Digital Commons Network^™

Impact Of Exercise And Cognitive Behavioral Therapy On Anxiety And Depression, Ranjita Subedi, Rachel Affeldt, Abigail Bentley, Gavin Gump, Madison Mitchell, Taylor Rodgers, Bayley Mullins, Libbie Woodland, Sophia Rubenkoenig

Nurse Residency Posters

OhioHealth Grant Medical Center

Impact Of Fast Track On Emergency Department Length Of Stay, Kayce Carrick Bsn, Rn, Kelsey Richmond Rn, Stacy Duncan Rn

Nurse Residency Posters

Facilitator: Melissa Harper, BSN, RN

OhioHealth O'Bleness Hospital

Impact Of Intentional Leadership Styles On Staff Nurse Satisfaction And Retention, Monica Patrick Rn, Camie Mitchell Rn, Amelia Kennedy Rn, Rachel Geiger Rn, Zachary Foster Rn, Katherine Leahy Rn

Nurse Residency Posters

Facilitator: Tess Wagner, BSN, RN

OhioHealth Riverside Methodist Hospital

Reducing No-Show Rates In A Rural Family Medicine Clinic Through Personal Phone Call Reminders, Joyce Bumgardner

Doctor of Nursing Practice Projects

Background: Missed patient appointments cost the healthcare industry billions annually, reducing provider accessibility and practice revenue. At a rural family medicine office in western Lincoln County, North Carolina, new patient no-show rates exceeded 10%, surpassing the healthcare system’s goal of 5% or less. Automated appointment reminders via text, phone, and email were already in place, but did not adequately address the problem. New patient appointments occupy a 40-minute time slot, twice that of established patients, increasing the impact of each missed appointment.

Purpose: The purpose of this quality improvement project was to determine whether personal phone call reminders made with …

The Role Of Healthcare Leaders’ Perceived Emotional Intelligence In Staff Acceptance Of Artificial Intelligence Tools, Daniel Brian Mcswain

Doctor of Business Administration Dissertations

Artificial intelligence tools are increasingly used in healthcare, but successful implementation depends on more than technical deployment. Staff acceptance is one important factor that influences whether AI tools are used in practice. Traditional technology acceptance research has emphasized perceived usefulness, ease of use, social influence, and facilitating conditions. Less attention has been given to the role of emotional intelligence and trust during an AI-related change. The purpose of this research was to examine the relationship between healthcare leaders’ perceived emotional intelligence and their clinical team’s behavioral intention to use AI tools. The study also examined whether age moderated this relationship …

Gratitude Journaling And Mindfulness To Mitigate Burnout In Mental Health Staff, Jennifer Davis

Doctor of Nursing Practice Projects

Burnout among mental health professionals in inpatient behavioral health settings negatively affects staff well-being, job satisfaction, and patient care quality. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the effectiveness of an 8-week mindfulness and gratitude journaling program implemented on a rural behavioral health unit in North Carolina. Guided by Jean Watson’s Theory of Human Caring, the intervention aimed to enhance resilience and workplace wellness through daily mindfulness and reflective journaling practices. A repeated cross-sectional design using anonymous pre- and post-intervention surveys was conducted with 30 staff participants. Thirty participants enrolled in the study, and 24 completed the …

Enhancing Clinical Judgement In Pre-Licensure Nursing Students Through Active Learning Strategies Of Unfolding Case Studies And Simulations For Postpartum Hemorrhage, Lisa M. Alley

Doctor of Nursing Practice Projects

New graduate nurses lack the appropriate clinical judgement to provide optimal, safe, quality care, as evidenced by the report of errors in health care (Rodziewicz et al., 2024). The purpose of this project was to provide an evidence-based intervention that used an unfolding case study and simulation to further develop clinical judgement among undergraduate nursing students in a rural ADN program. The project used a pre-test and post-test to measure students' improvement prior to versus after the learning experience and debrief. This project also introduced a DASH tool, which is a debriefing assessment for simulations in healthcare, to help students …

Enhancing Mass Casualty Incident Preparedness: Bridging The Gap Between Education And Practice, Emily M. Coggins

Doctor of Nursing Practice Projects

The increasing amount of mass casualty incidents (MCIs), such as natural disasters, large-scale emergencies, and active shooter events, has emphasized the need for healthcare professionals to respond effectively. Traditional undergraduate nursing curriculum often offers limited opportunities for students to practice disaster preparedness through simulated experiences. This DNP project was created to evaluate the effectiveness of implementing an MCI training simulation to increase the confidence and competence of senior pre-licensure nursing students when responding to a mass casualty event. The project implemented a 1-day, simulation-based MCI event for senior nursing students enrolled in an Adult Health II course. The event included …

Hands-Free Tech For Fall Prevention, Sierra Dixon Rn, Jessica Gillam Rn, Bryan Hatheway Rn, Taightam Hicks Bsn, Rn, Kelsey Tignor Bsn, Rn, Hailie Tomsik Rn, Jeremiah Waworoendeng Rn

Nurse Residency Posters

Facilitator: Kasey Gillen, MHA, BSN, RN, NPD-BC

OhioHealth Mansfield Hospital

Cross-Cultural Communication Challenges In Multicultural Hospitality Teams: A Case Study Of The Arlington Hotel, Dublin, Lorrana Rosendo Da Silva

Business ETD Collections

This study investigates intercultural communication challenges within multicultural teams in the hospitality sector in Dublin, focusing on how linguistic barriers, cultural expectations and the dynamics of subgroups influence staff collaboration and day-to-day coordination. The research employs a qualitative case study at the Arlington Hotel, utilizing four semi-structured interviews—two with managers and two with employees—analyzed using thematic analysis. The findings indicate that, particularly during periods of high operational pressure, differences in English proficiency and understanding of accents can affect the clarity of instructions and the confidence to seek clarification. Furthermore, subgroups based on language or nationalities were described as useful in …

Analysis Of Employee Retention In The Irish Hospitality Sector, Ali Okan Yazicioglu

Business ETD Collections

This study investigates the organisational and external labour market factors influencing employee retention in the Irish hospitality sector. The sector faces persistently high turnover rates, yet existing literature has largely focused on internal factors such as leadership and working conditions, overlooking broader labour market dynamics. To address this gap, a qualitative research design was adopted, involving semi-structured interviews with six participants (three managers and three kitchen staff) working in hospitality establishments in Dublin’s Temple Bar area. Thematic analysis was applied to identify key themes related to working conditions, management practices, job satisfaction, employee retention, and labour market factors. The findings …

Key Factors Influencing Consumer Booking Decisions On Booking.Com, And The Role Of Trust In Online Reviews, Deisiane Soares

Business ETD Collections

This study examines the factors influencing accommodation booking decisions on Booking.com, with a particular focus on the role of trust in online reviews. Using a quantitative survey, the research analyses how consumers evaluate key factors such as price, location, ratings, and user-generated reviews. The findings show that while online reviews help reduce uncertainty and build trust, they are not the main driver of booking decisions. Instead, price and location are the most influential factors, with trust in reviews acting as a supporting element. Trust is also found to be conditional, depending on review consistency, detail, and recency. Hence, the study …

Exploring The Challenges Faced By Home Care Workers In Dublin, Camila Melo Dos Santos

Business ETD Collections

This study explores the challenges faced by home care workers employed by private healthcare providers in Dublin, and how the workers perceive the training and organisational support available to manage job demands. Using a mixed methods approach, quantitative data was collected through a survey that received 24 responses, and qualitative data from four in depth interviews. The findings identify time pressure as the most significant challenge, and discovered that formal training is available but it is not considered relevant by the workers, who rely on their experience to deliver the service. Organisational support was perceived as inconsistent, with lack of …

Member Engagement And Retention Challenges In The Latin Cycling Club Dublin, Sarideth Ailin Solis Lopez

Business ETD Collections

This study investigates participant engagement and retention challenges at Latin Cycling Club Dublin, a volunteer-run, non-profit community cycling group based in Dublin, Ireland. The group brings together Spanish-speaking people and others interested in Latin culture who ride together for hobby, social connection, and health improvement. Despite having 259 Instagram followers, 125 Strava participants, and 112 WhatsApp group members, only 8 to 12 people join rides on a regular basis, representing a drop-off of approximately 90 to 93%. The same small core group attends most rides, while the majority of followers remain inactive. Female participation is below 10%, and non-Spanish speakers …

The Impact Of Multicultural Staff On Service Performance And Customer Loyalty: Evidence From A Dublin Beauty Spa, Paulina Veronica Flores Lopez

Business ETD Collections

The present research explores the relationship between multicultural staff service performance and loyalty within the context of a beauty spa in Dublin. The investigation focuses to understanding how employee cultural diversity affects customer experience and service delivery in a highly interactive service scenario.

A quantitative research methodology was adopted, based on survey information collected by 50 clients and 25 employees. Key variables, including employee performance, intercultural communication, Human Resources practices, customer satisfaction, and customer loyalty, were analysed using descriptive statistics. Additionally, the interpretation of the results was supported by the analysis of qualitative insights from open-ended responses.

The findings show …

Adapting International Marketing Strategies To Local Markets: A Case Study Of Zambrero In Ireland, Júlia Megale Freitas Pimenta

Business ETD Collections

As companies expand into increasingly globalised markets, they face the strategic challenge of balancing global standardisation with responsiveness to local market needs. This study examines how the balance between standardisation and local adaptation influences customer perception in the international fast-casual food sector. While standardisation can provide economies of scale, operational efficiency, and consistency in global brand identity, adaptation allows companies to respond to differences in consumer preferences, cultural expectations, and competitive conditions. Drawing on international marketing and branding literature, the study considers how these strategies influence perceptions of brand identity, authenticity, value, and customer loyalty across different national markets. Particular …

Country-Of-Origin Cues And Indian Consumers’ Skincare Purchase Intention: A Research Proposal For Reliance Retail’S Tira Beauty, Mohammed Ismail Shareef

Business ETD Collections

This study investigated how Indian consumers perceive the "country-of-origin" (COO) cue when evaluating skincare products from Tira Beauty. Specifically, this study focused on COO for both Indian-origin and foreign-origin skincare to determine if there is a link between origin, consumer trust in brands, attitudes toward brands, and intentions to make purchases. Using a qualitative methodology and three semi-structured online zoom interviews with Indian consumers who are familiar with Tira Beauty, the study identified themes within the interview responses and analysed them using manual thematic analysis in Microsoft Excel. Results indicate that COO influences initial perceptions of products; however, it does …

“I Don’T Always See A Future For Me Here”: Oppressive Political Pressures On Lgbtq+ College Students’ Well-Being, Jodi Linley, Olivia M. Copeland, Kathleen J. Buell, Cindy Ann Kilgo, Megan Pendleton, Alex C. Lange, N F. Tennessen

Journal of Queer and Trans Studies in Education

In recent decades, colleges have broadly supported LGBTQ+ students. Now, institutions have shuttered LGBTQ+ initiatives in response to political pressures, with little consideration for the effects on students. This study answers the question, what current policy factors do LGBTQ+ college students describe as affecting their well-being, and in what ways? We analyzed 426 responses from a multi-institution study of LGBTQ+ students. By and large, students feel anxious and fearful as they navigate the current climate. Our analysis illustrated numerous factors, from the President and his administration to states and general emboldened violence, and the real and potential consequences of those …

The Law Of Quitting, Andrew K. Jennings

Faculty Articles

Throughout life, people enter countless positions of authority and trust in relation to one another and the public. These positions include, among many others, being a public official, being a corporate director, and being an employee. Law announces prerequisites for starting such positions, as well as incumbents’ rights and obligations once in them. But no office holds forever. Indeed, incumbents often choose to exit positions before they would otherwise end by expiration, removal, or death. Yet law governs such voluntary relinquishment—often called “resignation” or, more generically, “quitting”—largely as afterthought. That is, law expansively attends how positions of authority and trust …

Applying Transfer Learning For Street-Scale Nuisance Flood Forecasting In Coastal-Urban Environments, Binata Roy, Jonathan L. Goodall, Diana Mcspadden, Chetan Kumar, Steven Goldenberg, Yidi Wang, Malachi Schram

Data Science Faculty Publications

An important challenge with Machine Learning (ML) is its transferability; that is, whether an ML model trained on one set of data can be applied to a second set of data without requiring full retraining of the model. Transfer Learning (TL) addresses this challenge by transferring knowledge learned in the source domain (the data it was trained on) to the target domain (a second set of data that is statistically different but related, which the model was not trained on). This study investigates the use of TL for street-scale nuisance flood forecasting by exploring whether an ML model trained for …

Fda After Loper Bright, Erika Lietzan

SMU Law Review

Loper Bright Enterprises v. Raimondo, which overruled the Chevron, U.S.A. v. Natural Resources Defense Council decision from 1984, tells us that a court should determine the meaning of all statutory provisions for itself, rather than deferring to the views of the federal agencies that implement those provisions. But the overruling of Chevron may have less of an impact on the U.S. Food and Drug Administration (FDA) than conventional wisdom supposes. Most challenges to FDA action do not concern its statutory interpretations. And the agency prevailed in most cases involving statutory interpretation before the Chevron doctrine took hold. After 1984, …

The Effects Of A Teacher-Led Coaching Intervention On Paraprofessionals’ Rates Of Behavior-Specific Praise In Secondary Special Education Classrooms, Melanie Urmilla Singh

PCOM Psychology Dissertations

The role of paraprofessionals in education is essential as they work alongside teachers to provide additional support to students within classrooms. Their responsibilities may differ based on the needs of the school, classroom, and student, paraprofessionals often play an important role in supporting students’ behavioral needs. While their roles being prevalent in education, paraprofessionals could benefit from additional training in evidence-based strategies, specifically when working with students with behavioral needs and the application of behavior-specific praise. Considering that teachers typically receive more formal training and work closely with paraprofessionals in the classroom, they are well positioned to provide training support …

Social Drivers Of Healthcare Access In Pediatric Autoimmune Disease: A U.S. Analysis (2022–2023), Kevin Okifo

Yale Medicine Thesis Digital Library

Background: Prior studies in adults have demonstrated that social drivers of health contribute to disparities in disease burden, management, and healthcare access among individuals with autoimmune disease (AD). There is emerging pediatric evidence suggesting similar patterns, but national-level data describing how social and structural factors shape healthcare access for children with AD remain limited. The aim of this study is to identify the sociodemographic and structural factors associated with healthcare access among children and adolescents with AD in the United States. Understanding these factors can support meaningful advances that will optimize patient-centered care and wraparound services for pediatric AD.Study Design: …

Health Communication Challenges In The Digital Era: Two Empirical Investigations, Neeraj Gautam Patel

Yale Medicine Thesis Digital Library

Background: The quality and availability of health information consumed by the general public have undergone dramatic changes in the 21st century with the rise of digitization and the internet. These include the growth of direct-to-consumer (DTC) advertising of prescription drugs on television and online media, changes in health content on traditional news media platforms, and the propagation of health misinformation and disinformation on social media and other websites. Understanding the nature and sources of these changes can inform efforts and interventions aimed at improving the general public’s understanding of health information. One area of interest within regulated health communication is …

Promoting The Use Of Smoke Evacuation Systems In The Operating Room: A Quality Improvement Initiative, Andrea Leigh Drayer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Surgical smoke produced during procedures poses serious health risks to operating

room (OR) staff and patients, yet many hospitals, including an academic medical center in

northern West Virginia, have underutilized smoke evacuation systems. The imminent

enforcement of West Virginia House Bill 4376, mandating smoke evacuation use, provided both

urgency and opportunity for an intervention.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project

was to increase timely compliance with the use of smoke evacuation systems during all smoke-

producing procedures, ensuring alignment with safety standards and legislative requirements.

Methods: A systematic evidence review of academic …

Out-Group And In-Group Relational Trust In Group Coaching With First-Grade Teachers: A Single Case Study, Jentry S. Barrett, Rachel E. Schachter, Jungwon Eum, Gwen Nugent, Kathleen M. Rudasill

Department of Child, Youth, and Family Studies: Faculty Publications

Coaching has become a prominent professional learning tool for helping early childhood teachers (birth–8) implement curriculum and research-based practices in their classrooms. One coaching strategy that supports positive changes in teacher practice and child outcomes is building trust between the coach and teacher(s). However, there is limited understanding of the nature of trust-building in coaching, particularly in group coaching configurations. There are two types of trust to consider in the context of group coaching: out-group trust between an outside coach and the teachers, and in-group trust between the teachers experiencing coaching who already have a relationship. This case study aimed …

Towards Developing A Career Technology Fit Framework And Analyzing Its Influence On Work-Related Outcomes Among It Professionals, Gunjan Tomer

Journal of International Technology and Information Management

With growing attrition rate and significant demand for skilled IT professionals, the importance of studying their behaviour has become important for both academia and industry. Despite ample amount of research, there is still a gap between theory and practice. Based on our qualitative study conducted on Indian IT professionals we propose that technology allocation might contribute in understanding the behaviour of IT professionals. We found that IT professionals evaluate the technology allocated to them based on their individual career motives. This evaluation, either positive or negative, influences their job outcomes. Further, we explored the factors that make a technology preferable …

High Technology And The Developing State: The Arrival Of Supercomputers In India, Ramesh Subramanian

Journal of International Technology and Information Management

While India has made vast strides in information technology in the last few decades, its success is mainly attributed to its software, rather than its hardware sector. In fact, India’s attempts at developing computer hardware that can match international standards have largely been unsuccessful. A notable exception is its development of a series of supercomputers that match and exceed many international standards. This paper looks at an interesting period in India’s computing history – namely the 1980s and 1990s – focusing on its development of an indigenous supercomputer. During that period, supercomputers were thought to be the sole privy of …

Responsible People Analytics For Remote-Work Decisions: A Machine-Learning Benchmark For Classifying Perceived Productivity, Ruth Menjivar, Nima Molavi, Narges Mashhadi Nejad

Journal of International Technology and Information Management

This study examines whether employee-perception survey data can support responsible people-analytics decisions about remote-work productivity. Using the public New South Wales (NSW) Remote Working Survey 2021 (N=1,512), the study benchmarks statistical and machine-learning classifiers for self-reported perceived productivity classes (same, less, or more productive when working remotely relative to onsite work), not objective output, under default, class-weighted, and resampling protocols. Main evidence comes from 5×5 repeated stratified cross-validation using macro F1 and balanced accuracy with fixed model specifications. Class-balanced separability is modest. Random Forest, CatBoost, and LightGBM form a leading cluster with overlapping confidence intervals (macro F1 ≈0.51–0.52). Affective/well-being items, …

The Value Of Personal Data Ecosystems: A Flemish Media Sector Case Study, Maarten De Mildt, Melanie Verstraete, Sofie Verbrugge, Didier Colle

Journal of International Technology and Information Management

Personal Data Stores (PDSs) have been proposed as a privacy-preserving approach to data sharing that increases individual control over personal data while enabling new forms of cross-organizational collaboration. This collaboration leads to the emergence of Personal Data Ecosystems (PDEs). Despite growing interest in PDEs, limited research has examined how the organizational and economic barriers identified in prior studies manifest in practice. This paper investigates these challenges through a case study of the Flemish media sector within the Solid4Media project, which explores the use of PDSs to support data sharing and personalization across media organizations. Using a qualitative research design, data …