Digital Commons Network^™

The Role Of Forgiveness In Health And Healthcare: Perspectives From Graduate Nursing Students And Faculty At A Private Faith-Based University In The United State[S], Rachel A. Joseph, Shanna W. Akers, Jichan J. Kim

Faculty Publications and Presentations

No abstract provided.

Behind Closed Doors, Beyond The Cell: Supporting Children Of Incarcerated Parents, Averi R. Amaro

Honors Program Theses and Research Projects

This study examines the overlooked population of children affected by parental incarceration and evaluates intervention programs designed to support them. Grounded in Labeling Theory (Becker, 1963), Self-Fulfilling Prophecy (Merton, 1948), and the Restorative Justice framework (Zehr, 2002), this study explores how stigma, expectation, and repair shape the outcomes for the youth affected by parental incarceration. Drawing from qualitative and quantitative research, it analyzes the emotional, social, and educational effects of incarceration on families, identifying protective factors such as attachment, mentoring, and community support that mitigate delinquency risks. Program evaluations of Girl Scouts Beyond Bars, Parenting Inside Out, Project Avary, and …

Factors Associated With Emergency Hospitalization Of Kidney Disease Patients In A National Hospital Kenya., Dorcus Miyombe

MSc in Advanced Practice Nursing

Introduction: Emergency hospitalizations among End Stage Kidney Disease (ESKD) is a major global health burden, with low- and middle-income countries in sub-Saharan Africa (SSA), experiencing the highest rates of morbidity and mortality. Limited resource, economic burden, and insufficient health infrastructure were the main challenges. Emergency hospitalizations at Kenyatta National Hospital remains high due to systemic gaps and poor continuity of care. Prerenal, intrarenal, post-renal injuries, as well as any combination of these, are the primary causes of ESKD. There are stipulated guidelines for ESKD patients’ management however, realization of these goals has not been achieved leading to hospitalization KDIGO …

Predictors Of Complications Among Adult Patients Diagnosed With Type 2 Diabetis Mellitus At Thika Level Five Hospital, Kenya, Bernard Wambua Mbithi

MSc in Advanced Practice Nursing

Introduction: Despite advances in the management of Type 2 diabetes mellitus (T2DM), anecdotal reports from Thika Level Five Hospital indicate that patients still present with diabetes mellitus-associated complications. Therefore, this research aimed to determine the predictors of complications among adult patients diagnosed with T2DM in the hospital.

Methodology: Analytical cross-sectional design was utilized in this research. To select the respondents, purposive sampling was used to recruit six nurse managers and their deputies (making a total of 12 nurses), while 294 patients in the clinic were recruited using systematic sampling. Purposive sampling was also used to recruit 15 patients …

Hurricanes And Human Health In Louisiana: Insights From Hurricanes Laura, Delta, And Ida, Shobha Kumari Yadav, Robert V. Rohli, M. E. Betsy Garrison, Elisabeth Ponce-Garcia, Nazla Bushra, Charleen Mcneill

Faculty Publications

Louisiana is one of the most disaster-prone states, with hurricanes ranking among the most destructive hazards. Hurricanes impede sustainability by straining hospital infrastructure, overwhelming emergency departments, and disrupting continuity of care. Louisiana’s healthcare system, characterized by high uninsured rates, limited rural access, and notable racial and socioeconomic disparities, is particularly vulnerable during disasters. This research explores trends of mental and respiratory health in Louisiana surrounding Hurricanes Laura (2020), Delta (2020), and Ida (2021). Analysis reveals a substantial increase in admissions after landfall of all three storms, with mental health conditions showing a larger surge than respiratory ones in already-vulnerable communities. …

Grand Theft Identity: The Privacy Costs Of Digitalization, Kenny Phua, Chishen Wei, Gloria Yang Yu

Sim Kee Boon Institute for Financial Economics

We study whether greater digital engagement increases the risk of identity theft by exploiting bank branch closures as a shock that shifts economic activity online. Using a quasi-natural experiment, we find causal evidence that branch closures increase identity theft, particularly in more vulnerable communities. Exposed consumers spend more time on mobile apps and shift their expenditures from offline to online channels. Adversarial activities associated with identity theft, such as unwanted calls and phishing attempts, increase after branch closures. Overall, our evidence suggests that digitalization offers consumer benefits, but also imposes hidden privacy costs.

The Banner - V. 160, No. 10 - (December 2025), Christian Reformed Church In North America

The Banner

No abstract provided.

An Introduction To The Ai Special Issue And A Modern Framework For Ai In Sport Management, Jun Woo Kim, Vitaly Ford

Journal of Applied Sport Management

This paper introduces the special issue while also exploring the theoretical foundations and practical applications of AI in sport management, guided by Artificial Intelligence: A Modern Approach (Russell & Norvig, 2021). The manuscript examines AI’s evolution from rule-based systems to large language models (LLM)–driven intelligent agents and classifies the technology into five major subfields—machine learning, natural language processing, computer vision, reinforcement learning, and AI agency. Using real-world sport industry examples and recent academic research, this paper presents a modern taxonomy of AI’s role in sport management, articulates managerial implications, and outlines future research directions necessary for sustainable and ethical integration …

An Autoethnography: How Professional Organizations Serve As Professional Development For Secondary Journalism Teachers, Mark R. Hilburn

Educational Leadership Theses, Dissertations, and Student Creative Activity

The purpose of this autoethnography is to provide analysis and explain the importance of professional development experiences for secondary teachers, especially for those that are singletons in a school, district, or community.

Autoethnography is a qualitive research method in which the researcher is also the subject of the study. In autoethnography, the researcher uses autobiographical stories to analyze and interpret their lived experiences with the purpose of extending sociological understanding. It reflects the interconnectivity of self, others, and culture (Hamdan, 2012).

Effective professional development is typically long-term, collegial, supported by leadership, and context-specific (Richardson, 2003; Sparks, 2002), and essential for …

A Study On Practical Examples Of Servant-Leadership In Rural Areas Of The Province Of Herat, Afghanistan, Nasir Ahmad Rahimi, Esmatullah Jafari, Hajar Moradi, Barbara Schellhammer, Isabella Rega

International Journal of Servant-Leadership

This study investigates practical examples of servant-leadership in the rural areas of Herat province, Afghanistan. A literature review revealed a significant gap in research focusing on practical instances of servant-leadership in these regions. We employed a qualitative approach, utilizing in-depth interviews, focus group discussions, and circle reflections to collect data. Initially guided by Spears’ ten principles of servant-leadership, our data analysis led to a redefinition of both the term and its underlying principles, while remaining true to the original concept. The study identified two types of servant-leaders: traditional leaders, who inherit their roles through family status, and emerging leaders, who …

Prevalence Of Sleep Disturbances And Factors Associated Among School Going Children In Uganda, A Cross-Sectional Study, Martha Sajatovic

Faculty Scholarship

Background: Sleep disturbances greatly impact children's academic performance and social well-being. This study set out to determine the prevalence of sleep disturbances and factors associated among school going children in Kawempe division, Kampala, Uganda. Methods: In a community cross-sectional study, 548 study participants using random cluster sampling were enrolled. The children start lessons at 8am and end the days classes at 5pm. Random cluster sampling method was used to select participants from the 19 parishes in Kawempe district. Data was collected using a semi-structured questionnaire and Sleep Disturbance Scale for Children (SDSC). Descriptive statistics and multivariate binary logistic regression were …

Improving Post-Resuscitation Debriefing Completion Rates In An Acute Care Community Hospital: A Quality Improvement Project, Tiffany Tolden

Doctor of Nursing Practice Projects

Background: Post-resuscitation debriefing improves team dynamics and CPR quality and can identify systemic barriers to quality care delivery. However, completion rates remain low in acute care settings. Purpose: This quality improvement project evaluated whether a one-hour training session for rapid response nurses and charge nurses, combined with weekly reminder emails, would increase completion rates of post-resuscitation debriefings and influence nurses’ perceptions of their usefulness in an acute care community hospital. PICOT Questions: Will a one-hour training session (I) with rapid response nurses and unit charge nurses (P), along with a weekly reminder system (I), increase the completion rate (O) of …

Exploring Electric Bicycle Safety Performance Data And Policy Options For California, Asha Weinstein Agrawal, Kevin Fang

Mineta Transportation Institute

This study was conducted as directed by California Senate Bill 381 (2023), which called for research to help policymakers develop effective laws and policy to support the twin goals of expanding electric bicycle use and protecting the safety of electric bicycle riders and other road users. The three major strands of findings presented in this report are (1) a review of how California and other states (and countries) regulate electric bicycle use, (2) a review of the electric bicycle safety literature, including original analysis of primary data on crashes, injuries, and deaths, and (3) strategies that the state could adopt …

Environmental Beliefs Among Evangelical Leadership, Jeffrey Stark

Dissertations

There has been consensus among climate scientists for over a decade about the reality of human caused climate change. Even with this consensus, the public understanding of this issue remains divided based on factors generally unrelated to the science. Evangelical Protestants are one group which consistently polls as more skeptical of climate change. This is true not only when compared to the general population but also when compared to other religious demographics. Most large-scale surveys of evangelicals assume the demographic to be a monolith and do not attempt to break the demographic down further. In this mixed methods study, we …

Educational Program To Prevent Long-Term Complications For Individuals With Diabetes, Emily M. Ware

Occupational Therapy Doctoral Capstones

This doctoral capstone project aimed to create an educational program to improve quality of life for individuals with diabetes by enhancing daily self-management and occupational engagement to prevent long-term complications. The literature states that although diabetes complications are common, they are also highly preventable through self-management strategies. Because diabetes self-management is deeply embedded into daily routines, occupational therapy practitioners can play a unique role in supporting individuals in this process. Prior to participation in the educational program, participants completed a screening tool assessing their diabetes management routines and confidence in the context of daily activities. An occupational therapy-informed, six-week educational …

Educating Caregivers To Increase Participation In Sensory Integration Interventions, Hannah G. Williams

Occupational Therapy Doctoral Capstones

This capstone project aims to educate caregivers on the foundational three sensory systems and sensory integration (SI) interventions to enhance children’s participation in daily occupations. Research consistently highlights the vital role caregivers play in supporting their child’s sensory regulation and overall well-being. However, existing literature offers limited investigation into the relationship between SI dysfunction and caregiver education. Sensory integration enables the organization of sensory input to facilitate meaningful interaction with the environment; however, caregiver participation in applying SI-based interventions remains underrepresented in research and practice. To address these issues, this project utilizes an approach called knowledge translation through the creation …

Education And Advocacy For Implementation Of Biofeedback Therapy In Pediatrics With Anxiety And Migraine Headaches, Mckenly Roberts

Occupational Therapy Doctoral Capstones

This capstone project explores the implementation of biofeedback therapy in occupational therapy for treating pediatric migraines and anxiety. A comprehensive literature review was conducted, examining peer-reviewed articles from 2000–2024, which revealed biofeedback therapy’s efficacy in addressing stress-related symptoms across age groups. The study focuses on adolescents’ academic and extracurricular occupations, where stress significantly impacts mental and physical health. The project aims to establish a biofeedback therapy program at the Abilene Christian University Psychology Clinic, addressing gaps in current literature and practice guidelines. Utilizing the Person-Environment-Occupation-Performance (PEOP) model, the research highlights biofeedback’s potential to improve functional performance and participation for children …

Oncology Rehabilitation In Occupational Therapy, Callie D. Freeman

Occupational Therapy Doctoral Capstones

This doctoral capstone project examined the need for occupational therapy (OT) services among individuals diagnosed with cancer and cancer survivors. Evidence indicates that cancer-related fatigue, decreased participation, and diminished quality of life are common challenges following different types of cancer treatment. Occupational therapy addresses these issues through occupation-based interventions, fatigue management education, energy conservation strategies, and activities that promote strength, stability, and social participation. Nevertheless, a gap persists in the utilization of OT services within oncology treatment care. Over a 14-week period, this project implemented group-based interventions to enhance the quality of life and engagement among cancer survivors affiliated with …

Education Of Trauma-Informed Care In The School System: An Occupational Therapy Perspective, Jada F. Muller

Occupational Therapy Doctoral Capstones

This capstone experience focused on providing education to faculty and staff of elementary-aged children. This includes education about signs of trauma, techniques to use for the classroom, and how occupational therapy can contribute to trauma-informed interventions in the school system. More research is needed to show the implications of trauma informed practice and the role of occupational therapy within the school system. To address this gap, this doctoral project was designed to fulfill the need for trauma-informed education and add to the body of knowledge. This project took place at Denison Independent School District, where I created deliverables addressing different …

An Analysis Of Face Synthesis Methods And Their Influence On Human Perception, Maha Habib Almaimani

All Dissertations

Synthetic faces (e.g., computer-generated characters) have been increasingly utilized across various fields, including entertainment, healthcare, and education. Perceptual studies are often conducted to understand how synthetic faces are perceived by humans, aiming to enhance both quality and user experience in these domains. Over the years, numerous methods have been developed to create synthetic faces, ranging from traditional techniques such as image composites, Active Appearance Models, and 3D Morphable Models to more recent machine-learning-based frameworks like Generative Adversarial Networks (GANs) and Variational Autoencoders (VAEs).

Despite the growing adoption of synthetic face generation and the variety of algorithms available for their creation, …

A Comparative Analysis Of The Lack Of Contractual Protections In Female Dominated Opportunities: Collegiate Competitive Dancers And Cheerleaders Compared To Ncaa Student-Athletes And National Pageant Organization Titleholders Compared To Employees/Independent Contractors, Abigail Church

Michigan Journal of Gender & Law

The lack of contractual protections and regulations throughout female-dominated opportunities is abundantly clear in the collegiate competitive dance & cheer and the national pageant organization titleholders. Collegiate competitive dancers and cheerleaders have no standardized contractual requirements regarding their commitment to an academic institution or their engagement in NIL opportunities. Their NCAA recognized student-athlete counterparts, on the other hand, have extensive regulations and protections in place for both categories of contracts. In the pageant industry, pageant titleholders have no protection against the all-too-common procedural and substantive unconscionability of their service agreements, which can be found in confidentiality and arbitration clauses. In …

Health Care Civil Rights: Addressing The American Maternal Mortality Disparity Through Health, Law, And Policy, Victoria Pedri

Michigan Journal of Gender & Law

The United States is facing a pressing issue in maternal health, standing out as uniquely dangerous among similarly situated nations, with significant disparities in maternal mortality rates, particularly affecting Black American pregnant people. This paper, “Health Care Civil Rights: Addressing the American Maternal Mortality Disparity Through Health, Law, and Policy,” argues that by addressing the root cause of the Black Maternal Mortality Disparity (BMMD)—structural racism—and implementing rigorous, enforced standards of care, the United States can ensure safer childbirth experiences for Black pregnant people. Utilizing intersectional and anti-racist frameworks, the analysis identifies inferior medical care, particularly in diagnosing and treating preventable …

Program Development And Evaluation & Clinical Skills Of A Comprehensive Screening Tool For The Pediatric Population, Keegan S. Lepkowski

Occupational Therapy Doctoral Capstones

This capstone project focused on occupational therapy screening tools for the pediatric population within the areas of specialization of program development and evaluation and clinical skills. The literature revealed that there is a lack of recognition of the intent, knowledge, and access to screening and how it fits within the overall evaluation process. To address this gap, this capstone project aimed to create a positively perceived comprehensive screening tool for occupational therapy clinicians to utilize for the early identification of developmental delays within preschool-aged children. This capstone project also aimed to organize a screening program in coordination with local schools/daycare …

Leadership Development Programs For Elected Officials: Measuring The Impact Of Extension On County Leadership Capacity, Nathan Palardy, Matthew Sowcik

Journal of Human Sciences and Extension

Although Extension-led leadership development programs for elected officials are widespread, few evaluations assess their effectiveness. This study uses 2 years of survey data to quantitatively and qualitatively evaluate several programs for Florida county commissioners, focusing on reaction, knowledge transfer, and behavior change. Results indicate high satisfaction with the program content and quality and substantial improvement in leadership competencies. Commissioners reported frequent application of the skills taught and cited networking opportunities as a key benefit. Findings suggest that Extension-led programs can strengthen local governments by enhancing the leadership capabilities of elected officials and offering insights to guide the design of similar …

Enhancing Youth Learning Outcomes Of Travel Programs Through Storytelling, Gary Ellis, Parisa Paymard, Dottie Goebel, Darlene Locke, William F. Zanolini, Emily Catalan, Kelley Ranly

Journal of Human Sciences and Extension

We conducted two studies to evaluate strategies that Extension educators may use to enrich youth travel program experiences. Study 1 evaluated the effects of telling stories about attractions before site visits on youth experiences and learning outcomes on site. Seventeen youth in a 4-H program designed to promote cultural understanding visited eight attractions in Costa Rica. The evening before visiting three sites, youth were told a fictional or cross-fictional story about the sites. The stories elicited imaginary travel to the site (narrative transportation). After visiting the sites, the youth reported the extent to which they felt like they were in …

Referral Strategies For Recruitment And Engagement Of Community Adults Into Online Extension Health Programs, Cheryl L. Eschbach, Dawn A. Contreras, Holly B. Tiret

Journal of Human Sciences and Extension

This article shares details behind building organizational capacity to establish program referrals for statewide recruitment of community adults into Cooperative Extension’s online health programs. This study explores the role of intentional recruitment strategies (active and passive) to increase participant program enrollment into health education and shares examples from one state that has created a trained workforce that offers ongoing research- and evidence-based programs. After many years of trying paper, phone, and electronic medical record methods to increase program reach, Michigan State University Extension tried an electronic referral process via a QR code and web link, accompanied by program marketing, to …

Teaching Leadership In The Context Of Crisis: Connecting Organizational Leadership And Crisis Competencies In A Faculty Leadership Education Program, Caitlin Lunzmann, Nicole Lamee Perez Stedman, Matthew Sowcik

Journal of Human Sciences and Extension

This research focused on enhancing leadership instruction in colleges of agriculture. A multi-institutional research team initiated a program to teach agricultural and natural resource faculty how to create leadership-oriented case studies for undergraduates. Forty faculty members participated in an online training academy centered on Bolman and Deal’s Organizational Frames and case study writing. Following the academy, these faculty members participated in field experiences in the southeastern U.S. to gather data on natural disasters, which they used to write case studies about leadership in agriculture. Though the program focused on organizational leadership, it also discussed leadership in the context of natural …

Reviving Civil Discourse: A Leadership Imperative In The Age Of Polarization, Katie Herritage

International Journal of Servant-Leadership

This paper examines the current erosion of civil discourse as a pressing leadership challenge in an era defined by polarization and distrust. Civil discourse, the respectful and constructive exchange of ideas, underpins democratic societies yet is increasingly undermined by hostile rhetoric and deepening societal divides. Drawing on servant-leadership and relational leadership theory, this study explores how leaders can counteract this decline by fostering trust, empathy, and open dialogue. The discussion is grounded in the philosophical contributions of bell hooks, Friedrich Nietzsche, Viktor Frankl, Mahatma Gandhi, and Martin Luther King, Jr., whose ideas illuminate pathways for revitalizing civil discourse through compassion, …

Dei And The Servant-Leader, Carmen Dela Cruz

International Journal of Servant-Leadership

After the June 2023 Supreme Court decision eliminating race as a consideration in college admissions, Diversity, Equity, and Inclusion (DEI) initiatives in higher education became a target. As a result of the Supreme Court’s decision, some states began closing or renaming their DEI offices even before President Trump’s reelection. Since President Trump began his second term, his administration has made dismantling DEI initiatives a top priority. So, now is a crucial time to continue the work of civil rights and social justice in the United States. It is essential that we have leaders that are willing to carry out DEI …

Wofford Today Winter 2025, Wofford College. Office Of Marketing And Communications

Wofford Today

No abstract provided.