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Single-Valued, Double-Valued, Triple-Valued, Quadruple-Valued, And Quintuple-Valued Neutrosophic Graph, Takaaki Fujita, Arif Mehmood, Arkan A. Ghaib Feb 2026

Single-Valued, Double-Valued, Triple-Valued, Quadruple-Valued, And Quintuple-Valued Neutrosophic Graph, Takaaki Fujita, Arif Mehmood, Arkan A. Ghaib

Neutrosophic Systems with Applications

Concepts such as fuzzy sets, neutrosophic sets, rough sets, and plithogenic sets have been extensively studied as formal tools for modeling uncertainty, and they have found broad applications across many disciplines. A Double-Valued Neutrosophic Set (DVNS) extends the classical neutrosophic framework by splitting indeterminacy into two distinct components: one leaning toward truth and the other leaning toward falsity. In recent years, further refinements—namely Triple-Valued, Quadruple-Valued, and Quintuple-Valued Neutrosophic Sets—have also been introduced and investigated. These uncertainty models have naturally been lifted to graph-theoretic settings, where vertices and edges represent entities and relationships under ambiguity. Although fuzzy graphs and neutrosophic graphs …


Ekspresi Artistik Legenda Pantai Watu Ulo Jember Dalam Seni Lukis, Eldiza Rozi, Ponimin Ponimin, Swastika Dhesti Anggriani Feb 2026

Ekspresi Artistik Legenda Pantai Watu Ulo Jember Dalam Seni Lukis, Eldiza Rozi, Ponimin Ponimin, Swastika Dhesti Anggriani

Journal of Language, Literature, and Arts

The Legend of Watu Ulo Beach is a form of folklore that has long been preserved and passed down among the people of Jember and its surrounding areas. This legend holds strong potential to be realized through realist painting, as it contains educational values and moral messages that contribute to the strengthening of social character. The narrative serves as a source of creative inspiration, particularly in the creation of painting artworks. Therefore, this artistic creation seeks to interpret the Legend of Watu Ulo Beach through a realist approach in painting. This study aims to describe the process of idea and …


The Labor Of Reading: A Personal And Pedagogical Exploration, Alisha Goldblatt Feb 2026

The Labor Of Reading: A Personal And Pedagogical Exploration, Alisha Goldblatt

Wellspring: A Practitioner-Oriented Journal of Literacy and Language Education

While teachers bemoan the decrease in students’ ability to sustain interest in reading, and phones dominate over plain text, I have been wrestling with two questions that predate the current ubiquity of screentime: Why are some people more capable of reading fluently and with passion than others? Why can’t every person easily “lose” themselves in a text? As an English teacher and avid reader, I investigate the mechanisms of the act of reading (mainly fiction and creative nonfiction), the well-intentioned efforts of educators, and the question of whether reading itself is absolutely necessary to produce an informed, empathetic, and educated …


A New Take On Gamer Grading, Cynthia Smyser Feb 2026

A New Take On Gamer Grading, Cynthia Smyser

Professional Learning Day

My version of Gamer Grading turns earning points into fun.   Students earn level-ups and side quests. Points earned cannot be lost which helps anxious or struggling students. Points earned by accomplishing extra units add additional motivation.  An entire system for grading and rewards for all grades will be presented. Come find out how to add another layer of fun to your classroom!


Conditions Affecting Mental Health - Definition And Strategies, Crystal England Feb 2026

Conditions Affecting Mental Health - Definition And Strategies, Crystal England

Professional Learning Day

This session will empower educators and staff to recognize, support, and respond to teen mental health needs. The topics covered are Autism Spectrum Disorder, Anxiety, Depression, OCD, ADHD, and Panic Attacks with evidence-based prevention and crisis strategies. Inclusive DEI insights, classroomready tools, and student resources ensure every learner feels seen and supported.


Taking It Easier On Women? Why Jurors’ Implicit Biases On Gender Must Be Addressed Through Jury Instructions To Reduce Negative Effects For Male Defendants, Addison C. Workman Feb 2026

Taking It Easier On Women? Why Jurors’ Implicit Biases On Gender Must Be Addressed Through Jury Instructions To Reduce Negative Effects For Male Defendants, Addison C. Workman

Georgia Criminal Law Review

No abstract provided.


Not A Whodunnit, But Who The Jurors See, Autumne S. Fields Feb 2026

Not A Whodunnit, But Who The Jurors See, Autumne S. Fields

Georgia Criminal Law Review

No abstract provided.


Courts’ Adjudications Of Addicts Still Reflect A Fundamental Lack Of Understanding On The Nature Of Addiction: Why The Fentanyl Crisis Should Force Courts To Reevaluate Their Current Policies On Forced Sobriety And Rehabilitation, Cole T. Chisholm Feb 2026

Courts’ Adjudications Of Addicts Still Reflect A Fundamental Lack Of Understanding On The Nature Of Addiction: Why The Fentanyl Crisis Should Force Courts To Reevaluate Their Current Policies On Forced Sobriety And Rehabilitation, Cole T. Chisholm

Georgia Criminal Law Review

No abstract provided.


Exploring The Attributes Of Varied Interventions To Reduce Firearm Violence Among Youth And Emerging Adults: A Systematic Review, Vickie Blakely Reed, Lashanda D. Brumfield, Maaz Ali, Traci Hayes Feb 2026

Exploring The Attributes Of Varied Interventions To Reduce Firearm Violence Among Youth And Emerging Adults: A Systematic Review, Vickie Blakely Reed, Lashanda D. Brumfield, Maaz Ali, Traci Hayes

Journal of Public Health in the Deep South

The death rate among children and adolescents, 14-26 years old, from firearms has increased 46% from 2019 to 2021. Among this demographic population, Black and Latino youth account for most firearm deaths. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were used in conducting this study. Studies from January 2020 to October 2025 were identified through a search of PubMed, Web of Science, and ProQuest databases. Searches for the review included but were not limited to terms and phrases such as “gun violence prevention interventions for youth” and “firearm violence prevention interventions.” The purpose of this systematic …


School Climate As Primary Prevention: Mental Health And Violence Outcomes Among Lgbtq+ Youth In The U.S. South (2015–2024), Latarsha H. Michael, Brieah D. Hudson, Kenya T. Horne Feb 2026

School Climate As Primary Prevention: Mental Health And Violence Outcomes Among Lgbtq+ Youth In The U.S. South (2015–2024), Latarsha H. Michael, Brieah D. Hudson, Kenya T. Horne

Journal of Public Health in the Deep South

Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adolescents in the U.S. South experience disproportionately high rates of bullying, discrimination, depression, and suicidality. Supportive and inclusive school climates are identified as key protective factors that can mitigate these risks and function as primary prevention against violence. This systematic narrative review synthesizes peer-reviewed research and high-quality survey reports published between 2015 and 2024 that assess school climate, mental health, and violence-related outcomes among LGBTQ+ youth with representation from Southern states, including Mississippi, Alabama, and Louisiana. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 1,167 records …


Violence And Abuse Against Adult Stroke Survivors In The Deep South: Epidemiology, Risk, And Public Health Responses, Dawn S. Mclendon, Shaneka S. Patterson, Shreyas Gangadhara Feb 2026

Violence And Abuse Against Adult Stroke Survivors In The Deep South: Epidemiology, Risk, And Public Health Responses, Dawn S. Mclendon, Shaneka S. Patterson, Shreyas Gangadhara

Journal of Public Health in the Deep South

Adults living with neurologic disability, particularly stroke survivors, face disproportionately high rates of violence and abuse. This vulnerability is amplified in the Deep South due to elevated stroke burden, structural disadvantage, and persistent community-level disparities in both violence and health care access. We conducted a narrative review of peer-reviewed literature indexed in PubMed, along with relevant surveillance and policy reports, to synthesize current evidence on the burden, patterns, risk factors, and prevention opportunities related to violence among adult stroke survivors. The review focused on elder mistreatment, intimate partner violence, sexual violence, caregiver abuse and neglect, and financial exploitation. Findings indicate …


Socioeconomic Factors Affecting Length Of Hospital Stay And Discharge Disposition Among Male And Female Gunshot Injury Patients In Jackson, Mississippi., Okechukwu Erinne, Deanna Howington, Sarah Mcgraw, Jonathan B. Lowrie, Matthew Kutcher, Alyscia Severance, Masoumeh Karimi, Leila Seidfaraji, Lei Zhang Feb 2026

Socioeconomic Factors Affecting Length Of Hospital Stay And Discharge Disposition Among Male And Female Gunshot Injury Patients In Jackson, Mississippi., Okechukwu Erinne, Deanna Howington, Sarah Mcgraw, Jonathan B. Lowrie, Matthew Kutcher, Alyscia Severance, Masoumeh Karimi, Leila Seidfaraji, Lei Zhang

Journal of Public Health in the Deep South

Background: Gun violence remains a public health concern in the United States, with Jackson, Mississippi, ranking among the highest in gun violence rates. Understanding how sociodemographic factors influence clinical outcomes is essential for improving care delivery and resource allocation. 

Purpose: This study examined the association between age, education, employment, and insurance status with hospital length of stay (HLOS) and discharge disposition among adult male and female firearm injury patients residing in Jackson, Mississippi.

Methods: Data were obtained from the electronic health records of adults (≥ 18 years) presenting to the University of Mississippi Medical Center emergency department …


A Secondary Analysis Of Mississippi Domestic Violence Trends From 2019 To September 2025 Based On The Trace Atlas Of Gun Violence Archives, Lashanda D. Brumfield, Bernice Akinwande, Vickie Blakely Reed, Traci Hayes, Tanya Funchess Feb 2026

A Secondary Analysis Of Mississippi Domestic Violence Trends From 2019 To September 2025 Based On The Trace Atlas Of Gun Violence Archives, Lashanda D. Brumfield, Bernice Akinwande, Vickie Blakely Reed, Traci Hayes, Tanya Funchess

Journal of Public Health in the Deep South

Abstract

Background: Domestic violence remains one of the most heartbreaking yet overlooked public health challenges across the Deep South. Prevention programs and effective policies addressing domestic violence issues must be driven by translatable, applicable, and reliable data in order to see outcome-driven results. Purpose: The objective was to identify temporal, regional, and city-level patterns in the frequency and severity of domestic violence gun incidents. Methods: This study presents a secondary analysis of domestic violence gun incidents in Mississippi from January 2019 to September 2025. To examine geographic distribution, incidents were aggregated at the regional level: Central, Northeast, Northwest, Southwest, …


“I’M Going To Get Help”: Violence Prevention And Response Assessment In Higher Education, Leah B.P. Pylate, Lindsey D. Knight, Sristi Subedi, Earnestine Y. Roby Feb 2026

“I’M Going To Get Help”: Violence Prevention And Response Assessment In Higher Education, Leah B.P. Pylate, Lindsey D. Knight, Sristi Subedi, Earnestine Y. Roby

Journal of Public Health in the Deep South

 

Background: College-age students are at risk for violence, and these victimizations can affect academic performance and outcomes.

Purpose: The purpose of the current project was to gather information about violence prevention and response in higher education to inform resources and programming delivered to students through an institutional office in the Division of Student Affairs.

Methods: The project was guided by a social-ecological framework. Seven focus groups were conducted with 31 students.

Results: Students identified key issues affecting violence prevention, including personal and relational barriers; limited awareness and access to campus resources; emotional and mental health impacts; and the need for …


Community-Guided Adaptation Of Violence Prevention Strategies: Insights From The Mississippi Violence Injury Prevention (Ms-Vip) Program, Erin Dehon, Masoumeh Karimi, Leila Seidfaraji, Michelle Brassfield, Melinda Todd, Rukia Lumumba, Matthew Kutcher, Matthew Morris, Fredrick Womack, Roy Hart, Lei Zhang Feb 2026

Community-Guided Adaptation Of Violence Prevention Strategies: Insights From The Mississippi Violence Injury Prevention (Ms-Vip) Program, Erin Dehon, Masoumeh Karimi, Leila Seidfaraji, Michelle Brassfield, Melinda Todd, Rukia Lumumba, Matthew Kutcher, Matthew Morris, Fredrick Womack, Roy Hart, Lei Zhang

Journal of Public Health in the Deep South

No abstract provided.


Training Mississippi Providers To Address Intimate Partner Violence In Maternal Care: Pilot Outcomes From The Simm Initiative, Xiaoshan Z. Gordy, Catherine Poehling, Saijun Zhang, Chinedu Chukwu, Jerome R. Kolbo, Masoumeh Karimi, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsenee Davis, Sonja Fuqua, Lei Zhang Feb 2026

Training Mississippi Providers To Address Intimate Partner Violence In Maternal Care: Pilot Outcomes From The Simm Initiative, Xiaoshan Z. Gordy, Catherine Poehling, Saijun Zhang, Chinedu Chukwu, Jerome R. Kolbo, Masoumeh Karimi, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsenee Davis, Sonja Fuqua, Lei Zhang

Journal of Public Health in the Deep South

No abstract provided.


Bridging Ipv And Sud For Pregnant And Postpartum Women: A Case Report Of Interdisciplinary Programming In Mississippi, Catherine Poehling, Masoumeh Karimi, Chinedu Chukwu, Jerome R. Kolbo, Xiaoshan Gordy, Saijun Zhang, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsanee Davis, Sonja Fuqua, Mary M. Wesley, Lei Zhang Feb 2026

Bridging Ipv And Sud For Pregnant And Postpartum Women: A Case Report Of Interdisciplinary Programming In Mississippi, Catherine Poehling, Masoumeh Karimi, Chinedu Chukwu, Jerome R. Kolbo, Xiaoshan Gordy, Saijun Zhang, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsanee Davis, Sonja Fuqua, Mary M. Wesley, Lei Zhang

Journal of Public Health in the Deep South

Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adolescents in the U.S. South experience disproportionately high rates of bullying, discrimination, depression, and suicidality. Supportive and inclusive school climates are identified as key protective factors that can mitigate these risks and function as primary prevention against violence. This systematic narrative review synthesizes peer-reviewed research and high-quality survey reports published between 2015 and 2024 that assess school climate, mental health, and violence-related outcomes among LGBTQ+ youth with representation from Southern states, including Mississippi, Alabama, and Louisiana. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 1,167 records …


Gun Violence And Maternal Mortality In The Mississippi Delta: A Dual Public Health Crisis, Nelson Atehortua, Mary Shaw-Ridley Feb 2026

Gun Violence And Maternal Mortality In The Mississippi Delta: A Dual Public Health Crisis, Nelson Atehortua, Mary Shaw-Ridley

Journal of Public Health in the Deep South

No abstract provided.


The Mississippi Violence Injury Prevention Program (Ms-Vip): Building A Community-Driven Model For Healing And Safety, Rukia Lumumba Feb 2026

The Mississippi Violence Injury Prevention Program (Ms-Vip): Building A Community-Driven Model For Healing And Safety, Rukia Lumumba

Journal of Public Health in the Deep South

No abstract provided.


Archives And Children's Knowledge, Elliott Kuecker, Ashley Rockenbach Feb 2026

Archives And Children's Knowledge, Elliott Kuecker, Ashley Rockenbach

Journal of Contemporary Archival Studies

This article argues for the importance of collecting works created by children—not just about and not just for—in formal archival collections. Framed through the ideas of legitimate knowledge and epistemic injustice, this piece combines notions important to children’s rights activists and childhood studies scholars with the role archives can play in preserving children’s knowledge through child-created materials. The authors describe how researchers struggle to find work created by children within archives, impacting the ability to create child-centered research that centers children’s views of the world as prominently as adult views of the world. Some collections that do include child-created materials …


Accepting And Implementing Virtual Reality In Archives: Archivists' Perspective, Farzaneh Talebhaghighi Feb 2026

Accepting And Implementing Virtual Reality In Archives: Archivists' Perspective, Farzaneh Talebhaghighi

Journal of Contemporary Archival Studies

Virtual reality (VR) has emerged as a transformative technology across various domains, including education, entertainment, and cultural heritage institutions. While libraries and museums have actively explored VR’s potential to enhance user engagement and accessibility, its adoption in archival settings remains limited. This study examines the perspectives of academic archivists regarding the acceptance and implementation of VR in archives, identifying key factors that influence their willingness to adopt or reject the technology. Through qualitative interviews with five archivists from the University of Arizona and Arizona State University, this research explores the perceived benefits, challenges, and institutional barriers associated with VR integration. …


Fana’ (Annihilation), Houyar Moghaddas Feb 2026

Fana’ (Annihilation), Houyar Moghaddas

HCA Healthcare Journal of Medicine

In Sufism, fana’ refers to the dissolution of the self, the annihilation of the ego as one transcends individuality. While traditionally a spiritual concept, fana’ also offers a powerful humanistic metaphor for psychological transformation. In both the poem and accompanying photograph, fana’ explores the themes of ego death, grief, and the reshaping of identity: processes central to psychiatric practice, psychedelic therapy and the treatment of emotional fragmentation. The photograph captures an individual standing at the edge of a path, facing an untamed landscape, symbolizing the confrontation with the unknown self and the internal experience of surrender. This work invites reflection …


Presentations Of Cutaneous Disease In Various Skin Pigmentations: Keratosis Pilaris, Henry Lim, Reem Ayoub, Madelyn Richards, Marshall Hall, Christian Scheufele, Dustin Wilkes, Michael Carletti, Stephen E. Weis Feb 2026

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Keratosis Pilaris, Henry Lim, Reem Ayoub, Madelyn Richards, Marshall Hall, Christian Scheufele, Dustin Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Keratosis pilaris (KP) is a common benign disorder involving hyperkeratosis of the skin. It is associated with other common dry skin disorders such as atopic dermatitis and ichthyosis vulgaris. Lesions are clinically characterized as symmetrically distributed, monomorphic, folliculocentric, hyperkeratotic papules with a variable degree of perifollicular erythema. The appearance can be likened to spikey bumps that are commonly located on the arms, legs, and buttocks. Awareness of KP is important as every primary care clinician will see patients with this disorder. Identification can support the diagnosis of other associated skin diseases. Education about KP and its treatment may alleviate psychological …


Impact Of Palliative Care Consultation On Clinical Interventions And Outcomes In A Medical-Surgical Community-Based Intensive Care Unit, Manjot S. Malhi, Jude Tabba, Aunie M. Danyalian, Michele Iguina, Daniel Zapata, Raiko Diaz, Dionne Morgan, Daniel Heller, Sanaz Kashan, Mauricio Danckers Feb 2026

Impact Of Palliative Care Consultation On Clinical Interventions And Outcomes In A Medical-Surgical Community-Based Intensive Care Unit, Manjot S. Malhi, Jude Tabba, Aunie M. Danyalian, Michele Iguina, Daniel Zapata, Raiko Diaz, Dionne Morgan, Daniel Heller, Sanaz Kashan, Mauricio Danckers

HCA Healthcare Journal of Medicine

Background

Integrating palliative care into intensive care unit (ICU) practice is an essential component of comprehensive patient management, ensuring that critical interventions are aligned with patient-centered care objectives. This study aims to evaluate the impact of palliative care consultation (PCC) on clinical interventions, patient outcomes, and decision-making processes in a community-based medical-surgical ICUs.

Methods

We conducted a prospective, observational, single-center cohort study of critically ill adult patients in a community-based medical-surgical ICU. Patients were grouped by the presence (PCCP) or absence (PCCA) of palliative care consultation. Primary outcomes included differences in clinical interventions (mechanical ventilation, vasoactive medications, renal replacement therapy, …


Implementing Handwritten Notetaking : An Action Research Study Of Efl University Students’ Practices, Engagement, And Grammar Retention, Haifa Al-Amri Feb 2026

Implementing Handwritten Notetaking : An Action Research Study Of Efl University Students’ Practices, Engagement, And Grammar Retention, Haifa Al-Amri

University of Bisha Journal for Educational Sciences

This paper reports on an action research study designed to enhance EFL university students’ grammar retention and increase their engagement through handwritten notetaking, while also examining their current notetaking practices. The study used a mixed-methods approach: The effect on grammar retention was assessed using a pre and post-test, while notetaking practices were assessed through analysis of students’ notes, and engagement was assessed through classroom observation and an open-ended questionnaire. The findings revealed that the intervention resulted in no statistically significant difference in the students’ grammar pre- and post-test scores. Furthermore, an examination of students’ notes revealed a deficiency in critical …


Students, Ai, And Scholarly Integrity: A Hermeneutic Phenomenology Of Postgraduate Research Practices In Saudi Higher Education, Maryam Jamal Alharthi Feb 2026

Students, Ai, And Scholarly Integrity: A Hermeneutic Phenomenology Of Postgraduate Research Practices In Saudi Higher Education, Maryam Jamal Alharthi

University of Bisha Journal for Educational Sciences

Background: This qualitative study explores how Master’s students in educational psychology at a Saudi university negotiate artificial intelligence AI use in research and coursework. Methods: The study adopted a hermeneutic phenomenological design, drawing on semi-structured interviews with seven eligible students in Medina, and analysed them thematically. The interpretive lens was informed by the Technology Acceptance Model/Unified Theory of Acceptance and Use of Technology (perceived usefulness, ease of use, social influence), Bourdieu’s cultural capital (1977), and a sociocultural perspective (e.g., Vygotsky, 1978) on institutional norms. Findings: Five interconnected themes captured student engagement with AI: (1) patterns of use and functional perceptions, …


Marked For Prosecution: The Use Of Tattoo Recognition Technology In Criminal Trials And The Case For Evidentiary Limits, Marc Consalo Feb 2026

Marked For Prosecution: The Use Of Tattoo Recognition Technology In Criminal Trials And The Case For Evidentiary Limits, Marc Consalo

Mercer Law Review

In recent years, tattoos have taken on a new and largely overlooked role in our criminal trial system. Once viewed primarily as personal or cultural expression, tattoos are now treated by law enforcement as biometric data which can be analyzed, codified, and then searched by artificial intelligence (“AI”). Police departments and prosecutorial offices have begun using tattoo recognition software to identify suspects, assume gang membership, and establish guilt based on imagery or symbols. Yet, despite the rapid growth of this technology, its use in the courtroom has received almost no scholarly attention and even less judicial scrutiny.

This Article seeks …


Client Feedback Effects On Enjoyment, Motivation And Self-Efficacy In A Project-Based Learning Course, Krista Stacey, David M. Bourrie Feb 2026

Client Feedback Effects On Enjoyment, Motivation And Self-Efficacy In A Project-Based Learning Course, Krista Stacey, David M. Bourrie

University Faculty and Staff Publications

This paper reports a mixed-methods evaluation of how feedback/project source (faculty-led versus client-led) shapes student outcomes in a two-course undergraduate game and simulation development sequence (N = 29 across two academic years). Quantitative measures (enjoyment, intrinsic motivation, self-efficacy) were collected with a six-point Likert survey and analyzed, but due to small sample sizes were not used to empirically evaluate the constructs. Instead, qualitative data comprised of de-identified focus-group transcripts and open-ended survey responses were analyzed with a keyword-assisted codebook and manual validation. Year 1 (faculty feedback) exhibited more consistent post-course gains, especially in self-efficacy, while Year 2 (client feedback) produced …


Empowering Nursing Through Reflective Practice: A Path To Resilience, Well-Being, And Healthful Workplace Cultures, Joanne P. Bosanquet Feb 2026

Empowering Nursing Through Reflective Practice: A Path To Resilience, Well-Being, And Healthful Workplace Cultures, Joanne P. Bosanquet

Creating Healthy Work Environments (CHWE)

In the UK's health and care system, the cornerstone is safe, effective, and evidence-informed person-centered care. The pursuit of consistent high-quality care is an imperative, demanding the unwavering commitment of healthcare professionals. However, the increasingly complexity of healthcare, coupled with escalating costs, uncertainties in the work environment, recruitment and retention challenges, and the alarming rise in staff sickness and burnout, pose formidable obstacles (Aiken et al., 2023; Villarante et al., 2023).

Registered nurses, despite their comprehensive theoretical knowledge and philosophical grounding, confront emotionally taxing work.

Reflection emerges as a transformative tool, enabling nurses to connect with their inner selves, nurturing …


Using The Misinformation Exposure-Trust Framework For Audience Segmentation: Predicting Covid-19 Vaccine Hesitancy Among U.S., Jing Zeng, Jinxu Li, Nan Yu, Xi Cui, Anli Xiao Ph.D. Feb 2026

Using The Misinformation Exposure-Trust Framework For Audience Segmentation: Predicting Covid-19 Vaccine Hesitancy Among U.S., Jing Zeng, Jinxu Li, Nan Yu, Xi Cui, Anli Xiao Ph.D.

Faculty Publications

This study examines whether individuals’ exposure to and trust in COVID-19 vaccine misinformation can be used to segment audiences and explain variations in vaccine hesitancy and health beliefs. Using k-means clustering, a survey of 819 U.S. college students (March–May 2021) identifies four subgroups based on combinations of high or low misinformation exposure and trust: misinformation-shielded (low exposure, low trust), misinformation-vulnerable (low exposure, high trust), misinformation-resistant (high exposure, low trust), and misinformation-accepting (high exposure, high trust). These subgroups differ significantly in political ideology, vaccine hesitancy, and health beliefs. The misinformation-shielded subgroup reports more liberal views, lower hesitancy, and higher perceived efficacy, …