Digital Commons Network^™

Toward A Triadic Therapeutic Alliance: Understanding Client, Therapist, And Ai Relational Processes In Counseling, Jennifer Young

Journal of Technology in Counselor Education and Supervision

Artificial intelligence (AI) is integrated into counseling through chatbots, digital companions, and clinical decision-support tools. This integration challenges traditional models of the therapeutic alliance, which have historically centered on the dyadic relationship between client and therapist. To address this gap, the Triadic Therapeutic Alliance (TTA) Model of Client-Therapist-AI Relational Dynamics offers a new framework for understanding how relational processes unfold when AI becomes an active participant in therapy. The model extends alliance theory into a triadic structure that includes the client-AI and therapist-AI relationships alongside the traditional human alliance. Drawing on research in human-computer interaction and ethical frameworks of trust …

Exploring Chatgpt As A Simulated Client: A Feasibility Study In Undergraduate Counselor Training, Kayla E. Hayes, Rebecca L. Wilson, Joshua Wilson

Journal of Technology in Counselor Education and Supervision

Generative artificial intelligence (AI) offers new possibilities for simulation-based counselor training by enabling scalable, text-based interactions that mimic human dialogue. This exploratory feasibility study examined whether ChatGPT can serve as a simulated counseling client and feedback provider for undergraduate students learning counseling skills. Five upperclassmen completed a 45–60-minute text-based session with ChatGPT portraying “Sarah,” a college student experiencing depression and loneliness, followed by AI feedback and a semi-structured interview. Trained raters judged ChatGPT’s client portrayal and feedback as generally accurate, particularly for tone, empathy, and identification of students’ strengths. Accuracy was lower for rapport, summarizing, and pacing characteristic of an …

Generative Artificial Intelligence In Counselor Development: Examining Systemic Influences On Training, Lauren Dollarhide, Leo Gonzalez Jr., Rachel M. Smith

Journal of Technology in Counselor Education and Supervision

The use of large language models (LLMs) and generative artificial intelligence (AI) tools (e.g., ChatGPT, AI-assisted supervision platforms, and AI-powered role-play simulations) in counselor education is changing the way counselors-in-training (CITs) are trained and has both risks and benefits for the field. This conceptual article applied Bronfenbrenner’s ecological systems theory to evaluate the impact of these technologies at multiple levels within the counseling training environment. The microsystem is described as the interactions between CITs and the AI they use to support their training experiences (e.g., AI-based learning tools, role-playing simulations). The mesosystem refers to the movement of AI across different …

Simulation-Based Education In A Counseling Skills Course: A Mixed-Methods Pilot Study, Alexandra Gantt-Howrey, Hana Shewamoltot Meshesha, Renyi Huang, Elizabeth A. Doughty Horn, Renee Howells, Adenike Ololade Adedapo

Journal of Technology in Counselor Education and Supervision

Simulation-based education (SBE) is a technique that introduces students to real-world experiences (Gaba, 2004) in a safe way (Holmes et al., 2023). Scholars have suggested that SBE may be a promising means of enhancing counselor education (e.g., Pope & Hilliard, 2024). We recruited a sample of N = 12 counseling skills students who completed up to 12 simulation-based education (SBE) activities using Simucase (2025) across one semester. We conducted an embedded, qualitatively-driven mixed methods pilot study (Creswell & Plano Clark, 2017) to understand participants’ perspectives on and impacts of the SBE activities on their perceived counseling self-efficacy and multicultural competence. …

Conceptual Framework Of Professional Learning Communities For Cambodian Upper Secondary School Teachers, Ousa Chao, Mam Chansean, Vira Neau

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores the challenges of teacher professional development within Cambodian public upper secondary schools, driven by low teacher qualifications, resource gaps, and cultural barriers. Using an integrative literature review and qualitative document analysis, this paper synthesizes 58 sources, including official Cambodian regulatory frameworks, global evaluations, and empirical studies. By synthesizing local policy with international PLC models from Japan, South Korea, and Singapore, this study reveals a substantial gap between national policy goals and local school conditions. To bridge this divide, the article presents a contextually adapted four-pillar conceptual framework alongside actionable strategies to support effective PLC implementation across Cambodian …

College Sports Clubs: Engines Of Emotional And Social Development, Robert Robinson

Theses and Dissertations

This thesis examines the relationship between structured campus involvement and the development of campus connectedness among students at Rowan University. While the transition to university life is a critical period marked by social, emotional, and academic adjustments, this study highlights how sport clubs serve as a primary social anchor to facilitate successful integration. Utilizing a qualitative thematic analysis of focus group data across diverse campus organizations, this research clarifies how these spaces foster identity formation and resilience. Findings reveal that participation in sport clubs significantly enhances student wellbeing by providing support networks that mitigate early feelings of isolation. A key …

Depictions Of Girls With Adhd In Contemporary Picturebooks: A Critical Content Analysis, Madison Briann Smith

Theses and Dissertations

This study examines how girls with ADHD are depicted in contemporary picturebooks through the theoretical framework of critical disability studies (CDS). While research has increasingly explored disability representation in children's literature, depictions of girls with ADHD remain underexamined despite the ways in which ADHD manifests in female populations and the historical underdiagnosis of females with the condition. Using critical content analysis (CCA), six contemporary picturebooks featuring female protagonists with ADHD were analyzed for their visual and textual representations of neurodiversity. Findings were organized into two overarching themes: strength-based and deficit-based depictions. Strength-based portrayals emphasized creativity, identity formation through adult mentors, …

Developing And Validating A Socio-Technical Bim-Lean Integration Maturity Model For Predicting Construction Project Performance, Felix Delmonte

Mechanical and Civil Engineering Faculty Publications

This study proposes a socio-technical, multi-level maturity model that integrates BIM and Lean to explain variation in project performance across cost, schedule, productivity, quality, safety, and sustainability, and outlines a sequential mixed-methods design-science programmed for instrument development and validation. Combining systematic review, semi-structured expert interviews, Delphi consensus, exploratory and confirmatory factor analysis, multi-criteria weighting, and PLS-SEM, the approach separates adoption, subsystem capability, and integration maturity, and treats integration as an emergent property of aligned infrastructure, human capability, governance, and continuous-improvement routines. Measurement development emphasizes reflective multi-item constructs for BIM technical capability, Lean production governance, system integration quality, socio-technical alignment, and …

An Integrated Bim, Ipd And Lean Capability Maturity Model For Construction, Felix Delmonte

Mechanical and Civil Engineering Faculty Publications

This study proposes an integrated BIM–IPD–Lean maturity construct that conceptualizes digital information management, contractual governance, and production system discipline as interdependent socio-technical capabilities and develops a validated measurement architecture to relate this higher order construct to project performance. A mixed methods strategy is described that uses qualitative interviews and expert panels to generate items and maturity level descriptions, followed by pilot testing and rigorous psychometric evaluation (EFA, AVE, Composite Reliability, CFA/PLS-SEM) to establish convergent and discriminant validity for BIM, IPD, and Lean subscales. Hypotheses anticipate a positive association between integrated maturity and quality, time, cost, safety, productivity, sustainability, and stakeholder …

Closing The Awareness–Behavior Gap: A Role-Based Phishing Training Framework For Higher Education, Ranylene O. Olaybal, Ryan A. Olaybal

Journal of Cybersecurity Education, Research and Practice

Phishing remains one of the most persistent cybersecurity threats facing higher education institutions, where diverse user populations and highly connected digital environments increase exposure to social engineering attacks. Although cybersecurity awareness initiatives are widely implemented, high awareness does not always translate into secure behavior. This study examined phishing awareness, phishing-related practices, phishing susceptibility, and phishing experiences among college students, teaching faculty, and administrative staff in a private higher education institution in the Philippines. Using a quantitative cross-sectional design, data were collected from 553 respondents through a validated survey instrument and analyzed using descriptive statistics, one-way analysis of variance, Tukey's honestly …

The Method And The Machinery: Gloria Steinem, India, And The Cold War Making Of American Second Wave Feminsim, 1956-1972, Rashida Shafiq

History Theses and Dissertations

This dissertation argues that Gloria Steinem became one of the most visible feminists of her generation because two political inheritances — postcolonial India and the Cold War liberal United States — converged in a single career. In 1957 and 1958, on a Chester Bowles Asian Fellowship, Steinem spent eighteen months in India, where she moved from elite intellectual circles in Delhi to Gandhian and Sarvodaya peace work in the villages of Ramnad. Walking with Bhoodan fieldworkers through caste-riot-stricken communities, she absorbed a repertoire of organizing practices — listening across difference, lateral and leaderless structure, decision by consensus, and the conversion …

Institutional Support Environments In Higher Education: Rethinking The Role Of Military-Affiliated Student Centers, Coby W. Dillard

Human Resource Development Student Publications and Presentations

Military-affiliated student centers have become common features of higher education institutions serving veterans, active-duty service members, and military-connected students. Despite their growing presence, these centers are often institutionally positioned and evaluated primarily through administrative and compliance functions related to federal education programs. This framing risks overlooking the broader developmental and engagement functions these environments can provide for adult learners transitioning from military to academic contexts. Drawing on organizational support theory, social exchange theory, and belonging frameworks in higher education, this Perspectives essay proposes a conceptual reframing of military-affiliated student centers as institutional support environments rather than transactional service units. Institutional …

Leveraging School Leadership To Strengthen Teacher Retention In Urban High-Needs Schools, Sharri Zachary

Education Theses and Dissertations

This qualitative study, supported by descriptive quantitative data, examined the leadership practices that principals in urban high-needs schools use to influence teacher retention while leading their schools and navigating external conditions and educational policies. The study was grounded in Bronfenbrenner’s bioecological model of human development and reframed the traditional focus on family and social development to examine principal-teacher interactions within school environments. The study addressed the lack of clarity regarding how teacher retention is defined, measured, and interpreted, particularly in relation to principals’ efforts to recruit, develop, and support teachers under shifting conditions and accountability expectations. Descriptive quantitative data provided …

Exploring Feasibility Of Neurofeedback To Alleviate Cognitive Impairment And Fatigue In Long Covid, Marian Luctkar-Flude, Jane Tyerman

International Nursing Research Congress (INRC)

Background: Long COVID affects a substantial number of individuals with persistent symptoms such as cognitive impairment, fatigue, and emotional distress impacting quality of life and functionality.1 Current management primarily relies on supportive care, underscoring an urgent need for novel therapeutic approaches to alleviate these enduring symptoms. Neurofeedback is a non-invasive complementary therapy that promotes self-regulation by training the brain to achieve optimal functioning via auditory feedback with demonstrated improvements in symptoms of cognitive impairment, fatigue, anxiety, depression and sleep problems in other patient populations including cancer survivors.2,3 We propose neurofeedback could be used to address persistent symptoms associated with Long …

Simulation Experiences Of Eal Prelicensure Nursing Students: An Integrative Review, Megan Ross

International Nursing Research Congress (INRC)

Background: Globalization has increased the use of English as a common language in healthcare settings (Cheng et al., 2025). Additionally, nursing programs have increased the number of students who speak English as an additional language (EAL; Henry, 2023). EAL students often encounter unique challenges in nursing programs, including struggles with communication and cultural norms that can impact success (Henry, 2023). Simulation-based learning is an effective method to develop nursing students’ knowledge and skills (Alharbi et al., 2024). Despite its growing use, there was no comprehensive synthesis of research exploring EAL nursing students’ experiences with simulation-based learning at the time of …

Transforming Telehealth With Thrive: An Online Intervention For Nps Caring For Young Adults, Lisa V. Duffy

International Nursing Research Congress (INRC)

AIM: To develop an online, video-based intervention for nurse practitioners (NPs) that illustrates best practices to establish therapeutic relational connection (TRC) during telehealth visits.

BACKGROUND: Telehealth offers many benefits for chronically ill young adults. Despite the potential benefits of virtual visits, little attention has been given to the quality of the virtual provider-patient relationship and its consequences. Relationships with healthcare providers that are characterized by a sense of TRC have the potential to increase self-management skills which are associated with improved physical, mental, and behavioral health outcomes. Although there are known benefits to TRC, what is not known are the …

Opioid Overdose Education For Outpatient Settings And Simulation Development, Nancy S. Goldstein, Tyler Langley, Brook Van Buskirk

International Nursing Research Congress (INRC)

In 2023, the National Institute of Health reported 79,358 U.S. overdose deaths caused by opioids. This value is 166% higher than data from 2017, with an opioid-induced death toll of 47,600.¹ The rising rates of overdose require clinics to be prepared to respond to overdose emergencies.² Literature analysis revealed gaps in provider response capability for opioid overdose in healthcare outpatient settings.^{3, 4, 5, 6} Thus, there is a need to address the gaps in emergency preparedness for an opioid overdose through simulation training of outpatient staff. The purpose of the pilot study is to develop a simulation …

Exploring Positive Deviance In Forensic Nursing Literature, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Positive deviance (PD) is an intentional act of breaking rules in order to serve the greater good.¹ PD in nursing is intentional and honorable behavior that departs or differs from an established norm and contains elements of innovation, creativity, and/or adaptability; it also involves risk for the nurse.¹ Nurses who use PD practice differently and more effectively to provide patient-centered care.² Although professional standards guide patient care and lay the groundwork for best practices, they are not enough to guide many nursing decisions that involve multiple levels of uncertainty and risk in their practice; therefore, nurses may …

Purdue University School Of Nursing Ai Use And Disclosure Scale, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Purdue University School of Nursing AI Use and Disclosure Scale provides a five-level framework for communicating expectations for generative artificial intelligence (GenAI) use in learning activities and assessments. The cumulative scale ranges from work completed without GenAI assistance to activities in which extensive GenAI use may be permitted. Each level identifies allowable uses and corresponding disclosure expectations while maintaining student responsibility for the accuracy, integrity, and quality of submitted work. Faculty may select the level appropriate to the learning outcomes and assessment purpose. The scale promotes consistent communication, transparent disclosure, responsible GenAI use, and the development of AI literacy …

Usa V. Christian Walther

2026 Decisions

USDC for the District of New Jersey

Bridging Risk And Retention: Risk Coping With Privacy And Hallucination In Ai, Don Shin, Azmat Rasul, Khuram Shahzad

All Works

This study examines how users engage with generative AI systems in the presence of perceived technological risks, focusing on the interplay between risk perception, adaptive behavior, and continued use. Drawing on a risk coping perspective, the study conceptualizes generative AI use as an ongoing process in which users evaluate potential informational and privacy-related threats and adjust their practices accordingly. the analysis explores how perceived risks shape user attitudes, coping strategies, and patterns of sustained engagement. Rather than treating risk as a simple deterrent, the findings show that users often respond through adaptive behaviors such as information verification and privacy management, …

Strengthening Data Privacy For Post-Secondary Students: A Proposal For Revising Ferpa To Provide Meaningful Protections Against Third-Party Data Breaches, Emily Harris

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Usability Evaluation Of A Smart Textile-Based Cushion System For Ubiquitous Breathing Exercises, Shonal Fernandes, Carolina García-Vázquez, Alberto Ramos Serrano, Negin Jahanbakhsh, Abdelakram Hafid, Mario Vega-Barbas

Artículos científicos

Smart textiles offer promising opportunities to address multiple aspects of relaxationfocused mental health interventions, which include monitoring and therapy. This paper presents a usability evaluation of a cushion-based smart textile system called Amiga, designed to guide users through breathing exercises that could be used in the future to support relaxation-focused interventions intended for independent use. A experimental user study with 20 participants was conducted to assess the system’s effectiveness, user performance, user experience, and overall satisfaction using structured interviews and validated usability questionnaires. The system achieved a mean System Usability Scale (SUS) score of 81.875 with standard deviation (σ = …

Staff Education To Improve Mindfulness Knowledge Among Rns, Nps, And Mas In A Behavioral Health Setting, Barbara Buxton

Walden Dissertations and Doctoral Studies

Burnout is a recurrent problem for healthcare workers and is associated with staff turnover, a decline in the quality of care, emotional fatigue, and risks to patient safety. This Doctor of Nursing Practice (DNP) staff education initiative created a mindfulness-based training program to expand the knowledge of registered nurses, nurse practitioners, and medical assistants on mindfulness practices in a behavioral health setting. Baseline assessment data identified a need for support to address emotional fatigue, absenteeism, and staff disengagement, with a mean pre‑education knowledge score of 66%. A structured, in‑person educational program addressing burnout awareness, stress reactivity, and helpful mindfulness methods …

A Multifaceted Surgical Suite Quality Improvement Initiative, George Tazvitya Mhosira

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focuses on modernizing an acute care hospital’s surgical suite, enhancing environmental safety, and supporting the growing complexity of surgical care. As surgical procedures become more advanced, the physical environment must evolve to maintain sterile technique and reduce microbial presence. Current operating room configuration, characterized by overcrowding and outdated ventilation systems, introduces environmental risks that compromise patient safety and limit perioperative efficiency. Modernization is essential to align the surgical environment with contemporary safety expectations and organizational performance goals. The proposed initiative includes a comprehensive renovation and expansion of surgical spaces, integrating advanced air decontamination technologies, …

Improving Adolescent Antidepressant Medication Adherence In An Outpatient Psychiatric Clinic Through Teach-Back And Motivational Interviewing, Sandra Ajao

Walden Dissertations and Doctoral Studies

Antidepressant medication adherence among adolescents is a significant concern in outpatient psychiatric care. Adolescents may miss doses because of stigma, forgetfulness, side effects, limited understanding of medication instructions, or inconsistent caregiver support. The purpose of this Doctor of Nursing Practice project was to improve antidepressant medication adherence and adherence-focused communication among adolescents in an outpatient psychiatric clinic through staff education on teach-back and motivational interviewing. The practice-focused question examined how teach-back combined with motivational interviewing, compared with usual care, affected medication adherence and depressive symptoms during the implementation period. Staff education included use of a previsit questionnaire, structured visit script, …

Staff Education To Improve Whiteboard Utilization To Focus On Nurse Communication And Patient Experience On A Medical-Surgical Unit, Charline J. Bethea

Walden Dissertations and Doctoral Studies

Inconsistent use of standardized whiteboards in patient rooms may contribute to ineffective nurse communication and lower patient experience scores. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether an evidence-based staff education program improved nursing knowledge, intent to use standardized whiteboards, and whiteboard utilization on a medical-surgical unit. Guided by the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instructional design model, the intervention included a standardized educational presentation, pre- and post-education knowledge assessments, a workflow integration guide, competency validation, and weekly compliance audits. Thirty-five staff members, including registered nurses and patient care technicians, participated in the project. Following …

Addressing Obesity In Rural Health Clinics, Morgan P. Trusley

Student Scholarly Projects

Practice Problem: According to the Centers for Disease Control and Prevention (CDC), more than 2 in 5 adults in the United States are obese (CDC, 2024a). In a rural primary care clinic in South Carolina, approximately 70% of patients are obese and there is no current intervention in place to help educate and guide these patients in weight loss strategies.

PICOT: In obese adults over the age of 18 at a rural health clinic with a Body Mass Index (BMI) greater than or equal to 30, does implementing weekly virtual and in person multicomponent behavioral intervention educational sessions compared to …

Improving Fluoride Varnish Application Rates In A Pediatric Primary Care Microsystem, Roman G. Roxas

Master's Projects and Capstones

Problem

Childhood caries is a preventable public health issue disproportionately affecting the underserved. National guidelines recommend fluoride varnish (FV) application during well‑child visits. In California, fewer than 15% of children under age six received FV. In a pediatric primary care clinic, baseline performance was 11% in 2025.

Context

A six‑month quality improvement project was implemented. Key barriers included reduced team cohesion, workflow variability, unclear roles, and underutilized electronic health record (EHR) prompts.

Interventions

The change package standardized medical assistant–led workflows, activated EHR prompts, and provided targeted education. Leadership reinforcement through regular huddles supported adoption, consistency, and team engagement.

Measures

Outcome …

Prospect Capital Management Lp V. Stratera Holdings Llc

2026 Decisions

USDC for the District of Delaware