Digital Commons Network^™

Interventions To Improve Nurse Outcomes In South African Private And Public Hospitals: A Case Study, Babalwa Tau, Siedine Knobloch Coetzee, Nicholin Scheepers

International Nursing Research Congress (INRC)

Background: South African nurses face ongoing challenges, including escalating healthcare needs of a growing population, staff and resource shortages, and deteriorating infrastructure, all of which negatively affect their health and wellbeing, relationship with work, productivity and effectiveness and satisfaction with work (South Africa, 2024). Although numerous studies explore interventions to improve these nurse outcomes (Niskala et al., 2020; Ramachandran et al., 2023; Xu et al., 2020), few address the realities of developing countries such as South Africa.

Methods: An exploratory multiple-case study design was employed (Yin, 2014). Secondary data from a national hospital database (n = 143) were analysed to …

Decent Work In Nursing: A Walker And Avant Concept Analysis, Mu-Hsi Deborah Young, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Although the WHO and the International Labour Organization have repeatedly emphasized the importance of promoting decent work to ensure a sustainable nursing workforce, the concept of decent work within nursing remains insufficiently defined, creating challenges for implementation.

Objective: The purpose of this article is to analyze the concept of decent work in nursing.

Method: A literature review was conducted following Walker and Avant’s concept analysis method. Searches were performed in PubMed, EBSCOhost (including CINAHL Complete, CINAHL Ultimate, MEDLINE, APA PsycArticles, and APA PsycINFO), ProQuest, Web of Science, Cochrane Library, and Airiti Library through April 2025.

Result: Twenty studies were …

Transforming Nursing Practice Through Data Ownership And Leadership In A Quaternary Hospital, Nabiha Tashkandi, Merry Jo Dione Levers

International Nursing Research Congress (INRC)

Background: Globally, healthcare systems are increasingly recognizing the vital contributions of nursing to safety, quality, and patient experience. However, in some organizations, nursing remains underrepresented in executive decision-making, limiting its influence on strategic priorities (Sherwood & Barnsteiner, 2021). At the Ministry of National Guard Health Affairs (MNGHA), the nursing leadership sought to overcome this challenge by using data to amplify nursing’s voice, demonstrate its value, and improve care outcomes (Dempsey et al., 2014).

Purpose: This project aimed to strengthen nursing’s visibility and credibility within the organization by aligning nursing-sensitive indicators with corporate priorities, creating a culture of transparency, and leveraging …

Body Composition Of Psychiatric Nursing Home Residents In Taiwan Assessed By Inbody, Ya-Mei Cheng, Wan-Leng Lin, Yao-Hui Huang, Chieh-Yi Wang, Jun-Dai Lin

International Nursing Research Congress (INRC)

Purpose: Residents of psychiatric nursing homes often experience chronic mental illness, prolonged psychotropic medication use, and limited physical activity, all of which contribute to reduced muscle mass and altered body composition. These conditions increase the risk of falls, obesity, metabolic syndrome, sarcopenia, and functional decline. This study assessed the body composition of residents in Taiwanese psychiatric nursing homes using the InBody analyzer to inform future health-promotion and nutrition interventions.

Methods: A cross-sectional study was conducted from April to August 2024 in a psychiatric nursing home in central Taiwan. Eighty-three residents (44 men, 39 women) were included; individuals with acute psychiatric …

The Buildings Of Muslim Al-Majdal Asqalān (Ashqelon) In Their Historical-Geographic And Economic Context, Avraham (Avi) Sasson

'Atiqot

In the course of the Mamluk and Ottoman periods, six villages were established in the al-Majdal Asqalān area in the southern coastal plain of Palestine, the status of this area enhancing in the 1830s when its geographic and economic advantages were appreciated. The small villages were built on the kurkar ridge slopes with minimal planning, traversed by two or three main arteries adjoined by narrow lanes. The houses were mostly built of mud bricks. Only the central village, al-Majdal Asqalān, developed on flat ground, where there was ample land for construction: most of its buildings were built of kurkar stones. …

From Global Principles To National Implementation: The 9th Un Conference And Its Product Safety Resolution, Suruchi ., Kumar Jyotish

International Journal on Consumer Law and Practice

The 9th United Nations Conference on Competition and Consumer Protection of 2025 advanced international consumer protection law by extending its scope. The Product Safety Resolution adopted at the Geneva-based conference is the first binding global resolution on product safety. Addressing the wide scope of problems associated with the emergence of more complex global and online markets, the Resolution presents a set of legal criteria to ensure the safety of goods, liability of defaulting manufacturers, rights of consumers, and the laying out of appropriate procedures. This paper presents a critical evaluation of the normative context of the Resolution and its variation …

Navigating Digital Transformation: Students’ And Lecturers’ Perceptions And Experiences Of Online Teaching In South African Higher Education, Precious Dube, Yolisa Madolo

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

The digital transformation of higher education has reshaped teaching and learning practices, but experiences in South African universities remain diverse because of differences in technological access, digital readiness and institutional support. This systematic literature review aimed to examine students' and lecturers’ perceptions and experiences of online teaching and learning in South African tertiary institutions. The review employed studies retrieved from Google Scholar, ERIC, Scopus, and Web of Science. A total of 1253 studies from across the globe were identified and screened using Covidence, resulting in 21 South African studies meeting the inclusion criteria. The selected studies were analysed thematically to …

Works-Council-Visible-Or-Blocked: A Fail-Closed Oversight Gate For Personal-Data Flows Between Nodes, Alexander Bering

Defensive Publications Series

Disclosed is the concrete arrangement by which a system makes every cross-node personal-data flow visible to employee representatives before the flow occurs, and blocks the flow when that visibility cannot be established. The arrangement combines: a machine-checked data class that fails closed to personal; a co-determination flag carried at flow granularity by the bilateral relationship grant; a non-downgrade rule under which neither the classifier nor the flag can remove a non-empty flow from oversight visibility, so that classifier blind spots cannot open the gate; exactly one oversight record per flow, enforced by a uniqueness constraint on the flow's correlation identity …

From Reluctance To Resilience: The Link Between Attitude And Growth Mindset In Calculus Students, Olivia Valente, Kathryn E. Pedings-Behling, Amy N. Langville

Journal of Educational Research and Practice

Many postsecondary students enter general education mathematics courses with negative attitudes, shaping their willingness to engage with the content. This study explores the relationship between students’ attitudes towards mathematics and their growth mindset, revealing effective strategies to enhance learning experiences, particularly for students who are reluctant learners. The research investigates two questions: (1) How do students’ Attitude Toward Mathematics Inventory (ATMI) scores and Growth Mindset Scale (GMS) scores relate? and (2) Do gender or course modality affect this relationship? This study addresses a gap in literature by examining how enjoyment, motivation, self-confidence, and perceived value connect with growth mindset. The …

Our Heritage Vol Ii 2026, Ana Iraheta, Jake R. Turcotte, Siobhan Lahiff

Our Heritage: Short Stories of Bilingual Youth in the Northeastern United States

"

Ana C. Iraheta and Jake R. Turcotte (Editors)

Siobhan Lahiff (Illustrator) "

Por Siempre En Mi Corazón/Forever In My Heart, Valeria Barrón

Our Heritage: Short Stories of Bilingual Youth in the Northeastern United States

A young woman honors her late friend with love and tradition.

Los Abuelos Viven Para Siempre/Grandparents Live Forever, Mariana Padilla

Our Heritage: Short Stories of Bilingual Youth in the Northeastern United States

A young woman misses her grandpa, remembers his love, and applies his lessons every single day.

#Narctalk: Analysis Of Perceptions Of Personality Disorders In Tiktok Content, Amanda C. Dediego, Auna Nelson, Feven Seifu, Amanda D. Tracy, Madeline Grubb, R.J. Schoen

Journal of Technology in Counselor Education and Supervision

No abstract provided.

Strategies For Integrating Death Education Into Asynchronous Online Counselor Training, Kara E. Wolff

Journal of Technology in Counselor Education and Supervision

Online counselor education has grown exponentially, with a greater number of courses being offered in an asynchronous format. This presents challenges and opportunities for counseling training in death education, a subset of grief counseling. Death anxiety and death avoidance can result in counselors-in-training's disengagement with strictly didactic materials in this area. Instead, death education must offer opportunities for experiential processing and personal reflection to be effective. Specific teaching strategies that foster the development of death acceptance and death competence within asynchronous online counselor education courses are offered.

Clinicians’ Reflections On Explainable Ai (Xai) In Counselor Education And Diagnostic Training: An Exploratory Qualitative Study, Kuo Deng, Xiaomeng Ye, Yi Li-Brown, Cara Miles, Angelina F. Pennino

Journal of Technology in Counselor Education and Supervision

Current approaches to teaching clinical diagnosis in counselor education and supervision often

rely on self-reports, brief vignettes, and supervisors’ recollections—methods that can be resource- intensive and prone to bias, contributing to diagnostic inaccuracy among trainees. While artificial

intelligence (AI) has gained traction in healthcare, many machine learning (ML) models function as “black boxes,” limiting transparency and educator trust. Explainable AI (XAI), which focuses on making AI processes interpretable, offers a potential solution for counselor training. This exploratory qualitative study examined eight licensed psychologists’ reflections after viewing a live demonstration of an original XAI model trained to predict depression. Using Reflexive …

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 …

The Digital Tightrope: Navigating Social Media Ethics In Counseling, Kaitlynn Cornell-Mullane

Journal of Technology in Counselor Education and Supervision

Social media has become deeply integrated into both personal and professional lives, yet the use by counseling professionals remains underexplored. This study investigated how various roles within the counseling field experience and utilize social media in their professional development, identity formation, and ethical practice. A qualitative online survey was utilized to collect data from counseling professionals (N = 20). Findings revealed six themes: (1) Conflicting Perspectives on Client Social Media Use and Engagement, (2) Personal Discomfort and Ethical Ambiguity, (3) Counselors’ Varied Approaches of Social Media Use, (4) Social Media Use for Professional Development, (5) Mixed Perspectives on Social Media …

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. …

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 …

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 …

Statistical Methodologies For Count Time Series Analysis And Topological Data Analysis Of Medical Images, Yuhyeong Jang

Statistical Science Theses and Dissertations

This dissertation addresses two distinct topics related to count time series analysis and topological medical image analysis, respectively. The first part of the dissertation comprises an application of a count time series model to analysis of US monthly sex trafficking data and development of a new model for multivariate count data that exhibits serial dependence and overdispersion. By imposing a family of multivariate mixed Poisson distributions on the count random vector, the proposed model can accommodate a broad range of overdispersion as well as positive contemporaneous correlations. For maximum likelihood estimation, a computationally feasible EM-type algorithm is derived based on …

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 …

An Exploration Of Successful Cloud Database Migration Strategies Used By Small And Medium-Sized Enterprises Leaders In The United States, Ashli Jarrett

Walden Dissertations and Doctoral Studies

Cloud database migration can improve organizational performance in small and medium-sized enterprises (SMEs), but SME leaders are concerned about ineffective migration strategies, which can increase risks to data security, regulatory compliance, and operational continuity. Grounded in diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry project was to explore the effective strategies SME leaders use to manage secure cloud database migrations, mitigate risks, enhance data security, ensure regulatory compliance, and improve organizational effectiveness. The participants were 10 SME leaders in the United States who had successfully adopted cloud-based database systems. Data were collected through semistructured interviews and publicly …

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 …

Staff Education To Improve Depression Screening And Management Using Phq-9, Elizabeth Aja

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education initiative. It was motivated by the realization that depression is often under-recognized when standardized screening practices are not consistently implemented. The identified practice gap was inconsistent administration, interpretation, and documentation of the PHQ-9 by the nursing staff. The practice-focused question examined whether a staff education intervention would improve nurses’ knowledge and confidence in using the PHQ-9 for depression screening. The purpose of the project was to implement and evaluate an evidence-based educational program on PHQ-9 administration, scoring, interpretation, and documentation. Data analysis included descriptive statistics on pretest and posttest scores from 14 participating …

Improving Suicide Risk Identification Through Standardized Implementation Of The Columbia–Suicide Severity Rating Scale (C-Ssrs) In An Adult Outpatient Behavioral Health Setting, Mirabel Ngwe Boma

Walden Dissertations and Doctoral Studies

Suicide risk may fluctuate throughout treatment, making ongoing assessment essential for timely identification and intervention. At the project site, an adult outpatient behavioral health practice, the Columbia–Suicide Severity Rating Scale (C-SSRS) was administered consistently at intake but inconsistently at follow-up visits, creating gaps in suicide risk reassessment and documentation. The purpose of this quality improvement project was to evaluate the effect of standardized implementation of the C-SSRS during intake and follow-up visits on suicide risk screening compliance over a 9-week period. The practice-focused question asked how standardized implementation of the C-SSRS, compared with current practice, affected suicide risk screening compliance …