Digital Commons Network^™

Discerning Moral Injury, Alexandra A. Merletti

UNLV Theses, Dissertations, Professional Papers, and Capstones

Moral injury is a recently developed psychological construct used to explain trauma that cannot be adequately explained by post-traumatic stress disorder (PTSD). It arises from experiences in which sufferers feel that they have violated deeply held moral beliefs and has multiple negative long term health and professional consequences for individuals affected. In order to better understand moral injury, this study seeks to understand how it is identified in individuals by others and utilizes Christie’s (2018) Ideal Victim Theory and Gray and Wegner’s (2009) Moral Typecasting Theory as a theoretical framework. Participants for this study were 374 undergraduate students at the …

Effectiveness Of A Virtual Simulation Program As A Novel Approach To Improve Clinical Judgment In Prelicensure Nursing Students, Monica Millard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Limited clinical placement opportunities for practicing decision-making skills have widened the academic-practice gap. Research shows a disturbing decline in entry-level competency among newly graduated registered nurses. Innovative strategies like virtual patient simulation may foster decision-making skills and prepare prelicensure nursing students for practice. However, research is lacking in examining virtual patient simulation (VPS) as an effective approach for developing clinical judgment in prelicensure nursing students. The American Association for Academic Nursing has determined that clinical judgment is an essential nursing attribute. Moreover, the National Council of State Boards of Nursing developed the Next Generation National Council Licensure Exam based …

Seated Athletes' Motivation For Participation In Wheelchair Sports: A Qualitative Study, Audrey Lynn Miller

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose for this phenomenological design qualitative analysis was to gain an understanding of the perspectives of seated athletes’ motivation for participation in adapted athletics and argues that there is a component of seating that affects motivation. Occupational therapists build client interventions using meaningful occupations. This study aimed to increase awareness of adapted athletics impact on occupational performance. There was a gap in the literature for qualitative research exploring the lens of adapted sports participation through the perspective of seated athletes. This study utilized one-time individual semi-structured interviews with five participants that currently participate on a wheelchair court sports team …

Behavioral Health, Mental Health, And Overall Well-Being Of Informal Caregivers Before And After The Covid-19 Pandemic, Zahra Mojtahedi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Informal caregivers, such as relatives or close friends, are vital for maintaining the welfare of the individuals they provide care for. However, caregiving can be difficult and stressful that adversely impacts caregivers’ health. The extra stress brought on by the COVID-19 pandemic can potentially aggravate health problems, particularly mental health. The current research aimed to nationally analyze whether the COVID-19 pandemic was significantly associated with behavioral health (physical activity and smoking), mental health (worrying, nervousness, hopelessness, little interest, and psychological distress score), and the perception of overall well-being among informal caregivers in the United States. Whether behavioral health could mediate …

Feasibility Of An Occupation-Based Intervention Manual For Outpatient Hand Clinics, Mia Moralez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

The purpose of this quality improvement study was to determine the usefulness of an Occupation-based Intervention Manual (OBI) for hand therapists in Southern Nevada and if the utilization of the OBI manual supported client-centered outcomes regardless of diagnosis, age, or population.

Methods

Convenience sampling was used, and five participants met the inclusion criteria in the twelve-week study. Pre-interview questionnaire responses from the therapists were used to develop the OBI manual content and corresponding Utilization Tracker. Post-interview questionnaire responses were used to determine the application and outcomes of the OBI manual. Descriptive statistics, frequency distribution, and thematic analysis were used …

Dismantling The Stigma Of "Strong Black Girl" & "Strong Black Boy:" Cultural And Gender Differences In Trauma And Suicidality Among Black Adolescents, Tiffany Mosier-Hunter

UNLV Theses, Dissertations, Professional Papers, and Capstones

Trauma exposure has been linked to a plethora of negative outcomes, including suicidality. Despite the abundance of research on the effects of trauma, little is known about its relationship with suicidality among adolescents. Moreover, even less research examines cultural and gender specific risk factors among Black adolescents. This study was founded on the cultural model of suicide, and the gendering of suicide theory, suggesting that suicidality in minority populations is influenced by cultural experiences (i.e., traumas) and perceptions of suicide, as well as gender differences that dictate where Black adolescents fall on the suicide spectrum. Using archival data (e.g., YRBSS) …

Occupational Therapy-Led Development Of Life Skills Coaching Course On Resources For Educational Attainment To Foster Independent Living Among Youth Aging Out Of Foster Care, Joana Naguit

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project focused on addressing the competence of foster youth in their independent living skills, particularly, educational attainment skills. Delivered in a blended learning format, a life skills coaching course focused on educational attainment resources was proposed to address the long-term challenge of poor educational attainment among foster youth at Bamboo Sunrise, a specialized foster care agency in Henderson, NV. Participants completed brief didactic work in the form of video and PowerPoint lectures followed by the evaluation of their comprehension and skills through questionnaires and competencies. Competency evaluations simulated hands-on workshops structured weekly to promote skill mastery and application …

Needs Assessment For Implementation Of A Dedicated Admission And Discharge Nurse Position, Connie Ngo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Patient turnover refers to when patients are admitted, discharged, or transferred to or from a clinical unit or another facility. Rapid patient turnover compels nurses to provide care in an environment where clinical demands exceed nursing care capacity. The excess of clinical demands can lead to rationing of nursing care and culminate in nursing stress and dissatisfaction. These negative effects on the nursing workforce subsequently have undesirable implications for patient and hospital outcomes. Implementation of a dedicated admission and discharge nurse (ADN) position can optimize patient flow, improve nursing satisfaction, and ultimately promote positive patient outcomes. Purpose: The purpose …

Providing Parent Education On School-Based, Social-Emotional Learning Programs To Increase Parents’ Self-Efficacy For Managing Aversive Behaviors, Cerena Obra

UNLV Theses, Dissertations, Professional Papers, and Capstones

There is limited evidence on the imperative role that caregivers play in social-emotional learning development for effective social-emotional learning program implementation despite their crucial influence on childhood development. This doctoral project explored the effects of parent education for two school-based, social-emotional learning program techniques on caregivers’ self-efficacy in managing aversive behaviors. This doctoral project discusses aversive behaviors, social-emotional learning, the Zones of Regulation and Friendzy social-emotional learning programs, caregiver education, and caregiver self-efficacy. This project highlights the importance of including caregivers in effective school-based social-emotional learning programs by exploring caregivers' self-efficacy when provided education on school-based social-emotional learning techniques.

Understanding The Role Of First Year Experience Courses In The Persistence, Retention, And Completion Of Latinx Hsi Community College Students, Luis Ortega

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this single phenomenological case study was to examine the importance of an FYE or College 101 seminar and why this topic matters to Latinx students’ success. The research took place in a two-year Hispanic Serving Institution (HSI) located in the Southwest part of the United States. The overarching question was: How can First-Year Experiences (FYEs) or college seminars bridge the gap of retention, persistence, servingness and completion for Latinx students in higher education?

A total of 18 Latinx students were interviewed and provided valuable information about their experiences to assert the study findings. Four major themes were …

“Everyone’S Favorite Dead Girl”: Historical Crime Fiction And Postwar Policing In James Ellroy’S The Black Dahlia, Mauricio Ortiz Zaragoza

UNLV Theses, Dissertations, Professional Papers, and Capstones

This thesis argues for the importance of crime fiction as a major literary genre with global reach. Taken as a whole, crime fiction acts as a vehicle for exploring macro-level questions of social structures, political-economic processes and power relations. Within that genre, I claim that James Ellroy is a key figure who writes at the intersection of the historical novel and literary noir. As the first work in his L.A. Quartet (1987-1992), The Black Dahlia fictionalizes the investigation of the city’s most famous unsolved homicide—the gruesome murder and mutilation of Elizabeth Short. The novel, however, uses the investigation as a …

A Sensory Room Protocol For Snf Staff To Improve Confidence With Emotional Regulation In Adults With Cognitive Challenges: Through An Occupational Therapy Perspective, Marisa Pagan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adult sensory rooms are an emerging area of practice for occupational therapy, as this holistic approach uses sensory tools for input to one or more of the five senses, which promotes emotional regulation in individuals seeking calming and alerting outcomes. This sensory protocol proposal was created to assist healthcare workers within a skilled nursing facility and provide a tool that could be utilized in various settings to increase awareness of adult sensory rooms.

Methodology This quality improvement protocol project was conducted at Henderson Health and Rehabilitation to determine the need for and develop a protocol for an adult sensory room …

Increasing Swim Instructors' Perceived Knowledge Of Sensory-Based Strategies When Coaching Children Who May Have Sensory Differences, Gabrielle Palmer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although swim instructors are solely taught water safety regulations and correct swimming techniques, they are nonetheless viewed as mentors by the kids they work with. They are required to finish both their basic swim instructor (BSI) course and their cardiopulmonary resuscitation (CPR) certification, which primarily covers the fundamentals (American Red Cross Training Services, 2023; Kraft & Leblanc, 2018). However, neither provides a method of teaching swimming to children who might have sensory processing differences. This lack of education may affect both the child's participation and the swim instructor's capacity to impart knowledge. Research revealed that swim instructors are not very …

Computational Study For Tissue-Specific Dosimetric Quantities Of Secondary Radiation For Mars Exploration, Sungmin Pak

UNLV Theses, Dissertations, Professional Papers, and Capstones

The two main sources of primary space radiation, Galactic Cosmic Rays (GCRs) and Solar Particle Events (SPEs), encompass a spectrum of ions, ranging from protons (Z=1) to nickel ions (Z=28), with energies spanning from less than 1 keV to exceeding a few TeV. While SPEs represent sporadic events primarily comprised of a high flux of low- to intermediate-energy protons, GCRs are characterized by continuous low flux of diverse ions with higher energies, peaking in intensity near the solar minimum. During a Mars mission, astronauts will encounter primary particles of high energy from GCR and SPE spectra, capable of penetrating spacecraft …

Development Of A Health Management Program For International Students And Scholars Using Occupational Therapy Lens, Bo Park

UNLV Theses, Dissertations, Professional Papers, and Capstones

Health management (HM) is essential to staying healthy. Many parts involve internal abilities, such as the cognitive ability to detect illness internally. However, knowing external sources is equally necessary to perform HM independently, such as knowing how to use health insurance and which healthcare services to use for specific symptoms. As HM is closely related to health and independence, occupational therapy recently expanded the practice by including the occupation of health management.

The International Students and Scholars (ISS) population has been often discouraged from performing parts of HM due to many cultural barriers and differences that exist in HM across …

Boron-Doped Diamond As A Resilient Electrode Material In Molten Salts, Hannah Katherine Patenaude

UNLV Theses, Dissertations, Professional Papers, and Capstones

Molten salt chemistry has a range of applications within nuclear technology, including for the Molten Salt Reactors (MSRs) and pyroprocessing to recover valuable actinides for energy and national security needs. However, the high-temperature, corrosive nature of molten salts makes them particularly challenging to deploy on an industrial scale and study in benchtop measurements. Material accountability and corrosion monitoring of MSR fuels are essential components to the successful deployment of MSRs, and electroanalytical techniques like cyclic voltammetry (CV) and spectroelectrochemistry (SEC) can provide a wealth of information to describe salt systems in situ. To perform such measurements, it is imperative to …

Dynamical Studies Of Misaligned Circumbinary Disks, Ian C. Rabago

UNLV Theses, Dissertations, Professional Papers, and Capstones

Binary stars are common outcomes of the star formation process, with nearly half of Sun-like stars forming as part of a binary pair. The presence of a second star adds additional complexity and dynamical effects to the planet formation process in the surrounding circumbinary disk. In this work, I investigate the behavior of a circumbinary disk using hydrodynamic modeling, specifically in the case where the disk is misaligned to the binary orbital plane. Around eccentric binaries, highly inclined disks can align themselves perpendicular to the binary orbital plane. These "polar disks'' can produce vortices and spiral arms when the disk …

Tummy Time Toolkit: Incorporating Social-Emotional Strategies To Increase Caregiver Home Programming Compliance, Marsha Rattler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tummy time is a crucial developmental activity for infants. However, many infants are not receiving the recommended amount of time in prone positioning. This doctoral capstone project aims to address this gap through the implementation of an occupational therapy (OT) based tummy time educational resource titled Bonding Through Tummy Time: A Caregiver’s Guide. The resource, a tummy time toolkit, focuses on caregiver and infant interaction during the co- occupation of play using social-emotional developmental strategies as a driving force to complete more tummy time in the home environment. Recruitment of caregivers was done through purposive sampling and participants were surveyed …

Students’ Learning About Occupation In An Occupational Therapy Program, Erik Regalado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Describe the learning activities that occupational therapy students found helpful for learning the concept of occupation and describe what students know about the concept of occupation.

Design: Descriptive correlational

Setting: Occupational therapy program in the U.S

Participants: Occupational therapy students

Measure: Survey

Results: These students had a general understanding of occupation and its relationship to health, however, lacked the more conceptual understanding of occupation found in occupational science. Participants reported that activities such as fieldwork, group discussion, and lecture helped them understand the concept of occupation.

Conclusion and Relevance: These students missed aspects of occupation and would benefit from …

Development Of A Cue-Based Feeding Education Program To Enhance The Self-Efficacy Of Nicu Caregivers, Jazmin Rivera

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the neonatal intensive care unit (NICU), a neonate may experience feeding difficulties due to their prematurity, physiological, and neurological status. Under these circumstances, a caregiver’s role can be diminished and cause a loss of self-efficacy due to the inability to provide care and feed their infant in the NICU. After examining the literature, guided by the Model of Human Occupation and the Transformative Learning Theory framework, a cue-based feeding (CBF) program was developed and implemented at the University Medical Center (UMC) Hospital NICU department to enhance the caregiver’s self-efficacy through an occupational therapy perspective. A feasibility evaluation of the …

Plant-Plant Interaction In Early- Vs. Late-Successional Varieties Of The Hawaiian Landscape-Dominant Tree, Metrosideros Polymorpha, Tomoko Sakishima

UNLV Theses, Dissertations, Professional Papers, and Capstones

Plant-plant interactions play an important role in assembling plant communities. Interactions between neighboring plants can vary as a result of the genetic relatedness of neighbors, impacting rates of growth and patterns of resource allocation. When growing alongside close relatives, some species decrease their growth in a form of cooperation, while others grow faster through facilitation. A complication of plant interaction studies arises because decreased growth in the presence of close relatives can also be due to competition for resources, which increases with phenotypic similarity. Further complicating matters, mycorrhizal fungi, through their connections with plant roots, may strongly influence plant interactions. …

Identifying Disease-Related Gene-Environment Interactions Based On Method Of Moments, Linchuan Shen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human diseases are often caused by a complex interplay of multiple factors, including genetics and environmental factors. These factors can play critical roles in the development and progression of diseases. Although genome-wide association studies (GWAS) have successfully identified many genetic variants associated with human diseases, the estimated effects of these variants are small and can explain only a relatively small portion of the heritability of the underlying diseases.

Detecting gene-environment interactions (G × E) can shed light on the biological mechanisms of diseases. However, most existing methods that investigate G × E only look at how one environmental …

Things That Are Long, Frankie Gutierrez

Electronic Theses, Projects, and Dissertations

Bigfoot has become an important motif for Frankie Gutierrez, especially since his transition in 2021. The characters in this exhibition showcase the deeply personal exploration of transness and non-mainstream trans identities, the in-depth observations of others, and their interactions with transgender people. He compares transness to the likeness of bigfoot, typically an elusive and hard-to-find character that everyone suspects, but has rarely been seen. Evidence of their existence surrounds us, but only those with open minds can truly see them. The characters in this show look like you and me, and no one at all. This exhibition is not meant …

Concussions In Paralympic Sports: A Systematic Review, B. Singh, R. Gemmerich, T. Ziegler, I. Helmich

Exercise and Sport Studies: Faculty Publications

› Introduction: The Paralympic movement has grown rapidly over the last few years. As participation in Para sports increases, so do its sport-related injuries. A particular injury constitutes sport-related concussions (SRC). However, the data regarding its epidemiology in Para sports has been inadequately researched. Therefore, this review aimed to investigate the occurrence of SRC in Para sports. › Methods: A systematic literature review was conducted according to PRISMA guidelines. › Results: 13 articles were included in this review. Wheelchair Basketball, Sledge Hockey, Blind Football, Para Swimming, Para Judo, and Para Skiing are most commonly affected by SRC. Sledge hockey reported …

External Adverse Neighborhood Factors Influence On Students' Grades 3-6 Schooling Success, Chloe Marie Janssen

Undergraduate Honors Thesis Collection

As education evolves with the growth of technology, it is crucial to study the impacts of external challenges on student outcomes within the classroom. The goal of the present cross-sectional study is to investigate the relationship between a student’s environmental factors and student-peer relationships, academic performance, and engagement, specifically within urban, low-income schools that exist in underserved areas of the community. The following research question is posed: How do external adversities in one’s neighborhood impact a student’s relationship to their peers and success in school? To learn more about this question, we conducted research in partnership with Butler University, the …

Psychology Of Athletes: Impact Of Injuries On Mental Health, Caitlin Rainey

Whittier Scholars Program

This article aims to contextualize the importance of understanding injuries in athletics and how those injuries impact mental health. With such a high prevalence of injuries in athletics, most studies analyze the physical implications on the athlete. It is vital that mental well being is studied as much as physical health throughout the injury and rehabilitation process. This study reviewed previous literature on the social impacts of team sports, psychological and social implications of injury, the impact of residual pain, and finally the process of retirement. A survey was also conducted at a small liberal arts college in Southern California …

Assessing The Impact Of Esg Scores On M&A Performance: A Theoretical And Empirical Examination, Nathan Mortkovitch

Executive DBA Dissertations

This dissertation examines how ESG scores impact the financial performance of acquiring firms in the post-M&A phase. Anchored in the frameworks of Agency Theory and Signaling Theory, this study develops three hypotheses to assess the influence of ESG scores on post-M&A performance. The empirical investigation utilizes a dataset of over 5,000 M&A observations, applying the Arellano–Bond dynamic panel-data estimation technique. This approach provides compelling statistical evidence on the ramifications of ESG scores on the performance of acquiring firms in the post-M&A period.

The Analysis Of Mechanical Exfoliation Of Graphene For Various Fabrication And Automation Techniques, Lance Yarbrough

Mechanical Engineering Undergraduate Honors Theses

Mechanical Exfoliation of Graphene is an often-overlooked portion of the fabrication of quantum devices, and to create more devices quickly, optimizing this process to generate better flakes is critical. In addition, it would be valuable to simulate test pulls quickly, to gain insight on flake quality of various materials and exfoliation conditions. Physical pulls of graphene at various temperatures, pull forces, and pull repetitions were analyzed and compared to the results of ANSYS simulations, solved for similar results. Using ANSYS’ ability to predict trends in exfoliations, flake thickness and coverage using stress and deflection analyses were investigated. Generally, both strongly …

Large Eddy Simulation Of Fluid Mixing In Migadome Facility For The Astfe Nuclear Thermal Hydraulics Cfd Competition, Kolten Strauss

Mechanical Engineering Undergraduate Honors Theses

This paper is a documentation of a submission to the First Annual ASTFE Nuclear Thermal Hydraulics Computational Fluid Dynamics (CFD) Competition [1]. To validate simulations of turbulent mixing in buoyancy-driven flows, an air and argon test case was set up inside the University of Michigan’s MiGaDome mixing vessel. This submission to the competition used a polyhedral mesh of about two and a half hundred thousand cells, a Large Eddy Simulation (LES) of the MiGaDome, and the Wall-Adapting Local Eddy-viscosity (WALE) subgrid approximation model. The competition included a factor considering the energy cost of our simulations, so it was decided to …

Experimental And Numerical Investigation Of Air-Cooled Heat Sinks, Ethan Weems

Mechanical Engineering Undergraduate Honors Theses

Lightweight and affordable cooling capabilities are critical as the physical scale of electronics continues to decrease. Air-cooled heat sinks that dissipate heat from electronic components to the surrounding air are excellent candidates to fill this role. While plate-fin and pin-fin heat sinks have been implemented extensively for electronic cooling, recent advances in additive manufacturing enable the fabrication of more complex structures. In this undergraduate Honors thesis, a means by which to generate novel heat sink geometries is presented. To that end, an experimental characterization facility is developed to evaluate existing traditional heat sinks. The heat transfer performance of the heat …