Digital Commons Network^™

Bridging The Language Gap: The Impact Of In-Person Versus Remote Interpreter Services On Medication Adherence And Patient Safety In Adult Spanish-Speaking Patients, Ashley E. Alarcon Martinez, Jocelyn N. Lopez Maradiaga

Nursing | Student Research Posters

Background: Significant health inequities are caused by language barriers between patients and health care staff, resulting in miscommunication among adult Hispanic patients with low English proficiency, reducing medication adherence, impairing patient safety, and raising the possibility of medical errors. To address this issue, interpreter services, both in-person and remote translation, have been introduced in healthcare settings to enhance communication. Objective: The purpose of this study is to investigate the differences in patient safety and medication adherence between in-person and remote translation services for adult Hispanic individuals with limited English proficiency in healthcare settings. Methods: The proposed research involves five local …

Addressing Mental Needs In The Justice System, Danna B. Perez

Capstone Projects and Master's Theses

Clients in the Mental Health Diversion Program often struggle to understand legal requirements due to the impact of mental health symptoms, which can interfere with their ability to complete the program. This capstone project was implemented at the Monterey County Public Defender’s Office within the Mental Health Diversion team, which serves individuals in the legal system with mental health challenges. The project aimed to strengthen staff communication with clients by providing a training presentation on mental-health-informed communication strategies. A post-presentation survey measured staff experience, confidence, awareness, and intention to apply the techniques. Results showed that most staff already had extensive …

Perception Of Drinking Water Quality Among Arkansas Residents, Kolade Olawale Olatunde

Graduate Theses and Dissertations

Objective: Perceptions of drinking water quality influence public trust, water consumption behaviors, and the willingness to invest in infrastructure improvements. Despite the importance of safe drinking water, regional and socio-economic disparities impact how residents perceive their tap water and their readiness to pay for enhancements. While past research indicates that negative views of tap water quality have resulted in behavioral changes, the connection between perception and actual household water usage remains ambiguous. This study aims to investigate how perceptions of drinking water quality differ across regions in Arkansas and how residents are willing to invest in quality improvements. Method: A …

Exploring The Relationship Between Secondary Student Perceptions Of Teacher Involvement And Student Academic Success In Online Social Studies Courses, Thomas Matthew Herrington

Electronic Theses and Dissertations

The rapid growth of online learning in secondary education has highlighted the need to better understand factors that contribute to student success. While considerable research has examined online learning at the postsecondary level and in state-tested subjects, little attention has been given to social studies courses. This qualitative study explored the relationship between secondary students’ perceptions of teacher involvement and their academic success in asynchronous online social studies courses. Participants included 22 students from two accredited high schools in Mississippi, one fully online and one traditional brick-and-mortar school, both of which offered asynchronous social studies courses approved by the state …

Adoptive Parents Use Of Social Media To Discuss Adoption Communicative Openness, Hannah Araba Baidoo

Electronic Theses and Dissertations

Adoption communicative openness (ACO) involves dialogue between adoptive parents and their adopted children about adoption-related issues. Through this communication, parents share information about birth families and address adoptees questions to support psychological well-being. Although ACO benefits adoptees, research rarely examines how adoptive parents themselves practice and experience openness. This study explores how adoptive parents discuss ACO with one another on the r/AdoptiveParents subreddit. Using qualitative discourse analysis, it examines how parents describe their challenges, and success surrounding communication openness. The analysis highlights parent’s concerns about when and how to disclose adoption information and the uncertainty that shapes their communication choices. …

"That Was Something I Had To Get Used To”: Communication Challenges Of African Graduate Teaching Assistants, Mohammed Hafiz Nabila

Electronic Theses and Dissertations

This qualitative study examined the communication challenges and adaptive strategies of African Graduate Teaching Assistants (AGTAs) in U.S. higher education, focusing on East Tennessee State University. The study aimed to understand how AGTAs navigate linguistic, cultural, and institutional barriers in their teaching roles. Using semi-structured interviews with seven participants, data were analyzed through thematic analysis to identify key patterns and meanings. Findings revealed challenges related to accents, cultural adjustment, and limited institutional preparation. Faculty mentorship played a vital role in shaping AGTAs’ confidence, interpretation of challenges, and professional growth. However, lack of support often led to isolation and self-doubt. The …

Interpersonal Communication: A Mindful Approach To Relationships 2nd Edition, Jason S. Wrench, Narissra M. Punyanunt-Carter, Katherine S, Thweatt

Milne Open Textbooks

Interpersonal communication is the way we connect with others. Whether engaging with a spouse, a coworker, a close friend, or a stranger, our daily lives are defined by the messages we send and receive. Interpersonal Communication guides students through the complex landscape of human interaction, helping them navigate relationships in the twenty-first century.

A Mindful Perspective

What distinguishes this textbook is its integration of mindfulness into the study of communication. Moving beyond simple skills training, the text encourages students to engage in mindful awareness and mindful practice. By learning to be fully present, open, and non-judgmental, students develop the …

The Future Is Now: Empowering Society Through Ai Literacy, Jason S. Wrench, Sanae Elmoudden

Milne Open Textbooks

Artificial Intelligence (AI) is no longer a futuristic concept—it is the reality of the present. From the algorithms shaping our social media feeds to the generative tools transforming our workplaces, AI has permeated every aspect of modern life. The Future is Now moves beyond the hype to provide a comprehensive roadmap for understanding, navigating, and shaping this technological revolution.

Demystifying the Machine

This textbook serves as a user-friendly guide to the “black box” of AI. It breaks down complex technical concepts—from machine learning and neural networks to large language models—making them accessible to students across all disciplines. By establishing a …

A Qualitative Study Of Health Priorities Of People With Dementia And Care Partners In Emergency Department And Hospital Care In A Public Safety-Net Setting, Anita Chary, Sumin Yoon, Victor Lara, Annika Bhananker, Michelle Suh, Kei Ouchi, Maura Kennedy, Aanand D Naik

Faculty, Staff and Student Publications

Background: Over half of the people with dementia visit the emergency department (ED) each year. Little is known about how people with dementia and their care partners conceptualize or communicate about health outcome goals or care preferences during acute care episodes.

Participants and setting: We conducted interviews with 14 Hispanic people with dementia and 19 care partners recruited from a public safety net hospital system in the southeastern United States. Participants were community-dwelling and had recently visited the ED.

Methods: We used a qualitative study design informed by phenomenology and guided by the patient priorities care (PPC) framework. Interviews elicited …

The Cowl - V. 89 N. 9 - November 20, 2025

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 9 - November 20, 2025. 24 pages.

Agricultural Extension Agents’ Current Usage Of Social Media In Extension Work And Challenges They Face, Howard M. Wallace Ii, K. S. U. Jayaratne, Wendy Warner, J. Dara Bloom, Julia Mckeown

Journal of Extension

The purpose of this descriptive survey research study was to determine Agricultural Extension Agents’ (AEA) current usage and challenges faced when using social media in their work. AEAs primarily utilized social media to distribute announcements about upcoming events and programs, market extension programs, and share information with clients. They did not use social media to communicate with extension advisory groups, evaluate extension educational program impacts, or conduct needs assessments. This study identifies the major challenges AEAs face such as lack of organizational support when they use social media and makes recommendations to face those challenges proactively.

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …

Love At A Distance: Exploring Perceptions Of Long-Distance Relationships Through Q Methodology, Ljubica Ivanovic Klobcic

Theses and Dissertations

With technology advancing and making it easier for individuals to connect and keep in touch, long-distance romantic relationships (LDRRs) have become increasingly common. While some people thrive in these relationships despite physical separation, others find the experience stressful and unsatisfying. This study explores how individuals perceive and navigate LDRRs and what their experiences are. Using Q methodology, participants sorted and ranked statements related to their experiences. Factor analysis revealed three unique groups: Traditional Romantics, who see their relationships in traditional terms despite technology use; Debbie Downers, who perceive distance as a burden and do not feel that technology improves their …

Budget And Collection Management Communication Strategies, Tools, And Methods, Evan Rusch, Heidi J. Southworth, Daardi Sizemore Mixon, Lisa Baures, Nat Gustafson-Sundell, Joe Holtermann

Library Services Publications

Many libraries face challenging budget situations. Communication with departments and administration about budget management and related changes to collections can be crucial to maintain constructive relationships and to improve cooperative planning. Academic libraries often rely on librarian liaisons to communicate directly with departments, but additional communication efforts are sometimes pursued. Libraries could learn from one another by sharing their communication strategies, tools, and methods. Our library has recently focused on collections communication across a range of projects and audiences. These projects have included a budget reduction plan and major print deselection project, as well as ongoing, prospective budget management. The …

Analysis Of Libraries’ Onboarding Documentation At A Metropolitan University Consortium, Sonali Sugrim, Eric Silberberg

Urban Library Journal

This study investigates the extent to which onboarding documentation for academic librarians prioritizes long-term employee success. The authors applied content analysis to the onboarding documents from a consortium of libraries in a major metropolitan area in the United States. Study findings reveal that the onboarding documents prioritize introducing new hires to organizational structure rather than integrating them into the workplace culture. Most documents are checklists; however, some libraries provide comprehensive manuals, particularly regarding the tenure process. Notably, only half of the libraries include information about mentorship programs. Based on these findings, this study offers recommendations for improving onboarding documentation, including …

The Cowl - V. 89 N. 8 - November 13, 2025

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 8 - November 13, 2025. 20 pages.

Virtual Nurse Discharge: Improving Patient And Nurse Experience, Dina Flihan, Christine Odell, Stacey Davis, Carolyn Oates, Fay Wright

Patient Experience Journal

This case study reviews the virtual discharge nurse (VDN) process and its impact on patient experience and nursing workflow as an exemplar of an effective telehealth innovation at a community hospital 23-bed Short Stay Unit (SSU). At the SSU, the daily turnover rate of more than 50% of the unit census challenged the nurses’ ability to provide comprehensive individualized discharge education. SSU patient experience scores measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) reflected opportunities to improve the discharge process. Therefore, the direct care nurses on SSU suggested a trial innovation of a VDN to improve …

A Case Report On Meeting The Spiritual Need Of Intubated Conscious Patient, Mahuya Karmakar, Santhna Letchmi Panduragan, Faridah Mohd Said

Patient Experience Journal

Nurses are showing more interest in including spiritual health to prevent and treat illnesses. For patients who can speak may ask for their spiritual need to the health care provider. But for intubated patients it.s difficult to express such needs. Most of the time caregivers focus on the physical parameters only for intubated patients. Apart from physical symptoms these patients also experience a variety of bio-psycho-socio-spiritual sensations. Research has shown that spiritual therapies can reduce distress, assist in preparing the patient for end-of life care, and enhance overall wellbeing along with improving their quality of life. The purpose of this …

Communicating Effectively When Engaging People With Lived Experience In Mental Health And Substance Use Health Research: A Qualitative Descriptive Study, Lisa D. Hawke, Wuraola Dada-Phillips, Charlotte Munro, Shoshana Hauer, Claudia Sendanyoye, Yona Lunsky, Gillian Strudwick, Tanya Halsall, Natasha Y. Sheikhan

Patient Experience Journal

Background. People with lived experience of mental health and/or substance use challenges and families (PWLE/F) are increasingly engaged in research, providing positive impacts. However, effective engagement can be challenging, including ensuring effective communication. This qualitative study sought to understand the communication preferences of PWLE/F who are engaged in mental health and substance use health research. Method. A total of 18 participants (aged 19 to 79) took part in one of four focus group discussions. A semi-structured interview guide was used to facilitate the discussions. Focus group transcripts were analyzed using codebook thematic analysis. PWLE/F were engaged in all stages of …

Correlation Between Resident Physician And Patient Perceptions Of Empathy In The Emergency Department, Austin Porter, James Christian, Meryll E. Bouldin, Erin Willard, Stefan Graw, Sarah House, Sofie Morgan, Kristin Parker, Carly Eastin

Patient Experience Journal

Background: Empathy is essential for emergency medicine physicians, impacting patient outcomes and experiences, especially in the fast-paced emergency department (ED). However, empathy often declines during medical training, negatively affecting care. Little is known about how emergency medicine trainees perceive their empathy compared to their patients. Objective: This study aimed to explore the correlation between patient perceptions of resident physician empathy and residents’ self-perceptions during ED visits. Methods: This was a prospective observational study was conducted at a Level 1 Trauma and Tertiary Care Center in the south-central U.S., using the Consultation and Relational Empathy (CARE) Measure. At patient disposition, ED …

The Hand We Hold: Reflections On Empathetic Practice In Medicine, Aravind Sreeram

Patient Experience Journal

In this narrative, I reflect on an early clinical encounter that reshaped my understanding of what it means to provide patient-centered care. As a medical student, I entered the exam room with a preset algorithm of what to say and how to act. Yet, when faced with a patient whose suffering could not be measured or addressed by any checklist, I realized the limitations of my scripted approach. I began to understand that some of the most meaningful contributions we offer in healthcare come not from solutions, but from presence. This experience helped me see that patient partnership is not …

Don’T Flatline On Acls Skills: Jumpstart Nurses’ Training With Rapid-Cycle Deliberate Practice, Tracy Montesa Dnp, Aprn, Accns-Ag, Ccrn, Maricar Tapiador Msn Rn, Ne-Bc, Darlene Seeman Msn, Rn, Cen, Tcrn, Tns, Debbie Kantoris Msn, Aprn, Ccns, Ccrn, Angela Flynn Msn, Rn, Npd-Bc

Nursing Research & Professional Development Conference

Background and/or rationale

The Resuscitation Quality Improvement (RQI) program provides initial advanced cardiac life support (ACLS) education and quarterly competency assessments. However, its self-directed format creates gaps in effectively practicing the American Heart Association guidelines. Evidence supports that high-fidelity mannequins and Rapid Cycle Deliberate Practice (RCDP) improve resuscitation training through realistic scenarios and focused skill development.

Aim or purpose of the initiative

This project aims to enhance confidence in ACLS skills, improve role identification, and promote effective communication using a high-fidelity mannequin and practice of the megacode in RCDP format.

Implementation plan

Using the Melnyk framework, the best available evidence …

Anonymity And Social Pressure: A Sociological Analysis Of Lolcows On Kiwifarms, Mary R. Smith

Honors Theses

This research assesses the website KiwiFarms using a mixed-methods approach, including content analysis and descriptive statistics, to determine whether demographic factors, such as weight, disability, and sexuality, influence an individual’s susceptibility to online trolling for others' entertainment.

The study found that most disproportionately targeted group was found to be overweight females. Meanwhile, Kiwi Farms users were found to be predominantly male, aged 18-24, and reside in the United States. The study's results indicate that the expressions of anomie on KiwiFarms are predominantly disciplinary, suggesting that KiwiFarms users mainly focus their criticism on rule violations rather than targeting individuals based on …

‘In Texas, Everybody Wants Antibiotics’: Reducing Inappropriate Antibiotic Expectations And Use With A Provider-Patient Communication Tool In Primary Care, Ashley Collazo, Paige Wermuth, Johanan Luna Rodriguez, Kiara Olmeda, Azalia Mancera, Fabrizia Faustinella, Michael K Paasche-Orlow, Roger Zoorob, Barbara Wells Trautner, Larissa Grigoryan

Faculty, Staff and Students Publications

Background/objective: Patients often expect antibiotics for self-limiting diseases, pressuring providers to prescribe antibiotics unnecessarily. These expectations also contribute to the unsafe practice of taking antibiotics without a prescription (non-prescription use), such as pills retained from prior prescriptions or antibiotics from non-medical sources. Previous work shows that non-prescription use is due to strong, widely held misconceptions regarding the curative power of antibiotics. To reduce unnecessary use of antibiotics, we developed and pilot-tested a patient-focused, bilingual (English and Spanish) educational tool with patient and provider stakeholder input. The tool, a trifold brochure, included information on safe antibiotic use, potential antibiotic harms and …

The Cowl - V. 89 N. 7 - November 6, 2025

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 7 - November 6, 2025. 16 pages.

Differences In Patient And Parent Preferences For Prognostic Communication Across Disease Milestones In Advanced Childhood Cancer, Rachel A Kentor, Shoshana Mehler, Caroline Christianson, Harmony Farner, Tara M Brinkman, Justin N Baker, Pamela S Hinds, Jennifer W Mack, Erica C Kaye

Faculty, Staff and Students Publications

Background: Navigating prognostic communication is challenging for clinicians caring for adolescents and young adults (AYAs) with poor-prognosis cancer. Presently, little is known about how AYA and parent preferences for prognostic disclosure evolve over time. This study explored communication preferences at key illness milestones of disease progression to inform individualized, person-centered approaches to optimize prognostic disclosure.

Procedure: Sixty-five participants, including 25 AYAs aged 12-25 years and 40 parents, were recruited at distinct illness timepoints-diagnosis, relapse/progression, Phase I/II trial enrollment, and bereavement-to participate in semi-structured interviews about their preferences for timing, style, and content of prognostic communication. Rapid analysis was conducted to …

Rock Outcropping, Kaliakra Peninsula, Black Sea, Bulgaria, Barbara L. Gracious

HCA Healthcare Journal of Medicine

This photo, taken in June 2024 at the Northern Bulgarian Black Sea Coast, captures our fleeting time against that of ocean and rocks.

Cape Kaliakra (“Beautiful Headland”) has been fought over by various tribes and groups across centuries. Succession included the Dacians, Greeks, Ottoman Turks, the Russian Navy, and in the last century, the communist government of Bulgaria. Now a nature reserve, dolphins play off the coast and cormorants seek its updrafts.

Cape Kaliakra sits on the Via Pontica, an ancient Greek road and major bird migration route from Africa into Eastern and Northern Europe.

Its beauty and its importance …

The Cowl - V. 89 N. 6 - October 30, 2025

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 6 - October 30, 2025. 20 pages.

The Use Of The Useless:Semiotic Significance Of Redundancy In Communication, Shanshan Bai

Theoretical Studies in Literature and Art

The concept of redundancy is derived from information theory. However, as the question of significance is suspended in information theory, the important role of redundancy in communicating the textual meaning is hardly elaborated. From the perspective of semiotics, redundancy can be divided into in-text redundancy and out-of-text redundancy. In-text redundancy mainly unfolds in such forms as the indicator of intrinsic metalanguage, phatic symbols, and the built-in redundancy as a response to semiotics noise. Out-of-text redundancy primarily serves as genre determination, subcultural style representation, and conversion of markedness. Redundancy, as an organizational form of meaning interpretation in the dimension of temporality, …

Leadership In The Era Of Remote Work: Challenges And Strategies For Effective Management, Aferina Skeja

UBT International Conference

The rapid shift to remote work has transformed leadership practices across organizations. While remote work offers flexibility and global collaboration, it also introduces a range of management challenges. This paper examines the key challenges faced by leaders in remote settings, including communication barriers, employee isolation, accountability, and technological readiness. It synthesizes strategies recommended in the literature on remote leadership. Drawing on recent academic and practitioner sources, the paper emphasizes the importance of cultivating a robust digital communication culture, establishing clear expectations, promoting employee well-being, and maintaining a secure technological infrastructure. As organizations continue to navigate hybrid and fully remote work …