Digital Commons Network^™

Interventions Addressing Moral Distress In Acute Care Nurses: A Systematic Review, Maira Alejandra Harris, Sarah Owens, Louis Baser, Jean Edward

International Nursing Research Congress (INRC)

Background. Moral distress (MoD), or psychological distress resulting from acting against one’s ethics, and its consequences is a growing concern in healthcare. Nurses experiencing MoD are at greater risk of experiencing burnout, workplace stress and fatigue, anxiety, and depression. There is a gap in the literature regarding MoD interventions in nurses working in the acute care setting. The purpose of this systematic review was to identify interventions that reduce MoD in registered nurses (RNs) and licensed practical nurses (LPNs) working in the acute care setting.

Methods. We searched PubMed, CINAHL, and PsycINFO in September 2025. Search string results revealed 3,637 …

Cultural Continuity Of Care: First Nations Families’ Experiences In Mainstream Healthcare, Nina Sivertsen, Tahlia Johnson, Janiene Deverix, Julian Grant

International Nursing Research Congress (INRC)

First Nations women and their infants experience significant health disparities compared to non-First Nations populations, including higher rates of gestational diabetes, preterm birth, and maternal mortality. Timely, culturally safe maternal and child healthcare is critical to addressing these inequities, yet many First Nations families report fear, anxiety, and fragmented care when engaging with mainstream health services. This qualitative study explored factors influencing continuity of care and culturally safe practices during the first 2000 days of life, from conception to a child’s second birthday. Using yarning—a culturally grounded research method—nine First Nations families (19 participants, including mothers, grandmothers, aunties, and one …

The Perceived Impact Of Compassion Fatigue On Clinical Decision-Making Skills In Icu Nurses, Angela Yee

International Nursing Research Congress (INRC)

Background: Intensive care unit nurses (ICU) care for patients in a stressful, high-acuity work environment. They are frequently exposed to emotionally demanding situations. Cumulative occupational stressors place ICU nurses at risk for compassion fatigue. Literature suggests this stress can negatively influence work performance in the ICU; however, there is currently limited research investigating the perceived relationship between compassion fatigue and clinical decision-making skills among ICU nurses.

Purpose: A descriptive phenomenological approach was used to answer the research question: How do ICU nurses perceive their clinical decision-making skills when experiencing compassion fatigue?

Methods: Eighteen ICU nurses at a large academic health …

Older Population-Based Resilience: An Evolutionary Analysis Via Complex Adaptive Systems, Po-Chung Feng

International Nursing Research Congress (INRC)

Purpose: To clarify the concept of older population-base resilience to support nursing research, public health planning, and healthy aging strategies.

Background: Older population-based resilience is an important concept for facilitating the adaptation of aging populations to multifaceted adversity networks. While extensive studies has examined resilience among older adults across diverse systems, hierarchical levels, and dimensional perspectives, the conceptual discourse has focused mainly on the individual level. A comprehensive articulation of population-level resilience attributes has been notably absent from the literature. Consequently, establishing a precise conceptualization of Older Population-Based Resilience constitutes an imperative scholarly endeavor.

Methods: A systematic literature search was …

Innovative Techniques In Nursing Education: Evidence-Based Recommendations, Leona Cilar Budler

International Nursing Research Congress (INRC)

Introduction: Nursing education must adapt to technological changes because of evolving clinical practices, growing volumes of digital information, and increasingly diverse learning needs. Traditional pedagogical approaches often fall short in addressing the expectations of contemporary learners who are accustomed to interactive, flexible, and technology-mediated modes of engagement. As a result, teachers are integrating innovative, evidence-based teaching techniques to strengthen learning outcomes, enhance student motivation, and support the development of professional identity in digital contexts. This paper aims to investigate existing interventions that use innovative techniques, like social media, in nursing education and to assess their effectiveness.

Methods: A systematic literature …

Examining Social Support Among Black Dementia Caregivers In The Greater Toronto Area, Deanna Marie Black

International Nursing Research Congress (INRC)

Background: Dementia affects more than 55 million people globally and disproportionately impacts Black populations due to inequities in healthcare access. In Canada, Black communities face higher dementia risk and greater barriers to timely, culturally aligned care. In the Greater Toronto Area, Black caregivers carry major responsibilities while navigating fragmented services shaped by race, gender, and socioeconomic status. Although social support reduces caregiver burden, little is known about how Black caregivers access and use support within intersecting social and structural constraints.

Purpose: This study will examine how Black adult caregivers in the Greater Toronto Area construct, access, and mobilize social support …

Navigating The Midlife Shift: Menopause, Motherhood, And Meaning In Women’S Lives, Michelle M. Ness

International Nursing Research Congress (INRC)

Midlife represents a dynamic and often disorienting transition for women, marked by the convergence of menopause, shifting family roles, and evolving professional identities. This mixed-methods study explores how women navigate these intersecting experiences, particularly focusing on the impact of menopausal symptoms on motherhood, work, and relational well-being.

Qualitative data were collected through semi-structured interviews with 42 women aged 39–57. Thematic analysis followed Braun and Clarke’s framework, integrating inductive and deductive coding strategies. Themes were identified and refined through an iterative analytic process, ensuring credibility and depth through careful attention to patterns and meaning across participant narratives. Four key themes emerged: …

330 Years Of The Russian Navy. A Conversation With The Commander-In-Chief, July 2026, Russia Maritime Studies Institute, Anna Davis, Richard Moss

RMSI Research

On the 330th Anniversary of the Russian Navy, Admiral Alexander Moiseyev gave his first long interview since he assumed his position as Commander-in-Chief two years ago (2024). Speaking with interviewer Aleksey Egorov on the program Voennaya Priyomka (Military Acceptance) on TV Zvezda (Russian Ministry of Defense TV), Moiseyev discussed the Russian Navy's past, present, and future.

Issue 5 - Arete Newsletter - Meet The Fall 2026 Team, Gabriella Miles

Arete Newsletter

Fall 2026 Welcome Issue

Owning The Mission: Reconciling The Past, While Implementing The Science Of Reading In An Education Preparation Program, Paula J. Adams

Journal of Inquiry and Action in Education

This reflective inquiry examines the first year of a two-year initiative to more explicitly align an established educator preparation program with the Science of Reading (SoR). Situated within a small private university in New York State, the article considers implementation as both curricular revision and institutional change. The process included faculty professional learning, curriculum mapping, alignment of student learning outcomes, revision of common course assessments, development of SoR-aligned models of candidate work, and consideration of clinical experiences. Particular attention is given to tensions that emerged around policy fatigue, academic freedom and responsibility, differing professional cultures, candidates’ prior experiences with literacy …

Improving Discharge Planners' Education On Telehealth, Catherine Ene Idowu

International Nursing Research Congress (INRC)

The swift advancement of technology has greatly influenced numerous fields, including healthcare. Telehealth utilizes digital resources to deliver health services from a distance, making it an essential means to enhance healthcare access. It is crucial for older adults, who frequently deal with mobility limitations and various health issues (World Health Organization [WHO], 2024).

Nevertheless, the implementation of telehealth in Nigeria faces various challenges. A primary issue is the lack of training and readiness among healthcare workers, particularly those involved in discharge planning. These professionals play a vital role in coordinating care after patients leave the hospital. Telehealth provides health services …

My Negotiation Chatbot Toby And Pedagogical Governance, Renee Henson

Journal of Science & Technology Law

No abstract provided.

Building On Sand: Ai Law And The Failures Of Alignment, Claire Boine

Journal of Science & Technology Law

AI alignment is increasingly in the spotlight. However, from a technical concept, the term has been broadened to cover all sorts of potential harms by advanced AI systems. This Article disambiguates three different problems: ensuring that systems pursue intended objectives through acceptable means, deciding which values should guide their behavior, and governing private companies whose incentives diverge from those of society. Drawing on technical research and documented incidents, the Article explains why goal alignment deserves serious attention without requiring claims about human-like intelligence. It then shows how value alignment can reframe normative conflict as an engineering problem and divert attention …

Misplaced Trust In Artificial Professional Advice, Claudia Haupt

Journal of Science & Technology Law

The professional relationship constitutes a distinctive social interaction in which the professional has knowledge that the client or patient lacks but needs to make important decisions. A specific legal and ethical framework governs this relationship. Traditionally, this framework assumes interactions between human actors and is designed to safeguard normative values inherent to human-centered professional advice-giving. Prominent among the foundational assumptions are expectations of competence, loyalty, and trust. Individuals seeking professional advice expect to receive accurate and comprehensive advice reflecting the insights of the profession.

This Essay examines the social relationship based on knowledge asymmetries and trust underlying the human professional …

The Impact Of Provider Medication Reconciliation Education On Hospital Readmissions In A Skilled Nursing Facility, Vivian Nwozu

Doctor of Nursing Practice Projects

Aging causes frailty and multiple comorbidities, necessitating polypharmacy. Complicated drug regimens predispose patients to adverse drug events and hospital readmissions. The practice problem was high rates of medication-related readmissions due to inadequate provider knowledge of medication reconciliation and the lack of a standardized tool. This project aimed at evaluating the impact of provider medication reconciliation education on hospital readmissions in a skilled nursing facility. A pretest-posttest study design was utilized. The Donabedian Model of Healthcare Quality guided the translation of evidence into practice, whereas Lewin’s Change Model and Plan-Do-Study-Act models guided implementation. Eight providers were educated on medication reconciliation using …

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, …