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This dissertation explores frontline nurses' perceptions of peer support in fostering emotional, professional, and organizational support and commitment in different contexts. This study draws together scholarship on street-level bureaucrats (SLBs) and formal and informal training in nursing to build on research demonstrating that internal organizational elements such as formal training and informal peer interaction continuously develop SLBs' professional and organizational personalities. Also, research traditions on SLBs regard peer interaction as policy implementation using "service styles" to build stronger ties with peers to solve problems and better respond to the needs of citizens and communities. Despite the prominent role peers play in scholarly research on SLBs, few empirical studies have contextualized the meaning of peer support in different settings to examine how it affects professional meaning and organizational commitment in a specific industry. This dissertation expands on the findings of several studies that demonstrate that peer relatedness is an important component of frontline work. The distinctive contribution of this dissertation is using narrative analysis to collect and analyze stories of firsthand experiences told by personal narratives from mental health, military, and emergency nurses in public hospitals to thoroughly compare the perception of informal or formal peer support influence and highlight its evaluative aspects across different settings. This dissertation contributes to the street-level bureaucracy theory by providing empirical evidence in contextualizing peer support as a catalyst for emotional support and a buffer for organizational uncertainty in various emotionally charged healthcare settings. / Doctor of Philosophy / This dissertation focuses on the narratives of frontline nurses in mental health, military, and emergency settings to highlight the impact of peer support on nurses' emotional well-being, as well as professional development, fulfillment, and commitment in diverse healthcare environments. This study illuminates how formal (preceptorship) and informal (mentorship) training or peer support shape nurses' professional identities, engagement, and commitment. Despite the acknowledged importance of peer support in public administration scholarly discourse, few studies have explored its nuanced significance across different healthcare settings. This dissertation addresses this gap by employing narrative analysis to examine narratives from mental health, military, and emergency nurses in public hospitals. By comparing informal and formal peer support perceptions of these different types of nurses, this study explores the realities of frontline healthcare delivery, including the emotional toll and systemic challenges they face, personal development lessons learned, and dynamics surrounding co-supporting quality care through peer support. Subsequently, this study highlights the critical role of peer support in developing and enhancing the psychological drivers — autonomy, mastery, purposefulness — and social drivers — supportive workplace, sense of belonging, and psychological safety— of nurses, thereby fostering a supportive environment and enhancing their competency and the quality and safety of patient care.

Recent public health scholarship finds that health outcomes are explained by the social and individual determinants of health rather than the individual-level determinants alone. The individualistic perspective has dominated the 20th century institutionalization of public health in the United States where the public health system has tended to focus largely, if not exclusively, on individual factors. This persistent orientation lies in contrast to another set of perspectives that have also persisted, focused on social causes, which are currently dominant in contemporary public health academic literature and in major, international health organizations. Whether the orientation within the United States is due to a prevailing paradigm among public health officials or is the result of new ideas about health causation being dampened under organizational weight is unknown. Despite public health being central to decreasing morbidity and mortality in the 20th century, significant gaps remain in researchers' understanding of what influences practice in the American public health system. My dissertation research investigates the broad outlines of the determinants of health as understood by state public health administrators. I study how the understanding of the determinants of health affects the practice of public health through analyzing how the ideas of state public health administrators interact with the organizational dynamics of the public health organizations they lead. This mixed-methods dissertation uses survey research and in-depth interviews and quantitative and qualitative analysis. I find that state public health officials' professionalization, length of tenure, level of education, and gender affect the perspective of health causation to which they adhere. I also find that the state public health officials with a social health frame more commonly report they are situated in organizations that are learning environments. Both organizational and ideational factors influence public health practice. The interview data expand this finding to paint a complex picture of organizational and ideational factors influencing one another as well as resulting practices. This research reveals that state public health officials often have strong health frames that are only able to shape the edges of their practice due to the political and organizational dynamics interacting with state public health departments. / Ph. D.

The Potential to Be the Most Historic Higher Education Reform Effort of Our Time: Implementation of AB705 As a result of California Assembly Bill 705(AB705, 2017) and California Assembly Bill 1705 (AB1705, 2021), most 1st-year students will enroll directly into transfer level math and/or English courses (Baca, 2021; Lopez, 2022; Melguizo et al., 2022; Sims, 2020). Students once placed into remedial coursework before enrolling in transfer level coursework may need more student support services to ensure course completion and retention (Atkins & Beggs, 2017; Baca, 2021; Cook, 2016; Lopez, 2022; Melguizo et al., 2022; Sims, 2020). The recent implementation of AB705 allows for community colleges to redesign pedagogical practices and restructure student support to address equity gaps and promote student success (Sims, 2020). Prior to AB705, remedial math and English course sequences were often gatekeepers that prevented students of color from completing their educational goals (Bailey, 2015; Bailey et al., 2013; Bragg et al., 2019; McClenney, 2019). As colleges move toward full compliance of AB705 and AB1705, colleges should have a comprehensive understanding of faculty members’ experiences as they implement reform efforts. Faculty perceptions of how the legislation has impacted student equity and success outcomes can inform continued, reiterative, and intentional improvements to reform initiatives. This qualitative study used semistructured interviews of English faculty members to examine if AB705 served as a catalyst for transformative change across academic and student support structures at community colleges. This study uncovered reform recommendations and best practices colleges can implement as they redesign educational support structures at their colleges.

This dissertation focused on the new performance-based teacher evaluation system implemented in the Commonwealth of Virginia. Eight school districts were granted an implementation waiver for one year making the 2013-2014 school year the implementation year for those school districts. A mixed methodology study was designed to understand teacher perceptions in one waiver school district in the Commonwealth of Virginia. The purposes of this study were to collect empirical evidence on the implementation of the new performance-based teacher evaluation system by comparing teachers' and principals' perceptions at three elementary schools to teachers' perceptions in the school district, identified as District Z and were to add to the research base on policy implementation theories and teacher evaluation. Findings and analysis of research questions were based on the responses of 357 teacher participants, two district directors, and three principals. Policy implementation research suggested access to resources and support along with an alignment of beliefs and values resulted in more effective implementation practices. Conclusions of this study, while limited to the district studied, suggested professional development on the new performance-based teacher evaluation system, including the Uniform Performance Standards and SMART goals, would provide teachers and principals with the increased knowledge to use as a resource during new implementation phases. Additionally, involvement in the design and modification of the teacher evaluation system would encourage participation and provide opportunities for teachers and principals to develop shared values regarding aspects of the evaluation system. / Ed. D.

Background: Childhood obesity is a pressing public health concern; the prevalence of childhood obesity is 15.5% in Virginia. About 15% of Virginia's K-12 population participates in after-school programs (ASPs), identified as appropriate venues in which to promote healthy eating. In 2011, the National Afterschool Association (NAA) adopted the evidence-based Healthy Eating and Physical Activity Quality Standards (HEPAQS) to address snack quality and physical activity in ASPs. Although research has indicated promise in implementation of such policies in after-school programs, a need for assessment of effectiveness still exists. Are the quality standards being implemented effective in increasing positive nutritional habits among children in ASPs? In 2014, Danville Parks and Recreation (PandR), a key partner in the Dan River Partnership for a Healthy Community (DRPHC), adopted the HEPAQS policies to improve the nutrition and physical activity of attending students. Objective: The primary purpose of this study was to determine the effectiveness of the adopted HEPAQS Healthy Eating standards by comparing the quality of snacks served at the ASP sites before and after the HEPAQS policies were implemented. A secondary purpose of this study was to describe the quality of snacks among both policy-adoption and comparison sites. The tertiary purpose of this study was to compare the quality of program versus non-program snacks in the ASPs. Methods: To meet the objective, a natural experiment followed a pre-post evaluation design to determine the impact of adoption of the Healthy Eating standards at three policy-adoption ASPs. Applying an interrupted time series design, a total of 531 children's snack observations were performed across all sites during a five-week pre-policy adoption data collection period and 412 total snack observations were performed during a six-week post-policy data collection period. Direct observation methods including a modified quarter-waste method for dietary observations and the HAAND tool were conducted by trained research staff to collect snack quantity, type, brand, and amount consumed. Observational data was entered into statistical software for hypothesis testing. Data were also analyzed using Nutrition Data System for Research (NDSR) software to determine the mean servings, fluid ounces, or grams of each nutrient specified in the adopted Healthy Eating standards. Results: Adoption of the Healthy Eating standards among the three policy-adoption sites did not result in better snack quality based on adherence to the Healthy Eating standards. Policy-adoption sites were only meeting four of the nine adopted Healthy Eating standards post-policy, almost all of which were also being met pre-policy: serving foods without trans-fats, serving no sugar-sweetened beverages (SSBs), limiting fruit juice to one 8 oz. serving, and avoiding artificially sweetened beverages. By post-policy data collection, policy-adoption sites were not meeting five of the nine adopted standards: weekly serving a fruit or vegetable, offering water at all times, serving no candy or sugar-based snacks, emphasizing whole grains, and serving no snack chips. Although no significant changes were expected among comparison sites, they saw a significant increase in 100% fruit juice consumption and a decrease in grams of trans-fat from pre- to post-policy data collection. Across all five sites, program snacks were generally healthier than non-program snacks, as program snacks contained less SSBs, sweets, and snack chips. Conclusion: Adoption of the Healthy Eating standards among the three policy-adoption sites did not result in better snack quality. Pursuing additional HEPAQS regarding implementation, staff training, and social and program support may be necessary to impact snack quality. ASPs may improve non-program snack quality by addressing HEPAQS for vending machines and guidelines provided to parents regarding non-program snacks. The PandR partners of the Dan River Partnership for a Healthy Community should continue to seek support as they implement the Healthy Eating standards in their ASPs. / Master of Science

Publishing software publicly is a new phenomenon for U.S. federal government agencies. In August 2016, the White House issued the Federal Source Code Policy: Achieving Efficiency, Transparency, and Innovation through Reusable and Open Source Software (FSCP). The FSCP mandated Chief Financial Officers (CFO) Act agencies to publish at least 20% of their custom developed code as open source software (OSS). The federal government has the responsibility to account for public spending, including spending for IT. The publication of OSS is one way the public can know about government spending. OSS additionally benefits the public by providing access to code, thus, making it the "People's Code." From 2016 to 2019, the progress of CFO Act agencies in implementing the policy was mixed. This study examines whether and how organizational theoretical variables – cultural beliefs, public engagement, structural dimensions, and organizational location – affect policy implementation. The study uses the publication of OSS as an indicator of effective policy implementation, and it identifies the factors that hinder or aid publishing OSS. Using metadata collected from GitHub's application programming interface (API), I created a sampling frame that included 23 of 24 executive agencies publishing OSS before and after the FSCP was published. From the sampling frame, 25 participants from 20 agencies agreed to participate in the study. These participants were from software development units that minimally, moderately, or frequently published OSS. The sample consisted of participants from units mostly located outside a Chief Information Officer (CIO) office focused on software development and data science activities. Grounded theory provided an approach for data collection with elite interviews and artifact gathering allowing for analysis in an iterative, comparative manner for generating a theory of policy implementation for OSS publication. Units more frequently published OSS when they expressed non-monolithic and advantageous cultural beliefs; practiced more and more varied public engagement through bi-directional communication, events, and electronic tools; had structures with less centralization, more formalization, more differentiation, and more coordination; and were located in the "middle" of organizations with fewer hierarchical layers. Additionally, some units expressed both cautionary and advantageous cultural beliefs suggesting beliefs alone are not enough to allow units to publish OSS. This study contributes to policy, public administration, and organization theory literatures. It enhances scholarship by examining a new phenomenon and aids practitioners by providing implications for consideration when implementing policy. / Doctor of Philosophy / Publishing software and its associated source code for public use is a new phenomenon for U.S. federal government agencies. In August 2016, the White House issued the Federal Source Code Policy: Achieving Efficiency, Transparency, and Innovation through Reusable and Open Source Software (FSCP). The FSCP mandated executive-level agencies to publish at least 20% of their custom developed code as open source software (OSS). OSS is software that can be shared within a community of developers through accompanying licenses hosted in online code sharing platforms. The federal government has the responsibility to account for public spending, including spending for IT. The publication of OSS is one way the public can know about government spending. OSS additionally benefits the public by providing access to code, thus, making it the "People's Code." From 2016 to 2019, the progress of executive branch agencies in implementing the FSCP was mixed. This study examines whether and how organizational factors – cultural beliefs, public engagement, structural dimensions, and organizational location – affect agency policy implementation. The study uses the publication of OSS as an indicator of effective policy implementation, and it identifies the factors that hinder or aid publishing OSS. To arrive at a general understanding of agency efforts at policy implementation, I collected data from GitHub's application programming interface (API) and created a list of 23 of 24 executive-level agencies that published OSS both before and after the FSCP was issued. From these agencies, 25 participants from 20 agencies agreed to participate in the study. These participants were from software development units that minimally, moderately, or frequently published OSS. The sample consisted of participants from units mostly located outside a Chief Information Officer (CIO) office that focused on software development and data science activities. Grounded theory provided an approach for data collection with interviews and document collection, leading to continuous analysis for generating a theory of policy implementation for OSS publication. Units more frequently published OSS when they expressed views complementary to those of their parent organization and held advantageous cultural beliefs; practiced more and more varied public engagement through two-way communication, events, and electronic tools; had structures with less centralization, more formalization, more differentiation, and more coordination; and were located in the "middle" of an organization with fewer hierarchical layers. Additionally, some units expressed both cautionary and advantageous cultural beliefs suggesting beliefs alone are not enough to allow units to publish OSS. This study contributes to policy, public administration, and organization theory literatures. It enhances scholarship by examining a new phenomenon and aids practitioners by providing implications for consideration when implementing policy.

This paper critically evaluates school discipline reform policy and implementation by California in the Oakland Unified School District after the U.S. Department of Education, Office for Civil Rights investigation. It demonstrates that policy implementation at the school level is equally as important as policy building and reform at the state-and district level. The Oakland Unified School district was subject to many reforms at the district level through change in state-wide legislation, and school board reform after the investigation concluded with several recommendations for the district. This provides a unique opportunity to study policy implementation at the school-level to understand how school environment and discretion may affect reform implementation. As research surrounding the effects of punitive school discipline continue to support alternative discipline practices, many states and school-districts have begun to implement its own reform. However, school discretion on how these policies are implemented call for researchers to focus on the school-level of policy implementation. This thesis is motivated to create an understanding in how policy implementation at the state and district level will differ across schools in the same district, focusing on school environment can influence implementation. / Master of Arts / This paper evaluates policy implementation in a California School District as a school-level. In 2012, the Department of Education Office for Civil Rights conducted an investigation in California's Oakland Unified School District on reports of the district subjugating students of minority status to harsher punitive punishment than those of their white peers. The Office for Civil Rights found evidence to support this claim and suggested many disciplines policy and practices reform to the district, which the district began to implement throughout its schools. This paper focuses on reviewing state-wide and district-wide discipline reform by comparing two high schools who experienced a difference in suspensions after reform was implemented. I offer insight into policy implementation by focusing on school environment through mission and vision statements. I perform my analysis through a comparative case study analysis of the two schools as well as content analysis of the state policy and district level policies and practices discussing school discipline. This paper emphasizes that school policy reform at the state and district level is important, however; policy implementation at the school-level ultimately creates change and is affected by school environment.

In 1995, Ghana’s education policymakers imposed a ban on all extra classes initiated and organized on school premises and public buildings, by individual teachers or groups of teachers, for which students were charged extra fees. The ban is referred to as the “policy on extra classes.” This study examined the genesis and justification of the said policy, including the current phenomenon of extra classes in Ghana. The study analyzed the policy’s impact on secondary education in the country, particularly Northern Ghana, using the lens of education stratification in a qualitative interpretive policy analysis approach. Interviews of leading Ghana education officials conducted in 2010 were the predominant source of data in this research, with corroboration from analysis of policy texts and review of the media. The conclusions and recommendations that emerged from this study included: accountability, the responsible use of school time and instructional time, and education equity and adequacy. Other issues concerned social justice, teacher remuneration and motivation, and the need for equitable national education policies that reckon with the disparities in the country. In particular, this study took issue with the culture of nonimplementation of education policies in Ghana, with particular reference to the policy on extra classes. The study contended that the partial or non-implementation of education policies deepens education stratification in the country.

This paper compares political dynamics in Sweden and societal outcomes inFinland with regard to the implementation of Universal Basic Income (UBI).While Sweden still largely remains in theoretical discussion, Finland hascarried out practical experimentation, and the results are shifting. Theevidence suggests that the recent Finnish UBI experiment resulted in mixedfindings: it neither improved nor hurt employment, but increased the wellbeing of participants in terms of mental health and feelings of financialsecurity. The debate in Sweden is quite the opposite, with politicalpolarization and a caution stemming from the worry about economicfeasibility. This paper thus brings out the different cultural, economic, andsocial contexts that could harbor the acceptance and possible impact of UBIin the two Nordic countries.