Digital Commons Network^™

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 …

Reducing Primary Cesarean Births Among Nulliparous, Term, Singleton, Vertex (Ntsv) Patients Through Structured Multidisciplinary Communication, Toyin Ajani

Master's Projects and Capstones

Background: Primary cesarean birth among nulliparous, term, singleton, vertex (NTSV) patients remained a persistent quality and safety concern in obstetric care. Unnecessary cesarean birth was associated with increased maternal morbidity, neonatal complications, prolonged recovery, higher healthcare costs, and adverse outcomes in subsequent pregnancies. Problem: A Northern California labor and delivery unit identified an elevated NTSV cesarean birth rate of 26.8%, exceeding the national benchmark of approximately 23%. Variability in provider communication, inconsistent labor management practices, and lack of standardized interdisciplinary collaboration contributed to this quality gap. Context: The project was conducted in a high-volume labor and delivery microsystem serving a …

Decreasing Icu Clabsi Through Improved Central Line Dressing Integrity, Sharmila Reyes Moreno

Master's Projects and Capstones

Problem: Central line-associated bloodstream infections (CLABSIs) are a significant source of preventable patient harm, increased healthcare costs, and prolonged hospital stays. In a 20-bed medical-surgical ICU, CLABSI events increased from one case in 2024 to four cases in 2025, resulting in a standardized infection ratio (SIR) of 1.21, exceeding the organizational target of ≤ 0.87.

Context: Audits of central line dressings identified frequent edge lifting and dressing disruption despite staff awareness of CLABSI prevention practices. These findings suggested a gap between evidence-based recommendations and consistent clinical practice. The project was conducted in a 20-bed adult medical-surgical ICU serving a diverse …

Improving Peer Feedback Participation Through Psychological Safety Interventions In Labor & Delivery Nurses, Lindsey C. Hora

Master's Projects and Capstones

Abstract 

Background: Labor and Delivery (L&D) units require effective communication, speaking up, and team learning to support safe care. Psychological safety informed this quality improvement project as a contextual strategy to strengthen peer feedback engagement.  

Problem: Peer feedback participation among eligible L&D registered nurses at a large acute care hospital in Santa Clara, California, was 14.29% (N = 112) below the 30% project target and 80% organizational target. Low participation limited routine feedback for professional development, recognition, and team learning.

Interventions: Interventions included psychological safety education, peer feedback reinforcement, workflow integration, platform navigation support, dedicated completion time, and unit champions. …

Same-Day Cancellation Reduction In An Ambulatory Surgery Unit, Anthone Dalit Vengersammy

Master's Projects and Capstones

Problem: Same-day surgical cancellations in the outpatient surgery setting remain a significant operational and patient care challenge. Preventable cancellations negatively affect patient experience, operating room efficiency, staff productivity, and healthcare costs. 

Context: A microsystem and organizational culture assessment identified several factors contributing to same-day cancellations, including unclear preoperative instructions, incomplete medical clearance, inconsistent patient education, lack of standardized workflows, unclear staff responsibilities, and communication gaps among interdisciplinary teams. SWOT and gap analyses were used to identify opportunities for improvement and guide intervention planning.

Interventions: Quality improvement interventions were implemented through iterative Plan-Do-Study-Act (PDSA) cycles. Strategies included revising preoperative patient instructions, …

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, …

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 …

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 …

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 …

Moral Rhetoric And Student Loan Discharge In Bankruptcy: A Socio-Legal Perspective, Tanya Panossian-Lesser

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Single Fluorogens And Orientation-Localization Microscopy For Quantifying Chemical And Biomolecular Dynamics At The Nanoscale, Yiyang Chen, Yuanxin Qiu, Matthew D. Lew

Electrical & Systems Engineering Publications and Presentations

Many chemical systems look uniform only because ensemble measurements average over their most interesting molecules. Electron-transfer rates vary across electrode surfaces; lipid membranes contain nanodomains with distinct packing and fluidity; peptide aggregates exhibit local polymorphism; and biomolecular condensates contain transient networks of interactions that are blurred in ensemble images. A central challenge in chemical imaging is not simply to see smaller structures, but to measure chemical variables such as polarity, redox potential, and molecular confinement at the single-molecule level. In this Account, we describe how fluorogens, molecules whose brightness, blinking, spectral shifts, orientation, rotational mobility, and motion are directly shaped …

Measurement Of Pollution Emissions From Natural Gas Stoves: Preparation For An Induction Cooktop Intervention Study, Jessica Zanella Lorensi

Dissertations and Theses

Humans spend ∼90% of their time enclosed in buildings. Indoors environments can be a source of pollutant which can affect health and productivity. Appliances that combust fossil fuels indoors, like stoves, are a critical source of a range of pollutants, like carbon monoxide (CO) and nitrogen dioxide (NO₂). In the US, the usual cooking fuel is natural gas (NG), presented in more than 30% of households in the country. Some studies in the literature linked cooking pollutants, including those specific to gas combustion, to various health conditions, including heart and respiratory diseases. Nitrogen dioxide, for example, can be …

Characterizing Water Source Selection By Pinyon Jays (Gymnorhinus Cyanocephalus) In Utah, Audrey H. Biser, Randy T. Larsen, Samuel B. St. Clair, Steven L. Petersen

Student Works

Pinyon jays (Gymnorhinus cyanocephalus) are corvids native to semiarid ecosystems of the western US. Populations have declined by 84% since 1966, yet no causes have been identified and imminent decisions about federal status make understanding pinyon jay ecology increasingly urgent. As drought conditions intensify, water is becoming scarcer in systems that are already characterized by its limited availability. Therefore, pinyon jay decline is likely influenced by increasing aridity. Jays have been observed drinking from springs and artificial water sources in Utah; however, their relationship to water is poorly understood. Our study aims to characterize pinyon jay water source …

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 = …

Order Denying Approval Of Disclosure Statements

Catholic Dioceses in Bankruptcy

No abstract provided.

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 …

Emergency Nurses' Perceptions Of Interpersonal Empathy When Caring For Department Superusers, Makeba K. Cavette

Walden Dissertations and Doctoral Studies

Compassion fatigue syndrome (CFS) is a significant challenge for healthcare professionals, particularly nurses in the emergency department (ED), due to the demanding, high-pressure nature of their work environment and their increased exposure to human suffering. The purpose of this qualitative phenomenological descriptive study, guided by Nursing Theory of Personal Empathy, was to describe the meaning of ED nurses' interactions with superuser patients and how these interactions affect ED nurses' empathy and susceptibility to developing CFS. A purposive sample of 8 ED nurses with at least 3 years of experience as ED staff nurses working with superuser patients participated in semistructured …

Sense Of Purpose As The Guiding Light In Nursing Practice: A Grounded Theory Study, Kathleen Casler

Theses & Dissertations

Problem: As a prosocial profession, individuals may enter the practice of nursing because of an interest in helping and caring for others. However, over time, nurses may be challenged with experiences of burnout that can impact both their relationship with the profession and patient outcomes.

Background/Significance: A sense of purpose has been associated with positive physical, behavioral, and psychological outcomes. In a professional context, a sense of purpose may provide support for navigating complex work environments. It is currently not known what nurses’ experience of sense of purpose may be in relation to nursing practice and how their sense of …

Ucf Libraries 2026 Faculty Research Showcase, Thomas R. Caswell, Patrick D. Green, Rae Mair, Yuqing Li, Athena Hoeppner, Sai Deng, Jeanne Piascik, Nokimul Hasan Arif, Peter Spyers-Duran, Tina Buck

Faculty Scholarship and Creative Works

The University of Central Florida (UCF) Libraries’ Faculty Research Showcase is an annual tradition that celebrates the scholarly achievements, research, and creative work of library faculty.

The 2026 Showcase took place on August 4, 2026, and features six engaging presentations covering a diverse range of topics:

• Thomas Caswell – UCF Libraries Faculty Scholarship: Growth & Impact

• Patrick Green – Making Moves: A Cross-Institutional Presentation on Library Skill Transference

• Rae Mair & Yuqing Li – Generative AI as Peer Tutor: Designing & Evaluating a Prompt to Support Source Identification & Evaluation

• Athena Hoeppner – Have you ever …

Developing Confidence And Motivation In Writing Through Authentic And Collaborative Writing Approaches, Sara J. Weeks

Masters Projects

Writing is an expressive and complex process that takes time to develop, yet writing in middle school classrooms is primarily used as a way to demonstrate mastery of content rather than develop writers. Writing instruction is limited or used inefficiently in today’s classrooms, which gives students fewer opportunities to engage in authentic writing experiences. As a consequence, middle school students report a lack of confidence and motivation to write. These conditions contribute to stagnant writing achievement for middle school students. Research suggests that improving student writing outcomes requires writing environments that provide authentic, collaborative, and process-oriented writing experiences. However, these …

Unfolded Protein Response As A Therapeutic Target: 4-(Heptyloxy)Phenol Induces Programmed Cell Death In Ewing Sarcoma, Nenggang Zhang, Mary Perez, Gaye N Jenkins, Terzah M Horton, Scott R Gilbertson, Debananda Pati

Faculty, Staff and Students Publications

Ewing sarcoma is a rare and aggressive pediatric malignancy with limited therapeutic options, particularly for relapsed or refractory cases, highlighting the urgent need for innovative treatment strategies. In this study, we identify endoplasmic reticulum stress (ERS) and the unfolded protein response (UPR) as critical therapeutic vulnerabilities in Ewing sarcoma and introduce 4-(heptyloxy)phenol (AC-45594) as a novel small-molecule agent that exploits these stress pathways. AC-45594 selectively inhibited the growth of Ewing sarcoma cells among 13 cancer and 6 noncancerous cell lines, demonstrating marked tumor specificity. Structure-activity relationship studies revealed that both the phenolic hydroxyl group and an optimal alkoxy chain length …

Persepsi Mahasiswa Terhadap Penggunaan Tiktok Sebagai Media Pembelajaran Kosakata Bahasa Mandarin Secara Mandiri, Agnes Meliana, Lukluk Ul Muyassaroh, Sawitri Retnantiti

Journal of Language, Literature, and Arts

This study aims to describe students' perceptions of using TikTok videos as a medium for independent Mandarin vocabulary learning, including the types of accounts used, the benefits obtained, and the challenges encountered. This study employed a descriptive qualitative approach involving 27 students from the 2023 cohort of the Undergraduate Mandarin Language Education Program at Universitas Negeri Malang. Data were collected through semi-structured questionnaires and analysed using the Miles and Huberman interactive model, consisting of data reduction, data display, and conclusion drawing. The findings indicate that students generally hold positive perceptions of TikTok as a medium for Mandarin vocabulary learning. The …

Acceptability And Impact Of Weight Management Interventions For Adults With Intellectual Disability: Protocol For A Systematic Review And Meta-Analysis, Rohit Shankar, Ananya Ananthakrishnan, Edward Meinert, Rosiered Brownson-Smith

Peninsula Medical School

Introduction Obesity disproportionately impacts people with intellectual disabilities (PwID). Given the challenges that PwID face, such as cognitive deficits, differences in motivation and communication difficulties, the need for tailored interventions for weight management in PwID is recognised. Yet, this population is underserved, with limited weight management interventions for them compared with the general population. Existing reviews suggest that ‘multi-component’ interventions (including physical activity and dietary advice) are impactful at reducing weight in PwID; however, less is known about how these interventions are tailored for PwID, particularly in addressing their cognitive and communication difficulties which may influence how they understand and …

Accidental Transdermal Buprenorphine Patch Overdose In An Older Adult: A Case Report, Hashem Shogdar, Ahmed Aljohani, Yousef Almubarak

Saudi Toxicology Journal

Background: Buprenorphine is an opioid that is generally used for chronic pain and opioid dependence. Its pharmacological ceiling effect on respiratory depression gives it a comparatively favorable safety profile relative to other opioids. Despite its safety profile, inappropriate use can still result in clinically significant opioid poisoning. This case report highlights a case of accidental buprenorphine overdose in an aged patient. It illustrates the clinical presentation and preventive considerations associated with this uncommon but critical event. Case presentation: A 65-year-old woman with recent left total knee replacement was brought to the Emergency Department (ED) after being found drowsy and unresponsive …

Hematological, Inflammatory, And Oxidative Stress Biomarker Profiles In Substance Abuse Combinations: A Comprehensive Evidence-Based Review, Teif Naif Freeh Alenezi, Samia Soliman Barghash

Saudi Toxicology Journal

A potential risk of polysubstance use in relation to substance abuse can involve the development of intricate pharmacological interactions affecting the immune system and oxidative stress responses of the body. The current review aims to present a synthesis of the existing literature about hematologic, inflammatory, and oxidative stress markers associated with three patterns of polysubstance use: (1) stimulants and cannabis, (2) stimulants/depressants and CNS depressants, and (3) multi-drug complex usage. This review explores markers such as a neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), eosinophil-to-lymphocyte ratio (ELR), total oxidant …

Examining Six Domains Of Resilience With Latinx College Students From Migrant Farmworker Backgrounds: A Quasi-Experimental Single Case Design Study, Rebecca Dickinson, Raissa Miller, Cian L. Brown, G Michael Russo, Emma Knowles

Trauma Counseling and Resilience

Resilience-building interventions show promise in higher education, yet few studies focus on Latinx college students from migrant farmworker backgrounds (LMFWs), a group facing significant challenges such as acculturative stress, mixed familial immigration status, and educational discontinuity. This quasi-experimental single-case design study examined resilience domains among LMFW students participating in a group-based intervention informed by the predictive 6-factor resilience model. Resilience was measured across six domains: collaboration, vision, tenacity, reasoning, health, and composure, using standardized assessments adapted from Rossouw and Rossouw (2018). Pre- and post-intervention scores were visually analyzed to assess change at the individual level. Results indicated a evidence of …

Padres Ayudando A Padres: Co-Constructing A Family-Centered Mental Health Intervention Of, By, And For Central American Immigrant Parents, Rachael Goodman, Colleen K. Vesely, Maribel Tohara Nakamatsu, Victoria Stone, Valeria Quintana, Bethany Letiecq, Amigas De La Comunidad

Trauma Counseling and Resilience

In the wake of the COVID-19 pandemic, our partners in a Central American immigrant enclave reported an increasing need to support parents and children whose mental health was negatively impacted by the confluence of underlying systemic stressors and traumatic experiences. Using our existing family-centered participatory action research (FCPAR; Letiecq, Vesely, et al., 2022) approach and guided by the transcreation model (Nápoles & Stewart, 2018), we co-constructed a mental health intervention in partnership with community members, via our community advisory board (CAB). Essential to this process was building the intervention with the community, ensuring that it was culturally and contextually grounded …

Provenance-Conditional Arbitration For Self-Supervised Nli Dataset Construction From Regulatory Corpora (Accounting/Tax Domain), Miseong Shawn Kim Mr.

Defensive Publications Series

We disclose a method for automatically constructing and validating Natural Language Inference (NLI) training pairs from unlabeled regulatory corpora in the accounting and tax domain (e.g., accounting standards, standard-setter Q&A, tax rulings, tax-tribunal decisions, audit opinions, regulatory-filing notes). The core is a provenance-conditional arbitration rule that assigns label adoption authority according to the source type of each pair, combined with asymmetric agreement thresholds, structure-relation label derivation, domain antonym contradiction synthesis, and numeric-equivalence pair generation. Publishing this defensively secures freedom to operate and blocks third-party patents on the technique.

Bekizine: A Zine Featuring Selected Queer Artists And Narratives, Daniel D. Sullano, Alex Ayson, Arianna Atas, Renee Sophia Caponong, Merix Kobi Blancaflor, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

Media serves as a powerful medium for shaping cultural norms and self-perception. Despite increasing visibility in Philippine media, LGBTQ+ representation remains dominated by metropolitan-centric narratives and reductive tropes that overlook the nuanced realities of provincial queer life. The study explored how BEKIZINE, a community-centered zine created by and for LGBTQ+ individuals aged 18–30 in Cavite, can serve as alternative media for self-expression, community building, and historical preservation. Adopting a practice-based, mixed-methods approach, the study integrates Queer Theory, Safe Space Theory, and Alternative Media Theory through semi-structured interviews with local queer artists and individuals, followed by zine launch evaluation surveys. Qualitative …

Bikolearn: Enhancing Bicol Language Proficiency Among Heritage Learners, Nathalie T. Lim-Cheng, Mark E. Abergos, Joshua H. Baccaro, Edward E. Tab, Christian A. Dela Peña

DLSU Arts Congress Conference Proceedings

Heritage learners are individuals with cultural ties to a language but also who lack proficiency in them, therefore often struggling to maintain their linguistic heritage. This is a common challenge for Filipino Bicol Language learners, especially those who grew up outside the region. This paper presents BikoLearn, a new web application designed to help heritage learners acquire the Bikol Language starting at the A1 beginner level. The application, which is designed first for mobile phones, mixes gamification features with relevant cultural content to make learning accessible. Through formatted lessons, interactive quizzes, and progress tracking presented in a gamified format, BikoLearn …