Digital Commons Network^™

Supporting The Human Experience: Why Compassion Outperforms Empathy In Care Delivery, Katelyn Carey

Patient Experience Journal

Healthcare professionals are often taught that empathy, defined as imagining oneself in the emotional experience of another, is essential to providing excellent care. Yet in high-stress, high-stakes clinical environments, the very tool given to increase patient and employee connection can contribute to disengagement, burnout, and diminished resiliency. This research review article examines the longstanding conflation of empathy and compassion in healthcare and argues that the distinction between the two is not merely semantic but critical to provider well-being and patient outcomes. Drawing on research from neuroscience, psychology, and communication studies, the piece outlines how emotional, perspective-taking empathy activates the brain's …

Racial Concordance And The Assumption Of Trust: Why Engagement Is Often Mistaken For Partnership In The Care Of Black Men, Samantha Faith Calhoun, Lacretia Carroll, Y'Esha Williams-Click, Kola Brown

Patient Experience Journal

Race concordance between patients and clinicians is frequently promoted as a strategy to improve trust and engagement for Black men in healthcare. Evidence suggests that encounters with Black male clinicians often increase patient comfort and observable engagement; however, engagement alone does not necessarily reflect trust. Drawing on professional experience as a nurse and researcher working with Black men, and on prior research examining shared decision-making preferences among Black men with hypertension in the U.S. Mid-South, this Personal Narrative examines how race-concordant encounters may rely on presumed trust, leading clinicians to advance diagnosis and treatment planning without adequate co-construction of care. …

Building Or Breaking Trust In Healthcare Through Patient And Family Engagement In Research And Service Design: The Need For Authentic Engagement Practices, Lisa D. Hawke, Hajar Seiyad, Shoshana Hauer, Charlotte Munro, Natasha Y. Sheikhan

Patient Experience Journal

Trust in the healthcare system is an important driver of public health, but is sometimes lacking among individuals and communities. Patient and family engagement in research and service development is one proposed means of influencing trust. Patients and families can be engaged authentically and meaningfully as partners in the conduct of research and the development of healthcare services. When engagement is conducted following best practices, patients and families have the opportunity to build strong mutual relationships with project leads, hold a share of the power in the discipline, and exercise choice to influence the research and service development agenda. These …

Co-Designing Trust: Patient Experience, Relationships, And The Design Of Care, Toni Land

Patient Experience Journal

Trust can have a positive or negative impact on patients, families, and community healthcare experience. Although important, it is often treated as something soft and intangible rather than something intentionally measured and designed. Currently, healthcare organizations collect and report patient experience data related to communication, courtesy, respect, and responsiveness. But these measures do not capture the specific behaviors that influence whether trust builds or whether it stalls. This commentary explores trust as a foundational behavioral and environmental element in healthcare and challenges that improving trust requires more than good intentions; it requires bringing voices to the table through co-design. Starting …

A Modern Playbook For Trust Across The Health Ecosystem, Erin O'Malley

Patient Experience Journal

Public trust in health care delivery, public health, and biomedical innovation is at a historic low. While many place the blame on the COVID-19 pandemic and the proliferation of social media, the reality is that distrust is a deeply rooted structural challenge that has plagued the U.S. for centuries. It is tied to historical movements for medical freedom and centuries of systemic discrimination and earned mistrust among minoritized communities. Today, this crisis is compounded by a lack of shared values and facts and the rising dominance of tribal identity over objective science. The Coalition for Trust in Health & Science …

Healing The Social Covenant: Rebuilding Trust And Re-Humanizing Healthcare, Cynda Hylton Rushton

Patient Experience Journal

Violence against healthcare workers continues to escalate despite substantial investments in security measures, workplace violence prevention programs, and legislative protections. Although these interventions are necessary, they have not produced sustained improvements in workforce safety or retention, suggesting that workplace violence is more than a behavioral or security problem. This commentary argues that it also reflects a deeper erosion of trust within healthcare. Drawing on evidence linking workplace violence to burnout, moral injury, psychological distress, and turnover intention among nurses, we propose that repairing trust is essential to sustaining the workforce and healthcare.Building on our earlier work, Rebuilding a Foundation of …

Trust: Why A Commitment To Human Experience Matters, Jason A. Wolf

Patient Experience Journal

Trust is one of the most essential elements in our overall human existence. It is a critical part of our human experience, one that reaches well beyond the boundaries of healthcare. Trust is the element that holds society together. It emerges in the relationship of one human being connecting with another human being, and it reaches to the engagements people have with organizations, institutions, and systems as well. Trust, while hard to hold, is ever present. It is a powerful force that guides our way of being, our interactions, our choices, even if we ourselves are not directly conscious of …

Assessing And Addressing Financial Risk In Capitated Primary Care Contracts, Michael R. Wieck Dba, Laurence Smith, Steven R. Stout Dba

Engaged Management ReView

We employ multivariate statistical modeling and Monte Carlo simulation to study systematic and unsystematic financial risk faced by physician groups under capitated contracts with Medicare Advantage Organizations (MAOs). We use mixed methods and a standard reimbursement formula for risk-sharing contracts with primary care physicians (PCPs). We find that diversifying risk simply by increasing the size of a practice is insufficient to mitigate risks of large negative cash flows from capitation contracts and can result in financial failure. However, if use of costly medical services by patients is reduced from levels typically experienced under traditional Medicare to the levels of patients …

Foundations Of Project Management, Michael Daniel Sherwin

Open Education Materials

This book aims to equip readers with practical tools and strategies for managing people, resources, and tasks effectively. We include examples, case studies, references, and tools and templates. We encourage you to explore references and videos to deepen your understanding of project management. It is designed for everyone, not just those individuals seeking to be project managers. Whether you are supporting or leading projects, this course will provide a foundation for developing the skills needed to drive results within an organization.

Course: GRBU 638

Creative Commons Attribution

Closing The Awareness–Behavior Gap: A Role-Based Phishing Training Framework For Higher Education, Ranylene O. Olaybal, Ryan A. Olaybal

Journal of Cybersecurity Education, Research and Practice

Phishing remains one of the most persistent cybersecurity threats facing higher education institutions, where diverse user populations and highly connected digital environments increase exposure to social engineering attacks. Although cybersecurity awareness initiatives are widely implemented, high awareness does not always translate into secure behavior. This study examined phishing awareness, phishing-related practices, phishing susceptibility, and phishing experiences among college students, teaching faculty, and administrative staff in a private higher education institution in the Philippines. Using a quantitative cross-sectional design, data were collected from 553 respondents through a validated survey instrument and analyzed using descriptive statistics, one-way analysis of variance, Tukey's honestly …

Institutional Support Environments In Higher Education: Rethinking The Role Of Military-Affiliated Student Centers, Coby W. Dillard

Human Resource Development Student Publications and Presentations

Military-affiliated student centers have become common features of higher education institutions serving veterans, active-duty service members, and military-connected students. Despite their growing presence, these centers are often institutionally positioned and evaluated primarily through administrative and compliance functions related to federal education programs. This framing risks overlooking the broader developmental and engagement functions these environments can provide for adult learners transitioning from military to academic contexts. Drawing on organizational support theory, social exchange theory, and belonging frameworks in higher education, this Perspectives essay proposes a conceptual reframing of military-affiliated student centers as institutional support environments rather than transactional service units. Institutional …

Same-Day Cancellation Reduction In An Ambulatory Surgery Unit, Anthone Dalit Vengersammy

Master's Projects and Capstones

Problem: Same-day surgical cancellations in the outpatient surgery setting remain a significant operational and patient care challenge. Preventable cancellations negatively affect patient experience, operating room efficiency, staff productivity, and healthcare costs. 

Context: A microsystem and organizational culture assessment identified several factors contributing to same-day cancellations, including unclear preoperative instructions, incomplete medical clearance, inconsistent patient education, lack of standardized workflows, unclear staff responsibilities, and communication gaps among interdisciplinary teams. SWOT and gap analyses were used to identify opportunities for improvement and guide intervention planning.

Interventions: Quality improvement interventions were implemented through iterative Plan-Do-Study-Act (PDSA) cycles. Strategies included revising preoperative patient instructions, …

Designing And Evaluating A Human-Centered Faq Chatbot For Public Service Delivery: A Case Study Of The Tanzania Ports Authority, Barnabas Masanja, Joel Mtebe, Aron Kondoro

The African Journal of Information Systems

Chatbots are increasingly used in public service delivery, yet many remain difficult to use because their scope, conversational flow and persona are poorly designed. This study evaluates whether a human-centered design (HCD) approach can improve the usability of a Frequently Asked Questions (FAQ) chatbot developed for the Tanzania Ports Authority (TPA). The chatbot was designed iteratively through stakeholder consultation and expert input, with explicit attention to scope clarity, error handling, multi-turn flow and transparent persona design. Usability was assessed through heuristic evaluation, task-based testing and post-use questionnaires with 15 domain experts. The chatbot achieved a 95.1% weighted task success rate, …

Bekizine: A Zine Featuring Selected Queer Artists And Narratives, Daniel D. Sullano, Alex Ayson, Arianna Atas, Renee Sophia Caponong, Merix Kobi Blancaflor, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

Media serves as a powerful medium for shaping cultural norms and self-perception. Despite increasing visibility in Philippine media, LGBTQ+ representation remains dominated by metropolitan-centric narratives and reductive tropes that overlook the nuanced realities of provincial queer life. The study explored how BEKIZINE, a community-centered zine created by and for LGBTQ+ individuals aged 18–30 in Cavite, can serve as alternative media for self-expression, community building, and historical preservation. Adopting a practice-based, mixed-methods approach, the study integrates Queer Theory, Safe Space Theory, and Alternative Media Theory through semi-structured interviews with local queer artists and individuals, followed by zine launch evaluation surveys. Qualitative …

Budol-Budol Time: A Perspective From The Global South On Generation Z’S Digital Status Consumption Through An Interactive Video, Luis Angelo Francisco Lopa, Kateleen Claire Malabag Gonzales, Jaedon Tongol Santos Jats

DLSU Arts Congress Conference Proceedings

This research critiques the contemporary digital landscape, as social media influencers shape Gen Z's consumer behavior, often driving "status overconsumption," the repetitive purchase of trending goods to enhance social standing. The study investigates the complex relationship between social media exposure and consumption patterns among affluent Gen Z (ages 13 to 28) in Laguna, Makati, Taguig, and Quezon City, Philippines. Its objective is to address the environmental consequences of these behaviors, including excess waste and carbon emissions from production and related industries, which consumers often overlook. Grounded in social comparison and status consumption theories, the research utilizes a sequential mixed-methods triangulation …

Drawn For A Brighter Tomorrow: A Functional Art Workshop As A Path To Livelihood And Skills Development Under The Pasay Social Welfare And Development Department (Pswdd), Liane Oxana V. Estuesta, Giana Margaux D. Bustos, Anne Kirsten Cerish S. Gamayo, Julia Patrish P. Go

DLSU Arts Congress Conference Proceedings

This study examines how functional art workshops, where creativity results in usable, real-world objects, can be a tool for livelihood and skills development among children in need of special protection aged 7-17 under the Pasay Social Welfare and Development Department (PSWDD). Specifically, grounded in arts-based and qualitative research, the study seeks to understand how exposure to functional art-making can support participants’ confidence, agency, and practical competencies. Data was gathered through primary sources, including a needs assessment survey, semi-structured interviews with youth participants and administrators after the program, and visual documentation of completed artworks. Secondary sources were also used, including published …

Phantoms Of The Self: An Art Installation On The Commodification Of Anik-Anik Culture, Vito Lomod, Minuet Deniña, Jaihzel Failana, Joshua R. Marcial

DLSU Arts Congress Conference Proceedings

The practice of anik-anik culture remains relevant and prominent among Filipinos, especially among Gen Z. Decorating, collecting, and preserving miscellaneous items as an extension of one’s identity and memory exemplifies the Filipino maximalist aesthetic. In context, Filipinos are naturally inclined to be maximalists, driven by the desire to connect and the tendency to fill empty spaces, hence the aesthetic of Filipino maximalism. Usually, this is evidenced in, but not limited to, consumption and fashion practices. Correspondingly, its current practices have also sparked discussions about the effects of consumerism and the dilution of the origins of anik-anik, which is deeply rooted …

“Shh!” Bleaching As An Auto-Destructive Art Method Of Representing The Silencing Of Women, Kristelle Tenero De Leon

DLSU Arts Congress Conference Proceedings

This paper discusses the artistic representation of the muffling of women’s voices and the culture of silence through a theoretically auto-destructive method of artmaking—bleaching using mark-making on textile. Through studio art research, the reductive and erasing properties of bleaching agents are used by bleaching printed images of women in fabric to metaphorically represent and articulate the existence of silencing imposed upon women. Guided by the lens of feminism and Gustav Merger’s manifesto of auto-destructive art, this work presents the artistic images of 13 women across Philippine history—from the babaylans to Maria Ressa—on textile, imbued with bleaching effects. Moreover, the work …

Kapwa Beckett: Co-Performance, Pakikipagkapwa, And Relational Meaning-Making In Philippine Stagings Of Samuel Beckett, Christian Gabriel Tolentino

DLSU Arts Congress Conference Proceedings

This reflective-practice study examines how kapwa and pakikipagkapwa emerged through translation, rehearsal, staging, and reception in three Philippine productions of Samuel Beckett: Endgame (2016), Happy Days (2019), and the devised classroom piece Beckett, Godot & Us Waiting (2023). Using comparative production analysis and a dialogical co-performance orientation drawn from Dwight Conquergood, I analyze rehearsal exercises, adaptation notes, production materials, staging decisions, and remembered performer-audience encounters. The analysis identifies distinct relational practices across the productions: collaborative localization and sensory dramaturgy in Endgame; negotiated media adaptation and mediated intimacy in Happy Days; and devising, Meisner repetition, physical trust, and shared post-pandemic waiting …

Atomos Komiks - Making Learning Fun With Science Entertainment, Jerome Aizpuro Suplemento Ii, Julius Noah Hernandez Sempio

DLSU Arts Congress Conference Proceedings

With portable digital devices imposing themselves on the already precarious attention span of the Filipino youth, and with raising concerns about degrading literacy of schoolchildren, it is imperative to find creative and entertaining means to inspire the young studentry to engage in dedicated educational materials. This paper explains the methods being used by a small group of artists, scientists and writers to create content for “science entertainment” in comics format. By combining principles of conceptual compression, knowledge indexing and low-elaboration persuasion techniques to develop knowledge “anchors”, the team aims to generate participatory engagement among readers and stimulate their cognitive innovation. …

Impact Of After-School Care On Maternal Income: Evidence From Canadian Administrative Data, Ailin He, Laetitia Renée, Nagham Sayour

All Works

This paper estimates the average causal effect of access to subsidized before- and after-school care on the labour market outcomes of mothers. Specifically, we analyze a major policy reform implemented in Quebec (Canada) in 1998, which required all public primary schools to provide before- and after-school care at a low fixed fee, thereby reducing costs and expanding availability for families. We identify the intent-to-treat effect of the reform on service use and maternal labour market outcomes using administrative tax return data and a triple difference design. We find that, 7 years after implementation, the policy led to a substantial increase …

From Homogeneous To Heterogeneous Adaptive Bounded-Confidence Opinion Dynamics On Networks, Sally Hafez, Fatma R. Farag, Amira S. N. Tawadros

Northeast Journal of Complex Systems (NEJCS)

Adaptive bounded-confidence models (ABCMs) elucidate the coevolution of agent states and network structure via local interactions and rewiring mechanisms. Traditional formulations assume uniform interaction parameters, leading to distinct regime shifts encompassing fragmentation, polarization, and consensus. A symmetric heterogeneous extension of the adaptive bounded-confidence model is introduced, in which interaction parameters vary according to whether agents belong to the same or different groups. The model retains the original update and rewiring protocols but integrates within-group and between-group confidence bounds alongside tolerance thresholds. Initially, the classic homogeneous model is replicated to establish a reference point. Subsequently, the heterogeneous extension is assessed under …

Reliability Generalization Of The Learning Transfer System Inventory, Ashlee Tolliver

Human Resource Development Theses and Dissertations

The purpose of this dissertation research was to examine variability in coefficient alpha estimates across the 16 Learning Transfer System Inventory (LTSI) constructs and evaluate reliability-reporting practices within the literature using a reliability generalization meta-analysis. Studies published between 1997 and 2025 were identified through database searches and a review of Academy of Human Resource Development conference proceedings. Following screening and listwise deletion, 118 studies were included in the final analyses. Unweighted mean coefficient alpha estimates were calculated, and ordinary least squares regression and commonality analyses examined the influence of instrument version, translation status, and full or partial use. Reliability estimates …

The Startup: Critical Perspectives On Technology Entrepreneurship And Digital Labor, Kochav Koren

All Duquesne Faculty Scholarship

Communication and media studies are rapidly reshaped by socio-technological forces within the framework of informational capitalism, where startups emerge as key drivers of the global creative economy. This study critically examines the global startup movement through political economy, classical sociology, and Southern perspectives to assess whether digital entrepreneurship fosters genuine, decentralized innovation or perpetuates speculative financialization and labor precarity. Employing a multi-layered theoretical framework—including Schumpeterian creative destruction, Marxist commodity fetishism, and Weberian charismatic authority—and qualitative fieldwork across North and Latin American tech hubs, the analysis reveals startups as network enterprises that both disrupt markets and reproduce structural inequalities. The findings …

Ai You Can Trust: Understanding The Role Of Structural Assurance And Situational Normality In The Use Of Generative Ai, Olushola Bunmi Abayomi

Dissertations

The rapid growth of generative artificial intelligence (GenAI) has increased its use in productivity, content creation, and decision support; however, adoption depends on user trust, as GenAI performs tasks that are often associated with human judgment. Drawing on the Trust in Technology Model, this dissertation examines how structural assurance and situational normality influence Trust in GenAI, and how Trust in GenAI affects trusting intentions and users' willingness to depend on GenAI. Structural assurance and situational normality, captured through several factors, were modeled as antecedents of Trust in GenAI and, in turn, trusting intentions. The model was tested using survey-based experimental …

Announcing The 2026 Induction Of Members Into The Accounting Hall Of Fame, American Accounting Association

Accounting Hall of Fame Brochures

No abstract provided.

Validating Valuation: How Statistical Learning Can Cabin Expert Discretion In Valuation Disputes, Andrew C. Baker, Jonah B. Gelbach, Eric L. Talley

Faculty Scholarship

This article challenges conventional methods used in financial valuation across transactional and litigation domains. We show that conventional valuation methods allow for considerable discretion, making it possible for each side’s experts to submit dramatically varying valuations simply by choosing among facially reasonable values of parameters that must be selected to carry out conventional valuations. We use large-scale empirical simulations powered by real-world data to demonstrate the scope of such discretion. We next consider several alternatives based on data-driven machine learning approaches, and show that they offer both approximately unbiased estimates of valuation and substantially reduced variability in valuation results. Consequently, …

J Mich Dent Assoc August 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200-plus members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The August 2026 (Volume 108, No. 8) issue of the Journal is published in print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

The August 2026 issue of the Journal of the Michigan Dental Association explores clinical, professional, legal, leadership, and public …

The Invisible Work: On Expertise, Showmanship, And The Trust That Makes Surgery Work, Anish Gupta D.D.S.

The Journal of the Michigan Dental Association

This commentary examines how clinicians can make their expertise more visible to patients through communication, education, and clinical narration. Drawing parallels to surgical checklists and professional mastery, the author argues that trust is built not only through excellent outcomes but also through helping patients understand the complexity and judgment behind treatment. The article emphasizes communication, transparency, education, and mentorship as important elements of patient-centered care.

0905: American Car And Foundry (Acf) Collection, 1916-2019, Marshall University Special Collections

Guides to Manuscript Collections

The collection includes only documents that were found in the plant in 2021. These primarily consist of files on capital projects from the 1970s through the 1990s. Also included are notebooks with job descriptions and classifications; ledger books containing maintenance purchase orders; quality assurance manuals; visitors register books from 1973-2019; drawings of plant machinery and operations; slides and photographs; and miscellaneous materials.

The forerunner to ACF was Ensign Manufacturing Company, founded in 1871 at Huntington, West Virginia, by William H. Barnum and Ely Ensign, both from prominent families of Lime Rock, Connecticut. It was chartered (incorporated) on November 1, 1872, …