Digital Commons Network^™

Comparing Us Medicare Coverage Options As A Contributing Mechanism To Sticking Or Switching To An Insurance Plan, Lisa M. Grabert, Brian J. Miller, Kathryn L. Wagner

College of Nursing Faculty Research and Publications

Background

In 2025, the US Medicare program is expected to spend over $1.1 trillion taxpayer dollars. A growing trend in the US Medicare program is more beneficiaries electing a private insurer, referred to as Medicare Advantage (MA), to manage their care. Since 2023, a slight majority of Medicare beneficiaries have elected to enroll in MA, yet little is understood about the mechanisms that drive beneficiaries toward their choices.

Methods

Our objective was to examine the association between comparing coverage options and ‘switching’ or ‘sticking’ with Fee-for-Service (FFS) Medicare or Medicare Advantage (MA). We conducted a panel study, using data from …

From The Goodness Of Our Hearts: A Scoping Review Of Qualitative Literature On Altruism As A Reward Mechanism For Nursing, Jacqueline Christianson, Madaline Mccarthy, Bonnie Sommers-Olson, Emily Horner, Norah L. Johnson

College of Nursing Faculty Research and Publications

Introduction

Altruism, the desire to help others, is a common motivation for choosing a career in nursing. Improved understanding of the role of altruism as a reward or motivation for currently-practicing nurses may inform future interventions to improve effort-reward balance among practicing nurses. Therefore, the purpose of this study was to collect, examine, and present literature on how altruism has been described as a reward mechanism or motivation for engaging in professional nursing.

Methods

This scoping review of literature used the Arksey & O’Malley method, PRISMA-ScR reporting checklist, and Rayyan review management platform. PubMed, Web of Science, and CINAHL were …

An Educational Intervention On Mutual Goal Setting For Hospital Nurses: A Mixed-Methods Study, Teresa Jerofke-Owen, Kristi Opper, Joseph Beiler, Maharaj Singh

College of Nursing Faculty Research and Publications

Background:

Including patients in mutual goal setting is one mechanism to personalize care delivery and improve patient outcomes.

Objective:

The purpose of this study was to examine the impact of a nurse educational intervention about mutual goal setting on nurse engagement and self-efficacy for goal setting and the nurse/patient experience of goal setting.

Methods:

During this explanatory, sequential mixed-methods study, nurse engagement in goal setting and goal quality was assessed through chart audits 1-month pre-intervention (n = 173) and 1 and 3-months (n = 144, n = 137) post-intervention. Nurse self-efficacy was measured with the Appraisal Inventory Tool. Patient experience …

In Search Of The Soul Of Creativity: Authorship, Agency, And Meaning In Refractive Collaboration With Generative Ai, Fatima Nazir

Theses and Dissertations

When images can be generated in seconds, what remains uniquely human in the act of creation? In Search of the Soul of Creativity: Authorship, Agency, and Meaning in Refractive Collaboration with Generative AI investigates where authorship, agency, and meaning reside within design practices mediated by generative AI. Rather than using AI to produce predictable results, this research deliberately relinquishes control to observe how generative systems interpret language through their own learned associations. Through a practice-led investigation across four generative models within the Higgsfield platform, user prompts were progressively shortened from full sentences to single words, revealing recurring patterns and cultural …

Centering Community Concerns And Recommendations Amid Rapid Policy Changes: Impacts On Social Protection, Well-Being, And Health Access, Kriti Vashisht

School of Social Work Faculty Publications

Rapidly evolving policies on gender identity and expression have highlighted a wide range of public and political perspectives on whether to limit or support demands for gender identification and healthcare services for the LGBTQ+ community. Due to the rise in these pro and against narratives and incidents, there were increased protection risks for this group. Scholars and practitioners working closely with LGBTQ+ members are witnessing increased distress and concerns among them, creating further barriers to care and heightened stigma. This is why community-based scholars and educators initiated an open consultation to create a non-partisan space for dialogue, reflection, and learning …

Convergence Of Social Justice, Human Rights, And Artificial Intelligence (Ai), Sudershan Pasupuleti, Urmila Yadav, Susheelabai R. Srinivasa

School of Social Work Faculty Publications

Artificial Intelligence and large data machine learning are transforming many areas, including healthcare, economic, political, and educational social institutions, at their best. Artificial intelligence can also be offered the moral and legal potential to safeguard human rights and social justice in society. For instance, human rights organizations scan public domain images for evidence of abuse, or software uses adversarial techniques to reduce bias in training data. At best, some organizations and businesses are tackling these challenges in a proactive manner, looking for methods to make sure they avoid or identify concerns before they arise; for others, this may be a …

“Full And Equal Access”: A Socio-Ecological Model Of Healthcare Ableism Experienced By The Blind And The Low Vision Community, Rebecca Fischbein, Rachel Conrad Bracken, Allyson S. Hughes, Rayyan Bhutta, Nazanin M. Heydarian

School of Social Work Faculty Publications

In 2023, the National Institutes of Health (NIH) designated people with disabilities as a population experiencing health disparities, citing “a wide and varying range of health conditions leading to poorer health and shorter lifespan” and “discrimination, inequality and exclusionary structural practices” contributing to pervasive health inequities. As blindness and low vision (BLV) become increasingly common due to an aging population coupled with higher rates of type 2 diabetes, more people who are BLV will require quality care. Yet, people who are BLV face many barriers to care, including healthcare provider and staff (HCP) ableism. In this chapter, we propose a …

University Of New Hampshire Library Annual Report 2026: Better Together, Mairead Small Staid

Annual Reports and Statistics

No abstract provided.

Effect Of Graphene Oxide On The Upconversion Photoluminescence Behavior Of Er/Yb Co-Doped Pvdf-Go Composite Nanofibers, Saptasree Bose, Jack Ryan Summers, Bhupendra B. Srivastava, Karen Lozano, Victoria Padilla-Gainza

Mechanical Engineering Faculty Publications

Upconversion photoluminescence (UCPL) materials, particularly rare-earth (RE) doped nanoparticles, have garnered significant attention due to their ability to convert near-infrared (NIR) excitation into visible emission, offering benefits such as high photostability, long lifetimes, low autofluorescence, and deep tissue penetration. Among various platforms, polymer-based one-dimensional (1D) nanofibers with in-situ lanthanide doping remain relatively unexplored, despite their superior mechanical flexibility, processability, and potential for improved luminescence performance. In this study, we report the fabrication and UCPL quenching behavior of Er3+/Yb3+ co-doped polyvinylidene difluoride (PVDF) nanofibers incorporated with graphene oxide (GO), synthesized for the first time using the scalable Forcespinning® technique. PVDF, a …

The Bridwell Quill. Issues 89–91: Saint Francis Of Frisco, Anthony Elia

Bridwell Library Publications

No abstract provided.

The Bridwell Quarterly, Issue 30 Winter 2026, Anthony Elia, Michelle S. Ried

Bridwell Library Publications

No abstract provided.

Why Do Women Pursue A Ph.D. In Computer Science?, Erika Ábrahám, Miguel Goulão, Milena Vujošević Janičić, Sarah Jane Delany, Amal Mersni, Oleksandra Yeremenko, Özge Büyükdağlı, Karima Boudaoud, Caroline Oehlhorn, Ute Schmid, Christina Büsing, Helen Bolke-Hermanns, Kaja Köhnle, Matilde Pato, Deniz Sunar Cerci, Larissa Schmid

Research Outputs: 2025-Present

Context: Computer science, even now, attracts a small number of women, and the proportion of women in the field decreases through advancing career stages. Consequently, few women progress to Ph.D. studies in computer science after completing master's studies. Empowering women at this stage in their careers is essential, not just for equality reasons, but to unlock untapped potential for society, industry and academia. Objective: This paper aims to identify students’ career assumptions and information related to Ph.D. studies focused on gender-based differences. We propose a program to inform female master students about Ph.D. studies that explains the process, clarifies misconceptions, …

Uncovering The Disciplinary Pulse Of Library And Information Science Through Large-Scale Topic Modelling Of Openalex Scholarly Literature, Sailendra Malik, Sukumar Mandal

Library Philosophy and Practice (e-journal)

Library and Information Science is among the oldest and intellectually pluralistic scholarly disciplines but the inner thematic structure has not been established. The article develops a systematic and data intensive mapping of the field by the Latent Dirichlet Allocation topic modelling to 7,824 articles in the English language indexed in OpenAlex in the year 2000 to 2025. A ten topic solution is an optimised solution that identifies a group of readable and sensible thematic domains including information literacy digital libraries scientometrics archives and scholarly communication. The analysis of temporal trajectory reveals that there have been consistent expansion at the emergent …

From Digital Skills To Digital Ventures: Exploring The Influence Of Digital Competence On Infopreneurship Intentions Of Library And Information Science Students In Nigerian Polytechnics, Uwaebuka Wisdom Madu Dr., Stephen Adekunle Ajayi Dr

Library Philosophy and Practice (e-journal)

The focus of this study was to investigate the influence of digital competence on infopreneurship intention among Library and Information Science (LIS) students in federal polytechnics in South-West Nigeria, a context characterized by high graduate unemployment and rapid digital transformation. Guided by the Theory of Planned Behaviour and Eshet-Alkalai's Digital Literacy Model, a descriptive survey design was employed. The population comprised 638 final-year LIS students across four federal polytechnics, with a sample of 468 selected through multi-stage sampling. A validated questionnaire with a reliability coefficient of 0.828 was used for data collection. 388 responses amounting to 82.9% response rate was …

Evaluating Llms For Cpe Identification In Iot Reconnaissance, Christopher Davisson

EWU Masters Thesis Collection

Vulnerability identification during penetration testing relies on rigid string-matching to map network scan data to Common Platform Enumeration (CPE) identifiers and downstream Common Vulnerabilities and Exposures (CVEs). The approach frequently fails on physical Internet of Things (IoT) devices, which produce non-standard, irregular service banners that resist deterministic parsing. Large Language Models can reason through these fuzzy associations, but cloud-hosted models introduce cost, latency, and operational security concerns when processing reconnaissance data from live networks. This thesis asks whether locally-hosted open-weight Large Language Models (LLMs) can perform this task well enough to be useful, and how performance varies with model scale, …

Are There Enough Bees? Assessing Pollen Limitation In Native Eastern Washington Prairie Forbs, Alejandro Torres

EWU Masters Thesis Collection

Prairie ecosystems in eastern Washington have been severely degraded due to agricultural intensification, urbanization, and habitat fragmentation, leaving less than 0.1% of native prairie intact. As a result, these ecosystems have become some of the most endangered in the United States. One group of essential pollinators is the bees, which facilitate plant reproduction and contribute to the long-term persistence of restored plant communities. However, despite the presence of at least 257 native bee species in the region, the impacts of habitat fragmentation and restoration on pollinator activity and plant-pollinator networks remain poorly understood. For this study, we worked across Eastern …

Tree-Based Graph Neura Networks For Natural Language Inference: From Structure-Only To Hybrid Architectures, Jason P. Lunder

EWU Masters Thesis Collection

Large transformer models achieve strong performance on natural language understanding tasks but require hundreds of millions of parameters and extensive pretraining. This thesis investigates whether graph neural networks operating on dependency parse trees can provide more parameter-efficient sentence representations for natural language inference, evaluated on two NLI tasks: entailment classification and semantic textual similarity.

Tree Matching Networks (TMN) adapt Graph Matching Networks to linguistic dependency trees with rich node and edge features, evaluated against a BERT baseline at matched parameter counts on identical training data. Tree Transformer Networks (TTN) extend TMN with transformer-based aggregation and tree-aware positional encodings, with component …

Macroinvertebrate Taxonomic And Functional Diversity In The Spokane River Watershed, Kaitlin L. Abell

EWU Masters Thesis Collection

Changes in land use, such as agricultural expansion, have impacted stream systems by modifying discharge, substrate diversity, channel morphology, and nutrient inputs. The Spokane River Watershed is heavily impacted by human activity, including urban and agricultural development. Rehabilitation efforts are being organized to reintroduce Salmonidae species in the Spokane River Watershed. The first step of this reintroduction is to perform habitat studies to inform allocation of restoration efforts. As part of this effort, I performed benthic macroinvertebrate surveys throughout the watershed.

The objective of my research was to use the macroinvertebrate community as a biological indicator to determine which habitat …

Dietary Ecology Of Waterfowl Nest Predators In The Prairie Pothole Region: Evaluating Resource Use From Species To Individual Using Stable Isotope Analysis, Grace Barthelmess

EWU Masters Thesis Collection

Nest predation is a primary factor influencing waterfowl productivity in the Prairie Pothole Region (PPR) of North America. Although this system is intensely managed and studied, research has largely focused on how predators affect waterfowl populations, with comparatively little attention to how predators actually rely on waterfowl as a resource. Understanding predator feeding ecology is therefore critical for informing effective management strategies and interpreting the complexity of predator-prey interactions on this landscape. My objective overall was to elucidate the feeding ecology of nine focal predator species commonly associated with waterfowl nest predation in the Aspen Parkland Ecoregion of the PPR: …

Relationships Between Benthic Macroinvertebrate Communities And Environmental Conditions In Headwater Tributaries Of The Pend Oreille Lake Watershed, Idaho, Devlin Mee

EWU Masters Thesis Collection

Benthic macroinvertebrates are widely used indicators of stream condition, and their communities respond to thermal and land-use conditions in headwater streams. This study characterized macroinvertebrate biomass, community composition, and diversity across forested headwater tributaries of the Pend Oreille lake watershed in northern Idaho, and examined their relationships with summer temperature, land development, and road proximity. Samples from thirteen streams collected in 2024 were identified to genus, measured, and converted to estimated biomass using published length–mass regressions; ten streams had recovered temperature loggers. Because environmental variables were characterized once per stream, all analyses were conducted at the stream level.

Estimated total …

Lunch Shaming And The Right To Privacy, Ira P. Robbins

Scholarly Articles in Law Reviews & Journals

Lunch shaming is the practice of penalizing students who cannot afford to pay for their meals, resulting in them being denied food, served alternative meals, or publicly identified. The origins of lunch shaming can be traced to the financial pressures faced by school districts that struggle to balance tight budgets with the mandate to provide free or reduced-price meals to eligible students. Despite legislative efforts and advocacy campaigns aimed at mitigating the problems associated with lunch shaming, the practice persists, exacerbated by rising food costs and the expiration of pandemic-era food programs.

Many law journal and other articles have correctly …

Undermining Discretion: The Selective Attacks On Progressive Prosecutors, Angela J. Davis

Scholarly Articles in Law Reviews & Journals

Prosecutors are the most powerful officials in the criminal legal system. They decide whether to bring criminal charges and what those criminal charges should be. These decisions are totally within their discretion. The U.S. Supreme Court has consistently protected the power and discretion of prosecutors in making these decisions, and legal challenges to the exercise of prosecutorial discretion have been largely unsuccessful.

In recent years, a growing number of individuals have successfully run for chief prosecutor on platforms of reducing the prison and jail populations, consistent with public safety. They pledged to use their power and discretion to implement policies …

Misinformation And The Law, Gustavo Ribeiro

Scholarly Articles in Law Reviews & Journals

This Article bridges critical gaps between the growing body of social science research on misinformation and the persistent challenges jurors face in evaluating potentially unreliable evidence in courtrooms. Misinformation—a pervasive issue undermining decision-making in democratic societies—mirrors the difficulties jurors encounter in distinguishing truth from falsehood amid compelling but unreliable evidence. The consequences of such challenges are dire: wrongful convictions, racial disparities, and the erosion of public trust in the legal system.

This Article is the first piece of legal scholarship to provide a comprehensive discussion of current research on the psychological mechanisms underlying susceptibility to misinformation—such as the illusory truth …

Originalism As Disruption, Susan D. Carle

Scholarly Articles in Law Reviews & Journals

This Article challenges the conventional understanding of originalism as a method that promotes unchanging constitutional meanings. Drawing on four and a half decades of experience since Attorney General Edwin Meese first championed originalism as a conservative project, this Article demonstrates that originalism has generally proven destabilizing rather than stabilizing to constitutional law. Landmark cases such as New York State Rifle & Pistol Association v. Bruen, Students for Fair Admissions, Inc. v. President & Fellows of Harvard College, and Shelby County v. Holder show that the Supreme Court frequently deploys originalism when it seeks to upend settled constitutional doctrine, contradicting claims …

Law’S Limits: Abortion And The Social Determinants Of Health, Maya Manian

Scholarly Articles in Law Reviews & Journals

After Dobbs: How the Supreme Court Ended Roe but Not Abortion (“After Dobbs”) is a prescient and timely response to the U.S. Supreme Court’s 2022 decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade and upended nearly five decades of constitutional protection for abortion. In this meticulously structured oral history, law professor David S. Cohen and sociologist Carole Joffe center the voices of abortion providers, clinic administrators, funders, and advocates from across the country. After Dobbs, not only documents the extraordinary persistence of abortion supporters in the face of legal devastation but also bears witness to …

Empowering Change From The Ground Up: Women’S Entrepreneurship In Sub-Saharan Africa’S Informal Sector, Rita Abban, Esi A. Elliot

International Business and Entrepreneurship Faculty Publications

Women’s entrepreneurship in Sub-Saharan Africa (SSA) is a critical driver of socio-economic development, within the informal sector where women enterprises are concentrated. Despite substantial contributions, structural and institutional barriers impede the formalization of these businesses, curbing their economic impact. This study examines how women entrepreneurs in Ghana and SSA navigate informal practices to achieve economic mobility. Employing a systematic literature review - PRISMA framework, the research synthesizes key themes including entrepreneurial capacity, sustainability, intellectual property, and institutional support. A comparative lens incorporating Rwanda and South Africa reveals Ghana’s high rate of female entrepreneurship, predominance of informal trade, and socio-cultural dynamics …

A Firm’S Operational Risk: Data Set And Empirical Evidence, Vivek Astvansh, Joseph J. Simpson

International Business and Entrepreneurship Faculty Publications

Problem definition: A firm’s stakeholders would benefit from a quantitative measure of the managerial disclosure of its operational risk and the implications of this disclosure. However, a quantitative and scalable measure of a firm’s disclosed operational risk is unavailable. Thus, the firm’s stakeholders remain unaware of its disclosed operational risk and the risk’s implications. Methodology/results: U.S. law requires a public firm to textually disclose its operational and nonoperational risks in Item 1A of its annual report (i.e., Form 10-K). We train 64 transformer models on U.S. public firms’ Item 1A text to score 131,920 firm-years (16,959 firms, 2005 to 2024) …