Digital Commons Network^™

Pedagogical Readiness And Adaptability In Higher Education In Egypt: An Exploration Of Generational Disparities In Ai Adoption, Maha Ahmed Zaki Dajani, Israa Lewaa Elhamd, Hadia Fakhr Eldin

Business Administration

This study investigates generational differences in the adoption of AI tools in Egyptian higher education, examining how pedagogical readiness and adaptability influence engagement among students and educators. It addresses a key gap in the literature—the lack of an integrated pedagogical framework combining Kolb’s Experiential Learning Theory and Constructivist Learning Theory to explain AI adoption across generations. Prior studies have seldom compared Generations X, Y, and Z within one empirical model, and evidence from Egyptian universities remains limited despite distinctive cultural and institutional contexts shaping AI readiness.

Using a survey-based design grounded in these theories, the study employs structural equation modelling …

The Real Truth About Popular Mindfulness Apps: Mindfulness Or Market Share?, Jeremy T. Yencer

Mindfulness Studies Theses

The rapid expansion of mindfulness applications raises important questions about their authenticity. A central concern is whether these digital interventions are primarily motivated by genuine mindfulness education or by commercial interests seeking to maximize commercial metrics. This thesis addresses this issue by comprehensively assessing these applications against established ethical and educational standards. The study introduces the Alaya conceptual model, a novel evaluative framework that adapts the six domains of the MBI:TAC and incorporates two additional domains focused on commercial integrity, governance, and ethics. The Alaya framework utilizes a deterministic scoring mechanism to evaluate the integrity of digital applications, specifically their …

“We Do Things A Little Different Exactly As You'd Expect Here...": Egocentric Network Structures As Predictors Of Organizational Culture Type, Ray Celeste S. Tanner

Theses and Dissertations--Communication

This dissertation examines organizational culture as an outcome of communication structures by integrating the Competing Values Framework (CVF) with egocentric network analysis. Although CVF is one of the most widely used frameworks for diagnosing organizational culture and predicting organizational effectiveness, prior research has overwhelmingly treated culture as an independent variable. Responding to calls for greater attention to the antecedents of culture, this study reconceptualizes organizational culture as a dependent variable and investigates how individuals’ perceived communication networks predict perceptions of CVF culture types. Using egocentric network data collected from employees across a diverse range of organizations and industries, this study …

Reducing Live Discharges In Hospice Care Through A Bundled Intervention, Fiona P. White

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction

 Among Medicare fee-for-service hospice beneficiaries, the national live discharge rate increased from 16.9% in FY2021 to 19.1% in FY2025. At a Medicare-certified hospice agency in a southern state, the pre-intervention live discharge rate of 35.3% substantially exceeded national norms, with 68.7% of events representing patient-initiated revocations.

Methods

 A pre-post quality improvement design guided by the Plan-Do-Study-Act framework was implemented over 8 weeks at a single site with 106 newly admitted hospice patients and 15 clinical staff. The four-component bundled intervention comprised Revocation Risk Assessment administration within 24 hours of admission, structured patient and caregiver education within 72 hours of …

Toolkit To Prevent Venous Thromboembolism Among Surgical Patients, Carine Wawa

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: According to the Centers for Disease Control and Prevention, approximately 900,000 people in the United States are affected annually by venous thromboembolism (VTE) (CDC, 2025). The surgical patient population is vulnerable to VTE due to factors such as immobility, tissue injuries, and inflammatory responses. The lack of standardized protocols for surgical patients causes practice variability among healthcare providers and potentially increases the risk for preventable VTE events.

Methods: A toolkit to prevent VTE was developed utilizing the Agency for Healthcare Research and Quality (AHRQ) National Quality Measures Clearinghouse (NQMC). A literature review was conducted, reviewed, and graded using the …

Increasing Compliance In Pain Reassessment And Documentation In An Acute Care Facilityy, Kriss S. Jones

Doctor of Nursing Practice (DNP) Scholarly Projects

Purpose: This guideline-directed project aimed to increase registered nurse (RN) compliance with documenting pain reassessment in an adult medical-surgical unit at an acute care facility.

Background: Proper documentation is crucial for clinical decision-making and legal and ethical reasons. The Joint Commission (TJC) has standardized pain documentation requirements to ensure consistent assessment, recording, and management across healthcare settings. Non-compliance can lead to misdiagnosis, inadequate treatment, patient dissatisfaction, and legal consequences. Accreditation bodies audit medical records, and non-compliance may result in penalties, financial losses, or loss of accreditation. Adherence is a clinical best practice and strategic necessity for healthcare organizations. Methodology: A …

Enhancing Breast Cancer Screening Uptake In Hispanic Women Residing In Rural Texas Through A Quality Improvement Project, Bianca Batchelor-Salazar

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Breast cancer remains a leading cause of cancer-related mortality among women in the United States. Despite the effectiveness of mammography in early detection, Hispanic women in rural communities experience lower screening rates due to socioeconomic, cultural, and access-related barriers. At a rural South Texas clinic, the baseline screening rate among Hispanic women aged 50–74 years was 70.6%, below national benchmarks.

Purpose: To increase breast cancer screening compliance among Hispanic women aged 50–74 years in a rural South Texas family practice clinic.

Methods: Guided by the Lean A3 quality improvement framework, this project implemented a multifaceted intervention bundle that included …

A Chronic Pain Self-Management Quality Improvement Bundle For Veterans, Srijana D. Baniya

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction: Veterans often face challenges accessing care services due to limited awareness of available resources for support, Self-care, and mental health (Harding et al., 2019; Patel et al., 2024). Given the high prevalence of Chronic pain and opioid use in this population, Self-management (SM) education and non-pharmacologic interventions are required to address the biological, psychological, and social effects of pain (Bair et al., 2015; Mumba et al., 2024; Nahin, 2017; Higgins et al., 2020). This Quality improvement project aims to determine whether implementing an evidence-based SM bundle for chronic pain improved Pain severity scores and increased understanding of SM strategies. …

The Art Of Crisis Leadership By Exemplary Naval Frontline Leaders, Broadus Brooks

Dissertations

Purpose: This qualitative, multiple-case study held significant importance because it aimed to identify and describe the strategies used by exemplary naval frontline leaders to lead in crisis, particularly during the COVID-19 pandemic. The study focused on the five critical tasks of strategic crisis leadership (sensemaking, decision making/coordination, meaning making, accounting, and learning), providing a unique insight into the experiences of these leaders during a crisis.Methodology: This qualitative, multiple-case study employed interviews to collect data from exemplary naval frontline leaders to identify and describe their leadership strategies during the unprecedented COVID-19 global health crisis.

Findings: Crisis leadership among U.S. naval frontline …

The Impact Of Vulnerability On Building Trust: A Qualitative Study Of Superintendents In Northern California, Jasmin Hasmukhlal Patel

Dissertations

Purpose: The purpose of this phenomenological study was to understand and explain how exemplary superintendents in Northern California practice vulnerability to build trust within their organizations, guided by Brené Brown’s framework of vulnerability-based leadership: Authenticity, courage over comfort, curiosity and learning, practicing empathy, and leading with heart. An additional purpose was to examine the challenges these leaders encounter when practicing vulnerability in complex public education contexts. This study addresses a gap in leadership research by providing empirical insight into how vulnerability functions as a trust-building practice at the highest level of K–12 educational leadership.

Methodology: A qualitative phenomenological design was …

Internal Talent Development Integration With Organizational Strategy: A Qualitative Phenomenological Study, Hermenia Faith Ricks

Human Resource Development Theses and Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experiences of executives in a healthcare organization regarding internal talent development and integration with organizational strategy. The purpose of the study addressed the problem statement by examining the meaning executives ascribed to internal talent development as it relates to organizational strategy and the fostering of human capital. The problem addressed in this study was that internal talent development is often inadequately embedded in organizational strategies, limiting organizational competitiveness and long-term performance. The study sought to address the research question How do executives in a healthcare organization exploring the …

Teacher Burnout In 2026 - Context, Student Effects, And Interventions, Colin David Thies

All Electronic Theses and Dissertations

In order to aid teachers in 2026, this paper aims to identify what teachers and administrators can do to protect against and treat teacher burnout in K-12 schools. To achieve this, research was conducted on the post-pandemic context of teacher burnout, the secondary effects of teacher burnout on students, individual and organizational interventions. Teacher burnout is a multifaceted ailment, and many of the factors behind burnout can be beyond one’s control. There is no single answer, though there is an emphasis on emotions, as research suggests emotions may be greatly important to both succumbing to and treating teacher burnout. Thus, …

Court Of Arbitration For Sport Under Scrutiny: Institutional Compromise Or Sports Justice?, Farqaleet Khokhar

Marquette Sports Law Review

No abstract provided.

Filling In The Gaps: A Mixed Methods Convergent Parallel Study To Enhance Ethical Standards And Policy Integration In Higher Education, Tiffany D. Seawright

Doctor of Education Dissertations

This study explored the ethical culture, policy integration, and ethics-related practices at Central Heights State University (CHSU) to identify gaps and develop a comprehensive ethics integration plan. Guided by Getzels and Guba's (1957) Social Systems Model and Argyris’s (1977) Double-Loop Learning Theory, the study employed a convergent parallel mixed methods design that included document analysis and a staff survey. Quantitative and qualitative data were collected concurrently, analyzed independently, and given equal priority, and the results were merged during interpretation to examine convergence, divergence, and complementarity across data sources. The document analysis examined the visibility, accessibility, and quality of ethics-related artifacts, …

Transforming Police Officers To Community Peace Officers: A Scholarly Personal Narrative Addressing The Mental And Moral Conflicts In Community Engagement & Law Enforcement, London S. R. Mcbride

Doctor of Education

This dissertation explores the transformation of police officers into community peace officers by examining the mental and moral conflicts inherent in community engagement and law enforcement. Using scholarly personal narrative (SPN) as my methodology, the study integrates my lived experience as a Black law enforcement officer with broader discussions on race, power, leadership, and institutional culture. Grounded in critical race theory, social justice leadership, and trauma theory, the research investigates how systemic inequities, organizational resistance, and historical trauma influence policing practices and officer identity. The literature review highlights the legacy of racialized policing, the psychological toll of law enforcement work, …

Measuring Effective Labour Regulation In The Less Developed World: Recent Advances And Challenges Ahead, Lucas Ronconi, Steven Raphael

Comparative Labor Law & Policy Journal

This article critically reviews the literature on labour enforcement with a focus on less developed countries. Despite measurement limitations, the evidence indicates that enforcement is quite low in poorer countries; there are fewer inspectors and inspections, lower penalties, and less trust in the judiciary compared to richer countries. The lower level of enforcement contributes to higher rates of violations of workers’ rights. More controversial are the effects of enforcement on employment. Moreover, it is unclear how to prompt less developed countries to increase enforcement. This article discusses the scant evidence about the role of trade agreements, labour unions, international organizations, …

An Empirical Investigation Of The Influence Of Organisational Culture On Individual Readiness For Change In The Kuwaiti Banking Sector, Fahad Alkahlawi

Plymouth Business School Theses

This study investigates the influence of organisational culture on individual readiness for change (IRFC) within the Kuwaiti banking sector. In a rapidly evolving economic landscape, where technological transformation, regulatory shifts, and heightened competition demand organisational adaptability, employee readiness becomes a critical success factor for implementing change initiatives. Drawing on Cameron and Quinn’s Competing Values Framework (CVF), this research examines the impact of four cultural typologies—Clan, Adhocracy, Market, and Hierarchy—on employees’ psychological and behavioural willingness to embrace organisational change.A quantitative, correlational design was adopted to assess how different organisational culture types affect IRFC. Survey data were collected from a sample of …

Perinatal Inflammation And Oxidative Stress Alter Adult Rat (Rattus Norvegicus) Motor Behavior, Alexander Young

Honors College Theses

Recent evidence in comparative animal models suggests that early life exposure to elevated inflammation (via LPS exposure) and oxidative stress (via acetaminophen exposure) may synergistically interact to alter typical neurodevelopmental trajectories, resulting in lasting effects on both behavior and gut-brain neurochemistry. The current study observed emotional and motor behaviors and collected fecal-boli to measure Tyrosine (TE) levels in male and female Long-Evans (Rattus norvegicus) rats. Subjects were either treated with [1] saline [2] lipopolysaccharide (LPS) to introduce an inflammatory state, [3] acetaminophen (APAP) to introduce oxidative stress, or [4] a dual-hit of both LPS + APAP on postnatal day (PD) …

Governance By Numbers And The Architecture Of Anxiety A Human-Capital Efficiency Analysis In Global Higher Education, Sukanya Kemp

Graduate Student Theses, Dissertations, & Professional Papers

There has been a movement of global university rankings from the margins to the center of higher education governance. These metrics are now treated as external performance indicators in institutional strategy formation. In this dissertation an Architecture of Anxiety created by these rankings was explored, specifically examining how ranking volatility functions as a signal of environmental uncertainty and resource risk. To bypass the Transparency Barrier inherent in global financial data, given the effects of internal political considerations on data reporting, a human-capital-centered approach was adopted. By utilizing academic staff full-time equivalents (FTE) as the primary analytical input, universities were reframed …

The Impact Of Ai Recommendation Features On Consumer Purchasing Decisions In E-Commerce Environments, Abdullah Alrumi

CGU Theses & Dissertations

Artificial intelligence recommendation features such as visual search, real-time offers, chatbot interactions, and generative recommendations have become central to e-commerce. A key gap remains because most studies focus on purchase intention instead of actual decisions and examine these AI features separately. This study addresses this gap by asking: What is the impact of AI recommendation features on consumer purchasing decisions in e-commerce environments? Using a sequential mixed-methods design in the Saudi Arabian e-commerce market, the quantitative phase surveyed 343 online shoppers analyzed with PLS-SEM, while the qualitative phase involved 15 interviews analyzed thematically with ATLAS.ti. The conceptual model was informed …

Full-Time Career Retirement: A Black Man’S Narrative Of Survival And Protecting His Peace, Demetrius Cofield, Amaya Rakes

Adultspan Journal

Full-time career retirement is a major developmental transition that is often examined through race-neutral frameworks, leaving Black men’s experiences underexplored in counseling and aging scholarship. This perspective article centers the narrative of a retired Black man veteran who transitioned into full-time career retirement after decades of state employment. Using a narrative interview approach, this manuscript examines the factors that shaped his retirement decision and adjustment to later adulthood. The interview frames retirement as a process of self-preservation, continuity, and intentional living rather than identity loss or disengagement. Findings highlight the role of disciplined wellness practices and selective disengagement in promoting …

No One Told Their Story: Acculturation, Faith Formation, And Belonging In Multicultural Congregations Led By African American Pastors, Alicia L. Partee

Doctor of Ministry

The search for meaning, identity coherence, and belonging often intensifies when individuals cross cultural boundaries. Faith communities can serve as sanctuaries for identity renegotiation, but congregations may also reproduce the social distance and exclusion found in the broader society. This dissertation addresses a scholarly and pastoral gap at the intersection of acculturation and Christian faith formation, and more specifically how identity, belonging, and spiritual formation are negotiated within multicultural congregations led by African American pastors in San Jose, California, and similar contexts.

Drawing on acculturation research in psychology, sociology, and anthropology, this study examines how culturally diverse newcomers experience culture …

Leading The Temporary Workforce: Leadership Communication And Adaptation Among Seasonal Employees, Alfred Kwabena Obiri

Theses and Dissertations

Seasonal employees constitute an essential yet understudied workforce sustaining organizational operations during peak demand periods across industries. Despite the growing organizational reliance on temporary employees, organizational communication studies have primary focused on permanent employees with extended socialization periods, leaving important questions about how leadership communication operates in compressed timeframes inadequately addressed. This qualitative study examined how leadership communication practices shape seasonal employees’ adaptation, belonging, and morale within the temporal constraints characteristic of temporary employment. Drawing on organizational socialization theory, leader-member exchange theory and cultural dimensions, this study employed semi-structured interviews with 19 seasonal employees across hospitality, camp, retail, and education …

Staff Attitudes Toward Ai Adoption At A Private Research University, Ashley C. Smith

Theses and Dissertations

This study addresses the limited research on university staff attitudes toward artificial intelligence use and adoption. Using the Unified Theory of Acceptance and Use of Technology (UTAUT) research framework, the General Attitudes towards Artificial Intelligence Scale (GAAIS), and quantitative survey methodology, the study examines the attitudes of higher education staff toward AI, specifically examining whether demographic or professional characteristics are factors. The findings indicate that staff had moderately negative attitudes toward AI while also expressing some concerns. The results suggest that more resources and support for AI are needed for staff to address concerns. It also suggests that construct-level analysis …

The Perceived Leadership Attributes Of Chief Academic Officers, Lowa Mwilambwe

Theses and Dissertations

Using Moss’s Leadership Attributes Inventory (LAI), which contains 37 attributes categorized under 6 core leadership roles (inspire a shared vision and establish standards; foster unity, collaboration, and ownership; exercise power effectively and empower others to act; exert external influence to set the right context, establish an environment conducive to learning; and satisfy the job-related needs of individuals in the organization), and descriptive and inferential statistics, this study examined the perceptions of Chief Academic Officers (CAOs) leadership at four-year public colleges and universities from the perspectives of the CAOs who self-evaluated themselves, and their colleagues (presidents, vice presidents, deans, and other …

Measles Vaccine Hesitancy Improvement Bundle To Improve Vaccination Rates In A Rural Outpatient Clinic, Ramie Malone

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction

Despite the Centers for Disease Control and Prevention's recommendations to vaccinate children against measles, a decline in measles vaccination rates has been observed at a rural family medicine clinic. While numerous factors contribute to the decline in vaccination rates—including parental doubts about the necessity of vaccination, concerns about vaccine side effects, and insufficient education—the latter remains a fundamental underlying cause of suboptimal vaccination coverage.

Objectives

This project focused on surveying, educating, and boosting parents' confidence in measles vaccines for children under five to raise the measles vaccination rate.

Methods

This project used a pre- and post-intervention bundle over an …

Starting Strong: Improving Mmr Vaccination Rates In Kindergartners, Regina Bryan

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Abstract

Introduction

During the 2023–2024 academic year, measles, mumps, and rubella (MMR) vaccination coverage among kindergarten students in this school district did not meet the Healthy People 2030 target, thereby elevating the risk of disease outbreaks. This quality improvement project aimed to improve MMR vaccination initiation and completion through coordinated, school-based interventions.

Methods

Guided by the Plan-Do-Study-Act framework, an eight-week immunization bundle was implemented across 14 elementary schools in South Texas. Interventions included reminder calls, multilingual education, districtwide communication, and a partnership with a nonprofit clinic that provides free or reduced-cost vaccines through on-site and community clinics. Pre- and post-intervention …

A Quality Improvement Project To Decrease Medication Prior Authorization Approval Times, Amena Guinn Babers

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Medication prior authorization requirements add to administrative burden, increase labor costs, and delay patient access to treatment in outpatient specialty settings. This bottleneck directly influences nursing workload and economic performance.

Purpose: To evaluate the fiscal and performance significance of implementing an electronic prior authorization (ePA) process, standardized tracking tools, and staff education in a small orthopedic clinic.

Methods: A pre–post quality improvement design was used. Descriptive statistics and inferential analyses (independent‑samples t tests and Mann–Whitney U tests) were conducted to compare time to approval, staff hours worked, satisfaction scores, and medication pickup timeframes.

Results: Significant reductions were observed in …

Improving Early Detection And Response To Clinical Deterioration Among Nurses Through Competency-Based Interventions, Courtney E. Miller

Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Clinical deterioration among hospitalized patients remained a significant contributor to preventable morbidity and mortality, often due to delayed recognition and response in general care settings (Choi et al., 2025; Chung & Jung, 2024).

PICOTS: For registered nurses working on a general level of care inpatient hospital unit (P), how did a competency-based training program bundle incorporating didactic educational intervention of learning how to use technology, machine learning (ML) based early warning system (EWS) of trends and patterns to identify at risk patients, and low-fidelity simulation-based education (SBE) (clinical readiness to improve confidence with education and coaching) (I), …

A Quality Improvement Project: Nurse-Led Nutritional Support To Reduce Missed Chemotherapy Appointments, Eva Balboa

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction/Background

Malnutrition affects approximately 43% of cancer patients nationally and is associated with missed chemotherapy appointments, treatment interruption, and poor clinical outcomes. At a 30-chair outpatient cancer center in South Texas, a retrospective chart review revealed that 45% of patients experienced malnutrition-related symptoms contributing to appointment disruptions. Despite evidence-based recommendations for routine nutritional screening and support, no standardized protocol existed at this site.

Objectives

 The purpose of this quality improvement project was to implement a nurse-led nutritional support protocol and evaluate its effectiveness in (1) reducing the missed chemotherapy appointment rate from 10% to 5%, (2) achieving 100% compliance with …