Digital Commons Network^™

After-Hours Digital Connectivity, Emotional Exhaustion, Service Quality, And Turnover Intention Among Hotel And Resort Employees, Badaruddin Badaruddin, Fatmasari Fatmasari, Sitti Mujahida, Muhammad Azizurrohman

The South East Asian Journal of Management

Research Aims: This research evaluates whether after-hours digital connectivity is associated with emotional exhaustion among frontline hotel and resort employees in Indonesia and whether exhaustion transmits its effects to service quality and turnover intention. It also tests psychological detachment as a boundary condition.

Design/Methodology/Approach: A cross-sectional survey was conducted from December 2025 to February 2026. Purposive sampling produced 294 usable responses from frontline employees who routinely used digital communication for work coordination. The model was estimated using partial least squares structural equation modelling (PLS-SEM), including direct, indirect, and interaction effects.

Research Findings: After-hours digital connectivity significantly increased emotional exhaustion. Exhaustion, …

The Effects Of An E-Learning Program On Knowledge, Beliefs, And Decision-Making Regarding Suspected Acute Myocardial Infarction Among Older Adults In Urban Communities: A Quasi-Experimental Study In Thailand, Chalermkwan Madsong, Naruemon Sawaengsri, Pramote Thangkratok, Thamonwan Boonprasit, Lawan Vanpirod

Journal of Health Research

Background: Delayed contact with emergency medical services (EMS; 1669 in Thailand) contributes to poor outcomes following acute myocardial infarction (AMI), particularly among older adults with limited symptom recognition. This study evaluated the effects of an e-learning program on AMI-related knowledge, health beliefs, and decision-making among older adults in urban Thailand.

Methods: A one-group pretest–posttest design with follow-up was conducted from December 2025 to January 2026. Thirty-five older adults aged 60–85 years from urban communities in Bangkok and nearby provinces participated. The two-week e-learning intervention comprised four interactive lessons based on the Health Belief Model and American Heart Association recommendations. AMI …

Predictors Of Tiktok Addiction Among University Students: The Contributions Of Fear Of Missing Out (Fomo) And Academic Stress, Dosi Juliawati, Muhammad Ikhsan, Hengki Yandri, Rasmita Rasmita, Darsi Darsi, Ainil Khuryati, Daflaini Daflaini

Buletin Konseling Inovatif

he surging popularity of TikTok among university students has raised serious scholarly concerns regarding the escalation of digital behavioral addiction and its detrimental impacts on higher education outcomes. Aims and scope of paper: This study aims to investigate the concurrent and partial contributions of Fear of Missing Out (FoMO) and academic stress as predictors of TikTok addiction among undergraduate higher education students. Employing an associative quantitative design with a cross-sectional approach, this study involved 54 active students selected via purposive sampling based on specific digital intensity and institutional criteria. Data were gathered using three validated Likert-model psychological instruments: the FoMO …

Self-Regulated Learning As A Predictor Of Learning Motivation Among High School Students With Fear Of Failure, Luky Kurniawan, Auliana Ayu Sholekhah, Natri Sutanti

Buletin Konseling Inovatif

Self-regulated learning is one of the important factors in determining students' success in achieving academic goals. This study aims to examine the role of self-regulated learning as a predictor of learning motivation in students with a tendency to fear of failure. This study uses a quantitative-correlational approach with a survey method. The research sample consisted of 159 high school students who are selected by using purposive sampling. The instruments used in this study were a fear of failure scale used for screening, a self-regulated learning scale, and a learning motivation scale. The validity of the instruments that were tested using …

How Ai’S Data Centers Thirst For Water Will Leave The Rest Of Us Dry If Left Unregulated, Emma Sawko

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Opening The Door: Copyrightability Of Interpreted Seismic Models After Gsi V. Tgs, David Logan

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Beneath The Surface: Addressing The Ownership And Development Rights Of Geothermal Energy Resources Under Oklahoma Property Law, Kobe K. Gipson

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Aesthetic Considerations In Nuisance Claims Against Texas Wind Farms, Ellie Duggan

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Ownership Of Produced Water And The Path To Domestic Lithium And Critical Mineral Commercialization, Emily Davis

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

The Eleventh Circuit’S Narrow Interpretation Of Nepa In Alligator Alcatraz, Madison Crow

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Creating A Climate Of Safety: Preparing Nursing Students For Responsible Artificial Intelligence Use, Shanti Srinivas, Jennifer L. Stewart

HCA Healthcare Journal of Medicine

Safety is the foundation of high-quality, effective, and efficient health care, requiring intentional dedication from organizations, leaders, educators, providers, and patients alike. The increasing integration of artificial intelligence (AI) into health care settings is outpacing the development of structured safety education designed for its use. As AI tools become increasingly embedded in diagnosis, documentation, and clinical decision-making, a climate of safety must extend to encompass the unique risks these technologies introduce, including algorithmic biases, data privacy vulnerabilities, and the possible erosion of clinical judgment through overreliance on machine-generated outputs.

Equally essential is the promotion of workplace wellbeing, which recognizes that …

From Hired To Hands-On-Deck Status: Solving Delays In Health Care Hiring Processes And Supporting Workforce Safety Across A Large For-Profit Health System, Cynthia Skeens

HCA Healthcare Journal of Medicine

Background

During and after the COVID-19 pandemic, health care staffing shortages and onboarding inefficiencies, specifically delays in employee health clearance, prolonged time to hire, and threatened workplace and patient safety.

Methods

An employee health onboarding workflow at a large health care organization was redesigned across 3 domains: people, process, and technology. Interventions included workflow standardization, elimination of non–value-added steps, optimized tuberculosis screening, increased appointment capacity, and technology integration (electronic health record [EHR]documentation, centralized scheduling and communication, and completion of pre-visit forms). Following a pilot from May to December 2022, the workflow was expanded organization-wide with a structured rollout and ongoing …

Promoting Safety In Alcohol Withdrawal Syndrome: A Proactive Nursing Process Framework, Julie Anne C. Comia, Elizabeth Card

HCA Healthcare Journal of Medicine

Background

Alcohol withdrawal syndrome (AWS) is a potentially life-threatening response to the abrupt cessation or reduction of heavy, prolonged alcohol use. Untreated, it can progress to delirium tremens (DT), a medical emergency historically associated with mortality as high as 40%. Agitation and hallucinations during withdrawal also pose safety risks to the health care team in addition to the patient. Because deterioration follows a predictable course, timely nursing recognition and intervention are central to protecting both the patient and the care team from avoidable harm. The evidence-based framework is intended as an educational tool to help nurses anticipate and avoid harm; …

A Safety Framework: Empowering Faculty To Build A Culture Of Safety, Rebekah L. Randall, Sarah Woodward

HCA Healthcare Journal of Medicine

Background

Prelicensure nursing curricula lack a defined safety framework for clinical education, leaving faculty with minimal guidance on how to model and teach foundational safety concepts. Nursing accrediting bodies identify psychological and physical safety as institutional priorities, emphasizing the need to equip future clinicians with foundational safety competencies early in their training.

The purpose of this quality improvement project was to develop the ABCs of Prevention (Awareness, Body, Communication) and 4Rs of Intervention (Remove, Report, Record, Reflect) safety framework for clinical nursing education, provide faculty education and resources to support its application in teaching, and assess the impact of the …

Integrating The Icare Compassionately Model Into Disaster Simulation, Chelsea Baker

HCA Healthcare Journal of Medicine

While global efforts to increase access to health care have been successful, the provision of high-quality, safe care remains a critical priority as adverse events continue to impact patient outcomes. To combat this issue, nurse educators need to address gaps in both technical and relational domains of care, including compassion. Despite being identified as a core competency to safe practice, compassionate care principles remain inconsistently taught and practiced within nursing curriculum. This study examined the integration of the iCare (inclusivity, character, accountability, respect, excellence) Compassionately model into a simulated disaster scenario to provide students with an opportunity to apply emotional …

Assessment Of Hypoglycemia Management In Acute Care Hospitals, Carley Warren, Christina Wing, Chenette Burks, Brooke Schmidt, Adam Hasse

HCA Healthcare Journal of Medicine

Background

Hypoglycemia is a common and potentially preventable complication among hospitalized patients, particularly those receiving insulin or other glucose-lowering therapies. Delayed recognition and inconsistent management can increase adverse outcomes. Although protocols exist, variability in treatment selection and timing may influence the likelihood of returning to normoglycemia. Understanding these patterns is critical to optimizing patient safety in acute care settings.

Methods

This retrospective review evaluated hypoglycemia management in adult inpatients across acute care hospitals within a large health system. Patients were included if they were aged 18 years or older, were hospitalized within the health system, and experienced a hypoglycemic event, …

The Use Of Infra-Red Spectroscopy To Assess Intact Skin Of Various Skin Tones, Mary Lee A. Potter, Stacie Sosa, Charlott Polm, Sherry Campton, Wisam Salameh, Ronnie Klein, Yaniv Cohen

HCA Healthcare Journal of Medicine

Background

Pressure injuries (PI) continue to be a serious medical complication in the acute care setting. Industry leaders advocate for the use of objective technologies to provide accurate and quantifiable skin assessments for all patients across diverse skin tones. The Infra-Red Spectroscopy Scanner (IRSS) is a novel non-invasive decision support system (DSS) electro-optic technology that uses near infra-red spectroscopy to examine and assess physical and chemical changes prior to visual skin breakdown in real-time.

Methods

A 2-phase prospective open-label pilot device study was launched under protocol IRM-02-1123 (USA version 3.0, November 1, 2023). In both Phase 1 and Phase 2, …

Building A Culture Of Safety Through Faculty Mentorship: The Peer Pairing Framework For Clinical Nurse Educators, Clare A. Chambers

HCA Healthcare Journal of Medicine

Background

Clinical nurse educators often transition from bedside practice to clinical education in high-risk settings without structured support. Limited or absent mentorship during this transition may affect educator confidence, student learning outcomes, patient outcomes, and the ability to sustain a culture of safety. Although mentorship is widely recommended in nursing education, implementation strategies remain limited. The Peer Pairing Framework was developed as a staged mentorship approach to support clinical nurse educators and inform a comprehensive mentorship model.

Methods

The Peer Pairing Framework was informed by a voluntary onboarding survey of 914 clinical faculty, of whom 73.52% expressed interest in having …

Laboratory Study Of A Waste Anesthetic Gas Mask Scavenging System To Reduce Airborne Pathogen Exposure For Health Care Workers In Post Anesthesia Care Units, Josh Horton, Trevor Lim, Andrew Kanach, John Moenning, James Mcglothlin, Bruce M. Applegate Sr.

HCA Healthcare Journal of Medicine

Introduction

A scavenging oxygen mask system (SOMS) utilizing house vacuum has been demonstrated to significantly reduce exposure of post anesthesia care unit (PACU) health care workers (HCWs) to waste anesthetic gases (WAGs). Therefore, it was proposed that the same system could also be used to protect HCWs in the PACU by reducing Infectious Respiratory Particles (IRPs) spread from patients who may harbor airborne infective pathogens, such as Mycobacterium tuberculosis, certain strains of influenza, and SARS-CoV-2.

Methods

A life-like adult manikin head equipped with a bio-aerosol Collison nebulizer was set up to simulate patients exhausting pathogenic droplets. Further evaluation of …

Bathrooms As A Patient Safety Blind Spot In Emergency Departments: A Narrative Review And Nursing Practice Framework, Carmelo Villani

HCA Healthcare Journal of Medicine

Background

Emergency department (ED) bathrooms preserve privacy and dignity but interrupt direct observation. Risks described across clinical publications and professional guidance include falls, unrecognized deterioration, overdose, hazardous ingestion, infection, inaccessible environments, and unmet elimination needs. This review integrated those risks and translated them into a nursing practice framework.

Methods

For the structured narrative review, PubMed/MEDLINE, CINAHL Plus, and Scopus were searched on July 30, 2026, without date, language, age, or publication-type filters. Backward and forward citation chasing and a targeted search for professional documents supplemented database searching. Publications were categorized by ED relevance and synthesized thematically. Professional guidance was analyzed …

From Restraint To Calm: A Narrative Review Of Nonpharmacologic Alternatives To Physical Restraints In Adult Acute Care And Introduction Of The Calm Bedside Restraint Alternatives Framework, Elizabeth Card, Brandi Puet

HCA Healthcare Journal of Medicine

Background

Nurses and health care workers are dedicated to creating a therapeutic environment for healing. Sometimes, physical restraints may be used to ensure safety in patients exhibiting violence, confusion, or agitation, or in patients with life-saving medical devices. While the regulatory requirements for use of physical restraints are well developed, this is not the case with alternatives to using restraints, and many nurses may lack clarity on the best practice for identification and application of alternatives to physical restraint use.

Methods

Two trained reviewers searched PubMed, Google Scholar, and professional health care organizations’ websites guided by a search strategy and …

No Place For Workplace Violence, Ryan Sledge

HCA Healthcare Journal of Medicine

Workplace violence in health care is often discussed as an employee safety issue, but that framing misses a larger operational reality. Violent incidents affect the individuals involved, but they also disrupt care delivery, strain teams, reduce patient safety, contribute to health care worker burnout, and expose organizational conditions that leaders cannot afford to ignore. Incident reports rarely tell the full story. In many settings, aggressive behavior becomes normalized to the point that staff stop reporting much of what they experience. This creates a false sense of awareness and visibility. This editorial argues that health care leaders should approach workplace violence …

Safer Together: A Special Nursing Issue Focusing On Safety In Health Care, Tracy A. Ortelli, Lori M. Brodie

HCA Healthcare Journal of Medicine

Safety is a shared responsibility dependent upon the collective efforts of health care professionals, educators, leaders, organizations, and systems. This special nurse-led issue of the HCA Healthcare Journal of Medicine highlights scholarly works addressing education, clinical practice, and health care workforces. We are informed about safety through research, clinical reviews, case-based learning, and education. This issue was created to inspire the entire health care workforce to pursue continuous improvement to make health care safer together.

Asteroid Hyalosis Mimicking Vitreous Hemorrhage On Point-Of-Care Ultrasound Following Blunt Ocular Trauma: A Case Report, Obiaara Ukah, Jared Marx

Graduate Medical Education Research Journal

Background. Ocular complaints account for approximately 1.5% of emergency department (ED) visits, and point-of-care ultrasound (POCUS) is a valuable tool for evaluating posterior chamber pathology, including vitreous hemorrhage (VH), retinal detachment, and vitreous detachment. However, benign conditions may mimic these pathologies and create diagnostic uncertainty. We describe a case of asteroid hyalosis (AH), a benign vitreous condition that was initially mistaken for vitreous hemorrhage on ocular POCUS following blunt ocular trauma. This case highlights an uncommon sonographic mimic of VH and contributes to the emergency medicine literature by emphasizing ultrasound features that may help distinguish AH from true posterior chamber …

The Effects Of Pediatric Asthma On Daily Activities And Family Life In Cache Valley, Utah: Exploring Parental Perceptions Of Air Quality, Saeed Ahmad, Mehmet Soyer, Landon Lloyd, Mayu Mecham

Transforming Communities

Asthma is one of the main chronic health conditions affecting children living in Cache Valley, Utah particularly due to poor air quality during the winter season. It is very important to understand how families manage asthma both within and outside the household. Therefore, this research brief highlights how parents are managing pediatric asthma, and how asthma influences daily activities and family life. It is based on a qualitative study that extracted the data from 20 in-depth interviews with parents of asthmatic children. Participants were recruited through purposive snowball sampling. Data were collected through an interview guide that included some basic …

Systemic Treatment Considerations For Psoriasis In Alpha-Gal Syndrome: A Case Report And Ingredient Review, Emily Saurborn, Ian Depew, Madelyn Ross, Mckenzie Lambiotte, Shane Cook

Marshall Journal of Medicine

Background: Psoriasis is a chronic skin condition characterized by an overactive immune system, leading to increased keratinocyte proliferation and angiogenesis. Treatment ranges from topical solutions to systemic therapy and lastly, biologics. However, the latter options are typically manufactured with mammalian-derived ingredients. Alpha-gal syndrome (AGS) is an acquired IgE-mediated hypersensitivity reaction to galactose-alpha-1,3-galactose, an enzyme required for digesting carbohydrates in mammalian products. In addition to dietary avoidance of mammalian products, patients with AGS may need to avoid certain medications due to their formulations.

Case Presentation: We present a case of a 53-year-old female with a severe alpha-gal allergy evaluated in the …

Development Of Raynaud’S Phenomenon Following A Crush Injury: A Case Report, Scott Suddarth Md, Matthew Epperly, Robert Levi Snedegar

Marshall Journal of Medicine

Raynaud’s phenomenon is a vasospastic disorder characterized by episodic vasoconstriction of the distal extremities, typically triggered by cold exposure or emotional stress. While primary Raynaud’s is usually symmetric, secondary forms may arise from systemic, vascular, or occupational causes potentially resulting in unilateral or asymmetric presentation. Post-traumatic Raynaud’s phenomenon is rarely reported and is generally limited to transient, distal involvement.

In this report, we present a 38-year-old female with Ehlers-Danlos Syndrome and Postural Orthostatic Tachycardia Syndrome (POTS) who developed unilateral Raynaud’s phenomenon following a crush injury to her right foot. She experienced intermittent discoloration and coldness extending to the mid-shin, occurring …

Cropland Change And Prime Farmland In Calloway County, Kentucky, 2015–2025: A Gis Analysis Of Corn And Soybean Fields, Shiba Hari Dhakal Shiba

Scholars Week

Understanding where cropland change occurs relative to soil quality helps indicate whether farmland is being used on the most productive land. This study used GIS-based change detection analysis to evaluate changes in corn and soybean fields in Calloway County, Kentucky, between 2015 and 2025 and to test whether new corn and soybean fields were located on prime farmland. USDA Cropland Data Layer maps for 2015 and 2025 (30 m resolution) were reclassified into seven classes and compared in ArcGIS Pro, and the results were overlaid on USDA NRCS gSSURGO farmland classification. Combined corn and soybean area declined about 19% from …

A Macroergonomic Analysis Of Autonomous Robotic Construction For Affordable Housing, Ricardo Leon Jimenez

Sustainability Conference

As communities seek to increase housing supply, the construction sector continues to grapple with rising costs, skilled labor shortages, and growing pressure to improve environmental sustainability. Meeting these demands will require new approaches that increase productivity while lowering environmental impact throughout the building lifecycle. Recent advances in autonomous systems developed for space exploration offer alternative ways to design, assemble, and maintain residential buildings. This study examines the potential application of NASA's Automated Reconfigurable Mission Adaptive Digital Assembly Systems (ARMADAS) technology from space construction to terrestrial affordable housing construction.

While most construction automation research focuses on technical performance, this study considers …

Ministry With Children: Navigating An Expanding And Deepening River Of Thought And Practice, Ron Bruner

Discernment: Theology and the Practice of Ministry

Parents and church leaders live in a unique moment in the life of the church that creates a powerful opportunity: shaping ministry with children in ways that more faithfully serve God’s ongoing purposes. A convergence of several important ongoing conversations unique to our time connects scholars, practitioners, and parents interested in children's spiritual well-being. These tributaries in thought include (1) an emerging theological vision of children, (2) improved understanding of the physical, mental, and spiritual capabilities of children, (3) developing research into the relational ecologies of family, church, and generations, and (4) ongoing developments in children’s ministry leadership, practice, and …