A Study To Assess Prom And Prem Of Cld Patients In A Tertiary Care Hospital, Anagha Nandakumar, Rubasree M, Priya Nair, Dr. Dinesh Nair, Krishnapriya S

Patient Experience Journal

Chronic liver disease (CLD) leads to progressive liver dysfunction, significantly affecting patients quality of life (QOL). Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are critical in evaluating the health status and care experiences of CLD patients. This study aimed to assess the impact of PROMs and PREMs in CLD patients undergoing endoscopic procedures. A prospective study was conducted in the Gastroenterology and Hepatology Department over three months, involving 245 CLD patients (160 inpatients and 85 outpatients). PROMs were assessed using the Liver-specific PROM (LC PROM), which focused on daily living, symptom management, psychological well-being, and treatment effectiveness. PREMs …

Patient-Centered Care To Improve Recruitment And Retention In Clinical Trials: Insights From A Real-Time Interview-Based Satisfaction Study, Christina Zhuang, Aishwarya Prasad, Anshu Arora, Arun Arora, Jeena Vaid, Wisam Aljumaili, Arif Khan

Patient Experience Journal

Patient-centered care is increasingly recognized as essential for understanding participant expectations and generating more accurate and reliable clinical trial results. This study aimed to evaluate an interview-based feedback tool designed to provide a comprehensive assessment of patient experience at a free standing high-enrolling clinical site in the Pacific Northwest. The primary objectives were to identify strengths and weaknesses in current procedures, enhance recruitment and retention, and develop a model adaptable to other sites. A structured interview tool was independently developed based on literature supporting the integration of qualitative and quantitative feedback to capture a multidimensional view of patient experience. The …

Cartoon-Printed Uniforms: A Strategy To Ease Pediatric Hospital Anxiety, Karnellya R. Ohol, Janaki P. Shinde

Patient Experience Journal

This quasi-experimental study evaluated the effectiveness of cartoon-printed nurse uniforms in reducing anxiety among hospitalized children aged 3–12 years. Conducted at a tertiary care hospital in Maharashtra, India, the study included 100 participants (50 intervention, 50 control) who received care from nurses wearing either cartoon-printed uniforms or traditional clinical attire. Anxiety was assessed at baseline and on hospital days 2, 3, and 4 using validated age-appropriate scales: the modified Faces Anxiety Scale (ages 3–6) and the STAI-C short form (ages 7–12). Mixed-effects repeated-measures ANOVA demonstrated a significant group × time interaction (F(3,294) = 42.67, p < .001, partial η² = .304). Children cared for by nurses in cartoon uniforms showed a 48.8% reduction in anxiety compared to 14.7% in controls. Between-group effect sizes increased progressively across days (d = 0.87 to 2.13), indicating cumulative benefit rather than transient novelty. Clinically meaningful improvement (≥30% reduction) was achieved by 76% of intervention participants versus 24% of controls (NNT = 1.92). Staff acceptability was high (95%). Findings indicate that cartoon-printed uniforms are a simple, low-cost, high-impact environmental intervention that significantly enhances pediatric patient experience. Their strong clinical utility, ease of implementation, and alignment with child-centered care principles support adoption across pediatric healthcare settings.

Veteran Emergency Waiting Areas And Turned-Off Televisions: An Overlooked Variable, Randall Vanadisson

Patient Experience Journal

The significance of environmental design in emergency department (ED) waiting areas is increasingly acknowledged as a vital element affecting patient experience and stress levels, especially among veterans who may already encounter heightened psychological susceptibility. Aim: To investigate the impact of a non-operational television (TV) at a veteran's medical center emergency department waiting area on patient behavior, perceived stress, and environmental involvement. Methods: This naturalistic observation study employed non-participatory observation of 19 patients in the waiting area of a Veterans Affairs hospital. Field notes captured behavioral responses, seating patterns, and nonverbal stress cues. Observable engagement with the physical environment, …

The Patient's Lived Experience: A Phenomenological Study On Factors Influencing Tuberculosis Treatment Outcomes In Medan, Indonesia, Erida Novriani, Urip Harahap, Khairunnisa Khairunnisa, Wiryanto Wiryanto

Patient Experience Journal

This qualitative phenomenological study was conducted to analyze the factors influencing tuberculosis (TB) treatment outcomes from the patient's perspective in Medan, North Sumatra, Indonesia. The objective was to uncover the nuanced human factors shaping the patient's treatment journey, moving beyond a sole reliance on statistics and quantitative methods. The research was conducted across all 41 Primary Health Centers (PHCs) in Medan. Through a purposive sampling strategy, data was collected from 22 TB patients via in-depth interviews until data saturation was achieved. The collected data was analyzed using thematic, narrative, and phenomenological approaches to interpret the detailed lived experiences of the …

Applying A Patient Journey Mapping Approach To Understand Maternal Care Patient Journeys: A Pilot Study, Nicole Hicks, Kristin Tully, Christopher Goodier, Sreenath Chalil Madathil, Ayaba Logan, Myrtede Alfred

Patient Experience Journal

Introduction: In the United States, giving birth is the most common cause of hospitalization. Maternal care frequently represents birthing people's first experiences of prolonged interactions with the healthcare system. However, the structure of services is often fragmented and misaligned with individuals' needs, particularly for Black birthing people. Documenting birthing people's experiences during pregnancy and postpartum allows for identification of practices working well and opportunities to improve patient-centered maternal care. Methods: The mixed-methods study was conducted in the southeastern United States and used patient journey mapping(PJM) to document experiences of patients receiving maternal care at a large academic hospital …

No One-Size-Fits-All: Patient Perspectives Of Key Factors Influencing Their Inpatient Rehabilitation Experience, Mirline Milien, Megan Bewernitz, Katherine Stallings, Mary Ellen Young

Patient Experience Journal

Although patient experience in healthcare settings has historically been an ambiguous concept, it has received increasing recognition as a measure of healthcare quality. Despite this growing recognition and efforts to define patient experience, few studies have explored patient perspectives on the key factors driving this quality indicator. This study aimed to explore the core elements patients view as influencing their experiences in the inpatient rehabilitation setting. This was a single-visit, cross-sectional qualitative interview study. Thirteen patients with diverse diagnoses who received at least one week of rehabilitation services were recruited from a single inpatient rehabilitation facility. Purposive sampling was employed …

The Implementation Of Family-Centered Care And Family Satisfaction In Caring For Children With Cancer, Lenny Gannika, Mulyadi Mulyadi, Jeanette Irene Christie Manoppo

Patient Experience Journal

Background: Family-Centered Care (FCC) is an approach that involves families actively in their children's care by emphasizing respect, collaboration, and support. The goal is to increase family satisfaction with the care of children with cancer. FCC covers six subscales: general satisfaction, information, family inclusion, communication, technical skills, and emotional needs. Objective: This study aims to analyze the relationship between implementing FCC and family satisfaction when caring for children with cancer. Methods: A cross-sectional quantitative study was conducted at the Estella Children's Cancer Center in Manado, Indonesia, from June to October 2024. Parents of hospitalized children with cancer were selected for …

Improving Patients' Experience Through Nurturing Care For Patients Undergoing Kidney Biopsies: A Feedback Survey, Molefe Rapalai, Mahmoud Elshehawy, Johann Nicholas, Patrick Anthony Ball, Hana Morrissey

Patient Experience Journal

Background: Renal biopsies are a key tool in diagnosing kidney diseases, providing histopathological insights for personalised treatment plans. Despite their clinical value, little is explored about how patients experience this invasive procedure. Understanding these experiences is important for improving care quality, safety, and ensuring the process is as patient friendly as possible. There is also a lack of research capturing patient experience feedback on renal biopsies, making studies like this essential for guiding service improvement initiatives. Method: Observational study, May 2022 to June 2024. Eighty-six percutaneous renal biopsies performed. Fifty eligible patients invited to complete the Kidney Biopsy Patient Experience …

Capturing Patient-Centered Quality Of Life: Usability And Initial Validation Of The Pediatric Patient-Generated Index Following Esophageal Atresia Repair, Zanib Nafees, Julia Ferreira, Elena Guadagno, Nikki Ow, Nancy Mayo, Jean-Martin Laberge, Dan Poenaru

Patient Experience Journal

The Patient-Generated Index (PGI) is an individualized measure that allows patients to define the domains most important to their quality of life (QoL). This study evaluates the usability and preliminary validity of the pediatric Patient-Generated Index (pPGI) in children who previously underwent esophageal atresia (EA) repair. We conducted a mixed-methods study including the pPGI, EuroQol-5D-Youth (EQ-5D-Y), and PROMIS Life Satisfaction Short Form-8a. Children aged 7–17 years completed self-reports, while parents served as proxies for younger children. Cognitive interviews explored how children understood and completed the pPGI, and clinician interviews assessed clinical usability. Among 25 participants, the pPGI generated 104 text …

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.

Artificial Intelligence For Customer Relationship Management In The Nigerian Commercial Banking Sector, David Tobi Akobe, Wallace Chigona, Laban Bagui

The African Journal of Information Systems

The continuous increase in the volume of customer data stored by commercial banks necessitates the use of artificial intelligence (AI) technologies to enhance customer retention and satisfaction. While a few Nigerian commercial banks do currently leverage these technologies, a significant knowledge gap limits their use across the wider Nigerian commercial banking sector. Guided by Organizational Information Processing (OIP) theory, we carried out a multiple case study to explore how AI technologies were utilized in three commercial banks in Nigeria. Purposive sampling was used to select experienced data professionals employed by these banks and semi-structured interviews were conducted to collect data. …

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.

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, …

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 …

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 …

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 …

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 …

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, …

Quantifying Overconsumption In The United States: A Multiple Linear Regression Analysis, Morgan Davis

Honors Projects

This study examines overconsumption in the United States by analyzing how socioeconomic factors influence household spending relative to income. Overconsumption is defined as elevated discretionary spending relative to income, with a focus on categories such as apparel, entertainment, and food away from home. Using 2024 Consumer Expenditure Survey (CEX) data, three multiple linear regression models were created to evaluate predictors of overall consumption, discretionary consumption, and apparel spending as proportions of income.

Results show that income is the most significant predictor across all models, with higher-income households consistently spending a smaller share of their income. Age and household size also …

Advancing Sustainability In The Indonesian Oil Field Services Landscape, Firmansyah Arifin, Sudarso Kaderi Wiryono, Sylviana Maya Damayanti, Gatot Yudoko

The Qualitative Report

This study examines sustainability practices in Indonesia's drilling and oil field services (OFS) industry, addressing a critical research gap from a business and management perspective. Using a qualitative case study approach, ten in-depth interviews with industry leaders identified key performance variables and developed a sustainability model specifically designed for the OFS drilling sector. The findings highlight three core dimensions: Internal Variables (e.g., Employee Health and Safety, CSR Initiatives, ESG Performance, Cost Savings, Energy Efficiency, Carbon Footprint Reduction), External Variables (e.g., Green Financing, Stakeholder Engagement, Community Welfare), and Performance. Novel contributions include operationalizing advanced HSE technologies like cyber rigs and tailored …

2026 - The Thirtieth Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the 30th Annual Symposium of Student Scholars, held on April 22-24, 2026. Includes abstracts from the presentations and posters.

Youth Basketball Development Camp: Planning, Implementation, And Reflection, Jaden Ty Mathis

Whittier Scholars Program

Basketball has always been a huge part of my life, shaping who I am both on and off the court. As a senior at Whittier College and captain of the basketball team, I have experienced firsthand how powerful the game can be in teaching discipline, teamwork, and leadership. From a young age, I spent countless hours practicing, learning from my coaches, and growing as a teammate. Through these experiences, I learned that success does not happen overnight. It requires patience, consistency, and a willingness to work through challenges.

I was fortunate to have mentors who believed in me and pushed …

Navigating Study Abroad: Improving Western Michigan University Students' Understanding Of University-Approved Provider Programs Through A Website Redesign, Gillian Gold

Honors Theses

Study abroad is a valuable opportunity for students' personal and professional development and is offered in various study abroad models and frameworks, including university-run or externally-run. Western Michigan University offers various options, including Faculty-Led Programs, WMU Exchange Programs, Partner Study Abroad Programs, University-Approved Provider Programs, International Internships, and Independent Study Abroad Opportunities. The University-Approved Provider Programs option at WMU allows students to study abroad through a provider that could more directly meet their interests and goals due to the personalized options available. Despite the benefits of the University-Approved Provider Programs, participation in these programs is low. The information about this …