Supporting Families Of Children With Craniosynostosis: A Qualitative Exploration Of Parental Usage Of Online Forums, Elisha L. Rea, Rachel M. Roberts, Amanda J. Osborn

Patient Experience Journal

Objective: Craniosynostosis is characterised by the early fusion of cranial sutures, resulting in an abnormal head shape. This study examines the psychosocial impact of a child's craniosynostosis diagnosis on families, by analysing online forum discussions. While surgery is often needed to address appearance-related and neuropsychological concerns, parents face challenges navigating their child's diagnosis. Many seek support through online forums, yet research on their experiences remains limited. This study aims to understand parental needs and experiences by analysing forum discussions. Method: Online forums were analysed using reflexive thematic analysis. Significant features of the data were systematically coded and themes reflecting …

Validation Of A Copd Patient-Reported Experience Measure (Prem-C9) In Ontario, Canada, Elaine Zibrowski, Floriana Islami, Alyson Kellar, Christopher Licskai, Madonna Ferrone, Shannon L. Sibbald

Patient Experience Journal

Objective: Patient-reported experience measures (PREM) are important tools for evaluating healthcare quality, yet their implementation in chronic obstructive pulmonary disease (COPD) care within Canada remains limited. Our objective was to examine the construct validity of the PREM-C9 instrument in a Canadian context and explore its potential clinical applications beyond measuring patient experience. Methods: A two-phase, prospective, cross-sectional, mixed-methods study was conducted across 41 Best Care COPD sites in Ontario, Canada. In the quantitative phase, confirmatory factor analysis assessed the construct validity of the PREM-C9. In the qualitative phase, focus group interviews with COPD case managers explored implementation experiences and perceived …

A Study To Assess Prom And Prem Of Cld Patients In A Tertiary Care Hospital, Anagha Nandakumar, Rubasree M, Priya Nair, Dr. Dinesh Nair, Krishnapriya S

Patient Experience Journal

Chronic liver disease (CLD) leads to progressive liver dysfunction, significantly affecting patients quality of life (QOL). Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are critical in evaluating the health status and care experiences of CLD patients. This study aimed to assess the impact of PROMs and PREMs in CLD patients undergoing endoscopic procedures. A prospective study was conducted in the Gastroenterology and Hepatology Department over three months, involving 245 CLD patients (160 inpatients and 85 outpatients). PROMs were assessed using the Liver-specific PROM (LC PROM), which focused on daily living, symptom management, psychological well-being, and treatment effectiveness. PREMs …

Patient-Centered Care To Improve Recruitment And Retention In Clinical Trials: Insights From A Real-Time Interview-Based Satisfaction Study, Christina Zhuang, Aishwarya Prasad, Anshu Arora, Arun Arora, Jeena Vaid, Wisam Aljumaili, Arif Khan

Patient Experience Journal

Patient-centered care is increasingly recognized as essential for understanding participant expectations and generating more accurate and reliable clinical trial results. This study aimed to evaluate an interview-based feedback tool designed to provide a comprehensive assessment of patient experience at a free standing high-enrolling clinical site in the Pacific Northwest. The primary objectives were to identify strengths and weaknesses in current procedures, enhance recruitment and retention, and develop a model adaptable to other sites. A structured interview tool was independently developed based on literature supporting the integration of qualitative and quantitative feedback to capture a multidimensional view of patient experience. The …

Cartoon-Printed Uniforms: A Strategy To Ease Pediatric Hospital Anxiety, Karnellya R. Ohol, Janaki P. Shinde

Patient Experience Journal

This quasi-experimental study evaluated the effectiveness of cartoon-printed nurse uniforms in reducing anxiety among hospitalized children aged 3–12 years. Conducted at a tertiary care hospital in Maharashtra, India, the study included 100 participants (50 intervention, 50 control) who received care from nurses wearing either cartoon-printed uniforms or traditional clinical attire. Anxiety was assessed at baseline and on hospital days 2, 3, and 4 using validated age-appropriate scales: the modified Faces Anxiety Scale (ages 3–6) and the STAI-C short form (ages 7–12). Mixed-effects repeated-measures ANOVA demonstrated a significant group × time interaction (F(3,294) = 42.67, p < .001, partial η² = .304). Children cared for by nurses in cartoon uniforms showed a 48.8% reduction in anxiety compared to 14.7% in controls. Between-group effect sizes increased progressively across days (d = 0.87 to 2.13), indicating cumulative benefit rather than transient novelty. Clinically meaningful improvement (≥30% reduction) was achieved by 76% of intervention participants versus 24% of controls (NNT = 1.92). Staff acceptability was high (95%). Findings indicate that cartoon-printed uniforms are a simple, low-cost, high-impact environmental intervention that significantly enhances pediatric patient experience. Their strong clinical utility, ease of implementation, and alignment with child-centered care principles support adoption across pediatric healthcare settings.

Veteran Emergency Waiting Areas And Turned-Off Televisions: An Overlooked Variable, Randall Vanadisson

Patient Experience Journal

The significance of environmental design in emergency department (ED) waiting areas is increasingly acknowledged as a vital element affecting patient experience and stress levels, especially among veterans who may already encounter heightened psychological susceptibility. Aim: To investigate the impact of a non-operational television (TV) at a veteran's medical center emergency department waiting area on patient behavior, perceived stress, and environmental involvement. Methods: This naturalistic observation study employed non-participatory observation of 19 patients in the waiting area of a Veterans Affairs hospital. Field notes captured behavioral responses, seating patterns, and nonverbal stress cues. Observable engagement with the physical environment, …

The Patient's Lived Experience: A Phenomenological Study On Factors Influencing Tuberculosis Treatment Outcomes In Medan, Indonesia, Erida Novriani, Urip Harahap, Khairunnisa Khairunnisa, Wiryanto Wiryanto

Patient Experience Journal

This qualitative phenomenological study was conducted to analyze the factors influencing tuberculosis (TB) treatment outcomes from the patient's perspective in Medan, North Sumatra, Indonesia. The objective was to uncover the nuanced human factors shaping the patient's treatment journey, moving beyond a sole reliance on statistics and quantitative methods. The research was conducted across all 41 Primary Health Centers (PHCs) in Medan. Through a purposive sampling strategy, data was collected from 22 TB patients via in-depth interviews until data saturation was achieved. The collected data was analyzed using thematic, narrative, and phenomenological approaches to interpret the detailed lived experiences of the …

Applying A Patient Journey Mapping Approach To Understand Maternal Care Patient Journeys: A Pilot Study, Nicole Hicks, Kristin Tully, Christopher Goodier, Sreenath Chalil Madathil, Ayaba Logan, Myrtede Alfred

Patient Experience Journal

Introduction: In the United States, giving birth is the most common cause of hospitalization. Maternal care frequently represents birthing people's first experiences of prolonged interactions with the healthcare system. However, the structure of services is often fragmented and misaligned with individuals' needs, particularly for Black birthing people. Documenting birthing people's experiences during pregnancy and postpartum allows for identification of practices working well and opportunities to improve patient-centered maternal care. Methods: The mixed-methods study was conducted in the southeastern United States and used patient journey mapping(PJM) to document experiences of patients receiving maternal care at a large academic hospital …

No One-Size-Fits-All: Patient Perspectives Of Key Factors Influencing Their Inpatient Rehabilitation Experience, Mirline Milien, Megan Bewernitz, Katherine Stallings, Mary Ellen Young

Patient Experience Journal

Although patient experience in healthcare settings has historically been an ambiguous concept, it has received increasing recognition as a measure of healthcare quality. Despite this growing recognition and efforts to define patient experience, few studies have explored patient perspectives on the key factors driving this quality indicator. This study aimed to explore the core elements patients view as influencing their experiences in the inpatient rehabilitation setting. This was a single-visit, cross-sectional qualitative interview study. Thirteen patients with diverse diagnoses who received at least one week of rehabilitation services were recruited from a single inpatient rehabilitation facility. Purposive sampling was employed …

The Implementation Of Family-Centered Care And Family Satisfaction In Caring For Children With Cancer, Lenny Gannika, Mulyadi Mulyadi, Jeanette Irene Christie Manoppo

Patient Experience Journal

Background: Family-Centered Care (FCC) is an approach that involves families actively in their children's care by emphasizing respect, collaboration, and support. The goal is to increase family satisfaction with the care of children with cancer. FCC covers six subscales: general satisfaction, information, family inclusion, communication, technical skills, and emotional needs. Objective: This study aims to analyze the relationship between implementing FCC and family satisfaction when caring for children with cancer. Methods: A cross-sectional quantitative study was conducted at the Estella Children's Cancer Center in Manado, Indonesia, from June to October 2024. Parents of hospitalized children with cancer were selected for …

Improving Patients' Experience Through Nurturing Care For Patients Undergoing Kidney Biopsies: A Feedback Survey, Molefe Rapalai, Mahmoud Elshehawy, Johann Nicholas, Patrick Anthony Ball, Hana Morrissey

Patient Experience Journal

Background: Renal biopsies are a key tool in diagnosing kidney diseases, providing histopathological insights for personalised treatment plans. Despite their clinical value, little is explored about how patients experience this invasive procedure. Understanding these experiences is important for improving care quality, safety, and ensuring the process is as patient friendly as possible. There is also a lack of research capturing patient experience feedback on renal biopsies, making studies like this essential for guiding service improvement initiatives. Method: Observational study, May 2022 to June 2024. Eighty-six percutaneous renal biopsies performed. Fifty eligible patients invited to complete the Kidney Biopsy Patient Experience …

Capturing Patient-Centered Quality Of Life: Usability And Initial Validation Of The Pediatric Patient-Generated Index Following Esophageal Atresia Repair, Zanib Nafees, Julia Ferreira, Elena Guadagno, Nikki Ow, Nancy Mayo, Jean-Martin Laberge, Dan Poenaru

Patient Experience Journal

The Patient-Generated Index (PGI) is an individualized measure that allows patients to define the domains most important to their quality of life (QoL). This study evaluates the usability and preliminary validity of the pediatric Patient-Generated Index (pPGI) in children who previously underwent esophageal atresia (EA) repair. We conducted a mixed-methods study including the pPGI, EuroQol-5D-Youth (EQ-5D-Y), and PROMIS Life Satisfaction Short Form-8a. Children aged 7–17 years completed self-reports, while parents served as proxies for younger children. Cognitive interviews explored how children understood and completed the pPGI, and clinician interviews assessed clinical usability. Among 25 participants, the pPGI generated 104 text …

Family Perspectives: A Qualitative Examination Of College Athlete Suicide During The Spring 2022 Semester, Elaine M. Anton-Lotruglio, Sophia M. Burke, Kimberly H. Mcmanama O'Brien

Journal of Issues in Intercollegiate Athletics

Objective: Suicide among college athletes remains largely underexplored despite rising rates. This qualitative study aimed to explore family members' perspectives on why their loved ones died by suicide. Participants: The study included family members (N=10) of three college athletes who died by suicide in the spring 2022 semester. Methods: Semi-structured interviews were conducted between March and July 2024. ATLAS.ti and Braun and Clarke's thematic analysis were employed to analyze the data and identify themes. Results: The data revealed three primary themes: factors contributing to the suicide crisis, presence of a suicide crisis, and university crisis response. The themes suggested a …

Beyond The Playing Field: Athletic Identity, Academic Performance, And Career Readiness Among Student-Athletes, Lucy Mcafee, Alexander Traugutt, Caroline J. Ketcham, Eric E. Hall

Journal of Issues in Intercollegiate Athletics

This mixed-methods study examined how athletic participation relates to perceived career readiness development and explored relationships between athletic identity, academic performance, and post-graduation plans among 124 Division I student-athletes (varsity and club) at a private university. Participants completed surveys measuring athletic identity (AIMS), perceived development of NACE Career Readiness competencies, and open-ended questions about how athletics prepared them for future careers. Varsity athletes reported significantly higher perceived development than club athletes across five competencies: professionalism, critical thinking, communication, technology, and career and self-development. Male athletes reported higher perceived development in professionalism, critical thinking, and technology. Athletic identity demonstrated significant positive …

The Make And Model Of A Hero: Training And Transformation In Sundiata:An Epic Of Old Mali, Anna Stowe

Butler Journal of Undergraduate Research

This paper examines Sundiata: An Epic of Old Mali through the lens of the hero’s journey, tracing the boyhood, exile, and transformation of Sundiata as he prepares to restore Mali to peace and prosperity. Leadership is both an individual calling and a communal responsibility; true rulers depend not only on personal strength but also on the support and guidance of others. While in exile, Sundiata receives military, political, and supernatural training, all of which shape his identity as the epic’s hero and equip him to achieve his destiny. These trials mirror the stages of growth and preparation found in scripture. …

Volume 12 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Enhancing Social And Emotional Health In Older Adults Through Dance, Carly Dell

Butler Journal of Undergraduate Research

This research seeks to understand how to adapt to the needs of older adults in dance classes and answer the question, How can a dance curriculum be devised to increase social-emotional connection and well-being for senior adults? Utilizing autoethnographic research methods and qualitative surveys, this study followed residents at the Gracepoint Wellness Facility in Tampa, Florida, as they participated in sixteen weeks of dance classes that utilized Brain Compatible Dance Education methods.

Religious Practices And Spiritual Support In Palliative Medicine, Camille C. Yancey

Butler Journal of Undergraduate Research

Palliative care is a form of healthcare focused on providing pain relief and support to patients facing serious illness. This practice is conducted by a team of healthcare professionals and aims to improve patients’ quality of life in the context of long-term, serious illness. Palliative medicine supports patients with a wide range of diseases, including but not limited to cancer, dementia, stroke, and Parkinson’s disease. It focuses on managing symptoms associated with severe conditions, such as pain, nausea, anxiety, depression, fatigue, and stress (Mayo Clinic, 2024). Catering palliative care to include the patient’s religious and spiritual beliefs would benefit symptom …

Exploring Gender As An Analytical Framework In The 2018-2019 Revolution And Ongoing Civil War: The Role Of Gendered Violence And Sudanese Women's Resistance, Ami John

Butler Journal of Undergraduate Research

This paper will interrogate the intersection of gender, war, and political upheaval within Sudan while focusing on the role of women in both the 2019 resistance and the ongoing conflict and revolution. By the end of 2018, mass protests had called for the ousting of Omar al-Bashir, the long-standing Sudanese president. This event set off a chain reaction which led to events that fueled the long-standing rivalry between the two militant groups that were active in Sudan, the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF). The tension caused by this rivalry created unforeseen circumstances for the local …

Curing Mermaidism: Exploring Disability, Gender And Performativity In The Little Mermaid And Its Adaptation, Sophia M. Shelley

Butler Journal of Undergraduate Research

Fairy tales are a contested space in popular culture, often reinforcing hegemonic gender norms while offering sites of resistance. This paper examines Hans Christian Andersen’s The Little Mermaid (1837) and Disney’s The Little Mermaid (1989) through feminist disability theory to explore how these stories depict the compulsion to perform able-bodiedness and heteronormativity to achieve social belonging. This paper argues that although both versions offer moments of queer and disabled subversion, they ultimately reinforce a cultural fantasy of normative embodiment by positioning mermaids as inherently Other and subhuman. Grounded in the work of scholars such as Rosemarie Garland-Thomson, Judith Butler, and …

Mental Health And Coping Mechanisms Of College Students At Hispanic-Serving Institutions During And After The Covid-19 Pandemic, Denisse J. Aguilar Michel

Butler Journal of Undergraduate Research

In the wake of the COVID-19 pandemic, college students have faced increased mental health issues and heightened stress. Prior studies have shown that Black, Indigenous, and people of color (BIPOC) students, in particular, experienced a disproportionate impact due to the pandemic. While much research has focused on the pandemic’s impact on college students, little is known about its impact on BIPOC college students attending Hispanic-serving institutions (HSIs) during (2019–2022) and after (2024) the COVID-19 pandemic. Given the small sample size, Hispanic versus non-Hispanic analyses were not conducted. This study investigates the perceived impact of the pandemic on students’ mental health …

Aces As A Risk Factor For Behavioral Addictions: A Literature Review, Kyla Smith

Butler Journal of Undergraduate Research

Much like substance use disorder, behavioral addictions have been shown to have an association with adverse childhood experiences (ACEs). This relationship may be mediated by other variables, however, making ACEs a risk factor for behavioral addictions. This literature review includes almost thirty journal articles written in the past 15 years that explore the role of mediators in the relationship between ACEs and behavioral addictions. A significant number of studies investigate the role of mediators with problematic internet use, problematic social media use, and problematic smartphone use, which supports the possibility of ACEs being a risk factor for internet-based behavioral addictions. …

Front Matter And Table Of Contents, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Collegiate Experiences Of Genderqueer And Nonbinary Youth, Angela Clark-Taylor, Alexandra Kay Hicks, Heather Johnson

New York Journal of Student Affairs

This study explores the collegiate experiences of genderqueer and nonbinary students, frequently marginalized in higher education research. While scholarship on transgender students has expanded, it often centers on binary identities, thereby excluding those who identify outside the man-woman dichotomy. This research responds to that gap by asking: What are the experiences of nonbinary students in college? Drawing on in-depth interviews with six genderqueer and nonbinary undergraduate students, the study amplifies their voices to challenge dominant gender norms and essentialist narratives within academic spaces. Participants shared experiences of systemic erasure, invalidation, and microaggressions, as well as the resilience and strategies they …

Toward Healing And Justice: Building Equitable Relationships With Community Archives In El Salvador, Giada Ferrucci, Amanda Oliver, Tom Belton, Fernando Chacon

Journal of Contemporary Archival Studies

The article examines an archival component of a larger research initiative. Surviving Memory in Postwar El Salvador is a multidisciplinary, cross-sector partnership. The overall methodology of the project is participatory and survivor-centered. It aims to document and commemorate the history of the Salvadoran Civil War (1980-1992) and prevent future violence. The component of the Surviving Memory partnership the authors describe in this article elucidates the crucial importance of community archival practices undertaken to support memory, healing, and justice in El Salvador. The authors are co-investigators and collaborators who have supported the work of community archivists in El Salvador through a …

The Fall Of France And Public Opinion During The 1940 United States Presidential Election, Ethan Moyer

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

This article argues that the fall of France in 1940 triggered a profound shift in American public opinion, weakening long‑standing isolationist attitudes and creating fertile ground for Franklin Roosevelt’s internationalist agenda. Drawing on contemporary polling and political developments, it shows how period effects, elite signaling, and coordinated media messaging converged to move the United States toward greater engagement in global security. Ultimately, the study demonstrates how Roosevelt leveraged both crisis and persuasion to redefine the boundaries of mainstream foreign policy in the 1940 election cycle.

From Superstition To Stability: Hobbes On Religion And Political Order, Erin Schulz

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

In this article, the author argues that Hobbes treats religion as a profound political problem because its psychological origins, susceptibility to manipulation, and competing claims to authority can fracture obedience and destabilize the commonwealth. Through a systematic reinterpretation of miracles, prophecy, spirits, and Scripture, Hobbes strips religious authorities of independent power and places all public religious meaning under the sovereign’s control. The paper concludes that Hobbes does not abolish religion but domesticates it, transforming faith into a politically safe instrument that reinforces unity, obedience, and civil peace.

Can Counterterrorism Be Taken Too Far?, Charles Tracy

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

The article evaluates three major counterterrorism tools—surveillance, torture, and drone warfare—through the lens of Just War Theory, arguing that each raises distinct ethical and strategic dilemmas. It concludes that surveillance can be morally permissible when tightly regulated, torture is indefensible both legally and morally, and drone strikes are conditionally ethical only under strict oversight that minimizes civilian harm and ensures accountability. Overall, the paper contends that effective counterterrorism is possible without abandoning human rights, but only when transparency, proportionality, and legal constraints guide state action.

Artificial Intelligence For Customer Relationship Management In The Nigerian Commercial Banking Sector, David Tobi Akobe, Wallace Chigona, Laban Bagui

The African Journal of Information Systems

The continuous increase in the volume of customer data stored by commercial banks necessitates the use of artificial intelligence (AI) technologies to enhance customer retention and satisfaction. While a few Nigerian commercial banks do currently leverage these technologies, a significant knowledge gap limits their use across the wider Nigerian commercial banking sector. Guided by Organizational Information Processing (OIP) theory, we carried out a multiple case study to explore how AI technologies were utilized in three commercial banks in Nigeria. Purposive sampling was used to select experienced data professionals employed by these banks and semi-structured interviews were conducted to collect data. …

Prevalence Of Medication Prescription Patterns For Iraqi Outpatients Visiting Otolaryngology Clinics, Mirna. K. Faiq

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Objectives: To assess the prevalence of drug use patterns among ENT outpatient settings in Kirkuk, Iraq. Methods: This retrospective observational study was conducted in Kirkuk, Iraq, involving the collection of data from the e-Prescribing system and the review of written prescriptions, including 582 outpatient records from ENT clinics, from January 2024 to December 2024. Results: Most patients were below 20yr age (18.73%), with a male predominance (57%). Ear-related complaints like otitis media were the most frequent (35.22%). The average number of drugs per prescription was 2.82. The percentage of prescriptions in which an antibiotic was prescribed was 84.7%. The percentage …