Digital Commons Network^™

Gabyargelia Montiel Perez V. Attorney General United States Of America

2026 Decisions

Agency

Experiences Of Acute Psychiatric Inpatients: A Literature Review, Sheng-Tsung Lan

International Nursing Research Congress (INRC)

Patients’ perceptions of psychiatric wards often differ from staff views. Closed wards may feel oppressive, and restrictive practices can increase anxiety. In contrast, open-door policies, meaningful activities, and social connections improve perceived safety. Safewards strategies, such as Calm Down Methods and Reassurance, help create a calmer environment but require sufficient staffing, training, and alignment with ward culture. High staff turnover and inconsistent training threaten sustainability.

Interactions between staff and patients strongly influence the inpatient experience. Patients value respect, empathy, and genuine engagement. Impersonal or standardized responses can increase feelings of neglect. Safewards encourages humanized communication through Soft Words, Talk Down/Through, …

Wash Project: Promoting Menstrual Hygiene Through Alignment With The Sustainable Development Goals, Sandra Ojurongbe, Nakisha Kinlaw-Williams

International Nursing Research Congress (INRC)

Background: Menstrual hygiene management is a global public health concern. Moreover, cultural norms, stigma, and myths or taboos further hinder the achievement of menstrual health, contributing to absenteeism and gender-based inequalities (Babbar et al., 2022). A recent report by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) (2024) found that 2 out of 5 schools provide menstrual health education, and less than 1 in 3 schools have bins for menstrual waste in girls’ toilets. In sub-Saharan Africa, 12% of schools have menstrual materials available. To address these issues, a WASH educational document was created by a non-governmental …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Psychometric Testing Of The Filipino Ppsc To Assess Patient Perceptions Of Hospital Safety Culture, Kathlyn Sharmaine Valdez, Andrew Sumpay

International Nursing Research Congress (INRC)

A reliable and valid tool that measures patient safety perception is essential in developing patient-centered safety initiatives, improving quality of care, and supporting sound organizational decision-making. The Patient Perception on Safety Culture in a Hospital Setting Scale (PPSC) is a newly developed instrument that assesses how hospitalized patients perceive safety culture (Valdez et al., 2023). This study aimed to determine the psychometric properties of the Tagalog translation of the PPSC.

This quantitative methodological research was conducted in three phases. Phase 1 involved the Tagalog translation of the tool by a professional linguist, followed by expert review to establish content validity. …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Pediatric Insulin Resistance And Obesity In A Mexican Border Population – Associations With Inflammation And Metabolic Disease Risks, Glenda N. Asencio

Summer Research Program Abstracts

No abstract provided.

Integrated Patient Care Practice In Intensive Care Unit Related To Abcdef Bundle: A Correlation Study, Sahar Saleem Aljadani, Hanan M. Alyami

International Nursing Research Congress (INRC)

Background: Intensive Care Units (ICUs) provide critical care for severely ill patients requiring sedation and mechanical ventilation, which can lead to adverse outcomes (Temesgen et al., 2021; Park & Lee, 2019). The ICU Liberation bundle, from the Society of Critical Care Medicine's guidelines, prioritizes Pain, Agitation/Sedation, Delirium, Immobility, and Sleep disruption (PADIS), collectively known as the ABCDEF bundle. This strategy seeks to enhance outcomes through pain management, Spontaneous Awakening Trials (SAT), Spontaneous Breathing Trials (SBT), delirium management, early mobility, and family involvement (Mart et al., 2021).

Aims: This study examined nurses' profiles, knowledge, and practices related to the ABCDEF bundle …

Mapping Coastal Community-Based Tourism Empowerment: Public Policy And Sustainable Development On Bangka Island, Putra Pratama Saputra, Hadiyanto Abdul Rachim, Arie Surya Gutama, Moch. Zaenal Hakim

Jurnal Wacana Politik

This study analyzes the conceptualization and practice of community-based tourism empowerment on Bangka Island, serving as a strategic approach to promote sustainable and inclusive coastal tourism. Employing a qualitative descriptive approach, data were gathered through interviews with nine key informants, observations, and policy document analysis. Findings reveal that these empowerment initiatives significantly strengthen individual and institutional capacities, enhance community participation in tourism planning, and drive economic diversification from extractive industries to sustainable tourism. Furthermore, this approach facilitates economic transformation through the development of micro, small, and medium enterprises (MSMEs) and coastal ecotourism, concurrently reinforcing environmental conservation and cultural preservation. However, …

Developing A Climate-Adaptive Public Service Framework For Sustainable Agriculture: Preliminary Evidence From A Disaster-Prone Village In Indonesia, Susila Susila, Rizky Aditya Surya Pratama, Muhammad Daud Yusuf, Diah Apriliani

Jurnal Wacana Politik

Artikel ini bertujuan mengkaji bagaimana pelayanan publik tingkat desa dapat diintegrasikan dengan Climate-Resilient Agriculture (CRA) untuk mendukung kapasitas adaptasi petani di kawasan rawan bencana hidrometeorologi di Jawa Barat, Indonesia, serta mengidentifikasi dimensi kandidat bagi kerangka Climate-Adaptive Public Service for Sustainable Agriculture (CAPSSA). Menggunakan desain studi kasus kualitatif eksploratif yang dilandasi tinjauan literatur terstruktur dan analisis dokumen kebijakan, penelitian ini menghimpun wawancara semi-terstruktur dengan empat informan di Desa Cibiru Wetan, Kecamatan Cileunyi, Kabupaten Bandung—Kepala Desa, Kepala Dusun, Ketua RW, dan anggota kelompok tani setempat—disertai kajian dokumen kebijakan kebencanaan dan pertanian tingkat kabupaten dan provinsi yang tersedia untuk publik. Analisis awal menemukan …

Using Digital Engagement Methods To Balance Democracy And Efficiency In Public Decision Making, Catherine Zietse

PNHA Review

At the bedrock of our democratic society is the active participation of everyday people in shaping public affairs. Local governments seek to build inclusive and democratic processes for decision making, while at the same time being good stewards of scarce resources to efficiently address immediate needs of the community. This paper explores the role of digital engagement in balancing democracy and efficiency in public decision-making by looking at both theory and practice. Academic literature and case studies from the field show that technology and digital engagement platforms do not circumvent the risks of traditional engagement methods but provide both opportunities …

Fitness Standards For Police, Kam Robles

PNHA Review

This research addresses the inherent stressors within police work and the health and wellness problems prevalent among law enforcement officers. Police officers are at a higher risk of many of the health concerns currently plaguing the population of the already unhealthy United States. Of particular note is that back injury and pain stands out as potentially the most prevalent among the health issues experienced by law enforcement personnel. Worsening this fact is the recent trend of law enforcement administrators shying away from the issue of the unhealthy employees of law enforcement agencies. The solution of implementing widespread voluntary physical fitness …

Social Innovation As A Catalyst To Achieving The United Nations Sustainable Development Goals (Sdgs), Patricia Okolo

PNHA Review

This research explores the re-shaping role of social innovation in advancing the Sustainable Development Goals (SDGs), developed by the United Nations in 2015. In the midst of global challenges such as poverty, inequality, and climate change, this research examines social innovation as an important mechanism for achieving sustainable development. The article highlights the significant contributions of social innovation across various sectors, emphasizing its ability to address unmet social needs, promote environmental sustainability, and foster economic development. It identifies critical factors for the success of social innovation, including community involvement, scalability, access to resources, and supportive policy environments, and highlights the …

The Psychology Of Healthy Aging: A Blend Of Cognitive And Behavioral Aspects For Staying Healthy, Esther B. Noah

PNHA Review

Human life expectancy has increased in most parts of the world with a noticeable demographic shift toward a larger population of older adults. This increase and shift have created an unexpected gap in our healthcare system and society. With these changes, how can older adults be guaranteed increased longevity, quality of life, and a healthy life span? This article explores the psychology of healthy aging, emphasizing that proactive health management plans and positive health behaviors contribute to healthy aging among the older adult population. While primary data collection through interviews was conducted to support the study, the analysis primarily relies …

From The Editor-In Chief, Richard W. Jelier

PNHA Review

No abstract provided.

A New Age Of Leaders: Examining The Empowering Effect Of Collaborative Leadership In Nonprofit Organizations, Colton C. Hyble

PNHA Review

In the changing environment in the nonprofit sector, leaders are under increasing pressure to satisfy stakeholders and bring change to their communities. The collaborative leadership style, proposed and built upon by various authors in the twentieth century, is one potential solution. A theoretical analysis was conducted to understand the collaborative style, its strengths and weaknesses, and its applicability to the nonprofit sector. Results showed overwhelmingly positive findings in the impact on the organization, highlighted by increased organizational performance, a positive workplace environment, and superb employee job satisfaction. Few drawbacks and potential pitfalls exist in slowness, the possibility of a narrow …

Front Matter, Pnha Review

PNHA Review

No abstract provided.

A More Comprehensive Response: Collaboration Between Nonprofit Organizations, Abigail J. Punt

PNHA Review

Collaboration between nonprofit leaders and organizations has gained increasing attention as a potential solution to the challenges of funding and program design nonprofits experience in the face of complex social issues. Could collaborative arrangements between nonprofits create more innovative solutions and unlock access to greater resources in an increasingly competitive environment? While much attention has been paid to the role of resource dependency in driving organizations to collaborate, there are additional aspects of these arrangements that must be considered. While the benefits of collaboration are typically shared collectively by partnering organizations and the communities they serve, the costs associated with …

Makers And Small-Scale Manufacturing In Cities: Strategies For Fostering Place, Urban Production, And Economic Growth, Charles Steven Hively

PNHA Review

This paper seeks to answer whether incentivizing makers and small-scale manufacturing has any effect on the economic development or economic growth of a region. Currently, no research exists indicating a causal link between economic growth and incentivizing makers and small-scale manufacturing. Much of the previous conversation from economic development focuses on place-making and revitalization of distressed areas. This paper attempts to link three observations together to infer a positive correlation with economic growth: that higher productivity cities have higher levels of wages and employment; that incentivizing or promoting small-scale manufacturing increases their number and success; and that these small businesses …

Mental Health Standards In Michigan Juvenile Detention Facilities: At Odds With Best Practice And State’S Own Public Health Code, Jessica M. Montgomery

PNHA Review

This paper details the current standards and qualifications established for mental health providers in Michigan juvenile justice system (JJS) detention facilities. The state policies regulating JJS detention facilities are compared with Michigan’s Public Health Code Act (1978) and best-practice recommendations published by national mental health and juvenile justice authorities. This paper finds that Michigan policies regulating JJS detention facilities fall below both national best-practice recommendations and the state Public Health Code (1978), and effectively establish a standard of mental health care for youth in JJS detention facilities that is below what is established for youth in the general public. It …

Transforming Healthcare With Ai: The Illusion Of Control, Garrett L. Heaney

PNHA Review

Artificial intelligence is a new technology that has paved a path into the future for our healthcare sectors. This technology uses machine learning methods and big data to conduct its intended purpose within its designated parameters; however, researchers and consumers have experienced unintended outcomes. Artificial intelligence is deployed throughout our daily lives, so our society looks at this immense responsibility superficially. As organizational leaders experience short-sighted tunnel vision and push for innovative artificially intelligent programs, they do not realize the potential severe dangers.

This paper argues for a graded approach to studying and implementing artificially intelligent machines in healthcare. Our …

High Times Or Hazy Horizons? Michigan’S Cannabis Market As A Rural Economic Development Tool, Jakob L. Bigard

PNHA Review

Since legalizing cannabis for adult use in 2018, Michigan’s (recreational) cannabis market has become the second largest in the nation. As the state’s market sees rapid maturity, it serves as a model for other states with ongoing legalization efforts. Michigan’s actions, and others like it, have begun to impact movement at the federal level, with multiple cannabis-related bills being introduced in Congress to President Biden signing the first standalone marijuana reform bill earlier this month. As Michigan’s cannabis market continues to mature and grow, it deserves attention from economists and academics alike. Using traditional economic development metrics, this paper evaluates …

From The Editor-In-Chief, Richard Jelier

PNHA Review

No abstract provided.

Front Matter, Pnha Review

PNHA Review

No abstract provided.

Differences In Mental Toughness Among Mixed Martial Artists And Physically Active Individuals, Savannah M. Calleja, Soleil Ramos, Victoria Potvin, Anthony A. Ricci, Gabriel J. Sanders, Corey A. Peacock

Journal for Sports Neuroscience

Mixed Martial Arts (MMA) is a physiological and psychological demanding sport. While the majority of the literature conducted in MMA regards physiological health and risk of injury, researchers are beginning to assess the psychological profiles of MMA athletes. Previous studies have evaluated mental toughness (MT) within MMA; however, no study has examined MT in MMA athletes at the professional division. Therefore, the primary purpose of this research was to evaluate the difference in mental toughness between professional MMA athletes and physically active individuals. Secondary aims are to evaluate potential variations in mental toughness within the professional level between champion and …

Business Writing Performance And Instructional Practices Under English Medium Instruction: A Multisite Mixed-Methods Study Of Diploma Students In Saudi Arabia, Shaykhah Saeed Raffaa

UB Journal for Humanities

Saudi Arabia’s Vision 2030 treats English Medium Instruction (EMI) as a central instrument in vocational colleges, on the assumption that delivering content in English develops the professional literacies, business writing among them, that the labour market demands. This study examined business writing performance and the instructional practices associated with it among diploma students in Marketing and Business Administration at five Saudi public applied colleges, using a convergent mixed-methods design that combined a writing performance task (N = 130), a perceptions and affective-beliefs questionnaire (N = 130), semi-structured instructor interviews (N = 18), and structured classroom observations (N = 10). Because …

Expression Of Follicle Stimulating And Luteinizing Hormone Receptors In Porcine Testes After Timing The First Vaccination For Immunocastration, Sayamon Srisuwatanasagul, Rungrueang Yodsheewan, Amornthep Archawakulathep, Suvaluk Seesupa, Kongkiat Srisuwatanasagul, Atthaporn Roongsitthichai, Siriluck Juntautsa

The Thai Journal of Veterinary Medicine

This study aimed to examine the expression of follicle stimulating hormone receptor (FSHR) and luteinizing hormone receptor (LHR) in the testes of male fattening pigs based on the timing of the first immunocastration dose. A total of 24 male pigs were randomly assigned to 3 groups: C (n=8) consisted of only intact pigs, T1 (n=8) contained those immunocastrated at 15 and 19 weeks of age, and T2 (n=8) was composed of those immunocastrated at 9 and 19 weeks of age. The expression of FSHR and LHR was evaluated using H-score from immunohistochemistry and protein band intensity from Western blotting. Immunohistochemistry …