Digital Commons Network^™

Quality Improvement Project: Enhancing Diabetes Management Through Continuous Glucose Monitoring Device Education Among Providers Of Underserved Groups, Shaibu Rashid

Doctor of Nursing Practice Projects

This quality improvement project aimed to enhance diabetes management among underserved populations by increasing provider confidence and utilization of continuous glucose monitoring (CGM) devices in a Federally Qualified Health Center (FQHC). Despite CGM being recognized as a standard of care for patients requiring intensive insulin therapy, its adoption in FQHCs remains limited due to provider knowledge gaps, financial barriers, and workflow challenges. Based on Kurt Lewin’s change theory, the project employed a quasi-experimental one-group pretest–posttest design to evaluate the impact of an evidence-based educational intervention among six family practice providers. The intervention included interactive sessions on CGM device use, data …

Per Se Driving Under The Influence Of Cannabis Statutes And Blood Delta-9-Tetrahydrocannabinol Concentrations Following Short-Term Cannabis Abstinence, Robert L. Fitzgerald, Anya Umlauf, Raymond T. Suhandynata, David J. Grelotti, Marilyn A. Huestis, Kyle F. Mastropietro, Igor Grant, Thomas D. Marcotte

Institute of Emerging Health Professions Faculty Papers

BACKGROUND: Several US states have per se laws using 2 or 5 ng/mL of delta-9-tetrahydrocannabinol (THC) as cutpoints for driving under the influence of cannabis, while some have zero-tolerance statutes. These cutpoints are considered prima facia evidence of driving impairment.

METHODS: In a cohort of people who regularly use cannabis (N = 190) we measured baseline concentrations of THC after instructing participants to abstain from cannabis for at least 48 hours. Baseline driving performance was evaluated using a driving simulator. We also measured blood THC concentrations serially following a smoking session (placebo or active cannabis).

RESULTS: Forty-three percent of the …

Leveraging Student Data To Assess, Inform, And Develop Teachers Capacities, Nathan D. Koerber, Kenneth J. Fasching-Varner

Northwest Journal of Teacher Education

This quantitative study analyzed 47 survey responses to gauge in-service, pre-licensed teacher, and paraprofessional perceptions of cultural competency. Participants responded to the Central Vancouver Island Multicultural Society’s Cultural Competence Self-Assessment Checklist (Alpha = 0.7) to explore their awareness, knowledge, and skills in cultural competency. Moreover, through the application of Culturally Responsive Teaching (CRT) as a theoretical framework, this study highlighted how these perceptions related to culturally responsive teaching and provided several implications for their future preparation to further develop their cultural competency through the tenets of CRT. The analysis identified participant unfamiliarity with privilege and its impact, as well as …

Allan Leslie Combs: Reminiscence And Recommendation, Jonathan B. Bricklin

Journal of Conscious Evolution

The author recalls his first meeting with Allan Leslie Combs, identifying his defining trait of openness through the lens of the Trickster archetype. Drawing on the philosophy of William James, the essay concludes with a recommendation for a future edition of Combs’s book Synchronicity, specifically regarding the inclusion of precognition.

Keywords: trickster, synchronicity, William James, Allan Leslie Combs, precognition, openness

An International Comparison Of Staff Perceptions Of Professional Governance, Roberta Kaplow, Polly Willis, Birgit Vogt, Fanny Grüssel-Griethe, Janina Schweiger

Biennial Convention (CONV)

Objectives: The objectives of this study were to evaluate differences among RNs and nurse leaders’ perceptions regarding professional governance (PG), and discern differences in perceptions regarding demographic variables, and determine if there are differences in perceptions of SG between two hospitals.

Background: Data suggest a relationship between PG and improved patient outcomes, nurses’ job satisfaction, and workplace engagement.

Methods: A cross-sectional descriptive comparative design was used. Perception of SG at two academic medical centers were compared. The United States (US) center has Magnet designation; the German center is pursuing designation. Participants completed a demographics questionnaire and the IPNG 3.0 (50 …

A Double-Edged Sword: Ethical And Psychological Implications Of Apoe Genotype Disclosure Across The Lifespan, Diego Iacono

Department of Neurology Faculty Papers

The apolipoprotein E (APOE) gene is the strongest genetic risk factor for sporadic Alzheimer’s disease (AD), with the ε4 allele increasing risk and decreasing the average age of onset. While APOE genotyping is primarily used in research or clinical settings for patients with memory concerns, interest in disclosing APOE status to asymptomatic individuals—particularly during early adulthood—is growing. This trend is fueled by the rise of direct-to-consumer genetic testing and emerging prevention-focused clinical trials. However, ethical debates remain unresolved about the potential harms of early disclosure, including anxiety, stigma, and misunderstanding of probabilistic risk. Conversely, some argue that knowledge of APOE …

Once Upon An Early Writing Experience: Connecting Memory With Literacy Instruction In Pre-Service Teacher Education, Jue Wang, Jingru Lu

Northwest Journal of Teacher Education

Through a narrative-based case study design, this research connects pre-service teachers’ early writing memories with their studies in writing instruction to explore how multi-layered and multi-faceted writing experiences across time and space influence teaching beliefs and practices. This article invites audiences to vicariously experience these pedagogical encounters, reflect on journeys to becoming writing teachers, and shed light onto the implications of teaching early writing. Comic artifacts and interview data were collected from nine pre-service teachers who learned to teach early writing/language arts in a four-year public university in the Inland Northwest. Based on the participants’ comics and narratives, four themes …

Transforming Nurse Leaders: The Power Of Flexible Schedules In Healthcare, Emily Calabro, Rodica Pop

Biennial Convention (CONV)

Purpose: This pilot feasibility study investigated the impact of flexible work schedules on the mental, psychological, and physical health of healthcare workers within a large hospital system, aiming to identify innovative leadership strategies for workforce planning and development.

Background: Traditional work schedules often negatively impact productivity, well-being, and job satisfaction, contributing to challenges in recruiting and retaining nurses. This study explored the feasibility and benefits of flexible work schedules as a leadership initiative to improve workforce well-being and retention.

Methods: A quasi-experimental, mixed-methods, time-series design was implemented across a 12-hospital system with the partnership of 4-Day Global. Eligible leadership teams …

Knowledge Of Menopause And Sources Of Information In Women And Men In The United States, Roxanne Ropponen

Biennial Convention (CONV)

Problem: When it comes to health management, knowledge is power. Unfortunately, menopause education is gravely lacking in the U.S., despite the fact that menopause symptoms have a significant effect on women’s lives, including their relationships with men. Most people obtain health information from online sources or family and friends, both of which can vary from highly accurate to extremely inaccurate. Nurses, the patient educators of the health care team, are in a position to provide evidence-based menopause education. In order to create and implement such education there must be an established understanding of the population's current knowledge and sources of …

Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas

Walden Dissertations and Doctoral Studies

Small businesses can be at a heightened risk of occupational fraud if their internal control strategies are not effective. This risk is a major concern for small business owners, who might face financial and operational challenges as a result. Grounded in Cressey’s fraud triangle framework, the purpose of this qualitative multiple case study was to explore effective internal control strategies to reduce the risk of occupational fraud from occurring. Participants were six small business owners in New England who had developed effective internal controls. Data were collected through semistructured interviews and employee handbooks. Through thematic analysis, four themes emerged, including …

Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski

Walden Dissertations and Doctoral Studies

Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …

Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh

Walden Dissertations and Doctoral Studies

Lack of employee engagement presents a significant risk and cost across the property management industry. Property management business leaders are concerned with this challenge because employee engagement directly affects performance efficiency and employee turnover costs. Grounded in the self-determination theory, the purpose of this qualitative pragmatic inquiry was to explore strategies property management leaders use to strengthen employee engagement in the workplace. The participants were six purposefully selected property management business leaders in the United States. Data were collected using semistructured interviews and a review of public industry documents. Through thematic analysis, six themes were identified: (a) communication, (b) mentorship, …

Spartan Daily, December 2, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 40

Patient-Reported Experience Measures For Person-Centred Care: A Survey For The Development And Psychometric Testing Of A Targeted Measure, The Epcc-14, Ryan Statton, Lena Rosenlund, James Close, Anna Dencker, Helen Lloyd

School of Psychology

Objectives This study aims to develop a robust, targeted measure of patient experiences of person-centred care (PCC), informed by the lived experiences of patients with chronic illness using the psychometric theory of Rasch measurement. Design The Rasch measurement model was used to analyse the psychometric functioning of 57 candidate items and select appropriate items for a targeted measure. Setting Participants were recruited from Prolific.com, having experience of both chronic or long-term illness and first-hand experience of primary or secondary care in the UK healthcare setting and completed a survey containing PCC items and descriptors of healthcare experience. Participants Data from …

Talking Sudep: Gaps, Confidence And Training Needs Among Spanish Epilepsy Professionals, Rohit Shankar

Peninsula Medical School

Objective: Sudden Unexpected Death in Epilepsy (SUDEP) is a major cause of epilepsy-related mortality, yetdiscussions about SUDEP in clinical settings remain inconsistent. This study aimed to assess the perspectives,practices, and barriers related to SUDEP counselling for epilepsy professionals in Spain.Methods: A cross-sectional online survey of 17 Likert style questions was disseminated via the Spanish EpilepsySociety between September 2023 and February 2024 to epilepsy professionals in Spain using a nondiscriminatory exponential snowballing technique leading to non-probability sampling. The survey was a validated instrument previously employed in similar international studies. Questions revolved around SUDEPcommunication and counselling. Descriptive and comparative analyses were conducted.Results: …

The Rhetorical Discourse Of Uniate Writers’ Polemic Literature Of The End Of The 16th – First Half Of The 17th Century In The Retrospection Of Oratory's History, Ruslan Tkachuk

Occasional Papers on Religion in Eastern Europe

The examination of the poetics inherent in the polemical prose authored by Uniate writers during the late 16th and the first half of the 17th centuries holds substantial significance for comprehending rhetoric as a pivotal element in the stylistic evolution of Ukrainian literature throughout this period. The objective of this article is to explore the interrelationship between the works of Uniate polemicists and the framework of classical rhetoric, particularly by elucidating the functioning of rhetorical figures and argumentation techniques within their texts. To accomplish this aim, a range of literary methodologies were employed. Those methods included historical-cultural, comparative-historical, biographical, structural-analytical, …

“Mysterium Tremendum Et Fascinans”: Melian’S And Lúthien’S Numinosity, Alexandra (Oleksandra) Filonenko

Mythopoeic Society Seminar Proceedings

At the heart of all the positive changes in Middle-earth, and at the starting point for undoing the great evil wrought by male characters (divine or otherwise), are two female characters: Melian the Maia and her daughter Lúthien. They form a kind of mythological complex of mother and daughter goddesses, similar to that of Demeter and Persephone. Melian, as a static, maternal figure, forms a sacred centre of Beleriand to which all in need of protection gravitate, while Lúthien, representing a dynamic principle, can be considered the greatest hero of Tolkien’s Legendarium, performing feats unmatched by any male character. Yet …

Sex, The Body, And Learning Gender: Demons In The World Of The Five Gods, Erin E. Mcbrien

Mythopoeic Society Seminar Proceedings

“Sex, the Body, and Learning Gender” analyzes the relationship between the physical body, sexual orientation, and gender as characterized within Lois McMaster Bujold’s World of the Five Gods series, with a particular emphasis on her Penric and Desdemona novellas. Using the framework of Bussey and Bandura’s social learning theory, and a close reading of Bujold’s text, this paper explores how the demonic characters within this series are an example of gender as a learned concept rather than a biological imperative. This is further developed by examining how the demonic characters both imprint on and contrast against the more societally-bound sorcerers …

Estate Planning Techniques: Why Not? Make The Donee Pay The Gift Tax!, Byrle M. Abbin

Tax Adviser

No abstract provided.

Digital Marketing Strategies To Meet Digital Consumers’ Behavior In The New Era: Challenges, Path, And Interventions To Navigate The Technological And Social Turbulence, Dario Natale Palmucci, Christian Di Prima, Vittoria Magrelli

Economic and Business Review

This paper examines how digital marketing is being reshaped by five interrelated tensions: balancing data privacy and personalization; navigating global–local dynamics (including cultural sensitivities and country-of-origin effects); integrating artificial intelligence without losing human connection; ensuring authentic communication to mitigate reputational risks linked to environmental, social, and governance (ESG) and ethical storytelling; and responding to shifting consumer preferences, particularly among younger generations. We combine a targeted literature review with semistructured interviews of marketing professionals across industries and seniority levels. Findings portray marketers as “tightrope walkers” who negotiate paradoxes that redefine the function. We propose an integrated framework that synthesizes previously fragmented …

Are Loyalty Programmes Still “A Thing” In High-Fashion Retail? Understanding Generation Z’S Perspective, Živa Kolbl, Lori Šušulić

Economic and Business Review

This study investigates the relevance and perception of loyalty programmes (LPs) among Generation Z (Gen Z) consumers in the high-fashion retail sector. While LPs are well-established tools for fostering customer retention, their effectiveness among Gen Z, a cohort characterized by digital fluency, a preference for authenticity, and distinct consumption values, remains underexplored. Given the high-fashion context, where exclusivity and identity are critical, this study examines the extent to which LPs resonate with this generation. Utilizing a qualitative methodology and with the help of thematic analysis, we reveal four key dimensions: drivers of high-fashion consumption, shopping preferences, customer loyalty patterns, and …

The Impact Of Market And Nonmarket Strategies On Firm Performance In Lithuania, John A. Parnell, Michael W. Davidson

Economic and Business Review

This study examines the impact of market strategies (global growth, differentiation, and cost leadership) and nonmarket strategies (political engagement and social responsibility) on firm performance in Lithuania. Based on survey data from 114 managers analyzed using partial least squares structural equation (PLS-SEM) modeling, a global growth/differentiation strategy has a positive impact on performance, whereas cost leadership does not. Nonmarket strategies positively influence firm performance, with larger firms benefiting more, ostensibly due to greater resource availability and institutional influence. Firm size moderates the relationship between nonmarket strategies and performance, highlighting the importance of tailoring strategies to an organization's specific characteristics. By …

Engaging Ukrainian Tf-Cbt Therapists In A Practice Skills Course To Support Their Wellbeing, Elisabeth Pollio, Esther Deblinger, Beth Cooper, Maike Garbade, Julie P Harrison, Elisa Pfeiffer

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Background: Burnout and secondary traumatic stress (STS) are common among therapists working with trauma-exposed clients, which can negatively impact them professionally and personally. The shared trauma of war exposure may put therapists at greater risk. To help support their wellbeing, an eight-session course was offered to Ukrainian therapists following training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). This course involves therapists personally utilizing the PRACTICE skills taught to clients in TF-CBT for professional and personal benefit.

Objective: The objective was to gather preliminary evidence on the potential impact of implementing the course with Ukrainian therapists providing TF-CBT during a period of …

“She’S A Good Different. She’S Revolutionary”: How Fifth-Grade Readers Interpret Aspects Of Diversity In Literature, Margaret Barr

Reading Horizons: A Journal of Literacy and Language Arts

Although diversity, equity, and inclusion have been a significant focus of research in children’s literature, many studies fail to consider the reader’s perspective and instead rely on text analyses. In the present study, the author employed focus groups to examine fifth-grade readers’ insights as they interpreted, related to, and engaged with the presence of diversity in texts. Findings indicate that readers interpreted diversity by envisioning the larger picture, recognizing the importance of others’ differences, and connecting through emotions. Thus, this study suggests that it is necessary for teachers to understand that students recognize and appreciate individual differences, to select texts …

How Does Neurocognitive Dysfunction And Personality Pathology Impact Older Adults' Use Of The Healthcare System?, Rose Nyounway

Student Scholarship

No abstract provided.

How Do People Talk About The Political Parties?, Carol Anne Bredeson, Cassandra Smith, Meghan Rentner

Student Scholarship

No abstract provided.

Fully Integrated Slippage Detection System For Lower Limb Amputees, Christopher E. Miglio

Master's Theses

Lower limb amputees face significant challenges in maintaining a proper prosthetic fit, as improper fit can lead to slippage at the limb-socket interface, resulting in discomfort, pressure sores, and long-term musculoskeletal complications. To address this issue, a fully integrated slippage detection system was developed to monitor an amputee’s daily activities and slippage occurrences to understand their prosthetic fit over time. The system consists of a prosthetic sock embedded with Interlink 406 flexible piezoresistive force-sensing resistors (FSRs). The sock, worn directly on the residual limb, continuously measures pressure at the limb-socket interface. Sensor data from six FSRs is sampled at approximately …

Aged 539 Graduate Internship Report - Mt. Whitney High School, Tule Marie Cardoza

Agricultural Education: Graduate Internship Reports

This project reviewed a high school agricultural education program with an emphasis on agricultural mechanics. Program strengths and needs were identified through curriculum and resource evaluation. Based on the findings, a budget was developed to support equipment, materials, and instructional improvements for the ag mechanics program.

Where Do I Go Next With This Writer? Preservice Teachers’ Responses At The Start And End Of A Writing Methods Course, Nicole M. Martin, Lisa K. Hawkins, Diane M. Bottomley, Brendan Shanahan, Jennifer Cooper Mrs.

Reading Horizons: A Journal of Literacy and Language Arts

This mixed-methods study sought to extend what is known about preservice teachers’ (PSTs’) preparation for teaching writing by examining their responding to individual children’s narrative, informative, and persuasive writing at the start and end of a writing methods course. Participants were 115 elementary PSTs. Their selections of teaching foci and instructional strategies on a beginningand end-of-semester course task were examined. Overall, PSTs showcased differences in their selections at the two time points, displaying a lessened focus on local features (e.g., spelling, punctuation) and reliance on laypeople’s helping practices (e.g., telling, correcting writing) and a greater focus on global features (e.g., …

Teachers’ Perspectives On Text Selection In A Time Of Book Bans And Censorship, Natalie Sue Svrcek, Kathleen Colantonio-Yurko, Henry "Cody" Miller

Reading Horizons: A Journal of Literacy and Language Arts

The last 4 years of headlines describing the various book bans and curricular gag orders happening in the United States serve as an important context for P–12 teachers’ daily work. This article describes the findings from a qualitative survey that sought to understand what influences P–12 teachers’ text selection for teaching and for inclusion in their classroom library in the aforementioned context. Teachers reported stakeholders who held decision-making power as well as which stakeholders were influential in their text selection. Three overarching themes emerged from teachers’ most influential factors in their text selection: social and communal influences, literary content and …