Bias-Based Bullying Among Middle Eastern & North African Students: Potential Protective Factors, Nadeen Alshakhshir, Barbara Mcmorris, Hana-May Eadeh

Biennial Convention (CONV)

Bullying victimization among school students is associated with negative psychosocial experiences such as anxiety, depression, and sometimes suicidality.^1,2 Middle Eastern and North African (MENA) students experience bias-based bullying in schools at high rates compared to other non-minority groups.^1,3 Although much research focuses on this phenomenon, few studies explore the possible protective factors that buffer the effects of bias-based bullying among this specific group of students, such as religious participation and certain developmental assets. Religious participation is associated with less depression and anxiety symptoms among Asian American students.⁴ Developmental assets of empowerment, social competence, and positive identity enable …

Unfollowing Censorship: A Policy-Oriented Analysis Of Government Pressure On Social Media Content Management, William C. Morgan

Cleveland State Law Review

The introduction of social media has facilitated communications and connectivity globally. However, in recent years, social media companies have started to adopt content moderation practices that are directly influenced by government pressure to comply with their requests to arrange information. Typically, these newly adopted practices often aim to censor or diminish the exposure of certain views, comments, and/or posts that the U.S. government, through its actors, dislike or find threatening to national security. This paper examines how informal government outreach to indirectly monitor, and control social media companies’ content moderation practices undermine the platforms’ constitutionally protected editorial autonomy. Consequently, this …

It Takes A Village: Why Developing Community And Implementing Collaborative Teaching Methods In The Legal Classroom Fosters True Inclusivity, Activates Active Learning, And Promotes The Attainment Of True Knowledge-Creating Students Who Are Better Prepared For The Practice Of Law, Erica L. Kravchenko

Cleveland State Law Review

Legal education has long relied on traditional teaching methods, such as the Socratic, case-dialogue and lecture methods, which prioritize individualism and competition over collaboration. While these methods have historically shaped legal pedagogy, they no longer adequately prepare students for the evolving demands of legal practice. This Article examines the impact of traditional teaching methods on the changing demographic of law students and offers collaborative learning as a potential solution. Specifically, this Article argues that incorporating collaborative learning and fostering a sense of community in legal education are essential for developing well-rounded, practice-ready attorneys. Through an analysis of the legal education’s …

Characteristics Of The United States Acute Care Nurse Practitioners’ Work Environment, 2012 To 2022, Kristin Hittle Gigli

Biennial Convention (CONV)

Background: Acute care comprises a significant amount of health care, with over 35 million hospitalizations in the United States annually.¹ As the population ages and comorbidities and chronic illness increase, demand for hospital care is forecasted to grow.² To meet the demand for acute care, clinicians, healthcare organizations, and policymakers are calling for increased nurse practitioner (NP) utilization in hospital care.^3,4

Significance: Acute care NPs practice across clinical specialties and assume diverse roles providing high-quality, interdisciplinary hospital care.^3,5,6 Despite demand for NPs in hospital care, barriers, including organizational regulations and state scope-of-practice restrictions, limit …

Trajectories Of Recovery After Acute And Critical Illness (Tracer), Felipe González-Seguel, Louisa A. Summers, Lindsey E. Fresenko, Douglas E. Long, Logan N. Scott, Stacey A. Slone, Srushan Shankara Bhaktula, Yuan Wen, Benjamin F. Miller, Peter E. Morris, Amy L. Salyer, Anna G. Kalema, Ashley A. Montgomery-Yates, Esther E. Dupont-Versteegden, Kirby P. Mayer, Isabelle D. Bach, Davis A. Englund, Zachary R. Hettinger, Ahmed Ismaeel, Audrey M. Johnson, Philip A. Kern, Gerald V. Klim, Allison M. Owen, Jocelyn C. Porchia, Heba H. Qaissi

Physiology Faculty Publications

Introduction Patients who survive admission to intensive care unit (ICU) for critical illness are at high risk of developing muscle atrophy and weakness, commonly diagnosed as ICU-acquired weakness (ICUAW). The development of ICUAW is closely linked to long-term symptoms and impairments known as post-intensive care syndrome (PICS). Despite heightened recognition of impairments, there is limited research supporting effective interventions to improve muscle and physical outcomes after hospital discharge. Prior to developing and testing interventions for ICU survivors, it is imperative to understand the trajectory of muscle and physical function recovery following an ICU stay. The purpose of this study is …

State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic

Faculty Scholarship

Introduction Deaths related to drug overdose and suicide in the USA have increased 500% and 35%, respectively, over the last two decades. The human and economic costs to society associated with these - €- deaths of despair' are immense. Great efforts and substantial investments have been made in treatment and prevention, yet these efforts have not abated these increasing trajectories of deaths over time. The COVID-19 pandemic has exacerbated and highlighted these problems. Notably, some geographical areas (eg, Appalachia, farmland) and some communities (eg, low-income persons, - €- essential workers', minoritised populations) have been disproportionately affected. Risk factors have been …

Antecedents Of U.S. Information Technology Professionals’ Intent To Quit At The Beginning Of The Covid-19 Pandemic, Kristin C. Scott, Jiun-Shiu Chen, Mitchell Adrian, Son Mai

International Journal of Applied Management and Technology

This study focuses on turnover intention (ITQ) of U.S. information technology workers during the spring of 2020 and the beginning of the COVID-19 pandemic. In this study, we evaluate a number of turnover intention antecedents not previously studied together, including job alternatives, global job embeddedness, job satisfaction, compensation satisfaction, role overload, and work–life balance. We use three first-order factors of work interference with personal life, personal life interference with work, and work—personal life enhancement. We analyzed data using confirmatory factor analysis (CFA) and structural equation modeling. Results suggest no direct effects from pay satisfaction or role overload on ITQ and …

Infection And Nonunion Rates In Open Fractures, Roman M. Natoli, Lucas S. Marchand, Sofia Bzovsky, Jennifer E. Hagen, Mark J. Gage, Christina A. Stennett, Nathan N. O’Hara, Kyle J. Jeray, Brad Petrisor, Sheila Sprague, Gerard P. Slobogean, Jeffrey Wells, Mohit Bhandari, Anthony D. Harris, C. Daniel Mullins, Lehana Thabane, Amber Wood, Gregory J. Della Rocca, Joan Hebden, Lyndsay M. O’Hara, Robert Zura, Christopher Lee, Joseph Patterson, Michael J. Gardner, Jenna Blasman, Jonah Davies, Stephen Liang, Monica Taljaard, The Flow Investigators, The Prep-It Investigators

Orthopaedic Surgery Faculty Publications

Background: Infection and nonunion are common sequelae of open fractures. Studies have shown infection and nonunion rates ranging from 2% to 52% and 12% to 17%, respectively. The present article describes the rates of surgical site infection (SSI) and delayed union/nonunion following open fractures in a large contemporary series of patients from prospective clinical trials with adjudicated outcomes. Methods: A descriptive analysis was performed with use of patient data from the FLOW, Aqueous-PREP, and PREPARE-Open studies. These studies, published within the past 10 years, included multiple international trauma centers and shared definitions for SSI and delayed union/nonunion. SSI and delayed …

Clearing The Air: Associations Between Air Pollution And Alzheimer's Disease, Greer Russell, Robert Martin

Advocate GME

No abstract provided.

Comparison Of Depression Risk And Depression-Related Ambulatory Care Utilization In Sarcopenia Patients With And Without Chinese Herbal Medicine., Hang-Che Li, Hanoch Livneh, Wei-Chiao Chang, Yu-Han Wang, Ming-Hsien Yeh, Bo-Chyuan Chen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

The impact of psychiatric disorder, especially depression, on the prognosis of sarcopenic patients is gaining prominence. Yet, there have been very few studies focusing on this issue, let alone the related targeted mental health prevention. This cohort-based nested case-control study is geared to compare risk of depression and the depression-related ambulatory care utilization for sarcopenia persons with and without receiving add-on Chinese herbal medicines (CHMs) treatment.

Preventing Interruptions Improve Adherence To On-Time Medication Administration, Anjana Roy

Biennial Convention (CONV)

Medication errors are a significant global challenge in hospitals, occurring at various stages of the medication management process. Wrong-time medication administration errors (WTMAE)—defined as administering medication beyond prescribed time—are most frequent during medication administration phase. It poses major risks to overall healthcare outcomes.

This project aimed to reduce WTMAEs and improve adherence to on-time medication administration with "No Interruption Sign" (NIS) in a medical-surgical unit.

It was a cross-sectional study. It was conducted for 8 weeks from February 19 through April 14, 2024, in an Academic Hospital in New York focusing on the 10 am medication administration process. Initially, the …

Video Engagement To Prepare Future Nursing Faculty For Navigating Difficult Student Conversations, Megan Stuffle, Elizabeth Holtel, Tiffanie Nabinger, Megan Soult, Meg Moorman

Biennial Convention (CONV)

Incivility among students and faculty in nursing education is well-documented^1,7. Incivility can occur during high-stress interactions between students and faculty and can negatively impact emotional well-being and learning¹. To prevent this, faculty must be prepared to navigate these interactions. However, master’s level nursing education students may not independently manage difficult student discussions during practicums. Online modules and simulations could be beneficial for preparing nurse faculty to manage these high-risk, infrequent conversations¹. PlayPosit is a video engagement platform used to create interactive scenarios, allowing for student and faculty collaboration and feedback⁴. The purpose …

Medication Administration Simulation For Undergraduate Pharmacology Nursing Students, Hannah Landgrave, Ashley Turner, Ashley York

Biennial Convention (CONV)

Medication administration and safety constitute vital components of a nurse's clinical practice, necessitating a comprehensive understanding of pharmaceuticals, informatics, and clinical judgment. Research indicates that up to 30% of newly licensed nurses are involved in medication errors, with 23% lacking the requisite competencies to make informed clinical decisions .1,2 Simulation offers an opportunity for students to apply theoretical knowledge within a controlled, risk-free environment, thereby enhancing clinical judgment and mitigating medication administration errors.3

The objective of this study was to evaluate the satisfaction and self-confidence of undergraduate nursing students engaged in a simulation activity integrated into a didactic pharmacology course. …

Reflect And Respond On The Importance Of Caring And Shared Decision Making In Leadership Development, Ann Langan, Christine Fardellone

Biennial Convention (CONV)

Purpose Statement: There is a gap in the literature related to leadership behaviors with a caring component unique to the nursing profession. Nurses require leaders who support caring, honesty, exemplary professional practice, new knowledge, and approach situations with moral and ethical transparency.

Background Information: Nurse leaders who model the attributes of the authentic nurse leader support a healthy work-life balance and enhance nurse engagement. One of the most important focuses of leadership in healthcare today is shared decision-making. The Authentic Nurse Leadership theoretical framework is based on Jean Watson's Theory of Human Caring. Significance Learning more about the self-perception of …

Building Confidence And Clinical Judgment In Nursing Students Through Bcma Simulation, Arielle St. Romain, Sharonda Johnson

Biennial Convention (CONV)

Medication errors are a persistent problem in healthcare, with the Institute of Medicine (2007) highlighting their prevalence, estimated at one error per patient per day in hospitals. Healthcare organizations have increasingly implemented Barcode Medication Administration (BCMA) systems to improve medication delivery accuracy. However, many nursing students receive limited exposure to BCMA, which may impede their readiness for practice (Ledlow et al., 2022); (Strudwick et al., 2018). Simulation-based education offers a solution, allowing students to practice essential clinical skills, such as medication administration, in a controlled, risk-free environment (Alexander et al., 2015). High-fidelity simulations improve clinical decision-making, exposing students to realistic …

Combatting Weight Bias In Healthcare Students, Jacy Ghast, Holly Farley, Johnna Paulson

Biennial Convention (CONV)

Healthcare workers often hold implicit biases against patients with obesity, impacting communication, quality of care, and health outcomes. This pilot study explored implicit weight bias among pre-licensure nursing students towards obese patients, implements a structured intervention, and assesses changes in attitudes, perceptions, and confidence levels. The study's purpose is to enhance nursing education curricula by incorporating training that promotes unbiased, patient-centered care for obese patients. Ideally, students will have the capability to reflect, respect, and respond to patients in a positive manor. Grounded in social constructivist theory, the intervention employs simulated learning experiences, followed by debriefing and reflection. Pre- and …

The Phenomena Of Homeless People’S Suicidal Ideation And Mental Health, Pi-Ming Yeh

Biennial Convention (CONV)

Introduction/Significance: In 2023, the number of people experiencing homelessness in the United States was 653,104. Compared to the previous year, this was a 12.1% increase. Homelessness is an important societal problem.

Purpose: The purpose of this study was to examine the phenomena of mental health and suicidal ideation among people with homelessness in Tennessee, USA.

Methods: Sixty people with homelessness were recruited in Eastern Tennessee, USA. This was a cross-sectional descriptive research design. Questionnaires were used to collect data. SPSS 28.0 was used to analyze the data. Descriptive data analysis was used.

Results: There were 42 males (70%) and 18 …

Fair Use In The Age Of Generative Ai: Navigating Copyright Challenges In Educational Contexts, Wendy Wallberg

Faculty and Staff Publications & Presentations

Generative AI tools are everywhere, but what’s actually allowed when it comes to copyright and teaching? This session breaks down what fair use means in the age of AI, covers current legal cases, and offers practical tools to help educators and institutions use AI responsibly and confidently.

Sinkhole Microcosms: Understanding Persistence Of Place Through Variable Cultivation Strategies In Northeastern Yucatán, Mexico, Maia Dedrick, Patricia A. Mcanany, Adolfo Iván Batún Alpuche, Elizabeth A. Webb, Isaac A. Hart

Faculty Publications

Sinkholes contributed to persistent human inhabitation of the northern Yucatán peninsula of Mexico for more than two millennia. Building on previous work on the use of sinkholes central to the town of Tahcabo and elsewhere in the Maya area, this study presents pollen, soil carbon isotope, radiocarbon, and artifactual evidence from four geomorphic features. They include the perennially wet cenote situated in the town center and three dry sinkholes (rejolladas) located in the commonly held lands (ejido) of the town. These features demonstrate striking variability in multispecies engagements with and within sinkholes, especially over the past …

Deep Tracks: Using Deep Learning And Procedurally Simulated Data For Automated Vertebrate Footprints Classification, Carolina S. Marques, Afonso Mota, Matteo Belvedere, Diego Castanera, Ignacio Díaz-Martínez, Elisabete Malafaia, Soraia Pereira, Luís Miguel Rosalino, Vanda F. Santos

Faculty Publications

The study of vertebrate footprints provides useful information on animal behavior, locomotion, and ecology. However, automatically classifying these records using photographs is difficult due to the significant morphological variation in footprints and the lack of readily available labeled datasets. To address this issue, this study developed Deep Tracks, a novel Unity application to procedurally create a dataset of simulated footprint images. Two datasets were used to evaluate the influence and impact of the simulated dataset on real footprint classification: (1) a dataset comprising 40,000 simulated footprints, (2) approximately 1,500 real vertebrate footprints from 10 different vertebrate groups. Both simulated and …

Fundamental Care In Times Of Crisis: The Lived Experience Of Chief Nursing Officers, Devin S. Carr

Biennial Convention (CONV)

Fundamental nursing care refers to the essential and practical elements of care that involve the integration of physical and psychosocial aspects of care required for every person in any care setting. The Covid-19 pandemic created unique challenges for nurses, which inhibited their ability to consistently provide fundamental nursing care. This study explored the lived experiencs of Chief Nursing Officers and delivery of fundamental nursing care during the Covid-19 pandemic. This study employed an exploratory phenomenological approach to gain an understanding of how Chief Nursing Officers (CNOs) promoted fundamental nursing care during times of crisis. Specifically, this study explored perceptions of …

Unlocking Leadership: Mentoring Globally, Connecting Deeply, Transforming Personally, Wedad Ashkar, Krista A. White

Biennial Convention (CONV)

Background: Mentoring is a key process in which experienced individuals provide guidance to help others transform personally and professionally. Sigma’s Global Leadership Mentoring Community (GLMC) is a platform that matches dyads across the globe to develop transformational nurse leaders. Mentorship fosters leadership skills, academic productivity, and job satisfaction, thus, empowering clinicians to drive healthcare innovation that strive to improve health outcomes.

Aims: (1) Describes the reciprocal benefits of the relationship of an experienced academician in the United States and an early career Family Nurse Practitioner (FNP) in Israel; (2) Shares leader attributes being developed through our journey; and (3) Examines …

Adult Residents' Knowledge, Attitude, And Involvement In Malaria Prevention In Ikot Ekpene, Nigeria, Idongesit Akpabio, Esther Inokon, Alberta Nsemo

Biennial Convention (CONV)

INTRODUCTION:The sub-Saharan Africa has a high prevalence of malaria being one of the leading causes of mortality in the local population. This study were to investigate knowledge and attitude towards prevention, prevention strategies, vector control and materials needed for prevention. Five null hypotheses guided the study.

METHOD: This involved descriptive design and Focus Group Discussion FGD. The target and accessible population were 7862 and 1,534 residents from eight villages respectively. Subjects were 487 selected from 32 households using systematic random sampling. Questionnaire with Content Validity Index of .89 and test-retest reliability of .87 was used for data collection. FGDs …

Detecting Metabolic Syndrome Among Older African American Women With A Phenotype Of Heart Failure, Carolyn B. Sue-Ling

Biennial Convention (CONV)

Background: Metabolic syndrome (MetS) appears to play a pivotal role in the development of heart failure with preserved ejection fraction (HFpEF), one of two phenotypes of heart failure (HF). HFpEF has emerged as the more dominant cardiometabolic phenotype in older women worldwide, estimated to be present in 20-25% of older African American (AA) women. Recognizing MetS in older AA women would prompt the use of recently identified highly effective medications and lifestyle-based treatments that would impact patients with HFpEF.

Purpose: To determine whether the triglyceride-glucose (TyG) index, a product of triglyceride and fasting plasma glucose, alone or combined with waist …

Measurement-Based Mental Health In Adolescents, Ayzia Taylor

Biennial Convention (CONV)

Measurement-Based Care (MBC) is a data-driven approach that enhances mental health management by enabling real-time feedback and treatment adjustments. Through validated screening tools integrated into clinical workflows, MBC provides standardized measures of symptoms and progress, helping clinicians make evidence-based decisions tailored to individual patient needs. This approach fosters collaboration between clinicians, patients, and caregivers, ensuring patient-centered care and improving engagement and treatment outcomes.

MBC advances evidence-based practice (EBP) by using validated screening tools to identify symptoms, track progress, and refine treatment goals. Tools such as the PHQ-9 and GAD-7 provide actionable insights that guide decisions for both pharmacological and therapeutic …

The Prevalence Of Healthcare Inequity In The Treatment Of Women With Opioid Use Disorder, Bridget R. Scott-Fletcher, Mary Annapoorna, Dana El Hajj

Biennial Convention (CONV)

In trying to achieve gender equity in society there continues to be a shortfall with the burden of childcare, household duties, generational caregiving, working, and other duties still being unequally placed on women. The article by Cerrato & Cifre (2018) highlighted this in that women spend an average of 38 hours per week caring for children as opposed to men who were noted to spend an average of 23. This is irrespective of the fact that women continue to strengthen in numbers in the workforce these hours remain unchanged. A man, in contrast, will neither see nor realize any change …

The Importance Of Educating Patients On Side Effects Of Weight Loss Medications, Hannah Ledger, Teresa Teasley, Michelle Dykes

Biennial Convention (CONV)

Obesity has become more of a problem in the world that is leading to further health issues. Research shows that worldwide obesity has contributed to over a million deaths every year. Obesity leads to increased risks of diabetes, cardiovascular problems, and many others. Medications such as glucagon-like peptide-1 receptor agonists (GLP1-RAs) are now available for weight management in an injectable and oral form. There are risks and benefits to both the injectable and oral forms that patients may not be aware of when deciding the best option for them.

With the craze surrounding the use of these weight loss medications, …

Impact Of A Responsive Bassinet On Neonatal Abstinence Syndrome In The Nicu, Melinda Pariser-Schmidt

Biennial Convention (CONV)

During the COVID-19 pandemic, operational modifications resulted in an increased average length of stay (ALOS) for Neonatal Intensive Care Unit (NICU) infants with Neonatal Abstinence Syndrome (NAS), from 10 days to 30 days, and additional workload for nursing staff. In response an innovative responsive bassinet (SNOO) was introduced into existing Eat, Sleep, Console (ESC) care model with goal to improve sleep while maintaining American Academy of Pediatrics (AAP) Safe Sleep positioning.

A retrospective chart review was conducted on neonates admitted to NICU who received scheduled methadone dosing for NAS from December 2020 to September 2022. Study inclusion criteria was primary …

Psychological Distress And Spiritual Care – An Effective Intervention?, Rebekah Rose

Biennial Convention (CONV)

On the rise globally is the epidemic of psychological distress, which encompasses mental illness, hopelessness, depression, and stress. When left untreated, further harm can occur with distressed individuals, not only affecting mental health, but potentially, even affecting quality of physical health outcomes. With extensive, systemic prevalence globally, cost-effective and widely available interventions are needed. This systematic review of the literature explores an economical and universally-available approach – the application of spiritual care to patients experiencing psychological distress. This review addresses the clinical question: In patients over 13 years of age affected by psychological distress, how do spiritual care interventions compared …

Autism In Higher Education: A Systematic Review, Katie Webber

Honors Theses - Providence Campus

As students with autism spectrum disorder (ASD) are increasingly represented in higher education, these students need to have their needs met, and many institutions lack the resources to do so. This systematic review synthesizes research on the experiences of students with autism in college, focusing on barriers, support services, and institutional interventions. A comprehensive search of peer-reviewed studies published between 2012 and 2025 identified 17 relevant articles. Findings reveal that students often experience difficulties with social integration, executive functioning, sensory sensitivities, and mental health, all of which can affect academic performance and retention. Evidence suggests that individualized supports, mentoring, structured …