Digital Commons Network^™

Resilience, Social Support, And Burnout: Building Healthy Work Environments For Emergency Nurses, Timothy R. Burns

Creating Healthy Work Environments (CHWE)

Background: Emergency department (ED) nurses work in high-stakes environments that increase exposure to stress, trauma, and burnout. Identifying protective factors that strengthen well-being is essential to building and sustaining healthy work environments.

Purpose: This study examined how years of experience, social support, and resilience influence burnout, secondary traumatic stress, and compassion satisfaction among ED nurses across the United States.

Methods: A cross-sectional design was used. Participants completed a demographic form, the Professional Quality of Life Scale (ProQOL), the Connor–Davidson Resilience Scale (CD-RISC), and the Lubben Social Network Scale. Data were analyzed using multiple and hierarchical regression to identify predictive relationships …

Quality Improvement Project: Impacting Staff Confidence In Recognizing Hiv Medication Adherence, Joy Nwansi-Iro

Doctor of Nursing Practice Projects

Medication adherence to antiretroviral therapy is essential for viral suppression and improved outcomes among individuals living with human immunodeficiency virus (HIV). Despite advances in treatment, healthcare providers lack confidence in recognizing medication adherence challenges and implementing appropriate interventions. Evidence suggests that provider education using standardized adherence assessment tools improves adherence monitoring and clinical decision-making. The purpose of this quality improvement project is to evaluate whether an educational intervention and a standardized workflow using the CASE Adherence Index would impact healthcare staff confidence in recognizing HIV medication adherence. Lewin’s Change Theory guided the project through the stages of unfreezing, change, and …

Quality Improvement Project: Enhancing Staff Delivery Of Non-Pharmacological Interventions In Serious Mental Illness Care, Kimberly Vann

Doctor of Nursing Practice Projects

Serious mental illness places a significant burden on global healthcare systems, increasing hospital utilization and critically impairing patients' functional status. Often crippling, these illnesses are mostly treated with medication therapy despite proven research to show effective outcomes with holistic and non-pharmacological therapies. Non-pharmacological interventions (NPIs) are often underutilized in outpatient mental health settings. The purpose of this quality improvement project was to determine whether structured training impacted staff confidence in delivering NPIs and impacted documentation frequency in the electronic health record (EHR). The project was guided by the Iowa Model of Evidence-Based Practice and implemented using the Plan-Do-Study-Act (PDSA) cycle, …

Quality Improvement Project Bridging The Gap In Scholarly Productivity: An Educational Workshop For Tenure-Track Nursing Faculty, Britney Thorne

Doctor of Nursing Practice Projects

Tenure-track nursing faculty often balance teaching, service, and scholarship responsibilities, which can be overwhelming when promotion and tenure expectations are unclear or insufficiently supported. At a historically Black university, a school of nursing identified gaps in scholarly productivity and limited guidance for early-career faculty, highlighting the need for structured support. Guided by Knowles’ Adult Learning Theory and Lewin’s Change Theory, this Doctor of Nursing Practice (DNP) quality improvement project examined whether structured faculty development workshops could improve faculty knowledge of scholarly productivity, engagement in scholarly activities, and perceptions of tenure and promotion expectations. A quasi-experimental pre-post design was implemented over …

Assessing The Feasibility Of Integrating Occupational Therapy Services Within A Pediatric Primary Care Setting For Children 0-3 Years Old., Amanda L. Wilbert, Cristina Dumitrescu, Kim Karr

Post Professional Occupational Therapy Doctoral (PPOTD) Student Capstone Projects

The objective of this capstone project was to assess the feasibility of implementing occupational therapy (OT) services within a pediatric primary care office using a manualized service delivery approach. Occupational therapy is inherently grounded in parent coaching and education, positioning the profession to play a critical role in supporting families and promoting early identification of developmental risk. This project aimed to address a documented gap in the inclusion of OT within pediatric primary care by exploring how OT services can support parenting skills and monitor children identified as at risk for developmental, behavioral, or psychosocial concerns. The project was conducted …

Associations Between Smoking Habits And Weight-Related Behaviors Among People Who Smoke In The United Arab Emirates: A Cross-Sectional Study, Sharifa Alblooshi, Maryam Hassan Dawood, Dana N. Abdelrahim, Marika Lo Monaco, Falak Zeb

All Works

Background: Smoking is one of the leading global public health problems, and is complicated by multiple reasons for its prevalence and associated health problems. An understanding of the influence of smoking activity on weight management is essential to formulate successful health programs. Aim: The objective of the present study was the investigation of the association between smoking habits and weight management among adult people who smoke in the UAE. Methods: A cross-sectional study was conducted with 232 participants who completed a 36-item questionnaire assessing their smoking habits and weight management practices. Results: The sample consisted mostly of males (75.4%) aged …

Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins

Walden Dissertations and Doctoral Studies

Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …

Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins

Walden Dissertations and Doctoral Studies

Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …

Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth

Walden Dissertations and Doctoral Studies

Despite organizational policy and access to physical activity facilities, the U.S. Department of Defense has observed an increase in the prevalence of service members classified as overweight or obese. Guided by the social-ecological model, this quantitative study investigated the work-related exercise determinants within the U.S. military community. Voluntarily recruited current and former service members from Stars and Stripes completed the Office Exercise Behavior Determinant Scale and the International Physical Activity Questionnaire, along with demographic and biometric questions, to identify physical activity behavior and potential barriers. Findings revealed statistical significance related to exercise duration and military variables (e.g., occupation, race/ethnicity), as …

Academic Senate - Agenda, 04/28/2026, Academic Senate

Academic Senate Agendas

No abstract provided.

Improving Undergraduate Nursing Student Self-Care Agency With The Moodfit App, Sarah C. Young, Susan Patton

Creating Healthy Work Environments (CHWE)

The prevalence of nursing burnout syndrome is estimated to range from 14 to 38% (Ge et al., 2023); North America has the highest rate at 38%. Two systematic reviews and meta-analyses found the global prevalence of burnout syndrome in nursing students ranging from 23 to 35% (Kong et al., 2023, Hernandez-Mariano et al., 2024). Arian and colleagues (2023) found student nurse burnout positively correlates with academic semester. As students progress through each term, burnout risk increases.

The American Association of Colleges of Nursing (2021) includes the demonstration of “…healthy, self-care behaviors that promote wellness and resiliency” (p.53) as an essential …

Exploring The Perspectives Of Nurse Leaders On Motivational Interviewing For Workplace Well-Being, Quinais S. Yu

Creating Healthy Work Environments (CHWE)

Background: Nurse leaders face challenges in supporting staff well-being while managing their own, and effective communication is crucial.

Aim: This study explored nurse leaders' perceptions of factors influencing well-being, challenges they face, the impact of Motivational Interviewing skills, and their training needs in MI.

Methodology: Employing a qualitative, exploratory design, the study gathered insights from nurse leaders in Hong Kong clinical settings through individual semi-structured interviews, analyzed using thematic analysis.

Key Findings: Nurse leaders perceive MI as a valuable tool for effective communication and addressing staff ambivalence towards self-care. They emphasized the need for improved work environments, work-life balance, career …

Factors Influencing Healthy Work Environments For Hospital-Based Nurse Practitioners In The U.S., Hyunmin Yu, Kathryn A. Connell, Sarah Delgado, Heather Brom, J. Margo Brooks Carthon, Amanda Bettencourt, Corinna Sicoutris, Deena Kelly Costa, Vicki Good, Matthew D. Mchugh

Creating Healthy Work Environments (CHWE)

Background: Nurse practitioners (NPs) are a rapidly growing segment of the U.S. healthcare workforce^1,2 and are increasingly integral to patient care in hospital settings.^3,4 Despite their expanding roles,⁵ little is known about the work environment factors that affect their well-being in hospital settings.⁶ This study aims to explore the factors that influence hospital-based NPs’ healthy work environments (HWEs) and identify strategies to enhance their well-being and support retention.

Methods: This qualitative descriptive study used directed content analysis⁷ to examine responses from 493 NPs across 264 hospitals in 10 U.S. states with varying scope-of-practice laws. …

Creating A Safe And Welcoming Environment For New Nurses Through Effective Preceptor Training, Heidi Keeler, Jodie Boswell

Creating Healthy Work Environments (CHWE)

The purpose of this presentation is to emphasize the critical role of nurse preceptors in supporting new nurses as they transition into clinical practice. It aims to highlight the importance of structured preceptor training to foster a safe, welcoming, and inclusive work environment. This presentation explores the essential role of preceptors in facilitating that transition with the use of the Ulrich Precepting Model. By focusing on the roles of Facilitator, Protector, and Socialization Agent, the presentation seeks to equip preceptors, educators and leadership with the tools and strategies necessary to promote psychological and physical safety, cultural assimilation, and professional growth …

The Role Of Otto In Indecent By Paula Vogel, Ben Turchiarelli

Student Theses

Between December 5th and 9th, 2025, Brooklyn College’s Department of Theater presented Indecent by Paula Vogel, directed by MFA directing candidate Sam Plattus. It was my privilege to play the role of Otto, a member of a troupe of dead actors, tasked with presenting a nearly coextensive play-within-a-play describing the controversial Broadway production of The God of Vengeance, by Sholem Asch. Otto presents several older male characters, including real-life figures; among them author I.L. Peretz, and actor Rudolph Schildkraut. Some of these scenes are depicted in the story as a play-within-a-play-within-a-play, and there are numerous musical interludes throughout wherein Otto …

The Use Of Cognitive Biases In Russian Cyber Operations, Emma Manning

Honors Theses

This thesis examines how Russia has employed reflexive control through cyber operations to influence decision-making in foreign states, focusing on disinformation campaigns during the 2014 annexation of Crimea and the 2016 U.S. presidential election. Reflexive control, a concept rooted in Russian military doctrine, seeks to shape an adversary's perceptions and decision-making by providing carefully crafted information that leads targets to make choices favorable to the initiator. This research argues that while the fundamental objectives of reflexive control have remained consistent, technological advances have significantly expanded Russia's ability to conduct operations in developing cyber domains.

Using qualitative analysis of open-source intelligence, …

Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon

Walden Dissertations and Doctoral Studies

Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …

The Importance Of Play-Based Learning, Nina Cavanaugh

Masters Projects

Play-based learning is a beneficial tool that can help support development of not only young children but students of all ages and abilities. While research may show that play-based learning has benefits for students’ development, many schools in the United States, including public schools in Macomb County do not have professional development opportunities to educate teachers on play-based learning. This project covers the benefits, theories, and implementation strategies of play-based learning. It explains how play-based learning can be beneficial for students cognitive and academic skills.  It also supports social emotional development, physical development, and language development. Not only does play-based …

Addressing The Hidden Curriculum Through Trauma-Informed And Culturally Responsive Teaching For Multilingual Learners, Gabrielle Moeggenborg

Masters Projects

Multilingual learners (MLLs), including refugee, transient, and culturally and linguistically diverse students, often enter schools with experiences of trauma that impact academic performance, behavior, and sense of belonging. Additionally, the hidden curriculum in U.S. schools reinforces inequities for these students. The purpose of this project was to develop a high-quality, research-based educational handbook integrating trauma-informed practices with culturally responsive teaching to better support MLLs and mitigate the effects of the hidden curriculum. This project involved an extensive review of peer-reviewed and interdisciplinary research on learning theories, trauma, culturally responsive teaching, and multilingual education. Historical and contemporary literature was synthesized to …

Providing Individualized Support For Students With Adhd, Jeremy Scott Clymer

Masters Projects

Many general education teachers lack sufficient skills to successfully serve students with special needs. This project aims to provide professional development materials for pre-service and in-service educators which will provide them with information to help them achieve better outcomes for students with ADHD. Based on existing research about how ADHD can affect students differently and how to best account for those learning differences, the project provides background information about the different subtypes of ADHD, best practices for curriculum design, common accommodations for students with ADHD, and types of interventions that can help students with ADHD succeed. It includes a slide …

Increasing Reading Motivation And Engagement Of Students In Upper Elementary And Middle School, Emmalene K. Scheffler

Masters Projects

Reading motivation and engagement contribute to reading achievement, but many students do not experience them (Barber & Klauda, 2020). With roots in the Self-Determination Theory (Deci & Ryan, 2000),  this project aims to employ reading teachers of grades  five through eight with practices that bolster reading motivation and engagement by supporting students' psychological needs for autonomy, self-efficacy, and collaboration. Much research has been done regarding reading motivation, but until recently these studies have been focused on elementary school students. Research on upper elementary and middle school reading motivation is both innovative and necessary because intrinsic motivation to read declines as …

Guillemette, Fiona Veronique

Theses

In my photography project, Guillemette, I entertain the idea of inheriting an ability for mediumship from my maternal family lineage. As an origin, I use the question of having (or not having) these powers to explore intertwined relationships between myself and my mother, mediumship and theater, belief and entertainment, and the spirit and earthly worlds. The setting of the series moves between France, where my maternal family is from, and Western New York, where I currently reside, and the birthplace of 19th-century Spiritualism, the belief that spirit mediums can communicate with the dead. Mediumship, a central pillar in the work, …

Who's Got The Floor? Successful Interruptions In Dyadic Conversation In The Candor Corpus, Josie Steen

Electronic Theses and Dissertations Archive

Conversational exchanges are frequently marked by overlap. Some forms include backchanneling and both unsuccessful and successful attempts to take the floor. To further understand their role in discourse, 81 half-hour virtual conversations between strangers from the CANDOR corpus (Reece et al., 2023) were analyzed for instances of successful interruptions, whereby one member of a dyad takes the floor away from the other. Nearly six hundred such episodes were identified and analyzed for underlying systematicity. Regarding demographic characteristics of the speakers, gender was not related to successful interruptions. However, older speakers were more likely to successfully interrupt, suggesting that a speaker’s …

Feasibility Of Nationwide Remote Chronic Neural Data Collection From Recording-Enabled Deep Brain Stimulation Systems, Kasra A Mansourian, Ajay D Gandhi, Jonathan H Bentley, Kalman A Katlowitz, Danika L Paulo, Nisha Giridharan, Mohammed A Hasen, Tommy B Liu, Zain U Naqvi, Sarah S Soubra, Thomas A Hamre, Rick R Hanish, Eric A Storch, Wayne K Goodman, Sameer A Sheth, Nicole R Provenza

Faculty, Staff and Students Publications

Introduction: Bidirectional deep brain stimulation (DBS) devices can continuously record neural activity while delivering stimulation. Due to memory limitations on the implanted device on which data are stored, frequent data downloads are required to prevent data loss. In this study, we present a novel collaborative data collection method utilizing a nationwide network of device representatives to allow frequent data transfer that reduces data loss without imposing travel burden on patients.

Methods: We collected chronic neural data from nine patients with severe obsessive-compulsive disorder who received ventral capsule/ventral striatum DBS treatment between May 2023 and August 2024. We included patients implanted …

Noncontingent Parental Attention Leads To Independent Play And Is Preferred By Toddlers Over Screen Time, Kristen Newell

LSU Doctoral Dissertations

Caregivers often rely on screen media to occupy young children during periods when caregiver attention is unavailable, despite evidence linking early screen exposure to adverse developmental outcomes. An alternative approach is to provide high-quality, noncontingent attention (NCA) during play prior to independent activity. Although NCA reduces attention-maintained challenging behavior, the optimal duration of NCA and children’s preference for caregiver interaction relative to screen time remain unclear. This study evaluated the effects of varying durations of caregiver-delivered NCA on young children’s independent play, attention-seeking behavior, and preference for NCA compared to screen time. Three caregiver–child dyads participated in a multielement design …

Beyond Symptoms: A Narrative Counseling Interpretation Of First-Year Student Anxiety In Indonesian Higher Education, Azizah Abdullah, Rizky Andana Pohan, Ramtia Darma Putri, Triyono Triyono, Marimbun Marimbun, Rahmi Dwi Febriani

Buletin Konseling Inovatif

The transition to higher education is a critical period in which first-year students face new academic demands, financial pressures, social adjustment challenges, and uncertainty about the future. However, limited research has examined how freshmen make sense of and narrate their anxiety, particularly in the Indonesian context. This study aimed to explore the main domains of anxiety among first-semester students in Indonesian public universities and to interpret these experiences through a narrative counseling lens. The study employed a qualitative online survey design with an interpretivist orientation. Data were collected from 199 first-semester students through open-ended questions addressing anxiety-provoking situations, sources of …

Phenomenological Analysis Of The Interior Space Reconstructed For Post-War Traditional Houses In Old Mosul City, Abdula Alsarraf, Fawzia Irhayyim Hussein

Iraqi Journal of Architecture and Planning

This study examines the lived experiences of residents of Mosul’s old city within reconstructed traditional houses following the war, addressing the gap in analyzing post-war residential spaces. It examines how reconstruction influences residents’ perceptions, sensory experiences, and attachment to place by comparing pre- and post-war conditions. Using a phenomenological approach, the study draws on concepts such as familiarity, pleasure, spirituality, human scale, natural lighting, spatial organization, functionality, color harmony, symbolism, nostalgia, decoration, and perceived height. Data were collected through a questionnaire involving 40 residents who were involved in the reconstruction of four traditional houses. Findings indicate that while renovations improve …

The Role Of Contemporary Technological Techniques In Drawing Scenarios For Future Urban Housing In Iraq, Zainab Mehdi Kzar, Ameera Jaleel Ahmed

Iraqi Journal of Architecture and Planning

Iraq faces major housing challenges due to the absence of strategic planning. Meanwhile, global technological advances offer new opportunities, as modern technologies prove effective in shaping future housing. These tools can offer sustainable solutions that address diverse societal needs. This research examines the role of contemporary technologies in shaping future housing scenarios in Iraq, addressing the problem: “The role of contemporary technologies in shaping future housing scenarios in Iraq.” The objective is to develop future visions for the urban housing sector by utilising technologies such as artificial intelligence, 3D printing, and robotics. An analytical methodology was adopted to examine key …

The Role Of City Brand Equity Effectiveness In Baghdad’S Branding, Shireen Kamil Zedan, Asmaa M. H. Al- Moqaram

Iraqi Journal of Architecture and Planning

Urban branding has emerged as a contemporary strategy that significantly enhances the competitive advantage and global positioning of cities. This study examines the role of branding in attracting diverse stakeholders, such as residents, investors, and tourists, by analyzing the process of building brand equity in the context of implementing urban branding in Baghdad. The study employed a quantitative approach, focusing on data collection techniques centered around a survey directed at experts in urban design and development from various departments of architecture and engineering in Iraqi universities, as well as urban development experts from outside Iraq. The study's results demonstrated the …

Rethinking Baghdadi Coffee Shops And Their Sustainability Through Digital Technology, Vian Abd Al-Baseer M. Hasan, Enas Salim, Enas Ali Salman

Iraqi Journal of Architecture and Planning

Baghdadi Coffee Shops have been a foundation for building interconnected social and cultural relationships over time and have been considered spatial behavioural patterns that express the culture of Baghdadi society. The current research focuses on integrating emerging digital technology into their physical structure to keep pace with life's developments and changes, raising the following question: "What are the transformations that Baghdadi Coffee Shops are witnessing as a result of emerging digital technology, and what is its impact on their sustainable role?" To answer this question, the research adopted an analytical approach that included revealing the architectural features of the transformations …