Digital Commons Network^™

Improving Patient And Staff Safety During Intrahospital Transport: Implementation Of A Nurse-Driven Checklist, Leah D. Kvintus Rn, Bsn

Nurse Residency

In hospitalized adult patients requiring intrahospital transport, how does the implementation of a standardized nurse-driven transport checklist and structured, facility-wide transport safety protocols compared to current practice without standardization affect patient and staff safety outcomes, including patient falls, safety incidents, and staff injuries or workflow disruption?

Why 4:1 Matters: Addressing Nurse Burnout, Alexandria Ranalletti Bsn Rn, Cecelia Greenleaf Bsn, Rn, Savannah Sheen Bsn, Rn

Nurse Residency

For nurses on medical-surgical floors, how does implementing a 4:1 nurse-to-patient staffing ratio compared to 5:1 or 6:1 staffing ratios impact nurse burnout?

Fall Prevention Education Among Older Adults At Townson Assisted Living Facility (Talf), Yolana Farrell-Williams

Walden Dissertations and Doctoral Studies

Falls in the elderly are a significant cause of injury, disability, and preventable medical expenditure; thus, fall prevention is an issue to assisted living homes like Townson Assisted Living Facility (TALF). The internal incident reports showed that persistent fall incidents were associated with inconsistent knowledge among the staff and unequal observed compliance with fall-prevention guidelines, indicating a practice gap in the systematized education of nurses. Educational interventions are effective in achieving high-quality staff, adherence to protocols, and outcomes concerning falls. Consequently, the current project was conducted to determine whether a specialized falls-prevention education program would enhance the knowledge and competency …

Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey

Walden Dissertations and Doctoral Studies

Construction remains one of the most hazardous industries in the United States, while employer-sponsored training opportunities have declined, raising concerns about safety, workforce readiness, and knowledge transfer. Construction leaders need to understand how workers perceive immersive virtual reality (IVR) amid these challenges as an indicator of persistent safety risks, limited workforce preparedness, and ineffective knowledge transfer. The purpose of this single exploratory case study was to examine construction workers’ perceptions of the effectiveness of IVR in transferring knowledge to enhance job performance. Guided by Kirkpatrick’s four-level model of training evaluation, participants’ perceptions of reaction, learning, behavior, and results were examined. …

Perceptions Of African American Males Regarding Legal Risks Of Alcohol Misuse, Tylisha Wright

Walden Dissertations and Doctoral Studies

Alcohol misuse among young adults leads to legal, social, and behavioral consequences in the United States. The justice system unequally impacts young African American males. The purpose of this generic qualitative study was to understand perceptions of legal risks of alcohol misuse among African American young adult males who were formerly adjudicated or nonadjudicated. The research question involved African American young adult males and legal risks associated with misuse of alcohol. The differential association theory guided this study in terms of its emphasis on decision-making and learned social behaviors. Data for this study were collected through semi-structured interviews with eight …

Examining The Relationship Between Employee Engagement, Career Advancement, And Talent Retention, Nadeen Angella Allen

Walden Dissertations and Doctoral Studies

Retaining talent continues to be a challenge for organizations and their business leaders. The problem is important to human resource (HR) business leaders because retaining talent helps reduce turnover costs, preserve institutional knowledge, strengthen workforce stability, and enhance organizational success and competitive advantage. The purpose of this quantitative correlational research project, grounded in the social exchange theory, was to examine the relationships between employee engagement, career advancement, and talent retention among employees working for organizations throughout the southeastern United States. The participants were 78 employees in the southeastern United States who met the exclusion criteria and who completed the Utrecht …

Spontaneous Intracranial Hypotension With Negative Brain Mri Findings: A Systematic Review Of Diagnostic Strategies And Clinical Outcomes, Marina Romozzi, Giuseppe Garignano, Valid Rastegar, Francesco Onorati, Catello Vollono, Federico Tosto, Masahito Katsuki, Yasuhiko Matsumori, Francesco Signorelli

Student Papers, Posters & Projects

BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating syndrome typically characterized by orthostatic headache and classic brain MRI findings. However, brain MRI abnormalities are indirect manifestations of cerebrospinal fluid (CSF) volume depletion rather than direct evidence of the leak, and some patients may present with unrevealing or absent typical brain MRI findings, posing a considerable diagnostic challenge.

METHODS: A comprehensive search of PubMed/Medline, Web of Science, and Scopus was conducted to perform a systematic review, according to PRISMA guidelines, analyzing the available evidence on MRI-negative SIH (patients without typical SIH findings on their initial brain MRI), including its clinical features, …

Comparative Analysis Of “Silver Education” In Kazakhstan, Europe, Asia, And The United States, Diana Abetova, Albina Dossanova, Mehmet Cuneyt Birkok

Higher Learning Research Communications

Objectives: The study aimed to compare “silver education” policies in Kazakhstan, several European countries (Germany, Finland, France, the United Kingdom, Italy, and Spain), countries in Asia (China, Japan, South Korea and Thailand), and the United States to identify the strengths and weaknesses of the Kazakh model and to suggest improvements.

Methods: Methods included synthesis, comparative and system analysis, and structural-functional analysis.

Results: The findings show that Kazakhstan is in the early stages of developing silver education, lacking a dedicated legal framework and offering limited educational opportunities for older adults (aged 65 and over). In contrast, other countries examined have well-established …

The Ppp Model In Action: Empowering Tertiary Vocational Students Through Digital And English Training, Hüsem Korkmaz, Ali Geris, Cenk Yoldaş

Higher Learning Research Communications

Objectives: This study aimed to explore the stakeholder perspectives in a public–private partnership project as a remarkable initiative to enhance quality education at the tertiary level in Turkey. In this regard, the motivations behind participating in the partnership, perceived benefits and challenges, significant outcomes, and recommendations for similar prospective partnership programs were investigated empirically.

Method: The study employed a qualitative phenomenological research design, which relies on semi-structured interviews and focus group discussions with the key stakeholders of a public–private partnership project to empower vocational higher education. The data were collected from the representatives of Enerjisa Üretim Company (n = …

Advance Care Planning Education In The Community, Haley R. Monhollon, Margaret E. Kinney

Group: Nebraska Methodist College

Primary care providers are the best individuals to have advance care planning (ACP) conversations with patients due to their familiarity and knowledge of the patient’s health history, but the shortage of these providers and the limited time per visit to educate and help the patient make decisions limits their ability to hold these conversations. Community education sessions have been found to not only increase knowledge but also influence and change behavior. The purpose of this study was to hold community education sessions regarding ACP and advance directives (AD) to increase patient knowledge and increase the number of individuals who plan …

Impact Of Middle Meningeal Artery Embolization Timing On Chronic Subdural Hematoma Resolution And Functional Outcomes, Bluyé Demessie, Muhammed Amir Essibayi, Hamza Adel Salim, Alireza Karandish, Nathan Farkas, Deepak Khatri, Neil Haranhalli, Amanda Baker, Richard Zampolin, Allan L Brook, Seon-Kyu Lee, Nimer Adeeb, James Grist, Fulvio Zaccagna, Yan-Lin Li, Davide Simonato, Diego Alejandro Ortega, Nicole Cancelliere, Jose Danilo Diestro, Dhairya Lakhani, Joseph Carnevale, Craig Schreiber, Atakan Orscelik, Zachary Abecassis, Spencer Raub, Georgios Sioutas, Giancarlo Salsano, Svetlana Kvint, Andrew Falzon, Vance Cantrell, Brian Holliday, Jefferson Abaricia, Pedram Maleknia, Leonardo Cruz-Criollo, Samantha Schimmel, Basel Musmar, Matthew Alexander, Jorge Rios Zermeno, Koul Prateeka, Ahmed Aljuboori, Dominik Vollherbst, Domagoj Gajski, Jared Cooper, Rahim Abo Kasem, Sami Al Kasab, Alejandro Spiotta, Fawaz Al-Mufti, Vladimir Kalousek, Markus Möhlenbruch, Luca Scarcia, Clemens Schirmer, Thien Huynh, Rabih Tawk, Fabio Settecase, Stavropoula Tjoumakaris, Pascal Jabbour, Kunal Vakharia, Mario Zanaty, Santiago Ortega-Gutierrez, Jesse Jones, Marco Colasurdo, Hussein Nasser, Sri Hari Sundararajan, Pascal Mosimann, Erez Nossek, Eytan Raz, Lucio Castellan, Bruno Del Sette, Caterina Michelozzi, Davide Saraceno, Pietro Panni, Visish Srinivasan, Jan-Karl Burkhardt, Gaultier Marnat, Pietro Mario Santini, Michael Levitt, Giuseppe Lanzino, Waleed Brinjikji, Jared Knopman, Tareq Kass-Hout, Julian Spears, Thomas Marotta, Max Wintermark, Vitor Mendes Pereira, Maurizio Fuschi, Adam Dmytriw, David Altschul

Department of Neurosurgery Faculty Papers

BACKGROUND AND PURPOSE: Chronic subdural hematoma (cSDH) affects approximately 20 per 100,000 individuals annually, with surgical recurrence rates of 10-20%. Middle meningeal artery embolization (MMAE) has emerged as a promising minimally invasive treatment, but the optimal timing remains unclear. We evaluated the association between MMAE timing and radiological and functional outcomes in cSDH.

METHODS: We conducted a retrospective multicenter international cohort study across 33 centres, including patients who underwent MMAE for cSDH between January 2018 and December 2024. Patients were stratified by timing from diagnosis: Q1 (≤1 day), Q2 (2 days), Q3 (3-6 days), and Q4 (>6 days). The …

Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas

Walden Dissertations and Doctoral Studies

College students aged 18–25 transitioning to independent living often experience changes in diet, physical activity, stress, and time management that increase health risks. These challenges may be amplified in semi-urban communities by limited access to healthy food, transportation barriers, and scheduling constraints. This qualitative phenomenological study explored how college students in Huntsville, Texas, perceived and interpreted these lifestyle changes and their influence on perceptions of health and weight. Guided by the social ecological model, the study included 12 participants who were 18–25 years old, enrolled in college, living independently in Huntsville, Texas, and able to describe their experiences with lifestyle …

How Can Accessibility In Computing Education Be Improved Through Hci Research?, Dr David Santandreu Calonge, Linda Smail, Firuz Kamalov, Dima Yousef, Melody Sylvain

All Works

Accessibility - accommodation of diverse sensory, motor, cognitive, and linguistic needs - remains critically underrepresented in computing education despite broad societal acknowledgment of its importance. This position paper argues that systemic inequities and persistent barriers to integrating accessibility and inclusion - ranging from curricular inertia to limited faculty capacity - require new methodological approaches drawn from Human-Computer Interaction (HCI) research. HCI provides tested frameworks that pair participatory design with inclusive pedagogy, guided by empirical evaluation to drive systemic change. We identify three key areas where HCI can advance accessibility education: (1) embedding accessibility within core curricula through design-based pedagogies, (2) …

Preoperative Considerations For Cervical Cerclage (Part 1), Ilaria Paladino, Moti Gulersen, Amanda Roman, Rupsa C. Boelig, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

Transvaginal cervical cerclage remains a central strategy for preventing spontaneous preterm birth in appropriately selected pregnancies. Although decades of research have clarified which patients benefit most from cerclage, substantial heterogeneity persists in pre-, intra-, and postoperative management. This article, the first in a series on cerclage technique, synthesizes the evidence guiding preoperative decision-making. Cerclage is classified by indication as history-indicated cerclage, ultrasound-indicated cerclage and physical examination-indicated cerclage. History-indicated cerclage is recommended for patients with ≥3 prior early spontaneous preterm births or second-trimester losses < 28 weeks, prior ultrasound-indicated cerclage with delivery at< 32 weeks, or prior physical examination-indicated cerclage; twin gestation alone is not considered an indication. Ultrasound-indicated cerclage should be considered in singletons without prior spontaneous preterm birth with transvaginal ultrasound cervical length ≤20 mm and is recommended in singletons with prior spontaneous preterm birth when cervical length is ≤25 mm before 24 weeks' gestation; in twins, it may be considered when cervical length ≤15 mm before 24 weeks' gestation. Physical examination-indicated cerclage is recommended in singleton or twin gestations with asymptomatic cervical dilation ≥1 cm before 24 weeks' gestation. Timing varies by indication: history-indicated cerclage is typically placed at 12 to 14 weeks' gestation and is not urgent, whereas ultrasound-indicated cerclage and physical examination-indicated cerclage are usually performed between 16 and 23 6/7 weeks' gestation in response to cervical changes, ideally within 72 hours and 24 hours of diagnosis of short transvaginal ultrasound cervical length or dilated cervix, respectively. Preoperative evaluation should include a detailed anatomic ultrasound examination and appropriate genetic screening. Routine urogenital cultures are not indicated in the absence of symptoms. Amniocentesis is not recommended for history-indicated cerclage or ultrasound-indicated cerclage but should be considered before physical examination-indicated cerclage to evaluate for intra-amniotic infection. Adjunctive management remains variable. Progesterone is recommended for a short cervical lenght < =25mm before 24 weeks. Outpatient cerclage appears safe, with no clear benefit to routine inpatient management. Perioperative indomethacin and antibiotics are likely unnecessary for history-indicated cerclage but may be considered in ultrasound-indicated cerclage and are suggested for physical examination-indicated cerclage.

Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth

Walden Dissertations and Doctoral Studies

Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …

Antropometri Tangan Penduduk Kota Ambon Sebagai Dasar Perancangan Ergonomis, Puan Maryam Leaongso, Wilma Latuny, Aminah Soleman

National Journal of Occupational Health and Safety

The limited availability of hand anthropometric data for the Indonesian population, particularly for the residents of Ambon City, may affect the accuracy of designing ergonomic products, work equipment, and public facilities. This study aimed to measure and analyze 25 hand dimensions of the Ambon City population based on gender and age, and to compare the measurement results with national anthropometric data. This research employed a quantitative method with a descriptive design through an anthropometric approach. Data were collected directly from 200 respondents, consisting of 100 females (aged 18–40 years) and 100 males (aged 20–40 years). Data analysis was performed using …

Media Flipbook Sebagai Buku Pendamping English For Nusantara Untuk Siswa Kelas 7 Dan 8 Smp, Arifah Dyah Kusumaningtyas, Khofifah Nurul Aini, Novia Tarisya Fitri, Tiara Rizky Kusuma

Journal of Innovation and Teacher Professionalism

The digital transformation of education has encouraged teachers to develop more interactive learning media to support the implementation of the Merdeka Curriculum. One promising medium is the digital flipbook, which integrates text, images, audio, videos, and interactive learning activities into a single platform. This study aimed to develop a flipbook-based supplementary learning material for English for Nusantara for seventh- and eighth-grade students at SMP Negeri 11 Malang and to describe students' responses to the developed media. This study employed a Research and Development (R&D) approach using the Four-D (4D) model, consisting of the define, design, development, and disseminate stages. Data …

Nutritive Values Of Three Edible Green Seaweeds Collected From Dar Es Salaam Coast, Tanzania, Amelia S. Buriyo, Denis Gahunde, Kristian M. Kitali, David C. Simiyu

Tanzania Journal of Science

Tanzania is endowed with different seaweed (macroalgae) species, found abundantly along the coastline. Most of these hold a great potential as nutritious food sources with promising applications in food industry. These seaweeds could be highly utilized for effective management of the high levels of malnutrition in the country. Nonetheless, the nutritional potential of most seaweeds occurring in Tanzania is still unknown. Understanding the nutritional value of the commonly available edible seaweeds, could be an important step towards promoting them as food supplements in the country. In this study, the nutritive values (crude proteins, total carbohydrates, lipids, crude fibre, vitamins, and …

Senator Mark O. Hatfield And The Commitment To Intellectual Rigor And Integrity, Carlos A. Arias

Hatfield Graduate Journal of Public Affairs

No abstract provided.

Message From The Editors

Hatfield Graduate Journal of Public Affairs

No abstract provided.

Slovenian-Assisted Slate Integrated Infrastructure Development Project (Siidp) And Solid-Waste-Management System, Musa Zakari

Hatfield Graduate Journal of Public Affairs

The study was assessed the Slovenian Assisted Slate Integrated Infrastructure Development Project (SIIDP) on its ability to transform the solid-waste-management system. Yet, in a bid to tackle the intractable waste problem in Nigeria, It emphasized the need to have sustainable policy structures, creative infrastructural and technical cross-border cooperation. The research employed a mixed-method design, which included documentary analysis and a survey. Quantitative data were analyzed using multiple linear regression analysis (SPSS version 27), while qualitative insights were analyzed thematically. Their regression analysis found that technology transfer (B = 0.284, p = 0.000), capacity building (B = 0.256, p = 0.001), …

From Policy To Practice: Analyzing Inclusive Education Strategies In Nigerian Internally Displaced Persons (Idps) Camps, Chukwuyem Joel Arimie, Williams Okotie Dr

Hatfield Graduate Journal of Public Affairs

Through high-quality education delivery, inclusive education indicates the pursuit of social justice for all marginalized societies. The study examines how the Edo camp's internally displaced people are impacted by inclusive education policies. Relevant policy and regulatory frameworks pertaining to inclusive education in Nigeria were examined in the research. Because the Hope for the Needy Foundation provides for the educational needs of the children in the camp, interview responses suggest that despite the policy frameworks, strategies for the effective execution of the policy in the IDP camp have not yet been put in place. The article makes the case that the …

Effectiveness Of Organic Amendments In Enriching Nitrogen In Compost Produced From Organic Fractions Of Market Waste Generated In Dar Es Salaam, Tanzania, Amani Bilula, Ally Mahadhy, Anthony Manoni Mshandete, Amelia Kivaisi

Tanzania Journal of Science

Low nitrogen (N) content remains a key limitation of compost derived from urban organic waste. This study evaluated the effectiveness of selected plant-based organic amendments in enhancing nitrogen content and improving compost quality. Four plant- based organic amendments, Leucaena leucocephala (BN01), Commelina benghalensis (BN02), Morus alba (BN03), and Helianthus annuus (sunflower) cake (BN04), were incorporated into market waste compost at ratios of 1:0.06:0.04, 1:0.06:0.25, and 1:0.06:0.5 (organic waste: sawdust: amendment). Composting was conducted using a 4 × 3 factorial design with three replicates per treatment (n = 36). Temperature, moisture, and pH were monitored throughout the composting period. Total nitrogen, …

Licensed Social Workers’ Perceived Structural And Systemic Treatment Barriers For Clients With Severe Mental Illness, Myron Curtis White

Walden Dissertations and Doctoral Studies

There was a gap in the existing strategies in social work practice regarding the structural and systemic barriers to health care treatment for clients with serious/severe mental illness (SMI). The Centers for Disease Control and Prevention documented that addressing mental health destabilization in the United States is important and requires an understanding of the mental illness to be addressed, including its causal factors, the relationships between the mentally ill and their community/environment, and the methodology for effecting care. This general qualitative study explored what licensed social workers perceived as structural and systemic barriers to health care treatment access for their …

Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju

Walden Dissertations and Doctoral Studies

Poverty disproportionately affects rural populations, women, and children and is shaped by structural inequalities in access to resources and opportunities, reinforcing cycles of disadvantage. Although existing literature provides extensive quantitative evidence on multidimensional poverty, there remains a limited qualitative understanding of how these deprivations are experienced at the household level. This generic qualitative study addressed this gap by examining the lived experiences of heads of households in Bayelsa West Senatorial District, Nigeria, where poverty incidence and intensity are among the highest nationally. Drawing on Sen’s capability theory, Atkinson’s multidimensional poverty framework, and the social determinants of health model, this study …

Are "Different" Employee-Organizational Bonds All That Different? A Review And Comparative Meta-Analysis Reconciling Employee-Organizational Bonds Constructs, Edileide Oliveira, Valeriei Sessa, Wesley Johnson, C Notari, F Vinal, Na Bowling

Department of Psychology Faculty Scholarship and Creative Works

The fundamental human need to bond, connect, or attach to others is as crucial to humankind as the need for food and water, and this inherent drive extends into the workplace as well. Employee-organizational bonds have long been recognized as central to understanding employees' relationships with their organizations. However, questions remain regarding whether several widely studied bond constructs represent empirically distinct phenomena or overlapping conceptual space. The present research examined the distinctiveness of four major employee-organizational bond constructs: organizational commitment, organizational identification, job embeddedness, and perceived organizational support. We reviewed existing meta-analyses and conducted a large-scale comparative meta-analysis spanning more …

Q-Aware: A Lightweight Crosscutting Track For Preparing Quantum-Aware Software Developers, Ali Ebnenasir, Görkem Aşılıoğlu, Ruihong Zhang, Stella Otoo, Charles Wallace

Michigan Tech Publications

There is an urgent need for ''T-shaped'' software developers with breadth in Quantum Computing (QC) and depth in Computer Science and Software Engineering, who can build and work with the quantum-powered applications of the near future. This paper reports on our experiences implementing the Quantum-Aware (Q-Aware) track, an adaptable and lightweight curricular framework that can be integrated into existing curricula for the preparation of quantum-aware graduates. Our focus here is a study conducted on the integration of Q-Aware into Data Structures and Discrete Structures courses during Fall 2025. One goal of this study was to investigate the effectiveness of Q-Aware …

Civic Activism Of Refugee Community Organizations And Their Effectiveness In Supporting Refugees, Anis Zaman

Hatfield Graduate Journal of Public Affairs

The development and governance architecture of migration policy often lacks migrants' perspectives. Thus, in most cases, migration policies generate conflicts between migrants and host communities. In this regard, refugee-led community organizations (RCOs) offer solutions by promoting collective action among refugees. RCOs play a vital role in fostering collective action by refugee communities to alleviate suffering and assert refugee rights. However, RCO’s operations and interactions in the host country are challenging and are shaped by the nature of migration governance and the host government’s tolerance for refugee activism. The nature of migration governance dictates the spaces for refugee civic activism. This …

Healthcare Provider's Perceptions Of Family Values When Making End-Of-Life Care Decisions For Their Children: Developing And Implementing A Survey Tool., Nithya Sivakumar, Stephanie Kukora, Cherie Ginwalla, Satyan Lakshminrusimha, Jennifer Rosenthal

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Healthcare providers help families navigate end-of-life care decisions in the neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU); however, limited studies exist regarding what values providers perceive families utilize when in these situations.

OBJECTIVE: To evaluate providers' perceptions of values that families considered when making end-of-life care decisions for their child.

DESIGN: Develop a novel survey tool to understand providers' perceptions of values families considered when making end-of-life care decisions for their children and distribute the survey tool to providers in a single quaternary care children's hospital within a university hospital.

METHODS: The novel survey tool …

Decoding The Allosteric Grammar Of Protein Kinases: A Dual-Stream Framework Integrating Protein Language Models And Energy Landscape Frustration Analysis, Will Gatlin, Max Ludwick, Lucas Turano, Brandon Foley, Kamila Riedlova, Vít Škrhák, Marian Novotný, David Hoksza, Gennady M. Verkhivker

Mathematics, Physics, and Computer Science Faculty Articles and Research

The spatial and energetic encoding of allosteric regulatory sites remains a major challenge in structural biology, frequently representing a “blind spot” for sequence-based artificial intelligence (AI) models. We present a protein language model (PLM)-guided approach complemented by the energy landscape frustration analysis as a dual-stream framework to investigate the relationship between AI prediction of binding sites and biophysical organization of regulatory pockets across the human kinome. By probing a fine-tuned residue-level PLM classifier across 453 kinase structures, a clear performance gap is discovered between highly predictable orthosteric pockets (Types I, I.5, and II) and poorly resolved distal allosteric sites (Type …