Digital Commons Network^™

Cracking The Code: The Systematic Development Of A Coding Matrix For Qualitative Data Analysis, Greta Gray, Marie-Christine Potvin

Department of Occupational Therapy Faculty Papers

A systematic approach was used to develop a coding matrix for a qualitative study with the intent to strengthen the credibility and dependability of the findings. Coding matrixes are commonly used in qualitative studies to organize data into meaningful units of text to be interpreted by the researchers. Current methods of coding matrix development can be problematic as they may introduce biases in the results and have limited reproducibility. A novel approach was employed to address this need with the “a priori” development of a coding matrix using a multi-step deductive and inductive process with multi-coders (n=5).  The coders who …

Abstracts Of The 71st Annual Conference Of The Mississippi Association Of Entomologists, Nematologists, And Plant Pathologists (Maenpp)

Midsouth Entomologist

October 27 & 28, 2025

Exploring The Relations Between Sleep And Mental Health Through The Constructs Of Sleep Health, Psychological Well-Being, Depression, And Anxiety, Taylor G. Wandtke

Undergraduate Honors Theses

Sleep and Mental Health have a variety of definitions and underlying constructs, as well as questionnaires to measure them. This study analyzed sleep and mental health constructs using a variety of questionnaires to examine how they may influence one another, providing valuable insight into the utility of both newly developed and established measures. With an analysis sample of N = 27, this study assessed the reliability of the novel Sleep Health Item Bank (SHIB) across its 14 dimensions and its correlations among psychological well-being, depression, and anxiety scores. Psychological well-being (PWB) was assessed by Ryff’s (1995) 18-item scale, and depression …

Voters’ Perception Of Nigeria’S Electoral Process: An X-Ray Of The 2023 Presidential Election, Omamurhieme Julia Akpodovhan, Chukwuma Anyanwu Dr

International Review of Humanities Studies

In its six decades of post-independence, Nigeria has experienced the best and worst in military and democratic governance fluctuating from one to the other. It has purportedly settled into a democracy but with highly flawed electoral processes. This paper interrogates the February 25, 2023 Presidential election with a view to assessing the perception of voters in the exercise to determine whether there has been an improvement or otherwise in the status quo of how previous elections were conducted. Drawing from historical antecedents, participant observation and opinion poll research techniques, the authors relied on information from five of ten polling booths …

Rehcardicare: A Digital Telerehabilitation Platform For Cardiac Recovery Following A Coronary Artery Bypass Graft, Elvipson Sinaga, Khairunnisa Batubara

Jurnal Keperawatan Indonesia

Post-coronary artery bypass graft (CABG) patients often experience decreased cardiac output, which slows recovery and increases the risk of cardiovascular complications. This research and development study evaluated the preliminary effectiveness of the REHCARDICARE application in increasing cardiac output, a key indicator of successful cardiac rehabilitation. The research also assessed user satisfaction to determine the feasibility of broader implementation. The findings can inform further development of the application. The application development used the (Analysis, Design, Development, Implementation, Evaluation) ADDIE model. The study subjects consisted of 30 post-CABG patients purposively selected at the North Sumatra Integrated Heart Center. An application-based resistance and …

Craniospinal Irradiation Volumetric Modulated Arc Therapy (Vmat) Planning: A Dosimetric Contrast Utilizing Anterior Avoidance Sectors, Ashleigh M. Sammataro

Masters Projects

Purpose: Craniospinal irradiation (CSI) is essential for treating pediatric and adult central nervous system malignancies, yet it exposes large volumes of normal tissue to low‑dose radiation, contributing to significant long‑term toxicity. This study evaluated whether incorporating anterior‑avoidance sectors (AVD) into volumetric modulated arc therapy (VMAT) planning would improve normal tissue sparing while maintaining target coverage and plan quality.

Materials and Methods: 8 previously treated CSI patients were retrospectively replanned using two VMAT techniques: Full Arc and AVD. All patients were simulated supine with standardized immobilization and planned in Eclipse. Identical target volumes, optimization structures, and planning objectives were used for …

School Counselor Preparedness With Mass School Shootings, Lidia Oviedo

Walden Dissertations and Doctoral Studies

Mass school shootings represent a significant threat facing K–12 schools, yet the lived experiences of school counselors as they engage in prevention efforts and prepare to respond to and recover from these incidents remain unexplored. This study addressed the discrepancy between the increasing prevalence of mass school shootings and the limited understanding of school counselors' preparedness. The purpose of this qualitative study was to explore the experiences of school counselors regarding their preparedness to prevent, respond to, and recover from mass school shootings. This study was grounded in Giorgi's descriptive phenomenological method and informed by the U.S. Department of Education's …

Secondary Special Education Teachers’ Perspectives On Professional Socialization In A Maryland School District, Darice Mattie Holmes

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the insufficient professional socialization of novice secondary special education teachers (SSETs), undermining their ability to adapt to school culture in a Maryland school district (MSD, a pseudonym). Grounded in Mayo's theory of human relations, the purpose of this study was to explore novice SSETs' perceptions of professional socialization through peers, professional development, or mentoring to adapt to the school culture at MSD. For this basic qualitative design, semistructured interviews were conducted with seven novice SSETs. The data were analyzed using Braun and Clarke's thematic analysis with Saldaña's coding strategies, yielding four themes: (a) …

Recognizing Appropriate General Inpatient Hospice Patients Time To Stop Normalizing Suffering, Oliver Charles Roth

Walden Dissertations and Doctoral Studies

Hospice patients experiencing uncontrolled pain, dyspnea, agitation, anxiety, delirium, or other severe symptoms may require General Inpatient (GIP) hospice care for intensive symptom management. However, inconsistent recognition of symptom crises can delay escalation to the appropriate level of care, contributing to unnecessary patient suffering, caregiver distress, and avoidable emergency department or hospital utilization. This Doctor of Nursing Practice executive leadership project evaluated the implementation of an educational framework designed to improve clinician recognition and timely escalation of patients who may be appropriate for GIP hospice care. Education emphasized early identification of uncontrolled symptoms, interdisciplinary communication, documentation, and escalation for clinical …

Demographic And Socioeconomic Factors Related To Visceral Leishmaniasis Infection In South Sudan, Duncan Ochieng Ochol

Walden Dissertations and Doctoral Studies

Visceral leishmaniasis, a severe parasitic disease that is invariably fatal, is characterized by frequent outbreaks, and is associated with poverty. South Sudan is among the countries with the highest burden of visceral leishmaniasis. However, few studies have investigated factors associated with visceral leishmaniasis in the country. This study investigated demographic (age, gender, marital status, education level and occupation) and socioeconomic factors (transport, access to health services and residence) that may be associated with visceral leishmaniasis infection in South Sudan. The study was anchored on the socioecological model conceptual framework, which describes the interaction between individual and their social environment and …

Staff Education To Improve Geriatric Mental Health Screening And Pharmacotherapy, Andy Wu

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement project addressed the lack of standardized workflows and clinical confidence regarding geriatric mental health screening and safe antidepressant initiation at a rural primary care clinic. Utilizing the FOCUS-PDSA framework, a 15-minute staff education module and a clinical pocket guide were implemented to train Medical Assistants (MAs) on integrating PHQ-9 and GAD-7 screenings during triage, and to equip providers with EHR SmartPhrases and 2023 AGS Beers Criteria prescribing guidelines. A pre- and post-intervention 5-point Likert scale survey evaluated the knowledge and clinical confidence of the clinic staff (n = 12). Results demonstrated a …

Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal

Walden Dissertations and Doctoral Studies

Equine assisted therapies have been shown to be an effective treatment approach for individuals experiencing mental health issues. However, there have been rising challenges in standardization and nomenclature throughout the field. Current research supporting the benefits of equine assisted therapies is often from the client perspective. There is a gap in understanding what occurred in session that made it beneficial to their mental health. The purpose of this phenomenological study was to describe the lived experiences of equine assisted therapy facilitators in terms of mechanisms that produce positive changes in their clients. The theories and concepts that ground this study …

Mll3 And Mll4 Sustain Hematopoietic Stem Cell Multipotency By Opposing A B-Cell Default State, Helen C Wang, Ran Chen, Wei Yang, Rohini Muthukumar, Tingting Hu, Riddhi M Patel, Emily B Casey, Elisabeth Denby, Run Zhang, Guojia Xie, Kai Ge, Grant A Challen, Jeffrey J Bednarski, Jeffrey A Magee

2020-Current year OA Pubs

Hematopoietic stem cells (HSCs) and multipotent progenitors (MPPs) are sustained by networks of transcription factors and epigenetic regulators that prime lineage-specific programs yet maintain multipotency. Two epigenetic regulators, MLL3 and MLL4, play important but distinct roles in maintaining this balance. MLL3 promotes HSC differentiation, whereas MLL4 opposes differentiation. These activities are essential for both normal homeostasis and leukemia suppression, yet it is not clear how MLL3 and MLL4 regulate HSC and MPP gene expression to control HSC/MPP fate decisions. To resolve these mechanisms, we performed an extensive series of single-cell genomic studies after conditionally deleting Mll3, Mll4 or both genes …

Digital Pressure Sensing Technology For Dysphagia Rehabilitation: A Nursing-Led Pilot Study, Nai Ching Chen, Yu-Ru Lin, Yi Chou, Huei-Yu Chen, Chia-Shu Lin, Jui-Yu Weng, Jinn-Rung Kuo

International Nursing Research Congress (INRC)

Purpose: Advances in artificial intelligence and sensor-based health monitoring are transforming dysphagia care from early screening to personalized rehabilitation (Wong et al., 2025; Alter et al., 2025). This study evaluated the feasibility of the Digital Swallowing Pressure Ball (DSPB), a nursing-led innovation integrating real-time pressure sensing, Bluetooth Low Energy (BLE) transmission, and cloud analytics to enhance individualized swallowing rehabilitation. The DSPB addresses limitations of conventional Chin Tuck Against Resistance (CTAR) exercises, which lack quantifiable feedback and remote monitoring (Archer et al., 2020).

Methods: A four-week pilot study was conducted with 11 participants with dysphagia after stroke or traumatic brain injury. …

The Future Of Nursing Education: Discovering Al Avatars For Interactive Online Asynchronous Classe, Christina Baker, Dawon Baik, Sharon Giarrizzo-Wilson

International Nursing Research Congress (INRC)

This project introduces an innovative telehealth simulation using artificial intelligence avatars in a graduate-level online informatics course to enhance student engagement and develop digital health competencies aligned with national nursing education standards. Nursing education has historically lagged in integrating interactive, competency-based digital health training, particularly in online environments, despite the growing role of technology in healthcare delivery (Kleib et al., 2024; El Arab et al., 2025). Traditional simulation approaches often fail to incorporate emerging technologies such as artificial intelligence (AI), leaving a gap in preparing nurses for technology-driven practice (Chan et al., 2025; Buchanan et al., 2021). The project intervention …

Tackling Nurse Faculty Preparedness And Retention: A Fami-Md Quality Improvement Initiative, Lisa A. Seldomridge, Tina Brown Reid, Nicole J. Hall, Bradley P. Hauck, Beverly P. Payne

International Nursing Research Congress (INRC)

The ability of nursing programs to graduate more students is constrained by a shortage of qualified faculty, limiting program capacity and narrowing the pipeline of new registered nurses (AACN, 2024; Lubhy, 2023). Addressing this gap requires targeted solutions. One proven approach is the Faculty Academy and Mentorship Initiative of Maryland (FAMI-MD), a program launched in 2011 to help registered nurses transition into clinical faculty roles. To date, 684 nurses have completed the Academy, with 70% serving in teaching positions across Maryland—demonstrating its effectiveness as a faculty pipeline.

This presentation highlights outcomes of a quality improvement project to update FAMI-MD’s Introductory …

A Path Forward: Improving Care For Victims Of Violence Across Romania, Janice Ceccucci, Nancy Harris

International Nursing Research Congress (INRC)

Purpose: In 2016, the Country entered the Istanbul Convention, an international treaty addressing violence against women. This treaty is monitored and assessed by GREVIO (2022). During the initial assessment, a lack of reporting, education, and access to healthcare services was noted, as well as limited services for child violence and forced marriage. The purpose of this project was to aid in the improvement of education on sexual violence and improve healthcare services for victims of sexual violence across the Country.

Method: Medical-Legal centers were visited in both rural and urban areas across the Country (N = 14). Centers were evaluated …

Depressive Symptoms As A Mediator Of Self-Stigma And Recovery In Patients With Schizophrenia, Po Chun Fu, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Self-stigma has consistently been identified as a significant factor that hinders recovery in people with schizophrenia. When feel internalize stigma, it can intensify depressive symptoms, which may reduce sense of recovery. The mechanism that connects self-stigma, depression, and perceived recovery is not yet well understood.

Aims: investigate the mediating effects of depressive symptoms on self-stigma and perceived recovery among people with schizophrenia.

Methods: Involved 200 participants , recruited from community of a medical center. Examined demographic data, self-stigma (measured using the Internalized Stigma of Mental Illness scale), which served as the independent variable, and depressive symptoms (assessed using the …

Leading Through The Tempest: A Framework For Climate Equity, Preparedness, And Global Resilience, Candace Dumas

International Nursing Research Congress (INRC)

Purpose: The TEMPEST Framework- Transdisciplinary Equity & Medicine for Preparedness, Environment, Systems and Transformation was developed in response to gaps identified in 10 international frameworks assessing health consequences of severe weather events. Prior models demonstrate strong integration of direct, indirect, mental, and equity-related health impacts (Boyal et al., 2018; Birnbaum et al., 2015) but remain limited by contextual specificity, data gaps, and lack of empirical validation (Hunter et al., 2016; Smith et al., 2022; Gonah et al., 2025). TEMPEST is an innovative and evidence-informed model advancing the World Health Organization’s (WHO) Operational Framework for Climate-Resilient Health Systems (CRHS) (World Health …

Early Post-Cesarean Anxiety, Nausea, Vomiting, And Pain Under Spinal Anesthesia: Trajectories And Modifiable Predictors, Indah Susanti, Eza Kemal Firdaus, Septian Mirova Sebayang, Amelia Andini, Alicia Dumes Berg, Margaret Atwood, Rantiningsih Sumarni, Mesya Mesya, Asmat Burhan

Jurnal Keperawatan Indonesia

Recovery after caesarean under spinal anesthesia remains a quality gap, with scarce evidence on modifiable anesthetic practices improving recovery. Data linking the neuraxial technique, nausea, anxiety, and pain remain limited. The objective of this study was to describe postoperative nausea and vomiting, anxiety, and pain at 6, 12, and 24 hours after caesarean section under spinal anesthesia and to examine whether intrathecal adjuvant use, sensory block level, fasting duration, and American Society of Anesthesiologists (ASA) physical status were associated with these outcomes. Cross-sectional study across five hospitals; 534 women undergoing caesarean under spinal anesthesia. Exposures: intrathecal adjuvant, sensory level (≤ …

Effects Of Montessori-Based Stimulation On Fine And Gross Motor Development Among Children With Stunting: A Quasi-Experimental Study, Indah Rahmadaniah, Tukimin Bin Sansuwito, Rini Anggeriani, Rinda Lamdayani, Ade Marlisa Rahmadayanti, Aris Citra Wisuda

Jurnal Keperawatan Indonesia

Stunting affects not only physical growth but also several aspects of child development, including gross and fine motor skills. Early stimulation interventions, such as Montessori-based activities, have been proposed to enhance developmental outcomes through structured sensorimotor experiences. This study aimed to evaluate the effects of Montessori-based stimulation on motor development among children with stunting and to compare its outcomes with those of conventional stimulation. A quasi-experimental study with intervention and control groups was conducted among 120 children with stunting aged 36–59 months. Participants were allocated to either a Montessori group (n = 60) or a conventional stimulation group (n = …

Emotional Intelligence, Work Engagement, And Turnover Intention Among Hospital Nurses: A Hierarchical Component Analysis, Catrin Catrin, Christopher Wisnu, Pauline Henriette Pattyranie Tan

Jurnal Keperawatan Indonesia

High turnover intention among hospital nurses poses serious challenges to healthcare organizations, affecting service quality and workforce stability. Understanding the psychological and organizational factors associated with turnover intention is essential for developing effective retention strategies. This study aimed to examine the relationships among emotional intelligence, work engagement, and turnover intention among hospital nurses, including health-promoting leadership, workload, and burnout as contextual variables within the model. A cross-sectional study was conducted among 98 nurses working in inpatient units using validated questionnaires. The data were analyzed using partial least squares structural equation modeling (PLS-SEM) with hierarchical component analysis. Emotional intelligence significantly predicted …

Evaluating Mobile Palliative End-Of-Life Advanced Care Enhancement (Mpeace) Usability And Technology Acceptance: Mixed-Methods Design, Ni Luh Putu Inca Buntari Agustini, I Gede Putu Darma Suyasa, Israfil Israfil

Jurnal Keperawatan Indonesia

Palliative End-of-Life Care (PEoLC) is a process requiring timely assessment, effective communication, and personcentered decision-making to support patients and families. Although the process can be strengthened through digital health innovations such as Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE), its use in PEoLC remains limited. Therefore, this study aimed to evaluate M-PEACE usability and technology acceptance through an explanatory sequential mixed-methods design and explore user experiences in describing quantitative results. The quantitative phase was conducted to assess usability through an adapted System Usability Scale (SUS), and technology acceptance was measured using a modified Technology Acceptance Model (TAM) questionnaire. A total …

Knowledge, Attitudes, And Practices By Women In Cartagena Regarding Breast Self-Examination, Rafael Arnedo Martínez, Keidis Ruidiaz Gómez

Jurnal Keperawatan Indonesia

Breast self-examination (BSE), especially when adopted by vulnerable populations, serves as a vital mechanism for the timely detection of breast abnormalities indicative of cancer. As a result, this decreases the public health burden associated with treatment at advanced stages. Therefore, assessing knowledge, attitudes, and practices (KAP) regarding this simple early detection method is a priority. This study examines the relationship between KAP concerning BSE among women in Cartagena, Colombia. A cross-sectional correlational study was conducted with 322 women attending a healthcare facility. Data were gathered using two tools: a sociodemographic profile and a KAP questionnaire. Results showed that most participants …

Anash Inc V. Borough Of Kingston

2026 Decisions

USDC for the Middle District of Pennsylvania

The Human Side Of Policy: Rural Teachers And Alberta’S 2024 Mobile Device Ban, Kelly A. Smith

Journal of Nonprofit Innovation

Technology-restrictive educational policies are increasingly shaping classroom practice, yet limited qualitative research has examined how teachers experience implementing these mandates in rural contexts. This study explored how rural elementary teachers experienced Alberta’s 2024 Ministerial Order banning personal mobile devices during instructional time. Using a phenomenological approach, semi-structured interviews were conducted with eight rural elementary teachers and analyzed through reflexive thematic analysis. Four themes emerged: policy ambiguity, reduced professional autonomy, emotional labour, and leadership as a mediating force. Findings suggest the policy functioned as more than a classroom technology restriction, shaping trust, instructional flexibility, teacher well-being, and school relationships. The study …

Ascc-M Based Transformational Education Model For Enhancing Carbon Literacy And Agroecological Resilience Among Rural Farmers, Alya Dwi Arianty, Fitria Fatichatul Hidayah, Eny Winaryati, Rica Mae Badilla Guarin

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Climate change has become a major ecological and social challenge affecting food security and agricultural sustainability worldwide. The agricultural sector significantly contributes to carbon emissions through fertilizer use and land conversion, particularly in developing countries. This study aims to conceptualize a place-based, technology-enhanced Transformational Education Model grounded in Agro-Smart Carbon Capture Microbiome (ASCC-M) technology, designed to strengthen rural farmers' carbon literacy and agroecological resilience while advancing geography education through deeper understanding of human–environment interactions, spatial agricultural processes, and climate-related dynamics within real rural landscapes. The research employed conceptual design through systematic literature review and model development, integrating theories of transformative …

No. 113 An Order Amending Governor Haslam's Executive Order No. 50 Relative To The Tennessee Council On Developmental Disabilities, Bill Lee

Executive Orders

No abstract provided.

Loss Of Pleasure (Anhedonia): A Sex-Dependent, Cross-Species Consequence Of Unpredictable Signals To The Perinatal Brain, Anna M. Zhou, Madison R. Tetzlaff, Laura M. Glynn, Curt A. Sandman, Hal S. Stern, Tallie Z. Baram, Elysia Poggi Davis

Psychology Faculty Articles and Research

Reward seeking is an essential component of human behavior. Anhedonia (reduced motivation for and pleasure in reward) is a core feature of several mental illnesses. Early life adversity associates with later impairments in reward behaviors and related psychopathology; however, specific aspects of early adversity that lead to disrupted reward behaviors are unknown. Capitalizing on evidence that unpredictable signals to the developing brain constitute adversity and influence neurodevelopment, we examined whether exposure to perinatal unpredictable maternal signals associated with diminished reward responsivity, and probed causality using experiments in mice. We analyzed a longitudinal human study (N=158 mother/child dyads) and a …

Development Of Perineal Electric Massager Experience (Pem-X) To Improve Perineal Elasticity, Suryani Manurung, Amalia Mely, Yetty Mariani Tambun

Jurnal Keperawatan Indonesia

Perineal injury remains a common concern in vaginal childbirth, with a prevalence of 30.6%. Low maternal perineal massage practice is a contributing factor to decreased perineal elasticity and an increased risk of perineal trauma. This pilot study aimed to develop the Perineal Electric Massager Experience (PEM-X) to support mothers in self-guided perineal massage. The research employed a level 4 Research and Development (R&D) method with a one-group pretestposttest design. The study sample consisted of two parts: the PEM-X prototype and postpartum mothers who had vaginal deliveries. A purposive sampling technique was used to recruit 10 postpartum mothers who had vaginal …