Digital Commons Network^™

Seeing Through Students’ Eyes: Photo-Elicitation For Research And Program Evaluation In Nursing, Megan P. Williams

International Nursing Research Congress (INRC)

Background: Photo-elicitation invites participants to capture and share photographs representing their lived experiences. It offers a meaningful way to evaluate how nursing students integrate knowledge, skills, and attitudes across cognitive, psychomotor, and affective domains of learning. Grounded in visual sociology (Harper, 2002) and expanded through nursing pedagogy (Linz, 2011; Kronk et al., 2015), this approach helps students express ideas and emotions that are difficult to articulate or assess. Prior research indicates that photo-elicitation supports empathy, critical thinking, and self-awareness through learning experiences such as aging (Chonody, 2018), community health (Cooper et al., 2017), and academic challenges (Steenfeldt et al., 2019). …

Deltoid Intramuscular Injections: A State-Of-The-Art Review Of The Evidence On Landmarking, Mary Lou Batty, Lily Glazier, Marilyn J. Hodgins

International Nursing Research Congress (INRC)

During this time of rapid and significant advancements in our knowledge base and practice, it is easy to overlook that which is viewed as fundamental, such as the procedure for administering a deltoid intramuscular (IM) injection. Most fundamental nursing textbooks include a section outlining this procedure; a section which has remained largely unchanged over time. The knowledge base underpinning this procedure warrants re-examination due to increasing use of the deltoid for administration of medications to prevent and manage chronic diseases as well as increasing reports of debilitation and long-lasting physical and functional impairment following injury to underlying anatomical structures (MacKenzie …

Knowledge, Burden, And Experiences Of Peg Caregivers In Türkiye: A Mixed-Methods Study, Hande Nur Arslan, Sevilay Senol Celik

International Nursing Research Congress (INRC)

This study examined knowledge levels, caregiving burden, and lived experiences of family caregivers providing percutaneous endoscopic gastrostomy (PEG) care in Türkiye using a convergent parallel mixed-methods design. Family caregivers play a critical role in PEG management; however, limited formal home-care infrastructure and strong familial norms intensify their responsibilities and increasing burden. Twenty-eight caregivers from a university hospital (March–June 2025) completed the PEG Care Knowledge Assessment and semi-structured interviews. Quantitative results showed a mean knowledge score of 15.50±5.64 (55.3% accuracy), with 46.4% demonstrating low knowledge. The average burden was 49.18±15.43, which means it was moderate to severe. Stepwise regression (p< 0.001) identified PEG knowledge, caregiver age, weekly care hours, relationship closeness, household size, patient age, and comorbidities as significant predictors.

Qualitative …

Enhancing Nursing Narrative Interoperability: Omop-Cdm Representation Of Concern Features, Sujin Gan, Rae Woong Park, Youngjin Lee

International Nursing Research Congress (INRC)

Purpose: This study aims to standardize inpatient nursing narratives by mapping their semantic units to CONCERN features and implementing a structured, interoperable representation of nursing documentation within the OMOP-CDM.

Background: Nursing narratives capture nuanced assessments, clinical reasoning, and early signs of deterioration, yet remain unstructured and inconsistently represented across institutions, limiting interoperability and secondary use. The OMOP Common Data Model (CDM) provides a standardized framework for harmonizing clinical data, but nursing documentation has not been systematically incorporated. The CONCERN framework, developed to identify early deterioration signals from narrative nursing data, offers an appropriate conceptual basis. This study adopted CONCERN features …

Cells And Networks In Flux: Rethinking Ontogenesis And Pathogenesis, Mark L. Tykocinski

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Organ and tissue functions emerge from the coordinated activity of cell networks. Therapeutics that act on pathogenic cell networks, modulating their cellular interplay, follow naturally. Over several decades, our laboratory has developed a series of approaches for rewiring cell networks, culminating in a class of cell surface-directed signal converter proteins (SCPs) that do so by modulating juxtacrine and autocrine signaling in and among their nodal cells. A first such SCP has now produced encouraging clinical data for cancer immunotherapy. Yet, these early network-directed fusion proteins rest on a deliberately simplified picture: discrete end-cell types plugged into graphically tractable networks. That …

Building And Sustaining Foundations That Ground The Faithful: Helping Young Adults Stay Connected To Faith And The Church, Abe Thompson

Doctoral Dissertations and Projects

Today’s prevailing cultural philosophy is lost in a malaise of confusion and deception. Children and young adults from Christian homes and churches are being lured by these deceptions. Even churched students and graduates from Christian schools (like Colorado Springs Christian School) are hemorrhaging from the body of Christ at unacceptable levels. This DMin thesis project report demonstrates that, on a continuum of touchpoints in the spiritual formation journey, Camp Elim staff and Gap Year programs are an effective model for those seeking to restore young adults, ages eighteen to twenty-nine, to fulfilling, rich, and committed involvement in the body of …

Exploring Challenges To Implementing Restorative Justice Processes Among Law Enforcement Officers In Anambra State, Nigeria, Hamilton E. Okeke

Doctoral Dissertations and Projects

This transcendental phenomenological study explored the essence of law enforcement officers’ lived experiences of implementing Restorative Justice processes and the challenges associated with their implementation within Anambra State’s criminal justice system. Restorative justice was introduced into Nigeria’s criminal justice system through the 2015 Administration of Criminal Justice Act (ACJA) and domesticated in Anambra State through the Administration of Criminal Justice Law (ACJL) in 2022, introducing non-custodial and restorative alternatives within a predominantly retributive system. Despite growing attention to implementation challenges, little is known about how law enforcement officers experience and make sense of Restorative Justice within the state’s criminal justice …

Mobilizing The Church For Whole-Person Transformation In Addiction And Mental Health Recovery, Jacqueline A. Gillespie

Doctoral Dissertations and Projects

Individuals experiencing chronic addiction or mental health conditions are often separated from the broader church community and placed into isolated treatment programs, creating a disconnect between recovery efforts and long-term spiritual formation (Amos, 2023). Many churches that emphasize deliverance struggle to provide sustained discipleship, while congregations grounded in spiritual growth frequently lack the skills and structures needed to serve highly vulnerable populations. This mixed–methods study will explore how the local church can be mobilized to offer whole-person transformation for individuals affected by addiction and mental health challenges. Guided by the biblical vision of ongoing spiritual renewal—“being transformed into the same …

A Hermeneutic Phenomenological Study Of A Principal’S Instructional Leadership: Cultivating And Increasing Meaningful Teacher Collaboration, Allen Cleon Craine Jr.

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the lived instructional leadership experiences of urban middle school principals who attempt to cultivate and increase meaningful teacher collaboration at a school district in Northeast Georgia. The theory guiding this study is Vygotsky’s sociocultural theory, which describes the work school principals perform to cultivate and increase meaningful teacher collaboration and serves as a blueprint for improving instruction through the collective efforts of educators. The central question of the research is: What are the lived instructional leadership experiences of urban middle school principals who attempt to cultivate and increase meaningful teacher …

Exploring Resilience And Religion’S Influence On Addiction Recovery: A Qualitative Phenomenological Study, Nicole Mason-Dye

Doctoral Dissertations and Projects

Substance use disorder (SUD) continues to be a pressing public health crisis in the United States, marked by complex mental, physical, and spiritual consequences. While evidence-based treatments are well developed, relapse rates remain high, highlighting the need for integrative models that incorporate spiritual and psychological resilience. This qualitative transcendental phenomenological study described individuals recovering from SUDs’ experiences sustaining long-term sobriety in the Southeastern United States within a 100-mile radius of a metropolitan city as well as understand how spirituality and resilience interact to sustain sobriety and encourage personal transformation. Guided by resilience theory and framed within a constructivist-phenomenological paradigm, the …

A Qualitative Study Of Social Presence Theory In Organizational Communication With Online Adjunct Sense Of Belonging, Sheri Lemon

Doctoral Dissertations and Projects

This qualitative study addressed the challenges of geographically dispersed online adjunct faculty feelings of isolation and sense of belonging. The purpose of this qualitative was to explore how online adjunct faculty experience a sense of belonging within their institutions and how organizational leadership communication practices, interpreted through social presence theory, shape those experiences. Guided by Short, Williams, and Christie's (1976) social presence theory and Craig’s (1999) sociopsychological tradition, this research explored the lived experiences of online instructors and the specific communicative behaviors that influence their connection to their institutions. Data was collected through semi-structured interviews with twenty online adjunct faculty …

Sovereign Borders: John’S Deuteronomic Framework For Israel And The Nations In The Apokalypsis, Kevin W. Mullen

Doctoral Dissertations and Projects

This dissertation concludes that John’s imagery of Israel and the nations in the Apokalypsis is distinctly shaped by his interpretation and incorporation of Deuteronomic theology. It employs a canonical and intertextual approach to inductively argue that Deuteronomy presents three pillars, or roles, for biblical nationhood: (1) objects of and instruments for divine judgment, (2) custodians to restrain evil, and (3) revelations of God’s sovereignty. These three Deuteronomic pillars establish the foundation for biblical nationhood and are expressed by John throughout his Apokalypsis. Moreover, this dissertation concludes that John’s imagery for the nations is due to his reliance upon the Deuteronomic …

Tracing God’S Plan To Restore Eden In Biblical Theology: The Edenic Restoration Of Man And The Land, Jared Crossno

Doctoral Dissertations and Projects

This study is characterized by the assertion that the restoration of the earth is inextricably linked to the restoration of humanity and that the biblical narrative consistently portrays these realities as interdependent. By defining the restoration of Eden as both an eschatological hope and a present process, biblical theology is advanced in three ways. First, there will be a clarification of the canonical trajectory from Eden to the new creation. Second, soteriology will be reframed to a holistic perspective, rather than an anthropocentric one. Finally, there will be an emphasis on the ethical implications of God's mission to renew humanity …

School Counselor Morale: A Phenomenological Study On School Counselor Morale In The Post-Pandemic Era, Courtney J. Spradlin

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to understand the patterns of school counselors morale for K-12 public school counselors in Metro Atlanta. The theory guiding this study is phenomenological theory founded by Edmund Hesserl as it explains the philosophy behind lived experiences of people. These lived experiences can include: day to day experiences, trauma, life-changing events. Specifically, for this study this theory supports studying the lived experiences of school counselors in their day to day roles. The following questions are addressed in this study: How has school counseling changed since the pandemic? What is the current level of job …

Learner-Centered Pedagogies In A Secondary Choral Classroom, Bobby Matthew Reidling

Doctoral Dissertations and Projects

The purpose of this research is to develop practice-informed recommendations for integrating learner-centered pedagogical approaches within secondary choral education. Secondary choral instruction has generally been organized around teacher-centered rehearsal models in which teachers retain primary responsibility for musical and instructional decision-making. While teacher-centered approaches remain widely used, learner-centered models described in broader educational literature have been less frequently examined in ensemble-based choral contexts, particularly regarding their alignment with the collaborative nature of choral instruction. This study is guided by the following research question: How can learner-centered pedagogical approaches be integrated into secondary choral classrooms to support student participation, engagement, and …

Understanding Relapse And The Correlation With Group Counseling Accountability, Attendance, And Attitudes, Willie Sanders

Walden Dissertations and Doctoral Studies

Substance abuse continues to create significant personal, family, and legal challenges, yet limited research exists on mandated clients receiving counseling within rural municipal court systems. Studying factors associated with relapse allows counselors and counselor educators to develop interventions to prevent relapse and improve treatment outcomes. The purpose of this quantitative study was to investigate the relationship between group counseling attributes of attendance, accountability, attitudes and the level of relapse rates among rural municipal court clients in Columbus, Mississippi, as measured by the DEF, Subtle, Face Valid Alcohol, Face Valid Other Drugs, and the OAT Scales of the SASSI-4 Assessment. Theoretical …

The Incarnational And Christological Link Of The Servant In Isaiah 52:13–53:12 And Philippians 2:5–11, Heather Green

Doctoral Dissertations and Projects

There is much written about the Suffering Servant passage in Isaiah and the Christ Hymn in Philippians. This dissertation examines the incarnational and Christological relationship between the Suffering Servant of Isaiah 52:13–53:12 and the Christ Hymn of Philippians 2:5–11. The common themes in both passages are incarnation, humiliation, obedient suffering, substitutionary atonement, exaltation, and divine vindication. This study also evaluates major scholarly interpretations regarding the identity of the Servant in Isaiah and the extent to which Paul intentionally appropriates Isaianic servant imagery in Philippians 2. While acknowledging the influence of Isaiah 45:23 on Philippians 2:9–11, this dissertation argues that Isaiah …

The Revelation Of The Pre-Incarnate Christ: A Canonical Exposition Of The Gospel Of John And The Old Testament Witness In Fulfilling God’S Eschatological Promises, Robert R. Coon Sr.

Doctoral Dissertations and Projects

This dissertation researches how the Gospel of John presents Jesus Christ as the eternally pre-existent and ontologically divine Logos, fulfilling Israel’s scriptural patterns of divine presence, revelation, and glory. Employing a canonical-critical and prosopological approach, the study demonstrates that John’s Christology is best understood as the culmination of Old Testament theophanic witness rather than as a later theological innovation. Through focused exegesis of the Prologue, key theophanic texts, and the Gospel narrative, this work argues that the Logos is not merely a functional agent or literary symbol, but the personal subject in whom God’s self-disclosure reaches its historical and eschatological …

Percolation-Induced Thermo-Rheological Transitions In Biobased Graphene Nanoplatelet Nanofluids, Abiodun A. Saka, Tobechukwu K. Abor, Anthony C. Okafor, Monday U. Okoronkwo

Mechanical and Aerospace Engineering Faculty Research & Creative Works

Biobased lubricants with thermally responsive rheology are increasingly needed for high-efficiency mechanical systems. Graphene nanoplatelet (GnP) nanofluids in vegetable oils are promising candidates, yet their percolation-driven thermo-rheological transitions remain insufficiently understood. In particular, the coupled concentration–temperature landscape controlling network-mediated flow transitions has not previously been established. Here, surfactant-free GnP nanofluids were prepared in high-oleic soybean oil (HOSO) at concentrations of 0.025–2.15% v/v (ϕ), and their rheological response was mapped between 25°C and 80 °C under steady-shear and oscillatory conditions. Below the percolation threshold (ɸ ≤ 0.1% v/v), the nanofluids exhibit near-Newtonian behavior, moderate reversible viscosity enhancement, and classical Arrhenius-type temperature …

Explainable Ai Framework For Stage-Specific Drug Doses Prediction In Chronic Kidney Disease: A Multi-Algorithm Comparison With Adverse Event Prediction, Saeful Amri, Satriya Pranata, Dwi Purnomo Putro, Wawan Kurniawan

Polytechnic Journal

Chronic Kidney Disease (CKD) affects medication dose safety due to altered pharmacokinetics. Current clinical decision support systems lack stage-specific personalization and explainability. Therefore, this study aimed to identify the appropriate medications and doses for chronic kidney disease using machine learning algorithms by comparing the methods. This study is divided into two phases. Phase 1 involves a literature review that compares four classification techniques for predicting drug prescriptions for individuals with kidney disease. After a screening and evidence evaluation process, 12 papers were selected for analysis. From the 12 studies, the types of analysis methods obtained were Decision Tree, K-Nearest Neighbour …

Normative Dualism And Parallel Institution-Building: The Case Of International Commercial Dispute Prevention And Settlement Organization (Icdpaso), Kun Fan, Xiaolei Han

International Law Journal

As China rises as a global power, it confronts an international legal order historically shaped by Western actors. In response, China has adopted a dual strategy: engaging with existing institutions while building “parallel institutions” to advance its influence. This paper examines the International Commercial Dispute Prevention and Settlement Organization (ICDPASO) as a case study of this strategy and analyzes how China seeks to reshape international dispute resolution. Drawing on original empirical data—including 85 interviews with arbitrators, users, officials, and legal experts—this paper provides the first comprehensive analysis of ICDPASO’s strategic motivations, governance model, dispute resolution mechanisms, and user perceptions. We …

Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu

Walden Dissertations and Doctoral Studies

The utilization of substance use disorder (SUD) screening tools at the practice site was inconsistent, contributing to limited identification and diagnosis of SUDs. The project was conducted at a psychiatric outpatient clinic in an urban region of Maryland that serves many patients with co-occurring mental health and substance use disorders. The purpose of the project was to develop, implement, and evaluate a staff education program focused on the Drug Abuse Screening Test (DAST-10). The primary goal was to improve staff knowledge and understanding of the DAST-10 screening tool. A 14-item multiple-choice questionnaire was administered before and after the educational intervention …

Licensed Counselors’ Meaning-Making Of Debriefing Experiences Following Client Crises In Community Mental Health Centers, Donna Howard

Walden Dissertations and Doctoral Studies

Licensed professional counselors working in community mental health centers (CMHCs) frequently respond to client crises; however, little was known about how they understand and make meaning of debriefing following those events. The purpose of this qualitative interpretative phenomenological analysis (IPA) study was to explore counselors’ meaning-making of debriefing following client crises in CMHCs. Guided by IPA and grounded in phenomenology and hermeneutics, data were collected through semistructured interviews with five licensed professional counselors who had at least 5 years of CMHC experience, participated in postcrisis debriefing, and graduated from programs accredited by the Council for the Accreditation of Counseling and …

Enhancing Cybersecurity With Explainable Artificial Intelligence: Technical Framework And Applications In Training Labs, Ahmad Almufarreh, Ashfaq Ahmad, Muhammad Arshad, Choo Wou Onn, Yegon Michael Kiplangat

Research Outputs: 2025-Present

Cyberattacks are growing in complexity, and machine-learning-based intrusion detection systems (IDS) are increasingly adopted to support scalable threat monitoring. However, high-performing models can be operationally difficult to deploy when their decisions are not interpretable or auditable. This paper studies explainability as a decision-support component in an IDS workflow rather than as a purely visual add-on. Using the UNSW-NB15 benchmark, we compare three widely used classifiers—Random Forest (RF), Decision Tree (DT), and Support Vector Machine (SVM)—and then analyse the strongest performer (RF) with post-hoc explainability tools: Local Interpretable Model-Agnostic Explanations (LIME) and Shapley Additive Explanations (SHAP). RF achieved 95.3% accuracy (precision …

Post-Pandemic Telebehavioral Health: Sustaining And Regulating Remote Mental Health Care As A Core Modality, Weiqiao Dong

Dartmouth College Master’s Theses

The United States continues to face a persistent mental health crisis after the COVID-19 pandemic, raising a policy question about the long-term role and regulation of telebehavioral health as a core modality of care. This thesis examines that question through a case study of New York State, an early center of the pandemic and a leader in telehealth policy reform.

Guided by the Health Policy Triangle framework, this thesis integrates longitudinal data from all 62 New York counties for 2010-2025 with a 2025 cross-sectional dataset covering 61 counties. Seventeen standardized indicators are organized into four dimensions: geographic, economic, demographic, and …

Amyloid-Related Imaging Abnormalities Summit Special Proceedings: Cardiovascular And Stroke Considerations For Β-Amyloid Immunotherapy In Alzheimer Disease., Steven M Greenberg, Costantino Iadecola, Sherry H-Y Chou, Petrice M Cogswell, Mitchell S V Elkind, William J Hicks, Caitlin Le, Deborah A Levine, Richard Lipton, Lauren Massimo, Stephanie M Mohl, Sudha Seshadri, Heather M Snyder, Kristine Yaffe, Kori S Zachrison, Aria Summit Working Group

Neuroscience Articles

BACKGROUND: New antiamyloid therapies (AAT) for treating patients with early Alzheimer disease (AD) have become available in the past 3 years. Although AAT can be beneficial in slowing progression of AD, they also come with potentially serious side effects, particularly for patients requiring anticoagulation or thrombolysis for cardiovascular conditions. Given that most patients with AD are older and likely to have cardiovascular risk factors, there is urgent need for additional guidance for clinicians about potential risks and benefits associated with AAT for patients with cardiovascular comorbidities, best practices for management of these patients, and special considerations with respect to emergency …

It Takes Two To Tango. Capital Constraints And Bank Lending In Poland, Marcin Czaplicki

Journal of Banking and Financial Economics

The implementation of post-crisis (Basel III) capital requirements in 2015, followed by the introduction of the banking tax in 2016, marked a turning point for the loan-to-GDP ratio in Poland. Since Q4 2015, this ratio has declined by almost one-third, while the ratio of banks’ assets to GDP has remained relatively stable. However, the composition of bank assets has shifted – from corporate lending toward an increased share of sovereign bonds and retail loans, particularly mortgages.

This article explores the key drivers behind this structural shift. Using a combination of qualitative insights and quantitative analysis – including dynamic panel data …

Entire Volume Journal Of Banking And Financial Economics 2026, 1(25)

Journal of Banking and Financial Economics

Entire Volume Journal of Banking and Financial Economics 2026, 1(25)

Learning With Children’S Designs Of Treescapes: Co-Designing For The Present And The Future, K Pahl, S Ambreen, K Badwan, S.K. Dhaliwal, K Jones, P Kraftl, C Rishbeth, Jennifer Rowntree

School of Biological and Marine Sciences

his article explores what happens when children and young people are supported to co-design a treescape. The team presents a case where children were involved in treescape design within a primary (elementary) school in the UK. By “treescape”, we mean any landscape with a tree in it, but in the context of this case, we mean a small, wooded area. This article sees children as active and competent, and explores what happens when children’s treescape designs are taken seriously. This article explores the design process from a variety of perspectives, including the children themselves, a number of adults including a …

Flexible Power Point Tracking For Active Frequency Regulation In Grid-Connected Photovoltaic Power Plants, Castor K. Haule, Sophia D. Kigodi, Emmanuel S. Matee, Francis Mwasilu

Tanzania Journal of Science

The increasing penetration of photovoltaic (PV) systems into modern power grids necessitates advanced control strategies capable of supporting grid stability. Traditional PV systems rely on Maximum Power Point Tracking (MPPT) to maximize energy extraction, limiting their ability to participate in grid-support functions such as frequency regulation or power curtailment. This paper presents a flexible power point tracking (FPPT) control strategy that enables PV systems to operate at arbitrary points along the power–voltage (P–V) curve. A multi-mode power management scheme is proposed, integrating conventional Perturb and Observe (P&O) MPPT with FPPT, allowing the system to switch dynamically between energy maximization and …