Digital Commons Network^™

Barriers And Bridges To Mental Health: A Quantitative Study Of Religious Commitment, Mental Health Stigma, And Help-Seeking Attitudes In The Black Community, Catisha Tillman

Doctoral Dissertations and Projects

Mental health is a silent killer in the Black community. The Black community prefers to seek mental health support from their pastors, friends, families, and church members rather than from a professional counselor. This mistrust is seated in a deeply rooted history of transgenerational trauma towards the medical and mental health care system. Stemming from the enslavement of the Black community to the present day, with systemic racism, disparities in mental health care, limited educational resources, and socioeconomic disadvantages. The following research examined how religious commitment affects mental health stigma, help-seeking attitudes, church-based relational support, and perceived barriers to mental …

Christian, English-Speaking-Hispanic, Individuals’ Experiences With Marital Internet Infidelity Of Their Partners: A Phenomenological Study, Ivan Herran

Doctoral Dissertations and Projects

This phenomenological study explored the lived experience of Christian, English-speaking Hispanic individuals who have experienced internet-based emotional infidelity. The increasing use of digital communication has contributed to new forms of relational challenges within marriages, particularly in a faith-based context. Data was collected through semi-structured, in-depth interviews and a focus group, with participants purposively recruited via personal outreach and referrals. The analysis focused on understanding how individuals perceived, interpreted, and coped with emotional infidelity within their relationships. Findings revealed that participants experienced emotional distress, disruptions in trust, and challenges in communication, while also relying on personal, relational, and faith-based coping strategies. …

A Phenomenological Study Of The Lived Experiences Of Black Counselors Completing Wellness Checks For Their Black Clients, Shanique Slowley-Azeez

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the lived experiences of Black counselors who have contacted the police for wellness checks on their Black clients. This study explored how factors such as intergenerational trauma, systemic oppression, and race shaped the perceptions and experiences of these counselors who sought wellness checks from law enforcement for Black clients. This research was guided by intergenerational trauma theory (1966) and social constructivist theory (1978). Social constructivist theory allowed the researcher to understand how individuals describe and assign meaning to events, thus shaping their knowledge and lived experiences. The researcher employed semi-structured interviews …

Training & Support Impacts To Leader Mental Health: A Multiple Case Study, Casey R. Childers

Doctoral Dissertations and Projects

This expansive body of work displays a composite overview of the problem considered, research process employed, and conclusive findings centered on mental health in leadership within the healthcare setting. From the research background, literature review, planning phase, execution tasks, data analysis, and conclusive findings, the research comprehensively signifies a complex contribution to the current body of knowledge. Throughout this study each of the specific research phases are carefully outlined to fully identify the problem surrounding insufficient support systems and the subsequent impact on team engagement, retention, and overall performance. The study leverages a flexible design to approach the problem statement …

Examining The Relationship Of Telehealth Use Between Zoom Fatigue And Psychological Well-Being, And The Moderating Role Of Social Support Seeking And Work-Life Boundaries Among Remote Therapists, Angelia M. Worley

Doctoral Dissertations and Projects

During the COVID-19 pandemic, mental health therapists rapidly transitioned to telehealth services. In addition, therapists experienced a significant increase in client demand, leading to larger caseloads and longer waitlists. In the post-pandemic context, many therapists have continued to deliver services via telehealth, either fully remote or in a hybrid format. However, there is limited research on the relationship between telehealth intensity and therapist wellness. The purpose of this correlational study was to examine the relationship between telehealth intensity (duration, frequency, and burstiness) and wellness outcomes, specifically, synchronous telehealth fatigue (STF; therapist-related Zoom fatigue) and psychological well-being (PWB). Furthermore, this study …

A Phenomenological Study Of The Lived Experiences Of Eritrean Refugee Mothers Who Have Experienced Intimate Partner Violence, Kebreab Hailegiorgis

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to explore how the lived experiences of surviving intimate partner violence (IPV) in the context of forced migration influences among Eritrean refugee mothers. Guided by trauma theory and attachment theory, the research seeks to understand the impact of IPV and displacement-related trauma on parenting behaviors and parent–child relationships among Eritrean women. This study recruited 12 Eritrean refugee mothers with IPV experiences and used semi-structured interviews conducted virtually (via Zoom) to gather rich, first-person narratives of their parenting challenges and resilience. Data analysis followed Moustakas’ phenomenological approach, involving horizonalization, thematic coding, and synthesis …

Development And Validation Of The Organizational Humanization Scale, Kevin Stroop

Doctoral Dissertations and Projects

Research on humanization is fragmented, generally focuses on dehumanization, and prior to this study no validated measure of humanization existed. To fill this gap, I developed and validated the Organizational Humanization Scale (OHS), a nine-item measure defining organizational humanization as the perceived affirmation of autonomy, individuality, and dignity. Items for the OHS subscales were adapted from established measures of work autonomy, work-group uniqueness, and workplace dignity. Using a cross-sectional survey of full-time employed adults in the United States (N = 427), I evaluated the OHS’s internal consistency reliability and evidence of structural, convergent, discriminant, and nomological validity. Results supported a …

Healthy Outcomes From Positive Experiences Training And Child-Serving Providers, April Scott

Doctoral Dissertations and Projects

An in-depth knowledge base of prevention frameworks with strategies to address the root causes of dysfunction is lacking for many child-serving providers as they work to prevent and mitigate Adverse Childhood Experiences (ACEs). Through learning the building blocks of Positive Childhood Experiences (PCEs) that prevent and buffer trauma, child-serving providers may become more effective in preventing ACEs and enhancing resiliency. Child-serving providers often focus on reducing deficits or mitigation of traumatic experiences, as opposed to building resilience to prevent traumatic experiences from occurring in the first place or strengthening the ability of children to bounce back when ACEs occur. The …

Exploring The Role Of Values And Ethics In Transformational Leadership And Their Impact On Teacher Wellbeing: A Qualitative Transcendental Phenomenological Study, Brittany Nicole Evans Javier

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the impact of values and ethics in transformational leadership on teacher wellbeing for teachers at a private Christian school. The transformational leadership theory proposes that leaders lead through inspiration, and this theory underpinned the study, as more recent research focused on specific aspects of transformational leadership and called for further research in the area of ethical leadership. The primary research question asked how values and ethics in transformational leadership impacted teacher wellbeing in a private Christian school in North Carolina. A transcendental phenomenological study was conducted, as a phenomenological qualitative study …

Church Disaffiliation's Impact On Black Christian Millennials' Faith Development, Kevin M. Simmons

Doctoral Dissertations and Projects

The researcher explored the faith, ways of living, and ideologies of Black Christian millennials that unite them with others and with God, leading to what James Fowler called the “ultimate environment” (Attfield, 1994). The study employed a qualitative phenomenological research design to examine whether the faith development path of Black Christian millennials had been impacted by church disaffiliation. From their perspective, identifying factors that fuel their beliefs, religious expressions, and views on their religious identity (Thomas, 2017). Faith, in its simplest form, is defined not by creeds or their institutional practices, Fowler acknowledges. However, its foundational truth lies in the …

A Phenomenological Study Of Pastoral Perspectives Of Conservative Churches Effectively Serving The Disability Community, John D. Hall

Doctoral Dissertations and Projects

This phenomenological study explored the experience of pastors leading conservative churches engaging with and serving persons with disabilities and their families. It focused on six theologically conservative churches providing special needs ministry, with at least three distinct scheduled ministry opportunities staffed by lay leadership, meeting a minimum of quarterly, and overseen by a paid staff member. This research sought to understand the perspectives of the pastors leading these churches, focusing on their personal experiences with disability, vision implementation, and leadership development. This study explored these pastors’ leadership through the lens of Transformational Leadership Theory and whether their style demonstrates transformational …

The Role Of Social Media In Shaping Romantic Relationships, Chelsea A. Fiszbajn

Doctoral Dissertations and Projects

This quantitative study’s purpose was to examine the role social media has in adult romantic relationships. This study focused on the impact social media has on trust, communication, and the quality of the relationship. Social media platforms have become a very integral part of today’s relationships, which in turn has added room in the relationship for more jealousy, temptation, and validation from others. This study used a survey-based methodology to collect data on individuals' personal experiences and perceptions of how social media impacts their current romantic relationships. Using quantitative measures, the research evaluated how often a partner uses social media, …

The Emotional Aspects Of Disbelief: A Study Of Negative Emotions And Their Influence On Atheists When Reasoning About God’S Existence And Christianity, Esteban Canales

Doctoral Dissertations and Projects

The lack of sufficient evidence has been signaled by atheists as the main reason for their disbelief, identifying arguments such as God’s silence and the problem of evil as intellectual reasons against the existing of God and the plausibility of Christianity. While Christians found in arguments from Natural Theology, Scripture, morality, and the like, reliable sources in order to recognize God’s wonders and purpose for humanity, for atheists it seems that no argument seem sufficient neither rational. But what about if these so-called intellectual reasons are the product of an underlying emotional condition, affecting negatively the way atheists reason the …

Two Centuries Of Sexism In British Parliament: A Computational Analysis Of Women’S Representation In The Hansard Corpus, Mandira Sawkar

Theses

Detecting sexism and gender bias in text is a central problem in NLP, yet most existing work focuses on short, informal content such as social media posts. In contrast, much less is known about how sexism operates in long-form, formal discourse, where it is often expressed indirectly through rhetorical framing, appeals to tradition, or references to gender roles. Parliamentary debates offer a particularly rich setting for studying such language, but their scale, linguistic complexity, use of archaic English, and the presence of distributional shift across centuries make systematic analysis challenging and historically infeasible without automation. In this work, we analyse …

Exploring Eating Behaviors And Dietary Patterns Among Adolescents And Emerging Adults With Adhd: A Scoping Review, Annika Waller

Theses

Objective     To map global evidence on eating behaviors and dietary patterns among adolescents and emerging adults with ADHD, with attention to executive function, medication-related appetite timing, and gender. Introduction     Adolescents and emerging adults with ADHD gain increasing autonomy over food choices during a developmental period marked by heightened executive-function demands and irregular routines. Research examining ADHD and diet is fragmented across disciplines and uses heterogeneous eating and dietary outcomes, limiting synthesis. Inclusion Criteria Studies were eligible if they included adolescents or emerging adults aged 12 to 25 years with attention-deficit/hyperactivity disorder and reported at least one eating behavior, dietary pattern, …

Psychology's Role In The Gender Pay Gap, Isabel Kraabel

Celebrating Scholarship and Creativity Day (2018-)

This paper explores the "good" and the "bad" history of psychology, specifically related the gender pay gap. The paper also investigates interventions and how we can move forward in the workplace and beyond.

Self-Compassion And Emotional Regulation: The Moderating Role Of Adhd Traits In Clinical Mental Health Counseling Field Experience Students, Alicia N. Stewart

Doctoral Dissertations and Projects

This quantitative, cross-sectional, survey study explores the potential influences of attention deficit hyperactivity disorder (ADHD) traits on clinical mental health counseling students’ capacity for self-compassion and emotional regulation. This study is grounded in Kristin Neff’s self-compassion theory (2003). Data were collected using self-reporting measures via an online survey platform through Qualtrics. Participants in this study included students in a Council for Accreditation and Counseling and Related Educational Program-accredited Clinical Mental Health Counseling program currently enrolled in field experience courses including practicum, Internship I, and Internship II (N = 35) at a private southeastern university. This study used a Pearson’s r …

Native And Non-Native American Teacher Attitudes Towards Inclusive Special Education Based On Role: A Quantitative, Causal-Comparative Study, Angela Silver Caudle

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study was to examine whether teacher role (general vs. special education) and self-identified ethnicity (Native American vs. non–Native American) were associated with teachers’ attitudes toward inclusive special education in rural schools in a southern U.S. state. Understanding whether role and ethnicity correspond to differences in attitudes toward inclusion is important for informing staffing, collaboration, and professional learning in rural contexts. Participants included 91 teachers (63 general education, 28 special education). Attitudes were measured with the Multidimensional Attitudes Toward Inclusive Education Scale. Data were collected via an electronic Qualtrics survey. A two-way analysis of variance …

Exploring How Leadership And Religion Improve Work Motivation And Well-Being, Laura G. Strickland

Doctoral Dissertations and Projects

Leadership is a well-researched topic that shows that leaders have a significant impact on employees’ perspectives of work motivation and well-being factors. There are gaps in research on older generations and the impacts of leadership since there has been such a heavy focus on research learning about the incoming work force. Other studies have found that strong religious beliefs help build better leadership skills. Therefore, the purpose of this study was to examine how leadership behavior and religious beliefs impact employee work motivation and well-being in older adults. In this qualitative study, interviews were conducted to understand older adults’ experiences …

The Impact Of Gratitude Interventions On Job Satisfaction Among Healthcare Workers In A Hospital Setting, Miranda Rae Green

Doctoral Dissertations and Projects

This quantitative experimental study sought to examine job satisfaction among healthcare workers in a hospital setting and to determine if the use of daily gratitude journaling increases job satisfaction. Healthcare workers were recruited from healthcare organizations within the United States. The aim of this study was to use reciprocity of Social Exchange Theory (SET) to encourage participants to use daily journaling prompts to focus on positive interactions within their organization and with leadership or colleagues. Data was collected using the Job Satisfaction Survey and the Gratitude Questionnaire-6 and analyzed using a paired samples-t test to compare pre- and post- intervention …

Leadership Strategies And Registered Nurse Burnout, Chloee Wendorf

Doctoral Dissertations and Projects

Burnout among registered nurse leaders has intensified within academic medical centers, where increasing clinical demands, staffing challenges, and organizational complexities converge. This qualitative single-case study explored how 32 nurse leaders within the experienced and responded to burnout, and how leadership strategies shaped emotional resilience and team well-being. Guided by the Job Demands–Resources model and transformational leadership theory, data were collected through semi-structured interviews and analyzed using memoing, coding cycles, and NVivo-assisted thematic analysis. Findings revealed that burnout was largely driven by workload intensity, emotional labor, and misalignment between demands and available resources. Transformational leadership strategies, including individualized support, relational transparency, …

Perceptions Of Rural Large Animal Owners On Cost And Distance As Barriers To Veterinary Medicine, Alyssa Dalleske

Honors College Theses

Access to veterinary care remains a significant issue in rural communities due to financial, geographic, and access barriers. Limited access to veterinary care can have an impact on animal welfare and an economic impact for producers. This study aimed to assess factors influencing access to veterinary services, including cost, distance to clinics, perceived value of care, and availability of mobile veterinary professionals. The survey was distributed to rural large animal owners using social media, and gained 20 participants. It collected data on perceived barriers within their communities. The survey results indicated that cost of care and distance to veterinary clinics …

Success Or Setback: A Literature Review Of The Association Between Youth Athlete Sport Specialization And Injury Incidence From Adolescence To Adulthood., Kelis Adams

Honors College Theses

For a multitude of reasons, in the United States, present day society is a persistent witness and contributor to the adultification and professionalization of children alongside the activities they engage in. Single-sport specialization in youth sports is one of our most clear and poignant instances of the existence of this subcurrent. But, in recent years, following the uptick in single-sport specialization among youth athletes there has also been a marked increase in sports medicine professionals cautioning athletes and their families of premature commitment to a sole sport due to concerns of physical health risks. As sport typically involves forceful and …

Postpartum Spontaneous Coronary Artery Dissection With Multivessel Arteriopathy, Devon Schaefer, Do, Cody Paiva, Do

Books, Presentations, Posters, Etc.

Case Presentation: Hospital Day 0 – Presentation: 43-year-old postpartum female (s/p C-section 4-months prior) presenting with recurrent central chest pressure after several days of intermittent symptoms. She was hemodynamically stable but had diffuse T‑wave inversions and a marked troponin rise. Treated with aspirin, nitroglycerin, and heparin for presumed NSTEMI. Coronary angiography planned. Hospital Day 1 -- Initial Angiography: TTE showed mildly reduced EF with apical akinesis. Angiogram read as mild diffuse mid-distal LAD disease (Figure 1), but no evidence of obstructive disease or culprit lesion. Working diagnosis was MINOCA, stress cardiomyopathy, or an occult SCAD. Hospital Day 2 -- Diagnostic …

Scoping Review On Exploring Nunchi In Healthcare Among Korean American And Immigrant, Hannah J. Kim, Minseung Chu, Changhwan Kim, Helen Haebitna Park-Chong, Rebekah L. Hayes, Eve Melton, Jennie De Gagne

Creating Healthy Work Environments (CHWE)

Nunchi is a unique Korean concept often described as the ability to “read the room” by perceiving and responding to subtle interpersonal cues. It reflects a nuanced form of social attunement that involves sensitivity to context, anticipation of others’ needs, and adaptive behaviors to maintain harmony in relationships. In healthcare and nursing, where effective communication, teamwork, and leadership are essential, nunchi may play a critical role. This review explores how nunchi has been defined, conceptualized, operationalized, and applied in nursing and healthcare literature, and discusses its potential implications in healthcare settings where individuals from diverse backgrounds collaborate.

The review guided …

Trauma-Informed Academic Practice Partnerships To Support Nursing Students’ Transition To Practice, Lori Dawn Mcelroy, Stacy King

Creating Healthy Work Environments (CHWE)

The transition from nursing student to professional nurse is a vulnerable phase marked by stress, uncertainty, and emotional fatigue. These challenges can lead to burnout and attrition, making healthy work environments essential for fostering resilience and retention. Trauma-Informed Education (TIE) strategies centered on safety, trust, empowerment, and peer support offer a framework to support students and new nurses. When integrated into academic-practice partnerships, TIE strategies enhance clinical learning, promote well-being, and strengthen the workforce.

The project explores how trauma-informed strategies embedded in academic practice partnerships create psychologically safe environments for nursing students transitioning into practice. Goals are to impact transition …

Factors That Empower Nurses To Lead In Support Of Healthy And Sustainable Work Environments, Lori Murray, Deanna Jan Emory, Thomas Kippenbrock

Creating Healthy Work Environments (CHWE)

Background: Effective, empowered nurse leaders are central to the development of a healthy work environment and workforce (Morvati et al., 2024). Student and early career nurse involvement in professional organizations is thought to encourage leadership growth and potential by promoting leadership skills, self-efficacy, networking and providing a sense of belonging to the profession (Beal, 2022). However, there is limited empirical evidence identifying the specific factors that influence a nurse’s decision to pursue or accept leadership positions. Understanding key factors, such as mentorship, professional organization involvement, and organizational support, is essential for addressing leadership gaps within the nursing workforce. This evidence …

Whose Fault Is It Anyways?: An Investigation Into Mississippi Divorce And Contested Custody Laws In Practice, Charles Conner

Honors Theses

When compared to almost any other state in the country, Mississippi is an outlier when it comes to divorce and child custody laws. Mississippi still retains a fault-based system to adjudicate contested divorces and still maintains best interest of the child as the default custody standard in court. These standards make Mississippi an exception nationally, requiring dedicated hearings to assign blame for the collapse of a marriage. This thesis aims to study how this unique system has impacted those going through it by surveying attorneys in the state who practice family law. This thesis will compare experiences both nationwide and …

Unleashing Stress: The Effects Of Training, Bond Strength, And Stress On Pet Dog Behaviors And Health, London Maria Wolff

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Humans and dogs have formed a unique ability to communicate with each other through evolutionary and developmental mechanisms. This increased communication serves to form dynamic interspecies bonds by facilitating learning and training over the lifetime of a dog. However, it is not known what factors permit the unique capacity of dogs to form bonds with, and learn from, their human companions. Odor is a notable candidate for interspecies communication about emotional states, with studies showing that both dogs and humans use odor information to detect human emotions (Calvi et al., 2020). Possibly, this may include detection of both acute and …

The Right Time For A Synapse To Change: Windows And Mechanisms Of Multiday Training Trials, Rong-Yu Liu, Yili Zhang, Roberta Calvo, Paul Smolen, John H Byrne

Faculty, Staff and Student Publications

Although learning over multiple days is more effective than a single day of training, the underlying cellular mechanisms of repeated training trials remain poorly understood. With a combination of empirical and computational approaches, we determined a critical time window for a second stimulus block of a multiday training protocol to augment long-term synaptic facilitation (LTF) of the Aplysia sensorimotor synapse and long-term enhancement of neuronal excitability (LTEE), two cellular correlates of learning and memory. A second stimulus block delivered 24 h after the first block significantly enhanced LTF and LTEE, but was without effect at 18 or 32 h. This …