Digital Commons Network^™

Nurturing Black Girls: A Phenomenological Exploration Of Black Girls' Mental Health And Their Lived Experiences With Racial Discrimination In Schools, Marline Francois

Theses, Dissertations and Culminating Projects

This research explored the lived experiences of Black girls in schools with a focus on racial discrimination and the impact it has on their mental health. Grounded in Black feminist thought and phenomenological variant of ecological systems theory (PVEST), this study used qualitative research to understand the lived experiences of Black girls. Twenty participants engaged in this study through semi-structured interviews to examine their lived experiences in school spaces. The findings of this study acknowledge the profound impact of racial discrimination on the mental health of Black girls. At the intersection of race and gender, this study contributes to the …

Influence Of Parsimony And Work-Related Psychological Constructs In Predicting Turnover Intention When Using Machine Learning Vs Regression, Diego Figueiras

Theses, Dissertations and Culminating Projects

This dissertation explores the ongoing debate between traditional statistical regression models and machine learning (ML) algorithms in predictive modeling, focusing on the impact of sample size and the number of variables. Study 1 investigates the relationship between sample size and predictive accuracy, proposing hypotheses regarding the advantages of ML over regression as sample size increases. Additionally, the study examines the influence of the number of variables on predictive accuracy, emphasizing the trade-off between ML and regression models. Using data from the Federal Employee Viewpoint Survey, the research aims to contribute insights into the conditions favoring each modeling approach. Study 2 …

Trends And Barriers In Service Utilization In Underrepresented Ethnoracial Groupswith Autism Spectrum Disorder In The United States: A Mixed-Method Analysis, Sadaf Khawar

Theses, Dissertations and Culminating Projects

Caregivers with autistic children, particularly from minoritized populations, experience significant barriers while navigating the complex healthcare system, including acquiring services. Therefore, it is crucial to understand what these barriers are in order to inform policymaking initiatives to support families. Notably, there is a significant gap in extant literature to explore trends in service use and unique experiences of caregivers of autistic youth from three historically underrepresented groups in research (and currently not in the parameters of the United States census): 1) South Asian, 2) Middle Eastern and North African (MENA), and 3) East African. This study employed a mixed-method design …

Mentors As Learners: Enhancing And Exploring The Experiences Of Veteran Mentor Teachers In An Elementary School Context Using Stimulated Video Recall Cycles, Melissa Suppa Susnosky

Theses, Dissertations and Culminating Projects

The purpose of this study was to engage veteran mentor teachers in a professional development experience through the use of stimulated video recall (SVR) sessions to explore and enhance mentor teacher learning processes and outcomes during a student teaching practicum in an elementary school context. The concept of mentors as learners encompasses adopting an educative mentoring stance when guiding student teachers. Taking an educative mentoring stance entails mentors cultivating a vision of teacher learning that emphasizes creating opportunities for inquiry and supporting the conditions necessary for teacher growth (Feiman-Nemser, 2001). This study provided mentor teachers with a unique opportunity for …

Transformative Leadership: Possibilities And Contradictions In The Lives Of Four Early Childhood Directors, Sara Jill Wasserman

Theses, Dissertations and Culminating Projects

The purpose of this qualitative research study was to explore the ideas of transformative leadership when applied to the context of early childhood education, creating opportunities and challenges for the directors who lead the schools. More specifically, to better understand how ECE directors, who were trying to be transformative, interpreted their experiences and constructed corresponding realities as leaders. Through a series of individual and group interviews, I tried to answer the guiding research question about how ECE directors, working in private, preschool settings, navigate the tensions between a neoliberal system of schooling and the practices of transformative leadership. While there …

Betrayal As A Moderator Of Covid-19 Exposure And Ptsd Symptoms, Karly Sara Weinreb

Theses, Dissertations and Culminating Projects

In response to the COVID-19 pandemic, there has been interest in understanding how individuals have fared regarding their mental health symptoms, such as symptoms of PTSD. Prior studies have established a link between COVID-19 and PTSD without considering how COVID-19 may relate to the four PTSD symptom clusters. Further, those who feel betrayed by either an individual or institution tend to have more severe PTSD (Martin et al., 2013). It is possible that individuals felt a level of both interpersonal and institutional betrayal towards other individuals or institutions for exposing them to environments in which there was a risk of …

Vulnerability Of Semantic Networks In Multiple Sclerosis: An Analysis Of Verbal Fluency Data, Sophia Lall

Theses, Dissertations and Culminating Projects

Word finding difficulty is a frequently reported subjective cognitive concern among persons with Multiple Sclerosis (pwMS). Word-finding relies on several information retrieval processes, including search and retrieval from the conceptual store, the phonological store, the syllabary, as well as other stores of information. Neuropsychological assessments, including the semantic verbal fluency measure, can be used to measure word retrieval abilities. Despite this, the MS research literature shows that neuropsychological assessment of semantic verbal fluency yields mixed results in detecting word-finding difficulties. While some studies report finding statistically lower semantic fluency scores in pwMS relative to healthy controls (HC), others found no …

Ideal Expectations And Realities At Hbcus: Examining Counselors' Lgbt Competence, Dae'quawn Landrum

Theses, Dissertations and Culminating Projects

There is a dearth of literature about counselor training at Historically Black Colleges and Universities. This quantitative study used a multiple regression to examine how graduates of counseling programs at HBCUs report their competence in working with LGBT clients and to what extent LGBT training, years of experience, and religiosity affect counselors' competence. The study consisted of 93 participants that graduated from counseling program sat HBCUs. The results revealed that each variable significantly affected various aspects of competence (knowledge, clinical preparedness, and attitudes). More specifically, counselors’ years of experience were positively associated with knowledge, LGBT training in master’s programs were …

Enacting Disability Studies In Education: Pedagogical Reasoning During Lessons About Disability, Ashley Pollitt

Theses, Dissertations and Culminating Projects

In some U.S. states, student learning standards mandate that teachers engage students in lessons about disability, yet there is a notable lack of disability-related curricular content in P–12 schools. There remains a particular need for natural studies in the field to investigate how teachers do teach lessons about disability. In this qualitative research study, I applied a Disability Studies in Education (DSE) lens to lessons about disability in secondary English Language Arts (ELA) classes. I examined the ways three ELA teachers of students with and without disabilities with expressed interest in DSE used pedagogical reasoning to make sense of and …

Evaluation Of Heavy Metal Pollution, Water Quality, And The Effectiveness Of Remedial Sediment Dredging In The Lower Passaic River, New Jersey, Oluwafemi Soetan

Theses, Dissertations and Culminating Projects

Toxic metal pollution is a leading environmental concern for aquatic systems globally and remedial dredging has been widely employed to mitigate its harmful impacts. In terms of the short-term impacts of remedial dredging, mixed results are reported in several studies. Despite its immediate negative impacts including saturation of water with toxic metals, increased turbidity, and sediment resuspension, positive impacts can be recorded over a stabilization period of 6 – 24 months after dredging. Nevertheless, the sustainability of these recorded positive effects cannot be ascertained as some studies have reported long-term regression in remediated sites’ conditions. Evaluation of success determinants, site-measure …

The Importance Of Framing The Context Of Black/African Americans' Livelihood To Enhance Health Outcomes And Mitigate Health Inequalities, Elvis Gyan

Theses, Dissertations and Culminating Projects

This study investigates the portrayal of Black/African Americans in Health Marriage and Relationship Education (HMRE) programs, which predominantly follow Eurocentric models while examining how social and structural determinants (e.g., community context) influence stress levels, general health, and relationship satisfaction through two main objectives. Firstly, it aims to scrutinize the acknowledgment of biases towards non-Eurocentric communities in published Administration of Children and Families HMRE programs, analyzing 39 research studies. Secondly, it examines the interplay between perceived community context, stress as a mediator, general health, and relationship satisfaction among Black/African Americans across three distinct articles by testing hypothesized process models. Results for …

Camus In A Post-Covid World: A Bibliotherapeutic Approach To Coping With Crisis, Jessica Titterington

Theses, Dissertations and Culminating Projects

This thesis examines the usage of absurdist literature, particularly a selection of works by Albert Camus, and their relevance to bibliotherapy. The three selected works are his novels The Plague and The Stranger, as well as his essay The Myth of Sisyphus. By analyzing these works through a psychoanalytic lens and with the consideration of generational theory, utilizing absurdist literature as an alternative “medicine” in times of crisis, especially in instances where immediate medical aid is not available, is shown to be beneficial. This thesis also uses the recent COVID-19 pandemic as a model for global crises and explores the …

Assessing The Diagnostic Accuracy Of Ti-Rads In Pediatric Thyroid Nodules: A Multi-Instutional Review, Shachi Srivatsa, Ameer Al-Hadidi, Joseph R. Stanek, Kyle Horvath, Lauren N. Parsons, Claudia Martinez-Rios, Amanda Hopp, Samuel Engle, Matthew Plunk, Gail Shapira-Zaltsberg, Sapna Nagar, Sean E. Masters, Sayf Al-Katib, Rennard B. Tucker, Lamya Atwah, Summit Shah, Adam Bobbey, Robert Hoffman, Jennifer H. Aldrink

Conference Presentation Abstracts

Abstract: Purpose: Thyroid nodules are uncommon in children and adolescents but carry an increased risk of malignancy when present. The Thyroid Imaging Reporting and Data System (TI-RADS) is an adult-validated ultrasound-based risk assessment providing a prediction of malignant potential for thyroid nodules, thereby guiding recommendations for fine needle aspiration biopsy (FNAB). Minimal data exist regarding the applicability of TI-RADS to predict malignancy in pediatric thyroid nodules. This study aims to analyze the performance of TI-RADS for children and adolescents with thyroid nodules, hypothesizing that applying TI-RADS criteria would improve accuracy and reduce the number of recommended FNAB compared to American …

Diuretic Dose Ratio Is Associated With Reduced Hospital Length Of Stay In Acute Heart Failure, Sarah Galla, Yuying Xing, Lihua Qu, David A. Berger

Conference Presentation Abstracts

No abstract provided.

Analysis Of Social Behavior Of The African Great Apes During Feeding And Non-Feeding Contexts, Jessica Hale

Master's Theses

The three African great apes, bonobos, chimpanzees and gorillas, despite similar habitats, differ considerably in their sociality and feeding ecology. There have been many studies that have investigated the feeding ecology and social behaviors of these species, but there is extremely limited literature available on how feeding ecology may have affected ape social evolution. Chimpanzees are frugivorous, which forces them into close proximity when foraging given the clumped nature of this resource. Bonobos and gorillas, however, are fallback food consumers, which allow them to spread out as they forage. This thesis project aims to test the hypothesis that differences in …

Qualitative Vs. Quantitative Train Of Four, Caleb Culbreath

Doctor of Nursing Practice Projects

The growing body of evidence linking residual neuromuscular blockade (NMB) to postoperative complications has underscored the need to integrate quantitative neuromuscular monitoring techniques into anesthesia practice. This study, conducted at a tertiary care center in southern Illinois, investigates the gap between current clinical practices and the latest evidence advocating for objective monitoring. The study utilized a non-experimental pretest-posttest design to evaluate an educational intervention's effectiveness in increasing anesthesia providers' knowledge of quantitative neuromuscular monitoring techniques and enhancing their awareness of the incidence and clinical implications of postoperative residual neuromuscular blockade. Analysis of the pretest and post-test responses revealed significant improvements …

Educating Srnas On Barriers And Facilitators Of Clinical Learning, Mesud Dedic, Richard Heuermann

Doctor of Nursing Practice Projects

A national survey of 143 Student Registered Nurse Anesthetists (SRNAs) conducted by Clancy and Bruinius (2022) revealed that factors impeding effective SRNA clinical education include unstable preceptorship, hostile environments, limited autonomy, and heavy didactic burdens. Clancy and Bruinius (2022) also found that facilitators of SRNA clinical education include rapport with preceptors, effective feedback, strong clinical site orientation, and beginning of day discussions. This project aimed to enhance second-year SRNAs' clinical success by mitigating these evidence-based barriers and employing these evidence-based facilitators by developing a presentation for SRNAs and assessing its effectiveness through a pre-implementation survey and post-implementation survey. The literature …

Development Of High-Fidelity Simulations For Srnas: Airway Fire And Venous Air Embolism, Ashlyn Russo, Brooke Skaggs

Doctor of Nursing Practice Projects

Student registered nurse anesthetists (SRNAs) must swiftly recognize and treat high-risk, low-incidence complications in a high-stress environment. Most SRNAs do not experience high mortality or rare emergencies throughout their training. This project involves developing and implementing two high-fidelity simulations for airway fire and venous air embolism (VAE) to help SRNAs improve their skills in a safe learning environment. Objectives for this project include examining current evidenced-based literature to determine the efficacy of high-fidelity simulation on the SRNA’s knowledge and performance post-simulation, determining the incidence, pathophysiology, and treatments for airway fires and VAE, creating two high-fidelity simulation scenarios, and integrating the …

Educating Anesthesia Providers On The Physiological Effects And Anesthesia Implications Of Cannabis, Carmel Loud

Doctor of Nursing Practice Projects

In the U.S., currently 37 states have legalized cannabis for medicinal use prescribed by qualified medical professionals (National Conference of State Legislatures [NCSL], 2022). In 2012, the legalization of recreational cannabis began; as of 2022, 19 states have legalized the recreational use of marijuana (NCSL, 2022). This project aimed to optimize care for patients using cannabis by increasing anesthesia provider knowledge about cannabis. The project's aim was accomplished through a thorough review of the current medical literature and implementation of education to anesthesia providers about the physiological effects and anesthesia implications of cannabis. Thirteen CRNAs took a pre- and post-quiz …

Best Practice In Airway Management Of The Neonatal Population, Brittaney Montcalm

Doctor of Nursing Practice Projects

The historical idea that uncuffed endotracheal tubes (ETT) are the best method for pediatric airway management is being challenged in today’s current anesthetic practice. Whether to use a cuffed or uncuffed ETT in the neonatal population remains controversial. This project involved a comprehensive literature review of best-practice recommendations for neonatal airway management, focusing on the use of uncuffed versus cuffed ETTs. Literature review findings were presented as an educational PowerPoint presentation, and a quick reference guide for pediatric airway management was developed. A post-implementation questionnaire was administered to determine the effectiveness of the presentation and its perceived application in clinical …

Evaluating The Efficacy Of Perioperative Methadone In Cardiac Surgery, Brock Thornton

Doctor of Nursing Practice Projects

Cardiac surgery includes a myriad of highly invasive and complex procedures that can lead to the development of chronic pain and delayed patient recovery (Murphy et al., 2015). Despite frequent administration of opioid medications, cardiac surgery is associated with moderate to severe pain in up to 75% of patients (Bolton et al., 2019; Choinière et al., 2014; Wang, Song, & Nault, 2021). Methadone, a long-acting synthetic opioid medication, improves analgesia and decreases the risk of chronic pain syndromes among multiple surgical populations. Literature within the last five years suggests a single dose of intravenous methadone in cardiac surgery (0.1-0.3 mg/kg …

Application Of Ultrasound For Difficult Vascular Access In Obstetric Patients, Carly Mccleland

Doctor of Nursing Practice Projects

This project aimed to create a three-tiered educational program to introduce the benefits of ultrasound application for peripheral IV placement in obstetrical patients. The main goals of this project were to increase successful first-attempt IV placement in obstetric patients who may be difficult to obtain IV access on. The first tier of education consisted of presenting findings from the literature review as an educational PowerPoint to all project stakeholders. The second tier of education included stakeholders practicing using the ultrasound for PIV placement on mannequin arms. The third tier, which is still on going, included implementation of the first two …

Discharge Lounge Utilization, Jessica Goneh, Areo Comonal

Doctor of Nursing Practice Projects

Efficient hospital throughput is crucial for maintaining quality patient care and managing healthcare resources effectively. This project examines the relationship between hospital throughput, measured by discharge lounge utilization, and the National Emergency Department Overcrowding Scale (NEDOCS) score. A mixed-methods approach was employed, combining quantitative analysis of discharge lounge utilization data with qualitative assessment of staff perceptions and operational challenges. The project was conducted over nine months in a large urban hospital. Results indicate a significant correlation between discharge lounge utilization rates and NEDOCS scores, suggesting that higher levels of discharge lounge utilization are associated with NEDOCS score improvement. Furthermore, qualitative …

Procedural Sedation Training: Competency Verification Through Simulation, Christine Hawknuff

Doctor of Nursing Practice Projects

A 450-bed tertiary hospital in Central Illinois lacked a standardized process for competency verification for procedural sedation care by registered nurses (RNs). Despite recommendations by many organizations, there are no consistent or standardized guidelines for verifying competency in nursing care of the procedural sedation. This project implemented a Procedural Sedation Training Course which comprised an in-person prelearning lecture, a group simulation learning experience, and an individual verification of competency through simulation.

Fifty-six RNs completed the Procedural Sedation Training Course and demonstrated competency through simulation, and 24 of these RNs completed a procedural sedation within the eight-month pilot period. Qualitative and …

Increasing Ob/Gyn Clinic Nursing Staff Knowledge And Comfort Level In Providing Breastfeeding Education, Nancy Moore

Doctor of Nursing Practice Projects

There are well known benefits of breastfeeding for both mother and child, yet the educational support from providers during prenatal visits is not consistent or well-documented. An educational presentation discussing guidelines of breastfeeding education, common breastfeeding problems and barriers to breastfeeding was developed and presented to a “Baby Friendly” hospital-based OB/GYN clinic staff at an urban St. Louis hospital. The goal was to increase staff knowledge and comfort providing education and resources surrounding breastfeeding to be used to increase discussion of breastfeeding during prenatal and postpartum visits. Evaluation of pre and posttest data showed an increase in knowledge regarding managing …

Implementation Of Prenatal And Postpartum Depression Screening For A Telehealth Company, Allison Herrmann, Lori Deibel

Doctor of Nursing Practice Projects

Abstract

Depression is a leading mental health disorder. Depression occurring during the perinatal and postpartum periods has become highly prevalent throughout the world, impacting 5-10% of women during (van de Loo et al., 2018) and 9-23.5% postpartum (Bauman et al., 2020). Proper diagnosis and treatment of perinatal and postpartum depression (PPD) is crucial, as depression can lead to poor outcomes including relationship complications and negatively affect child development (Slomain, 2019). The implementation of screening tools can help identify women at risk based on their signs and symptoms of PPD (Bauman et al., 2020). The primary goal of this project was …

Community Development In Stann Creek, Belize, Connor O'Neill

Economics Undergraduate Honors Theses

This research attempts to understand the inner workings of community development by taking part in ongoing development projects in Belize. Through collaboration with existing government entities, we took part in meetings, surveys, and site visits to gather the data necessary for the development projects. These projects consisted of finding cost of production, collecting market research, and constructing business plans. During our time, we experienced multiple difficulties similar to those that developers consistently encounter. Ultimately, we gained valuable insight into procedures involved in community development, as well as being able to aid in ongoing development work.

Implementing A Dairy Industry In Mauritius, Lainey Deitrick

Economics Undergraduate Honors Theses

Over the Summer, I interned at the University of Mauritius and the Ministry of Agro Industry and Food Security from May 18th to July 15th, 2022, researching issues with Mauritius’s food security and helping to create solutions to their economic problems. My project covered all Mauritius’s agricultural imports, but it had an emphasis on their dairy industry. While in Mauritius, I conducted research on food security among Mauritians, and a feasibility study on if residents would be open to drinking more fresh milk, which is a market the country is exploring to replace sugar cane. My data analysis will be …

Unveiling The Influence: Corporate Lobbying And The American Diet, Annaleigh Mattingly

Economics Undergraduate Honors Theses

The United States has an ongoing health problem. At 41.9%, our obesity rate is one of the highest in the worldi . While there are several factors that contribute to obesity, food is a crucial one. Food plays a key role in our short- and long-term health. This impact spills over into other aspects of life, such as productivity and mental well-being. This begs the question why the United States, as a very wealthy nation, has relatively lower food quality when compared with other high-income nations. This is a multi-faceted problem that is rooted in American culture, government regulation, and …

Intellectual Property Rights: Examining Outdated Laws, Monopolies, Manipulation, And The Need For Modernization, Maggie Moles

Economics Undergraduate Honors Theses

This thesis critically examines the shortcomings of current intellectual property (IP) laws in the face of rapid technological advancement and evolving digital landscapes. It argues that while IP laws were intended to incentivize innovation, protect creators' rights, and foster fair competition, they often fall short of these goals in practice. Through an analysis of various case studies and real-world examples, the thesis demonstrates how outdated IP laws can hinder progress, stifle creativity, and impede access to knowledge and resources, particularly in industries heavily reliant on patents and copyrights.

Furthermore, the thesis explores alternative models and proposals for reform, including open …