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Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar Jan 2026

Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar

Antioch University Dissertations & Theses

On June 28, 2021, activist Ibrahim Mohammed (Macho Kaaka) was murdered in Ejura, Ghana, after using social media to criticize government failures. When protesters demanding justice were shot by security forces, politically engaged Ghanaian hip hop artists refused silence, contributing to Ghana’s #FixTheCountry movement—the nation’s largest youth mobilization in a generation. Yet scholarly debates about how hip hop contributes to social change remain unresolved, divided between those celebrating its activist potential and those critiquing its limitations. This dissertation introduces the lottery ticket theory as an alternative framework for understanding cultural activism’s relationship to political transformation. Rather than asking whether hip …


Llevándolas Con Calma: Latin American Migrant Worker Parenthood And Covid-19, Anthony J. Stronach Jan 2026

Llevándolas Con Calma: Latin American Migrant Worker Parenthood And Covid-19, Anthony J. Stronach

Electronic Theses & Dissertations (2024 - present)

We have yet to fully understand what Latino migrant worker parents -a population invisible in many ways to much of society- have undergone since the onset and as a result of the COVID-19 health crisis. As such, grounded in the experiences and words of eleven migrants, this dissertation demonstrates (1) the shifting parameters of migrant parenthood during and after the pandemic, (2) how migrant working parents navigated such unprecedented times, and (3) their reflections as they looked back upon such experiences. These experiences include more than merely what happened to them; they encompass their thoughts, their emotions, their memories, their …


Gender Inequality In Afghanistan's Public Schools: Provincial Disparities Amid Historical And Political Change, 2002-2021, Enayatullah Nasir Jan 2026

Gender Inequality In Afghanistan's Public Schools: Provincial Disparities Amid Historical And Political Change, 2002-2021, Enayatullah Nasir

Electronic Theses & Dissertations (2024 - present)

This dissertation examines the persistence and spatial concentration of gender-based educational inequality in Afghanistan's public school system from 2002 to 2021–– a period spanning post-2001 reconstruction, the expansion of the Republic era, and the reversal under the second Taliban regime. Despite substantial international investment and two decades of repeated commitments to gender parity, access to and progression through public schooling remained profoundly uneven across the country’s thirty-four provinces. The Gender Parity Index values differ sharply between provinces, and those with the lowest overall enrollment tend to exhibit the widest gender gaps. Existing scholarship has concentrated on the national level, obscuring …


I Think I Can: The Role Of Racial Socialization And Self-Efficacy On Racial Minorities’ Stereotype Threat And Academic Achievement, Dan'n Tima Jan 2026

I Think I Can: The Role Of Racial Socialization And Self-Efficacy On Racial Minorities’ Stereotype Threat And Academic Achievement, Dan'n Tima

UNF Graduate Theses and Dissertations

Racial minority students continue to experience disparities in educational outcomes, leading to research interest in factors that may mitigate the effects of negative racialized experiences in academic contexts. Racial socialization—messages individuals receive about race throughout development—has been linked to positive academic and psychological outcomes in younger populations; however, its relevance for college students remains less understood. The present study examined whether racial socialization predicted academic achievement among Black and Latino undergraduate students and whether it moderated the relationship between stereotype threat and academic achievement. It was further hypothesized that self-efficacy would mediate the relationship between stereotype threat and academic achievement. …


What They Learn, What They Use:  A Narrative Inquiry Into Teacher Candidates’ Application And Perceptions Of Their Professional Learning Experiences, Shaundricka Medlock Jan 2026

What They Learn, What They Use:  A Narrative Inquiry Into Teacher Candidates’ Application And Perceptions Of Their Professional Learning Experiences, Shaundricka Medlock

UNF Graduate Theses and Dissertations

The landscape of teacher preparation is shifting toward clinically rich, practice-based models designed to bridge the longstanding gap between theoretical coursework and the realities of classroom teaching. Despite these reforms, many teacher candidates continue to face challenges in transferring what they learn in teacher preparation programs into effective instructional practice. This disconnect raises concerns about the coherence, responsiveness, and equity of current clinical preparation models, particularly in their ability to prepare future educators for diverse and high-need learning environments. This narrative inquiry study explores how elementary teacher candidates experience and apply professional learning experiences during a year-long internship in a …


An Examination Of The Impact Of School Accountability On Data-Driven Decision-Making By Florida Educational Leaders, Emily Galucho Jan 2026

An Examination Of The Impact Of School Accountability On Data-Driven Decision-Making By Florida Educational Leaders, Emily Galucho

Graduate Studies Theses and Dissertations 2026

This mixed-methods study examined how accountability influences educational leaders' data-driven decision-making (DDDM) practices in Central Florida. Grounded in the principal-agent and consequential accountability frameworks, the study investigated demographic predictors, implementation challenges, and the role of accountability in DDDM. Educational leaders completed online surveys measuring DDDM perceptions across five subscales and responded to open-ended questions. The responses were analyzed through multiple regression, correlation, and thematic coding.

Accountability emerged as DDDM's strongest predictor, significantly exceeding demographic and organizational variables. Five implementation challenges were identified: Data Literacy Gaps, Data Timeliness Issues, Resource Constraints, Implementation Fidelity, and Systemic Barriers. Accountability demonstrated dual effects: many …


Fear, Uncertainty, And The Chilling Effect: A Case Study Of Organizational Racialized Omission, Annie Jones Jan 2026

Fear, Uncertainty, And The Chilling Effect: A Case Study Of Organizational Racialized Omission, Annie Jones

Graduate Studies Theses and Dissertations 2026

Florida passed House Bill 7 in 2022 and Senate Bill 266 in 2023, both policies that restrict how race and racism are discussed and taught in the public higher education setting. Although scholars of race and racism contend that colorblind ideology drives the “new racism,” the U.S. is experiencing a resurgence in similar curriculum bans explicitly based on topics related to race and racism. With these trends has emerged a need to understand how explicitly racialized policies fit within the “new racism” framework. Using Victor Ray’s Theory of Racialized Organizations, this study analyzes how colorblind ideology and racialized threat are …


Teoría Y Creatividad. La Literatura Como Herramienta Educativa En El Aprendizaje Moderno De Textos Clásicos En El Idioma Español, Isabel D. Simon Jan 2026

Teoría Y Creatividad. La Literatura Como Herramienta Educativa En El Aprendizaje Moderno De Textos Clásicos En El Idioma Español, Isabel D. Simon

Graduate Studies Theses and Dissertations 2026

In the following master’s thesis, literature is studied as an educational tool in the modern learning of classical texts in the Spanish language from both theoretical and creative perspectives. The theoretical framework to be used is based on the hermeneutic theory of Jean Grondin. The study is divided into three chapters, each focusing on a different literary piece. First, the medieval period is examined through Poema de Mio Cid (Cantar de Mio Cid) of anonymous authorship. In the second chapter, the Golden Age is analyzed through Don Quijote de la Mancha by Miguel de Cervantes. In the closing …


Integrated Incubators: A Novel Framework For Technology-Based Creative Arts Education, Brad Phelps Nisbet Jan 2026

Integrated Incubators: A Novel Framework For Technology-Based Creative Arts Education, Brad Phelps Nisbet

Theses: Doctorates and Masters

This thesis investigates the development and impact of an educational framework designed to bridge the gap between academia and industry within the media and entertainment sector. It addresses the prevalent "skills mismatch" where graduates often lack the specific technical competencies, foundational knowledge, practical experience, or soft skills required for entry-level positions in a rapidly evolving landscape influenced by advancements like virtual production, real-time VFX, immersive media, and Al. Grounded in both theoretical and practical insights, the framework aims to foster student creativity, technical proficiency, industry readiness, transferable skills, and adaptability, prioritising a transformative, student-centric learning experience.

The research employed a …


Development Of Virtual Reality Learning Environments In Science To Engage Secondary Students In Hazardous Activities, Luke Spartalis Jan 2026

Development Of Virtual Reality Learning Environments In Science To Engage Secondary Students In Hazardous Activities, Luke Spartalis

Theses: Doctorates and Masters

This research examines the need for change in including hazardous activities in education. As different learning technologies develop, platforms that retain authentic outcomes via virtual reality are needed. The main objective of this research is to examine the inclusion of Virtual Reality Learning Environments (VRLEs) to determine their value in areas that include hazardous conditions. The research considered the ways that VR tools could be optimised to support these activities, as well as considering the challenges of VRLE implementation. The study examined whether VRLE’s allowed for authentic experiences to sufficiently drive an acceptance of VR to complement existing teaching and …


Impact Of A Nutrition Education And Counseling Program On Diet, Lifestyle, And Cardiometabolic Health In Adults With Overweight And Obesity: A Non-Randomized Controlled Trial, Jeddah, Saudi Arabia, Eram Albajri, Elham Aljaaly, Abeer Aljahdali, Manal Naseeb, Mai Khatib, Nahlaa Khalifa, Nagat E. Eltoum, Aisha Y. Hussein Dec 2025

Impact Of A Nutrition Education And Counseling Program On Diet, Lifestyle, And Cardiometabolic Health In Adults With Overweight And Obesity: A Non-Randomized Controlled Trial, Jeddah, Saudi Arabia, Eram Albajri, Elham Aljaaly, Abeer Aljahdali, Manal Naseeb, Mai Khatib, Nahlaa Khalifa, Nagat E. Eltoum, Aisha Y. Hussein

Journal of King Abdulaziz University: Medical Sciences

Background: Obesity is a global health issue attributed to changes in dietary habits and inadequate physical activity.Objective: This research aimed to assess the effectiveness of the nutrition counseling and education program on dietary habits, physical activity, and biomarkers among adults.Methods: This non-randomized controlled trial was conducted over 30 days in a primary care setting. Participants were grouped according to whether they chose to join the intervention program (n = 40) or maintain their regular diet (n = 20). The intervention group received personalized meal plans, recipes, and physical activity recommendations in line with the Saudi guidelines for obesity …


School Crime In Tennessee 2024, Tennessee. Bureau Of Investigation. Dec 2025

School Crime In Tennessee 2024, Tennessee. Bureau Of Investigation.

School Crime

No abstract provided.


International Education And Spiritual Emptiness A Reflection From Europe, Nitya N. Timsina Dec 2025

International Education And Spiritual Emptiness A Reflection From Europe, Nitya N. Timsina

Journal of Comparative & International Higher Education

This essay is a revolt against a biased understanding called “internationalization” in education which grounds all historical, geographical, philosophical, ecological, and cultural distinctions in the world into a Platonic absolute. The key to this problem, this essay argues, lies in the drive to ontological, conceptual, or theoretical understanding in our approach to knowledge with its primacy in the Western thought. This essay calls into question this absolute sphere of influence, power and mastery enjoyed by the Western sciences, and a sense of space and authority it enjoys to make others impossible in the world. It does so by bringing different …


The Impact Of Egyptian Cultural Cartoons On The Child’S Culture, Sandra Ashraf Gamal Fahmy, Nagwa Yehia El Adawy, Niveen Ezzat Gamaleldien Dec 2025

The Impact Of Egyptian Cultural Cartoons On The Child’S Culture, Sandra Ashraf Gamal Fahmy, Nagwa Yehia El Adawy, Niveen Ezzat Gamaleldien

Journal of Art, Design and Music

The field of animation has been used for years by animation companies to create cartoons, animated movies and character that is loved by adults and children and participates in teaching the viewer life lessons. The objective of the research is to illustrate the importance of creating Egyptian cartoons to educate the children about their own country, culture, beliefs and values and to decrease the impact of foreign cartoons. The research also discusses examples of well-known Egyptian cartoons and the impact they had on children. In addition to that, the research explains how the lack of Egyptian cartoons leads children to …


Impact Of A Workshop On Rural Healthcare Delivery On Medical Student Attitudes, Robert L. Snedegar, Ryan Hayes, Jun Xiang, Treah Haggerty, Kendra Unger, Jason Oreskovich, Amie M. Ashcraft Dec 2025

Impact Of A Workshop On Rural Healthcare Delivery On Medical Student Attitudes, Robert L. Snedegar, Ryan Hayes, Jun Xiang, Treah Haggerty, Kendra Unger, Jason Oreskovich, Amie M. Ashcraft

Journal of Appalachian Health

Introduction: Rural residents in the United States (U.S.) experience significant health disparities due to social determinants such as poverty, geographic isolation, and limited healthcare access. Physician shortages in rural areas further exacerbate these challenges.

Purpose: This study evaluates the impact of an educational workshop on medical students’ attitudes toward rural healthcare barriers, aiming to determine whether targeted education can enhance their understanding and interest in rural practice.

Methods: Third-year medical students at the West Virginia University School of Medicine participated in a workshop that included a 20-minute pre-recorded lecture and a 90-minute interactive virtual session. Pre- and post-surveys assessed students’ …


Editorial: Jugar, Narrar, Habitar Mundos: Cuerpos Y Ficciones En La Cultura Contemporánea, Romano Ponce Díaz Dec 2025

Editorial: Jugar, Narrar, Habitar Mundos: Cuerpos Y Ficciones En La Cultura Contemporánea, Romano Ponce Díaz

Journal of Roleplaying Studies and STEAM

En este número del Journal of Roleplaying Studies and STEAM (Vol. 4, núm. 2, Noviembre 2025- abril 2026) buscamos situarnos en ese cruce. En los artículos de investigación que aquí se exponen, se observa cómo los sistemas de juego, los universos narrativos, los performance, la mirada artística y las operaciones cognitivas intervienen en la configuración del concepto de sujeto, paisaje y comunidad. Estos artículos no son meras descripciones de objetos culturales; aquí se enuncian procedimientos metodológicos, contigencias operativas y aplicaciones eminentemente prácticas a campos de conocimientos transdisciplinarios.


Journal Of Roleplaying Studies And Steam (Jrpssteam) Vol. 4 [2025], Número 2 (Issue 2), Cristo Leon, Romano Ponce-Díaz Phd, Ivan Avila Gonzalez Phd, James Lipuma Dr., Bruce G. Bukiet, Ricardo Victoria-Uribe, Nazario Robles-Bastida, Chris Birmingham, Ximena Diaz Santillan, Edgar Francisco Vázquez Martínez He, Jorge Prieto Terrones, Juan Carlos C. González Vidal S, Edgar Meritano, Laura Magela Garcés Ramírez Dec 2025

Journal Of Roleplaying Studies And Steam (Jrpssteam) Vol. 4 [2025], Número 2 (Issue 2), Cristo Leon, Romano Ponce-Díaz Phd, Ivan Avila Gonzalez Phd, James Lipuma Dr., Bruce G. Bukiet, Ricardo Victoria-Uribe, Nazario Robles-Bastida, Chris Birmingham, Ximena Diaz Santillan, Edgar Francisco Vázquez Martínez He, Jorge Prieto Terrones, Juan Carlos C. González Vidal S, Edgar Meritano, Laura Magela Garcés Ramírez

Journal of Roleplaying Studies and STEAM

En una sesión de juego por medio del registro lingüístico se organiza la escena, se orienta la manera de nombrar las tareas, se distribuyen los roles actanciales, se establecen la expectativas; por lo tanto, se establece una puesta en escena. De tal forma, las prácticas lúdicas y ficcionales se configuran a partir de nuestra mirada del mundo e irremediablemente también reconfiguran esa misma mirada. El ser y el estar en un espacio es la especificidad mediática fundamental de los juegos de rol; dicho de otra manera, en los sistemas de juego de rol dentro de sus universos narrativos, en su …


The State Of The Child In Tennessee 2025, Tennessee. Commission On Children And Youth. Dec 2025

The State Of The Child In Tennessee 2025, Tennessee. Commission On Children And Youth.

The State of the Child in Tennessee

No abstract provided.


Guiding Principles For Teaching About Genocide And Other Difficult Pasts, Kerry E. Whigham Dec 2025

Guiding Principles For Teaching About Genocide And Other Difficult Pasts, Kerry E. Whigham

Genocide Studies and Prevention: An International Journal

This article outlines guiding principles for teaching “difficult pasts”—episodes of large-scale, identity-based violence such as genocide, crimes against humanity, colonialism, and enslavement—in ways that promote peace, human rights, and the prevention of future atrocities. Drawing from the fields of Holocaust and Genocide Education (HGE), Global Citizenship Education (GCED), Peace Education (PE), and Human Rights Education (HRE), it argues that instruction should move beyond the memorization of historical facts toward developing students’ socio-emotional and behavioral capacities to recognize and resist processes of othering, discrimination, and violence. The brief presents three main areas of guidance: curricular content, emphasizing conceptual understanding over rote …


An Accountability Myth: A Critical Analysis On High-Stakes Testing In U.S. Schools, Noelle E. Haskell Dec 2025

An Accountability Myth: A Critical Analysis On High-Stakes Testing In U.S. Schools, Noelle E. Haskell

Journal of Multicultural Affairs

High-stakes testing has become synonymous with the United States (U.S.) education system. This began in the early 1900’s through the form of intelligence testing which was developed by several U.S. psychologists. Since then, high-stakes testing has taken on many forms. Popular policies such as No Child Left Behind (NCLB), Race to the Top, and the Every Student Succeeds Act (ESSA) have all taken aim at increasing academic achievement and holding schools accountable through high-stakes, standardized tests. Even through its varying forms, high-stakes tests have continued to perpetuate inequalities. Considering this, the current study examines how the rhetoric used in describing …


Interventions To Promote Menstrual Health Among Adolescents In Lmic’S: Protocol For A Systematic Review, Precilla Dsilva, Sudhir Prabhu Dr, Prajna Kumari Dr, Baby S. Nayak Dr, Judith Noronha Dr Dec 2025

Interventions To Promote Menstrual Health Among Adolescents In Lmic’S: Protocol For A Systematic Review, Precilla Dsilva, Sudhir Prabhu Dr, Prajna Kumari Dr, Baby S. Nayak Dr, Judith Noronha Dr

Manipal Journal of Nursing and Health Sciences

Background: Menarche brings out significant change in each girl’s life. Coping with the discomforts and adopting the body changes becomes a biggest challenge for every teen. Cost effective non pharmacological interventions will help to bring about improvement in the general wellbeing and quality of life in each adolescents life.

Objective: This review aims to determine the different menstrual interventions adopted by adolescent girls residing in Low and Middle Income Countries (LMIC’s). The Review question will be :What interventions are currently available, and how do they contribute in promoting menstrual health among adolescents from LMICs

Methods: This review will include …


Website Transparency Of Ophthalmology Residency Programs: A Cross-Sectional Study, Aaishwariya Gulani, Sruti Sai Rachapudi, Cherie Fathy, Fasika Woreta Dec 2025

Website Transparency Of Ophthalmology Residency Programs: A Cross-Sectional Study, Aaishwariya Gulani, Sruti Sai Rachapudi, Cherie Fathy, Fasika Woreta

Journal of Academic Ophthalmology

Background: There is an increasing call for transparency in the ophthalmology residency application process. With programs shifting to virtual interviews, the availability of information regarding each program is limited to website searches, which as is, are not reflective of the programs and what they offer to potential residents.

Purpose: To assess the transparency of the residency application process through assessment of program for the period 1 November 2022 to 31 December 2022.

Methods: Four main categories of variables were studied: selection criteria, interview process, program priorities, and program requirements. Every program’s website was reviewed and the four …


Integrating Generative Ai Into Ds 774/874 & Graduate Is/Analytics Education, Andrew Bushnell Dec 2025

Integrating Generative Ai Into Ds 774/874 & Graduate Is/Analytics Education, Andrew Bushnell

Business Analytics Student Projects and Publications

The widespread availability of generative artificial intelligence has weakened traditional assessment methods in Information Systems and Business Analytics education. In DS 774/874, AI and Emerging Technologies in Business (formerly E-Business) at the University of New Hampshire, auto-graded assignments and presentation-based deliverables no longer reliably indicate student understanding, as AI can generate correct or polished outputs with minimal engagement. Using DS 774/874 as a case study, this paper combines course analysis, evidence from business analytics education research, and a targeted review of peer and aspirational programs to examine how AI is being incorporated into IS and analytics curricula. The paper …


Self-Handicapping In Purdue Honors Students, Amanda Colip, Colin O'Donnell, Triniti Jenkins Dec 2025

Self-Handicapping In Purdue Honors Students, Amanda Colip, Colin O'Donnell, Triniti Jenkins

The Journal of Purdue Undergraduate Research

No abstract provided.


Child Care For Student Parents: A Critical Discourse Analysis Of Policy And Politics In Nys, Elizabeth M. Starks Dec 2025

Child Care For Student Parents: A Critical Discourse Analysis Of Policy And Politics In Nys, Elizabeth M. Starks

Electronic Theses and Dissertations

This policy analysis dissertation explores the complex and multifaceted challenges that exist within New York State’s early childhood care and education (ECCE) system by critically examining the amendment of one NYS social services law. Guided by Fairclough’s Critical Discourse Analysis, this study examines two research questions (under one overarching question):

  1. What language and arguments are effective in making change in Early Childhood policy in NYS?
    1. What is the policy discourse surrounding the amendment of subdivision 1 of section 410-w social services law in NYS?
    2. What is the political discourse surrounding the amendment of subdivision 1 of section 410-w social services …


Practicing Curiosity: An Art Museum-Based Course For Medical Students, Samuel Woodworth Dec 2025

Practicing Curiosity: An Art Museum-Based Course For Medical Students, Samuel Woodworth

Journal of Maine Medical Center

Problem: Although curiosity is essential to medicine, it can sometimes seem expendable or counterproductive. Medical students, however, must be encouraged to develop curiosity skills in order to sustain a lifelong pursuit of knowledge. Incorporating visual art into medical education has been associated with multiple favorable outcomes, including improved observational skills. Undoubtedly, artworks stimulate curiosity. Of the many museum-based courses for medical students offered across the country, none have focused on enhancing curiosity skills. Thus, the development of a curriculum using visual art to improve curiosity skills would be an innovative pedagogical approach to museum-based education.

Approach: A hospitalist at MaineHealth …


Cybernest: A Step Forward For Training Cybersecurity Professionals, Justin Mott Dec 2025

Cybernest: A Step Forward For Training Cybersecurity Professionals, Justin Mott

Theses and Dissertations

The growing complexity of cyber threats has exposed a critical gap between academic cybersecurity education and the operational demands of the workforce. This thesis presents a pilot study for a use-case of CyberNEST, a simulation-based training platform that integrates adversary emulation and threat-informed learning to create realistic, hands-on experiences for cybersecurity students.(17) The system was designed to replicate Security Operations Center (SOC) environments and incident response workflows, allowing participants to investigate, analyze, and respond to simulated attacks under authentic conditions. This pilot-study performed training simulations using the CyberNEST platform, developed by Brigham Young University, with students, collecting data from pre- …


Kuleana Mākua: Native Hawaiian Parents' Exercise Of Agency In K-12 School Selection, Joseph Piikeha Kahaka`Ulamaikalaniki`Eki`E Hao Dec 2025

Kuleana Mākua: Native Hawaiian Parents' Exercise Of Agency In K-12 School Selection, Joseph Piikeha Kahaka`Ulamaikalaniki`Eki`E Hao

Theses and Dissertations

In this qualitative study the author investigates how Native Hawaiian parents on Hawai`i Island navigate educational choices for their children amidst a history of centralized, Western-dominated schooling and systemic cultural suppression. Grounded in Bandura’s Social Cognitive Theory (SCT), the research explores parent perceptions of different K–12 school types and the complex factors that drive their selection. Through semi-structured interviews and a card sort activity with sixteen Native Hawaiian parents (n = 16), the study confirms that parental choice is fundamentally an act of indigenous self-determination defined by Kuleana Mākua (parental responsibility, authority, and privilege). The findings reveal that parents’ choices …


Dnp Final Report: Hypertension Education In The Primary Care Setting, Michelle L. Sanders Dec 2025

Dnp Final Report: Hypertension Education In The Primary Care Setting, Michelle L. Sanders

DNP Final Reports

Background: Hypertension is a significant concern at the global, national, and local levels. If left untreated or improperly managed, it can result in severe health issues. Many patients in primary care settings have difficulty controlling their hypertension, which can lead to significant complications.

Practice question: What strategies can be implemented to help patients in primary care manage their hypertension more effectively?

PICOT: For patients age 18+ in a rural primary care clinic (P), how does the use of an education pamphlet (I) compared to no pamphlet use (C) affect patient management of hypertension(O) in three months? (T)

Body of …


Bridging The Gap: Optimizing Outpatient Care Delivery In Rural Kenya Through A Telemedicine Workflow Training Initiative, Elizabeth K. Bennett Dec 2025

Bridging The Gap: Optimizing Outpatient Care Delivery In Rural Kenya Through A Telemedicine Workflow Training Initiative, Elizabeth K. Bennett

Doctoral Dissertations and Projects

Access to timely, high-quality outpatient care in rural Kenya is constrained by workforce shortages, geographic barriers, and inefficiencies in care delivery. This Doctor of Nursing Practice project evaluated the impact of implementing a structured telemedicine workflow and training program for a regional mission hospital in the highlands of Western Kenya and its satellite outpatient clinic. Guided by the Iowa Model of Evidence-Based Practice, Kotter's Change Theory, and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework, the project employed a quasi-experimental, pre-post design, with eight medical providers participating in structured workshops, interactive telemedicine simulations, and workflow integration exercises. Impacts were …