Digital Commons Network^™

Communication Post-Covid: Overcoming Silos To Improve Workplace Collaboration And Well-Being, Rachel Bentley, Crystal O'Dell, Amy Richardson

Creating Healthy Work Environments (CHWE)

With COVID-19, public health measures were adopted to prevent transmission in the workplace. As a consequence, the work environment changed with video conferencing utilized not as a novelty, but a necessity. The use of video conferencing is now routine, with 300 million daily meeting participants and ‘zoom fatigue’ a reality. Workplace culture shifted to virtual communication; however, little is known regarding the psychological impact, limiting personal engagement and collaboration and altering work relationships due to its silo effect.

The World Health Organization (WHO) provides a healthy workplace framework to protect and promote the well-being of workers by considering concerns of …

Preventing Aggression In A Pediatric Inpatient Unit: A Best Practice Implementation Project, Johnna C. Riddick

Creating Healthy Work Environments (CHWE)

In pediatric settings, there has been an increase in patients with mental health problems, who experience aggressive and threatening behavior. Without proper policies, education, and means to identify triggers for aggressive behavior, nurses are unable to safely care for these children and are at risk of being injured. The objective of this project was to promote evidence-based practices regarding the prevention of aggression in hospitalized pediatric patients in medical-surgical units.

Using the JBI Evidence Implementation framework, this project sought to optimize compliance with best practices for early identification of aggressive behaviors in pediatric inpatient units. Three barriers to best practice …

Sustained Effects Of Resiliency Training On Well-Being In Nurse Leaders, Shirley D. Martin, Stephanie Bailey, Regina W. Urban

Creating Healthy Work Environments (CHWE)

Post-pandemic, as many as 40% of nurse managers considered leaving their jobs due to burnout.^1,2 Resilience is the ability to bounce back after stress, a trainable skill related to well-being that may help mitigate burnout.^3,4 There is a need to study factors to promote well-being in healthcare professionals.⁵ Research on sustainable outcomes of resiliency training in nurse leaders is lacking.

The purpose of this study was to prospectively examine effects of a 6-hour resiliency training program⁶ on well-being outcomes in nurse leaders. The team conducted a longitudinal study in the spring through fall 2022 and offered …

Mixed Methods Triangulation: Applying Just Culture Principles In Nurses' Transition To Practice, Manisa Baker, Rebecca Toothaker, Lora Hromadik, Randi Flexner, Linda Mcquiston, Danielle Walker

Creating Healthy Work Environments (CHWE)

The transition from nursing student to registered nurse is fraught with challenges, including stress, knowledge gaps, miscommunication, and insufficient constructive feedback, which can cause uncertainty for new graduate nurses (NGNs). Although Just Culture principles are taught in nursing education, they are often difficult to apply in practice. The gap between theoretical knowledge and practical application can result in hesitation when reporting errors, communicating effectively with the healthcare team, or participating in quality improvement initiatives. This disconnect underscores the need for more robust support systems and education that bridge the transition from student to practicing nurse. This study aims to triangulate …

Cultivating Civility And Sense Of Belonging Amongst Nurse Leaders, Dajanae Gresham-Ryder, Sandy Phan

Creating Healthy Work Environments (CHWE)

The goals were to identify learning needs and implement evidence-based educational interventions to close identified gaps to foster civility, belonging, and inclusive leadership practices.
PICOT: How does implementing civility and belonging best practices among experienced clinical nurses affect the knowledge, skills, attitudes, and practices within five months?

The outcomes of this project have substantial implications for nursing leadership practice. Conducting needs assessments and adopting evidence-based strategies improved nurse leaders’ knowledge and skills to foster a practice change in civility and inclusive environments to support nurse satisfaction and patient outcomes. Leadership considerations to mitigate perceived challenges include supporting a just culture, …

Crisis Intervention Training To Improve Nurse’S Job Satisfaction In Mental Health Settings, Maria Josephine Torres

Creating Healthy Work Environments (CHWE)

This study addresses a specific issue in the psychiatric and mental health residential nursing setting. The objective of the study was to address the problem identified based on evidence-based practice and literature showing that there are weaknesses and gaps within the population. In a psychiatric and mental health care setting, would more specific and extensive crisis intervention training for nurses provide improved job satisfaction for those nurses in a 6-week period? The population included to address the clinical practice problem and objective is registered nurses with all levels of experience in residential psychiatric and mental health nursing, ranging from new …

Supporting The Well-Being Of Critical Care Nurses At A System-Level, Heidi K. Holtz, Guy Weissinger, Lindsay Tessmer

Creating Healthy Work Environments (CHWE)

Critical care nurses (CCNs) are a crucial part of the health care system, however, the long-term stressors and traumatic stress they are exposed to affect their health, well-being, and create work environments that make it difficult to provide safe and quality patient care. A healthy work environment for nurses will maximize the health and well-being of nurses, decrease burnout, lower turnover, and improve the quality of patient care[1]. There is limited evidence from previous studies carried out that can inform the selection of interventions to foster healthy work environments for nurses and manage traumatic stress[2,3].Therefore, indicating a critical need to …

Assessing Market Potential And Swot-Based Strategies For Betong Chicken In Pattani, Yala, And Narathiwat Provinces Of Southern Thailand, Talerngsak Angkuraseranee, Chaiyawan Wattanachan, Kettawan Boonthep

The Thai Journal of Veterinary Medicine

This study aimed to evaluate market opportunities and formulate strategic pathways for the sustainable growth of Betong chicken, an indigenous premium poultry breed in southern Thailand known for its distinctive meat quality. Recent declines in the Betong chicken population and productivity have created a supply–demand imbalance, threatening the Betong chicken’s long-term economic viability. Using a mixed-methods design, data were collected from 280 stakeholders—farmers, processors, retailers, and consumers—in Pattani, Yala, and Narathiwat provinces. SWOT and Internal–External (IE) matrix analyses were applied to identify internal strengths and weaknesses and external opportunities and threats. The External Factor Evaluation (EFE) score of 2.773 indicated …

Standards For Appropriate Staffing: One Element Of A Healthy Work Environment, Sarah Delgado, Michelle Kidd

Creating Healthy Work Environments (CHWE)

The session describes AACN’s Standards for Appropriate Staffing in Adult Critical Care and their inextricable link to Healthy Work Environment standards. National work on acute and critical care staffing will be reviewed and strategies for applying the staffing standards will be discussed. The presentation emphasizes leveraging the other five Healthy Work Environment standards to implement the staffing standards. Audience questions and participation encouraged.

Cognitive Rehearsal Training For Nursing Workplace Incivility: A Quality Improvement Project, Tynesha Wade, Amy Gow, Salem Dehom

Creating Healthy Work Environments (CHWE)

Andersson and Pearson (1999) introduced the concept of workplace incivility as “low-intensity deviant behavior with ambiguous intent to harm the target, in violation of workplace norms for mutual respect” (p. 457). A systematic review of the literature noted nearly two-thirds of healthcare employees have witnessed incivilities perpetuated by nurses and cited a study in which 85% of responding nurses reported experiencing incivilities in the past year (Keller et al., 2020). It has been estimated that 44% of nursing staff have been bullied in the healthcare environment (The Joint Commission, 2021).

While often used interchangeably in practice and in the literature, …

Mindful Movements: Cultivating Resilience & Well-Being In Academia, Meghan Marie Pontz, Allison Maloney

Creating Healthy Work Environments (CHWE)

There is a growing crisis of burnout and mental health concerns in post-secondary educators, with nearly 70% of faculty experiencing significant stress due to increased workloads, job insecurity, and the demands of teaching. This has led to higher rates of anxiety, depression, and burnout, contributing to decreased job satisfaction and higher turnover intentions within academia. These challenges are particularly acute in the nursing workforce, which is already grappling with significant shortages of practicing nurses and faculty. Out of this critical concern the Mindfulness and Movement project was cultivated by nursing faculty, both of whom are practicing mental health professionals and …

Oncology Caregiver Wellness Series: Boosting Resilience And Combating Burnout, Pakeeza Ali, Miles Kotchevar

Creating Healthy Work Environments (CHWE)

Burnout is an increasingly pressing issue in healthcare, especially for oncology caregiver teams who face immense emotional and physical demands. While wellness programs are often introduced to address burnout, the lack of clear definitions for both burnout and wellness makes it difficult to design effective solutions. Many wellness initiatives, though well-intended, fail to address the daily stresses caregivers face, particularly during crises like the COVID-19 pandemic.

From a leadership perspective, the issue becomes even more complex. As healthcare costs rise and take up a larger share of the economy, organizations are pressured to increase productivity and maximize staff efficiency. Unfortunately, …

The Art Of Saying No: Empowering Nurses To Set Boundaries For Well-Being, Sara Kaylor, Abby Horton, Haley Townsend, Meridith Rice, Susan Prevost

Creating Healthy Work Environments (CHWE)

The nursing profession, long dominated by women, is shaped by societal norms that encourage selflessness and compliance, leading nurses to prioritize others over their own well-being. This expectation to always say yes, coupled with the demands of various practice settings, contributes to burnout and stress. This presentation advocates for a feminist approach to boundary-setting, offering strategies to help nurses confidently say no, establish healthy boundaries, and maintain a balanced career.

Putting People First: Nurse Leaders' Role In Prioritizing A Culture Of Workforce Wellbeing, Kimberly A. Bernard

Creating Healthy Work Environments (CHWE)

Leadership should prioritize the deliberate cultivation of healthy work environments to mitigate burnout. Nurses' lack of workplace well-being has been well-documented for decades, with significant exposure during the COVID-19 pandemic. These conditions can lead to poor mental health, as exhibited by feelings of stress, anxiety, depression, and physiological symptoms, which can ultimately contribute to burnout.
The literature suggests that nurse leaders are responsible for adopting and implementing healthy work environments that build, nurture, and sustain a positive, healthy culture. Leaders who cultivate a safe and supportive workplace and contribute to staff well-being will likely experience improved staff retention, increased productivity, …

When Good Clinicians Don’T Make Good Leaders: Closing The Gap With Multifaceted Leader Development, Rachel E. Wood, Jennifer Schmitz, Andrew Slifko

Creating Healthy Work Environments (CHWE)

Nurse leaders have significant opportunity to impact the health and well-being of the workforce. Leadership behaviors impact empowerment, motivation, performance, culture, and retention.^1–3 Often great clinicians are promoted to leadership roles with little to no training or support in developing their leadership style and practices.⁴ It is crucial to develop intentional, effective leaders to promote safe and healthy work environments and adaptable and enduring teams.^1–3 An effective leadership development program can advance a healthy work environment and reduce leader turnover.
Leaders play a critical role in promoting empowerment of their teams.^2,5 Nurses who are empowered formally …

Educational Use Of Artificial Intelligence In Doctor Of Health Sciences Programs, G. Zipp, Christina B. Gunther, Douglas Kuperman, Jill Moore, Lori Rainchuso

Journal of Innovation in Health Sciences Education

Introduction: Artificial intelligence (AI) has gained increased attention in higher education with the identification of several strengths, weaknesses, opportunities, and threats regarding its utility. The aim of this study was to ascertain how doctoral programs in health sciences utilize AI as academicians and instructors.

Methods: An electronic survey was distributed to all Association of Doctoral Programs in Health Science (ADPHS) members on the mailing list (n=51), with n=19 (37.3%) voluntarily responding.

Results: The findings revealed both enthusiasm and caution regarding the use of AI in doctoral health sciences education, reflecting similar broader trends identified in the literature. Despite institutional …

Antibiogram Development For Neonatal Intensive Care Unit In A Referral Hospital In Sana'a City, Yemen, Mohammed A. Kubas, Massoud K. Rassam, Amaal A. Alsayani

AUIQ Complementary Biological System

Neonates have an immature immune system, making them highly susceptible to infections. Treatment failure in newborns may result from antibiotic resistance, a significant challenge in the management of infectious illnesses worldwide. So the main objective of this research was to develop a newborn-specific antibiogram at the University of Science and Technology hospital (USTH) in Sana’a, Yemen. A retrospective analysis was conducted using microbiological data from the USTH database during the period from January 2021 to March 2022, antibiogram was generated and analyzed using the WHONET application. Gram-positive bacteria were the most frequently isolated pathogens in neonates, followed by gram-negative bacteria. …

Biosorption Of Crystal Violet Onto Fenugreek Seed Powder: Comprehensive Optimization Through Response Surface Methodology And Elucidation Of Dye Uptake Mechanism, Hasan M. Agha, Zaher Mundher Yaseen, Wafaa Raji Alfatlawi, Khansaa Al-Essa, Abdallah Reghioua, Hussein A. Kazem, Lee D. Wilson

AUIQ Complementary Biological System

This work investigates the efficacy of fenugreek seed powder (FSP), an agricultural product, as an economical and sustainable biosorbent for the extraction of crystal violet (CV) dye from aqueous environments. The biosorbent was analyzed using XRD, FTIR, and SEM-EDX, validating its amorphous structure, surface functional groups, and porous shape. Batch biosorption tests were adjusted utilizing a Box–Behnken design (BBD), incorporating three independent variables: FSP dose (0.02–0.1 g/100 mL), pH (4–10), and time (5–60 min). The model exhibited exceptional prediction accuracy (R² = 0.99, CV = 2.12%) and recognized all three variables as statistically significant (p < 0.05). The maximum CV removal attained was 91.8% efficiency at an FSP dose of 0.1 g/100 mL, pH 7, and a time of 60 minutes. FTIR examination indicated changes in the –OH, C=O, and C–O functional groups, signifying their participation in dye interaction, whilst SEM pictures validated dye deposition on the biosorbent surface. The biosorption process was ascribed to electrostatic forces, hydrogen bonding, π–π stacking, and pore filling. These findings underscore FSP as a viable, economical biosorbent for the removal of cationic dyes in wastewater treatment applications.

Transcatheter Pulmonary Valve Replacement (Tpvr): A Saudi Consensus Statement, Khalid Alnajashi, Ahmed Al Zahrani, Atif Al Qabani, Mohamed Al Humaid, Mishael Binobaidan, Ahmed Krimley, Ahmed Al Omrani, Dhafer Al Shahrani, Ahmed Al Samman, Abdullah Al Quei, Khalid Al Twirqi, Wail Alkashkari, Adel Tash

Journal of the Saudi Heart Association

Objectives: To provide an expert consensus on the appropriate use of transcatheter pulmonary valve replacement (TPVR) in managing chronic pulmonary regurgitation (PR), particularly in patients with congenital heart defects such as Tetralogy of Fallot (TOF). The consensus aims to address current practices, patient selection criteria, procedural planning, and device-specific considerations to guide clinicians in optimizing outcomes. Methods: A multidisciplinary panel reviewed existing literature, clinical guidelines, and real-world practices. Key domains covered include epidemiology, anatomical and hemodynamic evaluation, pre- and post-procedural imaging, device characteristics, and patient selection. Imaging modalities such as echocardiography, cardiac magnetic resonance (CMR), and computed tomography (CT) were …

Aorto-Septal Angle As A Predictor Of Left Ventricular Outflow Tract Obstruction In Pediatric Patients With Subaortic Stenosis And Subaortic Membrane Development: A Study At Prince Sultan Cardiac Center, Buraydah, Saudi Arabia 2023, Rehab N. Alharbi, Ali A. Alakhfash, Abdullah M. Alqwaiee, Abdulrahman A. Almesned, Abdulrahman O. Alharbi

Journal of the Saudi Heart Association

Background: The angle between the interventricular septum and the anterior aortic wall is shallow and measured at 120 degrees in normal individuals. In patients with LVOT narrowing, aortic valve anomalies, and a subaortic membrane, this angle is more acute. This will change the flow hemodynamics and might lead to the formation or progression of the subaortic membrane. Objectives: This study aims to assess the IVS/Anterior Aortic wall angle in patients with abnormal aortic valves and/or LVOT obstruction and its association with SAM development. Methodology: A one-year prospective observational study (September 2022 to June 2023) at PSCC-Qassim's pediatric cardiology department included …

Retention Of Evidence-Based Practice Skills And The Association Between Beliefs, Behaviors, And Workplace Culture, Angela M. Lis, Lauren Snowdon

Journal of Innovation in Health Sciences Education

Introduction: Guidelines for teaching evidence-based practice (EBP) in Doctor of Physical Therapy (DPT) curricula have been published. There is limited evidence on the role of workplace culture in retaining these skills in entry-level clinical practice. This study evaluated the retention of self-perceived EBP skills, and the association of EBP beliefs and behaviors with cultural readiness once graduates join the workforce.

Methods: Two cohorts of DPT students completed a baseline questionnaire at graduation and a 12-month follow-up. Participants’ beliefs about EBP, implementation behaviors, and the organizational culture to support EBP were assessed using short versions of the EBP beliefs, implementation, …

Strategies To Implement Employee Cybersecurity Awareness Programs, Felix Ngwese

Walden Dissertations and Doctoral Studies

Lack of cybersecurity awareness among employees and end-users poses significant risks to organizations. This issue is critical because inadequate cybersecurity awareness increases organizational vulnerabilities, leading to financial losses and compromised data security. Grounded in the routine activity theory, the purpose of this qualitative multiple case study was to explore strategies that IT security managers had implemented to enhance employee cybersecurity awareness. The participants were six IT security managers in Cameroon, West Africa, with strategies to implement employee cybersecurity awareness. Data were collected using semistructure interviews and a review of documents. Through thematic analysis, three themes were identified: (a) cybersecurity awareness …

Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández

Walden Dissertations and Doctoral Studies

Nonprofit organizations face distinctive challenges that require specialized leadership and effective staff development strategies, particularly in community-focused organizations in Lancaster, Pennsylvania. Leadership deficiencies can diminish employee commitment, restrict professional growth, and weaken organizational capacity, ultimately limiting mission fulfillment. The purpose of this qualitative study was to explore leadership and staff development deficiencies within a nonprofit organization in Lancaster County and identify strategies for improvement. Guided by Kurt Lewin’s change management model, the study examined barriers and supports for professional growth, the influence of leadership on organizational culture and retention, and practices promoting equity and succession planning. Semi-structured interviews were conducted …

Are Estimands Being Correctly Used? A Review Of Uk Research Protocols, T. P. Clark, Richard H. Wicentowski, S. Cro, M. R. Sydes, B. C. Kahan

Computer Science Faculty Works

Background: The use of estimands in clinical trials was formalised with the adoption of the final International Conference on Harmonisation E9 Addendum on Estimands and Sensitivity Analysis in Clinical Trials (ICH E9(R1) Addendum) in November 2019. The declared objective of the ICH E9(R1) Addendum is to bring clarity and transparency to the research question of interest. For this to be achieved, the estimand must be described in accordance with the requirements of the ICH E9(R1) Addendum so that the target treatment effect is clear to all stakeholders. Previous reviews of publications and published protocols have found that few trials explicitly …

Bridging The Gap: A Cross-Unit Approach To Thermoregulation In A Large Pediatric Hospital, Isabelle Hernandez, Hernandez Velasco, Samuel Casu, Angel Castillo, Loree Sword, Noe Garcia

2024

No abstract provided.

Decreasing Organizational Knowledge Loss With Collaborative Learning Teams, Sandy Laurence Lembree

JWU Dissertations & Theses

Knowledge in organizations continues to be lost during attrition (Cox & Overbay, 2023). The Baby Boomers are retiring (Cox & Overbay, 2023), younger generations move (Brown, 2023), and self-interested employees hide knowledge (Ahmad & Karim, 2019; Anand et al., 2022) Collaborative learning teams (CLTs) increase knowledge transfer, which retains organizational knowledge (Ahmad & Karim, 2019). This mixed methods research was undertaken to investigate what contributors made a group in an organization into a CLT. Autonomy, competence development, group relatedness, psychological safety, shared goals and objectives, and leadership collaboration encouragement were explored for their relationships with being a CLT. Experiences were …

2025 School Of Engineering Vision Award Winners Recognized, University Of Dayton

Blog: The Dayton Engineer

The University of Dayton School of Engineering Vision Awards recognize the innovation, creativity, entrepreneurial thinking and outstanding performance of our faculty and staff for their work as it relates to our School's values of community, innovation, excellence, and engagement and service.

Prospective Cohort Study Of Fentanyl Test Strip Use And Distribution In Three States, Janet E Childerhose, Kitty Gelberg, Rachel Vickers-Smith, Megan E Dzurec, Emmanuel Oga, Mallory Harris, Rachel Caspar, Denise C Babineau, Megan E Hall, Beth S Linas, Katherine E Marks, Amanda Fallin-Bennett, Laura C Fanucchi, Louisa Gilbert, James L David, Mary Russo, Kathryn E Lancaster, Soledad Fernandez, Michael Konstan, Redonna K Chandler, Carter Roeber, Jennifer Villani, Rebecca D Jackson, Bridget Freisthler, Sharon L Walsh, Nabila El-Bassel

Epidemiology and Environmental Health Faculty Publications

BACKGROUND: The Stay Safe Study is the first observational prospective cohort study investigating fentanyl test strip (FTS) use by people who use drugs (PWUD) and distribution by community organizations that provide harm reduction services (e.g., naloxone distribution) in three states (Kentucky, New York, and Ohio). The purpose of this paper is to describe the study design, along with implementation successes and challenges. A related goal is to provide recommendations and encourage researchers to undertake multi-state and multilevel studies of FTS use and distribution.

METHODS: The Stay Safe Study has one primary, five secondary, and three exploratory objectives. From May-December 2023, …

Rashonna Ransom V. Greatplains Finance Llc

2025 Decisions

USDC for the District of New Jersey

David Rosario V. John Wetzel

2025 Decisions

USDC for the Western District of Pennsylvania