Digital Commons Network^™

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Advancing Competency-Based Clinical Education Through An Innovative Preceptorship Framework, Beatriz C. Makhoulian

International Nursing Research Congress (INRC)

Competency-based education (CBE) is reshaping how nursing programs assess clinical learning and prepare graduates for practice. As expectations shift toward observable performance, clinical preceptors require structured, practical tools that support consistent evaluation and promote learner growth. This project introduces an innovative preceptorship framework designed to strengthen competency-based clinical education by integrating standardized evaluation processes, clear communication pathways, and accessible preceptor support resources. The model aligns with contemporary competency expectations endorsed by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculties.

Implementation of the preceptorship framework and competency evaluation tool will begin in the Spring …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Usa V. Paris Carter

2026 Decisions

USDC for the Western District of Pennsylvania

Developing A Climate-Adaptive Public Service Framework For Sustainable Agriculture: Preliminary Evidence From A Disaster-Prone Village In Indonesia, Susila Susila, Rizky Aditya Surya Pratama, Muhammad Daud Yusuf, Diah Apriliani

Jurnal Wacana Politik

Artikel ini bertujuan mengkaji bagaimana pelayanan publik tingkat desa dapat diintegrasikan dengan Climate-Resilient Agriculture (CRA) untuk mendukung kapasitas adaptasi petani di kawasan rawan bencana hidrometeorologi di Jawa Barat, Indonesia, serta mengidentifikasi dimensi kandidat bagi kerangka Climate-Adaptive Public Service for Sustainable Agriculture (CAPSSA). Menggunakan desain studi kasus kualitatif eksploratif yang dilandasi tinjauan literatur terstruktur dan analisis dokumen kebijakan, penelitian ini menghimpun wawancara semi-terstruktur dengan empat informan di Desa Cibiru Wetan, Kecamatan Cileunyi, Kabupaten Bandung—Kepala Desa, Kepala Dusun, Ketua RW, dan anggota kelompok tani setempat—disertai kajian dokumen kebijakan kebencanaan dan pertanian tingkat kabupaten dan provinsi yang tersedia untuk publik. Analisis awal menemukan …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Chapter 1: Sanctions And The Shadow Fleet: Terrorism Forfeiture And Operation Economic Fury, James Kraska

International Law Studies

No abstract provided.

Staff Education On Early Cpi-Based De-Escalation Strategies And Unit-Based Resources, Doris Onyenji Lerama

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education evidence-based practice initiative implemented at a state-operated adult inpatient psychiatric facility in California. The practice gap was inconsistent nursing staff knowledge of early Crisis Prevention Intervention-based de-escalation strategies and available unit-based resources despite an established crisis-prevention framework. The practice-focused question asked whether a standardized staff education activity would increase staff knowledge, as measured by anonymous pre-education and immediate post-education scores. The purpose was to develop, implement, and evaluate the education using staff knowledge change as the sole measurable outcome. The Johns Hopkins Evidence-Based Practice Model guided appraisal and synthesis of 11 evidence sources …

Strategic Planned Preventive Maintenance To Promote Sustainability In Acute Care Hospitals, Samuel Ngounou

Walden Dissertations and Doctoral Studies

Despite advances in healthcare delivery, acute care hospitals often lack standardized strategic planned preventive maintenance (SPPM) protocols, resulting in equipment failures, higher costs, and disruptions to patient care. The purpose of this integrative review was to identify evidence-based best practices for implementing SPPM programs in acute care hospitals. The review question concerned the organizational practices and strategic approaches most effective for implementing an SPPM program. The Donabedian structure–process–outcome model represented the foundational framework for this review. The initial literature search yielded 110 articles. After further assessment, 27 studies were appraised using the Johns Hopkins Nursing evidence-based practice tools. Three low-quality …

Oral Health Provider's Perspective: The Impact Of Public Health Programs Improving Patients' Access In Marginalized Communities, Bridgette Long Hickey

Walden Dissertations and Doctoral Studies

Access to public oral healthcare in Alabama’s Black Belt Region has been a persistent systemic challenge for working poor adults ages 19–64. This population continues to face barriers to oral healthcare because of socioeconomic disparities, geographic isolation, lack of insurance, provider shortages, limited infrastructure, and the need to travel long distances for quality or specialized services. This study investigated whether public health programs have improved access to oral healthcare for working poor adults in rural communities, from the perspective of oral healthcare providers. The Social Ecological Model served as the theoretical framework. Data were collected through semi-structured interviews with 13 …

Medical School Admissions Officers' Perceptions On Lower Admissions Rates Of Black Applicants In Georgia, Wanda Sebrena Thomas

Walden Dissertations and Doctoral Studies

The problem addressed through this study was the disproportionate lower admission rates of Black students compared to their White counterparts at a Georgia medical school. Grounded in Bourdieu’s theory of social reproduction, the purpose of this study was to explore admission officers’ perceptions on the factors contributing to lower admission rates of Black applicants at a Georgia medical school. For this basic qualitative design, semistructured interviews with 10 admissions officers were conducted. Through Saldaña’s first- and second-cycle coding procedures, the following nine themes emerged: (a) Medical College Admission Test scores create barriers for Black applicants; (b) unequal educational resources and …

Counselors-In-Training’S Perceptions Of Counselor Educators’ And Supervisors’ Roles In Developing Grief Counseling Self-Efficacy, Tonya Andrews

Walden Dissertations and Doctoral Studies

Counselors-in-training (CITs) encounter grieving clients despite limited grief-specific preparation. Understanding these experiences could inform preparation for supporting grieving clients. Guided by Bandura’s self-efficacy theory, this qualitative hermeneutic phenomenological study explored these perceptions. The purposive sample included 10 CITs who were master’s-level students completing field experience or postgraduate counselors under clinical supervision, lacked independent licensure, attended or graduated from Council for Accreditation of Counseling and Related Educational Programs (CACREP)–accredited programs without required stand-alone grief coursework. None had a direct supervisory, instructional, or evaluative relationship with the researcher. The research question was: How did CITs perceive and make meaning of the role …

Patronage Pardons, Lee Kovarsky

Duke Law Journal

Abuse of presidential pardon power is taking a new and frightening turn. The Donald Trump administration is using clemency, including pardons, to signal impunity to regime allies contemplating misconduct. Such clemency has a predictable effect: it induces loyalist crime by reducing the expected penalty. "Patronage pardoning" refers to the clemency practices that power this loyalty-for-protection exchange. Those practices pose a grave threat to the rules-based constitutional order, and they are the subject of this Article.

Some historical observations predicate the diagnostic and prescriptive arguments that come later. Most importantly, the Framers concentrated federal pardon power in the president because they …

Ensuring "The Right To Live In The World": The Right To Repair Powered Wheelchairs, Maximillian J. Grahl

Duke Law Journal

Twenty-seven years ago, in Olmstead v. L.C., the Supreme Court held that improperly institutionalizing people with disabilities is a form of unlawful discrimination. In doing so, the Court acknowledged that people with disabilities have a right to live free from confinement. Yet today, repair restrictions and outdated Medicare standards combine to threaten powered-wheelchair users' ability to live out in the world. Some states have responded by passing right-to-repair laws, which require powered-wheelchair manufacturers and suppliers to provide the resources necessary for more accessible and more timely repairs. This Note analyzes these state laws in the context of previous right-to …

From Source To Sip: Exploring South Dakota’S Water Values, Sushant Mehan, Robert E. Dalton, Jeremiah Bergstrom, Kayode Adebayo, Kellie Kolb, Peggy Schlechter

Journal of Contemporary Water Research and Education

Water guides South Dakota’s economy, ecosystems, and quality of life, yet there is limited empirical evidence on how residents understand water issues, what concerns they prioritize, and how they assign responsibility for water protection. This study examines public water knowledge, key water concerns, preferred management actions, and perceptions of responsibility for safeguarding water resources in South Dakota. We administered the South Dakota Water Resources Survey from July 2024 to August 2025, with responses from 461 adults across rural and urban communities. The instrument captured demographic characteristics and perceptions related to water knowledge, concerns, actionable items, and responsible parties. We analyzed …

The Bg News September 25, 2026, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. September 25, 2026. Homecoming Issue.

Roblox-Related Protest And Political Opposition In Indonesia: Game-Native Repertoires And Discursive Resistance, Ruth Stany Melisa

JURNAL KOMUNIKASI INDONESIA

Digital games increasingly intersect with political communication as environments in which political grievances are reformulated through gaming cultures and vernaculars. This study examines Roblox-related protests associated with the Indonesia Gelap movement and the controversy surrounding the Indonesian Armed Forces Law (UU TNI) in March 2025. It asks how political opposition is constructed through game-native and symbolic repertoires and how these discourses invoke socially shared representations and relate to political power. Using a qualitative design, the study analyses six selected digital artefacts retrieved from X and TikTok. Visual and textual material constitute the primary data, while captured comments are …

Board Of Trustees Agenda, Sep. 25, 2026, Indiana State University Board Of Trustees

Board of Trustees

Indiana State University Board of Trustees meeting agenda

A Square Peg In A Round Hole: Academic Review And Exhibitions, Cory L. Nimer, Megan E. Frost

Faculty Publications

Academic libraries increasingly use exhibitions as scholarly communication, yet conventional peer-review models rarely account for their collaborative, interdisciplinary nature. Museums and other GLAM institutions have developed standards addressing exhibition goals, audiences, interpretation, attribution, access, and visitor engagement, offering a useful foundation for academic library practice. At Brigham Young University, a library task force examined peer-review models across disciplines and adapted museum standards into a policy for evaluating exhibitions as scholarship in retention and promotion processes. Approved in January 2025, the policy was first applied to By Study and By Faith: 150 Years of BYU, an exhibition developed for the …

2026 Final Bpsou Backfill And Cover Material Quality Assurance Project Plan (Qapp), Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Mission-Scoped 5g Network Lifecycle With Disconnected Udm Cache And Cryptographic Revocation, Bart Van De Velde, Andreas Enotiadis

Defensive Publications Series

A system is proposed herein that defines fifth-generation (5G) subscriber, credential, and policy state for a mission as a machine-readable mission object. The mission object can be staged, instantiated, operated during a loss of central connectivity using a scoped local Unified Data Management (UDM) cache, and dissolved under policy control. The system combines a mission lifecycle state machine with cryptographic revocation of subscriber identity module (SIM), embedded SIM (eSIM), device, and policy assets at mission end.

Access In Teaching Stem Subjects To The Blind, Ashley E. Neybert

Journal of Science Education for Students with Disabilities

There are still many gaps in the literature regarding the difficulties faced by instructors of students who are blind and low vision and who teach Science, Technology, Engineering, and Math (STEM) subjects. We surveyed 26 K-12 STEM teachers about accessible materials they are aware of versus which accessible materials they use in their classrooms, their thoughts on how common challenges identified in the extent literature affect them in their teaching, and their perspective on how much extra time may be required for blind and low vision students (if any) to effectively learn STEM subjects.

Transforming Military Spectrum Management With Spectrack, Rachel Mccoy, Rafa Gould, Abby Fornadel

James Madison Undergraduate Research Journal (JMURJ)

The U.S. military faces operational and financial challenges due to inefficient electromagnetic spectrum
management. This poster and accompanying research statement introduce our minimum viable product, SpecTrack, which we created in response to a challenge presented by the U.S. Department of Defense's Joint Spectrum Agency. SpecTrack centralizes and visualizes spectrum requests to offer insights, streamline communication, and reduce costs. It integrates with current tools like Spectrum XXI and HUNSWDO while enhancing usability through a visual Common Operating Picture (COP). Our user-centered design process included stakeholder interviews and site visits to Germany. The result: a scalable platform that modernizes and simplifies military …

Using Digital Engagement Methods To Balance Democracy And Efficiency In Public Decision Making, Catherine Zietse

PNHA Review

At the bedrock of our democratic society is the active participation of everyday people in shaping public affairs. Local governments seek to build inclusive and democratic processes for decision making, while at the same time being good stewards of scarce resources to efficiently address immediate needs of the community. This paper explores the role of digital engagement in balancing democracy and efficiency in public decision-making by looking at both theory and practice. Academic literature and case studies from the field show that technology and digital engagement platforms do not circumvent the risks of traditional engagement methods but provide both opportunities …

Social Innovation As A Catalyst To Achieving The United Nations Sustainable Development Goals (Sdgs), Patricia Okolo

PNHA Review

This research explores the re-shaping role of social innovation in advancing the Sustainable Development Goals (SDGs), developed by the United Nations in 2015. In the midst of global challenges such as poverty, inequality, and climate change, this research examines social innovation as an important mechanism for achieving sustainable development. The article highlights the significant contributions of social innovation across various sectors, emphasizing its ability to address unmet social needs, promote environmental sustainability, and foster economic development. It identifies critical factors for the success of social innovation, including community involvement, scalability, access to resources, and supportive policy environments, and highlights the …

A New Age Of Leaders: Examining The Empowering Effect Of Collaborative Leadership In Nonprofit Organizations, Colton C. Hyble

PNHA Review

In the changing environment in the nonprofit sector, leaders are under increasing pressure to satisfy stakeholders and bring change to their communities. The collaborative leadership style, proposed and built upon by various authors in the twentieth century, is one potential solution. A theoretical analysis was conducted to understand the collaborative style, its strengths and weaknesses, and its applicability to the nonprofit sector. Results showed overwhelmingly positive findings in the impact on the organization, highlighted by increased organizational performance, a positive workplace environment, and superb employee job satisfaction. Few drawbacks and potential pitfalls exist in slowness, the possibility of a narrow …

A More Comprehensive Response: Collaboration Between Nonprofit Organizations, Abigail J. Punt

PNHA Review

Collaboration between nonprofit leaders and organizations has gained increasing attention as a potential solution to the challenges of funding and program design nonprofits experience in the face of complex social issues. Could collaborative arrangements between nonprofits create more innovative solutions and unlock access to greater resources in an increasingly competitive environment? While much attention has been paid to the role of resource dependency in driving organizations to collaborate, there are additional aspects of these arrangements that must be considered. While the benefits of collaboration are typically shared collectively by partnering organizations and the communities they serve, the costs associated with …

Makers And Small-Scale Manufacturing In Cities: Strategies For Fostering Place, Urban Production, And Economic Growth, Charles Steven Hively

PNHA Review

This paper seeks to answer whether incentivizing makers and small-scale manufacturing has any effect on the economic development or economic growth of a region. Currently, no research exists indicating a causal link between economic growth and incentivizing makers and small-scale manufacturing. Much of the previous conversation from economic development focuses on place-making and revitalization of distressed areas. This paper attempts to link three observations together to infer a positive correlation with economic growth: that higher productivity cities have higher levels of wages and employment; that incentivizing or promoting small-scale manufacturing increases their number and success; and that these small businesses …