Digital Commons Network^™

The Impact Of Executives’ Social Networks And Digital Capabilities On Firm Performance In Dynamic Environments, Lijun Men

Dissertations and Theses Collection (Open Access)

With the acceleration of digital transformation, improving firm performance in complex and dynamic market environments has become a central challenge for companies. This study examines the effects of executives’ social networks and firms’ digital capabilities on firm performance. Further, it investigates the moderating roles of digital capabilities and environmental dynamism in these relationships. Using panel data for Chinese listed firms from 2005 to 2024, we conduct empirical analyses with fixed-effects models. The results indicate that executives’ political, business, and academic networks all contribute positively to firm performance, underscoring the importance of executives’ social networks in resource acquisition, information flows, and …

A Case Of Median Raphe Cysts In 8-Year-Old Male, Christina Guo, Marshall Hall, Garrett Furth, Henry Lim, Olivia Gruver, Dustin Wilkes, Stephen E. Weis

North Texas GME Research Forum 2026

Background: The median raphe cyst is a rare, benign, congenital condition characterized by small, fluid-filled cysts that develop along the ventral midline of male external genitalia. These cysts are usually asymptomatic during infancy and childhood but tend to grow in size as the patient grows. These can become cosmetically concerning or symptomatic due to swelling, irritation, and discomfort. They may also present social and psychological stress to patients and families. We present a case of median raphe cysts in an 8-year-old male.

Case Presentation: An 8-year-old male without a prior medical history who presented to dermatology for penile lesions. He …

The Effects Of Attending Prediabetes Prevention Workshops On Improving Students' Awareness, Knowledge, And Interest, Madelene Hamann

DNP Research Projects

Abstract

Objective:This DNP project evaluated the effectiveness of a five-week educational intervention on adolescents’ knowledge of prediabetes, awareness, and intentions to adopt healthy lifestyle behaviors. Method and Intervention:Youth aged 13 to 18 years participated in five 40-minute school-based workshops. Outcomes were measured using the Adolescent Diabetes Awareness Test (ADAT), Health Belief Model (HBM), and Centers for Disease Control and Prevention (CDC) workshop evaluation. Effect sizes and 95% confidence intervals (CIs) were used to determine clinical relevance. Results:The intervention had a large, clinically relevant effect on prediabetes knowledge and awareness measured by the ADAT (Hedges’ g = 1.10) …

Empowering Dietary Change: A Culturally Competent Nutrition Intervention For Hispanic Patients At The Agape Clinic, Ariana N. Smith

DNP Research Projects

Abstract 

Type 2 diabetes disproportionately affects Hispanic adults and may be more difficult to manage among uninsured and underserved populations experiencing barriers to healthcare, nutrition education, and culturally appropriate resources. The purpose of this Doctor of Nursing Practice quality improvement project was to implement and evaluate a brief, culturally tailored nutrition education intervention for Hispanic adults with elevated A1C receiving care at The Agape Clinic in Dallas, Texas. A quantitative, quasi-experimental, within-subject design was used. The intervention provided bilingual, low-literacy education focused on A1C, portion control, added sugars, and culturally familiar foods. Thirty-eight participants enrolled in the project, and 11 …

Utilizing Youth Mental Health First Aid: A Community-Based Prevention Strategy To Increase Teh Confidence Levels Of Seventh-Day Adventist Adults In Assisting Youth With Mental Health Distress, Sarah Hillebert

DNP Research Projects

Abstract 

Objective: Youth Mental Health First Aid (YMHFA) is an initiative from the National Council for Mental Wellness that trains adults in identifying and responding to adolescents exhibiting mental health distress. This DNP project evaluated the effectiveness of YMHFA in increasing the mental health literacy and confidence scores of Seventh-day Adventist (SDA) adults. Method: quality improvement, pretest-posttest quasi-experimental design was used. Participants were SDA adults aged 22 to 74 who work with youth in school, church, or camp settings (n=19; Mean age = 48.5 years, SD = 10.5). The quantitative MHFA 2.1 measured mental health literacy and confidence to intervene, …

Implementing A Mental Health Workshop To Mitigate Burnout And Improve Job Satisfaction Among Psychiatric Technicians: A Mixed-Methods Case Study, John P. Smith

DNP Research Projects

Abstract 

Burnout among psychiatric technicians contributes to emotional exhaustion, decreased job satisfaction, workforce instability, and reduced quality of patient care. Despite increasing recognition of healthcare worker well-being as a priority, limited evidence exists regarding interventions specifically designed for psychiatric technicians. The purpose of this Doctor of Nursing Practice project was to implement and evaluate a structured mental health workshop designed to reduce burnout and improve job satisfaction among psychiatric technicians employed in inpatient, outpatient, and group home mental health settings. A mixed-methods case study utilizing a quasi-experimental pretest-posttest design was conducted with a convenience sample of 41 participants. Quantitative data …

The Impact Of A Social Wellness Intervention On The Perception Of Social Support Among Working Adults, Jannysse Gray

DNP Research Projects

Abstract 

Objective: Social isolation and loneliness have detrimental effects on physical and mental health. For working adults, these experiences may impact work attendance, performance, satisfaction, and retention, leading to burnout, fatigue, grief, and disengagement. Barriers to developing and nurturing healthy relationships, such as competing work and family responsibilities, or a lack of resources or energy, can contribute to this problem; therefore, this group was chosen for the intervention. This project aimed to raise awareness of the importance of social connections and to analyze whether an online educational intervention was associated with improved perceptions of social support among working adults. Methods: …

Junior Public Health Service Officer Mentor Program: Developing New Leaders In The United States Public Health Service Commissioned Corps For Workforce Retention, Felecia Annetta Bailey

Yale School of Nursing Digital Theses

Junior Public Health Service Officer Mentor Program: Developing New Leaders in the United States Public Health Service Commissioned Corps for Workforce Retention

Mentorship is a critical tool for preparing junior personnel for senior roles, professional development and retention within organizations; however, formal mentorship is often lacking or insufficiently tailored to the needs of diverse workforces, particularly in organizations comprising uniformed service members and civilian employees. This project was designed to provide targeted mentorship for Public Health Service (PHS) Commissioned Corps junior officers and to modify an existing mentoring program that primarily served civilian personnel.

The project aimed to modify the …

Addressing Social Determinants Of Health To Reduce Missed Appointments In Primary Care Setting., Omolara Goyea

Yale School of Nursing Digital Theses

Background: Missed appointments impose a significant financial burden on the U.S. healthcaresystem, costing over $150 billion annually, with individual physicians losing an average of $200 per unused time slot (Gier, 2017). Unmet Social Determinants of Health (SDOH), such as transportation barriers, negatively impact primary care services and contribute to missed appointments (Brown et al., 2020; Fiori et al). The missed appointment rate in the United States ranges from 12% to 50% of scheduled appointments (Boone et al., 2023). Objective: This quality improvement project aimed to develop, implement, and evaluate a telehealth protocol specifically tailored for patients who identified transportation as …

The Effect Of Verbal De-Escalation Simulation Training Using Artificial Intelligence On Nurse Leader’S Self-Efficacy, Mary Vitullo

Yale School of Nursing Digital Theses

Per year, rates of verbal workplace violence (V-WPV) are estimated to occur in 38.8 per 100 nurses, which is decreasing leader retention (NIOSH, 2020, Chang, Hsu, & Ouyang, 2022). Increasing the confidence of nurses in handling V-WPV through simulated training programs increases their intent to stay (Ming et al., 2019).

A two-pronged training program allowed nurse leaders to learn de-escalation techniques and then apply that knowledge in a life-like simulated environment. The education included a pre-work module on V-WPV de-escalation and a simulated scenario using an artificial intelligence conversational agent.

The aims of the project were: to develop a model, …

Brilliance In The Margins: An Exploration Of The Lived Experience Of Black Women Faculty In Stem, Mykella C. Mitchell

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative research study explores the lives of Black women STEM faculty at Ivy and Ivy+ institutions. The existing literature reveals a distinct gap in research as it pertains to this demographic, due to the limited number of Black women who hold faculty positions and the limited research that centers their voices. This study intentionally centered the voices of Black women scholars using portraiture, which helped to avoid the creation of deficit‑based stories. Furthermore, this research was guided by the conceptual frameworks of whiteness as smartness and meritocracy. Portraits were created from the lives of six tenured and tenure‑track Black …

Examining The Flow State In College Football, Nicholas R. Reynolds Jr., Selen Razon

West Chester University Graduate Theses, Dissertations, and Final Projects

The flow state, first defined by Csikszentmihalyi (1990) as a state of total absorption in an activity characterized by effortless control, heightened focus, and peak functioning, has been well-documented in sport but has received limited attention in the context of college football. This study examined the flow state experiences of varsity football players at West Chester University, including their awareness of the concept, the frequency and subjective nature of their experiences, the strategies they use to reach this state, and their perceptions of its relationship to team success. A researcher-developed survey was administered to team members during the offseason, yielding …

Legislating Equity: A Qualitative Policy Analysis Of Healthcare Access And Health Literacy In Medically Underserved Communities In New Jersey, Korlu Y. Howard

West Chester University Graduate Theses, Dissertations, and Final Projects

Access to healthcare has always been a major policy challenge in the United States and contributes to ongoing disparities. Reform efforts have focused on expanding insurance coverage, yet less attention has been focused on whether the healthcare system is navigable. This study examines three New Jersey statutes using Kingdon’s Multiple Streams Framework and the Health Equity Framework. The purpose of this examination is to better understand how statutory language shapes healthcare access. The findings show that access is primarily structured through coverage requirements, procedural protections, and established legal rights. At the same time, these systems often involve added complexity, requiring …

Arts Enriched Head Start Preschool And School Readiness: Are Benefits Accentuated For Children Facing Greater Economic Hardship?, Isabella Capera

West Chester University Graduate Theses, Dissertations, and Final Projects

Children growing up in impoverished and low-income households face opportunity gaps that limit their school readiness (Blair & Raver, 2015). Head Start preschool, which serves families facing economic hardship, has been demonstrated to reduce these gaps and enhance school readiness. Further, multiple studies have suggested that arts enriched Head Start may offer particular benefits (e.g., Brown et al., 2010, 2018; Lobo & Winsler, 2008). Yet research to date is limited and has not examined whether the benefits of arts enriched preschool may be uniquely helpful for children facing the greatest economic risk. The present study examines growth in school readiness …

Looking Beyond Minimalist Pedagogies: Rhetorical Listening As A Framework For Ethical Collaboration And Student Empowerment In The Writing Center, Abby M. Samella

West Chester University Graduate Theses, Dissertations, and Final Projects

Since its establishment, the Writing Center has strived to solidify its institutional presence as a space of student-centered pedagogy, minimalist directive approaches, and collaborative learning. However, students frequently perceive Writing Centers as the polar opposite of collaboration, frequently seeking out this support for a transactional, ‘remedial’ fix to their writing product. As Writing Centers grapple with this tension that threatens their process-driven pedagogies, scholars recognize a gap in Literature regarding collaborative approaches that empower the student through the implementation of rhetorical listening. Using the foundational framework of Rhetorical Listening as a strategy to reassert the collaborative identity of the Center …

Teaching For Meaning: Life, Death, Self And Purpose, Stephen Diromualdo

West Chester University Graduate Theses, Dissertations, and Final Projects

Teaching for Meaning is fundamentally a paper about the need for a philosophical shift in current educational goals. The current institution of public education relies on “job training skills” and ideas of “global competitiveness” as its most important outcomes. This thesis argues that not only are these goals insufficient but actually detrimental to human development. The thesis seeks a method to shift to a more humanistic approach of education through the inclusion of several potential methods. Those methods include the implementation of democratic schooling, youth participatory action research and death studies.  In order to establish those methods the thesis the …

Daily Routines And Activities In Association With Emotion Regulation For Children Facing Economic Hardship And The Impact Of The Covid-19 Pandemic, Shanelle L. Stovall, Eleanor D. Brown

West Chester University Graduate Theses, Dissertations, and Final Projects

This study examined family routines and child emotion regulation across pre-pandemic and pandemic/post-pandemic periods among families facing economic hardship. Participants were 187 children enrolled in Head Start preschools near the East Coast of the United States, their caregivers, and teachers. Of these families, 131 participated during the 2015–2016 through 2018–2019 pre-pandemic school years, and 56 participated during the 2019–2020 through 2022 2023 pandemic/post-pandemic school years. Caregivers completed a demographic interview and 10 daily interviews across two weeks assessing family routines. Teachers completed a validated measure of child emotion regulation. MANCOVAs examined cohort differences in routines and emotion regulation. Hierarchical regressions …

The Role Of Growth Mindset As A Mitigating Factor On Teacher Burnout In The Secondary Math Classroom, Grant Butler

West Chester University Graduate Theses, Dissertations, and Final Projects

This mixed methods sequential explanatory study examined how secondary mathematics teachers’ mindsets relate to burnout tendencies, and how schools can support staff mindset to prevent burnout. Using a two-phase design, Phase 1 gathered survey data from 94 secondary math teachers, measuring mindset and burnout with descriptive statistics, correlations, chi-square tests, and regression analysis to quantify associations between mindset orientation and burnout risk. Phase 2 employed semi-structured interviews with a subsample of teachers and open and axial coding to explain and contextualize the quantitative patterns. Quantitative analyses revealed that teachers with more fixed mindset tendencies reported significantly higher burnout scores across …

Fit Ideal Internalization And Muscularity-Oriented Disordered Eating Among College Women: Examining Social Comparisons And Body Dissatisfaction As Serial Mediators, Nicole Graumann

West Chester University Graduate Theses, Dissertations, and Final Projects

Muscularity-oriented disordered eating (MODE) comprises rigid eating behaviors driven by a desire to be toned and muscular (Cunningham et al., 2021; Murray et al., 2019). While MODE has been widely studied among men, it is increasingly prevalent among women, and it is vital to explore its associated risk factors. In particular, the fit ideal (thin but also toned) is an emerging issue among women’s body image and could be a factor for women engaging in MODE; however, there is limited research exploring this relationship. The present study examined the relationship between the fit ideal internalization and MODE among college women …

A Community Cultural Wealth Approach In Exploring The Lived Experiences Of Second-Generation Black Caribbean American Undergraduate Women Attending U.S. Predominantly White Higher Education Institutions, Arielle Phillips-Law

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative phenomenological study explores the lived experiences of second-generation Black Caribbean American women undergraduate students who attend U.S. predominantly white institutions. Black women students from ethnic minorities encounter racism, sexism, and ethnocentrism, all factors that can influence their persistence and completion within U.S. higher education and the economic outcomes post-graduation. Using Community Cultural Wealth as the guiding theoretical framework for this study, I focused on centering the strengths and skills of Black Caribbean women in their navigation of higher education. I used an interpretive phenomenological analysis as the study methodology. Participants included ten second-generation Black Caribbean cisgender women who …

Framing The Gray: A Photovoice Study Of Parents’ Experiences Supporting Elementary Mathematics Learning At Home, Rebekah Ulmer

West Chester University Graduate Theses, Dissertations, and Final Projects

This narrative photovoice study explored how elementary parents understand their role in supporting mathematics at home. The research asked three foundational questions: How do parents of elementary students describe their personal experiences with learning mathematics? How do parents of elementary students describe their experiences with supporting mathematics at home with their children? What factors influence parents' experiences with mathematics? Fourteen parents, eight with experience as educators and six without, participated by sharing photographs in response to five prompts and discussing what those images meant to them. Their stories revealed that, for these families, mathematics isn't neatly divided into “school math” …

Where Joy Lives: Black Students, Faculty, And Staff At Pwis, Chyna Hart

West Chester University Graduate Theses, Dissertations, and Final Projects

Matriculating into Predominately White Institutions (PWIs) can be challenging for Black students due to racism. However, Black faculty and staff play an important role in combating these challenges and creating supportive and joyful spaces for these students. Using Narrative Inquiry, this study examined the role that Black faculty and staff played in fostering Black Joy for Black students at Predominately White Institutions (PWIs). Participants were self-identified Black students, faculty, and staff who are 18 years or older and were affiliated with a mid-size four-year PWI in the northeastern region of the United States. The study utilized two data collecting instruments …

Examining The Stories Of Early-Career Student Affairs Professionals And Free Speech Issues On College Campuses, Kimberly C. Farrer

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative research study explored the stories of early-career student affairs professionals on their experiences responding to free speech issues on college campuses. Additionally, this studied explored how they were prepared for those responses. This study was important because early-career student affairs professionals are managing free speech issues on college campuses but lack the training and preparation to do this (Duran Leftin & Duran, 2021; Harris & Ray, 2014). This study utilized both authentic leadership theory (Avolio & Gardner, 2005; Gardner et al., 2005; Luthans & Avolio, 2003; May et al., 2003; Northouse, 2025) and Kohlberg’s (1976) theory of moral …

Wellness Participation Of Student-Serving Staff: The Impact On Well-Being And Student Support, Ashley L. Oostveen

West Chester University Graduate Theses, Dissertations, and Final Projects

This study examines the relationship between student-serving staff’s wellness engagement and overall well-being, their job satisfaction, and their perceived support for students. A convergent mixed-methods approach was applied while maintaining a theoretical framework rooted in Self-Determination Theory (Deci & Ryan, 1985), integrating the concepts of Hettler’s Six Dimensions of Wellness (1976). Forty-one student-serving staff across universities in a public university system in Pennsylvania participated in this study. A quantitative survey was used to measure overall well-being, wellness engagement, and support to students, while concurrent focus groups were conducted to gather insight on work-life well-being and staff’s perceived support to their …

"They Just Gave Me The Syllabus": A Mixed Methods Study Of Music Therapy Educators' Preferred Pedagogies, Christina Danielle O'Brien

West Chester University Graduate Theses, Dissertations, and Final Projects

In 2022, the workforce analysis of music therapists, the American Music Therapy Association reported that approximately 80% of all board-certified music therapists are white/Caucasian-European (Iwamasa, 2025). However, the AMTA does not determine the origins of race or ethnicity among postsecondary music therapy faculty in the U.S., nor does it assess their potential impact on the expansion of multicultural curricula for preservice professionals. The purpose of this convergent mixed-methods dissertation is to examine the perception of lived experiences as a pedagogical tool to enhance effective teaching practices. Twenty-six postsecondary faculty from the U.S. were recruited. Quantitative data were collected via Qualtrics …

Which Forms Of Work Flexibility Retain Working Mothers: A Moderated Mediation Model Of Flexibility Need, Flexibility Use, And Top Management Support, Jeanine K. Andreassi, Angela R. Grotto, Leanna Lawter, Tuvana Rua, Cynthia A. Thompson

WCBT Faculty Publications

This study investigates the relative impact of utilizing various forms of work flexibility on mothers’ retention in full-time jobs. Drawing from a model of work reentry for new mothers and Human Ecology Theory (HET), we theorize that mothers’ flexibility needs influence retention through flexibility use and that top management support strengthens this process. Using a cross-sectional Qualtrics online survey, we recruited a diverse sample of 213 women across the United States who stayed with or left their full-time jobs after childbirth or adoption. Using relative weights and path analysis, we compared six forms of flexibility. Schedule, career, and leave flexibility …

Pilot Program For Telemental Health Access To Rural Underserved Localities, Traci Brickhouse Jones, Sarah Kott, Oswaldo Moreno, Aneida Winston

GEHLI - 2026 VCUL Team Project Publications

This proposal recommends legislation directing Virginia Department of Behavioral Health and Developmental Services to establish a two-year pilot program focused on expanding telemental health access in rural Virginia. The purpose of the pilot is to address persistent behavioral health disparities in areas where residents face major barriers to obtaining timely mental health care.

The legislation is designed to build on existing telehealth infrastructure and aligns with Virginia’s Statewide Telehealth Plan under § 32.1-122.03:1, which already supports broader use of telehealth services across the Commonwealth. By creating a focused pilot first, the state can test implementation strategies before considering broader expansion.

Rest My Case: Sleep Science Should Inform J.D. Program Structures And Licensure Examinations To Enhance Performance, Equity And Well-Being, Laura J. Mott, Paula J. Manning

Minnesota Journal of Law, Science & Technology

This Article critically examines the legal profession’s longstanding marginalization of sleep and circadian biology and argues that temporal structural norms embedded in legal education and licensure are at odds with established scientific evidence. Drawing on extensive and interdisciplinary research in neuroscience, chronobiology, cognitive psychology, and timekeeping, this Article explores how sleep deprivation and chronotype misalignment with institutional schedules impair attention, memory, emotional regulation, mental and physical health, and decision-making—capacities that are essential to competent, ethical, and sustainable legal practice. Despite robust scientific consensus that sleep quality, quantity, and timing have profound effects on performance and well-being, law schools and licensing …

Hey! System! Leave Them Kids Alone: A Justification Of Minnesota’S ‘Raise The Age’ Law, Violet Butler

Minnesota Journal of Law, Science & Technology

No abstract provided.

The Right To Share: Affording Americans Meaningful Control Over Their Data, Kevin Frazier

Minnesota Journal of Law, Science & Technology

Americans today face unprecedented opportunities to leverage their personal data for health, education, and economic benefit; yet state and federal privacy laws increasingly restrict their ability to do so. This Article argues that the prevailing regulatory paradigm—rooted in paternalism, behavioral assumptions, and a deep distrust of both firms and individuals— has produced a system that paradoxically denies people meaningful control over their own information. As artificial intelligence tools grow more capable, the inability of individuals to share data freely threatens to entrench inequities, concentrate access to high-quality AI systems among the wealthy, and accelerate the formation of an “AI abyss” …