Digital Commons Network^™

The Experience Of Bipoc Participants In Wilderness Therapy, Rachel Esrig

Doctoral Dissertations

Wilderness therapy is an alternative to residential treatment for adolescents and young adults. Although these programs predominantly serve White-identifying individuals, a proportion of participants identify as Black, Indigenous, and/or People of Color (BIPOC). Research has shown that race and ethnicity shape individuals’ experiences with mental health treatment; however, no studies to date have specifically explored the experiences of BIPOC individuals in wilderness therapy programs. This qualitative study addresses that gap by examining the experiences of BIPOC individuals who participated in wilderness therapy during adolescence. Using an interpretive phenomenological approach, nine themes emerged from the data. Findings suggest that participants’ levels …

Freedom Dreamers In Oakland, California: A Portraiture Of Creating Spatial Justice And Repair, Rebecca Sarah Jacquez

Doctoral Dissertations

Oakland, California, is a unique site of residents who have historically questioned the status quo and are currently continuing that legacy by creating spatial justice and repair in the midst of anti-Blackness and the afterlife of racial segregation. This dissertation spotlights a portrait of Oakland, California, that uplifts the lived experiences of folks who are using a ‘radical imagination’ to build ‘freedom as a place.’ This qualitative study aims to extend the literature of reparative spatial justice in education by sharing the nuances of a particular radical imagination rooted in freedom that one can feel in Oakland. Using portraiture methodology, …

The Role Of Vocational Rehabilitation Programs In Improving The Quality Of Life For Individuals With Intellectual Disabilities, Hamood Bin Khamis Al-Nofli, Emad Farouk Saleh, Naseer Bin Mohammed Hamad Al-Oufi, Saber Mahmoud Elsharkawy

Journal of Arts and Social Sciences

The study aimed to investigate the impact of implementing a proposed vocational rehabilitation training program on improving the quality of life of individuals with intellectual disabilities. The study targeted 21 female students enrolled in the intellectual integration program in Al-Dakhiliyah Governorate, Sultanate of Oman, drawn from seven schools implementing the intellectual integration program. The present study is a quasi-experimental study that adopted the experimental method by implementing a vocational rehabilitation training program with an experimental group of female students with intellectual disabilities. The researchers developed a quality-of-life scale consisting of 55 items distributed across four dimensions: health-related quality of life, …

Life Pressure Facing Palestinian Martyrs’ Wives Under Coronavirus-Covid-19 Pandemic, Mohammed Khamis Mohammed Al-Albobbo, Mohammed Ismail Matar

Journal of Arts and Social Sciences

The study aims to identify the life pressures faced by the wives of Palestinian martyrs during the Covid-19 pandemic. The researchers used the descriptive-analytical approach, as it was deemed appropriate for the study’s objectives, and designed a questionnaire for data collection. The questionnaire consisted of 35 items and was administered to a sample of wives of Palestinian martyrs from the 2021 war in the Gaza Strip. The study identified key findings related to psychological, social, and economic stressors faced by the wives of Palestinian martyrs during the coronavirus pandemic. Regarding psychological stressors, the statement (I feel disadvantaged by the loss …

Awareness Of Intellectual Property Rights Among Graduate Students At Umm Al-Qura University: A Case Study, Abdullah Bin Abdulrahman Al-Mahdar

Journal of Arts and Social Sciences

This study aimed to examine the level of awareness of intellectual property rights among graduate students at Umm Al- Qura University and to measure the impact of demographic characteristics on their awareness of these rights. The study adopted the case study method and used a questionnaire as the primary data collection instrument. The study sample consisted of 115 male and female graduate students enrolled at the university. The findings revealed that most participants had a general awareness of the existence of intellectual property protection laws in Saudi Arabia. However, fewer than half were aware of the official national authority responsible …

The Role Of The Social Worker In Developing Tourism Awareness Among University Students In Riyadh In Light Of The Kingdom’S Vision 2030 (From The Perspective Of Male And Female Students), Badria Saud Al-Mutairi

Journal of Arts and Social Sciences

The study aimed to identify the role of the social workers in promoting tourism awareness among Saudi university students in light of the Kingdom’s Vision 2030, from the point of view of male and female students. The study employed a questionnaire as the research instrument and adopted the descriptive-analytical method. The study sample consisted of 300 students including 157 male students and 143 female students, drawn from two academic institutions in the city of Riyadh. The findings indicated that the overall level of the practices included in the questionnaire was moderate. The perceived obstacles facing the role of the social …

From Contested Rights To Perceived Threats: The Securitization Of Lgbt And Its Human Rights Implications In Indonesia, Melkias Hetharia, Basir Rohrohmana

Indonesia Law Review

Debates on LGBT rights in Indonesia have largely centred on the legal recognition of same-sex relationships and their compatibility with religion, Pancasila, and the constitutional framework. Recent developments, however, require the discussion to move beyond the question of recognition. This article examines the evolving legal and policy treatment of LGBT persons in Indonesia, particularly following Presidential Regulation No. 111 of 2025, which identifies the “spread of LGBTQ culture” as a non-military threat. Using normative legal research and securitization theory, the article analyses Indonesian constitutional principles, marriage and human rights law, relevant Constitutional Court jurisprudence, defence policy, and documented experiences of …

Developing Leadership Competencies In Higher Education Institutions In The Sultanate Of Oman In Light Of Selected International Experiences: Proposed Mechanisms, Faiza Al-Shidi, Wajeha Al-Ani, Nisreen Saleh Saladin

Journal of Arts and Social Sciences

This study aimed to propose mechanisms for developing leadership competencies in higher education institutions in the Sultanate of Oman in light of selected international experiences. The study adopted a descriptive approach supported by comparative analysis through reviewing relevant literature, official documents, and previous studies. It also examined Oman’s efforts alongside selected experiences from Singapore, Malaysia, the Kingdom of Saudi Arabia, and Egypt.The findings revealed that Oman has made significant progress in developing leadership capacities within higher education institutions, supported by the objectives of Oman Vision 2040 and national initiatives led by relevant institutions. The comparative analysis also highlighted several successful …

Guarantee Of Minister Hamid Bin Al-Abbas And Its Impact On The Economic Conditions During The Time Of Caliph Al-Muqtadir (306-311 Ah/ 918-923 Ad), Adnan Abdullah Obaidat

Journal of Arts and Social Sciences

ABSTRACT This study aims to shed light on an important phase in the decline of the Abbasid state, specifically during the reignof Al- Muqtadir (295-320 AH/ 908 AD-932AD). This period witnessed intensified competition for the position of minister. Amid his rivalry, Hamid bin Al-Abbas assumed the ministry in the year 306 AH/ 918 AD, despite having no knowledge of politics and governance and no prior involvement in the political struggles of the time. The study seeks to examine the political and economic circumstances that led to his appointment, and to demonstrate how from the first days of his appointment, he …

Validation Of A Home-Based Tool For Preschool Children Fall Prevention: A Rasch Analysis, Devie Fitri Octaviani, Fatma Lestari, Indang Trihandini, Dadan Erwandi

Kesmas

Unintentional falls are a leading cause of injury among preschool children, primarily occurring in home environments, yet validated tools to assess household fall prevention capacity in low- and middle-income countries remain limited. This study aimed to develop and psychometrically validate the Home-Based Preschool Fall Prevention Instrument using the Rasch Measurement Model. A cross-sectional validation study was conducted in Depok City, Indonesia, involving 167 primary caregivers of preschool children enrolled in kindergartens selected through multistage cluster random sampling. The instrument was developed based on an etiological injury model, socio-ecological perspectives, and risk management principles, and comprised four main factors: child, home, …

Understanding Oral Habits And Malocclusion In School-Aged Children: Insights From Parental And Child Knowledge, Attitudes, And Practices, Maria Laurentia Sanjaya, Evan Raditya Pratomo, Markus Santoso, Agrippine Putricia Asaeli, Eveline Yulia Darmadi, Joy Janny Thenarianto, Jennifer Regina Putri Purwono, Eunike Jacquelyn Widarto

Kesmas

Malocclusion is a prevalent oral health problem in children associated with oral bad habits, yet the extent to which parental and child knowledge, attitudes, and practices (KAP) influence orthodontic status remains insufficiently understood. This cross-sectional study investigated relationships between parental and child KAP, oral habits, and malocclusion in school-aged children, involving 67 child–parent pairs from an elementary school in Surabaya, Indonesia. Parental and child KAP as well as child-reported oral habits were assessed using a validated questionnaire. Children subsequently underwent standardized clinical orthodontic examinations, including alginate jaw impressions to produce dental study models, which were evaluated using the Index of …

Provincial Disparities In Adolescent Fertility In Indonesia: An Ecological Analysis Of Child Marriage, Median Age At First Marriage, And Family Development Index, Andi Nisa Fathimiyah Afidah, Milla Herdayati

Kesmas

Adolescent fertility remains a public health concern in Indonesia, with substantial variations across provinces. However, the evidence explaining provincial disparities using population-level indicators remains limited. This study aimed to examine provincial disparities in adolescent fertility and assess the association of child marriage, median age at first marriage among women, and the Family Development Index called iBangga with adolescent fertility across Indonesia. This ecological, cross-sectional study used aggregated data from 34 Indonesian provinces. Descriptive statistics, spatial visualization, Pearson’s correlation, and multiple linear regression analyses were performed. The mean adolescent fertility rate was 25.0 births per 1,000 female adolescents aged 15–19 years, …

Spatial Association Of Acute Respiratory Infection, Diarrhea, And Low Birth Weight With Stunting Prevalence In Indonesia, 2024, Dian Rosadi, Husaini Husaini, Triawanti Triawanti, Musafaah Musafaah

Kesmas

Stunting remains unevenly distributed across Indonesia, but national evidence integrating spatial analysis and spatial regression is limited. This study examined the spatial distribution of stunting and its associations with acute respiratory infection (ARI), diarrhea, and low birth weight (LBW) across Indonesian provinces. An ecological cross-sectional study used data from the 2024 Indonesian Nutritional Status Survey. Stunting-only analyses included all 38 provinces, whereas analyses involving ARI, diarrhea, and LBW included 37 provinces with complete data. Spatial analyses used a row-standardized symmetric four-nearest-neighbor spatial weights matrix and included Global Moran’s I, bivariate spatial analysis, Local Indicators of Spatial Association, ordinary least squares, …

The Association Between Rapid Growth In Children Under The Age Of Five And Adolescent Obesity, Ratu Ayu Dewi Sartika, Fadila Wirawan, Iche Andriyani Liberty, Nurul Husna Mohd Shukri, Siti Arifah Pujonarti, Edy Purwanto, Munaya Fauziah

Kesmas

Early-life nutrition is a critical predictor of long-term health, yet the association between rapid early-childhood growth and adolescent obesity, particularly in relation to the “double burden of malnutrition,” remains under-researched in Indonesia. This study aimed to analyze the association between rapid growth and adolescent obesity. Data were obtained from the 1997, 2000, and 2014 waves of the Indonesian Family Life Survey (IFLS). This study included 641 children (aged 0–23 months at baseline) with complete anthropometric measurements across all three waves. Rapid growth was defined as an increase in z-scores of >0.67 in weight-for-age (WAZ), height-for-age (HAZ), or weight-for-height (WHZ) between …

Self-Management Interventions For Adults With Type 2 Diabetes Mellitus In Thai Primary Care And Community Settings: A Scoping Review, Sansanee Seetangkham, Supaluk Seetunya, Subhawan Yodprong

Kesmas

Diabetes mellitus is a leading cause of mortality and economic burden, with significant impacts on health outcomes and quality of life. Effective self-management is crucial for controlling Type 2 Diabetes Mellitus (T2DM). Thailand has implemented diverse self-management interventions for adults with T2DM in primary care and community settings, but the components, delivery, duration, and outcomes of these interventions have not been synthesized. Following the Arksey and O’Malley framework, Joanna Briggs Institute guidance, and PRISMA-ScR, five databases were searched from inception to June 2025. Eligible English-language intervention studies involved Thai adults with T2DM in primary care or community settings. Study characteristics …

Environmental Perspective For System Dynamics Modeling Of Stunting Mitigation To Achieve The Sustainable Development Goals In West Sumatra, Indonesia, Elsa Yuniarti, Nabila Azzahra, Yulhendri Yulhendri, Heldi Heldi, Mery Delvina, Saskia Putri Azeli

Kesmas

This study developed a system dynamics model to simulate stunting reduction in West Sumatra Province, Indonesia, by integrating infant and toddler health, maternal health, and environmental determinants. Secondary data from 2020–2024 on low birth weight, immunization, malnutrition, exclusive breastfeeding, maternal chronic energy deficiency, iron and folic acid supplement distribution, sanitation, and safe drinking water access were compiled from West Sumatra Provincial Health Office and Statistics Indonesia, and validated through consultation with five stakeholder institutions. Causal Loop Diagrams mapped feedback relationships among determinants and were translated into Stock Flow Diagrams using Powersim Studio 10. The model was validated through structural verification, …

Gamclust: Identification Of Regulated Metabolic Modules In Bulk, Single Cell And Spatial Gene Expression Data, Anastasiia Gainullina, Evgeniia Chikina, Maxim N Artyomov, Alexey Sergushichev

2020-Current year OA Pubs

MOTIVATION: Metabolism operates as a highly interconnected biochemical network, and its regulation emerges from coordinated changes across many reactions and metabolites. The integration of gene expression profiling data with organism-scale metabolic networks has proven to be a valuable tool for understanding cellular metabolic regulation. However, the increasing complexity of profiling technologies and experimental designs requires the development of specialized tools.

RESULTS: Here, we present GAMclust, an R package implementing and extending the previously published GAM-clustering pipeline for identifying transcriptionally regulated metabolic modules in complex gene expression datasets. GAMclust supports bulk, single-cell, and spatial gene expression profiling. It includes built-in KEGG …

Searching The Druggable Genome Using Large Language Models, Lars Schimmelpfennig, Matthew Cannon, Quentin Cody, Joshua Mcmichael, Adam C Coffman, Susanna Kiwala, Kilannin Krysiak, Alex H Wagner, Malachi Griffith, Obi L Griffith

2020-Current year OA Pubs

SUMMARY: The druggable genome encompasses the genes that are known or predicted to interact with drugs. The Drug-Gene Interaction Database (DGIdb) provides an integrated resource for discovering and contextualizing these interactions, supporting a broad range of research and clinical applications. DGIdb is currently accessed through structured web interfaces and API calls, requiring users to translate natural-language questions into database-specific query patterns. To allow for the use of DGIdb through natural language, we developed the DGIdb Model Context Protocol (MCP) server, which allows large language models (LLMs) access to up-to-date information through the DGIdb API. We demonstrate that the MCP server …

The Npso Model Decreased Hospital-Acquired Infections And Sustained The Clinical Outcomes, Hsin-Mei Chen, Shannan Hamlin, Vaibhav Unhelkar, Lydia Kavraki

International Nursing Research Congress (INRC)

The study revealed that patients with hospital-acquired infections (HAIs) experienced a length of stay (LOS) that increased from 3 days to 30 days (Stewart et al., 2021). Another study shows that a CAUTI case incurs an additional cost of $13,793, while a CLABSI case incurs an additional cost of $48,108 to the care (Forester et al., 2022).

In October 2021, our department received a request to mitigate the surge in CAUTI and CLABSI rates in Q3 2021. We reviewed the literature and designed standardized tools for skill validation. Then, we observed the nursing practice, identified the fallouts, and prepared an …

Predictors Of Complete Obliteration And Favourable Outcome After Single-Modality Treatment For Low-Grade Arteriovenous Malformations: A Multicentre Study, Angelica Fuentes, Salem Tos, Natasha Ironside, Georgios Mantziaris, Yuki Shinya, Basel Musmar, Hamza Adel Salim, Nimer Adeeb, Christopher Ogilvy, Douglas Kondziolka, Ali Alaraj, Min Park, Adam Dmytriw, Hussein Zeineddine, Finn Mccarthy, Hussam Abou-Al-Shaar, Ahmed Abdelsalam, Mustafa Baskaya, Cagdas Ataoglu, Anthony Sanchez-Forteza, Muhammed Amir Essibayi, Abdullah Keles, Sandeep Muram, Howard Riina, Arwin Rezai, Sahin Hanalioglu, Ufuk Erginoglu, Johannes Pöppe, Davide Simonato, Yan-Lin Li, Sandeep Kandregula, Dhairya Lakhani, Christoph Griessenauer, Rahim Abo Kasem, Alejandro Spiotta, Ajit Puri, Jasmeet Singh, Anna Luisa Kuhn, Jan Karl Burkhardt, Robert Starke, Laligam Sekhar, Michael Levitt, David Altschul, Neil Haranhalli, Malia Mcavoy, Paul Foreman, Osama Zaidat, Mohammad Almajali, Hakeem Shakir, Alfred Pokmeng See, Adib Abla, Aashay Patel, Andrew Nguyen, Matthew Koch, Visish Srinivasan, Peng Roc Chen, Spiros Blackburn, Ketan Bulsara, Peter Kan, Louis Kim, Omar Choudhri, Stavropoula Tjoumakaris, Pascal Jabbour, Amey Savardekar, Hugo Cuellar, Michael Lawton, Bharat Guthikonda, Jacques Morcos, Jason Sheehan

Department of Neurology Faculty Papers

INTRODUCTION: Patient and arteriovenous malformation (AVM) characteristics that portend success after treatment for low-grade brain AVMs remain unknown.

PATIENTS AND METHODS: We utilised the MISTA multicentre registry to identify patients with Spetzler-Martin (SM) grade I or II AVMs treated with stand-alone curative-intent intervention (resection, stereotactic radiosurgery [SRS] or endovascular embolisation). Bivariate and multivariable analyses were performed to identify patient and AVM characteristics predictive of complete obliteration or favourable outcome (complete obliteration without new permanent deficit or post-treatment haemorrhage).

RESULTS: A total of 522 patients were included (292 microsurgery, 152 SRS, 78 embolisation). Complete obliteration rates differed between microsurgery (95.9%), SRS …

Dynamics Of Swimming Microorganisms At Structured Liquid Crystal Interfaces, Vajra Sabhapathy Badha

Graduate Doctoral Dissertations

Active matter systems are self-driven units that consume energy to generate motion and mechanical stresses, producing non-equilibrium states of broad physical significance. Examples include synthetic microswimmers and migrating cells. Motile bacteria are a widely studied biological example because their self-propelled motion, hydrodynamic interactions, and collective organization are strongly coupled to local environmental conditions. Their swimming is sensitive to interfacial viscoelasticity, ordering, confinement, and hydrodynamic boundary effects, making them useful for investigating how interfaces regulate active biological motion. Because bacterial accumulation and attachment at interfaces are central to colonization and biofilm formation, these interactions are relevant to both active matter physics …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda W. Jones

Papers

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda Jones

Posters

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

Writing Together, Writing Differently: Collective Authorship As Reflective Practice, Thanh Thao Le, Trut Thuy Pham

The Qualitative Report

This article examines collective authorship as a reflective and ethical research practice within a sustained program of co-authored qualitative, post-qualitative, linguistic, and reflective inquiries into teacher reflection, professional learning, language, silence, and recognition. It offers an oral-history-informed reflective methodological account of a writing collective and asks how collective authorship became a methodological practice through our collaborative writing process. The primary materials were shared drafts, margin comments, revisions, silences, version histories, short reflective notes, and remembered writing encounters. Teacher-reflection texts and related professional writing materials from our broader research program formed the secondary materials around which the writing process unfolded. Analytically, …

Competition Policy Meets Environmental Regulation: A Case For ‘Green’ Antitrust, Marie-Laure Cabon-Dhersin Dr., Joanna Poyago-Theotoky, Natacha Raffin

Fondazione Eni Enrico Mattei Working Papers

We explore the interplay of competition and environmental policies to address the question of whether green antitrust has beneficial effects in terms of both en vironmental and consumer welfare performance. We focus on two environmental policy tools, an emission tax and an emission standard, and explore three par ticular configurations: competitive ‘green R&D, collaborative ‘green’ R&D in the form of a joint lab, and the benchmark case of no ‘green’ R&D. Firms compete in the product market by selling a homogeneous product, either by setting prices (Bertrand competition) or quantities (Cournot competition) while facing convex costs. We show that ‘green …

Fashion, Lifestyle, And Symbolic Capital: Identity And Resistance In Eka Kurniawan’S Beauty Is A Wound, Dewi Meyrasyawati, Cysakaren Diva Pratiwi, Nisar Ul-Haq

Paradigma: Jurnal Kajian Budaya

This study examines how fashion culture and lifestyle, understood as modes of self presentation, social performance, and everyday practice, operate as tools of identity construction and resistance in Eka Kurniawan’s Beauty Is a Wound. The objective is to reveal how beauty, personal choices, and public perception function as symbolic capital in negotiating gendered power relations, class hierarchies, and political constraints. Using close textual analysis, the research explores how female characters, particularly Dewi Ayu, mobilize appearance, behavior, and life decisions to challenge dominant ideologies and redefine their roles in society. The findings show that fashion culture in the novel extends beyond …

Crosstalk Between Upr And Mitochondria: The Triad Of Er-Mitochondria Contacts, Ca²⁺, And Ros, Ester Zito, György Hajnóczky

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Endoplasmic reticulum (ER) stress is triggered by several cellular perturbations causing protein misfolding, and activates the unfolded protein response (UPR), an initially adaptive signaling network that aims to restore ER and cellular homeostasis. Growing evidence indicates that UPR signaling extends beyond ER proteostasis, influencing mitochondrial function and bioenergetics through ER-mitochondria contact sites (ERMCs). The CHOP-ERO1A-IP3R axis has a primary role in recruiting mitochondria to adaptive UPR. However, its sustained activation renders UPR signaling maladaptive, leading to mitochondrial dysfunction through both outer mitochondrial membrane permeabilization (OMMP) and mitochondrial permeability transition pore (mPTP) opening, ultimately contributing to irreversible cell injury and disease …

Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites: Ur-35 Construction Completion Report (Ccr), Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

The purpose of this Butte Priority Soils Operable Unit (BPSOU) Unreclaimed (UR) Sites Construction Completion Report (CCR) is to describe the tasks completed as described in the Final BPSOU UR Sites: UR-35 Remedial Action Work Plan (RAWP) (referred to herein as RAWP; Atlantic Richfield Company, 2025) (Appendix A). This CCR was prepared to outline Remedial Action (RA) tasks performed at the UR source area, UR-35, within the BPSOU (referred to herein as UR-35 Site or Site) as part of the Further Remedial Elements Scope of Work described in the BPSOU Consent Decree (EPA, 2020). All work was completed according to …

A Novel Approach For Evaluating And Comparing Multiple Antipsychotic Polypharmacy In Adults Across Specialist Intellectual Disability Services In England And Wales: A Retrospective Feasibility Cohort Study, Samuel J. Tromans, Helen Neilens, Crispin Musicha, Victoria Allgar, Emily Stanyard, Richard Laugharne, Paula Mcgowan, Angela Hassiotis, Sarah Lennard, Lance V. Watkins, Bhathika Perera, Kiran Purandare, Ashok Roy, Indermeet Sawhney, Sujeet Jaydeokar, Ryan Ashford, Chris Rollinson, Hanna Abraham, Nusra Khodabux, Ogheneochuko Akusu, Samuel Paisley, Georgios Mousailidis, Meera Naran, Rohit Shankar

Peninsula Medical School

Background:In England and Wales, significant numbers of people with intellectual disability (PwID) are prescribed antipsychotics for a range of licensed and non-licensed indications, particularly behaviours that challenge. There is no system to compare antipsychotic prescribing practices across specialist adult intellectual disability (ID) services.Aim:This study aimed to determine whether converting antipsychotics and their doses to equivalent chlorpromazine units enables comparison of licensed (psychosis, etc.) and non-licensed (behaviours that challenge) prescribing between different services.Method:A feasibility retrospective cohort study using convenience sampling captured anonymized data of PwID on ⩾2 antipsychotics across eight specialist England and Wales adult ID services. The doses prescribed across …

Leading Change In Healthcare: Building Systems, Retaining Nurses, And Creating Healthy Workplaces, Kaynabess Freda, Lisa A. Seldomridge, Crystal Devance-Wilson, Kimberly Hampton, Abigail Johnson

International Nursing Research Congress (INRC)

Nurse retention remains a significant international challenge, especially in acute care hospitals where workplace culture, belonging, and professional growth strongly influence retention (Lal, 2024; NursingSolutions, Inc., 2024). The need for effective retention strategies is amplified by factors such as the limited supply of experienced nurses causing hiring delays, declining enrollment in nursing programs, and an aging nursing workforce (AACN, 2024; WHO, 2025).

This presentation shares results from a collaboration among the Maryland Nursing Workforce Center, Lead Nursing Forward, and the Maryland Action Coalition to assess retention strategies in acute care hospitals. Two surveys were developed using the six Nurse Staffing …