between gender roles, ethics, and public perceptions of the values of nature. The study examines visual symbolism, focusing on how women hunters navigate moral conflicts and social judgment in an increasingly polarizing digital landscape. Through semiotic analysis and personal interviews, the research identifies themes including motivations to hunt, which often respond to or preempt criticism …

A Transcendental Phenomenological Study Of The Experiences Of Female Charter School Leaders' Socialized Traits On Career Trajectory And Student Success, Michelle Berry

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of female charter school leaders in California charter schools. The theory guiding this study was Crenshaw’s intersectionality theory, as it emphasizes the complexity of an individual’s experience due to overlapping biases faced by those in disadvantaged groups. The central research question explored how gender disparities in leadership roles and the influence of societally conditioned feminine character traits impacted female charter school leaders. Participants for this study were 11 females who have served as leaders in California charter schools within the last eight years. The data collection process …

A Chaplain-Specific Care Plan For Addressing Moral Injury And Promoting Holistic Well-Being In Nurses That Have Transitioned From Hospital Care To Hospice Care, Franklin Hicks

Doctoral Dissertations and Projects

This thesis project, “A Chaplain-Specific Care Plan for Addressing Moral Injury and Promoting Holistic Well-Being in Nurses That Have Transitioned from Hospital Care to Hospice Care,” addresses the lack of chaplain-led interventions for nurses suffering from moral injury. Many nurses who transitioned from hospital to hospice care reported ongoing moral residue from ethically distressing events in acute settings. The purpose of this project was to evaluate the effectiveness of a spiritually grounded care plan, developed and facilitated by a board-certified chaplain, to address these moral wounds and promote holistic well-being among hospice nurses.

Twelve hospice nurses in West Tennessee participated …

Exploring Academic Motivation In Students With Intellectual Disabilities Through The Experiences Of Teachers: A Phenomenological Study, Brett Franz O'Brien

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to discover the lived experiences of teachers when addressing the academic motivation of elementary-aged children with intellectual disabilities in suburban Eastern North Carolina. The theory guiding this study was Ryan and Deci’s self-determination theory, which explains that people can be intrinsically motivated, extrinsically motivated, or have amotivation. The central research question of this hermeneutic phenomenology was “What are the lived experiences of teachers when addressing the academic motivation of elementary-aged children with ID in suburban Eastern North Carolina?” The study focused on the lived experiences of 10 teachers in Eastern North Carolina who …

An Analysis Of Sport Science Practices And Standards In Collegiate Football, Corey F. Fitzgerald

Doctoral Dissertations and Projects

This dissertation presents the findings of a survey that identifies the sport science practices and standards utilized in National Collegiate Athletic Association (NCAA) football programs. In total a fifty-two item survey instrument was administered that examines seven sections, including (i) demographics, (ii) current sport science practices, (iii) advanced technology, (iv) decision-making processes, (v) health and wellness, (vi) budget and resources, and (vii) comments. All generated numerical data was organized into a statistical analysis program, SPSS Statistics v 29.0.2.0 (© IBM Corporation). Correlations were conducted on data gathered from Likert Scale questions, using Spearman test. Additionally, comprehensive non-numerical subjective data was …

Staged Reconstruction And Salvage Of A Small Finger With A Corticocancellous Distal Radius Autograft: A Case Report, Emmanuel Franco, Zayd Ayas, Frank Gerold

School of Medicine Publications

Finger reconstruction in the aftermath of severe trauma poses significant challenges in restorative surgery, particularly when addressing extensive soft tissue damage, comminuted fractures, and simultaneous neurovascular complications. This study presents a case of a patient with a complicated proximal phalangeal fracture who pursued digit salvage.

A 31-year-old Hispanic woman sustained severe injury to her right fifth digit during an all-terrain vehicle (ATV) rollover resulting in an exposed, comminuted fracture of the proximal phalanx with extensive structural and neurovascular compromise. She pursued digit salvage despite a high risk of failure and complication. The patient underwent four operations over a six-month period, …

Trauma-Informed Teaching Guidebook A Resource For Supporting Students, Autumn Shipley-Mellon

Masters Projects

Many students in the K–12 education system have experienced trauma, yet schools often lack the tools and structures to adequately support them. This project addresses that gap by creating a trauma-informed teaching guidebook for educators. Grounded in current research on Adverse Childhood Experiences (ACEs) and trauma’s effects on child development, the guidebook provides practical, easy-to-implement strategies. It focuses on building supportive relationships, creating safe and predictable environments, managing behavior with empathy, and designing classrooms that foster emotional regulation and connection. The goal is to support both student well-being and teacher effectiveness. The guidebook is intended to be shared with educators …

Governance Of Polygenic Embryo Screening: A Qualitative Study On The Perspectives Of Clinicians And Patients, Jason Bach, Jonathan Frumovitz, Dorit Barlevy, Rémy A Furrer, Abigail Martinez, Ana Battaglino, Shai Carmi, Todd Lencz, Gabriel Lázaro-Muñoz, Stacey Pereira

Center for Medical Ethics and Health Policy Staff Publications

Objective: To investigate the perspectives of stakeholders on their attitudes toward potential regulation of polygenic embryo screening (PES), a new form of preimplantation genetic testing that is used to screen embryos for the genetic chances of developing medical conditions and nonmedical traits involving hundreds or thousands of genes.

Design: We conducted individual, semistructured interviews and analyzed transcripts using thematic analysis.

Subjects: Twenty-seven US-based reproductive endocrinology and infertility specialists and 26 patients who were currently undergoing in vitro fertilization or had within the past five years.

Main outcome measures: Repeating ideas and patterned responses were organized into themes and subthemes.

Results: …

Does Spirituality Mediate Or Moderate The Adverse Effects Of Occupational Stressors On Mental Health In Law Enforcement Officers?, Erika D. Keplinger

Doctoral Dissertations and Projects

Law enforcement officers are often exposed to occupational stressors that can negatively affect their mental health and job performance. Spirituality has been thoroughly researched as a restorative method to improve physical and psychological health concerns. There has also been an increase in studies on workplace spirituality. The existing research on workplace spirituality suggests that incorporating spirituality into the workplace increases employee well-being and decreases stress and burnout. Unfortunately, research on police culture often neglects spirituality. There is little research to show how spirituality could mediate or moderate the adverse effects of mental health on law enforcement officers. This quasi-experimental, cross-sectional, …

Investigating The Practice Of A Somatic, Mindful Christian Prayer And Breathing Practice On Public Speaking Anxiety, Robyn L. Middleton

Doctoral Dissertations and Projects

This randomized controlled trial investigated the effectiveness of a mindful Christian prayer practice (The Jesus Prayer) combined with slow diaphragmatic breathing on communication anxiety. Participants (N = 80) included university students and members of the general public aged 18-60 who experience public speaking anxiety. Measurements included self-reported speech anxiety and heart rate variability (assessed via the WellHero app). Repeated measures ANOVAs revealed that the mindful prayer practice had no significant effect on participants' self-reported speech anxiety or RMSSD heart rate variability. A statistical trend of lower Baevsky’s Stress Index (another variable WellHero provided) was observed in the intervention group. This …

The Impact Of Cello Training On Spatial Orientation Abilities In Adult Learners, Circe Diaz Gamero

Doctoral Dissertations and Projects

Academic discourse lacks exploration of the effects that musical training during adulthood has on spatial orientation abilities through their connection between cognitive science and music education. This study seeks to address this knowledge gap through research that evaluates cello training effects on spatial orientation abilities in adult learners. The rising interest in non-medicine-based methods for brain function improvement and recovery establishes the urgent need to research possible cognitive advantages that occur when adults participate in music education. This research study adopted a convergent mixed-methods approach that studied adults with minimal musical background in an eight-week structured cello training program, aiming …

The Impact Of Cold-Water Immersion On Mental Health: A Qualitative Study, Marcus Jean-Francois

Doctoral Dissertations and Projects

Historically, Cold Water Immersion (CWI) was used for physical therapy and is now a potential non-pharmacological intervention for mental health illnesses such as depression, stress and anxiety. In this study in Kota Kinabalu, Sabah, Malaysia, we examined the personal experiences on the psychological impact of CWI on mental health. We examined twelve participants between 20-35 years of age that had a self-diagnosed mental illness to participate in six CWI sessions over the span of three weeks. This study predicts that CWI will have a significant reduction in their mental health illness compared to baseline levels. Employing a Hermeneutic Phenomenological approach, …

Post-War Traumatic Events Of Previously Incarcerated And Homeless Veterans: A Phenomenological Study Of Their Experiences Pauline Anne Leblanc Liberty University A Dissertation Presented In Partial Fulfillment Requirements For The Degree Of Doctor Of Education School Of Behavioral Sciences, Pauline Anne Leblanc

Doctoral Dissertations and Projects

The importance of this phenomenological study explains why veterans' homelessness and incarceration remain a significant problem in American Society. The purpose of the study was to describe the experiences of homeless/incarcerated veterans. The study also examined the lack of needed healthcare services for veteran prisoners and ex-offenders. Incarcerated and homeless veterans are at risk for various adverse outcomes after their release, such as a range of physical, mental, and other psychosocial problems, including moral injury. The study employed a descriptive phenomenological design, utilizing various data collection methods, including a demographic questionnaire and one-on-one interviews, which were audiotaped. Selected and interviewed, …

The Columbus Civil Rights Movement: Dr. Brewer, The Naacp, And Direct Action, Laura Beth Irvin

Doctoral Dissertations and Projects

The Civil Rights Movement in Columbus, Georgia, began in the early 1900s. Historians have typically excluded Columbus from discussions of impactful or powerful movements that created radical changes, but Columbus made sweeping changes to the Civil Rights Movement. African Americans in Columbus took advantage of direct-action protests, and the local NAACP transformed the white Democratic primary in Columbus, improved the living environments of black citizens, and authorized the hiring of black citizens as black police officers. It was a movement poised to confront the segregated school system during the passage of Brown v. Board in 1954 until the death of …

Parental Participation In A Christian Homeschool Co-Opertaive In A State In The Southeastern Us: A Single-Case Study, Emily E. Fowler

Doctoral Dissertations and Projects

The purpose of this qualitative, single-case study was to explore parental participation in a Christian homeschool co-operative in a state in the Southeastern US, identified by the pseudonym Hope Homeschool Co-op. Christopher Watkin’s biblical critical theory guided this research, emphasizing how the Bible’s unfolding story centers around a relational God. This study examined the importance of having a Christian community to parents participating in Hope Homeschool Co-op. Using a single-case study approach, data were collected from 14 homeschooling mothers who had enrolled their families in Hope Homeschool Co-op during the 2024-25 academic school year. The Central Research Question asked, “What …

Investigating “Sled Head” Phenomenon And Diurnal Patterns In Team Usa Bobsleigh And Luge Athletes: A Virtual Research Study, Garrett R. Augsburger

Doctoral Dissertations and Projects

This study investigated the relationship between training time, performance, and concussion symptoms among Team USA bobsleigh and luge athletes during a four-week training season. Recognizing the high physical demands and potential risks associated with sledding sports, the study aimed to understand the prevalence of concussion-related experiences and how training schedules might influence athletic performance and symptomology. Repeated measures quantitative design was employed using session-level survey data submitted by athletes following daily training sessions. Data was collected through a structured questionnaire assessing variables such as performance rating, fatigue, alertness, training intensity, sleep quality, and concussion symptoms. A total of 156 sessions …

An Analysis Of The Health Disparities For Traumatic Brain Injury Care In Urban Vs. Rural Populations, Jeremy R. Russell

Doctoral Dissertations and Projects

The purpose of this quantitative research study was to examine how disparities between urban and rural environments impacted the amount, onset, and duration of care received by patients with mild traumatic brain injury, as well as differences in demographic characteristics such as age and gender. Mild TBIs, often referred to as concussions, involve a temporary disruption in brain function resulting from external force, leading to symptoms like confusion, dizziness, or memory issues. Guided by critical theory, this study explored how systemic structures contributed to unequal healthcare experiences. Since TBIs remained a leading cause of disability and death with potential long-term …

The Primacy Of Revelation 21:1-7 As Declared In The Covenant Formula As A Theological Mosaic Of Creation, Covenant, And The Metanarrative Of God’S Plan In Scripture, Paul E. Hinsberg

Doctoral Dissertations and Projects

This dissertation examines the theological significance of Revelation 21:1-7, as defined through the theological mosaic of creation, covenant, and the metanarrative of God's plan in Scripture, as embodied in the covenant formula. The study examines the covenant formula's role in the Old Testament, focusing on its appearances and variations, and how it interacts with surrounding texts to convey theological themes. The analysis extends to the New Testament, ultimately focusing on Revelation 21:1-7, where the covenant formula appears uniquely as direct utterances by God. The dissertation argues that Revelation 21:1-7 should be viewed as a declarative statement of God's culminating act, …

A Predictive Correlational Study Of The Relationship Between International School Teachers’ Interest, Self-Efficacy, And Attitudes And Their Use Of Differentiated Instruction, Abigail H. Johnson

Doctoral Dissertations and Projects

The purpose of this quantitative predictive correlational study was to examine the predictive ability of teachers’ interest, self-efficacy, and attitudes toward differentiated instruction and their use of differentiated instruction among teachers in international schools in Asia. This study is important because it adds to the existing literature regarding teachers’ use of differentiated instruction in international schools in Asia. The sample was composed of 111 participants across international schools in countries in Asia, including Cambodia (3.60%), China (8.11%), India (2.70%), Indonesia (7.21%), Japan (3.60%), Malaysia (6.31%), Myanmar (8.11%), Philippines (3.60%), Singapore (9.91%), South Korea (6.31%), Taiwan (11.71%), Thailand (27.03%), Vietnam (1.80%). …

Spectrum Analysis Of Thermally Driven Curvature Inversion In Strained Graphene Ripples For Energy Conversion Applications Via Molecular Dynamics, James M. Mangum, Md R. Kabir, Tamzeed B. Amin, Syed M. Rahman, Ashaduzzaman, Paul M. Thibado

Physics Faculty Publications and Presentations

The extraordinary mechanical flexibility, high electrical conductivity, and nanoscale instability of freestanding graphene make it an excellent candidate for vibration energy harvesting. When freestanding graphene is stretched taut and subject to external forces, it will vibrate like a drum head. Its vibrations occur at a fundamental frequency along with higher-order harmonics. Alternatively, when freestanding graphene is compressed, it will arch slightly out of the plane or buckle under the load. Remaining flat under compression would be energetically too costly compared to simple bond rotations. Buckling up or down, also known as ripple formation, naturally creates a bistable situation. When the …

Covid-19 Prevention Behaviors Are Congruent Within Social Networks Of Disenfranchised Hispanic And Criminal Legal Involved Community Members, Victoria Umutoni, Khavita Bhavan, Nickolas Zaller, Amelia Knopf, Moctezuma Garcia, Russell A. Brewer, Makenna Meyer, Faye Taxman, O’Dell Johnson, Matthew Aalsma, John Schneider

Faculty Research, Scholarly, and Creative Activity

The COVID-19 (COVID) pandemic has had a disproportionate impact on people who have low income and identify as Hispanic or Latinx (PLIH) as well as those with criminal Legal Involvement (CLI). These two groups, and their intersection, are often disenfranchised from livable wage employment, basic social services, and healthcare, which are vital to prevent the spread of COVID. We examined baseline data from the Community Network-Driven COVID Testing of Marginalized Population in the Central US (C3) which included 1036 participants: 32.1% PLIH, 39.6% CLI, 10.6% who identified as both PLIH and CLI, and 17.6% who were neither PLIH nor CLI. …

Has Regional Hospital Autonomy Achieved Its Goals? Lessons Learned From Indonesia: A Systematic Review, Masyitoh Basabih, Indriaswari Widhakuswara

Kesmas

This study examined the impact of hospital autonomy implementation on the performance of regional public hospitals in Indonesia, particularly in terms of efficiency, effectiveness, and governance. A systematic review of 32 peer-reviewed studies published between June 12 and September 6, 2023, was conducted using Garba Rujukan Digital and Google Scholar, following PRISMA guidelines. Studies addressing financial performance, service outcomes, and challenges related to implementing autonomy were included. The findings indicated that while autonomy led to improvements in infrastructure, service types, visit volumes, and hospital revenues, it had only a marginal impact on improving key health performance outcomes, such as service …

Barriers To Implementing Comprehensive Sexuality Education As A Strategy To Prevent Adolescent Pregnancy In Indramayu District, Indonesia, Een Kurnaesih, Chahya Kharin Herbawani, Nelly Febriani

Kesmas

The implementation of comprehensive sexuality education (CSE) is not optimal. This qualitative study aimed to identify and contextualize barriers to CSE implementation, specifically in Indramayu District, Indonesia. Conventional content analysis procedures were used. Seven participants, consisting of relevant authorities, were interviewed. A purposive sampling technique was employed to select participants. Data were collected through in-depth, semi-structured interviews. All interviews were recorded and transcribed verbatim. Data were analyzed using conventional qualitative content analysis. The barriers to CSE implementation in Indramayu District were identified across five themes: advocacy, technical considerations, coordination and collaboration, integration with other sexual and reproductive health projects, and …

Understanding User Needs In Health Crisis Risk Monitoring Information System Development: A Lesson From Tasikmalaya District, Indonesia, Arief Tarmansyah Iman, Hari Kusnanto, Ariani Arista Putri Pertiwi

Kesmas

A health crisis risk monitoring information system needs to be developed, especially during the pre-disaster phase; therefore, understanding the needs of prospective users is crucial. This study aimed to investigate the needs of potential users regarding the development of this system. This study employed a qualitative, exploratory approach to gather user needs from stakeholders through interviews (n = 7) and one focus group discussion (n = 12). The data were audio-recorded, transcribed verbatim, and then thematically analyzed using qualitative content analysis. The need for information was related to disaster preparedness and its preferred format. The system should be targeted, multiplatform, …

Experiences Of Elderly Living With Noncommunicable Diseases In Utilizing Health Services In Myanmar During The Covid-19 Pandemic, Nway Eint Chei, Kwanjai Amnatsatsue, Natkamol Chansatitporn, Ariya Bunngamchairat

Kesmas

The COVID-19 pandemic and armed conflicts in Myanmar have intensified the challenges in accessing and utilizing health services, particularly for noncommunicable diseases (NCDs) among older adults. This qualitative study explored the experiences of the elderly with NCDs regarding health service accessibility and utilization in secure areas with fully operational health facilities by conducting in-depth interviews with 20 eligible older adults in Myanmar; data were analyzed using content analysis. Four key themes emerged: NCD service utilization patterns; unmet needs; preferences and hesitancy toward NCD services; and disparities, barriers, and opportunities. The findings revealed widespread underutilization of NCD services due to several …

Government Health Spending And Life Expectancy: Evidence From Cities And Districts In Indonesia, Kurnia Sari, Budi Hidayat, Amal Chalik Sjaaf, Mardiati Nadjib

Kesmas

Life expectancy is widely recognized as a fundamental indicator of population health, and its improvement is often linked to government health spending, particularly in decentralized health systems. This study aimed to investigate the relationship between local government health expenditures and life expectancy in decentralized Indonesia. Data from 492 cities and districts, spanning from 2015 to 2019, were analyzed using a two-way fixed effects regression model to control for time-invariant district characteristics and common temporal shocks. The findings indicated that a 10% increase per capita in government health expenditure was associated with a 0.01% increase in life expectancy. This association was …

Public Benefits Cliffs And Asset Limits Harm The Economic Mobility Of Young Adult Workers, Stephen Roll, Mathieu Despard, Guangli Zhang

Center for Social Development Research

At its best, the public benefits system in the United States helps families avoid poverty’s most severe effects while also giving them a hand up. But the system also can keep working families in poverty. Workers may want to earn more money, take better jobs, or save for the future, but doing so can raise their income above program limits, causing workers to lose the benefits they and their families need to survive. This is known as the benefits cliff. This brief draws upon data from the Workforce Economic Inclusion and Mobility survey to explore how benefits cliffs and related …

The Leader And Employee: A Public Administration Study On Legitimacy In Small To Medium-Sized Municipal Governments, Dustin Bovee

Doctoral Dissertations and Projects

The purpose of this empirical study was to investigate how municipal government administrative leaders’ effectiveness, value creation, innovation, ethical behavior, fairness, contributions, role alignment with duty expectations, trust, and support influence their employees’ perceptions of leader legitimacy. The target population consisted of public service employees working in two county governments and four city governments in Western Colorado. The theory guiding this study is the Leader-Member Exchange (LMX) theory, which offers a nuanced framework for examining factors influencing employees’ perceptions of legitimacy for their leaders. The study explored the factors that influence employees’ perception of leader legitimacy within municipal government departments. …

Low-Impact Functioning Autism And Psychotropic Medications, Angela N. Butler

Doctoral Dissertations and Projects

From the onset of the discovery of its existence, studies provided additional information pertaining to autism spectrum disorder (ASD), its influences on a child’s growth, everyday performance, including the capability to interrelate with people. Studies on appropriate medications to prescribe to ASD youth have yielded questionable results. Objective: This study’s purpose was to address adverse effects as an overall issue and re-evaluation of the psychotropic medications prescribed to Low-Impact ASD (LIASD) youth. Additionally, this study examined the process of diagnosing and supporting the reclassification of autism. Method: A mixed-methods design was employed, to review prescribed medications and determine the relationship …