Digital Commons Network^™

Caring But Still Hurting: Uninsured Patients' Illness And Healthcare Experiences At A U.S. Free Clinic, Danaya Amornnimit, Eda G. Christensen, Adelaida Salmeron, Kian Robison, Sofia Ampudia Arroyo, Jessica Benelli, Brenda Spearman, Akiko Kamimura

Patient Experience Journal

While free clinics provide essential healthcare to socioeconomically disadvantaged populations, patients' lived experiences in these settings remain underexplored. This qualitative study examined how uninsured patients at a U.S.-based free clinic perceive their illness experiences and interactions with healthcare providers. From October to December 2024, semi-structured interviews were conducted with 21 adult patients (ages 18–72; M = 49.14), most of whom were non–U.S.-born and primarily Spanish-speaking. Participants described illness as entangled with emotional distress, social isolation, stigma, and disruptions to identity and family roles—revealing a psychological burden that extends beyond physical symptoms. These findings highlight the need to integrate psychosocial and …

From Drifting To Anchored: How Online Health Communities Can Transform Care For Complex Chronic Illness, Mads Eggerding

Patient Experience Journal

This personal narrative recounts a 25-year diagnostic odyssey with Ehlers-Danlos syndrome, defined by medical fragmentation, dismissed symptoms, and profound isolation. It illustrates how Online Health Communities (OHCs) bridged the chasm between lived experience and a clinical system ill-equipped for complex chronic illness. For patients like me, these digital forums provide the peer validation, practical knowledge, and self-advocacy tools necessary to navigate a disjointed healthcare landscape. For providers, this story underscores a critical opportunity: proactive, non-judgmental engagement with OHCs is not a threat to expertise but a foundational strategy for patient-centered care. By acknowledging and constructively partnering with these patient-led spaces, …

Rebuilding Trust After Bondi Beach: Healing Patients, Protecting Caregivers, And The Sacred Work Of Care, Anne Marie Hadley

Patient Experience Journal

The Bondi Beach tragedy of December 14, 2025 profoundly disrupted Australia's collective sense of safety, belonging, and trust. Beyond the immediate loss of life and injury, such events exert lasting impacts on healthcare systems and the people who work within them. This article explores how trust can be rebuilt not only for patients and communities, but also for caregivers themselves. Drawing on trauma-informed care, psychological safety, and human experience design, it examines the often-overlooked dimensions of staff safety, the essential role of pastoral care and chaplaincy, and the particular vulnerabilities experienced by faith-based caregivers during periods of social fracture and …

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 …

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 …

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, …

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 …

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 …

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 …

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. …

How Followers Respond To Leader Differentiation: The Importance Of Considering All Leader Differentiation Properties, Yuchuan Liu, Gary John Greguras

Research Collection Lee Kong Chian School Of Business

A central tenet of many leadership theories is that leaders treat their followers differently. Although leader differentiation is ubiquitous, its effects on leaders and followers are not well understood and theory and research have not simultaneously considered its three key properties: Leader–member exchange (LMX) differentiation, LMX quality, and LMX social comparison. We developed a theoretical model in which these three properties interact to influence followers’ supervisory interactional justice perceptions and subsequently their supervisor-directed deviance and supervisor-directed organizational citizenship behaviors (OCBs). To test our model, we conducted a pre-registered experiment (Study 1), a single-level, multi-wave study (Study 2), and a multilevel, …

A Correlational Study Exploring The Influence Of Organizational Climate On Job Satisfaction Of Non-Faculty Staff At Texas Community Colleges, Tamesha M. Hilliard-Daniels

Electronic Theses and Dissertations

As U.S. higher education institutions face increasing challenges related to employee morale and retention, understanding the drivers of workplace satisfaction is critical for institutional stability. This research investigates the relationships between organizational climate factors and job satisfaction among staff within Texas community colleges, applying Maslow’s hierarchy of needs and Herzberg’s motivator-hygiene as the theoretical framework. Specifically, this study explores the influence of institutional communication, employee well-being, and organizational mission and pride on staff job satisfaction. Utilizing a quantitative correlational design, the study analyzed secondary data from ModernThink’s Higher Education Insight Survey©. The sample consisted of 2,265 higher education professionals collected …

Navigating The Dark Side: Emotional Labor's Impact On Hr Professionals' Wellness, Esmeralda Amelia Rendón

Electronic Theses and Dissertations

This qualitative descriptive study was designed to document and describe how female-identifying human resource (HR) generalist practitioners serving as sole or primary employee relations practitioners in small- to medium-sized organizations across the United States experience and manage emotional labor in their roles, cope with its demands, and how these experiences impact their wellness and perceptions of organizational support. Despite the centrality of emotional labor (EL) in human resource professionals’ (HRPs) roles, little was known about how HRPs in these underresourced environments cope with these demands. Data were collected through semistructured virtual interviews with eight participants and analyzed using Braun and …

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 …

Identifying The Threshold: Using Regulatory Focus As A Predictor Of Ceo Adaptibility During Environmental Changes, George B. Constantine Iii

Dissertations

Building on research on CEO turnover and strategic leadership, this study examines how decision makers' regulatory focus shapes strategic decision-making and how this can contribute to performance decline, often resulting in CEO replacement. Drawing on regulatory focus theory, the study theorizes that measurable chronic regulatory focus attributes influence decision makers’ capacity to adapt to environmental change—conditions under which prior research suggests executives may become rigid and persist with established strategies. Despite its relevance for strategic adaptation, such chronic trait behavior has received limited attention in the current business literature. To address this gap, effectuation theory is integrated into a simulation-based …

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 …

Drivers Of Employee Success And Productivity: Analyzing The Role Of An Executive Recruiting Intern, Hayden Raycher

Agricultural Economics and Agribusiness Undergraduate Honors Theses

For an experiential thesis over an internship experience in collaboration with the University of Arkansas and my advisor, Dr. Michael Popp, I collected data over a 9-month period relevant to my internship at Stout Executive Search, an executive recruiting firm. The purpose of the research was to explore the factors that influence productivity in a recruiting environment and provide quantifiable insights into the impact of different job-related achievements towards overall employee success. The research was initially designed to encompass evidence and commentary on training regimens and company culture, as well as job experience, with the latter becoming the sole focus …

Exploring Factors Related To Retention Of Young Soccer Officials, Jacob K. Tingle, Lynn L. Ridinger, David J. Hancock, Joseph Foran, Lucas Ribeiro

School of Business Faculty Research

Purpose/Rationale

The purpose of this study was to examine factors (needs and motivations) that contribute to retention of young soccer officials.

Design/Methodology/Approach

An online survey was distributed to soccer referees who received their first USSF officiating license as a juvenile.

Findings:

Correlational and regression analyses yielded five key findings: (1) Self-Determination Theory (SDT) principles are salient to retention; (2) Intrinsic Motivation and Sense of Community significantly impact retention; (3) variables across scales were highly correlated and had large effect sizes; (4) findings were similar across demographic variables; and (5) small increases to Relatedness and Choice had a large impact on …

Promotion Architecture: A Deal Fairness Model Of Restricted Price Promotions, Shangwen Yi, David Hardisty, Dale Griffin, Thomas Allard

Research Collection Lee Kong Chian School Of Business

This research examines the effectiveness of two common types of restricted price promotions: threshold promotions (conditional on spending more than a threshold amount; e.g., “Get $5 off on orders of $10 or more”) and capped promotions (limited to a maximum dollar value; e.g., “Get 50% off, up to $5 per order”). Results from seven pre-registered studies, including one field study, show that threshold promotions lead to higher purchase intentions and conversion rates (but potentially lower purchase amounts) than comparable capped promotions—even though capped promotions are equivalent in maximal economic savings for the consumer—when the trigger value (the spending amount at …

Harmonizing Human Touch And Ai Precision In Customer Service, Zhenbin Ding, Yali Zhang, Jun Sun, Mark Goh, Zhaojun Yang

Information Systems Faculty Publications

Artificial intelligence (AI)-powered chatbots offer a cost-effective solution for customer service, but often fall short in delivering personalized or complex interactions. In response, many merchants invest in AI training and explore human–AI collaboration to leverage the strengths of both automation and human touch. However, this introduces a strategic tradeoff between service quality and operational efficiency. Using a game-theoretic framework, this study examines how merchants can optimally choose service strategies with AI involvement. Our analysis reveals a critical collaboration trap. Contrary to the prevailing belief that increased collaboration consistently enhances service, consumers’ sensitivity to the identity of the service agent erodes …

Blueprints For Resilience: A Delphi Study Of Architects' Competencies In Gulf Coast States, Richard J. Cantu

Dissertations

This study identifies and defines core competencies for licensed architects practicing in Gulf Coast states, emphasizing their critical role in protecting health, safety, and welfare (HSW) amid the region’s unique environmental challenges. Hurricanes, flooding, climate-induced risks, and other coastal hazards demand specialized expertise that existing architectural competency models do not adequately address. Leveraging Delphi’s research design, this study engaged Gulf Coast experts to develop and refine a region-specific competency framework across four iterative rounds. The findings highlighted the essential knowledge, skills, and abilities required for resilient and sustainable architectural practice. The study advances architecture’s human capital development (HCD) by addressing …

An Expectancy-Based Theory Of The Firm: How Media Tone And Ceo–Media Political Ideological Alignment Shape Corporate Investment, Ondina Sevilla

All Dissertations

This study examines how ideologically differentiated media tone in business and economic news relates to firm investment decisions and how CEO–media ideological alignment conditions this relationship. I advance an expectancy-based extension of the Behavioral Theory of the Firm in which media tone serves as an external informational signal that is interpreted through managerial cognition rather than directly influencing firm behavior. CEO political ideology shapes how media signals are interpreted and incorporated into managerial expectancies regarding future conditions.

To test these arguments, I construct firm-quarter measures of positive and negative media tone from business and economic news articles, disaggregated by outlet …

Toward A Conceptual And Methodological Understanding Of Supervisor Gaslighting In The Workplace, Gabriela Peschiera

All Dissertations

The term ‘gaslight’ has infiltrated popular media, with articles, TV shows, and podcasts dedicated to identifying gaslighting behaviors and mitigating its effects. Despite the term’s popularity, much of the existing literature solely focuses on gaslighting in intimate partner relationships, medical settings, and political campaigns. As a result, little is known about how it operates in the workplace context and whether it is distinct from other well-established workplace mistreatment constructs. In this dissertation, I explored the mechanisms of supervisor gaslighting by developing a scale and testing its distinctiveness from other workplace mistreatment and positive workplace behaviors. While two scales were recently …

From The Editor: Is Giving Actually Better Than Receiving?, Romesh Nalliah

The Journal of the Michigan Dental Association

This editorial examines the relationship between generosity, volunteerism, and well-being. Using the Michigan Dental Association Foundation’s Mission of Mercy as a focal point, the author highlights research suggesting that prosocial behavior can improve mental and physical health while benefiting communities in need. The article encourages oral health professionals to use their skills and resources to support underserved populations through volunteer service, mentorship, and community engagement.

Gaming The Marketplace: Consumer Opportunism And Beliefs About Societal Hierarchy, Shilpa Madan, Aparna Labroo, Constantine S. Katsikeas

Research Collection Lee Kong Chian School Of Business

Consumers often behave opportunistically, taking more than what fair marketplace exchange warrants (e.g., taking excess samples, returning used items). While each individual transgression may be minor, cumulatively they can undermine firm profitability. Thus, addressing consumer opportunism is an important managerial concern. We identify a novel antecedent of consumer opportunism: consumers’ acceptance of societal hierarchy (i.e., power distance belief [PDB]), including firms’ higher position in it than consumers. Nine studies (plus two supplementary studies) employing archival, correlational, and experimental data provide converging evidence that, in marketplace interactions, this belief evokes a need to feel clever (i.e., to feel smart and knowledgeable …