Digital Commons Network^™

Reliability And Validation Of A Game-Based Assessment Of Upper Limb Movement In Children With Unilateral Cerebral Palsy, Rachel Scheele

Master's Theses (2009 -)

Unilateral cerebral palsy (UCP) is a pediatric movement disorder characterized by motor impairment primarily affecting one side of the body. Clinical assessments of upper limb function are widely used but often lack precision and may be influenced by clinician subjectivity, thus creating a need for objective, reliable, and valid forms of assessment. Mobile health (mHealth) has shown promise in rehabilitation settings, due to its accessibility and user-friendly design. However, validity and reliability of these assessment tools remain largely unknown. MoEvGame was developed to evaluate upper limb motor function. This study evaluated the reliability and validity of MoEvGame in children age …

Developing A Framework To Improve Phishing Response After Detection, Kevin Umba

Master's Theses (2009 -)

Phishing belongs to the most prevalent attack vectors in the cybersecurity industry. Academia, industry, and government resources offer a wealth of information on the subject. However, insights on phishing techniques and remediations are scattered across those sources. Most governmental and academic literature focuses on user awareness, policy guidelines, or phishing training. This leaves the security practitioners underserved. Furthermore, actionable information for security operations is often unstructured or vendor-specific. The goal of the thesis is to provide a preliminary framework to guide security professionals through indicators of compromise and remediation, using a vendor-neutral approach.

Quality Improvement Project: Improving Adn Faculty Professional Development Through Simulation Training, Sharon Haley Peace

Doctor of Nursing Practice Projects

Lack of structured simulation training for nursing faculty, which has been identified as a gap in the literature, can negatively impact the quality of simulation-based education and student learning outcomes. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to develop, implement, and evaluate an evidence-based training intervention aimed at improving faculty self-efficacy and competence in simulation facilitation. The project was guided by Lewin’s Change Theory and Kolb’s Experiential Learning Theory to support faculty development. A quantitative, quasi-experimental pre-post design was used with a convenience sample of nine associate degree nursing faculty at a rural community …

Quality Improvement Project: Improving Provider Workflow And Documentation For Routine Mental Health Screening In An Outpatient Psychiatric Clinic, Sharon Uchechi Joshua

Doctor of Nursing Practice Projects

Depression and anxiety are leading causes of disability and are frequently underdiagnosed in outpatient psychiatric settings due to inconsistent screening and documentation practices. Evidence supports the use of standardized tools, such as the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), to improve early detection and clinical outcomes. This quality improvement (QI) project evaluated whether implementing standardized electronic health record (EHR) templates and provider education would improve documentation of PHQ-9 and GAD-7 screenings. The aim was to increase the consistency of screening and documentation among psychiatric providers. The project was guided by the Plan-Do-Study-Act (PDSA) framework and Lewin’s Change …

Internship Leads To Job And Baade Finds More Is Morris--In Less Than Four Years, Communications And Marketing

Campus News Archive

No abstract provided.

Enduring Commitment: A Phenomenological Exploration Of Retention Among Veteran Early Childhood Educators In Rural Settings, Erin M. Wirtz

Dissertations, Theses, and Projects

The retention of teachers has been a challenge, particularly in the field of early childhood education (Downey et al., 2024; Havlicek-Cook, 2012; Markowitz, 2024; Totenhagen et al., 2016). Research on teacher attrition is abundant, yet studies of retention are far less common, and those that exist have largely focused on K-12, novice, and urban educators. This study seeks to address this gap by exploring the experiences of veteran early childhood educators working in rural northern Minnesota. Guided by the framework of Deci and Ryan’s (2000) Self-Determination Theory, the purpose of this study was to examine factors that contribute to sustained …

Foreign Language Experience Effects On L2-Accented Speech Attitudes In College Students, Jordan L. Ellington

Theses and Dissertations

The purpose of the study is to test whether knowledge of a second language in college students can affect perceptions and prejudices towards speakers with foreign accents. The testing was completed through both implicit and explicit attitudinal measures in regard to recorded audio stimuli. The explicit attitudinal testing was performed through participant self reporting of attitudes. Participants were presented with first (L1) or second (L2) language accented English samples and then rated that speaker in terms of various characteristics or traits that represented the speaker's solidarity and status. The implicit testing was performed in an Auditory Implicit Associations Test on …

Ndls Communicator: Week Of 04.27.26, Notre Dame Law School

NDLS Communicator

The Latest News

• 3L Nikki Rafferty has been selected as the recipient of the 2026 Thomas L. Shaffer Public Interest Fellowship
• 3L Erin Hiestand has been named one of the American Constitution Society’s 2026 Next Generation Leaders
• Notre Dame Law School’s Barristers Mock Trial Team (the Law School’s Trial Advocacy Team) won the regional championship and advanced to nationals at the American Association for Justice (AAJ) Student Trial Advocacy Competition.
• The Notre Dame Exoneration Justice Clinic (EJC) will welcome three law students from the National Autonomous University of Mexico (UNAM) to its summer internship program.

Student News

• Roselis Díaz De …

Writing As A Process Of Inquiry In Autoethnography For Meaning-Making: Reflections And Some Points For Consideration, Niroj Dahal

The Qualitative Report

This article explores writing as a process of inquiry and meaning-making in the autoethnographic tradition, offering reflections on the recursive, emergent, and dialogical/dialectical nature of writing, along with some points for consideration. Drawing on perspectives from qualitative research and narrative inquiry (Riessman, 2008), I argue that autoethnographic writing serves as a method of inquiry and/or discovery, generating ontological, epistemological, and axiological-driven cultural meaning that functions as a site of reflection, interrogation, and re-storying of lived experiences. This recursive, often messy, and reflexive act allows researchers to excavate, analyze, and interpret their lived experiences. Rather than viewing writing as a final-stage …

A Rigorous And Ethical Methodological Framework For Navigating Cultural Differences With Police Officers In A South African Rural Community, Masefako Andronica Gumani

The Qualitative Report

Research contexts pose different challenges during research processes, and these challenges may affect the credibility of study findings. This was especially the case when, as a researcher, I interacted with police participants from different cultural backgrounds from my own. This paper reflects on my experience as a female Sepedi‑speaking researcher conducting a Ph.D. qualitative, grounded theory study with male and female South African Police Service (SAPS) officers from the Venda and Tsonga cultural backgrounds. I used a reflexive autoethnographic research design to purposively look at myself as the subject of inquiry and analyze my reflexive journal using reflexive thematic data …

Testimonios De Una Estudiante De Doctorado: Regaining Joy In Graduate School Through Research-Practice Partnerships, Sophia Piral Lee

The Qualitative Report

Through an epistolary critical autoethnography and Latina and Chicana feminist framework, I explore the question of how international graduate students of color can overcome cultural, linguistic, ethnoracial, and social class isolation on predominantly white campuses and in college towns. By writing a letter to my mother (one of my methods for survival in academia), I share my challenges as a Guatemalan, first-time mom, first-generation college student, international student, and non-English native speaker in graduate school during and after the COVID-19 pandemic. At the same time, this writing helps me recognize how I overcame my isolation and regained my joy and …

Healthcare Institutions’ Influences On Health Literacy Levels In Mothers In Greensboro, North Carolina, Wole Ajala

Walden Dissertations and Doctoral Studies

Immigrant populations experience persistent challenges within the U.S. healthcare system, including marginalization, discrimination, and limited access to understandable health information, which contribute to health disparities. Factors such as low income, cultural differences, and intersecting identities related to gender and race further compound these challenges. This qualitative phenomenological study examined how these social determinants of health influenced the health literacy experiences of African immigrant mothers in Greensboro, North Carolina. Data were collected through encrypted WhatsApp audio interviews with eight African immigrant mothers who had used healthcare services in the United States. Interview recordings were transcribed verbatim and analyzed using inductive thematic …

Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun

Walden Dissertations and Doctoral Studies

The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, providing care to millions of veterans annually. Diagnostic service wait times affect veteran access to timely diagnoses and subsequent eligibility for disability benefits, vocational rehabilitation, and social services. The purpose of this integrative review was to identify evidence-based strategies to reduce diagnostic wait time within the VHA. The guiding review question addressed what strategies VA medical centers can use to reduce diagnostic wait times. Guided by Donabedian’s structure-process-outcome framework, a comprehensive literature search initially identified 487 sources across multiple databases. Subsequently, systematic screening and application …

Initiatives To Grow New Innovative Talent To Enable Fusion Energy, Peng Zhang, Ranganathan Parthasarathy, Yuqiao Fan, Arnold Lumsdaine, Rinkle Juneja, Yuchen Jiang, Monica Gehrig, Louise Ferris, David Donovan, Firas Akasheh, Olakunle Harrison, Joshua Schlegel, Manish Sharma, Mohammad Habibi, Mohan Rao, Rajni Chahal, Sean Walters, Vola Andrianarijaona

Achieve

The Initiatives to Grow New Innovate Talent to Enable Fusion Energy (IGNITE Fusion Energy) project was launched under the U.S. Department of Energy’s Reaching a New Energy Sciences Workforce (RENEW) program. This DOE RENEW-funded project is a multi‑institutional program that aims to build the future fusion workforce through mentoring, curriculum development, and innovation bootcamps. IGNITE brings together six academic institutions (Tennessee Tech University, Tennessee State University, Tuskegee University, Southern Adventist University, Missouri University of Science Technology, and University of Tennessee–Knoxville), Oak Ridge National Laboratory (ORNL) as a research and partnership hub, and 11+ private fusion companies for industry input and …

Service Providers’ Perceptions Of Mckinney-Vento Implementation: Supporting Academic Performance And Attendance In K-12 Students’ Experiencing Homelessness, Darci Mcrae

Honors Projects

In Wood, Lucas, and Ottawa County, Ohio, approximately 2,508 students or 2.6% of total enrollment experience homelessness. The McKinney-Vento Act (MVA, 1987) aims to reduce educational barriers for these students by ensuring access to transportation, school enrollment, school supplies, and additional educational support. Despite these provisions, the effectiveness of MVA implementation varies among school districts due to differences in staff training, funding, procedures, and the diverse needs of students experiencing homelessness. This study examines service providers’ perceptions of how the MVA is implemented in public school districts and how it affects attendance and academic performance among K–12 students’ experiencing homelessness. …

Barriers Asian Adoptees Face In Screening For Inheritable Conditions Due To A Lack Of Family Medical History, Anna Shea

Honors Projects

Adoption has been increasingly common in the United States, with more than 7.8 million people in the United States adopted (Wexler et al., 2025) and over 280,000 children in the United States adopted internationally (Orr et al., 2024). Despite this, those who are adopted, especially internationally, often face medical disadvantages compared to those biologically related to their family. The differences in treatment between adoptees and those who are biologically related are largely due to the knowledge, or lack of knowledge, of the individual’s family medical history and genetic information. Genetic or inherited disease screening is often only completed or covered …

Ghosts Of The Shelves: A Sequential Quantitative Study Of Book Banning And Libricide In The United States, Gregory A. Wadsworth

Doctoral Works at the University of New Haven

The United States is entrenched in a new era of censorship and libricide, characterized by unprecedentedly high rates of book banning, legislatively mandated restriction, and the disproportionate censoring of works authored by and prominently showcasing sexual and racial minorities. This ongoing perpetration of libricide, the prolific characterization of literature as a cultivator, and the societal structure which manifests and promotes literary restriction has thus far received little empirical attention. The current study represents a sequential quantitative study of book banning and libricide in the United States. Mirroring Gerbner’s (1998) method for establishing cultivation effects, the present study (1) utilized open-source …

Building The Bridge: Infusing Collaboration Into Frontline Oncology Practice, Tara Ridgeway

Creating Healthy Work Environments (CHWE)

Significance/Background: Outpatient oncology infusion areas are high-volume, high-acuity environments where nurses must rapidly adapt to evolving therapies. Yet, nurse-centered education often lags behind, contributing to frustration, workflow inefficiencies, and safety concerns. A newly created NPD specialist role—dedicated to infusion/procedural areas—offered an opportunity to close persistent gaps.

Environmental scanning revealed inconsistent, pharmacy-driven education lacking nursing-specific content (e.g., hypersensitivity risk, treatment parameters, symptom management). Nurses described feeling overlooked and unprepared.

Interdisciplinary collaboration was viewed as ineffective, and last-minute education failed to support safe administration of high-risk therapies.

Purpose: To advocate for nursing representation in decision-making, establish interdisciplinary partnerships, and deliver timely, relevant …

Your Workforce Sustainability Kit: Is Debriefing The Underutilized Tool For Safety And Well-Being?, Maggie Runyon, Tara Ryan Kosmas

Creating Healthy Work Environments (CHWE)

Purpose: To pilot a professional development offering providing a comprehensive debriefing model inclusive of quality, safety, and clinician well-being concerns. This is responsive to main gaps identified in recent systematic reviews exploring the evidence for debriefing to support emotional well-being of clinicians.

Theoretical Framework: Ajzen’s Theory of Planned Behavior guides this professional development and evaluation by examining behavioral beliefs, normative beliefs, and control beliefs.

Project: This program evaluation explored baseline gaps identified by 17 nurses who attended a comprehensive debriefing workshop in Maryland. Data was collected before the workshop to assess baseline exposure to debriefing behaviors and practice norms. The …

Empowering Nurse Educators Through Cognitive Rehearsal, Mary Kathryn Sanders, Teresa B. Bailey

Creating Healthy Work Environments (CHWE)

Background: Creating and sustaining healthy work environments in nursing education requires educators to be proficient in evaluation, feedback, and communication. Traditional preparation programs lack structured training in these areas⁶. Gaps in giving and receiving constructive feedback span health professions education, and early career nurse attrition is frequently linked to perceived bullying, inadequate preparation, and poor clinical support^1,4. These challenges affect psychological safety and professional development for students and new graduates.

Cognitive rehearsal has shown promise in preparing nurses to respond to incivility and enhancing self-efficacy^2,3. While used in faculty development, its integration into formal …

Reducing College Dropout Rates Of People With Autism In Hillsborough County, Florida, Jennifer Warren

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

Significant barriers exist for neurodivergent individuals when they try to access higher education and these barriers continue to disrupt their ability to persist and obtain a college degree or secondary professional education. By implementing targeted academic supports and increasing authentic inclusive education practices on campuses and in online education spaces, barriers can be reduced or eliminated. With clear actionable steps and intentional buy in from institutions, barriers present for teens and young adults with autism are removed and higher education.

Significant Findings

College students with autism spectrum disorder (ASD) are a growing population in higher education, but they …

Beyond Barriers: A Universal Design Guide, Sydney F. Bunk

Masters Projects

Research has shown that students with reported visual impairments are continuously underrepresented in study abroad programs, despite institutions promoting study abroad as a high-impact practice that benefits students of diverse backgrounds. Although study abroad participation has been increasing in recent years, students with disabilities, and particularly those with visual impairments, engage at disproportionately low rates. A lack of comprehensible information about program environments and available accommodations are contributing factors to this trend. This project is intended to improve the clarity of study abroad program materials through the development of a Universal Design for Study Abroad Guidebook. Guided by the principles …

Handgrip Strength, Handgrip Endurance And Bmi: A Comprehensive Approach To Health Assessment Among The General Population Of Madikeri, Dr Asha S. Das, Dr Ravikiran Kisan, Dr Suhas Y. Shirur, Dr Narasimha Rai K, Dr Sanjay Bhagoji

Digital Journal of Clinical Medicine

Introduction: Being physically fit is essential for lowering the risk of illness and enhancing longevity. While Body Mass Index (BMI) is frequently used to evaluate body composition, Hand Grip Strength (HGS) and Hand Grip Endurance (HGE) are important indicators of general well-being. Goal: To assess BMI, HGS, and HGE and ascertain how they correlate in a selected group of subjects. Methods: Fifty participants between the ages of 20 and 40 years participated in a comparative cross-sectional study at the Department of Physiology, Kodagu Institute of Medical Sciences, Madikeri. Participants were divided into three BMI groups after anthropometric measurements were taken. …

Thinking Towards The Future: Reflections On Engaging With Ai For Visual Data Presentation In Qualitative Research, Chloe Le, Anh Ngoc Quynh Phan

The Qualitative Report

This article reports our experience of exploring the use of ChatGPT to artistically present a segment of qualitative data in a visual form for one of our previous studies. We recounted our engagement with ChatGPT and reflected on our emotions and thoughts throughout the interactive process with this AI-powered tool for image generation. Our narrative analysis highlights the agency of ChatGPT as an active contributor to the creative endeavor and emphasizes our critical role as researchers in interpreting the data and in critically evaluating AI-generated images within the context of our research. The paper suggests that AI-text-to-image function can potentially …

Coordinated Telehealth For People With Parkinson’S Disease: A Qualitative Comparison Of Providers’ And Patients’ Experiences, Erin J. Bush, Reshmi L. Singh, Josephine Cox, Merrill R. Landers, Annalisa V. Piccorelli

The Qualitative Report

Telehealth increases access to allied healthcare in rural areas. People with Parkinson’s disease (PD) need improved access to health care, and from a patient-centered perspective, the coordination of their healthcare should be a priority. Four speech-language pathologists, two physical therapists, two pharmacists, and two study coordinators provided a coordinated allied healthcare intervention for people with PD in rural Wyoming and Nevada. Both the providers of the intervention, as well as the participants who received it, were interviewed about their experiences with the eight-week intervention and asked about aspects that were successful or unsuccessful. Through a naturalistic paradigm using a qualitative …

Beyond Victimhood, Expanding Narratives: A Generative Inquiry With Trafficking Survivors, Giacomo Chiara, Celiane Camargo-Borges, Diego Romaioli, Alberta Contarello

The Qualitative Report

This study is a generative inquiry with survivors of trafficking from a social constructionist perspective. Inspired by the principles of Appreciative Inquiry, its focus is collaboration between researchers and trafficking survivors with a view to shaping and understanding their trafficking experiences together, expanding understanding of the topic and co-constructing a relational space in which counter-narratives on victimhood can be generated. It consisted of 10 interviews with women survivors of trafficking at the Italian Anti-Trafficking System. These women were from a range of nations and their experiences of exploitation varied. Taking a constructionist approach to research, we formulated an episodic-generative interview …

Solo Faculty Program Coordinators In Student Affairs-Related Graduate Programs, Phillip A. Olt, Mitch Nasser, Louise Michelle Vital, Steven Tolman, James G. Archibald, Mary Ann Bodine Al-Sharif, Blue Brazelton, Rozana Carducci, Michael Houdyshell, Tryan Mcmickens, Cara Meixner, Molly Mistretta, Amy Paciej-Woodruff, Richie Stevens, Ann Wendle, Claude E.P. Mayo

The Qualitative Report

Many graduate programs in student affairs-related subfields employ just one full-time faculty member, who then also functions as the program coordinator. Program coordinator duties and compensation vary widely, but they are generally the person who ensures all aspects of the program function. Research shows that fulfilling these responsibilities in addition to teaching, research, and service is difficult; however, this study sought to expand on that literature to understand what it was like to coordinate a HESA program as the only full-time faculty member isolated in that subfield at the institution. We utilized the hybrid qualitative methodology of phenomenological polyethnography, wherein …

Exploring Lay Meanings Of Happiness In Contemporary India: A Qualitative Inquiry, Kunmun Mishra, Kailash Bl Srivastava Professor

The Qualitative Report

Three decades of professional research suggest several explicit concepts of happiness; however, exploring the lay theories of happiness has largely been overlooked. Addressing this gap, our paper attempts to explore lay concepts of happiness in the contemporary Indian context. Given the inherently subjective nature of happiness, a qualitative study was conducted to explore the impact of beliefs and lived experiences on happiness. Data were collected through semi-structured in-depth interviews, and transcripts were analyzed using thematic analysis. Meanings, causes, and actions to maintain happiness evolved into seven significant themes: contentment, achievement and hope, collectivist orientation, autonomy, materialism, pragmatic orientation, and spirituality. …

Advancing Sustainability In The Indonesian Oil Field Services Landscape, Firmansyah Arifin, Sudarso Kaderi Wiryono, Sylviana Maya Damayanti, Gatot Yudoko

The Qualitative Report

This study examines sustainability practices in Indonesia's drilling and oil field services (OFS) industry, addressing a critical research gap from a business and management perspective. Using a qualitative case study approach, ten in-depth interviews with industry leaders identified key performance variables and developed a sustainability model specifically designed for the OFS drilling sector. The findings highlight three core dimensions: Internal Variables (e.g., Employee Health and Safety, CSR Initiatives, ESG Performance, Cost Savings, Energy Efficiency, Carbon Footprint Reduction), External Variables (e.g., Green Financing, Stakeholder Engagement, Community Welfare), and Performance. Novel contributions include operationalizing advanced HSE technologies like cyber rigs and tailored …

Neurodiverse Secondary School Educators Transitioning To Online Teaching During Covid-19 Pandemic, Leane Pupo

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic affected individuals, families, communities, and a variety of workplaces across the world. Many studies have addressed the impact of the emergency transition from on-ground to online on educators, students, and their families. However, while there is emerging literature on the impact of COVID-19 on neurodiverse individuals and on neurodiverse individuals in the workplace, there is little or no research on neurodiverse teachers. The purpose of this study was to explore the experiences of neurodiverse educators who transitioned from on-ground to online teaching during the COVID-19 pandemic. Bandura’s social cognitive theory of self-efficacy and Garmezy’s theory of resilience …