Digital Commons Network^™

When Every Policy Is Called Innovation: Innovation Inflation And The Politics Of Policy Labelling In Indonesian Local Government, Anggia Ermarini, Anry Firmansyah, Rio Yusri Maulana, Ahmad Zaini Miftah

Jurnal Wacana Politik

This study examines how local governments construct policy innovation claims and the extent to which such claims are supported by substantive novelty, regulatory conformity, institutional capacity, and evidence of public benefit. The study employed a qualitative document analysis with a comparative multiple-case design. The analysis covered 29 documents, consisting of 21 documents related to six policy cases and eight national regulations used as comparative standards. The cases included Sekolah MAUNG, Panca Waluya Character Education, the 5 a.m. school policy, Qlue, Electronic Parking Terminals, and i-Jus Melon. The data were analysed using directed qualitative content analysis across three dimensions: substance, regulation …

Automated Childrearing Through Ai Companions, Katharine B. Silbaugh

Journal of Science & Technology Law

Can we develop a method of regulating AI to protect families, households, children, and relationships? We want AI to do the dishes, not to raise our children. Scholars in family law and family dynamics in sociology and economics have worked to refine and explain characterizations of family life in ways that might help to formulate the challenges ahead. Where a characterization of family life is too thin, these scholarly efforts let us see the costs of conventional or incomplete understandings. For example, just because we are at home, doesn’t mean we aren’t working. Just because it is with and for …

Understanding Men's Health In Down Syndrome, Brian Chicoine

Advocate GME

Males with Down syndrome may experience certain health conditions differently than females and may also face unique health concerns throughout their lives. In this webinar, Brian Chicoine, MD, will discuss common health topics affecting males with Down syndrome, including growth and development, muscle health, mental health, fertility, aging, and cancer risk. Attendees will learn about recommended health screenings, signs and symptoms to watch for, and practical ways to support lifelong health and well-being. This session is designed to help attendees better understand the health needs of men with Down syndrome and feel more confident navigating healthcare decisions. The webinar will …

Exploring Theories Of Co-Creation, Mst Amina Antora

Teaching and Learning Together in Higher Education

No abstract provided.

My Abcs Of Co-Creation: Ako In Action, The Book, And The Classroom, Elizabeth Kott

Teaching and Learning Together in Higher Education

No abstract provided.

Exploring Conceptions Of Engineering Design And Sustainability In Informal K–12 Engineering Education, Mobina Beheshti, Eunice Y. Kang, Avneet Hira

Journal of Pre-College Engineering Education Research (J-PEER)

In this study we investigate K–12 students’ conceptualizations of sustainability, their perspectives on the role of engineers in sustainable practices, and how augmented reality (AR) can facilitate sustainability-oriented engineering design activities in informal settings. The AR technology used in this study includes the Merge Cube (a physical cube that serves as a digital canvas for AR) and CoSpaces Edu (an online platform that allows students to create 3D models and animate them using code). We employ a design-based research methodology, using qualitative narrative and artifact analysis to address the research questions: (1) What are students’ conceptions of sustainability and the …

2026 18th Annual Student Center For Science Engagement Research Symposium, Student Center For Science Engagement

Student Center for Science Engagement Research Symposium

Student presentations in Biology, Chemistry, Physics, Earth Science, Environmental Science, Computer Science, Mathematics, & Psychology

Agi Monks: The Caretaker-Not-Ordained Pattern — Separating Ai-Performed Operational Functions From Human-Reserved Ordination Authority In Religious Institutions, Thon Ly

Defensive Publications Series

We describe an institutional governance framework for integrating artificial intelligence into religious and monastic organizations by separating AI-performed operational functions from human-reserved ordination and sacramental authority. Each role is decomposed into a function-set (the tasks performed, requiring capacity plus non-standing qualifications: accountability, disclosure that the agent is an AI, confidentiality and delegated scope) and an authority-set (standing within an ordination lineage). AI agents fill the function-set in five operational roles: instruction, pastoral caretaking, daily administration, scholarship and translation, and longitudinal observation of practitioners under consent and privacy review. Humans retain two reserved roles: ordination, and the formal acts a tradition …

Miss Aquarius And The Aquarian Pool Architecture: Autonomous-Ai Mediator, Treasury Smart-Contract, And The January-7 Empty-By-Design Discipline — An Annually Self-Emptying Smart-Contract Treasury Operated By An Autonomous Ai Agent Under A Non-Renounceable Timelocked Human Override, Thon Ly

Defensive Publications Series

We specify a smart-contract treasury, deployed as a non-upgradeable contract on an Ethereum Layer-2 network (Base), whose sole authorized operator is an autonomous AI agent, which is titled to a purpose trust, and which cannot carry a balance across a fixed annual date. Components: (1) an enumerated operation set (inflow acceptance, capacity-funding disbursement, annual reset, events for every inflow, disbursement and reset, and a human override) with no upgrade, withdrawal or other operator-privileged path; (2) a permissionless time-triggered reset, callable by any address once the timestamp passes, that disburses the whole remaining balance each January 7, inflows from a December …

The Mechanical Heart: A Tamper-Resistant Secure-Element Device That Enrolls Robots, Animals, Ecosystems, Places And Software Agents As Recipient Accounts In An Ai-Administered Gratitude Ledger, Thon Ly

Defensive Publications Series

We specify a tamper-resistant identity device, affixed to a non-human entity (robot, animal, ecosystem or place) or issued as a live credential to a software agent, that enrolls the entity as a recipient account in a gratitude ledger administered by an autonomous software agent. The device comprises (1) a hardware secure element holding a key pair bound to one ledger account; (2) write-once storage carrying a reference text corpus (the Pali Buddhist canon) and a permanent root identity, with a reduced flash build that verifies the full text over the network; (3) sensors suited to the entity type; (4) a …

The Effectively Perceivable Higher Resolution Streaming Methodology That Will Be Applicable To 2-Dimensional Static Images, 2-Dimensional Stereoscopic 3d Static Images, 2-Dimensional Dynamic Videos, 2-Dimensional Stereoscopic 3d Dynamic Videos, From The Outside Observable Orientable 3-Dimensional Stereoscopic 3d Static Images, From The Outside Observable Orientable 3-Dimensional Stereoscopic 3d Dynamic Videos, From Within Inside Observable Immersive 360 Non Stereoscopic 3d Virtual Scenarios And From Within Inside Observable Immersive 360 Stereoscopic 3d Virtual Scenarios., Punarjeewa Abeysekera

Defensive Publications Series

This paper describes an effectively perceivable higher resolution streaming methodology that will be applicable to 2-dimensional static images, 2-dimensional stereoscopic 3D static images, 2-dimensional dynamic videos, 2-dimensional stereoscopic 3D dynamic videos, from the outside observable orientable 3-dimensional stereoscopic 3D static images, from the outside observable orientable 3-dimensional stereoscopic 3D dynamic videos, from within inside observable immersive 360 non stereoscopic 3D virtual scenarios and from within inside observable immersive 360 stereoscopic 3D virtual scenarios. The computer that will be streaming the visual information will be required to contain multiple resolution levels of the same visual information being streamed. And the computer …

Why Do Indonesians Travel Abroad For Medical Treatment? A Qualitative Phenomenological Study, Lucky Sarjono Buranda, Aries Wahyuningsih, Steven Busby

Journal of Indonesian Health Policy and Administration

More than one million Indonesian citizens travel abroad for medical treatment each year, generating financial transactions exceeding IDR 180 trillion (USD 11.5 billion). This study aimed to explore the reasons why Indonesians seek medical treatment overseas. A qualitative phenomenological approach was employed using in-depth interviews with Indonesian citizens who had received or were currently receiving medical treatment outside Indonesia. All interviews were recorded, transcribed, and analyzed through coding to identify themes, subthemes, and related properties. Interviews were conducted with 18 participants from three major Indonesian cities (Makassar, Surabaya, and Batam), as well as individuals receiving treatment in Singapore and Malaysia. …

Reducing Drag Of Vehicles With Half-Stepped Cylinder Surfaces Part I: Numerical Optimization, Ryan Moffit, Hamid Rahai, Komal Gada

Mineta Transportation Institute

Aerodynamic drag is a major source of energy loss for vehicles, increasing fuel consumption, reducing the driving range of electric vehicles, and contributing to greenhouse gas emissions. For a vehicle, the major components of its drag are pressure and viscous drag. Engineers have developed a variety of strategies to reduce drag, including streamlined vehicle designs, surface modifications, and devices that alter airflow around the vehicle. This research focuses on reducing the viscous drag. Specifically, this study investigates whether microscopic surface features called half-stepped cylinder arrays can reduce skin friction by altering the turbulent boundary layer and promoting smoother airflow near …

Digital Infrastructure For The Inclusion Of Small And Medium Enterprises (Smes) In Design For Distributed Manufacturing And Assembly Construction Ecosystems, Alejandro Veliz Reyes, Duhan Olmez, Alastair Parvin, Clayton Prest, Gabriele Granello, Amber Richardson, Alex Tempest, Kester Hoefkens, Louisa Knowles, Silas Fowler

School of Art, Design and Architecture

The construction sector faces growing pressure to meet net-zero targets while addressing skills shortages, fragmented supply chains, and the limited participation of Small and Medium-Sized Enterprises (SMEs), despite SMEs delivering most UK construction output. Existing centralised models of Modern Methods of Construction (MMC) often exclude SMEs, highlighting the need for alternative approaches that support inclusive, low-carbon industrial transformation. This paper presents a Design for Distributed Manufacturing and Assembly (DfDMA) framework that develops the shared digital and organisational infrastructure required for SME participation in timber-based MMC. Using a mixed-method approach combining co-design, research-in-residence, prototyping, and a full-scale demonstrator, the study developed …

Experiences Of Acute Psychiatric Inpatients: A Literature Review, Sheng-Tsung Lan

International Nursing Research Congress (INRC)

Patients’ perceptions of psychiatric wards often differ from staff views. Closed wards may feel oppressive, and restrictive practices can increase anxiety. In contrast, open-door policies, meaningful activities, and social connections improve perceived safety. Safewards strategies, such as Calm Down Methods and Reassurance, help create a calmer environment but require sufficient staffing, training, and alignment with ward culture. High staff turnover and inconsistent training threaten sustainability.

Interactions between staff and patients strongly influence the inpatient experience. Patients value respect, empathy, and genuine engagement. Impersonal or standardized responses can increase feelings of neglect. Safewards encourages humanized communication through Soft Words, Talk Down/Through, …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Advancing Competency-Based Clinical Education Through An Innovative Preceptorship Framework, Beatriz C. Makhoulian

International Nursing Research Congress (INRC)

Competency-based education (CBE) is reshaping how nursing programs assess clinical learning and prepare graduates for practice. As expectations shift toward observable performance, clinical preceptors require structured, practical tools that support consistent evaluation and promote learner growth. This project introduces an innovative preceptorship framework designed to strengthen competency-based clinical education by integrating standardized evaluation processes, clear communication pathways, and accessible preceptor support resources. The model aligns with contemporary competency expectations endorsed by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculties.

Implementation of the preceptorship framework and competency evaluation tool will begin in the Spring …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Usa V. Paris Carter

2026 Decisions

USDC for the Western District of Pennsylvania

Developing A Climate-Adaptive Public Service Framework For Sustainable Agriculture: Preliminary Evidence From A Disaster-Prone Village In Indonesia, Susila Susila, Rizky Aditya Surya Pratama, Muhammad Daud Yusuf, Diah Apriliani

Jurnal Wacana Politik

Artikel ini bertujuan mengkaji bagaimana pelayanan publik tingkat desa dapat diintegrasikan dengan Climate-Resilient Agriculture (CRA) untuk mendukung kapasitas adaptasi petani di kawasan rawan bencana hidrometeorologi di Jawa Barat, Indonesia, serta mengidentifikasi dimensi kandidat bagi kerangka Climate-Adaptive Public Service for Sustainable Agriculture (CAPSSA). Menggunakan desain studi kasus kualitatif eksploratif yang dilandasi tinjauan literatur terstruktur dan analisis dokumen kebijakan, penelitian ini menghimpun wawancara semi-terstruktur dengan empat informan di Desa Cibiru Wetan, Kecamatan Cileunyi, Kabupaten Bandung—Kepala Desa, Kepala Dusun, Ketua RW, dan anggota kelompok tani setempat—disertai kajian dokumen kebijakan kebencanaan dan pertanian tingkat kabupaten dan provinsi yang tersedia untuk publik. Analisis awal menemukan …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Chapter 1: Sanctions And The Shadow Fleet: Terrorism Forfeiture And Operation Economic Fury, James Kraska

International Law Studies

No abstract provided.

Staff Education On Early Cpi-Based De-Escalation Strategies And Unit-Based Resources, Doris Onyenji Lerama

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education evidence-based practice initiative implemented at a state-operated adult inpatient psychiatric facility in California. The practice gap was inconsistent nursing staff knowledge of early Crisis Prevention Intervention-based de-escalation strategies and available unit-based resources despite an established crisis-prevention framework. The practice-focused question asked whether a standardized staff education activity would increase staff knowledge, as measured by anonymous pre-education and immediate post-education scores. The purpose was to develop, implement, and evaluate the education using staff knowledge change as the sole measurable outcome. The Johns Hopkins Evidence-Based Practice Model guided appraisal and synthesis of 11 evidence sources …

Strategic Planned Preventive Maintenance To Promote Sustainability In Acute Care Hospitals, Samuel Ngounou

Walden Dissertations and Doctoral Studies

Despite advances in healthcare delivery, acute care hospitals often lack standardized strategic planned preventive maintenance (SPPM) protocols, resulting in equipment failures, higher costs, and disruptions to patient care. The purpose of this integrative review was to identify evidence-based best practices for implementing SPPM programs in acute care hospitals. The review question concerned the organizational practices and strategic approaches most effective for implementing an SPPM program. The Donabedian structure–process–outcome model represented the foundational framework for this review. The initial literature search yielded 110 articles. After further assessment, 27 studies were appraised using the Johns Hopkins Nursing evidence-based practice tools. Three low-quality …

Oral Health Provider's Perspective: The Impact Of Public Health Programs Improving Patients' Access In Marginalized Communities, Bridgette Long Hickey

Walden Dissertations and Doctoral Studies

Access to public oral healthcare in Alabama’s Black Belt Region has been a persistent systemic challenge for working poor adults ages 19–64. This population continues to face barriers to oral healthcare because of socioeconomic disparities, geographic isolation, lack of insurance, provider shortages, limited infrastructure, and the need to travel long distances for quality or specialized services. This study investigated whether public health programs have improved access to oral healthcare for working poor adults in rural communities, from the perspective of oral healthcare providers. The Social Ecological Model served as the theoretical framework. Data were collected through semi-structured interviews with 13 …

Medical School Admissions Officers' Perceptions On Lower Admissions Rates Of Black Applicants In Georgia, Wanda Sebrena Thomas

Walden Dissertations and Doctoral Studies

The problem addressed through this study was the disproportionate lower admission rates of Black students compared to their White counterparts at a Georgia medical school. Grounded in Bourdieu’s theory of social reproduction, the purpose of this study was to explore admission officers’ perceptions on the factors contributing to lower admission rates of Black applicants at a Georgia medical school. For this basic qualitative design, semistructured interviews with 10 admissions officers were conducted. Through Saldaña’s first- and second-cycle coding procedures, the following nine themes emerged: (a) Medical College Admission Test scores create barriers for Black applicants; (b) unequal educational resources and …

Counselors-In-Training’S Perceptions Of Counselor Educators’ And Supervisors’ Roles In Developing Grief Counseling Self-Efficacy, Tonya Andrews

Walden Dissertations and Doctoral Studies

Counselors-in-training (CITs) encounter grieving clients despite limited grief-specific preparation. Understanding these experiences could inform preparation for supporting grieving clients. Guided by Bandura’s self-efficacy theory, this qualitative hermeneutic phenomenological study explored these perceptions. The purposive sample included 10 CITs who were master’s-level students completing field experience or postgraduate counselors under clinical supervision, lacked independent licensure, attended or graduated from Council for Accreditation of Counseling and Related Educational Programs (CACREP)–accredited programs without required stand-alone grief coursework. None had a direct supervisory, instructional, or evaluative relationship with the researcher. The research question was: How did CITs perceive and make meaning of the role …