Digital Commons Network^™

The Shorthorn: June 24, 1986

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

The Shorthorn: September 4, 1985

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

A Proposal For An Evidence-Based Program For Communication Continuity, Yavonne G. Evans

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) executive leadership project is a practice-focused quality improvement initiative to reduce avoidable 30-day hospital readmissions in a skilled nursing facility by implementing the INTERACT communication tools, SBAR and STOP & WATCH. The practice problem is the lack of a standardized communication process for recognizing changes in resident conditions, contributing to preventable hospitalizations. The project's purpose was to develop an evidence-based communication process that promotes early recognition and timely provider intervention. The practice-focused question asked whether implementing INTERACT communication tools would improve communication and reduce avoidable acute care transfers. A focused literature search was conducted. …

Responsivity Education Reflection Packet For Multigenerational Caregivers, Natalie Holsky

Honors Projects

Caregivers play an essential role in supporting their child’s language development. Through everyday routines, caregivers have countless opportunities to foster strong language skills. Extensive research has examined the influence of caregiver input on language development. Comparatively little research has explored how historical trends in parenting advice across generations may shape caregivers’ use of language facilitation practices. The purpose of my honors project was to examine how generational parenting trends could inform the development of a clinic-to-home language facilitation resource. This resource was designed to help caregivers incorporate language facilitation strategies into everyday routines to increase language-rich interactions at home. A …

Experiential Learning In Child Life Education, Amanda L. Lockett

All Dissertations

Child life specialists support children and families during healthcare experiences and other stressful life events, making it important for child life students to develop both knowledge and practical skills before entering the profession. This study explored how current child life students and recent graduate experienced hands-on learning activities in their child life education. Through interviews, a survey, and follow-up reflection, participants described how activities like role play, case studies, realistic scenarios, activity play plans, and teaching plans influenced their learning and professional development. Participants shared these experiences helped them learn to apply what they learned in the classroom into real …

University Of Central Florida Undergraduate Catalog, 2025-2026, University Of Central Florida

UCF Catalogs

No abstract provided.

When Your Neighbours Are A Reminder Of Your Ageing, Cynthia Tan, Yi Wen (Chen Yiwen) Tan

ROSA Journal Articles and Publications

In a commentary, Cynthia Tan, a retired senior corporate leader, and Tan Yi Wen, a Senior Research Fellow at SMU’s Centre for Research on Successful Ageing (ROSA), questioned whether the low demand for community care apartments is because seniors do not want only other seniors for company. They noted that most older people do not spend their days dwelling on ageing until everyone around them reminds them that they are growing old. They added that prolonged exposure to such an environment may carry subtle emotional and psychological consequences. Citing a national survey by ROSA, the writers mentioned that eight in …

Remote Assessment And Management Of Physical Function In Older Adults (Ramp): An International Expert Delphi Process, Jack Dalla Via, Hurst, Elsa Dent, Jackson J. Fyfe, Paul Jansons, Eleanor J. Hayes, Marc Sim, Mylene Aubertin-Leheudre, Alex Barreto De Lima, Lucimere Bohn, Sabine Britting, Fanny Buckinx, Gavin Connolly, Lora Giangregorio, Duarte Henriques-Neto, Jennifer R.A. Jones, Robert Kob, Suzanne N. Morin, Girish N, Lucas B.R. Orssatto, Maria Pearson, Daniel Pinto, Esmee M. Reijnierse, Catherine M. Said, Mohamed Salem, Gary Skinner

Research outputs 2022 to 2026

Background: Remote methods may help older adults improve their physical function, but understanding the perspectives of experts who deliver this care is critical. This modified Delphi process aimed to develop expert consensus on effectiveness, feasibility and implementation of remote assessment and management of physical function in older adults. Methods: This online Delphi process included experts involved in supporting older adults to maintain or improve their health. The Round 1 survey presented 33 Delphi statements assessed using an 11-point Likert scale (0–10; ≥7 indicated agreement). Statements with strong (≥80 %), moderate (50–<80 %) and low (<50 %) agreement were accepted, revised, or rejected, respectively. Revised statements were presented in Round 2, and accepted statements were consolidated into key messages. Results: In total, 108 respondents (67 % female; mean [SD] age 41.4 [10.9] years) from 16 countries (five continents) completed Round 1. Fourteen statements were accepted (88–100 % agreement) and 10 were rejected (8–39 % agreement). The remaining nine statements (52–69 % agreement) were revised, and two new statements were developed for Round 2, which was completed by 89 (82 %) respondents. Five Round 2 statements were accepted (82–93 % agreement). Seven key messages were developed from 19 accepted statements, highlighting that remote care should be accessible to older adults with requisite capabilities, is feasible for older adults and health professionals with adequate support and training, and requires guidelines, policies, and further research to support wider adoption. Conclusions: The findings of this Delphi process can inform the implementation of remote care approaches for assessing and managing physical function in older adults.

Establishing And Validating Foundational Competencies In The Application Of Behavioral Gerontology Through Expert Consensus, Alexandra Doran

Dissertations

Behavioral gerontology continues to evolve and grow as an application of behavior analysis, but there remains a critical need to define competencies necessary for behavior analysts to provide ethical, effective care within their scope of competence. This study sought to establish and validate foundational competencies for Board Certified Behavior Analyst s® (BCBA s® ) working in this area. A mixed-methods design using three experiments was used. In Experiment 1, a review of discipline-specific competency frameworks and a job mapping process yielded a preliminary set of behavior-analytic competencies for behavioral gerontology. This produced a preliminary framework consisting of 142 competencies. Experiment …

How Psychological Capital Promotes Student Flourishing: Mediating Effects Of Career Adaptability And Study Engagement, Sana Nisar, Adnan Adil, Sultan Shujja, Samina Rashid

Journal of Social, Behavioral, and Health Sciences

In today’s rapidly evolving academic and occupational landscape, understanding the psychological resources that support student well-being is critical. This study investigates the predictive role of academic psychological capital (PsyCap) in fostering flourishing among Pakistani university undergraduates, specifically identifying the mediating mechanisms of career adaptability and study engagement. Grounded in career construction theory and the JD-R model, the research contributes to theory by positioning PsyCap as a key personal resource that facilitates adaptive capacity and meaningful engagement. Data from 350 undergraduates in public-sector universities were analyzed using path analysis. Results revealed that PsyCap significantly predicted flourishing (β = .35, p …

Factors Influencing Geriatric Nursing Performance Among Korean Hospital Nurses, Yeon-Ju Kang, Eunji Seo, Jiyeon Ha, Minkyung Kang

International Nursing Research Congress (INRC)

Purpose: The global aging population has increased the demand for competent geriatric nursing care in acute hospital settings (Espinel-Jara et al., 2025, OCED, 2025). This study aimed to identify factors influencing geriatric nursing performance among Korean hospital nurses, focusing on nursing professionalism and work intensity, which would inform strategies for improving care quality.

Methods: A descriptive correlational study was conducted with 144 nurses from medical and surgical wards, intensive care units, and emergency units in three general hospitals in South Korea. Participants had at least six months of clinical experience and provided direct care to patients aged 65 years or …

Shaped By Experience: A Study Of Hybrid Professional Physical Therapist Education Patient Experiences And Experiential Learning., Teresa R. Bachman, Anne H. Boddy, Megan B. Flores, Elizabeth M. Ardolino

Journal of Innovation in Health Sciences Education

Introduction: Limited evidence exists on the use of patient experiences (PE) and experiential learning (EL) in hybrid entry-level physical therapist (PT) education programs. This study explored the impact of PE and EL within immersion labs on student self-confidence and self-efficacy in a hybrid entry-level PT education program. A total of 431 surveys were completed across 8 lab immersions for 6 courses. Nine total focus group discussions occurred, with a total of 50 participants, ranging from 2 to 10 per group.

Methods: A convenience sample from one entry-level hybrid PT education program participated in this mixed-method study with surveys and …

Preparing Patients Without Caregivers: Nursing Strategies For Safe Discharge To Home, Christine Rae Platt, Alycia Bristol, Hannah Wilkerson, Susy Vega, Deedee Long, Catherine Elmore, Andrea Wallace

International Nursing Research Congress (INRC)

Background: Hospital discharge represents a critical transition in care, particularly for individuals without caregiving support. Patients who identify as having “no one to help” face heightened vulnerability to complications and rehospitalization. Understanding how nurses can identify and address these gaps is essential to reducing post-discharge complications and readmissions.

Purpose: To explore from the patient perspective how nurses can effectively prepare patients, who have no identified caregivers, for discharge home.

Methods: A qualitative descriptive design was used. Semi-structured interviews were conducted with 16 adults recently discharged from a large metropolitan hospital in the western United States who reported having no one …

Reduced Executive Function In Older Adults With Chronic Diseases And Subjective Cognitive Decline, Cheng-Chen Chou, Yuan-Mei Liao, Jong-Ni Lin

International Nursing Research Congress (INRC)

Background: Chronic diseases are common worldwide and are closely associated with cognitive decline. Subjective cognitive decline (SCD) refers to self-perceived worsening of memory or cognitive ability. Individuals with SCD have a two-fold higher risk of developing dementia and often experience reduced physical function, emotional problems, lower quality of life, and an increased risk of falls. However, research on cognitive function and related factors among older adults with chronic diseases who report SCD remains limited.

Purpose: To compare cognitive and executive function in older adults with chronic diseases with and without SCD, and to identify factors associated with cognitive and executive …

Factors Influencing Canadian Nursing Students' Confidence, Perceptions, And Interest In Primary Care, Deanne Curnew, Julia Lukewich, Maria Mathews, Marie-Eve Poitras, Kathleen Stevens, Toni Leamon, Kennedy Deveau, Sheila Epp, Anaëlle Morin, Keirsten Smith

International Nursing Research Congress (INRC)

Background: As team-based primary care expands in Canada, efforts to prepare Registered Nurses for primary care practice are growing. Learning experiences influence students' career-related confidence, perceptions, and interest. No studies have examined Canadian nursing students' academic exposure to primary care (i.e., in undergraduate programs) or the contribution of exposure to their confidence, perceptions, and interest in practicing in primary care.

Purpose: To examine the influence of Canadian nursing education on final-year baccalaureate nursing students’ confidence, perceptions, and interest related to practicing in primary care.

Methods: We conducted an online cross-sectional study of final-year baccalaureate students from accredited nursing programs across …

Family Support As A Correlate Of Self-Care In Older Adults With Diabetes In The Us, Solomon Tagbor, Diane E. Berish

International Nursing Research Congress (INRC)

Background: Family support and the maintenance of functional ability are crucial for managing diabetes among older adults (OA). In the United States, diabetes affects 29.2% of OA, and its management is complicated by frailty, polypharmacy, and hospitalizations (Bellary et al., 2021). Supporting individuals’ self-care ability and activities of daily living (ADL) independence can help to support diabetes management. Family support may influence the self-care ability needed for independent diabetes management, but it is less studied. The social-ecological model guided this study (Tudge et al., 2022).

Purpose: To examine the association between family support and self-care ability among OA with diabetes …

Research Progress On Plant-Derived Metal Ion Chelating Peptides, Pei Hanzhe, Zhao Hongfei, Zhou Jiahua, Zhang Bolin, Chen Yonghao

Food and Machinery

Mineral element deficiency can cause many health problems. Traditional metal element supplements have many shortcomings. Food-derived metal element supplements have gradually become a research hotspot. Plant-derived polypeptides have significant advantages in terms of cost and raw material sources. Chelating peptides formed by chelating metal ions with plant-derived polypeptides have the physiological activity of peptides and the functional characteristics of metal elements, which makes them relatively ideal nutritional supplements, showing broad development prospects. This paper collects relevant research reports at home and abroad, and sorts out the preparation process, chelation mechanism and characteristics, and biological activity of plant-derived metal ion chelating …

Bridging The Gap: Critical Resources For Grandparent Caregivers And Their Grandchildren, Kathy Dial, Cara Tonn, Omotomilola Jegede, Cindy Kekeh, Loriena Yancura, Michele Kekeh

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

US population estimates indicate that approximately 2.5 million children live apart from both parents. Family relatives, often called kinship caregivers, care for 70% to 90% of these children, with grandparents making up the largest category (Radel et al., 2016). This study aimed to identify the most helpful resources and sources for grandparent caregivers to support the overall well-being of their families. Phone or Zoom interviews were conducted among a purposive sample of 24 grandparent caregivers from February to March 2022 to examine their initial experiences as caregivers, the current support services and resources they received, and other resources and services …

Vietnamese Grandparents' Caregiving Experiences For Grandchildren Impacted By Hiv/Aids: An Ethnographic Study, Lesley M. Harris, Nguyen D. Thang, Linh Thuy Nguyen

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This ethnographic study explores the caregiving experiences of grandparents in northern Vietnam who are raising grandchildren impacted by HIV/AIDS. Specifically, what is the process of skipped-generation caregiving in families affected by HIV/AIDS in Vietnam? Data were collected between 2009 and 2011 through participant observation and in-depth interviews with 26 grandparent caregivers and eight key informants. Informed by the Caregiving Career framework as a sensitizing concept and using constructivist grounded theory analytic strategies, the study identifies four interconnected caregiving phases shaped by cultural expectations, stigma, and intergenerational disruption. Through fieldwork and analysis, we found that grandparents drew from previous and current …

The Health And Well-Being Of Grandparents Who Report Major Responsibilities For Grandchildren: Perceived Physical Health, Depressive Affect, And Life Satisfaction, Tze-Li Hsu Phd, Patricia Drentea Phd

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This study examines how grandparents who report major responsibilities for their grandchildren experience perceived physical health, depressive affect, and life satisfaction compared to grandparents who do not report these responsibilities. Using data from the third wave of MIDUS (2013–2014), a nationally representative dataset focused on mid to later life (n = 1,819), we analyzed a sample of grandparents. Ordered logistic regression was used for perceived physical health, and ordinary least squares (OLS) regression was used for depressive symptoms and life satisfaction. Results indicate that grandparents with caregiving responsibilities are more likely to be women, non-White, and have lower incomes and …

From Strangers To Family: Fostering Resilience Through Social Support In Grandmothers Raising Grandchildren, Nancy Mendoza

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Grandparents often unexpectedly assume the role of caregiver with little support. Supporting these caregivers is critical for their health and well-being and that of their grandchildren. This study examines how family-like relationships formed during the GC+ intervention, increasing social support and resilience among grandparent caregivers. Four grandmothers, raising a total of five grandsons, participated in a focus group six months post-intervention. Grandmothers were asked to share their opinions and thoughts regarding the intervention. Using the Convoy Model and Resilience Theory, researchers conducted a deductive content analysis of participants’ perspectives on close family-like relationships cultivated during the intervention. Findings suggest close …

Complete Issue Vol. 8, Issue 2

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Complete Issue Vol. 8, Issue 2

Strategies For Early Diagnosis And Treatment Of Patients With Ovarian Cancer, Petrina Nicole Harrison

International Nursing Research Congress (INRC)

Background/Purpose: Ovarian cancer remains the leading cause of death among gynecologic malignancies, largely due to delayed diagnosis. Rural clinics face unique challenges, including limited access to specialists and diagnostic tools. This DNP quality assurance project aimed to evaluate and improve providers’ strategies for the timely diagnosis and treatment of ovarian cancer within a rural gynecology clinic serving women at increased risk for delayed detection and mortality.

Methods/Design: Using Avedis Donabedian’s structure-process-outcome framework, a retrospective chart review assessed adherence to evidence-based diagnostic and treatment practices. Findings informed the implementation of a Clinical Decision Support System (CDSS) integrated into provider workflows. Educational …

Dnp Final Report: Community-Based Advance Care Planning Education For Older Adults: A Quality Improvement Project, Teresa Hill

DNP Final Reports

Background: Advance care planning (ACP) supports patient autonomy and promotes care aligned with individual values and preferences. Despite these benefits, fewer than half of adults aged 50–80 have completed formal ACP documentation, and community-dwelling older adults rarely engage in ACP before serious illness, representing a persistent gap in early engagement.

Purpose: This quality improvement (QI) project evaluated the effectiveness of a community-based ACP educational intervention in improving ACP knowledge, confidence, and engagement among older adults.

Methods: A nurse facilitator trained in the Five Wishes framework delivered a structured, 60-minute ACP workshop at a senior center in North Texas. A pre–post …

Reliability And Validity Of A Spiritual Health Scale For Older Adults In Long-Term Care Facilities, Kuan-Pei Lee, Ya-Lie Ku

International Nursing Research Congress (INRC)

Purpose: This study aimed to develop a Spiritual Health Scale designed for elderly residents in LTC facilities and to establish the reliability and validity of the instrument.

Methods: This study adopted a scale development approach. Based on the Elderly Spiritual Health Scale by Li and Shih (2021), the researchers integrated additional components derived from the conceptual framework to create a revised scale consisting of 16 items distributed across four dimensions—personal, community, environmental, and transcendental—with four items per dimension. A dichotomous scoring system was employed with responses coded as 1 (presence) or 0 (absence) of a spiritual issue scores ranged from …

Exploring Caregiving Choice In The Adult Cancer Population, Jennifer L. Huggins

MUSC Theses and Dissertations

ABSTRACT Purpose Although extensive research examines family caregivers (FCs) across populations, less attention has been paid to how lack of choice in assuming the role affects quality of life (QOL) among FCs of adults with cancer. Understanding choice could guide interventions protecting this invaluable, often invisible workforce. Aims (1) Synthesize what is known about perceived choice among informal caregivers of adults with serious illness; (2) assess relationships between caregiving choice and caregiver QOL, burden, sleep, depression, stress, and social determinants of health; (3) describe experiences of FCs of adults with cancer providing care with no, little, or some choice. Design …

Effects Of Tongue Resistance And Strengthening Exercises In Elderly With Mci: A Double-Blind Rct, Kuei-Ru Chou

International Nursing Research Congress (INRC)

Purpose: Frail older adults with mild cognitive impairment (MCI) often experience reduced tongue function, resulting in inefficient bolus transport and swallowing difficulties. Tongue resistance exercises (TRE) use isometric or isotonic movements against resistance to enhance tongue strength, while tongue strengthening exercises (TSE) involve repetitive, high-intensity movements to improve tongue pressure and swallowing coordination. This study aimed to evaluate the effects of a combined TRE + TSE program on tongue function, swallowing pressure, swallowing performance, and quality of life (QoL) in frail older adults with MCI.

Methods: A prospective, double-blind, three-arm randomized controlled trial was conducted. Participants (n = 89; mean …

Using Polygenic Risk Scores To Evaluate Definitions Of Self-Reported Sleep Phenotypes Across Cohorts, Annah B Wyss, Michael Brown, Xiang Li, Brian W Spitzer, Zhijie Huang, Heming Wang, Richa Saxena, Linda Gallo, Qibin Qi, Wassim Tarraf, Robert Kaplan, Melissa Lamar, Hector M González, Charles Decarli, Myriam Fornage, Jerome I Rotter, Stephen S Rich, Kent D Taylor, Xiuqing Guo, Alexis C Wood, Peter Y Liu, Susan R Heckbert, Chloé Sarnowski, Jan Bressler, Alanna C Morrison, Bing Yu, Pamela L Lutsey, Carmen R Isasi, Susan Redline, Tamar Sofer

Faculty, Staff and Students Publications

Study objectives: Since genome-wide association studies (GWAS) of sleep phenotypes have been conducted in differing populations and definitions of sleep phenotypes vary across studies, we investigated associations between several polygenic risk scores (PRSs) and potential sleep definitions among multiethnic cohorts.

Methods: Using data from four cohorts (HCHS/SOL, ARIC, MESA, BHS, N = 16 895), we considered multiple definitions of short and long sleep, insomnia, and excessive daytime sleepiness (EDS). PRSs were developed based on summary statistics from GWAS in European ancestry individuals from the UK Biobank (UKB) and from GWAS conducted in a multiethnic population from the Million Veteran Program …

Visual-Motor Coordination In Automated Driving: Effects Of Temporal Urgency And Motor Demand On Intervention Behavior, Kailin Cui, Jonathan Chiu, Pranav Meda, Gaojian Huang, Yue Luo

Faculty Research, Scholarly, and Creative Activity

Occupational Applications: This study shows that time-critical automation intervention requests increase drivers’ visual-motor demands, reflected in measurable changes in driving performance and posture (i.e., limb engagement and trunk positioning) during transitions of control. These responses indicate that maneuver urgency and takeover timing can place elevated biomechanical and coordination demands on drivers, particularly in work-based automated driving. For ergonomics and human factors practice, the findings underscore the need to design automated transportation systems (e.g., ridesharing services) that align request timing with operators’ physical and perceptual capabilities. In occupational settings such as automated shuttles and fleet-supervised vehicles, intervention requests should provide adequate …

Participation Motivation Of Diverse Pickleball Participants: With A Marketing Implication, Mark Lifang Zhang, Steve S. Chen, Scott Thorton, Eric Street

Findings in Sport, Hospitality, Entertainment, and Event Management

Pickleball has been widely reported as one of the fastest-growing sports in the United States. Prior research has largely attributed this growth to the psychosocial benefits that pickleball provides to older adults, including increased social interaction and enhanced overall well-being. However, limited attention has been given to participation motivations and perceived benefits among other participant groups. The purpose of this study was to examine pickleball participants’ motivations, interests, and intentions for continued involvement across diverse demographic groups.

Participants included 431 individuals (54% male, 46% female) representing four age groups, with 67% aged 55 and older. Participants were recruited from two …