Digital Commons Network^™

Improving Cultural Competence Among Healthcare Professionals Through A Targeted Staff Training Program, Oyindamola Akinkugbe

Doctor of Nursing Practice Projects

Limited culturally competent care for Hispanic patients worsens existing health disparities, creates misunderstandings, leads to poor health outcomes, and reduces satisfaction with the quality of care. In an outpatient clinic, more than 70% of patients are Hispanic, yet healthcare providers reported a lack of confidence in caring for culturally diverse patients. Extensive literature supports staff training to improve provider cultural competence, but implementation remains inconsistent across healthcare settings. This quality improvement project addressed this gap by implementing a targeted staff training program grounded in the Culturally and Linguistically Appropriate Services (CLAS) in Nursing framework. The purpose of this project was …

Enhancing Shared Decision-Making In Mental Health Care: A Quality Improvement Initiative, Joanna L. Hysler

Doctor of Nursing Practice Projects

Shared decision-making (SDM) is an evidence-based approach that enhances patient engagement, treatment adherence, and clinical outcomes in psychiatric care. Despite strong support in the literature, SDM remains inconsistently implemented in mental health settings due to limited provider training, time constraints, and organizational barriers. The purpose of this Doctor of Nursing Practice quality improvement project was to implement and evaluate an educational intervention designed to improve SDM utilization and provider confidence within a private outpatient psychiatric practice. The project was guided primarily by the Plan-Do-Study-Act framework to support structured practice change, with Lewin’s Change Theory providing additional conceptual support. The intervention …

Challenges Facing Women Academics: A Self-Reported Cross-Sectional Survey From A Developing Country, Barihan Nabil, Dina Tbaishat, Noor Al Mortadi, Karem H. Alzoubi

All Works

This study examines the factors perceived by women academics as hindering their professional growth in developing countries, using Jordan as a case study. The study adopts a feminist empiricist approach to investigate how and why women academics perceive institutional and informal policies and structures in their universities as reproducing gender inequality, favoring male academics, or whether this is due to a lack of gender-sensitive policies. It accordingly suggests means to redress. The study also explores the respondents' perceptions of mentoring as a means of advancing professional growth. The study employs a quantitative research approach and surveys 211 women academics across …

Perilaku Informasi Seniman Digital Terhadap Karya Artificial Intelligence Di Media Sosial, Anindita Ferrensya, Indira Irawati

Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan

The rapid development of AI has introduced new capabilities, including generating artwork without direct human intervention. However, this advancement has also raised concerns in the art world, such as unauthorized use of artists’ works and the potential decline of human creative labor. This study examines the information behavior of digital artists who are students at the University of Indonesia toward AI-generated artwork, using Wilson’s Model of Information Behavior (1996). A descriptive qualitative method was employed, with data collected through structured interviews with five informants and literature review, and analyzed using thematic analysis. The findings show that participants generally held an …

Food Reintroduction After Negative Ofcs In Pediatrics: Dietary Frequency And Caregiver Attitudes, Olivia Pietrantozzi

Honors Projects

Food allergies in pediatric populations have been gradually increasing in prevalence and present significant nutritional risks requiring strict dietary management and psychosocial challenges. Oral food challenges (OFCs) serve as a gold standard in diagnosing food allergies and determining whether allergenic foods can be safely reintroduced to an individual's diet. However, caregivers of children may still experience anxiety and barriers that delay the reintroduction of foods, which can limit diet diversity and increase the child's risk of future allergy development. This study looked to evaluate the dietary frequency of allergenic food reintroduction following negative OFCs, as well as to assess changes …

Association Between Maternal Factors And Stunting Based On The Indonesia Family Life Survey 5 (Ifls-5), Charissa Otniel Sukamto, Siti Nur Fatimah, Noormarina Indraswari

Makara Journal of Health Research

Background: Stunting remains a major issue in Indonesia. Maternal factors during pregnancy are one of the key determinants in preventing stunting. This study aimed to analyze the association between maternal history during pregnancy (age, height, parity, and inter-pregnancy interval) and stunting, with a comparison between urban and rural areas.

Methods: This analytical cross-sectional study used data from 3,639 children aged 1-5 years old from the household survey of Indonesia Family Life Survey 5, conducted between late October 2014 and August 2015 within 13 provinces in Indonesia. Data was analyzed using chi-square and binary logistic regression methods.

Results: …

Self-Efficacy And Health Promotion: The Roles Of Family Health And Health Literacy, Müjdat Yeşildal, Yunus Emre Öztürk

Makara Journal of Health Research

Background: Chronic noncommunicable diseases are the leading causes of death globally and in Türkiye, emphasizing the need to explore how individual, familial, and informational factors shape health-promoting behaviors. This study examined whether family health and health literacy sequentially mediate the relationship between general self-efficacy and health-promoting behaviors among adults in Türkiye.

Methods: A cross-sectional correlational study was conducted with 1,240 adults in Konya Province, Türkiye, between November and December 2022. Participants completed the Turkish versions of the General Self-Efficacy, Family Health, Health Literacy, and Health-Promoting and Protective Behaviors Scales. Data were analyzed using descriptive statistics, Pearson correlation, and …

Examining The Psychometric Properties Of The Big Three Perfectionism Scale–Short Form (Btps-Sf) Among Malaysian Chinese Students At A Private University, Kam-Fong Lee, Ashraf Sadat Ahadzadeh, Shin Ling Wu

Makara Journal of Health Research

Background: Perfectionism is increasingly prevalent among young adults and is a significant predictor of pathological and behavioral outcomes. Despite its relevance, validated and reliable measures of perfectionism tailored to university students, particularly within the Malaysian cultural and academic context, are lacking. This study addresses this gap by examining the psychometric properties of the BTPS-SF among Chinese students at a private university in Malaysia.

Methods: Data were collected using a cross-sectional design with convenience and snowball sampling from 380 students aged 18–25 years, predominantly from a Chinese student population.

Results: The results of the exploratory factor analysis, conducted …

Examination Of Health-Seeking Behavior In Individuals With Chronic Diseases, Dilan Aktepe Coşar, Hatice Demirağ, Aynur Cin

Makara Journal of Health Research

Background: Chronic illnesses are long-term, noncommunicable diseases that significantly affect daily life. In addition to physical symptoms, they can reduce quality of life by causing psychological effects such as anxiety and depression. Patients often seek health information to better manage their condition.

Methods: This study aimed to examine the level of health information-seeking behavior among individuals with chronic diseases and the factors influencing this behavior. The sample group for this descriptive study consisted of 306 individuals with chronic illnesses who visited X Hospital in northeastern Türkiye between April 1, 2024, and February 1, 2025. All individuals completed a …

Questionnaire For Eudaimonic Well-Being: Psychometric Validation Among Malaysian Youth, Mohd Ahsani A. Malek, Nurulwahida Saad, Suzana Mohd. Hoesni, Muhamad Ariff Ibrahim, Nurul Shafira Adi, Mohd Nazir Mohd Nazori

Makara Journal of Health Research

Background: The rising prevalence of mental illness underscores the need to understand how individuals can live and flourish under such conditions. In Malaysia, research has largely emphasized diagnosis and treatment, with limited focus on positive psychology and few validated instruments. This study aimed to translate and validate the questionnaire for eudaimonic well-being (QEWB) among Malaysian youth.

Methods: The QEWB was translated into Malay using back-to-back translation and administered to undergraduates from four public universities through a cross-sectional survey design. Convenience quota sampling was used, resulting in 229 respondents completing the online form to measure sociodemographic characteristics, eudaimonic well-being, …

The Mediating Role Of The Care Factor In The Effect Of Nomophobia On Nurses’ Job Satisfaction, Uğur Öner, Sinan Aslan, Erhan Ekingen

Makara Journal of Health Research

Background: This study aimed to examine the mediating role of the Care Factor in the relationship between nomophobia and job satisfaction among nurses.

Methods: A descriptive, cross-sectional study was conducted with 1,083 nurses working in a province in Turkey between May and September 2024. Data were collected using a Descriptive Form, the Fırat Nomophobia Scale (FNS), the Care Factor Scale (CFS), and the Job Satisfaction Scale for Nurses (JSSN). All analyses were performed using SPSS 25, including descriptive statistics, Pearson correlation, and regression. Mediation was tested using PROCESS Macro version 4.0 (Model 4).

Results: The CFS-CS and …

From Input To Narrative: Authoring Processes In Ai-Generated Discourse, Fahad Ahmed Otaif

Journal of Arabic Sciences and Humanities

With the growing use of generative AI bots in different disciplines and professions, AI bots have been increasingly adopted to compose, revise, translate, and author content, yet without much research evaluating their quality, particularly when it comes to the processes and features of AI-authored discourse. The current study investigates, based on corpus-based evidence, the extent to which one-theme AI-generated sentences can be reorganised/turned into meaningful discourse through four AI bots (ChatGPT, Gemini, Copilot, and DeepSeek), i.e. by which discourse processes and in what coherent and cohesive patterns. These four AI-bots were fed with well-designed prompts instructing them to produce both …

Graduate Recital: Fuqua, Percussion; April 25, 2026, Jewelianna Fuqua, Kyle Heissler, Noah Berkshier, Wyatt Mastin, Sara Eckert, Abbey Schiller, Bridget Hagan

School of Music Programs

This is the one hundred and ninety-second program of the 2025-2026 season.

Kemp Recital Hall

April 25, 2026

Saturday Afternoon

5:00 p.m.

Breathing-Controlled Electrical Stimulation (Breestim) Selectively Modulates Affective And Cognitive Components Of Pain-An Eeg Study, Ahmad Z Rao, Michael Houston, Hao Meng, Shengai Li, Yingchun Zhang, Sheng Li

Faculty, Staff and Student Publications

Breathing-controlled electrical stimulation (BreEStim) is an innovative neuromodulation intervention that synchronizes deep voluntary breathing with peripheral electrical stimulation. Prior studies have shown its analgesic effects in healthy adults and spinal cord injury patients with neuropathic pain. The present study used EEG to examine BreEStim's neural effects on sensory, affective, and cognitive components of pain. Fourteen healthy participants (7 M, 7 F) completed 30 min of BreEStim and conventional electrical stimulation (EStim) interventions in a randomized, crossover within-subject design. Electrical pain thresholds (EPT) and EEG were recorded pre- and post-intervention. Event-related potentials (ERPs) at pre-EPT-level stimuli before and immediately after each …

Dialectical Behavior Therapy In Managing Emotional Dysregulation And Self-Injurious Behaviors: Assessment, Intervention, And Clinical Applicability, Farhana Sabri, Andika Ari Saputra

Buletin Konseling Inovatif

Dialectical Behavior Therapy (DBT) is an empirically supported intervention initially designed for individuals diagnosed with Borderline Personality Disorder (BPD) who present with self-injurious behaviors. The present article aims to evaluate the utility of DBT in addressing emotional dysregulation and maladaptive behavioral patterns across a range of clinical populations. The analysis encompasses assessment and case conceptualization, intervention strategies, evaluation of therapeutic outcomes, and termination protocols. Consideration is also given to the implementation of DBT in group settings and the influence of cultural factors on its effectiveness. Evidence from previous studies demonstrates that DBT contributes to significant reductions in self-harm, emotional distress, …

Ai-Based Facial Expression Detection As A Support Feature For Cybercounseling: A Systematic Literature Review, Zahid Zufar At Thaariq, Hengki Tri Hidayatullah

Buletin Konseling Inovatif

The rapid expansion of digital mental health services has increased the use of cybercounseling, while simultaneously introducing challenges in interpreting nonverbal cues, particularly facial expressions, within technology-mediated interactions. This study aims to systematically examine the potential of artificial intelligence (AI) in facial expression detection as a support feature in cybercounseling. A systematic literature review (SLR) was conducted following PRISMA guidelines, drawing from multiple indexed academic databases. The included studies covered AI-based facial expression recognition, micro-expression analysis, depression detection, and relevant multimodal approaches. The findings indicate that deep learning–based models are capable of identifying facial patterns associated with emotional and psychological …

Impact Of Stem Career Presentations On Elementary Students, Mannat K. Gill, Mathais Xiong, Elisa Ceja, Fariel Enyong

Service Learning Showcase

During our service as College Corps members in elementary school classrooms (1st, 2nd, 4th, and 5th grades), our group consistently observed a lack of student engagement, particularly during science-related lessons and activities. The goal of our project was to increase student interest in science and introduce accessible pathways into STEM and healthcare careers. To achieve this, our group designed and delivered structured, age-appropriate presentations based on our own academic backgrounds, including biology on a pre-dental track, chemistry, and psychology.  The project also emphasized building students’ confidence in their ability to pursue science-related fields. By presenting ourselves as relatable role models …

A Single Administration Of Psilocybin Is Ineffective In Reversing Ptsd-Like Sequelae In A Rat Model Of Stress-Enhanced Fear Learning, Kylie M. King, Marisa J. Savini, Noelle M. Molnar, Evelynn J. Schneider, Savannah E. Straub, Joe Parker, Lillianna P. Puppel, Aleece K. Al-Olimat, Allison M. Bach, Phillip R. Zoladz

ONU Student Research Colloquium

Single treatments with psychedelics produce rapid, long-lasting antidepressant effects. Psychedelics may also exert anxiolytic effects and be useful in treating more complex psychiatric conditions, such as PTSD. However, less is known about the impact of these agents on PTSD-related symptoms. Thus, we aimed to determine whether a single administration of psilocybin could reverse PTSD-like sequelae induced by stress-enhanced fear learning in rats. Sprague-Dawley rats were placed in Context A (circular, white conditioning box) and exposed to several uncontrollable footshocks (Stress) or no footshocks (No Stress). The next day, the rats were placed in Context B (square conditioning box with clear …

Psilocybin And The Related Tryptamine, Norbaeocystin, Exert Acute Anxiogenic Effects That Depend On Sex, Marisa J. Savini, Kylie M. King, Noelle M. Molnar, Evelynn J. Schneider, Savannah E. Straub, Joe Parker, Lillianna P. Puppel, Aleece K. Al-Olimat, Allison M. Bach, Andrew Jones, Phillip R. Zoladz

ONU Student Research Colloquium

Single treatments with psychedelics have demonstrated rapid, long-lasting antidepressant effects. However, psychedelics often produce unfavorable psychoactive effects that could worsen existing psychological distress. Thus, we compared the effects of psilocybin and the related tryptamine, norbaeocystin, on anxiety-like behavior in male and female rats. In Experiment 1, rats were treated with 1 mg/kg psilocybin (PSIL), 1 mg/kg norbaeocystin (NOR), or vehicle 30 min before a 5-min trial on an elevated plus maze (EPM) or in an open field test (OFT). On the EPM, PSIL led to decreased open arm time and fewer arm entries in males and females. NOR led to …

Impact Of Caffeine On Participant Memory For A Stressful Experience And The Development Of Intrusive Memories, Jaycee L. Kirkland, Kaylina R. Mcclenen, Natalina E. Porter, Sarah M. Wood, Julia Gross, Madilyn E. Paphanchith, Kelsey M. Siereveld, Jasmine Ic Ifeakanwa, Caeden M. Gurganus, Koen N. Suzelis, Aiden J. Farrell, Boyd R. Rorabaugh, Phillip R. Zoladz

ONU Student Research Colloquium

Most individuals consume caffeine on a daily basis. Research has shown that caffeine stimulates the release of glucocorticoids and catecholamines and can enhance cognition. Caffeine also amplifies stress-induced increases in arousal and aggravates PTSD-like symptoms. Thus, we examined the impact of caffeine on memory for a stressful experience and intrusive memories related to that experience. Undergraduate students ingested caffeine or a placebo. Thirty minutes later, they were exposed to the Trier Social Stress Test (TSST; stress condition) or friendly-TSST (f-TSST; control condition), both of which were designed to enable participant memory for the experiences to be quantified. In each condition, …

Cultivating Home: Nepali Migrants And Gardening As Everyday Rhetoric, Menuka Gurung Lama

Frontera Retórica Symposium

Rhetorical knowledge is often discussed through formal institutions and textual traditions, leaving everyday community practices underexamined. This paper engages the theme “Rhetoric from the Margins” by examining how Nepali migrants’ gardening practices in Hooksett, New Hampshire produce knowledge outside dominant academic and institutional frameworks. I ask: How do Nepali migrants use gardening as a way of making meaning, sustaining memory, and cultivating belonging in unfamiliar environments? In what ways does gardening function as a rhetorical and epistemic practice through which migrants carry and transform land-based knowledge across borders? Rather than treating gardening simply as leisure or subsistence activity, I examine …

Smartphone Use, Social Media, And Academic Procrastination In Secondary Education: A Multi Method Approach Investigation With Implications For School-Based Interventions, Haslee Sharil Lim Abdullah, Riza Amalia, Henny Indreswari, Im Hambali, Ronal Surya Aditya, Rusnila Rusnila

Buletin Konseling Inovatif

Academic procrastination has become a significant challenge in digital learning environments, particularly among adolescents with high smartphone and social media usage. This study examines the relationship between mobile phone use and academic procrastination among 262 high school students in Indonesia using a cross-sectional survey, narrative review, and network analysis. Results show 75.6% of students exhibit medium and 20.2% high procrastination levels, with "alternative activities" like digital distractions as the main form (M = 15.87, SD = 2.92). No significant differences were found by gender (p = .067) or age (p = .412), but strong positive correlations emerged between gadget use …

Interoperability For Human-Ai Teaming And Decision-Making In Extreme Contexts, Amber King

Psychology Student Publications

• Emergency response agencies are consistently challenged with communication breakdowns that limit coordination, where these interoperability failures contributed to the tragic loss of lives [11, 13].
• Human-AI teaming encompasses complexities, including shared knowledge, trust, interdependence, and effective communication that are essential for improvement of performance & decision-making, while poor integration of AI can create overreliance that hinders coordination [4, 7, 9, 10, 14]. 
• The current study aims to investigate how AI reliability & explainability affect decision accuracy and perceived team interoperability, while questioning how trust in AI can impact an individual’s decision.

Electronic Recording Of Custodial Interrogations: A Jurisdictional Analysis Of U.S. State Requirements, Alyssa Fox

Psychology Student Publications

• Custodial interrogations serve as the primary mechanism through which information is gained for evidence.
• Human memory is reconstructive rather than reproductive, leaving it vulnerable to contamination and suggestibility, especially with employment of psychological interrogation tactics and the inherently coercive nature of custodial interrogations. This causes false confessions, which lead directly into wrongful convictions.
• Juveniles and people with disabilities are particularly vulnerable to this, with heightened compliance and diminished decision-making capacity.
• Electronic recording of custodial interrogations has emerged as a safeguard against false confessions through documentation, accountability, and preservation; however, practical implementation remains limited.

Effects Of Mindfulness Induction Before And After Encoding On False Recognition, Jacob Phillips

Psychology Student Publications

• Mindfulness is a mental state which refers to complete mental awareness of one’s surrounding emotions and events, which if practiced may hold greater implications for improvements in memory and attention (Namias & Huff, 2024).
• Recent studies examined mindfulness on false memory for DRM word list materials (e.g., Alberts et al., 2017; Calvillo et al., 2018; Wilson et al., 2015), reporting mixed findings.
• Practically, if a mindfulness technique were to be administered to eyewitnesses by police, this would occur prior to memory retrieval and concern negative emotional information.
• This study builds on a prior student study (Frederickson, 2022) to examine the …

Doomed To Scroll: Examining The Role Of Motives In Problematic Social Media Use And Associated Psychopathologies, Charlotte Eley

Psychology Student Publications

Problematic Social Media (PSMU) is a serious concern in society—as illustrated by recent lawsuits filed against big tech companies.

PSMU is related to anxiety and depression, but the directionality of that relationship remains unclear (Andreassen et al., 2016; Coyne et al., 2020).

Time spent on social media, by itself, is not a strong indicator of negative physical or mental health outcomes (Burénet al., 2023; Coyne et al., 2020), suggesting that certain motivational or dispositional factors may underlie and further explain PSMU.

This study aims to examine how one’s motives behind using social media relate to the experience of fear of …

We’Re Playing Basketball, Lana Ammash

Psychology Student Publications

African American (AA) youth face a host of sociological challenges that impact their marginalized status, especially during their formative years of racial/ethnic identity development that compromise self-esteem (Cross et al., 1991). As a result, racial socialization strategies are employed within Black communities to offset these negative consequences by bolstering ego strength and Black pride.

Therefore, a local afterschool program in an AA community, provides enrichment programs for success, academic achievement, and positive self-esteem using Afrocentric models. This includes programs focused on building ego strength and self-esteem through sports’ programs, such as basketball, as sports can promote social and emotional growth, …

Rapid Evidence Assessment: Eyewitness Testimony Of Anomalous Events, Tanna-Leigh Wesson

Psychology Student Publications

1. Memory is best when events and information either fit existing schema, or clearly violate known schema, while memory is weaker for events that are unrelated to any schema (Greveetal.,2019).

2. Anomalous events are not reproducible and cannot be examined through traditional experimental scientific methods, meaning that it is studied through sighting reports. Therefore, eyewitnesses have an important role in reporting information (Mavrakis,2023).

3. Collecting accurate information is important for perceiving and understanding national security threats, such as drone warfare (CPNI,2022).

4. Currently, the method of collecting information and data from witnesses has been insufficient and prone to error (daSilva,2022). …

Evil Done In The Age Of “New Terrorism”: A Red-Team Study Of U.S. Lone Actor Target Selection Across Weapon Conditions, Torrin Jacobson

Psychology Student Publications

Background of the Present Study 1. Starting in the early 2000s, the internet has played a larger role in all aspects of terrorist activities, creating the age of “New Terrorism”. 2. This has led to a more unstructured model of violence, allowing homegrown domestic lone actors to become the largest terrorist threat in America. The Present Study 3. However, little research has been conducted on how this affects target selection decisions. Building on prior lone actor–red team research (Romyn & Kebbell, 2014; 2018), the present study uses a red team simulation to examine how lone actor target selection is influenced …

Aces And Trust In Courts, Michael A. Wesley Jr.

Psychology Student Publications

Trust in the American court system is a foundational pillar of the legal system, based on the public's belief that authorities will make fair and just decisions.1 Therefore, understanding what factors degrade the public’s faith in the system is crucial. Most research on this topic examines the amount of trust placed in the police or the government.2, 3, 4However, there are no articles that investigate the relationship between trauma and trust in American courts. This is an issue because, as previously mentioned, individuals who have any number of ACEs are more likely to encounter the criminal justice system, including courts.5Understanding …