Digital Commons Network^™

Student Reflections On A Summer School To Achieve Sdg 12: A Case Study, Una Beagon, Janet Mckennedy, Ruchita Jani, Brian Bowe, Margaret Morgan, Rosalind Henry

Research Outputs: 2025-Present

No abstract provided.

Recommendations For Interdisciplinary Research Collaboration For Early Career Dissemination And Implementation Researchers: A Multi-Phase Study, Hannah G Lane, Sallie D Allgood, Julie Schexnayder, Hayden B Bosworth, Ana A Baumann, Allison A Lewinski

2020-Current year OA Pubs

INTRODUCTION: Dissemination and implementation (D&I) scientists are key members of collaborative, interdisciplinary clinical and translational research teams. Yet, early career D&I researchers (ECRs) have few guidelines for cultivating productive research collaborations. We developed recommendations for ECRs in D&I when serving as collaborators or co-investigators.

METHODS: We employed a consensus-building approach: (1) group discussions to identify 3 areas of interest: "Marketing yourself" (describing your value to non-D&I collaborators), "Collaboration considerations

RESULTS: Forty-four D&I researchers completed the first survey, 12 of whom attended one of three focus groups. Twenty-nine D&I researchers completed the second survey (

CONCLUSIONS: Research collaborations are essential in …

First-Generation African American College Graduates’ Interpretations Of Poverty And Well-Being, Shermanda Bellsora Whitfield

Walden Dissertations and Doctoral Studies

The number of first-generation African American graduates of postsecondary institutions has grown, as many individuals perceive degree completion as a way to overcome socioeconomic barriers. The problem was that some first-generation African American college graduates face economic challenges postgraduation, living at or below the poverty level. It was unclear how this condition affected their quality of life. The purpose of this generic qualitative study was to understand how African American first-generation college graduates interpreted and made meaning of their experiences related to their financial status and personal well-being. Bronfenbrenner’s ecological systems was the theoretical framework. Data were collected through semi-structured …

Executive Summary: Quality Improvement Initiative Reducing Er Readmissions Among Homeless Individuals With Schizophrenia Using Integrated Care, Chiamaka Nnah

Walden Dissertations and Doctoral Studies

This evaluation of the effectiveness of a quality improvement initiative project aimed to reduce ER readmissions and improve medication adherence among homeless individuals with schizophrenia by implementing an integrated care model. These individuals face substantial barriers to healthcare, including housing instability and limited access to resources, leading to frequent ER visits that strain healthcare systems. Addressing this issue is essential for nursing practice to optimize resource use and improve patient outcomes. The project examined whether a coordinated approach integrating medical and social services could lower ER visits and enhance adherence to treatment. Statistical analyses showed that postimplementation medication adherence increased …

Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson

Walden Dissertations and Doctoral Studies

Military domestic violence (MDV) is an issue in the United States. The purpose of this generic qualitative study was to explore how the mainstream media and published government content depicts MDV on the internet, and whether those narratives/video transcripts contained any agenda to generate influence. Ragas’ agenda-setting theory was used as a framework for this study. Agenda-setting is a communication specific phenomenon directed to influence individuals or organizations, based on what public relations practitioners present to the public. There are two research questions in this study. The first is: How do mainstream media narratives, and government documents depict survivors and …

Perceptions Of Coping Capacity And Burnout Among Psychiatric Social Workers, Akia Sheree Pittman

Walden Dissertations and Doctoral Studies

U.S. mental health social workers practicing in psychiatric settings are susceptible to developing burnout. Burnout is a prominent and enduring social problem faced by many helping professionals, but especially among licensed mental health social workers. The purpose of this generic qualitative study was to explore the role coping capacity plays in mental health social workers developing burnout while employed in an inpatient psychiatric setting. The conceptual framework was sense of coherence, a core construct of the salutogenic theory of health. Data were collected from semistructured interviews with 10 clinical social workers employed in inpatient psychiatric settings in North Carolina. Data …

Preventing Burnout In Nursing Staff: Strategies And Best Practices For A Healthy Workplace, Friday Chidozie Nwabuisi

Walden Dissertations and Doctoral Studies

This doctoral project is a staff education initiative focused on improving nursing resilience and mental health through mindfulness-based interventions (MBIs). The project was informed by a practice-focused question: To what extent does the implementation of MBI training reduce stress and burnout among nursing staff in a clinical setting? The purpose of this project was to establish whether MBIs can be implemented as a support strategy in mitigating burnout and stress among nurses. The quantitative evaluation strategy used to determine the effectiveness of MBIs in reducing stress and burnout among nurses was a pretest and a posttest. The project targeted nursing …

Big Data Management Within Multi-Objective Optimization Modeling For Sustainable Food Production, Breanna Paige Modica

Walden Dissertations and Doctoral Studies

Producing enough food to feed a growing human population without further degrading the environment through unsustainable natural resource use is a global issue. The purpose of this quantitative nonexperimental study was to examine the extent to which big data management of environmental impact sources, assessment methods, and allocation methods in multi-objective optimization (MOO) modeling affect the consistency and predictability of sustainable food animal feed management practices at the farm level. Representation theory, the theory of effective use of information systems, the dynamic capabilities view, and the natural resource-based view were used to describe the necessity of accurately representing and managing …

Viroporin Activity Is Necessary For Intercellular Calcium Signals That Contribute To Viral Pathogenesis, J Thomas Gebert, Francesca J Scribano, Kristen A Engevik, Ethan M Huleatt, Michael R Eledge, Lauren E Dorn, Asha A Philip, Takahiro Kawagishi, Harry B Greenberg, John T Patton, Joseph M Hyser

Faculty, Staff and Students Publications

Viruses engage in a variety of processes to subvert host defenses and create an environment amenable to replication. Here, using rotavirus as a prototype, we show that calcium conductance out of the endoplasmic reticulum by the virus encoded ion channel, NSP4, induces intercellular calcium waves that extend beyond the infected cell and contribute to pathogenesis. Viruses that lack the ability to induce this signaling show diminished viral shedding and attenuated disease in a mouse model of rotavirus diarrhea. This implicates nonstructural protein 4 (NSP4) as a virulence factor and provides mechanistic insight into its mode of action. Critically, this …

Clinical And Molecular Characteristics Of Patients With Brain Metastasis Secondary To Pancreatic Ductal Adenocarcinoma, Mahmoud Yousef, Mark W Hurd, Abdelrahman Yousef, Ethan B Ludmir, Ashwathy B Pillai, Jennifer Peterson, Eugene J Koay, Sali Albarouki, Ching-Wei Tzeng, Rebecca Snyder, Matthew H G Katz, Huamin Wang, Michael J Overman, Anirban Maitra, Shubham Pant, Brandon G Smaglo, Robert A Wolff, James Yao, John P Shen, Dan Zhao

Faculty, Staff and Student Publications

Background: The prognosis for patients with pancreatic ductal adenocarcinoma (PDAC) is poor. Secondary brain metastasis (Br-M) occurs in less than 1% of patients. Clinical characteristics and molecular alterations have not been characterized in this rare patients' subset.

Materials and methods: The Foundry software platform was used to retrospectively query electronic health records for patients with Br-M secondary to PDAC from 2005 to 2023; clinical, molecular, and overall survival (OS) data were analyzed.

Results: Br-M was diagnosed in 44 patients with PDAC. Median follow-up was 78 months; median OS from initial PDAC diagnosis was 47 months. Median duration from PDAC diagnosis …

Prevalence Of High Tricuspid Regurgitation Jet Velocity In Patients With Sickle Cell Disease, Asaad Faisal Alkuheli, Meaad Kadhum Hassan, Jawad Atiya

Iraqi National Journal of Medicine

Background: Elevated tricuspid regurgitation jet velocity (TRV) is a key indicator of pulmonary hypertension (PHT) in sickle cell disease (SCD) patients, with SCD occurring frequently in both adults and children. Aim: This study aimed to estimate TRV through echocardiography and assess the presence of comorbidities in SCD patients at the Center of Hereditary Blood Diseases. It further aimed to determine the percentage of elevated TRV and its relationship to various SCD-related variables. Methods: A cross-sectional, descriptive study was conducted to assess TRV in children and adolescents with SCD registered at the Center of Hereditary Blood Diseases from October 1, 2021 …

Targeting Trpc Channels For Control Of Arthritis-Induced Bone Erosion, Suravi Ray, Jamie L Mccall, Jin Bin Tian, Jaepyo Jeon, Aidan Douglas, Kendall Tyler, Siyao Liu, Kendyl Berry, Brady Nicewarner, Casey Hall, Klaus Groschner, Bernadett Bacsa, Werner Geldenhuys, Michael X Zhu, Harry C Blair, John B Barnett, Jonathan Soboloff

Faculty, Staff and Student Publications

Arthritis leads to bone erosion due to an imbalance between osteoclast and osteoblast function. Our prior investigations revealed that the Ca2+-selective ion channel, Orai1, is critical for osteoclast maturation. Here, we show that the small-molecule ELP-004 preferentially inhibits transient receptor potential canonical (TRPC) channels. While ELP-004 minimally affected physiological RANKL-induced osteoclast maturation in murine bone marrow- and spleen-derived myeloid cells (BMSMCs) and human PBMC-derived cells, it potently interfered with osteoclast maturation driven by TNFα or LTB4. The contribution of TRPC channels to osteoclastogenesis was examined using BMSMCs derived from TRPC4-/- or TRPC(1-7)-/- mice, again revealing preferential interference with osteoclastogenesis driven …

Innervation Of Human Intestinal Organoids, Rachel C Bordelon, Madushani Herath, Allison L Speer

Faculty, Staff and Student Publications

The complexity of intestinal cytoarchitecture and function poses significant challenges for the creation of the bioengineered small intestine. Techniques for generating human intestinal organoids (HIOs) resembling human small intestine have been previously reported. HIOs contain epithelium and mesenchyme but lack other critical components of functional intestine such as the enteric nervous system (ENS), immune cells, vasculature, and microbiome. Two independent research groups have published distinct methods to innervate HIOs with an ENS. Here we discuss a unique method of incorporating the ENS into an HIO-derived bioengineered small intestine, which utilizes components of these prior reports to optimize progenitor cell identity …

A Five-Year Retrospective Analysis (2017-2022) Of Reported Incidents From A Primary Care-Based Education Provider, Afsha Musa, Robert Witton, Kamran Ali, Ewen Mccoll

Peninsula Dental School

Background Patient safety incident reporting and analysis are often confined to secondary care, despite 95% of dentistry occurring in primary care. Peninsula Dental Social Enterprise (PDSE) delivers primary care dentistry in education-based settings and uses a report-review-action process to underpin its patient safety framework. Aim This article analyses trends in clinical incident data, reflecting on learning to improve overall patient safety. Methods A retrospective observational study was employed to analyse incidents over a five-year period (2017-2022) using anonymised data from the PDSE reporting system. Results Over the five-year reporting period, there were an average of 13.1 total incidents per 1,000 …

Economic Impact And Clinical Benefits Of Clinical Pharmacy Interventions: A Six-Year Multi-Center Study Using An Innovative Medication Management Tool, Watheq M. Alsetohy, Kareem A. El-Fass, Seif El Hadidi, Mohammad F. Zaitoun, Osama Badary, Kareem Ali, Ahmed Ezz-Elden, Mohamed R. Ibrahim, Bahaa S. Makhlouf, Asmaa Hamdy, Noha S. El Baghdady, Maha Gamal Eldien, Sherif Allama, Amr A. Alashkar, Ahmed Seyam, Nanees Adel, Ahmed R. N. Ibrahim, Hany V. Zaki

Pharmacy

Background

Increasing healthcare costs, particularly in Low- and Middle-Income Countries (LMICs) like Egypt, highlight the need for rational economic strategies. Clinical pharmacy interventions offer potential benefits by reducing drug therapy problems and associated costs, thereby supporting healthcare system sustainability.

Objective

This study evaluates the economic impact and clinical benefits of clinical pharmacy interventions in four tertiary hospitals in Egypt by implementing an innovative tool for medication management, focusing on cost avoidance and return on investment (ROI), while accounting for case severity and drug therapy problem (DTP) resolution.

Methods

Utilizing a digital tool, cost avoidance was assessed by considering the severity …

Staff Education To Increase Medication Adherence, Omowunmi Oluwatosin Ojo

Walden Dissertations and Doctoral Studies

This quality improvement staff education DNP project was developed to address psychiatric patients' nonadherence to medications in this project setting. Poor adherence to medication has been regarded as a primary cause of psychiatric deterioration in outpatient settings. The project was developed to mitigate the negative impact of non-adherence in psychiatric patients in the clinic. In this quality improvement project, an education program to increase nurses' knowledge of evidence-based strategies to improve patients with mental health illnesses adherence to their treatment regimen was developed and implemented. Seven individuals completed the education program. Participants completed a pretest before engaging in the program …

Pedagogy Of Moss Model In School Leadership Approaches For Indigenous 2slgbtq+ K–12 Students, Candace Linklater

Walden Dissertations and Doctoral Studies

The research problem of the study was the insufficient knowledge regarding principals’ and assistant principals’ perceptions of their roles and needs in creating safe, decolonial, and culturally responsive educational environments for Indigenous 2SLGBTQ+ K–12 students in Northern Canadian communities. The purpose of this basic qualitative study was to explore the perceptions of school principals/assistant principals regarding their role and needs in creating safe, decolonial, and culturally responsive educational environments for Indigenous 2SLGBTQ+ K–12 students in Northern Canadian communities. Using tribal critical race theory and cis-heteronormative queer theory as the conceptual framework, semistructured interviews were conducted with 10 experienced principals/assistant principals. …

Student Perceptions Of Black Professors In College Programs, Michelle D. Dartis

Walden Dissertations and Doctoral Studies

This transcendental, phenomenological study aimed to explore the lived experiences of students and their perceptions of how Black faculty behaviors and interactions impact them in a college program, shedding light on the importance of supportive connections and the role of race in these dynamics. In this study, the terms Black or African American were used interchangeably. The results from this study provide an awareness of how students perceive their Black professors and how the student-professor relationship develops among students and their Black professors, particularly when it comes to perceived caring and support. Semistructured, in-depth interviews were used to explore 10 …

Understanding Covid-19 Vaccination Hesitance Among Registered Nurses, Lucille Fenelon

Walden Dissertations and Doctoral Studies

The development of the COVID-19 vaccine, while hailed as a groundbreaking scientific achievement, also brought to light a discernible hesitance from registered nurses (RNs) regarding the vaccination. While extensive research has delved into the broader phenomenon of vaccination hesitancy, there remains a notable gap in comprehensively examining the specific lived experiences of RNs in relation to this hesitancy. Thus, the purpose of this study was to explore the lived experiences of RNs contributing to COVID-19 vaccine hesitance within the context of the theory of reasoned action (TRA) and Roy’s adaptation model. TRA helped to guide this study in identifying the …

Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson

Walden Dissertations and Doctoral Studies

Military domestic violence (MDV) is an issue in the United States. The purpose of this generic qualitative study was to explore how the mainstream media and published government content depicts MDV on the internet, and whether those narratives/video transcripts contained any agenda to generate influence. Ragas’ agenda-setting theory was used as a framework for this study. Agenda-setting is a communication specific phenomenon directed to influence individuals or organizations, based on what public relations practitioners present to the public. There are two research questions in this study. The first is: How do mainstream media narratives, and government documents depict survivors and …

Staff Education To Increase Medication Adherence, Omowunmi Oluwatosin Ojo

Walden Dissertations and Doctoral Studies

This quality improvement staff education DNP project was developed to address psychiatric patients' nonadherence to medications in this project setting. Poor adherence to medication has been regarded as a primary cause of psychiatric deterioration in outpatient settings. The project was developed to mitigate the negative impact of non-adherence in psychiatric patients in the clinic. In this quality improvement project, an education program to increase nurses' knowledge of evidence-based strategies to improve patients with mental health illnesses adherence to their treatment regimen was developed and implemented. Seven individuals completed the education program. Participants completed a pretest before engaging in the program …

Perceptions Of Coping Capacity And Burnout Among Psychiatric Social Workers, Akia Sheree Pittman

Walden Dissertations and Doctoral Studies

U.S. mental health social workers practicing in psychiatric settings are susceptible to developing burnout. Burnout is a prominent and enduring social problem faced by many helping professionals, but especially among licensed mental health social workers. The purpose of this generic qualitative study was to explore the role coping capacity plays in mental health social workers developing burnout while employed in an inpatient psychiatric setting. The conceptual framework was sense of coherence, a core construct of the salutogenic theory of health. Data were collected from semistructured interviews with 10 clinical social workers employed in inpatient psychiatric settings in North Carolina. Data …

Elementary School Teachers’ Perspectives Regarding Handwriting Fluency And Writing Proficiency In Elementary Students, Sofia Doyle For Scott Doyle

Walden Dissertations and Doctoral Studies

The problem that was addressed in this study is that the majority of students nationwide demonstrate low writing proficiency and handwriting fluency. The purpose of this study was to explore elementary school teachers’ perspectives regarding handwriting fluency and its role in the overall writing skills of elementary students. This study was grounded in Piaget’s cognitive learning theory. Four research questions focused on teachers’ perspectives; two questions focused on factors that contribute to low achievement in handwriting and writing proficiency and two questions asked teachers about their experiences with the strategies they used to support students in handwriting and writing achievement. …

Pedagogy Of Moss Model In School Leadership Approaches For Indigenous 2slgbtq+ K–12 Students, Candace Linklater

Walden Dissertations and Doctoral Studies

The research problem of the study was the insufficient knowledge regarding principals’ and assistant principals’ perceptions of their roles and needs in creating safe, decolonial, and culturally responsive educational environments for Indigenous 2SLGBTQ+ K–12 students in Northern Canadian communities. The purpose of this basic qualitative study was to explore the perceptions of school principals/assistant principals regarding their role and needs in creating safe, decolonial, and culturally responsive educational environments for Indigenous 2SLGBTQ+ K–12 students in Northern Canadian communities. Using tribal critical race theory and cis-heteronormative queer theory as the conceptual framework, semistructured interviews were conducted with 10 experienced principals/assistant principals. …

Preventing Burnout In Nursing Staff: Strategies And Best Practices For A Healthy Workplace, Friday Chidozie Nwabuisi

Walden Dissertations and Doctoral Studies

This doctoral project is a staff education initiative focused on improving nursing resilience and mental health through mindfulness-based interventions (MBIs). The project was informed by a practice-focused question: To what extent does the implementation of MBI training reduce stress and burnout among nursing staff in a clinical setting? The purpose of this project was to establish whether MBIs can be implemented as a support strategy in mitigating burnout and stress among nurses. The quantitative evaluation strategy used to determine the effectiveness of MBIs in reducing stress and burnout among nurses was a pretest and a posttest. The project targeted nursing …

Impact Of Leadership Characteristics Of Empowerment And Support Of Employee Growth On Job Commitment And Turnover Intent Of Nurses In Ghana, Ernest Addai Duah

Walden Dissertations and Doctoral Studies

Prior studies have examined leadership style and its relation to healthcare employees’ performance; however, few Ghanaian studies have focused on using characteristics of leaders and their relationship to job commitment and turnover intention among nurses and midwives in the 10 regions of Ghana. The objective for this quantitative correlation study was to examine whether leadership characteristics have a relationship with job commitment and turnover intent among hospital nurses in Ghana, where Upper East was the region of focus. Servant leadership theory was used as the theoretical framework for this study. The study addressed the relationship between leadership characteristics of empowerment, …

Understanding Covid-19 Vaccination Hesitance Among Registered Nurses, Lucille Fenelon

Walden Dissertations and Doctoral Studies

The development of the COVID-19 vaccine, while hailed as a groundbreaking scientific achievement, also brought to light a discernible hesitance from registered nurses (RNs) regarding the vaccination. While extensive research has delved into the broader phenomenon of vaccination hesitancy, there remains a notable gap in comprehensively examining the specific lived experiences of RNs in relation to this hesitancy. Thus, the purpose of this study was to explore the lived experiences of RNs contributing to COVID-19 vaccine hesitance within the context of the theory of reasoned action (TRA) and Roy’s adaptation model. TRA helped to guide this study in identifying the …

Perceptions Of Encouragement For Native American Women To Persist In Doctoral Programs, Venicia Mayo Burton

Walden Dissertations and Doctoral Studies

The problem addressed in this study is the underrepresentation of Native American women in doctoral programs in the United States. The purpose of this basic qualitative study was to explore how encouragement in terms of support, confidence, hope, and advice received from family and tribe, friends and social circles, and faculty and college administrators influence the persistence of Native American women in their doctoral journeys. The conceptual framework for this study is the psychosociolcultural theory (PSC) to help examine the psychological, social, and cultural influences on the educational experiences of minority students in an educational setting. Data from eight interviews …

Political Representation Innovation: A Case Study Of “Rumah Aspirasi Rakyat Aam Amarulloh” In Cilegon City, Shanty Kartika Dewi, Anis Fuad, Tia Amelia, Siti Saratipo Hemalia Putri

Jurnal Wacana Politik

This study examines the politics of representation of the “Rumah Aspirasi Rakyat Aam Amarulloh” in representing the people’s aspirations in Cilegon City. This Aspiration House is an intermediary space between constituents and legislators, facilitating communication and conveying public aspiration. The research method used is qualitative research with a case study approach. Data were obtained through in-depth interviews and direct observation of activities at the Aspiration House. The research results show that around 80% of the aspirations collected have been responsively followed by the relevant legislator, Aam Amarulloh. These findings indicate that “Rumah Aspirasi Rakyat Aam Amarulloh” effectively facilitates the public …

Empowering Clinical Practice: Hslic's Literature Search Resources And Service, Eveltn Wang

HSLIC Faculty and Staff Instructional Resources

This presentation titled "Empowering Clinical Practice: HSLIC's Literature Search Resources and Service" is designed for the Urology Residency program. It covers clinical literature search techniques, including defining research questions using PICO, designing search strategies, applying searching tips, and utilizing various databases such as PubMed, EMBASE, UpToDate, and ClinicalKey. The workshop aims to enhance healthcare professionals' skills in conducting effective literature searches and introduces HSLIC resources and services to support clinical practice and research.