Digital Commons Network^™

Beliefs Regarding Patient Experience In The Emergency Department Among Individuals With Sickle Cell Disease, Elizabeth A. Ibiloye, Gloria N. Odonkor, Ayobami A. Aiyeolemi, Jamie C. Barner, Carolyn M. Brown, Hyeun Ah Kang, Benita A. Bamgbade

Patient Experience Journal

Individuals with sickle cell disease (SCD) frequently experience intense, unanticipated pain episodes known as vaso-occlusive events (VOEs), which often require emergency department (ED) treatment. However, they often report suboptimal experiences in the ED. Using the Theory of Planned Behavior (TPB), this study aimed to elicit salient beliefs regarding SCD patient experience in the ED. Three virtual focus group sessions were conducted with individuals with SCD recruited through a Texas SCD Association and Rare Patient Voice. Nine open-ended questions were used to elicit participants' behavioral, normative, and control beliefs regarding ED use when experiencing VOEs. Qualitative analysis was performed using a …

The Voices I Never Heard: Reflections From A Public Health Advocate On Representation, Silence, And Struggle, Araya Gautam

Patient Experience Journal

Representation of ethnic minorities among trial participants in the UK is poor. It is true that the need for diversity and inclusive language is important in research, but the practicality of making this a reality for patients from under-represented groups has not generally been the case. As a patient advocate, I have been a participant in clinical trial reviews and advisory boards during the past three years and have engaged in a national-level conversation about patient voice and equity. I draw connections between structured frameworks for patient and public involvement (PPI) in the UK and the more informal, community-based caregiving …

The Quiet End Of The Visit, Avinav Biswas

Patient Experience Journal

Reassuring language is a common and often well-intentioned feature of clinical encounters, frequently used to convey clinical confidence and bring visits to a close. This personal narrative reflects on an observed outpatient encounter during a physician shadowing experience in which reassurance appeared to function not only as comfort, but also as an implicit signal of conversational closure. From the perspective of a student observer, the piece describes a moment of patient hesitation that arose after reassurance was offered, then quietly disappeared as the visit concluded. Although the encounter was clinically appropriate and efficient, the unspoken pause highlighted how uncertainty can …

Navigating Medical Ambiguity: A Patient's Perspective On Communication, Timing, And Risk, J. Hansen

Patient Experience Journal

This essay recounts the experience of navigating re-vaccination decisions after an initial diagnosis of vaccine-associated myocarditis. A diagnosis later contested by other specialists. It is not a tale of medical error, but of diagnostic ambiguity and divergent clinical reasoning. My intent is to show how, in the absence of consensus, a patient was compelled to assume a central role in adjudicating between competing medical narratives. Recommendations are offered to make medical advice more available to patients and bridge a growing gap between medicine and the public.

Human Experience, The Boarding Crisis, And Moral Injury-A Call To Action, Thom Mayer, Wendy Dean

Patient Experience Journal

Patient experience has evolved to a broader definition of human experience, including workforce experience, and community experience. Hospital boarding is a common, pervasive problem facing healthcare, which threatens all levels of human experience, from patient experience, to workforce experience (moral injury and burnout in healthcare professionals), and community experience (delayed and denied access to care for patients, Emergency Medical Services, and even interhospital transfers. Effective system leadership across the systems and processes of healthcare, as well as stakeholder and boundary management, will be essential to deliver acceptable human experience, in addition to solutions to smooth surgical flow, improve discharge systems, …

Human Experience: A Catalyst For Global Connection, Jason A. Wolf

Patient Experience Journal

As I think about the state of play in our world today, I find we have two choices in how we react. One is with a sense of despair driven by the intentional efforts to disconnect humanity being perpetuated by some. The other, with a sense of hope, that even in the face of these forces, there are those that strive relentlessly to foster connection and opportunity. I find the path forward in holding the tension of pragmatic idealism – that we can dream, with big and noble goals, while recognizing our path forward must be grounded in practical and …

Family Perspectives: A Qualitative Examination Of College Athlete Suicide During The Spring 2022 Semester, Elaine M. Anton-Lotruglio, Sophia M. Burke, Kimberly H. Mcmanama O'Brien

Journal of Issues in Intercollegiate Athletics

Objective: Suicide among college athletes remains largely underexplored despite rising rates. This qualitative study aimed to explore family members' perspectives on why their loved ones died by suicide. Participants: The study included family members (N=10) of three college athletes who died by suicide in the spring 2022 semester. Methods: Semi-structured interviews were conducted between March and July 2024. ATLAS.ti and Braun and Clarke's thematic analysis were employed to analyze the data and identify themes. Results: The data revealed three primary themes: factors contributing to the suicide crisis, presence of a suicide crisis, and university crisis response. The themes suggested a …

Beyond The Playing Field: Athletic Identity, Academic Performance, And Career Readiness Among Student-Athletes, Lucy Mcafee, Alexander Traugutt, Caroline J. Ketcham, Eric E. Hall

Journal of Issues in Intercollegiate Athletics

This mixed-methods study examined how athletic participation relates to perceived career readiness development and explored relationships between athletic identity, academic performance, and post-graduation plans among 124 Division I student-athletes (varsity and club) at a private university. Participants completed surveys measuring athletic identity (AIMS), perceived development of NACE Career Readiness competencies, and open-ended questions about how athletics prepared them for future careers. Varsity athletes reported significantly higher perceived development than club athletes across five competencies: professionalism, critical thinking, communication, technology, and career and self-development. Male athletes reported higher perceived development in professionalism, critical thinking, and technology. Athletic identity demonstrated significant positive …

Volume 12 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Exploring Gender As An Analytical Framework In The 2018-2019 Revolution And Ongoing Civil War: The Role Of Gendered Violence And Sudanese Women's Resistance, Ami John

Butler Journal of Undergraduate Research

This paper will interrogate the intersection of gender, war, and political upheaval within Sudan while focusing on the role of women in both the 2019 resistance and the ongoing conflict and revolution. By the end of 2018, mass protests had called for the ousting of Omar al-Bashir, the long-standing Sudanese president. This event set off a chain reaction which led to events that fueled the long-standing rivalry between the two militant groups that were active in Sudan, the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF). The tension caused by this rivalry created unforeseen circumstances for the local …

Front Matter And Table Of Contents, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

From Waste To Wardrobe: Bridging Consumer Behavior And Circular Fashion For A Sustainable Industry, Gabriela V. Petrova

Honors Capstones

• Fast fashion drives environmental damage: water pollution, microplastics, and chemical exposure.

• Consumer behavior and systemic barriers reinforce unsustainable practices.

• Circular fashion—reuse, resale, and rental—offers opportunities to reduce waste.

• Success depends on both industry innovation and shifts in consumer habits.

Barks And Beans: A Place To Enjoy Two Things You Love, Erika Davis

Honors Projects

This project explores the necessary steps that need to be taken in order to have a successful and impactful pet cafe. "Barks and Beans" is a pet cafe created to enhance the community and benefit societies mental health and social wellbeing while operating as a successful business. This project is guided by the research questions "How does integrating dogs into a coffee shop environment influence factors such as customer attraction, retention, and overall brand identity?” and “What impact do dogs in a coffee shop have on a customer's emotional/mental well-being, satisfaction of experience, and likelihood of returning?”. Given the research …

Judging A Book By Its Cover: Exploring Ethical Solutions For Marketing & Labeling Romance Novels With Illustrated Cover Art, Tricia Filbrun

Honors Projects

As social media platforms and subcommunities have driven massive sales for romance titles in the publishing industry, there has been an intense debate among literary communities, parents, and school administrators about whether the illustrated cover art style is appropriate. Some readers feel that these books are intentionally marketed towards a younger audience, and the sexually explicit nature of the content was not made clear, or labeled at all, before they read the book. This paper explores four likely marketing and labeling solutions that could be implemented to resolve this issue, and whether they are ethical by marketing and advertising standards, …

Hidden Barriers: Enforcement Asymmetry And The Political Economy Of U.S.–Mexico Food Trade And The Cattle Industry, Sabina Prieto, Chris Jackson

Honors Thesis

This project examines how enforcement irregularities in Mexican food safety regulation affect small exporters’ ability to access U.S. markets. On paper, agricultural trade is regulated by laws on food quality, certification, and logistics. In practice, it is how those rules are enforced. In Mexico, big firms and producer associations tend to gain steady support and easier certification, while smaller producers face delays, rejections, or inconsistent oversight that make it much harder to compete. This study uses a comparative case study approach to analyze how similar industries produce different outcomes in market access. By tracing key events such as disease outbreaks, …

Improving Transfer Portal Decision-Making Through A Microsoft Excel Optimization Model, Peyton Steffes

Honors Projects

The creation of the transfer portal has increased the mobility of collegiate athletes, giving players the autonomy to switch teams throughout their career. As a result, the roster development process has become more complex, as coaches are tasked with the challenge of recruiting from the transfer portal, which involves an extensive decision-making process. Coaches not only have to evaluate a substantial pool of players, but they also must consider the following constraints they are under: scholarship budget, roster spots available, and positional needs. To simplify this decision-making process, this analysis includes the results of a Microsoft Excel data optimization model …

Changing Employee Motivation From Obligation To Opportunity: Increasing Intrinsic Motivation In Non-Profit Organizations, Evelyn L. Williams

Senior Honors Theses

Motivation is a key driver behind tasks within the workforce. Harnessing employee motivation increases productivity, employee retention, efficiency, and output quality. Non-profit organizations, however, are often unable to devote resources to externally increasing motivation. This study presents a motivational model that is built from three motivation theories: Maslow’s Hierarchy of Needs, Herzberg’s Two Factor Theory, and Self-Determination theory. By incorporating principles from these theories this model helps organizations internalize and increase the effectiveness of their employees’ motivation through increasing the autonomy, competence, and relationality felt by each employee. The six tenets of the REWARD model give non-profit organizations a framework …

A Qualitative Case Study On Leadership And Organizational Dynamics In The Adoption Of A Learning Management System In Higher Education: A Post-Positivist Approach Using The Technology Acceptance Model (Tam), Ashley Hudson Tharpe

Doctoral Dissertations and Projects

The purpose of this flexible design, qualitative, single case study was to explore the process of a learning management system (LMS) transition and the perceptions of administrators, course designers, and faculty during that process at a higher education institution. The study focused on understanding perceptions of LMS adoption, using the technology acceptance model as a conceptual framework. Three research questions were used to address the problem by providing insights into the procedural, relational, and strategic elements of LMS adoption. Data was collected through 30 semi-structured one-on-one interviews, 33 reflective journal responses, and multiple institutional artifacts related to LMS migration. Six …

Employee Engagement In The Digital Age, Kimberly A. Wells

Doctoral Dissertations and Projects

The researcher in this qualitative multiple-case study explored how technology has impacted employee engagement in the modern workplace. The problem being addressed is the continual decline in employee engagement, and the limited understanding of whether technology influences engagement -and if so – how it impacts engagement. A flexible design and qualitative methodology were used to conduct semi-structured interviews with 25 subjects across two non-profit organizations. The researcher transcribed each interview, which was then coded and analyzed. The findings revealed several core themes, including digital saturation, device benefits, device etiquette, device boundaries, and technostress. These themes indicate that technology enables greater …

Bridging The Gap: Leadership Support For Military Veterans Who Transition To Civilian Employment, Kimberly S. Buchanan

Doctoral Dissertations and Projects

A gap in leadership support hinders military veteran employees from effectively leveraging their skill sets during their transition from military service to civilian employment, leading to decreased performance, low job satisfaction, and reduced retention of Veteran talent. This flexible qualitative single-case study explored why gaps in leadership support exist for military veteran employees, the extent to which these gaps hinder the utilization of their skill sets, and how leaders can address them. The study included semistructured interviews with 18 military veteran participants, representative of the U.S. Military and diverse in backgrounds. Data analysis involved coding, theme development, and review of …

Psychological Contract And Perma Well-Being, Ryan T. Roddey

Doctoral Dissertations and Projects

The PERMA model, a five-factor framework- positive emotion (P), engagement (E), relationship (R), meaning and purpose (M), and accomplishment (A)- was developed to assess the building blocks of well-being (Seligman & Csikszentmihalyi, 2000). In the workplace setting, organizations perceive how positive organizational psychology shapes employee well-being through exchange relationships (Donaldson et al., 2022). Previous research confirms the effect of the psychological contract on well-being when the contract is violated in the workplace. Yet, limited studies examine the association between overall well-being and employee exchange agreements, such as the psychological contract. This study explored the differences between relational and transactional psychological …

Training & Support Impacts To Leader Mental Health: A Multiple Case Study, Casey R. Childers

Doctoral Dissertations and Projects

This expansive body of work displays a composite overview of the problem considered, research process employed, and conclusive findings centered on mental health in leadership within the healthcare setting. From the research background, literature review, planning phase, execution tasks, data analysis, and conclusive findings, the research comprehensively signifies a complex contribution to the current body of knowledge. Throughout this study each of the specific research phases are carefully outlined to fully identify the problem surrounding insufficient support systems and the subsequent impact on team engagement, retention, and overall performance. The study leverages a flexible design to approach the problem statement …

Exploring The Relationship Between Telework Intensity And The Voluntary Or Involuntary Nature Of Physical Work Arrangements Related To Work-Related Rumination, Savannah R. Schwartz

Doctoral Dissertations and Projects

Work-related rumination occurs when an individual thinks about work during non-work hours. Following the emergence of COVID-19, more employers adopt flexible models of physical working arrangements for their employees that extend beyond traditional on-site (working from a designated business office location) models, such as hybrid (working part of the time from home and part of the time at a designated business office location) and fully remote (working from home all of the time) models. The present non-experimental quantitative, cross-sectional survey study explored the relationship between telework intensity (i.e., the amount of time one spends working remotely), as well as the …

Why Western Michigan University Should Implement A Women's Varsity Ice Hockey Program, Lauren Young

Honors Theses

This study evaluates the feasibility and strategic value of implementing a varsity women’s ice hockey program at Western Michigan University (WMU). As women’s ice hockey continues to experience significant growth at the youth, high school, and collegiate levels, disparities in participation opportunities persist, particularly within institutions that sponsor men’s hockey but not women’s programs. This research argues that WMU is well-positioned to address this gap by establishing a women’s varsity ice hockey team that aligns with institutional goals, gender-equity standards, and national participation trends.

A qualitative case study approach was used to assess feasibility through three primary areas: institutional comparison, …

Latine Financial Wellness Content Creators: Rhetorical Strategies And Approaches, Ariana Bribiesca

Pepperdine Journal of Communication Research

The following paper explores Latine popular culture through the lens of Latine Instagram content creators who focus on financial literacy and wellness. First, “Viv” from Overcoming Generational Poverty provides a free budget template and money resources. She is the first in her family to build generational wealth while simultaneously supporting her family financially. Second, Giovanna González, a financial educator and award-winning author of Cultura & Cash: Lessons from the First Gen Mentor for Managing Finances & Cultural Expectations, explores the intersection of culture and finances. Finally, Hip Latina’s “Finances Section” explores content with financial resources as part of their larger …

Guarding The Game: Building A Defensive Line Between Athletes' Biometric Data And Gambling Interests, Caroline Hébert

The Journal of Business, Entrepreneurship & the Law

This comment examines the intersection of wearable technology, professional sports, and the burgeoning sports betting industry. Focusing primarily on the National Football League (NFL), the author explores how biometric markers such as heart rate, stress levels, and fatigue—originally intended for player health and performance—are increasingly targeted for commercialization in the gambling market. The comment provides a critical analysis of the current legal landscape, noting that existing frameworks like HIPAA and GINA, as well as current Collective Bargaining Agreements (CBAs), offer insufficient protections for athletes' sensitive personal data. Hébert identifies key points of exploitation by third-party vendors and highlights the conflicting …

Your Money, Your Message, Ella Rosebrook

Honors Projects

The Your Money, Your Message pamphlet offers a basic overview of personal finance and personal branding to act as a guide for young adults looking to further their knowledge in these areas. It gives beginner-level guidance in budgeting, tracking spending and saving habits, filing taxes with a CPA, a brief description of common payroll taxes, and personal branding. It is important for individuals entering the workforce to be knowledgeable in these areas no matter what their major is, as these skills will bring about a positive impact for anyone. Developing healthy personal finance habits and a strong personal brand is …

Navigating Uncertainty: A Deep Insight Into Tariffs’ Effects On The Automotive Industry, Gavin J. Gautier

Honors Theses

The purpose of this thesis is to address the financial, strategic, and external effects caused by tariffs within the automotive industry, with a specific focus on the effects caused by the Section 232 tariffs imposed on aluminum and steel. More Specifically this thesis will examine a comparative analysis of General Motors between 2017 and 2018 during the Section 232 enactment. While traditional studies tend to observe the input-cost effect, my hope is to examine the broader effects at the firm-level, such as inventory shifts, cost management, and risk hedging procedure. Through an evaluation of GM’s 10-K filings, key financial ratios, …

Personality, And Generation In Green Entrepreneurship, Julie Garritano

Honors Projects

This research investigates the drivers of Green Entrepreneurial Intent (GEI) by examining the intersection of personality traits and immigrant generation status. Utilizing the Theory of Planned Behavior (TPB) framework, the study focuses on how openness to experience and conscientiousness—the traits most strongly associated with sustainability-oriented innovation—influence entrepreneurial intentions.

A central aim is to determine how first- and second-generation immigrant statuses moderate these relationships, particularly through the lens of intergenerational transmission of values and social norms. The study integrates illustrative case analyses of Timberland and Patagonia to trace how environmental stewardship and ethical business practices evolve across successive leadership generations.

The …

Americana Marketing Campaign, Shaela O'Keefe

Undergraduate Theses

Americana World Community Center has served as a beacon of hope and justice within the Louisville, Kentucky community for over 30 years. The nonprofit organization provides “holistic services to Louisville's refugee, immigrant and underserved population to build strong and healthy families, create a safe and supportive community and help every individual realize their potential” (Americana, 2024). Americana creates opportunities for families to thrive through “education, family support, youth achievement, and career & financial development” (Americana, 2024). To further Americana’s mission and assist immigrant families, the organization is currently undergoing the process of gathering narratives of Americana’s impact on their staff, …