Digital Commons Network^™

High School Students’ Navigation Processes In An Internet Reading Task: A Descriptive Video Analysis, Hyeju Han, Kole Norberg, Byeong-Young Cho, Scott H. Fraundorf

Reading Horizons: A Journal of Literacy and Language Arts

Most research on internet reading has identified skilled readers based on well-established theories of print reading. Nevertheless, an emerging body of work suggests that higher competency in print reading does not fully account for competency in internet reading comprehension. The authors conducted a descriptive video analysis of high school readers’ online navigation behaviors to identify characteristics that could account for differences in their internet reading outcomes. In particular, they focused on students with high grade point averages but diverging internet reading outcomes. The authors found that the participating students with lower outcomes tended to adopt a linear path of navigation …

The Effect Of Supervisor Multicultural Competence And Supervisor Cultural Humility On The Supervisory Working Alliance And Trainee Nondisclosure: A Structural Equation Model, Johnny Liang

Selected Full-Text Dissertations 2020-

Parental post-traumatic stress disorder (PTSD) symptoms have been associated with various psychological and behavioral outcomes in their offspring. Utilizing a sample of (N=330) adult offspring of trauma-exposed parents, this study used self-report and behavioral measures to examine the relationship between parental PTSD symptom severity and adult participant’s romantic attachment insecurity, pathological personality traits, and facial emotion recognition (FER) accuracy for subtle emotional expressions. Additionally, it explored the role of maladaptive parenting behaviors on these associations. Results indicated that higher parental PTSD was associated with higher levels of parental care and an affectionate constraint parenting style. Additionally, parental PTSD was related …

Perceptive Portraits: A Qualitative Study Exploring The Adolescent Experience Of Connectedness Through Their Words And Photos, Emily Anne Guthrie Strong

Dissertations

The mental health of children and adolescents in the United States has been in a state of crisis for over a decade. Connectedness, defined as the level of closeness individuals have to other individuals, groups, or institutions, has been shown to be a preventative and protective factor in adolescent mental health. The purpose of this qualitative study was to explore how adolescents experienced connectedness and the meaning they ascribed to those experiences. This study was guided by the following questions:

Q1 How do adolescents describe their experience of connectedness both inside and outside of school?

Q2 What meaning do adolescents …

Exploring Moral Distress In Hospital-Based Nurse Case Managers: A Qualitative Descriptive Study, Mary Margaret Leas

Dissertations

Moral distress is a well-known phenomenon among hospital-based bedside nurses that is damaging and dangerous to patients, nurses, the healthcare system, and society. There is a gap in the literature related to the experience of moral distress (MD) among hospital-based nurse case managers. The purpose of this qualitative research study was to understand the experience of MD for the hospital-based nurse case manager and identify triggering events and consequences of MD. The following research questions guided this study:

Q1 What is the experience of MD among hospital-based nurse case managers?

Q1a What do they identify as causes or precursors of …

Teaching Strategies Clinical Educators Use To Develop Undergraduate Students’ Clinical Reasoning Skills, Lisa González

Dissertations

The purpose of this study was to describe the teaching strategies nurse educators used to develop students' clinical judgment in the clinical education setting. A significant gap in clinical education has persisted for years with a need for evidence to guide teaching and learning that emphasizes clinical judgment. Concerns regarding underdeveloped clinical judgment skills in new graduate nurses have led to initiatives and research aimed to increase clinical judgment emphasis in nursing education. The following research questions guided this study:

Q1 What teaching strategies do clinical nurse educators use to develop students’ clinical reasoning and clinical judgment skills in the …

What Hinders Electric Vehicle Diffusion? Insights From A Neural Network Approach, Monica Bonacina, Mert Demir, Antonio Sileo, Angela Zanoni

Fondazione Eni Enrico Mattei Working Papers

The transition to a zero-emission vehicle fleet represents a pivotal element of Europe’s decarbonization strategy, with Italy’s participation being particularly significant given the size of its automotive market. This study investigates the potential for battery electric cars (BEVs) to drive decarbonization of Italy’s passenger vehicle fleet, focusing on the feasibility of targets set in the National Integrated Plan for Energy and Climate (PNIEC). Leveraging artificial neural networks, we integrate macroeconomic indicators, market-specific variables, and policy instruments to predict fleet dynamics and identify key factors influencing BEV adoption. We forecast that while BEV registrations will continue growing through 2030, the growth …

Clemson Commencement Program, August 2025, Clemson University

Clemson Commencement Programs

No abstract provided.

Quantifying Irreversible Climate Losses: Methods And Metrics For Non-Economic Loss And Damage, Mahmoud Elfeky

COP30

No abstract provided.

Schools As Hubs For Cultivating Climate Literacy And Action In Egypt, Kenzy Al Ruwaini

COP30

No abstract provided.

Student Loan Default: Does Race/Ethnicity Or Socioeconomic Status Play A Larger Role In Student Loan Default In Texas Public 4-Year Institutions?, Traci Armes

All-Inclusive List of Electronic Theses and Dissertations

This study investigated whether Black students were more likely to default on federal student loans compared to Pell Grant-eligible students who completed their degree programs at public four-year institutions in Texas. The study examined Black, White, Asian, and Hispanic Pelleligible and non-Pell-eligible students to determine whether socioeconomic status or race/ethnicity played a more significant role in determining default rates. The analysis was limited to four-year public institutions in Texas to control for the excessive default rates prevalent in two-year and proprietary institutions. The study was also limited to students who had completed their degree programs. Historically Black Colleges and Universities …

Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth

All-Inclusive List of Electronic Theses and Dissertations

This study utilized an online survey to target primary caregivers of a child aged 5-18. The survey highlighted factors regarding caregiver involvement in suicide prevention efforts, such as their knowledge, comfort and confidence intervening with a youth experiencing suicidality, and barriers to doing so. It was found that caregivers who had experienced suicide prevention training reported higher levels of comfort and confidence intervening with their own child and another child than those who had not, as well as lower levels of worry. Higher levels of education were also found to predict lower levels of worry, suggesting that further training and …

Later Wittgenstein’S Metaphysics, Jeremy Barris

Humanities Faculty Research

Introduction

Ludwig Wittgenstein, in different ways in his earlier and later work, famously denies the general meaningfulness and consequently the legitimacy of traditional philosophical questions. Accordingly, he also denies the meaningfulness and legitimacy of any metaphysics. I focus here on Wittgenstein’s later view. In that view, words and statements are given their meanings by their uses in specific contexts of everyday life. As a result, any attempt to use words to talk or think about anything outside of those contexts literally deprives those words of their meaning. But traditional philosophical questions, and metaphysical questions and statements in particular, are characterized …

Factors Associated With Postpartum Depression Among Women Attending Postnatal Clinics In A Tertiary Care Hospital In Nairobi, Kenya, Cecilia Muthoni Njoga

Master of Medicine in Family Medicine

Background 

Postpartum depression (PPD) is a major mental health disorder affecting women during the postpartum period with a global prevalence of up to 17.22%. This prevalence has been shown to be higher in low and middle-income countries. In Kenya, about a fifth of women are affected. PPD can lead to poor infant growth and interference with maternal-child bonding. Additionally, women with PPD experience a lower quality of life and their children have an increased risk of developing and psychotic disorders later in life. Understanding the factors associated with PPD is crucial for early diagnosis and intervention. The study aimed to …

Enhancing Postpartum Depression Screening Rates: An Educational Intervention For Primary Care Pediatric Providers: A Quality Improvement Project, Jasmine Shaterra Jones

Doctor of Nursing Practice Projects

This quality improvement (QI) project sought to increase postpartum depression (PPD) screening rates at a single pediatric primary care practice setting by implementing an educational intervention for pediatric providers. Postpartum depression is a common and debilitating mental health condition affecting many mothers worldwide. Postpartum depression impacts many women in the United States and affects all ethnicities, although rates may vary based on demographic and socioeconomic factors. Despite the American Academy of Pediatrics' recommendations for maternal PPD screening at one, two, four, and six months, well-child visits, national screening rates remain low, with a large number of cases undiagnosed. The current …

Improving Hiv Pep Patient Follow-Up Appointment And Laboratory Testing In A Telehealth Setting: A Quality Improvement Project, Ralston Lockett

Doctor of Nursing Practice Projects

The ongoing HIV epidemic in the United States highlights the need for innovative prevention strategies, including non-occupational post-exposure prophylaxis (nPEP). This Doctor of Nursing Practice (DNP) project evaluated a telehealth-based intervention aimed at increasing HIV PEP follow-up appointments and laboratory completion rates, while also enhancing provider knowledge. Dual interventions included a patient reminder system and provider education. While provider knowledge significantly improved post-intervention, based on Cohen’s d effect size of 0.62, clinical significance was demonstrated by follow-up appointment rates declining from 44% pre-intervention to 41% post-intervention. Laboratory completion rates also decreased, with 53% of patients completing labs pre-intervention compared to …

Evaluation Of A Nurse Practitioner-Led Preoptimization Care Management Program’S Impact On Patient Satisfaction For Total Hip And Knee Arthroplasty, Bryttany Chambers

Doctor of Nursing Practice Projects

This evaluation project aimed to assess whether the nurse practitioner-led preoptimization care management program can increase patient satisfaction by improving the quality metrics, such as same-day ambulation post-surgery, discharge to home, and compliance in preoperative education. The evaluation retroactively reviewed 46 charts of primary total knee and hip arthroplasty patients, male (38%) and female (62%), aged 43 to 84. Using Fisher’s exact test to examine the Net Promoter Scores (NPS) for six months of the PCM program, there was no significant increase in patient satisfaction scores, despite PCM patients averaging 89% compared to non-PCM patients at 83%, based on an …

Educating Nurse Practitioners On Music-Based Interventions: An Evidence-Based Project, La’Keshia Henderson

Doctor of Nursing Practice Projects

Background: Arts-based interventions (ABIs) harness the transformative power of art to enhance processes or situations, particularly those related to physiological, emotional, and psychological well-being. There are three types of arts-based interventions: visual, literary, and performing arts. Among these, music therapy, a form of performing arts intervention, has gained recognition as an effective approach for addressing mental health challenges. Music therapy has shown promise in reducing anxiety symptoms, offering a non-invasive and accessible form of support within ABI strategies. Purpose: This project assessed changes in nurse practitioners' knowledge, attitudes, and practices, as well as their intentions to utilize music-based interventions in …

The Effect Of Wise Leadership On Sustainable Performance, Haneen Raid Rasheed, Hadeel Kadhm Saeed

Journal of Economics and Administrative Sciences

The research aims to know the impact of wise leadership in its dimensions (Intellectual shrewdness, Spurring action, Moral conduct, and Cultivating humility) in achieving sustainable performance (economic performance, social performance, and environmental performance). The researcher chose the Midland Oil Company as a field for applying the research. The researcher distributed a questionnaire to a purposive sample of (126) managers working within the Midland Oil Company, which included (department managers and division officials). The number of questionnaires valid for analysis was (121) out of (126) distributed questionnaires. The researcher relied on the questionnaire as a primary source for collecting information from …

I See Sick People: Beliefs About Sensory Detection Of Infectious Disease Are Largely Consistent Across Cultures, Joshua M. Ackerman, Theodore Samore, Daniel M. T. Fessler, Norman P. Li, Et Al

Research Collection School of Social Sciences

Identifying cues to contagious disease is critical for effectively tracking and defending against interpersonal infection threats. People hold lay beliefs about the types of sensory information most relevant for identifying whether others are sick with transmissible illnesses. Are these beliefs universal, or do they vary along cultural and ecological dimensions? Participants in 58 countries (N = 19,217) judged how effective, and how likely they were to use, cues involving each of the five major sensory modalities in an imagined social interaction during a flu outbreak. Belief patterns were strongly consistent across countries (sight > audition > touch > smell > taste), suggesting a largely …

Evaluating Demand-Responsive Scheduling In Public Transportation Service Offerings To Retirement Communities, Steven D. Silver

Mineta Transportation Institute

This project addresses alternatives to fixed schedule local transportation service offerings to members of retirement communities. The project design measures the effects of the contrast between fixed schedule (Fixed) service and demand-responsive services (DRT) in retirement communities in Santa Clara County that are closely matched in demographic profiles and geographic location. The research team investigates the effects of scheduling alternatives in a diary format with a within-person variable of four recent trips. The measure of public transportation usage under the Fixed schedule and DRT service offerings is supplemented by a measure of subjective well-being (STS) for each trip—in other words, …

Evaluation Of Prerequisite Discrimination Skills For Obtaining Assent From Individuals With Intellectual Disabilities: A Translational Study, Jessica J. Helen Detrick

Dissertations

Assent can be defined as an individual’s affirmative agreement to participate and should be obtained by those who cannot consent (i.e., children and adults deemed as “incapable”) when conducting research or providing services. Federal policies recommend considering age, maturity, and psychological state to determine if a participant can assent. Beyond these considerations, there is little guidance. However, practitioners and researchers still have an ethical obligation to obtain assent. Morris and colleagues (2021) conducted a literature review of assent procedures documented within behavior-analytic journals and found few studies. Of the procedures identified, many would likely be difficult to implement with participants …

Immune Modulation Affects Olfactory Glomerular Recovery In Zebrafish, Bonnie E. Ebendick

Dissertations

Adult zebrafish regenerate neurons throughout their lifetime and exhibit rapid recovery from neuronal damage with support from their immune system, making them an excellent model for studying neuroinflammation and brain repair mechanisms. When olfactory sensory neurons are lesioned, their cell death stimulates the immune system by activating microglia and other immune cells in the olfactory bulb, initiating tissue repair and neuronal replacement. This dissertation investigates how the immune system influences recovery from neuronal damage, testing the hypothesis that immune perturbation in zebrafish alters neural recovery.

To investigate the link between immune function and neuronal regeneration, zebrafish received a unilateral lesion …

Mexican Americans’ Attitudes Toward Mexican Immigrants In The United States, Sandra Daisy Espinoza Montes

Dissertations

The United States (U.S.) has often been described as a nation of immigrants. Among the 40 million immigrants in the U.S., Mexican-descent individuals comprise 25% of the overall immigrant population, positioning them as the largest immigrant group in the country. Additionally, Mexican Americans constitute 63% of the Latinx population, making them the largest minoritized ethnic group in the U.S. Considering that Mexican immigrants and Mexican Americans have a significant presence in the country, scholars have called for additional research on attitudes towards Mexican immigrants (Byrne & Dixon, 2016; Flores et al., 2022). However, much of the existing literature on attitudes …

Incidence Of Peripheral Intravenous Cannula Complications And Associated Factors Among Paediatric Patients At A Tertiary-Care Referral Hospital, Vanessa Minsari Ogega

Master of Medicine in Paediatrics and Child Health

Introduction: Peripheral intravenous catheters (PIVCs) are widely used in clinical practice and are a major source of procedure-related pain in children. Their use is associated with complications including occlusion, dislodgement, infiltration, extravasation, phlebitis, and, rarely, bloodstream infections.

Objectives: To determine the incidence and risk factors associated with PIVC complications among paediatric patients aged 1 day to 18 years at Aga Khan University Hospital, Nairobi. The study also assessed the average survival time of PIVCs.

Methods: A prospective cohort study was conducted on 320 PIVCs among 192 children admitted between August and October 2024. Data collected included patient demographics, clinical characteristics, …

Co-Creating Play:Utilizing Comics To Potentialize Participatory Self-Determination In Marginilized Young Adults, Marlin Mcknight

Graduate Theses and Dissertations

Storytelling has long served as a vital mechanism for preserving cultural heritage, transmitting values, and fostering intergenerational connection (Moeshlin, 2024). Despite this significance, graphic narratives such as comics and graphic novels have been historically marginalized—dismissed as trivial “children’s media” or reduced to entertainment rather than recognized as culturally resonant tools (McCloud, 1993). This marginalization intensified as comics evolved to depict adult themes and, at times, harmful stereotypes, triggering social backlash that stigmatized their utility for younger audiences (Segran, 2020). Consequently, scholarly exploration of comics’ therapeutic potential has stagnated, hindered by the medium’s tumultuous history. This study bridges this gap by …

Challenging The Gaze: A Feminist Interpretation Of The S.M.S. Mail Art Collection, Karissa A. Krievins

All Graduate Reports and Creative Projects, Fall 2023 to Present

In the late 1960s, many people called for radical, immediate change to America’s political, societal, and cultural structures. The artistic practices of the time reflected the social and political realities of the moment and played a crucial role in advocating for change. The title of the 1968 S.M.S. (Shit Must Stop) subscription art portfolios was a bold and urgent call for action, challenging artists and audiences alike to confront the pressing injustices of the era and inspire a collective awakening to the necessity of transformative change across the United States. Despite a fifty-six-year gap, today we are …

Do The Theoretical Frameworks Surrounding Union Wage Negotiations Align With Empirical Data?, Sajid Bin Hasnat

All Graduate Reports and Creative Projects, Fall 2023 to Present

This paper investigates whether the strategic bargaining models developed in game theory align with outcomes observed in laboratory and field settings. We aim to synthesize theoretical literature with experimental and field data to assess the predictive power of game-theoretic models in labor-union wage negotiation contexts. We analyze Rubinstein's bargaining model and its extensions, focusing on how relaxed assumptions affect equilibrium behavior, gains from trade, and dispute occurrence. The theoretical analysis reveals that many bargaining failures stem from asymmetric information between both parties, where delay, transaction costs, deadlines, and reputational effects lead to distinct equilibrium predictions. To test these theoretical predictions, …

Rhetorical Analysis Of Kristen Bell's Articulation Of Imperfect Motherhood On Armchair Expert., Sarah J. Neff

Electronic Theses and Dissertations

This thesis explores how Kristen Bell’s articulation of imperfect motherhood, as heard on the popular podcast Armchair Expert, contributes to broader social discourses surrounding motherhood, empowering some mothers while inadvertently constraining others. Using rhetorical analysis grounded in Goffman’s dramaturgical approach, facework theory, and McGee’s theory of fragments, this study explores Bell’s discourse and performance of motherhood within the podcast medium. The podcasting medium provides a rich source for rhetorical analysis due to the long form interview content, and emotionally nuanced content, leading to a stronger connection with the audience. This is evident with the new headlines that follow Bell’s appearance …

Incarcerated Women: Gendered Rhetoric From The Outside And Reality Inside Prison Walls., Taylor Riley Geiser

Electronic Theses and Dissertations

This dissertation examines how formerly incarcerated women navigate and resist gendered media portrayals through digital platforms, focusing on the “mad” and “bad” woman tropes that shape public perceptions. Drawing on feminist rhetorical theory—particularly Royster and Kirsch’s methodological practices and Ratcliffe’s concept of rhetorical listening—this study combines Critical Discourse Analysis (CDA) of mainstream headlines with Multimodal Discourse Analysis (MDA) of TikTok content. CDA of media coverage surrounding Lori Vallow Daybell, Casey Anthony, and Andrea Yates reveals how language, imagery, and cultural logics sustain harmful binaries that portray women who commit crimes either as depraved or as excused by madness, obscuring the …

Dementia Caregiving Styles: Characterizing Dementia Caregivers Via A Novel Framework., Darby M. Simon

Electronic Theses and Dissertations

As dementia rates increase, effective family caregivers are crucial to meeting the increasing demand for dementia care. However, dementia caregiving is a demanding experience, and caregivers have varying strategies for providing care, leading to positive and negative outcomes and appraisals of their caregiving experience. Limited research explores this relationship, and extant work is qualitative with no clinical measure. This study adapted a pre-existing framework/measure from a different caregiver population (parents) to explore a) if the same framework applied to both caregiving populations and b) the associations between the styles and psychological well-being and other caregiving variables. Exploratory Factor Analysis tested …