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National Digital Infrastructure And India’S Healthcare Sector: Physician’S Perspectives, Rajesh Chandwani, Saneesh Edacherian, Mukesh Sud Feb 2023

National Digital Infrastructure And India’S Healthcare Sector: Physician’S Perspectives, Rajesh Chandwani, Saneesh Edacherian, Mukesh Sud

The Qualitative Report

Patient-centric digital infrastructure can potentially enhance the efficiency of healthcare systems. However, even in developed nations, evidence suggests low adoption rates for such infrastructure and lack of support from clinicians is considered as one of the most critical hindering factors. In this study, we examine physicians' perceptions of the proposed large-scale information technology initiative in India that aims to transform the health sector and provide universal health coverage to all residents of India. We employed the information ecology lens to understand the broader changes in the healthcare system that could result from the initiative. We use focus group discussion and …


Incorporating Social Justice Education Into Teacher Education: A Book Review Of Communicating Social Justice In Teacher Education: Insights From A Critical Classroom Ethnography, Angga Hidayat Feb 2023

Incorporating Social Justice Education Into Teacher Education: A Book Review Of Communicating Social Justice In Teacher Education: Insights From A Critical Classroom Ethnography, Angga Hidayat

The Qualitative Report

Aubrey Huber's book is of great value to aspiring and current educators alike, providing a comprehensive analysis of how qualitative critical classroom ethnography can be applied to support social justice in the field of education. Through this text, readers will gain an understanding of the unique opportunity that classroom ethnography provides in terms of utilizing it as an actionable mechanism to respond to social injustices while balancing intertwined multiple perspectives. Teacher educators who use this text will obtain a deeper appreciation for the instrumental role qualitative research such as classroom ethnography plays in improving and reforming education. All in all, …


Effective Treatment Of Low-Risk Acute Gvhd With Itacitinib Monotherapy, Aaron Etra, Alexandra Capellini, Amin Alousi, Monzr M Al Malki, Hannah Choe, Zachariah Defilipp, William J Hogan, Carrie L Kitko, Francis Ayuk, Janna Baez, Isha Gandhi, Stelios Kasikis, Sigrun Gleich, Elizabeth Hexner, Matthias Hoepting, Urvi Kapoor, Steven Kowalyk, Deukwoo Kwon, Amelia Langston, Marco Mielcarek, George Morales, Umut Özbek, Muna Qayed, Ran Reshef, Wolf Rösler, Nikolaos Spyrou, Rachel Young, Yi-Bin Chen, James L M Ferrara, John E Levine Feb 2023

Effective Treatment Of Low-Risk Acute Gvhd With Itacitinib Monotherapy, Aaron Etra, Alexandra Capellini, Amin Alousi, Monzr M Al Malki, Hannah Choe, Zachariah Defilipp, William J Hogan, Carrie L Kitko, Francis Ayuk, Janna Baez, Isha Gandhi, Stelios Kasikis, Sigrun Gleich, Elizabeth Hexner, Matthias Hoepting, Urvi Kapoor, Steven Kowalyk, Deukwoo Kwon, Amelia Langston, Marco Mielcarek, George Morales, Umut Özbek, Muna Qayed, Ran Reshef, Wolf Rösler, Nikolaos Spyrou, Rachel Young, Yi-Bin Chen, James L M Ferrara, John E Levine

Faculty, Staff and Student Publications

The standard primary treatment for acute graft-versus-host disease (GVHD) requires prolonged, high-dose systemic corticosteroids (SCSs) that delay reconstitution of the immune system. We used validated clinical and biomarker staging criteria to identify a group of patients with low-risk (LR) GVHD that is very likely to respond to SCS. We hypothesized that itacitinib, a selective JAK1 inhibitor, would effectively treat LR GVHD without SCS. We treated 70 patients with LR GVHD in a multicenter, phase 2 trial (NCT03846479) with 28 days of itacitinib 200 mg/d (responders could receive a second 28-day cycle), and we compared their outcomes to those …


The Kenyon Collegian - February 2, 2023 Feb 2023

The Kenyon Collegian - February 2, 2023

The Kenyon Collegian

No abstract provided.


Spontaneous Large Volume Hemothorax Managed With A Small-Bore Chest Tube, Moiz Salahuddin, Samia Ayub Feb 2023

Spontaneous Large Volume Hemothorax Managed With A Small-Bore Chest Tube, Moiz Salahuddin, Samia Ayub

Department of Medicine

A 67-year-old male with metastatic lung cancer presented with acute shortness of breath and increasing oxygen requirements. He had a decreasing hemoglobin for which he required red blood cell transfusions. His chest x-ray showed near complete white-out of the left lung. Bedside ultrasound (Handheld Sonostar C4PL) showed a large pleural effusion with swirling echogenic material suggestive of plankton sign. The pleural effusion was aspirated and showed frank blood, after which a small-bore chest tube (SBCT) was inserted. A total of 3200ml of blood was drained with the SBCT. There was complete clearance of the pleural space, and no further blood …


Supporting Compliance Of Occupational Safety And Health Requirements - European Labour Inspection Systems Of Sanctions And Standardised Measures, Victor Hrymak Feb 2023

Supporting Compliance Of Occupational Safety And Health Requirements - European Labour Inspection Systems Of Sanctions And Standardised Measures, Victor Hrymak

Articles

European legislation for occupational safety and health (OSH) is based on the prevention of accidents and ill health. Apart from European directives, all Member States have national laws and strategies and expect enterprises to implement this preventative ethos, and thereby ensure adequate performance in OSH. Labour Inspectorates monitor and if necessary enforce these laws by deploying individual Labour Inspectors to chosen enterprises. If workplace safety and health conditions are found to be substandard, Labour Inspectors are expected to improve the situation using persuasion and, if necessary, their authority to compel enterprises through specific sanction powers. Bruhn (2009) describes this interaction …


February 2, 2023, James Madison University Feb 2023

February 2, 2023, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.


Student Nurses As A Future General Practice Nursing Workforce. Implementing Collaborative Learning In Practice: Implications For Placement Learning And Patient Access. A Mixed Methods Study., Gr Williamson, S Evans, L Attrill, F Cook, K Nash, Adele Kane Feb 2023

Student Nurses As A Future General Practice Nursing Workforce. Implementing Collaborative Learning In Practice: Implications For Placement Learning And Patient Access. A Mixed Methods Study., Gr Williamson, S Evans, L Attrill, F Cook, K Nash, Adele Kane

School of Nursing and Midwifery

No abstract provided.


Diagnostic Performance Of Screening Tools For Depressive Symptoms In Vulnerable Older Patients With Cancer Undergoing Comprehensive Geriatric Assessment (Cga): Results From The Screen Pilot Study, Laura Tack, Ann Sophie Maenhoudt, Lore Ketelaars, Zutter J De, Stefanie Pinson, Laura Keunebrock, Lorenz Haaker, Kathleen Deckmyn, Mathilde Gheysen, Cindy Kenis, Hans Wildiers, Laurence Depoorter, Pieter Jan Geerts, Rebecca Chandler, Tom Boterberg, Patricia Schofield, Christopher N. Parris, Philip R. Debruyne Feb 2023

Diagnostic Performance Of Screening Tools For Depressive Symptoms In Vulnerable Older Patients With Cancer Undergoing Comprehensive Geriatric Assessment (Cga): Results From The Screen Pilot Study, Laura Tack, Ann Sophie Maenhoudt, Lore Ketelaars, Zutter J De, Stefanie Pinson, Laura Keunebrock, Lorenz Haaker, Kathleen Deckmyn, Mathilde Gheysen, Cindy Kenis, Hans Wildiers, Laurence Depoorter, Pieter Jan Geerts, Rebecca Chandler, Tom Boterberg, Patricia Schofield, Christopher N. Parris, Philip R. Debruyne

School of Nursing and Midwifery

Depression is a common and disabling disorder in later life, particularly among people with poor physical health. There are many screening tools available that can be used to examine depressive symptoms; however, not all of them may be appropriate or accurate for older adults with cancer. This pilot study was designed to test the diagnostic performance of two screening tools and their short versions in a cohort of vulnerable (G8 score ≤ 14/17) older patients with cancer undergoing comprehensive geriatric assessment (CGA). The prospective analysis covered 50 vulnerable patients with cancer aged ≥70 years. The diagnostic performance of the Geriatric …


Fhsu Online At 25 Years, February 2, 2023, Tisa Mason Ed.D. Feb 2023

Fhsu Online At 25 Years, February 2, 2023, Tisa Mason Ed.D.

Heart of a Tiger Columns

No abstract provided.


The Student Movement Volume 107 Issue 14: Week Of Prayer, Wind Symphony, And Working At Waus: Another Week At Au, Timmy Duado, Anna Pak, Nora Martin, Solana Campbell, Bella Hamann, Andrew Pak, Gloria Oh, Andrew Francis, Julia Randall, Isabella Koh, Desmond H. Murray, Zothile Sibanda, Amelia Stefanescu, Gio Lee Feb 2023

The Student Movement Volume 107 Issue 14: Week Of Prayer, Wind Symphony, And Working At Waus: Another Week At Au, Timmy Duado, Anna Pak, Nora Martin, Solana Campbell, Bella Hamann, Andrew Pak, Gloria Oh, Andrew Francis, Julia Randall, Isabella Koh, Desmond H. Murray, Zothile Sibanda, Amelia Stefanescu, Gio Lee

The Student Movement v. 107 (2022-2023)

HUMANS

Andrews University Social Justice Club: Sara Santana, Interviewed by: Timmy Duado

Honors Thesis Project: Alexander Hess, Interviewed by: Anna Pak

Meet Reagan McCain of WAUS, Interviewed by: Nora Martin

ARTS & ENTERTAINMENT

Currently: MrBeast, Solana Campbell

IN a World of Fascination: The Thematic Musicality of the AU Wind Symphony Concert, Bella Hamann

Where Do I Find God - Part III, Anonymous

NEWS

Getting Unrealistic with Pastor Snell, Interviewed by: Gloria Oh

New Recession Cracks Egg Economics Open, Andrew Francis

What's Happening in Peru?, Julia Randall

IDEAS

Facing the End of the World: What Apocalypse Stories Teach Us About Humanity, …


College Of Engineering News, Georgia Southern University Feb 2023

College Of Engineering News, Georgia Southern University

College of Engineering & Computing: News & Publications (2010-2023)

  • PCEC now offering B.S. in Software Engineering


Presence Of Trans-Fatty Acids Containing Ingredients In Pre-Packaged Foods And The Availability Of Reported Trans-Fat Levels In Kenya And Nigeria, Liping Huang, Adedayo E Ojo, Judith Kimiywe, Alex Kibet, Boni M Ale, Clementina E Okoro, Jimmy Louie, Fraser Taylor, Mark D Huffman, Dike B Ojji, Jason H Y Wu, Matti Marklund Feb 2023

Presence Of Trans-Fatty Acids Containing Ingredients In Pre-Packaged Foods And The Availability Of Reported Trans-Fat Levels In Kenya And Nigeria, Liping Huang, Adedayo E Ojo, Judith Kimiywe, Alex Kibet, Boni M Ale, Clementina E Okoro, Jimmy Louie, Fraser Taylor, Mark D Huffman, Dike B Ojji, Jason H Y Wu, Matti Marklund

2020-Current year OA Pubs

In most African countries, the prevalence of industrially produced


The Kraft Heinz Company Global Nutrition Targets For The Innovation And Reformulation Of Food And Beverages: Current And Future Directions, Lynn Yu, Véronique Braesco, Sheri L. Cooper, Adam Drewnowski, Bridget Hannon Esteves, Andrea Luigi Budelli Feb 2023

The Kraft Heinz Company Global Nutrition Targets For The Innovation And Reformulation Of Food And Beverages: Current And Future Directions, Lynn Yu, Véronique Braesco, Sheri L. Cooper, Adam Drewnowski, Bridget Hannon Esteves, Andrea Luigi Budelli

Research outputs 2022 to 2026

Reformulating packaged foods has the potential to improve the nutrient density of the global diet. The present perspective illustrates The Kraft Heinz Company’s approach to product (re)formulation to develop healthier product lines that are lower in saturated fats, total sugars, and sodium, and contain health promoting components. Here we present the rationale for The Kraft Heinz Company’s global nutrition targets used for the global innovation and renovation of foods and beverages. The global nutrition targets use a category specific approach to set maximum levels for the main nutrients of public health concern: saturated fat, total sugars and sodium, taking into …


Blending Mathematics Teaching With Kindness, Kien H. Lim, Anthony Matsuura Feb 2023

Blending Mathematics Teaching With Kindness, Kien H. Lim, Anthony Matsuura

Journal of Humanistic Mathematics

Mathematics can be intellectually demanding, engaging, and fulfilling. Learning mathematical concepts adequately warrants an environment where students can err without penalty, shame, or hurtful consequences. Teaching mathematics efficaciously depends on the trusting relationship between the teacher and the students. We advocate blending mathematics teaching with kindness because it benefits the teacher, the students, and society. Kindness, niceness, caring, and benevolence are interrelated but not synonymous. We outline four progressive levels of kindness: conditional, superficial, optimal, and genuine. Blending mathematics teaching and kindness effectively requires the teacher to decenter from their own perspectives and adopt the student’s perspective as the student …


Teaching Mathematics After Covid: A Conversation Not A Discussion, Wendy Ann Forbes, Joyce Mgombelo Feb 2023

Teaching Mathematics After Covid: A Conversation Not A Discussion, Wendy Ann Forbes, Joyce Mgombelo

Journal of Humanistic Mathematics

Inspired by Brent Davis' conceptualization of listening and conversation in his book Teaching Mathematics: Toward a Sound Alternative, we propose how we as a mathematics education community may move forward by continuing in the conversation that emerged from COVID. We encourage all involved to listen rather than assume a discussion-oriented stance. Using an enactivist lens, we look at the pandemic learning space, give an overview of the education conversation that emerged in Ontario, and offer a way to rethink Mathematics Education within the frame of a conversation. We believe that if mathematics education is to engage learners in a meaningful …


Leida, Ana And Leida, Gutierrez Interviews, Beth Robinson Feb 2023

Leida, Ana And Leida, Gutierrez Interviews, Beth Robinson

Delta Women Oral Histories

No abstract provided.


The Effects Of Covid-19 On Clinical Coordination And The Education Of Physician Assistant Students, Halley Barke Feb 2023

The Effects Of Covid-19 On Clinical Coordination And The Education Of Physician Assistant Students, Halley Barke

SIU Journal of Medical Science Scholarly Works

COVID-19 left a damaged path since its arrival in December 2019. Clinical Coordination in a Physician Assistant (PA) program is an important aspect of PA education. It is important to examine the effects, good or bad, that COVID-19 and other factors have played in the clinical rotation scheduling and placement of PA students in their clinical rotation experiences. To evaluate those effects, it was determined to look at the encounter numbers from the past seven years in the Evalue online system of students in the Southern Illinois University (SIU) PA program as well as survey results obtained from other institutions …


The Integration Of The Scholarship Of Teaching And Learning Into The Discipline Of Communication Sciences And Disorders, Jennifer Friberg, Jerry K. Hoepner, Allison M. Sauerwein, Kerry Mandulak Feb 2023

The Integration Of The Scholarship Of Teaching And Learning Into The Discipline Of Communication Sciences And Disorders, Jennifer Friberg, Jerry K. Hoepner, Allison M. Sauerwein, Kerry Mandulak

Teaching and Learning in Communication Sciences & Disorders

McKinney (2018) has argued that for the scholarship of teaching and learning (SoTL) to advance within a discipline, the integration of SoTL must be closely examined and opportunities for growth in SoTL must be recognized and discussed. To that end, this paper reflects on the degree to which SoTL is integrated into communication sciences and disorders (CSD) by examining a variety of topics: perspectives and theories historically valued by our discipline, existing supports for SoTL at various levels (i.e., individual teacher-scholars, departments, institutions, and the CSD discipline as a whole), the application of SoTL findings in teaching and learning. Four …


The Utility Of Peer-To-Peer Practice For Teaching Speech-Language Pathology Students Transnasal Endoscopy, Laura L. Wolford, George W. Wolford, Charlotte A. Bolch Feb 2023

The Utility Of Peer-To-Peer Practice For Teaching Speech-Language Pathology Students Transnasal Endoscopy, Laura L. Wolford, George W. Wolford, Charlotte A. Bolch

Teaching and Learning in Communication Sciences & Disorders

Introduction: Transnasal flexible endoscopy (TNFE) is necessary for multiple assessments in speech-language pathology (SLP), but it is generally considered an advanced practice technique to be learned during clinical practice. As such, there is no standardized way that it is taught in training programs, leading to a substantial knowledge gap for new graduates. Though peer-to-peer practice has been discussed as an important step in training, it is not clear whether it confers additional benefits above and beyond simulation. This study sought to answer that question in the areas of student confidence, endoscopy speed, and motivation to pursue further TNFE experiences. Methods: …


Partnering With Students To Increase Engagement And Inclusion In An Undergraduate Phonetics & Acoustics Course, Teresa Roberts, Rik Lemoncello Feb 2023

Partnering With Students To Increase Engagement And Inclusion In An Undergraduate Phonetics & Acoustics Course, Teresa Roberts, Rik Lemoncello

Teaching and Learning in Communication Sciences & Disorders

An introductory phonetics course provides foundational content for future clinical practice and may serve as a student’s first experience within the field of Communication Sciences and Disorders. The Students as Partners framework (Cook-Sather et al., 2014) offers a model for valuing student assets and experiences in co-creating learning materials to enhance active learning and deepen understanding. Incorporating positive affective feelings around learning complex material, integrating technology, and building a mutually respectful learning community can foster inclusive practices. In this manuscript, the authors share how redesigning an introductory Phonetics and Acoustics course at a large, urban, commuter, public university led to …


Student Perspectives On Learning Language Sample Analysis Using Lena, Michelle Flippin Feb 2023

Student Perspectives On Learning Language Sample Analysis Using Lena, Michelle Flippin

Teaching and Learning in Communication Sciences & Disorders

Language sample analysis (LSA) is valuable clinical tool and an important component of comprehensive language assessment. However, LSA is underutilized in real-world practice. SLPs have identified time constraints, insufficient training, and lack of confidence in LSA skills as barriers to regular LSA implementation. Communication science and disorders (CSD) programs have opportunities to provide LSA instruction to address these barriers and prepare students to reliably, feasibly, and confidently use LSA in clinical practice. This pilot study examined CSD students’ perspectives on LSA instruction using the Language ENvironment Analysis System (LENA). Undergraduate students (n = 38) completed a series of two …


Speech Pathology Student Perspectives On Virtual Reality To Learn A Clinical Skill, Bridget Kelly, Joanne Walters, Rachael Unicomb Feb 2023

Speech Pathology Student Perspectives On Virtual Reality To Learn A Clinical Skill, Bridget Kelly, Joanne Walters, Rachael Unicomb

Teaching and Learning in Communication Sciences & Disorders

Evidence supports the use of simulation in educating speech pathology (SP) students, however most of the research has centered on low fidelity techniques as opposed to high fidelity and immersive technologies like virtual reality (VR). Whilst there has been research on the use of VR to teach clinical skills to students in other health disciplines (e.g., dentistry, nursing), use of VR in SP has focused mainly on its use in client intervention. There is an opportunity to use VR to teach clinical skills to SP students, particularly in response to barriers to clinical placement opportunities like the COVID 19 pandemic. …


Teaching End-Of-Life Care In Speech-Language Pathology: A Tutorial, Amanda Stead, Sara Haynie, Monica Vinson Feb 2023

Teaching End-Of-Life Care In Speech-Language Pathology: A Tutorial, Amanda Stead, Sara Haynie, Monica Vinson

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists often lack preparation for working with patients near the end of life (EoL). Few academic training programs offer dedicated or sufficient content in the area of end-of-life care (EoLC). Furthermore, traditional knowledge-focused outcomes are not the most effective pedagogical strategy in teaching EoL and palliative care to students. Instead, a focus on self-awareness and personal beliefs in relation to death and dying have been shown to have a positive effect on attitudes toward EoLC. The purposes of this paper are three-fold: First, to explore what is known about the teaching and training of EoL in the discipline of …


Examining The Item-Level Psychometric Properties Of The Self-Efficacy Questionnaire (Seq) For Students In Communication Sciences And Disorders, Sabiha Parveen, Neila Donovan, Gina Morris, Kristi Dickey Feb 2023

Examining The Item-Level Psychometric Properties Of The Self-Efficacy Questionnaire (Seq) For Students In Communication Sciences And Disorders, Sabiha Parveen, Neila Donovan, Gina Morris, Kristi Dickey

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was to examine the psychometric properties of the Self-Efficacy Questionnaire (SEQ), a self-reported questionnaire using Rasch analysis, a one-parameter logistic probability model based on scientific measurement principles. Rasch analysis was completed using the rating scale model. The various analyses allow researchers to examine the item-level psychometric properties of the SEQ, which result in measures that provide evidence for validity, reliability, and sensitivity of the instrument. Rasch analysis demonstrated that the latent trait established by the SEQ, Perceived Self-efficacy (called self-efficacy from here on), was a unidimensional construct that could be measured on a linear scale. …


Use Of A Living Document To Facilitate Critical Engagement With Social Justice For Undergraduate Audiology And Speech-Languages Pathology Students, Kristen Secora, David H Smith Feb 2023

Use Of A Living Document To Facilitate Critical Engagement With Social Justice For Undergraduate Audiology And Speech-Languages Pathology Students, Kristen Secora, David H Smith

Teaching and Learning in Communication Sciences & Disorders

Although pedagogy focused on social justice, power, and privilege have been included in teacher preparatory programs for a number of years, such topics are much newer and relatively unexplored within the context of Communication Sciences and Disorders (CSD) preprofessional programs. This reflection provides information on use of a living document assignment to encourage undergraduate CSD students to grapple with these difficult topics (e.g., privilege, oppression, social justice, allyship) early in their professional careers resulting in benefits for the students, their future clients, and the field of CSD.


Impact Of The Covid-19 Pandemic On Undergraduate Students Studying Anatomy And Physiology Of Speech And Hearing: A Pilot Investigation, Katelyn J. Kotlarek, Kerry Callahan Mandulak Feb 2023

Impact Of The Covid-19 Pandemic On Undergraduate Students Studying Anatomy And Physiology Of Speech And Hearing: A Pilot Investigation, Katelyn J. Kotlarek, Kerry Callahan Mandulak

Teaching and Learning in Communication Sciences & Disorders

The purpose of this pilot study was to define what changes were experienced in the Fall 2020 semester by students in an undergraduate anatomy and physiology of speech and hearing course and highlight any differences in the experience of first-generation college students (FGCS). An online survey was administered to a single class of undergraduate students. Results indicated that students experienced a variety of challenges related to the pandemic and virtual learning. Differences in the experiences of FGCS compared to traditional students included increased hours worked and feelings of being overwhelmed and spending less time on course content each week. Future …


Coronary Flow And Unloading In Acute Myocardial Infarction Shock, Kiyo Ishikawa Feb 2023

Coronary Flow And Unloading In Acute Myocardial Infarction Shock, Kiyo Ishikawa

Journal of Shock and Hemodynamics

In patients with cardiogenic shock that undergo successful coronary intervention, there are still factors complicating myocardial recovery. There is room for improvement in coronary flow using mechanical circulatory devices, specifically by left ventricular unloading. This idea was further explored in a research study using pigs. Results showed that subjects with acute myocardial infarction who have reduced cardiac contractility and/or high diastolic pressure would benefit from support strategies targeting left ventricular unloading.


The Casnr L.I.N.K.S. Newsletter: Learning Innovation Network For K-12 Schools, Volume 2, Edition 2, February 2023, Bailey Feit, Tammy Mittelstet Feb 2023

The Casnr L.I.N.K.S. Newsletter: Learning Innovation Network For K-12 Schools, Volume 2, Edition 2, February 2023, Bailey Feit, Tammy Mittelstet

CASNR L.I.N.K.S. Newsletter

The purpose of this L.I.N.K.S. newsletter is to provide a monthly update of opportunities and resources for K-12 schools to connect with the University of Nebraska's CASNR Food, Energy, Water, and Societal Systems (FEWS²) programs and partners.

Included in this edition:

K-12 curriculum and resources

Career exploration: Pathways for students who like animals and insects

Teacher and student opportunities

Send your students to campus

Kudos to our partners

Success story: University's TAPS program coming soon to high school class rooms


The Liminal Church: Why Navigating Thresholds Between Us Leads To Thriving, Andrew Hale Feb 2023

The Liminal Church: Why Navigating Thresholds Between Us Leads To Thriving, Andrew Hale

Doctor of Leadership

Through the discovery, design, and delivery stages of the doctoral project, I centered my work on the following NPO: Churches can thrive when they understand, navigate, and leverage the liminality existing between people, the community, and where God is leading. Despite the myriad of different contexts among local churches, whether polity, worship style, belief statements, and geographical locality, congregations are still composed of people living in relationship to one another and the community around them. Relationships, no matter their nature, are complicated. For the relationships within a local church to thrive, they require intentionality, coaching, effort, openness, and vulnerability. My …