Digital Commons Network^™

Large-Vessel Occlusion Stroke Knowledge And Training For Stroke Severity Assessment Among Emergency Medical Services Personnel In The United States, Kaiz S Asif, Robin Novakovic, Thanh N Nguyen, Santiago Ortega-Gutierrez, Youngran Kim, Amanda Jagolino-Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ashutosh P Jhadav, Dileep Yavagal, May Nour, Gabor Toth, Maxim Mokin, Sunil A Sheth, Mouhammad A Jumaa, Alhamza Al-Bayati, Mohamed Teleb, Ossama Y Mansour, Shashvat M Desai, Joshua Hartman, David S Liebeskind, Ameer E Hassan, Brijesh P Mehta, Svin Education And Speed Committees

Faculty, Staff and Student Publications

Background: Prehospital identification of large-vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. This requires stroke education of emergency medical services (EMS) personnel to improve stroke recognition, severity assessment, and prenotification. However, the current state of EMS personnel's knowledge of LVO stroke, their training for stroke severity assessment, and their preferences for educational methods are unknown. We conducted a nationwide EMS survey across the United States to glean insights that can inform and customize future EMS educational efforts.

Methods: The Society of Vascular and Interventional Neurology, …

Exploring The Educational Gap Of Virginia English Language Learners: Challenges And Opportunities For Academic Success, Amanda Purcell, Sochitl Rodriguez Kauffman

UROP Posters

English Language Learners (ELLs) in the state of Virginia have significantly lower scores in the Standards of Learning (SOL) assessment exam than those of their English-speaking peers. The SOL measures students’ mastery of knowledge and skills taught in the classroom, and over the last decade, passing rates of the assessment’s core subjects amongst ELLs have continued to decrease and remain relatively low. In the 2023-2024 academic year, the average passing rate for ELLs who took the Writing SOL was only 26%, with Science being not much higher at 29%, and Reading at 33%. For the non-ELL student body, average rates …

Identifying, Organizing, And Prioritizing Ideas On How To Support The Entangled Relation Between Theory And Practice In Occupational Therapy Education: A Group Concept Mapping Study, Rina Juel Kaptain, Jacob Østergaard Madsen, Anna Marie Lassen, Kristina Tomra Nielsen

Journal of Occupational Therapy Education

Transfer of learning from an academic setting to clinical practice and vice versa represents a challenge. The aim of this study was therefore to identify, organize, and prioritize ideas on how to support the entangled relation between theory and practice in occupational therapy (OT) education. To gain broad perspectives on the topic, Group Concept Mapping (GCM) was applied among OT students, lecturers, and fieldwork educators. GCM included six phases: Preparing (formulating a focus prompt), Generating ideas (brainstorming based on focus prompt: “To support the relation between theoretical and practical elements in the OT program there is a need for.. …

Why Occupational Therapy?: A Qualitative Analysis Of Incoming Students’ Reasons For Entering The Profession, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Insight into students’ views and understandings of what occupational therapy (OT) practitioners do and what a career will be like can shed light into how the profession is socially perceived. Additionally, this knowledge can be useful for recruitment, retention, and curriculum design, especially for addressing misunderstandings and inaccurate perceptions. Therefore, the objective of this study was to examine the narratives of incoming OT students when asked why they chose to enter the profession of OT. Descriptive statistics were used to analyze sociodemographic data, and then thematic analysis was used to analyze qualitative data about why participants wanted to become occupational …

Vision Rehabilitation In Ot And Ota Curricula: A Survey To Academic Programs, Angela Butler, Beth A. Barstow

Journal of Occupational Therapy Education

Occupational therapists are trained to evaluate and treat occupational performance problems. Client factors, such as vision, greatly impact an individuals’ ability to participate in meaningful occupations. New accreditation standards do not include language related to vision. Therapists must be prepared to evaluate and treat the increasing prevalence of visual challenges from children with cerebral visual impairment to older adults with age related conditions. This survey explored how vision rehabilitation is covered in accredited occupational therapy and occupational therapy assistant programs and the expertise of faculty teaching vision content. A thirteen-question survey was sent to accredited programs. Questions included multiple response, …

Moral Identity And Its Relationship To Higher Education Mentoring And Community Service Engagement, Maria O. Rodriguez

Dissertations

Problem

A moral action is a result of the engagement of multiple psychological processes set in motion when an individual faces a moral conflict. Research suggests that an individual's moral reasoning and moral identity strongly influence the psychological processes that precede a moral action. Recent studies have shown that higher education positively influences students' moral reasoning; however, there is a lack of understanding as to the degree to which higher education can influence the moral identity of students.

Method

This study performed a quantitative cross-sectional study to investigate the relationship between independent variables—mentoring experiences and community service engagement—and dependent variables—moral …

Policy Paper On Incorporating Migrant Children In A Strengthened Public Education System, Amira Abdelaziz, Dina Ibrahim, Dunia Zaatar

Papers, Posters, and Presentations

A transit, destination, and sending country, Egypt generously hosts more than one million refugees and asylum seekers (UNHCR, 2025), in addition to several migrants estimated at nine million in 2022 (IOM, 2022). Against this backdrop, the country is currently facing growing challenges in ensuring access to quality, inclusive, and equitable primary education for migrant and refugee children, particularly following the arrival of Sudanese nationals since April 2023, when the conflict in Sudan erupted. Egypt’s new Asylum Law No. 164 of 2024 grants de jure access to basic education for all refugee children until the age of 14, yet the law …

2025 Merc Annual Report, David B. Naff, Jesse Senechal, Paula L. Ogston-Nobile

MERC Publications

This is the annual report of the Metropolitan Educational Research Consortium (MERC) at Virginia Commonwealth University for the 2024-2025 academic year. It includes vignettes depicting MERC activities in the past year that align with each of its five principles: research, relevance, rigor, multiple perspectives, and impact. It concludes with a discussion of MERC's commitment moving forward.

Supporting Students In Transition To And From High School, David Naff, Jamelle Simmons, Meleah Ellison, Shelby Garofalo, Laura Thoene, Kim Dupre, Sooyeon Moon, Karli Johanson, Paul Harris, Martin Darby, William L. Parker, Tracy Booker, Janel Miley, Mysia Perry, Xun Liu, Maggie Szydlowski, Ahmed Abbas

MERC Publications

This report is part of a two-part series focused on supporting students in transition across PK-12 education. Specifically, it explores transitions into and out of high school school. The report includes a synthesis of recent peer-reviewed literature, analysis of publicly available data (with a specific focus on Virginia and the metropolitan Richmond region), and summary of relevant federal, state, and school division-level policies. It answers the following questions:

1. What are key considerations for supporting students in transition to and from high school in the MERC region?

2. How do federal, state, and division policies guide support for student transitions …

Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan

Nursing Faculty Publications

Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women.

Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n …

Role And Evolution Of Islamic Education In Kazakhstan, Yeleukhan Kaliyeva, Albina Duissenbayeva, Aııtmamat Karıev, Bekzhan A. Azhimov

Occasional Papers on Religion in Eastern Europe

This paper examines the evolution of religious education and the professional development of clergy in Kazakhstan, with particular emphasis on the establishment of institutions aimed at enhancing the competencies of imams and religious educators. It traces the evolution of the Islamic educational system throughout various historical periods until the present day. Particular focus is given to blending Islamic teachings with contemporary educational structures. The researchers heuristically analyzed the current state of the field, identified the main problems, and suggested prospects for Islamic education for further development. The research utilizes the historical method, which uses primary and secondary data sources. This …

The Inadequacy Of Perpetuating Vestiges Of Segregation In K-12 Curriculum: The Justiciability Of Reviewing Duties To Adequacy In Florida's Education Clause, Soumya Sreerama

American University Journal of Gender, Social Policy & the Law

Although the Supreme Court declared segregation the most abusive affront to education and ruled to eliminate vestiges of segregation “root and branch,” those same roots have grown unchecked to remain prominent today. One of the undercurrents of state-sponsored discrimination that has escaped desegregation remedies is the skewed, whitewashed curriculum that permeated K-12 classrooms in Jim Crow America. More troubling, is that those vestiges of an inadequately biased curriculum are still slithering in students’ courses today. Although student movements and education reformists have attempted to counter skewed curricula by supplementing them with separate ethnic studies courses, states like Florida recently passed …

Empowered Margins: Women, Work, And Justice In Educational Labor, Erin Woodford

Antioch University Dissertations & Theses

This dissertation examines economic justice and employment precarity faced by educators in both K-12 and post-secondary education systems. While literature explores themes of changing demographics in union membership, collective bargaining, labor activism, and gendered and intersectional inequities in academia, and women in leadership in unions, a critical gap of disabled women’s voices and solutions to the inequities remains. This study highlights how job insecurity, unequal pay, hiring biases, limited recognition of prior learning, and inadequate institutional support exacerbates mental health challenges, professional invisibility, and economic instability. In the K-12 unionized system, systemic barriers such include disregard for substitute teaching as …

Editorial: Surface Emg And Other Measurement Techniques In Rehabilitation Research And Practice: Are New Educational Programs Needed?, Marco Tramontano, Sheng Li, Roberto Merletti

Faculty, Staff and Student Publications

No abstract provided.

Decline In Attrition Rates In United States Pediatric Residency And Fellowship Programs, 2007–2020: A Repeated Cross-Sectional Study, Emma Omoruyi, Greg Russell, Kimberly Montez

Faculty, Staff and Student Publications

Purpose: Declining fill rates in US pediatric residency and subspecialty programs requires trainee retention. Attrition, defined as transfers, withdrawals, dismissals, unsuccessful completions, or deaths, disrupts program function and impacts the pediatric workforce pipeline. It aims to evaluate attrition trends among pediatric residents and fellows in Accreditation Council for Graduate Medical Education (ACGME)-accredited programs from 2007 to 2020.

Methods: This repeated cross-sectional study analyzed publicly available ACGME Data Resource Book records. Attrition rates and 95% confidence intervals (CIs) were calculated overall and by subspecialty. Logistic regression assessed temporal changes; odds ratios (ORs) compared 2020 to 2007.

Results: From 2007-2020, pediatric residents …

The Teaching Principles Influenced By Taoist Thought, Cerina Wang

Antioch University Dissertations & Theses

This dissertation explores the integration of Taoist thought into teaching principles to enhance student well-being in the classroom. The study is driven by two primary research questions: What are my teaching principles? and How have Taoist thoughts influenced these principles? Grounded in the Tao Te Ching, this research examines how Taoist philosophy can inform and shape effective educational practices that prioritize emotional balance, self-awareness, and natural growth. The literature review connects Taoist thought with modern educational theories, highlighting its relevance to fostering resilience, intrinsic motivation, and holistic development in students. Using an autoethnographic research methodology, this study draws upon personal …

Pick Up A Frog, Or Pet A Dog; Animals Are Our First Teachers, Allison Ratner

Antioch University Dissertations & Theses

This dissertation’s goal was an attempt to answer the question: What are the emotional, cognitive, and/or spiritual effects of children’s relationships/interactions with animals that potentially impact their development? By utilizing autoethnography, I analyzed instances from my own life where interacting with animals changed me permanently; my thinking, my knowing, my feeling, my judgement, my empathy, my attitude, and my ethics. With a standpoint rooted in the research of experts from the fields of psychology and education, I combined my personal knowledge gained over a lifetime, to grant merit to the profundity of children’s relationships with animals. With the analyzed data, …

From Fear To Resilience: An Autoethnography Detailing A Teacher's Battle Against Bullying By Public School Principals, Laurie Etta Reif

Antioch University Dissertations & Theses

This paper tells my story within the realm of public education, particularly focusing on the interactions between teachers and the principals overseeing their schools. Grounded in social context, this autoethnography explores the challenges in these relationships while offering insights into best practices for fostering constructive engagement between educators and administrators. The discussion highlights my struggles with the power dynamics that are prevalent in public schools. Through my story, informed by Indigenous Women’s Research Theory and storytelling methodologies, this dissertation recounts experiences of harassment and intimidation I encountered across multiple school settings. The narrative is an analysis of existing resources and …

Implementing A Gerontological Nursing Competencies Programme In Aged Care: Participant Experiences, Victoria Traynor, Nicole Britten, Diane Gibson, Stephanie Munk, Lynn Chenoweth, Jolan Stokes, Tracey Moroney, Karen Strickland, Toni Donaghy, Kasia Bail

Research outputs 2022 to 2026

Aims: To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development. Background: The global population is ageing and needs a reliable aged-care nursing workforce. Introduction: Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation. Methods: Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria. Results: …

Performance Health For Saxophonists: Saxophonists Perspectives And Experiences With Playing-Related Health, Wellbeing, Injuries And Education (Cohort Study), Nicola Demandolx, Joanna Nicholas, Luke Hopper, Matt Styles

Research outputs 2022 to 2026

Saxophonists experience a high rate of performance-related injuries and wellbeing concerns, with limited research on player perspectives and lived experience to inform preventive or interventional methods. To address this gap, a cohort study was conducted with 14 saxophonists from around Australia, to gather perspectives and experiences on playing-related pain, injury, health, and wellbeing. A baseline survey and semi-structured interviews were used to gather a range of qualitative and quantitative data to provide a holistic overview of the cohort and their lived experience. Results indicated that the lifetime prevalence of a performance-related musculoskeletal disorder (PRMD) for saxophonists in this cohort was …

College Courts: Administrative Abuse Of Title Ix And Its Consequences, Noah Bloomberg

MC Law Review

This article examines the contentious application of Title IX in addressing campus sexual assault, tracing its evolution through recent presidential administrations. Initially designed to combat sex-based discrimination in education, Title IX has been expansively interpreted to regulate university adjudication of sexual violence cases. Policies introduced during the Obama administration mandated quasi-judicial procedures, sparking debates over fairness and due process, while Trump-era reforms shifted focus toward protecting the rights of accused students, prompting criticism from victims' advocates. The article argues that these approaches have overstepped Title IX's intended purpose, burdening universities and creating systemic challenges for survivors and the accused alike. …

Game-Based Learning Contributions To Clinical Leadership In Times Of Resource Scarcity, Scott James Andrews, Olivia Gallagher, Alecka Miles, Carol Crevacore, Jessica Watson, Sean Cashman, Wyatt De Souza, Martin Masek, Julie Boston, Lisa Holmes, Brennen Mills

Research outputs 2022 to 2026

Background: Early progression of Registered Nurses into leadership roles is commonplace in clinical settings. Student nurses can prepare for leadership by gaining exposure through simulation-based learning. A novel and expanding modality are Game-based learning (GBL) simulation.

Aim: To understand if a GBL simulation is useful in preparing student nurses for leadership roles during times of resource scarcity, student nurses were asked to evaluate a novel GBL simulation requiring learners to manage patient triage and hospital resources during a pandemic.

Methods: The study design leveraged Kirkpatrick's Training Evaluation Model. Nursing students (n = 74) from one university in Perth, Western Australia, …

Graduate Outcomes Of Australian Hospitality Educational Institutions And Skills Desired By Employers: A Matrix Model, Alireza Amrollahi, Hana Hadinejad, Brent D. Moyle, Nicholas Thomas

Research outputs 2022 to 2026

Demand for a skilled hospitality workforce has accelerated post-pandemic. However, limited research has explored the core competencies desired by the hospitality sector and their alignment with graduate outcomes from bachelor’s programs. Consequently, this study uses the Australian accommodation sector as an exemplar case to examine the alignment of skill supply and demand in the sector. An analysis of 28,000 Australian job advertisements reveals that employers seek a combination of soft and hard skills. Soft skills prevalent in job advertisements include communication, customer-orientation, teamwork, and adaptability. Hard skills that emerged include quality assurance, property management, culinary expertise, hospitality proficiency, and safety. …

Multifactorial Fall Interventions For People Over 65 Years In The Acute Hospital Setting: Pre–Post-Test Design, Allison Wallis, Christina Aggar, Deb Massey

Research outputs 2022 to 2026

Background: Falls are the most reported patient safety incident for patients >65 years in acute hospital settings worldwide. While multifactorial fall interventions reduce the number of falls in subacute and rehabilitation settings, fall interventions in acute hospital settings are unknown. Aim: To evaluate the effectiveness of multifactorial fall interventions on the number of falls using codesigned education targeting staff and the patient and review the environment in acute hospital settings in NSW, Australia for patients over 65 years of age. Method: A pre–post-test design with a non-equivalent group was conducted. All acute hospital inpatient falls occurring both pre- and post-intervention …

Implementing Nurse-Driven Education On Patient’S Inpatient Boarding Status: An Emergency Department Quality Improvement Project, Jack Wallace

Master's Theses and Capstones

BACKGROUND:

Nurse-led education to inpatient boarding patients in the emergency department is essential to improve patient’s understanding with their care and nurse’s satisfaction surrounding communicating with their patients. Inpatient boarding in the emergency department is associated with poor patient outcomes, adverse events, and reduced communication between patient and nurse.

LOCAL PROBLEM:

Within this microsystem there is a gap in patient understanding of their admission status. This includes who the patient’s provider is, which provider to direct questions to, and why the patient is still in the emergency department.

METHODS:

The plan-do-study-act quality improvement framework was utilized to improve nurse-led patient …

Improving Intensive Care Unit Nurses' Knowledge And Confidence In Performing Effective Spontaneous Awakening Trials: A Quality Improvement Project, Sophia T. Merry-Carreiro

Master's Theses and Capstones

Abstract

BACKGROUND

Mechanically ventilated ICU patents often require sedation for comfort and ventilator compliance. However, oversedation is linked to negative outcomes such as delirium, prolonged ventilation, and increased duration of ICU stay. Current best practices now support the use of daily sedation interruptions such as Spontaneous Awakening Trials (SATs). Despite these recommendations, implementation of SATs remain inconsistent and suboptimal.

LOCAL PROBLEM:

Within the ICU in a northern new England hospital, there was a need to improve nurse confidence and knowledge in SATs practices through staff education.

METHODS:

Using the Plan-Do-Study-Act (PDSA) model, a quality improvement project was developed to improve …

Large‐Vessel Occlusion Stroke Knowledge And Training For Stroke Severity Assessment Among Emergency Medical Services Personnel In The United States, Kaiz S. Asif, Robin Novakovic, Thanh N. Nguyen, Santiago Ortega‐Gutierrez, Youngran Kim, Amanda Jagolino‐Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ameer E. Hassan

School of Medicine Publications

Background

Prehospital identification of large‐vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. This requires stroke education of emergency medical services (EMS) personnel to improve stroke recognition, severity assessment, and prenotification. However, the current state of EMS personnel's knowledge of LVO stroke, their training for stroke severity assessment, and their preferences for educational methods are unknown. We conducted a nationwide EMS survey across the United States to glean insights that can inform and customize future EMS educational efforts.

Methods

The Society of Vascular and Interventional Neurology, …

Twice-Exceptionalism And The Complexity Of Supporting Students Who Are Both Gifted And Disabled, River Johnathon Taylor

Cal Poly Humboldt theses and projects

Drawing on ideas from disabilities studies about compulsory able-bodiedness as well as experiences of disability being fluid and context dependent, this study posits that giftedness, just like disability, is a complex multidimensional form of identity that is both context and temporally dependent. Twice-exceptionalism is defined as an identity in which an individual is gifted in at least one domain of human productivity and manifests at least one disability. Students with unique learning needs (students with disabilities, students with giftedness, and students with twice-exceptionalism) face many complex challenges within Humboldt County, California. Twenty-five educators from Humboldt County working across all grade …

The Impact Of An Effective Co-Teaching Model For Elementary Students With Disabilities, Emma Y. Carlson

All Electronic Theses and Dissertations

Co-teaching has become a widely utilized practice between a general education and a special education teacher to make inclusive education possible for students with disabilities. This thesis examines the characteristics and impacts of an effectively implemented co-teaching approach on the academic achievement of elementary-aged students with disabilities. The literature review examines the history of co-teaching, describes the components of co-teaching and its various models, and discusses the positive impacts and barriers of co-teaching when the approach is implemented with fidelity. Peer-reviewed journal articles, case studies, and textbooks were utilized to accomplish the literature review and apply the synthesized research in …

Discriminatory Censorship Laws, Jonathan Feingold, Joshua Weishart

Faculty Scholarship

The summer of 2020 ignited global protests for racial justice. Across the United States, millions marched with a modest plea: that America reckon with its racism. For K-12 schools, this moment pushed local communities and district leaders to create more inclusive classrooms and curricula. Yet before the summer had ended, America's antiracist turn provoked a backlash campaign that has proven far more impactful and enduring.

This campaign has featured the rise and spread of "discriminatory censorship laws"-a term we apply to government action designed to demean inclusionary values and to deny students access to critical knowledge, inquiry, and thinking. As …