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The Cowl - V. 89 N. 20 - April 30, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 20 - April 30, 2026. 32 pages.

Patient Experience (Px) In Low- And Middle-Income Countries (Lmics): A Scoping Review, Yara Abou Harb, Geoffrey A. Silvera

Patient Experience Journal

Patient Experience (PX) is a growing subject in the healthcare industry due to its association with improved clinical outcomes, patient safety, and business motives. While PX is well studied in high income countries, little is known about the state of PX in Low and Middle-income countries (LMICs). Objective: The study aims to examine literature on PX and related concepts in LMICs. Methods: This study executes a PRISMA literature review of academic databases (Ovid Medline, CINAHL, EMBASE and Google Scholar) as well as hand searching of PX related websites from 2005 to 2024. Results: 67 references met search criteria. Four themes …

Applying A Patient Journey Mapping Approach To Understand Maternal Care Patient Journeys: A Pilot Study, Nicole Hicks, Kristin Tully, Christopher Goodier, Sreenath Chalil Madathil, Ayaba Logan, Myrtede Alfred

Patient Experience Journal

Introduction: In the United States, giving birth is the most common cause of hospitalization. Maternal care frequently represents birthing people's first experiences of prolonged interactions with the healthcare system. However, the structure of services is often fragmented and misaligned with individuals' needs, particularly for Black birthing people. Documenting birthing people's experiences during pregnancy and postpartum allows for identification of practices working well and opportunities to improve patient-centered maternal care. Methods: The mixed-methods study was conducted in the southeastern United States and used patient journey mapping(PJM) to document experiences of patients receiving maternal care at a large academic hospital …

The Role Of Social Media In Shaping Romantic Relationships, Chelsea A. Fiszbajn

Doctoral Dissertations and Projects

This quantitative study’s purpose was to examine the role social media has in adult romantic relationships. This study focused on the impact social media has on trust, communication, and the quality of the relationship. Social media platforms have become a very integral part of today’s relationships, which in turn has added room in the relationship for more jealousy, temptation, and validation from others. This study used a survey-based methodology to collect data on individuals' personal experiences and perceptions of how social media impacts their current romantic relationships. Using quantitative measures, the research evaluated how often a partner uses social media, …

Exploring The Perspectives Of Nurse Leaders On Motivational Interviewing For Workplace Well-Being, Quinais S. Yu

Creating Healthy Work Environments (CHWE)

Background: Nurse leaders face challenges in supporting staff well-being while managing their own, and effective communication is crucial.

Aim: This study explored nurse leaders' perceptions of factors influencing well-being, challenges they face, the impact of Motivational Interviewing skills, and their training needs in MI.

Methodology: Employing a qualitative, exploratory design, the study gathered insights from nurse leaders in Hong Kong clinical settings through individual semi-structured interviews, analyzed using thematic analysis.

Key Findings: Nurse leaders perceive MI as a valuable tool for effective communication and addressing staff ambivalence towards self-care. They emphasized the need for improved work environments, work-life balance, career …

The Impact Of The Protracted Conflict In Ukraine On Communication And Cultural Strategies For Refugees And Other Stakeholders, Kimberley Barker, David A. Victor, Christine R. Day

Global Advances in Business Communication

The Impact of the Protracted Conflict in Ukraine on Communication and Cultural Strategies for Refugees and Other Stakeholders

This research analyzes the complex challenges related to the impact of the protracted conflict in Ukraine on communication and cultural strategies for refugees and other stakeholders. The scope of those involved include the refugees, host families, related communities, paid or volunteer staff from governmental and non-governmental agencies, educational professionals, prospective employers, and colleagues.

On February 24, 2022, Russian armed forces enter Ukraine at the eastern border, their common border with Russia. This precipitates a massive refugee movement of millions of Ukrainians fleeing …

Supporting Positive Interactions With Individuals With Disabilities: A Law Enforcement Guide, Brittany James Jefferson, Mary Jan Greer

Spring 2026 OTD Capstone Symposium

This capstone project developed an educational guide to support law enforcement officers in creating safe and effective interactions with individuals with disabilities. A needs assessment informed the guide’s development, which was grounded in occupational therapy principles and the Person Environment Occupation Performance (PEOP) model. The guide was implemented within a law enforcement setting and evaluated through officer feedback. Findings indicated strong baseline experience among officers, with added value in providing structured strategies to support communication, interpretation, and de-escalation. This project highlights the role of occupational therapy in promoting inclusive, community-based practice.

Communication Modality And Communication Satisfaction In Relationships, Regina Richardson

Doctoral Dissertations and Projects

Communication modality choices available for individuals to use in their relationships are varied today. This qualitative phenomenological study examined communication modalities in two relationship dyads, seven married heterosexual couples and seven same sex platonic close friends, through individual and couple interviews. Findings showed that face-to-face communication was preferred for its emotional richness and ability to convey nonverbal cues like body language and tone. Participants felt these reduced misunderstandings and enhanced feelings of being heard, seen, and understood. Participants also stated presence and undivided attention were more important to communication satisfaction than any specific modality alone. Findings also show that communication …

Trialoguing About Engaging With Communication And Language In Relation To Mathematics And Its Education, David Pimm, Jenni Ingram, Núria Planas

The Mathematics Enthusiast

This is our introduction to the series of eight articles in the first part of the double special issue on the challenges of ‘Engaging with communication and language in relation to mathematics and its education’. In the current article, we think together about ‘communication’ and ‘language’ in relation to mathematics and its education, by turning to reflections and examples from our decades of work as researchers and teacher educators, and in response to the articles in this first part. Following the preamble, most reflections are presented in the form of a fresh trialogue, through which we share some perspectives and …

Silent Or Silenced? A Systematic Review Of Deaf And Hoh Workers In Io Psychology Research, Lora Bishop

Theses and Dissertations from DePaul University

Deaf and Hard-of-Hearing (DHH) workers report routinely missing workplace information that hearing colleagues receive through informal and ambient channels, as well as constrained participation in environments where communication norms treat hearing as the default. Despite over a century of research, this literature remains largely outside flagship industrial-organizational (IO) psychology journals. This dissertation conducts an integrative systematic review of 48 empirical studies published between 1919 and 2025, examining workplace outcomes and methodological patterns, the theoretical frameworks deployed, sampling and reporting practices, and the framing and identity-language conventions through which the literature engages DHH workers. The review appears predominantly in WORK and …

Family Communication Patterns And Romantic Partner Selection: A Proposed Study Of Divorce Risk And Relationship Stability, Lilliana De Leon, Maria Reeves, Joel Burgess, Monique Rodriguez

Posters - 2026

Family Communication Patterns Theory (FCPT) is described as repeated communication beliefs and behaviors that orient a family system and contribute to a shared reality. There are two different orientation styles describing family communication style. Conformity orientation creates a shared reality respective of parental authority and family rules. While conversation orientation creates a shared reality by encouraging open conversation, discussion, and argumentation. There are four family types including; pluralistic family, protective family, laissez-faire family and consensual family. Each experiencing different levels of conformity and conversation.

I Think You Overuse That Word: A Theoretical Examination From Multiple Lenses Of "Why Relational Beings Have Become Hesitant To Commit.", Rafe Karen

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper serves as a companion to a documentary film that explores the shifting landscape of modern relationships. The film presents personal narratives about dating, connection, and commitment, and the paper offers an experiential exploration of these themes, focusing on dating dynamics, social media, online dating, lack of connection, Coronavirus 2019 (Covid-19), video games, and the effects of overwhelming choice. Drawing from existing literature and insights gained during the filmmaking process, the paper analyzes broader societal and psychological patterns shaping modern relationships. Using a combination of filmed interviews and direct observation, the study examines the lived experiences of individuals navigating …

Communication Barriers Experienced By Academicians And International Students During The Education Process And Related Solutions, Ferhat Kaçar, Yusuf Taha Okan

Higher Learning Research Communications

Objective: In this study, we address the communication barriers between academics and international students using a phenomenological approach. The aim of the study is to examine in depth the communication barriers faced by these two groups in the education process and to develop solutions for these barriers.

Method: The qualitative data obtained from semi-structured interviews with 42 academics and 50 international students were analyzed using the MAXQDA 20 package program.

Results: In the study, four themes and sub-codes related to these themes were identified: (1) academics’ communications problems with international students, (2) solution suggestions for academics’ communication problems, (3) international …

How Does Communication Breakdown Impact Group Cohesion Over The Lifespan Of A Team?, Hannah Dyche

University Honors Theses

Communication is one of the main determinants of whether a team or group achieves a successful outcome; when it starts to erode, the team's overall goal often erodes with it. Communication breakdown within teams directly impacts group cohesion, causing small misunderstandings to escalate into larger conflicts. Every team experiences ups and downs, but maintaining a strong foundation of communication and continually strengthening it will prevent this breakdown.

Most of the existing research on team dynamics focuses on corporate environments. By shifting the focus to a short-term academic team, this thesis shows how communication breakdown impacts group cohesion over the lifespan …

A Narrative Study On The Resilience Of Women In Technology Careers, Gina J. Baldridge

Electronic Theses and Dissertations

In spite of the promotion of science, technology, engineering, and mathematics (STEM) education and careers, there is a lack of women entering the STEM workforce and majoring in STEM subjects. Women can experience gender bias and workplace marginalization in STEM careers, but have learned coping strategies that have contributed to their technology career resilience. The purpose of this narrative qualitative study was to explore how women working as individual performers and leaders in technology companies told their career stories of resilience through the perspective of change acceptance, confidence, and communication, three factors in Kumar’s CR8 model of resilience. The model …

Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek

Journal of Educational Research and Practice

Since 2012, a Japanese and a German university have conducted exchange programs. This study examined the effects of a short-term exchange program in 2023, focusing on intercultural sensitivity. Nine Japanese students and nine German students completed a 24-item Intercultural Sensitivity Scale before and after the program using a 5-point Likert scale. We performed cross-tabulations and analyzed differences between countries and pre- and post-program changes using chi-square or Fisher’s exact tests. The results suggest that even a short-term exchange enhanced Japanese students’ confidence in intercultural interactions and encouraged German students to reflect on their own culture. However, Japanese students showed lower …

The Evaluation Of Therapeutic Communication In Competency Based Nursing Education, Tracy J. Perron, Chelsea Lebo, Mary Louise Thomas, Romy Zemer

Creating Healthy Work Environments (CHWE)

Therapeutic communication is an essential part of nursing care. Therapeutic communication (TC) is the process of using verbal and nonverbal communication to connect with patients.TC is holistic, patient-centered and involves aspects of the physiological, psychological, environmental and spiritual care of the patient. Poor communication in the healthcare setting can lead to poor patient outcomes such as, decreased adherence to treatment, patient's dissatisfaction, inefficient use of resources and even death. Studies have shown that nurses lack communication skills due to a variety reasons from inadequate training, the lack of understanding of the importance of patient-centered communication, and the increased generational use …

The Cowl - V. 89 N. 13 - February 5, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 13 - February 5, 2026. 20 pages.

Communication As Layered Architecture: Core Processing And Empathic Modulation, Griselda Poe

Publications and Research

This paper proposes a structural re-description of communication by separating Core processing from its social interface. Using the developmental sequence of Large Language Models (LLMs) as an external reference point, a layered architecture is identified, consisting of a foundational Core processing layer and a subsequent Empathic modulation layer.

The investigation begins with the observation that empathic signaling can obstruct rather than facilitate interaction for certain individuals. By examining the emergence of Base AI—Core processing prior to empathic adjustment—it is demonstrated that coherent, constraint-preserving interaction is possible without affective resonance.

Through this framework, existing cognitive theories and observed "deficits" are repositioned. …

The Cowl - V. 89 N. 11 - January 22, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 11 - January 22, 2026. 20 pages.

Management Of Difficult Patient Situations, Sangeetha Larsen Mpas, Pa-C

Lynchburg Journal of Medical Science

The purpose of this paper is to provide strategies for clinicians to manage difficult patient interactions. A comprehensive search of PubMed was conducted, identifying articles that identified the root cause of difficult patient interactions and assessed methods for successfully navigating these situations. The term “difficult patient” reflects the interaction of patient behavior, clinician perception, and systemic constraints rather than an inherent patient flaw. Effective management involves reframing difficult behavior as an expression of unmet needs and responding with empathy, active listening, clear boundaries, and collaborative decision-making. System-level strategies reduce patient distress and clinician burnout. Ultimately, the difficult patient represents strained …

Redefining Rural School Leadership In The Post-Pandemic Era: Lessons From Covid-19, Brennan Kent

The Interactive Journal of Global Leadership and Learning

The COVID-19 pandemic fundamentally reshaped educational leadership, especially in rural school settings where leaders confronted unique resource constraints, geographic isolation, and heightened community interdependence. This conceptual study reexamines rural educational leadership in the post-pandemic era through a synthesis of findings from Author’s (2023) dissertation, The Rural Education Leadership Experience Amid the COVID-19 Pandemic, and current leadership theory. Drawing on the McREL Balanced Leadership Framework alongside adaptive and servant leadership models, the analysis identifies four interrelated dimensions that define post-pandemic rural leadership: communication as community cohesion, relationships as infrastructure, adaptive leadership as necessity, and well-being as a leadership priority. These …

Cultivating Trust, Communication, And Collaboration: A Relational Leadership Design For Intercultural Collaboration In Nouakchott, Mauritania, Elysse Audrey Burns

Doctor of Leadership

Foreign-led initiatives operating in Nouakchott, Mauritania, encounter challenges in collaborating effectively with local communities, hindering the growth of sustainable, locally driven leadership and contextually relevant initiatives. This doctoral project investigates how relational dynamics shape intercultural collaboration and responds through the development of a structured relational leadership certificate program grounded in the Mauritanian context.

Using documented discovery workshops and one-on-one interviews with Mauritanian and international practitioners, the research identified recurring concerns regarding decisionmaking authority, communication clarity, and the distribution of responsibility within foreignled initiatives. Participants described patterns in which expectations were inconsistently communicated, local voices were unevenly integrated into decisions, and …

The Effects Of Inadequate Training On Knowledge Management Systems: Retention Crisis Of Captains In The United States Army, Lexis R. Grudzinski

Theses and Dissertations

This research explores the relationship between the United States Army’s communication strategy in knowledge management for officers and the desires of captains to continue serving beyond their service obligation. Amidst the current retention crisis (Winkie, 2023) at the captain rank, blame often falls on factors outside of the Army’s control. This research, however, seeks to investigate a factor within the Army’s control and offer workable solutions.

For this research, we will use the common definition of knowledge management (KM): the process of creating, capturing, and organizing knowledge within an organization in a way that improves efficiency. KM includes both explicit …

Living In A Bubble: How Children And Adults Use Generics To Talk About Social Kinds In Unique Sociocultural Contexts, Ny Vasil, Alejandro Curiel, Tiffany Zhu, Anna Pederneschi, Katherine Ritchie

Philosophy Faculty Publications

Generics like "kids love sugar" convey generalizations. But what is their scope? Are they taken to be global, or can generics communicate regularities restricted to "sociocultural bubbles"? Two studies examined the developing capacity for contextual restriction of generics in 137 4-7-year-olds (63/70/4 female/male/other) and 222 adults (128/89/5 female/male/other). Participants evaluated generics attributing group properties prevalent globally vs. "within-bubbles," with contextual cues that speakers conveyed broad vs. contextually restricted regularities. Both children and adults appreciated that generics can communicate group characteristics occurring within narrow sociocultural contexts. Adults selectively endorsed global or local generics depending on context, but younger children allowed socially …

From Tension To Teaching: Combating Incivility And Bullying Behaviors Directed At Nursing Students, Shelley Dyal

Theses

Background: The phrase “nurses eat their young” has long been used to describe the culture of incivility and bullying often directed at nursing students. These behaviors in the nursing clinical learning environment break down nurse-student relationships. To address this issue, nursing staff must have the tools to fulfill their roles as educators and mentors in clinical settings. The purpose of this project is to implement and evaluate the effectiveness of an evidence-based asynchronous educational workshop focused on incivility reduction and student mentorship among nursing staff in a rural hospital setting.

Methods:  This study used a quantitative, one-group pretest–posttest intervention design …

The Obverse-Turing Test: Rethinking Authorship, Trust, And Time In An Accelerated Age, Michael J. Miller, Chatgpt (Ai~Nesbo+)

Psychology

In this paper, we propose a new test for scientific accountability in the era of artificial intelligence: the Obverse Turing Test for Authorship. While the traditional Turing test focuses on a machine's ability to mimic human intelligence, our test addresses the question: when should a scientific contribution involving artificial intelligence be attributed joint authorship? We argue that more and more authors are using AI in the idea generation and elaboration stages of their work, but rarely acknowledge this use explicitly. To examine this gap, we analyze examples of human–AI interactions across fields and propose a new approach to authorship based …

Restoring The Wild East: Predicting Public Support For Cougar And Red Wolf Reintroduction In The Eastern United States, Benjamin Ghasemi, Jeremy T. Bruskotter, John A. Vucetich, L. Mark Elbroch, Robyn S. Wilson, Neil H. Carter, Axel Moehrenschlager, Shelby Perry, Joseph W. Hinton

Michigan Tech Publications

Restoring large carnivores to human-dominated landscapes remains ecologically and socially contentious, though reintroduction may offer important benefits where coexistence is possible. Yet, efforts to reintroduce cougars (Puma concolor) and red wolves (Canis rufus) in the Eastern U.S. face major challenges, largely due to human-caused mortality and opposition. We employed the hazard acceptance model and structural equation modeling to investigate the socio-psychological drivers of public support for reintroduction. Survey data were collected from residents of the Eastern U.S. for cougars (n = 2665) and red wolves (n = 3825). For both species, support was positively associated with perceived personal and societal …

Engagement Across The Cultural Divide: Accommodative Communication In The Study Abroad Context, Charles W. Choi Ph.D.

All Faculty Open Access Publications

Study abroad contexts can generate apprehension and reluctance to communicate across cultural difference, constraining opportunities for meaningful intercultural engagement. This qualitative study examines how students described intercultural willingness to communicate and intercultural competence during study abroad. Using Communication Accommodation Theory (CAT) as an interpretive framework, semi-structured interviews were analyzed thematically, yielding four interrelated themes: intercultural apprehension as it relates to a willingness to communicate, intergroup dynamics, accommodation, and intercultural communication competence. Participants described how apprehension and perceived group boundaries shaped whether interaction felt possible or worthwhile, while accommodation (both behavioral and psychological) helped them remain engaged, manage perceived distance, and …

If I Only Had The Words (To Tell You): Billy Joel Lyrics In Legal And Medical Scholarship, Seuli Bose Brill, Christian H. Brill

Touro Law Review

Law and medicine are often considered to be among the least accessible professions, partly because of the heavy use of non colloquial jargon. This article examines more than 150 instances in which Billy Joel’s lyrics have been used to improve the accessibility of legal and medical scholarship. Legal and medical professionals have used the words of the “Piano Man” to discuss a variety of topics—everything from civil procedure to property rights and the COVID-19 pandemic to colorectal surgery. Nontraditional communications techniques of this type do not just contribute to the body of legal and medical scholarship; they also help professionals …