Digital Commons Network^™

Parental Assessment Of Postsurgical Pain In Infants At Home Using Artificial Intelligence–Enabled And Observer-Based Tools: Construct Validity And Clinical Utility Evaluation Study, Fatos Sada, Paola Chivers, Sokol Cecelia, Sejdi Statovci, Kujtim Ukperaj, Jeffery Hughes, Kreshnik Hoti

Research outputs 2022 to 2026

Background: Pain assessment in the infant population is challenging owing to their inability to verbalize and hence self-report pain. Currently, there is a paucity of data on how parents identify and manage this pain at home using standardized pain assessment tools. Objective: This study aimed to explore parents’ assessment and intervention of pain in their infants at home following same-day surgery, using standardized pain assessment tools. Methods: This prospective study initially recruited 109 infant boys undergoing circumcision (same-day surgery). To assess pain at home over 3 days after surgery, parents using iOS devices were assigned to use the PainChek Infant …

Utilisation Of Simulation-Based Learning To Decrease Student Anxiety And Increase Readiness For Clinical Placements For Speech-Language Pathology Students, Teresa Petrich, Brennen Mills, Abigail Lewis, Sara Hansen, Emily Brogan, Natalie Ciccone

Research outputs 2022 to 2026

Purpose: To investigate the use of two versions of a simulation-based learning experience (SBLE) to decrease speech-language pathology (SLP) students’ anxiety and increase their confidence and sense of preparedness for clinical placements. Method: Two cohorts of third-year SLP students (n = 33) participated in a mixed-methods study with each cohort completing one version of the SBLE. Participants completed pre- and post-program quantitative ratings of anxiety, confidence, and preparedness for clinical placements and participated in focus groups. Three clinical educators also provided qualitative data in debriefs and interviews. Result: Significant decreases in student ratings of anxiety, and increases in confidence and …

Envisaging A Thriving Future: The Integration Of Positive Psychology Into Brief Psychotherapy And Family Therapy Practice, Richard Lakeman

Research outputs 2022 to 2026

This paper delves into the pragmatic integration of positive psychology, particularly Seligman's PERMA model, and brief psychotherapy to foster a vision of a thriving future for clients. Despite the entrenched tribalism within psychotherapy that often resists the incorporation of new techniques, a deliberate and flexible approach to integration, rooted in congruence with theoretical frameworks, can overcome these barriers. Positive psychology dovetails neatly with the goals of family therapy by highlighting strengths and resilience. The PERMA model—encompassing Positive emotions, Engagement, Relationships, Meaning and Accomplishment—captures the essence of a flourishing life. While primarily applied in non-clinical settings, its potential to enhance wellbeing …

Exhibiting Slavery In Australia: Personal Narratives And Legacies, Paul Longley Arthur, Isabel Smith

Research outputs 2022 to 2026

The history of slavery has often been located on the same continuum as that of incarceration. This article explores the development of an exhibition representing the legacies of slavery in Australia, analysing Australian and international exhibitions alongside theories of museology, historiography and memory. It begins by considering the growth of slavery memory since the latter twentieth century, and Australia's own slavery heritage. The second half of the article focuses on curatorial directions and decisions taken in the exhibition, which our research team is currently developing in partnership with the Australian National Maritime Museum as part of an Australian Research Council …

How Does The Proportion Of Child-Specific Content Of Pre-Registration Nursing Programmes In Higher Education Institutions Impact Upon Newly Qualified Registered Nurses’ Perceptions Of Preparedness To Care For Children, Young People, And Their Families? A Narrative Review Protocol, Matthew C. Carey, Danielle Edge, Julie Blamires, Mandie Foster, Sarah Neill

Research outputs 2022 to 2026

This paper presents a narrative review protocol to explore how the proportion of child-specific content of pre-registration programmes in universities impact upon newly qualified nurses’ perceptions of preparedness to care for children, young people (CYP), and their families. The preparation and education to become a nurse who cares for children and young people differs from country to country. Providers of pre-registration nurse education offer routes into nursing from diploma to degree and in some countries post-graduate routes. The United Kingdom offers pre-registration programmes leading to qualifying as a children’s nurse whereas programmes in countries such as the USA and Canada …

Out-Of-Hospital Birth Training, Experience And Confidence Of Australian Rural Volunteer Ambulance Officers, Michella G. Hill, Belinda Flanagan, Sara Hansen, Luke Hopper, Brennen Mills

Research outputs 2022 to 2026

Introduction: Unplanned out-of-hospital births represent less outs have a high risk of life-threatening complications, which are than 1% of ambulance requests for assistance. However, these call- particularly complex in rural or remote settings with limited accessibility to specialist care support. Many community hospitals Four themes emerged from analysis: (1) Lack of education and no longer provide obstetrics care, so birth parents must travel to exposure to birth resulted in low confidence. Most participants larger regional or metropolitan hospitals for assistance. Increased reported significant anxiety attending obstetric call-outs, and travel time may increase the risk of unplanned out-of-hospital explained under-utilisation of …

Physical And Psychological Factors Related To Injury, Illness And Tactical Performance In Law Enforcement Recruits: A Systematic Review, Myles Murphy, Nicole Merrick, Gill Cowen, Vanessa Sutton, Garth Allen, Nicolas H. Hart, Andrea B. Mosler

Research outputs 2022 to 2026

Objective: There are inconsistent reports of factors relating to injury, illness and tactical performance in law enforcement recruits. Our objectives were to: (1) report physical and psychological risk factors and protective factors for injury and illness and (2) report physical and psychological risk factors and protective factors for tactical performance success. Design: Systematic epidemiological review.

Methods: Searches of six databases were conducted on 13 December 2022. We included cohorts that assessed physical and psychological factors for injury, illness and tactical performance success. Study quality was assessed using the Joanna Briggs Institute Quality Assessment Checklist for Prevalence Studies and certainty assessed …

Board Ethical Commitment And Corporate Performace: A Qualitative Perspective, Ahmad Saiful Azlin Puteh Salin, Zubaidah Ismail, Malcolm Smith

Research outputs 2022 to 2026

The purpose of the study is to explore the responsibilities of directors in creating a good ethical culture in their organisation and examine whether good ethical practices are able to enhance a company’s performance. To achieve this purpose, face-to-face semi-structured interviews with directors as the respondents are employed as a data collection method. This study found that board ethical commitments are necessary elements for sustaining the good performance of a company. The planning and monitoring of these ethical practices are the responsibilities of the board of directors, which then will be executed by top management, led by the chief executive …

Longitudinal Associations Between Exercise And Biomarkers In Autosomal Dominant Alzheimer's Disease, Kelsey R. Sewell, James D. Doecke, Chengjie Xiong, Tammie Benzinger, Colin L. Masters, Christoph Laske, Mathias Jucker, Francisco Lopera, Brian A. Gordon, Jorge Llibre-Guerra, Johannes Levin, Edward D. Huey, Jason Hassenstab, Peter R. Schofield, Gregory S. Day, Nick C. Fox, Jasmeer Chhatwal, Laura Ibanez, Jee Hoon Roh, Richard Perrin, Jae Hong Lee, Ralph N. Martins, Stephanie Rainey-Smith, Samantha L. Gardener, Hamid R. Sohrabi, Belinda Brown

Research outputs 2022 to 2026

INTRODUCTION: We investigated longitudinal associations between self-reported exercise and Alzheimer's disease (AD)-related biomarkers in individuals with autosomal dominant AD (ADAD) mutations. METHODS: Participants were 308 ADAD mutation carriers aged 39.7 ± 10.8 years from the Dominantly Inherited Alzheimer's Network. Weekly exercise volume was measured via questionnaire and associations with brain volume (magnetic resonance imaging), cerebrospinal fluid biomarkers, and brain amyloid beta (Aβ) measured by positron emission tomography were investigated. RESULTS: Greater volume of weekly exercise at baseline was associated with slower accumulation of brain Aβ at preclinical disease stages β = –0.16 [–0.23 to –0.08], and a slower decline in …

Young Student’S Views Of Naplan: Impact On Wellbeing Through Drawn Responses, Pauline Roberts, Lennie Barblett

Research outputs 2022 to 2026

Standardized testing of academic knowledge is common in many developed countries. In Australia, the process implemented is the National Assessment Program for Literacy and Numeracy (NAPLAN). The stand-alone tests were introduced in 2008 for several educational and political reasons, and since that time, the results of this assessment have been used beyond their initial purpose and brought about an unintended consequence of making the tests high-stakes. The pressure of these assessments has the potential to impact student’s wellbeing, but little research has been done in this area and even less where the student’s perspectives are considered. This research examined the …

Realizing The Role Of Interdisciplinary Practices In Psycho-Educational Assessment For Learners With Special Education Needs/Disabilities In Guyana, Keon Cheong

Theses and Dissertations

A growing number of students are referred to special education sectors. With the growing numbers, there is a need for structures and systems to be in place to ensure that the least restrictive environment is used while ensuring that learners are adequately placed based on their abilities. This challenge is heightened in the Global South. In the Caribbean, few countries have legislation to address disabilities, and in locations where there is legislation, it is either outdated or not enforced. This dissertation conducts a systematic review using 60 studies to compile comprehensive research-based information about interdisciplinary practices, specifically in the psycho-educational …

The Federal Future Of Medication Abortion, Michelle S. Simon

Elisabeth Haub School of Law Faculty Publications

A majority of Americans believe that there should be a right to abortion, at least in some cases. Yet a vocal and determined minority has its sights set on a complete ban on all abortions everywhere in the United States. In many states, these anti-abortion activists have achieved their goal through new laws and limitations enacted in the wake of the Supreme Court's 2022 decision in Dobbs. Anti-abortion advocates are also challenging the Food and Drug Administration's regulatory approval of mifepristone, one of the drugs used in medication abortion (also known as medical abortion). The FDA had initially approved mifepristone …

Gender Regrets: Banning Abortion And Gender-Affirming Care, Margot J. Pollans, Noa Ben-Asher

Elisabeth Haub School of Law Faculty Publications

This Article analyzes the use of “regret” in the campaigns to ban GAC and abortion. It identifies two overlapping threads. First, both campaigns against medical care point to protection of patients from future regret as a legitimate state interest justifying restrictions on providing medical care. Second, both rely on concerns about regret to redefine the legal meaning of “informed consent” and make it easier for potential future plaintiffs to prevail in civil suits against providers of medical care. In doing so, both treat the emotion of regret as a distinct injury that may give rise to a range of legal …

Governing Private Governance, Joshua Ulan Galperin

Elisabeth Haub School of Law Faculty Publications

After the Supreme Court's opinion in Dobbs rejected an individual right to reproductive choice, many private firms chose to govern reproductive healthcare by covering employee access to abortions. As mass shootings continue to plague the country, some firms have decided to govern firearm safety by discontinuing sales of assault weapons. While the climate crisis continues to upend life on Earth, corporate leaders are engaging in private environmental governance by voluntarily reducing their own emissions, demanding reductions within their supply chains, and pressuring peers and competitors to do the same. Each of these endeavors represents a form of private governance in …

Effects Of Physical Activity Intervention On Reducing Neck And Upper Extremity Pain Intensity For Female Office Computer Workers, Peng Cheng Sung, Tiffany Chiu, Yunsen Wang

Department of Accounting and Finance Faculty Scholarship and Creative Works

The computer usage among office workers had increased tremendously in past recent years and the surge in computer usage has created a surge in work-related musculoskeletal disorders (WRMSDs) on arm, neck, and shoulder. For prevalence of musculoskeletal symptoms in relation to gender and age, females had higher risk and prevalence of upper limb complaints and the prevalence of WRMSDs generally increases with age. Systematic review studies had reported effectiveness of various physical activity (PA) interventions on improvements of upper extremity musculoskeletal disorders (UEMSDs) or neck pain for office workers. However, the degree of adherence of PA interventions with WHO guidelines …

Do I Sound Anxious? Emotional Arousal Is Linked To Changes In Vocalisations In Domestic Chicks (Gallus Gallus Dom.), Sarah A. Collins, Katherine Herborn, Kenneth J. Sufka, Lucy Asher, Ben Brilot

School of Biological and Marine Sciences

A major goal in animal welfare science is the development of methods that quantify or ‘read-out’ current affective states in freely behaving animals. In mammalian models, changes in acoustic parameters within vocalisations have been linked to differences in emotional arousal, although there are very few studies showing changes in vocalisations that act as indicators of valence (positive or negative affect). Currently, there are very few studies on vocal indicators of emotion in birds. To determine the link between acoustic parameters within vocalisations and emotion in domestic chicks (Gallus gallus dom.), we used a well-validated paradigm that purports to elicit two …

Climate Change Concerns And Mortgage Lending, Tinghua Duan, Frank Weikai Li

Research Collection Lee Kong Chian School Of Business

We examine whether beliefs about climate change affect loan officers’ mortgage lending decisions. We show that abnormally high local temperature leads to elevated attention to and belief in climate change in a region. Loan officers approve fewer mortgage applications and originate lower amounts of loans in abnormally warm weather. This effect is stronger among counties heavily exposed to the risk of sea-level rise, during periods of heightened public attention to climate change, and for loans originated by small lenders. Additional tests suggest that the negative relation between temperature and approval rate is not fully explained by changes in local economic …

The Effects Of Language-Related Misunderstanding At Work, John Fiset, Devasheesh P. Bhave, Nilotpal Jha

Research Collection Lee Kong Chian School Of Business

Demographic, technological, and global trends have brought the language used at the workplace to the forefront. A growing body of research reveals that language could result in misunderstanding at work, and influence employees' performance and attitudinal outcomes. Language at work encompasses standard language (e.g., English) as well as several hybrid forms of language (non-native accents, code-switching, and jargon). We delineate how these forms of language could result in misunderstanding. We then identify relational, affective, and informational mechanisms that underlie the relationship between language-related misunderstanding and employees' performance and attitudinal outcomes, and highlight key boundary conditions. In doing so, we uncover …

Politics Speak Louder Than Skills: Political Similarity Effects In Hireability Judgments In Multiparty Contexts And The Role Of Political Interest, Franz W. Moenke, Filip Lievens, Ursula Hess, Philipp Schaepers

Research Collection Lee Kong Chian School Of Business

Recruiters increasingly cybervet job applicants by checking their social media profiles. Theory (i.e., the political affiliation model, PAM) and research show that during cybervetting, recruiters are exposed to job-unrelated information such as political affiliation, which might trigger similarity-attraction effects and bias hireability judgments. However, as the PAM was developed in a more polarized two-party political system, it is pivotal to test and refine the PAM in a multiparty context. Therefore, we asked working professionals from the United States (two-party context, N = 266) and Germany (multiparty context, N = 747) to rate an applicant’s hireability after cybervetting a LinkedIn profile …

Fairness Perceptions Of Artificial Intelligence: A Review And Path Forward, Devesh Narayanan, Mahak Nagpal, Jack Mcguire, Shane Schweitzer, David De Cremer

Research Collection Lee Kong Chian School Of Business

A key insight from research on organizational justice is that fairness is in the eye of the beholder. With increasing discussions–especially among computer scientists and policymakers–about the potential biases and unfairness of decisions made by Artificial Intelligence (AI) systems, there is a critical need to consider how decision-subjects perceive the fairness of AI-led decision-making. Drawing upon theoretical and empirical perspectives on perceived fairness in organizational justice scholarship, this review categorizes and analyzes perceptions of AI fairness as they impact the effective implementation of AI in workplaces and beyond. Specifically, we review existing empirical research on AI fairness according to distinct …

Curating Transdisciplinary Residencies: Time And Place For A ‘First Kiss’, Denise Thwaites, Damith Herath, Vahri Mckenzie

Research outputs 2022 to 2026

Artist residencies offer opportunities for creative interaction between different cultures, communities, and practitioners. Beyond providing time and space, hosts facilitate artists’ immersive social encounters with place, allowing them to explore unfamiliar processes of experimentation. Drawing on a case study of a robotics and arts-based residency, which birthed the choreographed robotic installation ‘First Kiss’ by Melanie Lane, this short paper considers the complex rhythms of transdisciplinary collaboration; their awkward intimacies challenging seamless trajectories of innovation.

A Mindfulness Self-Compassion Huddle Initiative For Emergency Room Nurses, Shannon R. Nelson

Electronic Theses and Dissertations 2020 - Present

This quality improvement initiative aimed to improve levels of compassion satisfaction (CS), burnout, and secondary traumatic stress (STS) among Emergency Room (ER) nurses. This project was implemented during shift huddles in a busy urban city ER. Adopted from a previous study conducted by authors Tripathi and Mulkey in 2023 where the authors incorporated mindfulness-based self-compassion (MBSC) exercises based on the teachings of Christopher Germer and Kristin Neff (2019). The authors discovered a significant improvement in Professional of Quality of Life (ProQOL-5) scores in CS, burnout, and STS when MBSC was implemented (Tripathi & Mulkey, 2023). The project was implemented over …

Enhancing Maternal Mental Health: A Quality Improvement Project To Increase Postpartum Depression Screening, Phabrina Richemond-Etienne

Electronic Theses and Dissertations 2020 - Present

Background: Postpartum depression (PPD) remains a significant public health concern, often leading to adverse outcomes for both mothers and infants. The Edinburgh Postnatal Depression Scale (EPDS) is a validated screening tool that can facilitate early identification and timely referral for mental health services. At the community partner’s Health Department, low referral rates for mental health services among postpartum mothers underscored the critical need for a systematic and effective approach to screening and referral. Methods: Electronic health record (EHR) data from January to August were reviewed to assess baseline referral rates before EPDS implementation. After the introduction of EPDS screening in …

Reducing Missed Appointments In Primary Care: A Three-Pronged Approach, Juliette Mercadante

Electronic Theses and Dissertations 2020 - Present

Missed appointments disrupt care continuity, delay diagnoses, and decrease revenue in primary care settings. This quality improvement project at Meadow Clinic aimed to reduce no-show rates through evidence-based interventions targeting identified barriers such as forgetfulness, scheduling conflicts, and transportation issues. Participants included 72 patients with a history of missed appointments, who were surveyed to identify their preferences and challenges for adhering to office visits. The project used Jean Watson’s Theory of Human Caring and the Plan-Do-Study-Act framework (Appendix A) to guide the design and implementation of interventions: enhanced telehealth integration, personalized multi-modal reminders, and patient education on digital health tools. …

Insomnia Management Via Smartphone Delivered Cognitive Behavioral Therapy, Elisa Ereckson

Electronic Theses and Dissertations 2020 - Present

The purpose of this quality improvement initiative was to improve sleep quality and reduce insomnia severity in individuals diagnosed with insomnia. This project was completed with 11 total participants, in which smartphone-delivered cognitive behavioral therapy for insomnia (i.e., CBT-I Coach) was utilized four or more days out of the week. The project spanned the course of six weeks. Insomnia severity was measured using the Insomnia Severity Index (ISI) and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The General Self- Efficacy Scale (GSE) was also utilized to evaluate participants general self-efficacy. Questionnaires were administered pre and post …

Patients With Diabetes: Increasing Identification And Referral For Common Mental Health Issues, Anastasia M. Lunina

Electronic Theses and Dissertations 2020 - Present

Diabetes is one of the fastest-growing global health emergencies of the 21st century (IDF, 2021), with over 37 million Americans currently living with the condition (CDC, 2023). People with diabetes are at increased risk for mental health disorders such as diabetes distress, depression, and anxiety, which can worsen disease outcomes (ADA, 2021; Nouwen et al., 2019). These comorbidities heighten the risk of complications, hospitalizations, and mortality (Egede et al., 2010). However, a notable gap exists in primary care providers’ ability to address mental health concerns in this population (Jones et al., 2021). This Quality Improvement (QI) project aimed to enhance …

Implementing Kdigo Guidelines Into Primary Care Practice, Oniel D. Laucella

Electronic Theses and Dissertations 2020 - Present

Chronic kidney disease (CKD) affects millions globally, often remaining undiagnosed until reaching advanced stages. Early detection, especially in high-risk populations such as those with diabetes, hypertension, or a family history of CKD, is critical for improving outcomes (National Kidney Foundation, 2020). Diabetes is the leading cause of CKD, followed by hypertension, and screening for microalbuminuria is an effective, low-cost method for early detection. This Doctor of Nursing Practice (DNP) project sought to improve healthcare providers' knowledge, attitude, and practices (KAP) regarding CKD screening and management by implementing newly released Kidney Disease: Improving Global Outcomes (KDIGO, 2024) clinical practice guidelines in …

Using A Caring-Based Follow-Up Phone Call Protocol To Improve Appointment Adherence In A Mental Health Setting, Daphney Valbrun

Electronic Theses and Dissertations 2020 - Present

Telemedicine is a more beneficial technology that can make it easier for people to get preventive treatment and help their long-term health. Missed appointments are detrimental to clients’ health, create scheduling problems, reduce productivity, increase healthcare costs, cause revenue loss, and diminish access to adequate healthcare for clients who could have been seen in the unused appointment slots. Non-adherence to medication is another area of concern associated with poorer prognosis and incremental differences in treatment cost. By examining the efficacy of telehealth services in maintaining treatment adherence among ethnic minority populations, this project aimed to shed light on how digital …

Evidence-Based Program Evaluation Of A Primary Care Weight Loss Plan, Joy L. Mowett-Fuller

Electronic Theses and Dissertations 2020 - Present

This evidence-based program evaluation assesses the effectiveness and patient adherence to a structured weight loss intervention at a local primary care clinic. The program targeted 21 adults, aged 27-60, with BMI ≥ 27 kg/m², many of whom faced cardiovascular risks. Over nine months, participants engaged in a program combining semaglutide injections, dietary guidance, behavioral counseling, and regular physical activity. Baseline and follow-up measures at three, six, and nine months evaluated outcomes alongside self-reported quality of life assessments. The results demonstrated significant reductions in BMI and weight (p < 0.01, CI: 95%), with participants reporting increased confidence and self-efficacy. The findings underscore the effectiveness of a nurse-led, compassionate primary care approach to weight management. Recommendations include extending follow-up periods and integrating demographic considerations (education, race, culture) to enhance adherence and long-term success. This evaluation provides actionable insights for clinic and broader healthcare contexts, with plans for dissemination through faculty presentations, publications, and local and national conferences.

The Impact Of Routine Scripted Follow-Up Phone Calls On Missed Appointments And Patient Satisfaction, Tracian Kelly

Electronic Theses and Dissertations 2020 - Present

This QI project assessed the effectiveness of scripted follow-up telephone calls in improving patient satisfaction and reducing no-show rates at my project site. This project aimed to identify whether maintaining caring-based communication patterns could produce patient involvement and clinic functional efficiency improvements using a pre- and post-intervention design. This study presents qualitative data collected from 13 patients before and after the intervention, which involved receiving scripted monthly phone calls. The results showed that although patient satisfaction scores remained stable, it was impossible to attribute the improvement fully. The mean satisfaction scores increased from 6.33 before the intervention to 22.54 and …