Digital Commons Network^™

Flourishing In Hong Kong: An Analysis Of Wellbeing-Related Outcomes In The Global Flourishing Study, Lanxi Huang, Xu, Maggie Yue Zhao, Hanchao Hou, Aaron Jarden, Tim Lomas, Brendan Case, R. Noah Padgett, Ying Chen, Richard G. Cowden, Byron R. Johnson, Tyler J. Vanderweele

Research outputs 2022 to 2026

Using population-based data from Hong Kong (N = 3,012) drawn from Wave 1 of the Global Flourishing Study, this study examines the distribution of multidimensional flourishing and explores sociodemographic variation across psychological, social, physical, and economic domains. Overall, respondents reported relatively strong happiness and life satisfaction and financial wellbeing, alongside less favourable social connectedness. Patterns of flourishing varied across age, gender, education, employment, and religious affiliation, highlighting meaningful heterogeneity within the population. Early older adults tended to show more favourable wellbeing profiles, whereas younger adults and nonreligious individuals displayed comparatively lower scores across several domains. Educational attainment and employment status …

Extending Social Penetration Theory To Online Brand Communities: The Impact Of Perceived Identifiability On Relational Development And Perceived Enjoyment, Stephanie Meek, Claire Lambert, Laureane Du Plessis

Research outputs 2022 to 2026

Online brand communities (OBCs) rely on members forming relationships, yet many platforms normalise anonymity. Drawing on Social Penetration Theory (SPT), this study examines whether feeling recognisable to other members (perceived identifiability) shapes relational outcomes and enjoyment in consumer-initiated OBCs. Survey data from 307 members were analysed using structural equation modelling and multi-group analysis. Perceived identifiability significantly increased members’ network ties and sense of belonging but did not directly enhance perceived enjoyment. Instead, belonging mediated the link from identifiability to enjoyment, and network ties strengthened belonging, yielding a serial indirect pathway from identifiability to enjoyment. Comparing lurkers and posters showed that …

The First Systematic Review Of Treatment Characteristics And Recidivism Outcomes For Indigenous People Who Have Sexually Offended, James L. Finney, Natalie Gately, Suzanne Rock, Braden Hill

Research outputs 2022 to 2026

It is of great importance that research investigates the impact of sexual offender treatment programmes given the damage caused by sexual offences to victims and society more broadly. However, psycho-criminological literature has focused on reporting post-treatment recidivism outcomes for people who have sexually offended homogeneously and has not investigated the unique experiences of Indigenous people. Therefore, we systematically collated and critically appraised studies reporting recidivism outcomes for Indigenous people who have received treatment for sexual offences. Fourteen studies were identified utilising a sample of 5,635 individuals (30.7% Indigenous or First Nations). Recidivism was lower for Indigenous and First Nations people …

It's The Most Diverse Job I’Ve Ever Had: What Do Registered Nurses Working In Australian Schools Do?, Anita Moyes

Research outputs 2022 to 2026

Although nurses have been working in Australian schools for many decades, research has focused primarily on narrow aspects of clinical practice or service delivery in specific regions. The aim of this study was to identify the domains of practice registered nurses report in a typical working day in Australian schools, using interview data from a national sample. Forty-five nurses working in government and nongovernment schools in every state and territory of Australia participated. Interviews were analyzed using inductive content analysis ( Elo & Kyngas, 2008). Six distinct domains of practice characterized nursing work in Australian schools: (i) responding to diverse …

Making Room For ‘Feelings’: What's At Stake For The Theory Of Practice Architectures?, George Variyan, Brad Gobby

Research outputs 2022 to 2026

This paper responds to Thelin, K. [2024. What about feelings? Elaboration on and consideration of the theoretical construct of emotions in practice and practice architectures. International Journal of Leadership in Education, 1–14] intriguing proposal that the theory of practice architectures (hereafter TPA) would benefit from an augmentation to its oft-repeated analytical mantra of ‘sayings, doings and relatings’ by adding the notion of feelings. Thelin's work is motivated by the increasing realisation amongst adherents that TPA has thus far been relatively silent on how emotions mediate practice. As such, there are ongoing efforts to think through the place of emotions in …

Nothing Else Matters: Why Relationships May Be Key To Establishing Healthy Eating Behaviours In Young Children, Therese A. O’Sullivan, Kathryn G. Di Candilo

Research outputs 2022 to 2026

Food is more than its nutritional components. It brings people together, and connects us to family, culture, and heritage. The development of eating habits and relationships with food begins in infancy and continues across the lifespan. Echoing the theme of Metallica’s 72 Seasons, which was being toured in Australia when this work was presented, experiences during the early years may shape later patterns of behaviour and identity. This can include mindsets around food and eating. This review aims to explore how early life parent/caregiver feeding practices may impact this development of children’s eating behaviours. A respectful and responsive approach to …

Nurses' Perceptions Of Their Non-Technical Skills In Recognising And Responding To Clinical Deterioration In Hospital Settings: A Systematic Review, Darlene Archer, Amineh Rashidi, Rajbeer Kaur, Allison Roderick, Olivia Gallagher

Research outputs 2022 to 2026

Aim: To understand nurses' perceptions of non-technical skills in recognising and responding to clinical deterioration in hospital settings.

Design: A mixed methods systematic review was undertaken, guided by the Joanna Briggs Institute Manual for Evidence Synthesis.

Methods: A systematic search of the primary research literature published between 2012 and October 2025 was undertaken. A convergent integrated approach to synthesis, without meta-analysis, was undertaken.

Data Sources: The MEDLINE, CINAHL, Scopus, PsychInfo and Embase electronic databases were searched. Reference lists of full-text articles retrieved were reviewed for additional data sources.

Results: Twenty-four primary studies were included. Narrative synthesis resulted in six main …

The Influence Of Self-Compassion On The Mental Health And Well-Being Of Women Experiencing Infertility: A Systematic Review, Shwikar Othman, Mitra Javanmard, Lauren Roberts, Lisa Conlon, Mary Steen

Research outputs 2022 to 2026

Infertility can cause significant distress to women, increasing the risk of anxiety and depression. This systematic review examined the influence of self-compassion interventions on mental health and well-being among women experiencing infertility. The review was conducted in accordance with Joanna Briggs Institute (JBI) methodology and reported following PRISMA guideline. Databases searched included Medline, Embase, Ovid nursing database, Emcare, PsycINFO and Cochrane Library from inception to November 2024. Quality assessment was conducted using JBI critical appraisal tools. Title and abstract screening was conducted by three reviewers, and data extraction was performed independently by two reviewers. Sixteen studies met the inclusion criteria, …

En Ritmo: A Praxis In Decolonizing Traditional Dance Spaces, Megan Curet

School of Art, Design and Architecture Theses

En Ritmo: Praxis in Decolonizing Traditional Dance Spaces is an investigation that explores the intersection of bomba, a traditional Puerto Rican song, music and dance form, and North American contemporary dance. This PhD research aims to decolonize culturally hegemonic dance spaces through a cultural syncretism of contemporary dance and the elements of bomba as foundational principles for training both professional and non-professional dancers. This practice challenges traditional Western dance training paradigms. Therefore it is crucial to clarify that this research is not positioned within the realm of pedagogy; rather, it critically interrogates and deconstructs the distinctions between dance practice and …

How Does Pre-Registration Child Specific Education Prepare Newly Qualified Nurses’ To Care For Children, Young People, And Their Families? An Empty Narrative Review, Matt Carey, Danielle Edge, Julie Blamires, Mandie Foster, Sarah Neill

School of Nursing and Midwifery

This narrative review investigates the influence of child-specific content within pre-registration nursing programs on newly qualified nurses’ perceptions of preparedness to care for children, young people, and their families. Despite international recognition of the specialised competencies required for pediatric nursing, the proportion and quality of child-focused education across Higher Education Institutions is not clear. The Population, Exposure, Outcome framework provided a comprehensive search strategy applied across eight databases to identify relevant studies that met the inclusion and exclusion criteria. Of 663 records identified, 451 were screened and 25 full texts wereassessed for eligibility by two reviewers. No studies met the …

An Evidence Review Of Technology Enabled Social Care In The Uk: Report For Cornwall Health Determinants Research Collaboration, Sheena Asthana, Michael Loizou, Marius Varga, Oliver Beer, Rory Baxter, Kieran Green

School of Nursing and Midwifery

The Urgent Need for a Shift from Crisis Intervention to Prevention. As highlighted by the Chief Medical Officer, demographic ageing—particularly acute in coastal areas like Cornwall—necessitates a fundamental shift in care models to allow individuals to live as independently as possible. Currently, the potential of digital technologies to support this aim is not being realised. To maintain wellbeing and reduce demand on statutory services, the system must pivot from reactive crisis management to a greater focus on prevention. While technology can play a pivotal role, it will only succeed if integrated into interoperable, data-driven systems that facilitate early intervention and …

Sustainable Development And Faith, Tony Kealy

Research Outputs: 2025-Present

The contribution of faith-based input to the broader idea of sustainable development has not been widely acknowledged in the traditional sense; however, recent global events suggest it may warrant further exploration. This qualitative study examines how faith-based activities, such as missionary work, have historically and can continue to contribute significantly to the environmental, economic, and human/social aspects of organizational decision-making. The focus is on the Catholic faith, specifically the role played by the Irish-based Medical Missionaries of Mary religious congregation in the mid-to-late twentieth century. An initial literature review was conducted to gather information from various sources to define sustainable …

The Effectiveness Of Digital Therapeutics Intervention In Oral Anticoagulation Management: A Systematic Review And Meta-Analysis, Jiayue Guo, Lili You, Lu Liu, Xitong Jiao, Debasish Kar, Jitendra Jonnagaddala

Peninsula Medical School

Objective: To summarize the key intervention characteristics and evaluate the effectivenessand safety of digital therapeutics (DTx) in patients receiving oral anticoagulation, witheffectiveness evaluated using time in therapeutic range (TTR), thromboembolic events (TEE),and mortality, and safety evaluated based on bleeding events.Patients and Methods: We searched PubMed, Embase, Web of Science, and the CochraneLibrary from inception to June 20, 2025, and identified ten randomized controlled trialsinvolving 7,237 patients. The criteria required studies to assess software-based DTxsupporting anticoagulation management and report effectiveness or safety outcomes. Studyquality was evaluated using the Grading of Recommendations, Assessment, Development,and Evaluation (GRADE) framework, and random-effects models were applied.Results: …

Involving Parents In Prevention: A Case Example Of Research And Intervention Development To Improve Financial Well-Being Support, Nick Axford, Gisella Hanley, Rebecca Summers, Kristin Liabo, Amy Bond, Eleanor Bryant, Georgia Smith, Rachel Silcock, Vashti Berry

Peninsula Medical School

The adverse effects on parent and child outcomes of poverty and stressors associated with low income are well established. With notable exceptions, however, the potential role of frontline services in improving family financial well-being is underexplored. This article outlines how patient and public involvement (PPI) was initiated early on in research on financial well-being support (FWbS). It illustrates how research can build on and integrate what parents say about services and how to research them. The involvement work was undertaken in one city in part to inform the adaptation of an income maximisation service to be delivered in local children’s …

Measuring Outcomes In Evaluations Of Interventions To Prevent Youth Crime And Violence: Challenges And Potential Solutions, Sajid Humayun, Finlay Green, Helen Downham, Nick Axford

Peninsula Medical School

There is a clear imperative to prevent youth crime and violence owing to the significant social and economic costs for individuals involved and wider society. A considerable evidence base for ‘what works’ in this space exists but gaps remain. To address these, it is necessary to evaluate intervention effectiveness. The aim of this article is to explore challenges and potential solutions regarding outcome measurement in such evaluations. To do this we draw on the literature and our experience as evaluators. We argue that outcome selection should be informed by a robust theory of change, and that normally this will mean …

Designing A Mobile App For Post Traumatic Stress Disorder: Insights From Lived Experience And Clinical Practice, Rohit Shankar, Richard Laugharne, Michael Loizou, Marius Varga, Sivia Lin, Bojana Daw Srdanovic, Roger Farrell

Peninsula Medical School

Post-traumatic stress disorder (PTSD) is a disabling anxiety disorder precipitated by severe trauma. Many people with this condition have little access to clinical interventions, especially in low-middle-income countries. For the development of any digital health intervention, it is vital to know the opinions of PLE and clinicians to guide the developers. We conducted two focus groups, one with clinicians (n = 5) and one with people with lived experience (PLE) (n = 11), to gain knowledge of their views on the development of a PTSD App. Transcripts of both focus groups were coded and thematically analysed. The key themes that …

Antigypsyism: Foundations Of An Ideology Of Hatred Towards Roma, Fernando Ruiz Molina, Zoë James

School of Law, Humanities and Social Sciences

Roma communities represent the largest ethnic minority in Europe (European Parliamentary Research Service, 2021), dating their presence from the fourteenth century onwards (Council of Europe [CoE], 2012a; CoE n.d.-a; End, 2012).¹Accord-ing to the Council of Europe, it is estimated that the population of Roma citizens living currently in Europe is around 10 to 12 million (CoE, 2012a). Despite their long-standing presence in European countries, Roma are hated within their own countries. From Eastern to Western Europe, animosity towards Roma centres on public acceptance of stereotypes of their criminality and lifestyles, leading to this minority group experiencing the most bias-motivated crime …

From Predictions To Explanations: Explainable Ai For Autism Diagnosis And Identification Of Critical Brain Regions: 18th International Joint Conference, Biostec 2025, Kush Gupta, Amir Aly, Emmanuel Ifeachor, Rohit Shankar

School of Engineering, Computing and Mathematics

Autism spectrum disorder (ASD) is a neurodevelopmentalcondition characterized by atypical brain maturation. However, the adaptationof transfer learning paradigms in machine learning for ASD researchremains notably limited. In this study, we propose a computeraideddiagnostic framework with two modules. This chapter presents atwo-module framework combining deep learning and explainable AI forASD diagnosis. The first module leverages a deep learning model finetunedthrough cross-domain transfer learning for ASD classification. Thesecond module focuses on interpreting the model’s decisions and identifyingcritical brain regions. To achieve this, we employed three explainableAI (XAI) techniques: saliency mapping, Gradient-weighted Class ActivationMapping, and SHapley Additive exPlanations (SHAP) analysis.This framework demonstrates that …

The Career Choices Of Final Year Nursing Students In The United Kingdom: A Qualitative Study., Kevin Hambridge, Frazer Underwood, Gosia Bettache, Matt Carey, Halil Kaya, Lisa Burrows, Rachel Tims, Christian Brailsford

School of Nursing and Midwifery

Aim: The aim of this study is to explore the career choices of final year under-graduate nursing students in the United Kingdom. Background: Worldwide there is a decreasing number of nurses and in the United Kingdom there is a decreasing amount of nursing students. There is sparce evidence relating to the career's choices of nursing students and reasons for those choices. Obtaining a deeper comprehension of these choices may aid healthcare employers, in partnership with universities, to design the future nursing workforce. Design: A qualitative design was used. Methods: Twenty-one final year under-graduate nursing students from across a range of …

Job Satisfaction, Burnout, And Intent To Stay In Neonatal Nursing In England And Wales: A Cross-Sectional Survey Study, Kathy Chant, Yoko Nishimura, Aviva Petrie, Jos M. Latour, Nicola Booth, Kelly Crofts, Lisa Viola, Katie Gallagher

School of Nursing and Midwifery

Objective: To explore job satisfaction, burnout and intent to stay in neonatal nurses in England and Wales. Methods: A cross-sectional online survey study using the McCloskey Mueller Satisfaction Scale (MMSS) to explore job satisfaction, the Copenhagen Burnout Inventory (CBI) to explore burnout and the Nurse Retention Index (NRI) to measure intent to stay. All neonatal nurses working in England and Wales were eligible to take part. Data were collected between February and September 2024. Results: A total of 1590 neonatal nurses completed the survey. Job satisfaction was neutral. Moderate work burnout was reported, with statistically significant differences in mean score …

Leveraging Consumer Socialisation Agents To Increase Indigenous Student Participation In Higher Education, Melissa Fong-Emmerson, Braden Hill, Claire Lambert, Maria M. Ryan, Rebekah Dougan

Research outputs 2022 to 2026

Purpose – Socialisation agents, including family, peers, Elders, teachers, mass media and community networks, significantly influence students’ decisions to pursue higher education (HE). This paper aims to further explore how these agents, within the framework of consumer socialisation theory, act as influential forces at the early stages of the decision-making process, shaping perceptions and providing motivation for Indigenous students’ educational choices. Design/methodology/approach – A three-phase narrative inquiry method was used, including autobiographical accounts from students, yarning sessions with peers and one-on-one interviews. This participatory approach centred Indigenous knowledges to inform culturally responsive social marketing strategies. Findings – The study identified …

Co-Design Of An Online Mindfulness Program For Informal Carers Of People Living With Dementia: A Qualitative Study Of Co-Designers’ Experience, Charunya A.K.R. Abeysinghe Mudiyanselage, Seng Giap Marcus Ang, Aisling Smyth, Joanne M. Dickson, Beverley Ewens

Research outputs 2022 to 2026

Introduction: Informal carers face significant challenges related to care provision for people living with dementia. Participating in a mindfulness-based stress reduction program could improve the wellbeing of informal carers. However, engaging in these programs can be difficult for informal carers due to the needs of their care recipients. Purpose: This study aimed to co-design an online mindfulness program in collaboration with a range of stakeholders and those with lived experience as carers. Methods: This co-design study adopted an interpretive descriptive qualitative approach to the development of the program. The stakeholders (co-designers) included people with lived experience as informal carers and …

Love Letters To The Self: Building Heart Skills Through Positive Autoethnography, Madalena Grobbelaar, Elizabeth Reid Boyd

Research outputs 2022 to 2026

This article is an enquiry between two educators, one from social science and the other from counselling psychology, exploring how Positive Autoethnography can be applied in both teaching and therapeutic contexts. An exploration by co-founders of #Love@ECU, a research initiative at Edith Cowan University (ECU) in Western Australia, the piece investigates the intersection of emotional learning and educational practice through the emerging framework of Heart Skills, an original format currently used in teaching interpersonal skills at ECU. It integrates personal narrative, embodied experience and emotional insight to consider how student growth and resilience can be cultivated. Central to this exploration …

Praxis: The Missing Theory To Practice Link In Maximising Early Childhood Science Opportunities, Pauline Roberts, Patricia R. Collins

Research outputs 2022 to 2026

Science teaching in early years contexts has been identified as deficient due to poor educator confidence, lack of content knowledge, or minimal opportunities being made available for science experiences. To identify strategies to counteract these factors, this study explored how these deficiencies are enacted in learning contexts by examining the beliefs and practices of educators across three early learning sites. The focus of this study was threefold: to gather the perception of educators in relation to early childhood science; explore the learning environments; and observe the interactions facilitated by the educators to develop scientific knowledge and skills for young children. …

Fostering Sustainable Business Performance: The Synergistic Role Of Entrepreneurial Leadership And Green Organizational Support In The Hotel Industry, Kwame Owusu Boakye, Michael Kyei-Frimpong, Aaron Makafui Ametorwo, Linda Quagraine, Richard Sam-Mensah

Research outputs 2022 to 2026

This study investigated the moderating role of green organizational support in the nexus between entrepreneurial leadership and sustainable business performance. The study adopted the explanatory research design, where data were collected from 208 employees working in star-rated hotels in Ghana and analyzed using descriptive and inferential statistics. The result revealed that entrepreneurial leadership significantly relates to sustainable social and environmental performance but not to sustainable economic performance. More so, green organizational support moderated the relationship between entrepreneurial leadership and sustainable economic and social performance but did not moderate the relationship between entrepreneurial leadership and sustainable environmental performance. Theoretical and practical …

Midwifery Students' Definitions Of Normal Labor And Birth: A Study From Five Countries, Jalana Lazar, Juliet Wood, Jane Fry, Barbara Baranowska, Urszula Tataj-Puzyna, Debora Dole, Emma Ritchie, Clare Davison, Cindy L. Farley, Felicity Agwu Kalu, Maria Healy, Maria Węgrzynowska

Research outputs 2022 to 2026

Introduction: Internationally, many women and birthing people are receiving maternity care interventions as a routine with no medical indication for their use. This medicalized environment influences midwives' practice and, by extension, midwifery students' clinical learning experiences, gaining knowledge and confidence in facilitating normal labor and birth. To educate midwifery students in the provision of high-quality maternal and newborn care, it is important to explore their understanding of normal labor and birth, as this underpins their philosophy of care and will inform their future practice. Methods: An online survey was developed from a review of current evidence. Following ethical approval, the …

Sustaining Caring Mobilities In Immobility Regimes: Adaptive Strategies Of Vietnamese Migrant (Grand)Parents In Australia, Hien Thi Nguyen, Catriona Turnbull, Loretta Baldassar

Research outputs 2022 to 2026

(Grand)parents are increasingly traveling internationally to visit and spend time with their transnational families. This mobility is essential to provide informal, unpaid care, driven by globalisation as family members relocate for study and work. However, governments in receiving countries like Australia are implementing restrictive measures, defined in the literature as ‘immobility regimes’, to control the movement of older migrants into their territories, including overseas (grand)parents. Drawing on the lived experiences of 22 Vietnamese migrants (11 (grand)parent visitors and 11 adult migrants who host their (grand)parent visitors), this paper explores the relationship between transnational mobility and institutional migration policies in the …

Making The Implicit Explicit: Leadership In Primary Care Dental Practice, Sally Hanks, Debby R.E. Cotton

Peninsula Dental School

Objectives: This paper reports on research aimed at understanding leadership activities in primary care dental practice, an under-explored area within the extant literature. Methods: The research employed a qualitative, exploratory paradigm, using Video Reflexive Ethnography (VRE) and Activity Theory (AT) to capture the lived experiences of seven participating dentists. Results: The research outlines the ways in which dentists demonstrate leadership skills in their daily work, identifying three interacting activity systems that define leadership in this setting: Patient Care (PC), Running the Surgery (RS), and Running the Practice (RP). Findings emphasise that leadership is directly related to patient care and is …

Human Capability Development In Irish Tech Smes, Anna Zherdeva

Doctoral

Purpose: SMEs are the backbone of the European economic model and represent 99.8% of all businesses, highlighting the importance of research that assesses challenges and opportunities faced by SMEs. The reviewed literature revealed a significant lack of research on how SMEs can develop management, teamwork, and team-building skills in the context of the twin transition (i.e., digital and green transitions), particularly regarding digital transformation and its impact on economic development and business cooperation. Researchers have presented evidence of the difficulties SMEs face in competing with corporations due to numerous constraints, including a lack of investment and qualified human resources. To …

Motivation System Evoked By High Performance Work System In Chinese Universities And Colleges - An Examination Of The Relationship Between Human Resource Practices, Basic Psychological Needs, And Job Performance, Juan Chen

Doctoral

High Performance Work Systems (HPWS) are strategic, integrated Human Resource Practices (HRPS) designed to enhance employee abilities, motivation, and opportunities for participation, driving sustained organisational performance. While early research emphasized commitment HRPS, recent studies recognise that control and commitment HRPS are complementary rather than mutually exclusive, with neither holding an absolute advantage. Their success depends on contextual factors such as country, industry,organisation, economic environment, and workforce. In Chinese higher education institutions, transitioning from a high-commitment “iron rice bowl” system to a more control-oriented HR model has created tensions between efficiency and academic freedom. Based on the resource-based view, social exchange …