our babies who took a piece of my heart with them to heaven… Forever love! To Ryan, who has always been like a son to us… Forever love! And:To the babies, children, and students who are d/Deaf or hard of hearing & their families, thank you for allowing me to serve you. It has been a privilege and an honor! ii ACKNOWLEDGEMENTS There are several professors whom I would like to acknowledge for their significant contributions throughout my doctoral journey. I will begin with those who provided encouragement, guidance, and their expertise throughout coursework and the culminating pillar of this process, the dissertation. As my dissertation chair, Dr. Cynthia MacGregor, had an amazing gift for navigating with steadfast precision in a way that honored my path and vision.