Digital Commons Network^™

Nurse Self-Care And Resilience On 12-Hour Shifts: A Mixed-Methods Program Evaluation, Timothy C. Ortiz, Werayuth Srithumsuk, Kattiya Podimuang, Wendy Campos, Merita Geo, Pinthusorn Pattayakorn

International Nursing Research Congress (INRC)

Purpose: This evidence-based quality improvement project is aimed to implement and evaluate a self-care resilience program designed to improve work-life balance and self-care management for bedside nurses working 12-hour shifts in an acute care hospital. High rates of burnout and turnover among this population threaten both nurse health and patient care quality.

Methods: Guided by the principles in "Self-Care for New and Student Nurses" (Fontaine et al.), an 8-week program was developed and piloted with 50 medical-surgical nurses. The multi-component intervention included: (1) structured education on mindfulness, sleep hygiene, and nutrition; (2) skill-building workshops in paced breathing and micro-movements for …

Japanese Public Health Nurses' Culturally Sensitive Disaster Nursing In Islands - Focusing On Soc, Miki Marutani, Sagiri Aoki, Yukiko Anzai, Hiroko Okuda, Mayumi Kako, Susumu Fukita

International Nursing Research Congress (INRC)

Objective: Natural disasters are intensifying due to climate change. Sense of Coherence (SOC) enhances a community's resilience to disasters (Sutton et al., 2020). Public health nurses (PHNs) are required to enhance people's SOC to prevent health crises(Sofyana et al., 2022).Previous studies found that PHNs in islands recognized that while islands are vulnerable to disasters, they also possess a culture regarding disaster preparedness(Marutani et al., 2020) .This study identifies elements within the culture of remote islands, as understood by public health nurses, that align with SOC.

Methods：In 2023–2024, we conducted semi-structured interviews with seven PHNs on five islands regarding disaster-related culture. …

The Picaso Trial: Studying Aya Chronic Illness Self-Management Using A Noncategorical Approach, Sharron L. Docherty, Gary Maslow, Mclean Pollock, Susan Silva, Erin Denio, Lakaya Craig, Remi Misiewicz

International Nursing Research Congress (INRC)

Background: Adolescents and young adults (AYA) with childhood-onset chronic conditions often struggle during the transition from pediatric to adult healthcare and from being a child living with a chronic condition to an adult who effectively manages their chronic condition. Despite shared developmental, psychosocial, and healthcare transition challenges, most research is condition-specific, limiting generalizability and overlooking shared self-management needs (1-3). The PiCASO study evaluated a peer coaching intervention to improve self-management and patient activation among AYA during this critical transition and demonstrated the feasibility and impact of a noncategorical approach.

Methods: A randomized controlled trial was conducted in which 222 AYA …

Factors Influencing Physical Activity Post-Hospitalization In Cardiac Patients Reporting Hopelessness, Eleanor Rivera, Lola Coke, Nathan Tintle, Madison Goodyke, Anna Luong, Susan Dunn

International Nursing Research Congress (INRC)

Background: Lack of physical activity (PA) is a major health risk factor, associated with high burden of ischemic heart disease (IHD) [1]. Increasing PA demonstrates health benefits but meeting PA guidelines is difficult for patients with IHD. Furthermore, patients with IHD who experience hopelessness, a negative outlook and sense of helplessness about the future [2], may face additional barriers in meeting PA guidelines. This study used a qualitative approach to explore the self-reported barriers and motivating factors to meeting PA goals for patients with IHD.

Methods: The Heart Up! Study was an RCT testing a 6-week motivational intervention in individuals …

Lifestyle Intervention: Effects On Glycemic Control And Medication Reduction In Type Ii Diabetes, Karlen E. Luthy, Sydney Smith, Christine Rae Platt, Janelle L. B. Macintosh, Neil E. Peterson, Janessa Johnson

International Nursing Research Congress (INRC)

Background: Diabetes Mellitus Type II (DMII) is a condition that affects millions of people every year and, while preventable, remains one of the top causes of death and disability in the United States. Typical treatment for DMII is focused on using pharmacological measures to lower and maintain hemoglobin A1C in a healthy range. Providers in a family practice clinic established a lifestyle change program to assist patients to reduce their A1C while also reducing the number of diabetic medications they take. The program was intended to improve metabolic health without relying solely on pharmacotherapy. The program encourages a low carb …

Growth With New And Old Technologies, Bernardo S. C. Ribeiro

Cowles Foundation Discussion Papers

This paper proposes a semi-endogenous growth theory that incorporates technology vintages and the endogenous evolution of multiple technological paradigms through innovation. It provides a characterization of both balanced growth equilibrium and transitional dynamics in an environment where new technologies continuously emerge. From a positive perspective, the model rationalizes two distinct empirical patterns. Using two centuries of US patent data, I first document that the age profile of patents has a pronounced hump shape: most contemporary patents build upon technologies that are between 50 and 100 years old. Second, this age profile has remained stable throughout the past century. From a …

Insurance: A Hidden Tool In The Fire Adapted Community Toolbox?, Michael Patrick Wilshire

Dissertations and Theses

Increased costs associated with wildfire activity in the Western United States has raised concern about the long term stability of homeowners insurance. One popular approach to reducing the risk of catastrophic wildfire is the completion of Firewise behaviors on residential properties. I explored homeowner experiences with homeowners insurance, and asked if rising insurance premiums and policy non-renewals are affecting homeowners' Firewise behaviors. I surveyed homeowners living in the Wildland Urban Interface (WUI) in Deschutes County, Oregon to understand their experiences with homeowners insurance, past Firewise actions, and intentions to complete Firewise actions in the near future. Most homeowners surveyed have …

Economic Policies And Their Role In Enhancing Innovation: An Econometric Study Of South Korea (1996–2024), Ahmad M. Habeeb, Mahdi Saleh Sulaiman Al-Rikani

Muthanna Journal of Administrative and Economics Sciences

This research aims to study and analyze the impact of macroeconomic policies (fiscal, monetary, and trade) on promoting innovation in South Korea during the period 1996-2024 using the ARDL model. The results of estimating the model’s parameters in the short and long run showed a stable equilibrium relationship, with an error correction coefficient of –0.173. This indicates that the Korean economic system possesses a self-correcting mechanism that restores equilibrium shocks within approximately 5 years and 9 months. The results also demonstrated the importance of education spending and the money supply in stimulating and promoting innovation, while trade liberalization had a …

The Impact Of Using Block Chain Technology On The Quality Of Financial Statements Of Economic Units, Hussein Abdul Mohsen Kazem

Muthanna Journal of Administrative and Economics Sciences

The current research aims to identify the concept of Block Chain technology, its characteristics and mechanism of action, and to clarify the nature of the quality of financial statements in economic units, as well as to show the extent of the impact of the use of Block Chain technology on the quality of financial statements in economic units, as the research problem crystallized in the extent of the reflection of the use of Block Chain technology on the quality of financial statements of economic units, and the study adopted the (descriptive analytical) approach in presenting the theoretical frameworks and then …

Consumer Behavior In The Social Media Ecosystem: A Scoping Review Of Influential Factors, Huda Fadhil Gatea

Muthanna Journal of Administrative and Economics Sciences

The rapid expansion of social media has fundamentally transformed the ways consumers search for information, interact with brands, and make purchasing decisions. This study provides a structured synthesis of the literature on consumer behavior in the social media ecosystem using a Scoping Review approach aligned with the PRISMA-ScR framework. The review aimed to map the main research streams, identify dominant thematic categories, and clarify the conceptual directions shaping this field. A total of 31 studies published between 2011 and 2025 were included in the final review following a multi-stage screening process involving identification, screening, eligibility assessment, and final inclusion. The …

Design And Fabrication Of 3d Bioprinted Scaffold: Experimental And Machine Learning Methods, Mohan K. Dey

LSU Doctoral Dissertations

The development of reliable hydrogel-based scaffolds for extrusion bioprinting remains limited by the poor structural fidelity of low-viscosity bioinks and the lack of robust, high-throughput quality evaluation methods. This dissertation can resolve such challenges by developing the combination of optimized hydrogel formulations, cryogenic-assisted bioprinting, and artificial intelligence (AI)-based scaffold evaluation to the use of tissue engineering and preclinical cancer modelling applications. To assess the rheological behavior, printability, mechanical properties, and biocompatibility of the alginate – gelatin (Alg–Gel) system, a novel system of hydrogel was developed and characterized using Alg–Gel hydrogel system. The 7% alginate, 8% gelatin mixture was found to …

Snap Into Action: Standardizing Nursing Neurologic Assessments In Pediatric Oncology, Katherine Smith, Jessica Mcwhorter, Cara Gliddon, Barbara Poloskey, Sanjiv Mehta, Kimberly Digerolamo

International Nursing Research Congress (INRC)

Background: Nursing neurologic assessments are essential for timely recognition and escalation of changes in neurologic status (1-3). However, nursing neurologic assessments lacked standardization on a 51-bed pediatric oncology and bone marrow transplant unit. Approximately 40% of emergency transfers (4) over three years were related to neurologic changes and nurses lacked confidence in performing neurologic assessments.

Purpose: The purpose of this quality improvement project was to standardize the process for nursing neurologic assessments, with aims to: 1) increase nurses’ confidence in performing neurologic assessments and 2) decrease emergency transfers related to changes in neurologic status.

Methods: The Serial Neurologic Assessment in …

A Language We Built Together: A Physician Assistant’S Reflection On A Renal Transplant, Oviya Mahendran, Sampathkumar Sakthi Selvakumar

Journal of Wellness

This is not just a story of kidney transplantation in a tertiary care hospital in a tier-2 city of South India. It is all about a true clinical journey of resilience, where a young woman with congenital hearing loss, battling chronic kidney disease, discovered hope, understanding, and companionship through a physician assistant's compassionate communication.

Evolution Of Global Sea‐Level Rise Projections And Their Uncertainty, Andra J. Garner, Amy Appollina, Jessica Slotter, Gregory G. Garner, Aimée B. A. Slangen, Robert E. Kopp, Benjamin P. Horton

School of Earth, Environment, and Society Faculty Publications and Presentations

For more than 40 years, scientists have projected future sea‐level change. Documenting how sea‐level projections have evolved is vital for tracking progress, uncertainties, and future research needs. Here, we update and analyze a database of global‐mean sea level (GMSL) projections dating from 1982 to 2025, identifying five key findings. First, GMSL projection generation has been concentrated in a small number of developed countries, with 95% of projections produced in the United States, United Kingdom, European Union, or Australia. Second, while GMSL projections for 2050 and 2100 have been published regularly since the early 1980s, only 30 of 103 studies have …

The Mediating Role Of Production Process Efficiency Through Lean Production In Enhancing Institutional Excellence: An Applied Study At The Maysan Oil Factory, Asst. Lect. Wasan Jawad Kadhim

Muthanna Journal of Administrative and Economics Sciences

This study aimed to analyze the mediating role of production process efficiency in the relationship between lean production and organizational excellence, through an applied study at the Maysan Oils Factory. This was done within the framework of efforts to improve operational performance and enhance the competitiveness of industrial enterprises. The study’s significance stems from its highlighting of lean production as a modern strategic approach and its showcasing of the role of production process efficiency as an intermediary mechanism that contributes to achieving organizational excellence in the industrial environment. The study adopted a descriptive-analytical approach. The study population consisted of employees …

The Impact Of Cyber Resilience On Achieving Digital Development: A Survey Study At North Oil Company, Huda Abdul Rahim Hussein, Ali Abdul Fattah Alshaher, Ahmed Zuhair Tawfiq

Muthanna Journal of Administrative and Economics Sciences

The research aims to identify the impact of cyber resilience on achieving digital development in the North Oil Company within the framework of a conceptual model that relies on cyber resilience as an independent variable with its four dimensions (prevention, protection, response, recovery) and a dependent variable represented by digital development with its dimensions (digital infrastructure, digital skills, digital inclusion, technological innovation) The research adopted a survey methodology, and data was collected using a questionnaire developed based on previous studies that employed tested measures in the field of information systems and information security. The research sample consisted of 312 individuals …

The Impact Of Generative Ai Applications On Employees’ Perceived Job Security: A Field Study In Knowledge-Intensive Organizations In Iraq, Hayder Ibrahim Hassoon

Muthanna Journal of Administrative and Economics Sciences

This study examines the impact of generative artificial intelligence (GenAI) applications on employees’ perceived job security within knowledge-intensive organizations in Iraq. A quantitative, descriptive–analytical field design was employed. Data were collected through a five-point Likert-scale questionnaire administered to a stratified random sample of 420 employees from four organizations: Zain Iraq, Asiacell, Korek, and Rafidain Bank. The independent variable was operationalized through three dimensions: intensity of daily GenAI use, the impact of automation and job redesign, and organizational governance of GenAI use. The dependent variable was employees’ perceived job security. Reliability and construct validity supported the instrument’s adequacy for analysis, with …

The Role Of Agile Human Resources In Enhancing Job Performance: An Exploratory Study Of The Opinions Of A Sample Of Human Resources In The Traffic Directorate Of Sulaymaniyah Governorate, Wafaa Salman Ibrahim, James Yohana Odeesh

Muthanna Journal of Administrative and Economics Sciences

Many organizations face challenges related to poor job performance resulting from difficulty adapting to rapid changes in the work environment. This necessitates the adoption of modern management approaches capable of enhancing human resource efficiency and improving performance levels. Agile human resources is one of the most important of these approaches that contributes to enhancing job performance. Based on this, this research seeks to identify the role of lean human resources as an independent variable in enhancing job performance as a dependent variable in the Sulaimaniyah Governorate Traffic Directorate. The research relied on a questionnaire as a data collection tool, consisting …

Effectiveness Of Banking Marketing Strategies And Their Impact On Attracting Customers: A Comparative Study Between The Trade Bank Of Iraq (Tbi) And The Bank Of Baghdad, Azzam Saleh Abd

Muthanna Journal of Administrative and Economics Sciences

The research problem centers on the growing gap between the marketing strategies adopted by Iraqi banks and the increasing expectations of customers in the digital age, which has led to a noticeable disparity in the ability to attract and retain customers between the public and private sectors. Despite its capital strength and sovereign status, the Trade Bank of Iraq (TBI) faces challenges in aligning its marketing flexibility with the needs of individuals versus large corporations, while the Bank of Baghdad struggles to promote trust and security to compete with government guarantees. To analyze this problem, three main hypotheses were formulated: …

2026 August 27 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

A Fireside Chat With Aarti Sheth '14, Netflix, Cardozo Fame Center, Aarti Sheth

2026 Event Invitations

Aarti Sheth '14, Director, HR Business Partner at Netflix, will join Professor Barbara Kolsun '82, Director of the FAME Center, in a conversation about finding work in the entertainment industry.

The Impacts Of Emotions On Thirst Among Heart Failure Patients, Chieh-An Yang, Hsing-Mei Chen, Tsung-Neng Tsai, Chieh-Yu Liu, Hui-Ju Lu, Ting-Ti Lin

International Nursing Research Congress (INRC)

Purpose: Thirst, characterized by sensations of oral dryness and a craving to drink, is a ubiquitous experience among heart failure (HF) patients. Besides reduced cardiac output, the clinical treatments for HF patients (e.g., diuretics, fluid restriction) may activate the renin-angiotensin-aldosterone system (RAAS), exacerbating their thirst distress.

Negative emotions are commonly experienced among heart failure patients. Previous studies have suggested that emotions (e.g., anxiety, depression) may activate the sympathetic nervous system, reducing the secretion of saliva, which, in turn, may increase sensations of dry mouth among HF patients. However, the relationship between emotions and thirst distress remains unclear. Therefore, the aim …

Losac Minutes 2026-08-27, Library Operating Staff Advisory Committee

University Libraries Archives

No abstract provided.

Spartan Daily, August 27, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 167, Issue 04

Assessing The Evolving The Culture Of Biology Program Through The Lens Of The Teacher-Centered Systemic Reform Model, Diyala S. Shihadih, Elizabeth Runkel Baez, Mitra Asgari, Justin Berl, Adam J. Chouinard, Stephanie J. Gutzler, Kaleb K. Heinrich, Eden Riordan, Star W. Lee, Erin E. Shortlidge

Biology Faculty Publications and Presentations

There are persistent national calls to advance evidence-based instructional practices to increase the number of students graduating with science degrees. Evolving the Culture of Biology is a program designed to improve undergraduate education by prioritizing graduate teaching assistant teaching professional development (TA-TPD). Guided by the Teacher-Centered Systemic Reform (TCSR) model, this study examined how TA TPD practitioners’ (participants) attitudes, personal factors, institutional contexts, and instructional practices shape TA-TPD reform outcomes. Using a pre-program survey and end-of-year semi-structured interviews, we gained insight into participants’ experiences as they developed and implemented reformed TA-TPD. We investigated how TCSR components differentially influenced participant progress, …

Development And Evaluation Of An Llm Based Nursing Documentation, Sumi Sung, Hyeyoung Lee, Wooje Sung, Do Yeon Kim, Jung Eun Hong, Yewon Lee, Seung Hee Lee

International Nursing Research Congress (INRC)

Background: Accurate nursing documentation is essential for communicating patient status and ensuring patient safety. However, heavy workloads and non-standard terminology often lead to omissions and errors. Large language models (LLMs) show promise in supporting nursing documentation, but hallucinations raise safety concerns. To mitigate these risks, we adopted a retrieval-augmented generation (RAG) approach that grounds responses in standard nursing terminologies [1]. This study aimed to develop and evaluate an RAG-based chatbot that supports nursing documentation using standard terminology and procedures.

Methods: From January 2022 to May 2024, we analyzed 70,926 unstructured nursing narratives from 76 patients with myocardial infarction who underwent …

Best Practices For Implementing Culturally Responsive Teaching In The Elementary Music Classroom To Promote Student Equity, Inclusion, And Cultural Representation, Anne E. Champa

Graduate Teacher Education

This paper examined the best practices for incorporating culturally responsive teaching into the elementary music classroom to promote equity, inclusion, and cultural representation. As classrooms become more diverse, educators must adapt their curriculum and instructional practices to ensure all of their students' needs are met. Unlike regular classroom elementary school teachers, who work with a small group of students for the entire school year, elementary music teachers work with every student in the building. Therefore, elementary music teachers are in a unique position to effectively lead with a culturally responsive curriculum. This literature review was organized into three overarching themes …

Approval Of Mckee Remains Low, Foulkes Opens Wide Lead In Democratic Rhode Island Gubernatorial Primary 8/27/2026, Unh Survey Center

All UNH Survey Center Polls

Helena Foulkes has increased her lead over incumbent Dan McKee in the race for the Democratic nomination for Rhode Island Governor. Foulkes leads in general election scenarios against prospective Republican challengers Elaine Pelino and Aaron Guckian as well as Independent Ken Block, while McKee is statistically tied with Block in general election matchups. Four in five Rhode Island residents disapprove of McKee's handling of his job as governor, an all-time high, with particularly poor marks for his handling of the cost of living, roads & bridges, and housing. There are no clear leaders in the Democratic primaries for Lieutenant Governor …

Governor Lamont's Job Approval Slides In Ct But Maintains Lead Over Fazio In Bid For Re-Election 8/27/2026, Unh Survey Center

All UNH Survey Center Polls

Incumbent Democratic Connecticut Governor Ned Lamont, fresh off a victory in the Democratic primary, leads Republican nominee Ryan Fazio in the general election. However, approval of Lamont’s performance in office has fallen to its lowest level in the past year and a half. Lamont receives low marks on his handling of the cost of living, taxes, and housing, the three most important problems facing the state. Many state residents have heard about the debate surrounding automated traffic cameras in Connecticut and a majority support a moratorium on the installation of new cameras. Most state residents support several aspects of a …

Ayotte's Approval Improves, Lead Over Warmington Grows In New Hampshire Gubernatorial Race 8/27/2026, Unh Survey Center

All UNH Survey Center Polls

Governor Kelly Ayotte has increased her lead in the 2026 New Hampshire gubernatorial election over presumptive Democratic nominee Cinde Warmington. Nearly all Republicans and a plurality of Independents plan to vote for Ayotte while four in five Democrats plan to vote for Warmington. Approval of Ayotte's job performance has also increased since July. Housing remains the most important problem facing New Hampshire, but the proportion of state residents who say taxes are the most important problem is at its highest point in more than two decades.