Digital Commons Network^™

For Evidence-Based Suicide Risk Assessment, Monica Molah

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) project was developed to address a practice gap regarding the lack of systemic approach to suicide assessment in adult patients. This Doctor of Nursing Practice (DNP) project identified a significant gap in care at a private mental health clinic, which lacked a consistent, evident-based approach to suicide risk assessment. The inconsistency increased the likelihood of under-identifying at risk patients, posing substantial medical-legal and patient safety concerns. The practice-focused question guiding this project was: Does the evidence support the development of a CPG for suicide risk screening that receives an AGREE II quality score by an …

Introduction To 17(6) 2025, Rosalind L. Raby

Journal of Comparative & International Higher Education

No abstract provided.

Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix

Walden Dissertations and Doctoral Studies

In this qualitative study, attachment styles of women who are attracted to violent incarcerated men were investigated. Bowlby’s attachment styles were used to develop an insight into the women who are attracted to violent incarcerated men. Steinberg’s theory of love was used for a more intimate view into the women and their pursuit of relationships with incarcerated males. The findings revealed that the women identify as having anxious attachment styles and are insecure-ambivalent/resistant. Those with anxious attachment styles yearn to develop supportive relationships as their insecurities hinder them from developing trust, satisfaction, commitment, and interdependence. As for being insecure-ambivalent/resistant, it …

What Bereaved People Have Found Helpful Following Death Of A Loved One In A Hospital: A Survey Study, Jon Swanson Phd, Mindy Flanagan Phd, Rachel Pfafman Mph, Mba

Other Specialties

Given the individual and public health impact of bereavement, discovering what people perceive as helpful after loss can improve interventions. In contrast to national projects, this project focused on two hospitals in a Midwestern hospital system.

A survey was developed to assess the work of chaplains with next of kin following a death, to assess the awareness and helpfulness of persons and organizations in the community, and to ask what people had done, said, or given that was helpful, or what respondents wished people had done. From a list of 283 people invited to respond, 52 completed the survey.

Survey …

Titi Bilang Bahagi Ng Katawan: Somatikong Pagbasa Sa Akdang Pambata, Axle Christien J. Tugano

Dalumat: Multikultural at Multidisiplinaryong E-Journal sa Araling Filipino

Kritikal na sinuri ng rebyung ito ang akdang pambata nina Genaro Gojo Cruz at Beth Parrocha na pinamagatang “Ako ay May Titi.” Sa mahabang panahon, matagal na siniil ang malayang talastasang ukol sa genitalia (titi at puki) gayong isa ito marahil sa mga bahagi ng katawang tao na tinukoy ni Bryan Turner (1992) na nangangailangan ng somatikong pagbasa sa kultural at politikal na katangian ng katawan. Higit pa sa anatomikong pagtingin, ang titi ay hindi lamang simpleng “segregasyon” ng kasarian at seksuwalidad ng tao, ngunit ito rin ay isa sa mga unang bahagi ng katawang natututuhan ng isang bata. Binuksan …

From Gap To Growth? Examining Institutional And Legal Efforts To Bridge Gender Disparities In Higher Learning: The Case Of University Of Dar Es Salaam, Hadija K. Mwendah, Bernadeta Killian

Journal of Humanities and Social Sciences

Tanzania has adopted several institutional and legal frameworks to advance gender equality in higher learning. These include, national gender policies, affirmative action provisions and establishment of gender mainstreaming structures at universities. This paper examines how these frameworks have been implemented at the University of Dar es Salaam (UDSM) and the extent to which they have bridged gender disparities in academia. Using secondary data and drawing from feminist institutionalism, the study explores how formal rules and informal practices interact to influence gender outcomes. Findings reveal that while institutional mechanisms such as the UDSM Gender Policy, Institute for Gender Studies, Gender Desks …

An International Approach To Homelessness. Part I: The Case Of India., Pranit Lanjewar, Jaroslaw Richard Romaniuk

Faculty Scholarship

This paper, the first in a two-part study on homelessness in developing countries, explores the causes of homelessness in countries with significant populations living in poverty. This instalment focuses primarily on homelessness in India. The country’s diversity in terms of culture and religion is reflected in challenges when approaching issues related to homelessness. We highlight governmental initiatives to combat homelessness and provide impoverished people and families with access to essential services. A qualitative research method was used. We interviewed the recipients of government services aimed at helping their families overcome homelessness. Our findings highlight the role of education and educational …

Women's Social Roles And Alcohol Use Among Military-Connected Spouses, Sheila Kathleen Mccabe Nickerson

Dissertations and Theses

Increases in women's alcohol use are an intensifying public health problem in the United States, contributing to a hidden epidemic of alcohol-related mortality. Women's alcohol consumption is often not openly discussed or recognized due to social stigma, the perception that women drink less than men, and the fact that women can experience negative health consequences from lower levels of alcohol consumption (relative to men), making the issue less visible than it actually is. A range of factors potentially influence women's drinking, including social roles (i.e., mother); yet, the literature is varied as to whether the combination of multiple-role demands/expectations fosters …

Establishing Evidence Of Intercultural Competence As Learning Outcomes Of Outbound Student Mobility Programs For Undergraduate Participants, Hiroyoshi Hiratsuka

Journal of Comparative & International Higher Education

Outbound student mobility programs are instrumental to Japan’s higher education policy. However, the national policy discourse among the stakeholders tended to overlook evidence when the literature review identified a gap. This study intended to fill this evidence gap by uncovering evidence of intercultural competence as a learning outcome of outbound mobility programs. This study is a theory-driven qualitative method to establish students’ learning outcomes as a part of GSC’s degree requirements to participate in studies in Malaysia and Thailand. This qualitative analysis confirmed cultural self-awareness and related intercultural competence domains as learning outcomes of this outbound student mobility program in …

Embodied Emotion At Scale: Sport As The Collective Emotion Laboratory For Human Development In The Age Of Ai, Hyun-Woo Lee, Junseok Kim, Yelim Yoo, Zhi Lu

Journal of Applied Sport Management

Sport represents humanity’s largest-scale emotion laboratory where intense competitive emotions are practiced within safe boundaries through collective participation. As artificial intelligence evolves to systematize virtual and digital experiences, sport's irreplaceable embodied practice of collective participation becomes more apparent, not less. This conceptual paper demonstrates how artificial intelligence can optimize emotional learning from large-scale sport experiences while highlighting, rather than replacing, their unique human development value. Authors propose a four-level framework positioning sport organizations as comprehensive emotional development centers that leverage AI-powered technologies, including video analytics capturing facial expressions, body movements, and collective synchrony, to systematize emotional intelligence development. The framework …

Hubungan Kehamilan Usia Remaja Dengan Kelahiran Prematur Di Rsud Cengkareng Jakarta Barat Tahun 2022: Sebuah Studi Kohort Retrospektif, Anna Triana, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Premature birth is leading causes of neonatal mortality. According to the World Health Organization (WHO), global premature birth rates reached 9.9% in 2020, it’s rising compared to preterm birth rates in 2010. One of the risk factors for preterm birth is the mother's age, which pregnant adolescents are more at risk of giving birth to preterm babies due to physiological, psychological, and socioeconomic immaturity. This study is an analytical study with a retrospective cohort design to determine the relationship between adolescents pregnancy and preterm birth. This study was conducted in Cengkareng General Hospital West Jakarta using patient’s medical record data. …

Socio-Demographic Determinants Of Hospitalization Severity Among Type 2 Diabetes Mellitus-Related Hospitalization Visits In Indonesia: A Cross-Sectional Analysis Of Using Bpjs Health Secondary Data, 2023, Nadia Putri, Asri C. Adisasmita, Fitria Fitria, Sely Anggraini

Jurnal Epidemiologi Kesehatan Indonesia

Type 2 diabetes mellitus (T2DM) is a chronic disease with high prevalence and contributes significantly to the burden of inpatient care in Indonesia. The severity of T2DM-related hospitalization as classified under the INA-CBGs system, is an important indicator for assessing disparities in access to care and the health system’s response to vulnerable populations. This study aims to analyze the relationship between socio-demographic characteristics and the severity of T2DM-related hospitalization visits based on 2023 Social Security Administering Body for Health (BPJS Health) data. This study employed a cross-sectional design using secondary data from the 2023 BPJS Health Sample Data. The unit …

Using The Practice Based Coaching Model For Professional Development In Head Start Programs, Julia Cuevas Guerra

Human Development and School Services Faculty Publications

A mixed-methods descriptive single-case research design explored the effects of implementing the Practice-Based Coaching (PBC) model at a South Texas Early Head Start Center. Three bilingual coaches used the Practiced-Based Coaching model to provide professional development on emergent biliteracy instruction for three bilingual teachers of 2- to 3-year-olds. Coaches and teachers used reflexive journals, focus groups, pre- and post-observation checklists, and surveys to share their views and experiences with the Practice-Based Coaching model. Results showed the Practice Based Coaching model is effective teacher and coach training. The model’s ripple effect fostered a coach-teacher collaboration via social learning, boosting teachers’ emergent …

Implementing The Practice Based Coaching Model For Inclusion In Early Childhood Education, Julia Cuevas Guerra

Human Development and School Services Faculty Publications

This mixed method descriptive single case research explored the effects of implementing the Practice-Based Coaching (PBC) model at an Early Head Start Center in South Texas. The Practice-Based Coaching model provided professional development by three bilingual coaches to three bilingual teachers of young children ages 2-3 about emergent biliteracy instruction. Data was collected from coaches and teachers through reflexive journals, focus group interview, pre and post observation checklists and surveys to get their perceptions and experiences with the Practice-Based Coaching model. The findings showed the Practice Based Coaching model is an effective learning practice for teachers and coaches. The model …

Simulation-Based Learning In Oral Radiology: Students’ Perceptions Of Training In Intraoral Radiographic Techniques Across Two Dental Institutes, Abeer A. Almashraqi, Ankur Jethlia, Rebecca Glanville, Hanin Daas, Kamran Ali

Peninsula Dental School

Objective: Simulation-based learning (SBL) in oral radiology offers a safe, structured environment that supports students’ transition to clinical practice. However, limited research has captured students' perceptions of SBL for intraoral radiography training. This study aimed to explore the perceptions of dental students about SBL in intraoral radiography using a mixed-methods approach across two dental institutions. Methods: Third-year undergraduate dental students from two institutions were recruited. All students were trained on both periapical (paralleling technique in Institution A and bisecting angle technique in Institution B) and bitewing radiographs using a mannequin. Data were collected through a 9-item Likert-scale survey and three …

Systematic Literatur Review: Development Effectiveness E-Module Pbl-Based Learning To Improve Problem-Solving Skills In Ecosystem Material, Liziaruti Aurani Chong, Diana Vivanti Sigit, Ratna Komala, Rusdi Rusdi, Tri Handayani

Jurnal Pendidikan Sains

This study aims to analyze the effectiveness of developing e-modules based on Problem Based Learning (PBL) in improving students' problem-solving abilities in ecosystem material. The method used is Systematic Literature Review (SLR) by reviewing articles published in the period 2018–2025. The results of the analysis show that most of the research uses the descriptive method. Research and Development (RnD) with junior high and senior high school subjects, and produced N-Gain values ranging from 0.50 to 0.83, categorized as moderate to high. These findings demonstrate that PBL-based e-modules are capable of supporting the improvement of problem-solving skills through interactive, contextual, and …

Helping Students Cross The Finish Line: A Systems Approach To Postsecondary Persistence And Completion, Amanda K. Dolan, Diane M. Harrises

Education Faculty Publications

This mixed-methods exploratory study examined the evolving needs of adult degree completers in higher education, using Bronfenbrenner’s (1979) ecological systems theory and universal design for learning (cast, 2024) as guiding frameworks. A purposive sample of 122 adult degree completers across diverse disciplines and learning modalities was recruited using digital professional networking and snowball sampling. Findings indicate that personal determination, particularly in the form of resilience and self-direction, was central to participants’ academic success. Simultaneously, participants described systemic barriers including limited faculty engagement, inconsistent access to or unawareness of career development resources, and financial strain and uncertainty. Participants shared their preferences …

Navigating Uncertainty: A Fulbright Scholar’S Journey, Mary Ann Bodine Al-Sharif

Journal of Comparative & International Higher Education

This critical autoethnography provides insights to a Fulbright U.S. Scholar’s experience amid financial and geopolitical uncertainty. It addresses being abroad as an academic ambassador while also navigating feelings of frustration and uncertainty in managing one’s living expenses and research protocol while trying to preserve research partnerships despite U.S. political rhetoric.

The Therapeutic And Physiological Effects Of Citrus Peel Extraction On Helicobacter Pylori Bacteria, Sara Saeb Rasheed, Rawnaq Z. Fadhil, Marwah Amer Qamandar, Salah M.M. Al-Chalabi

Al-Esraa University College Journal for Medical Sciences

The antibiotic resistance has emerged as a growing international concern affecting not only human health but also the environment, animal population, and global economy. The increasing prevalence of antibiotic resistance poses a serious and escalating threat to public health. This problem is further exacerbated by the limited development of new antibiotic, high production costs, and risks about its side effects. Identifying novel antibiotic agents is crucial for managing fungal and bacterial infection. Consequently, numerous natural compound have been investigated as potential alternative therapies. Plant extracts are valuable source of bioactive compounds and represent a promising strategy to control pathogenic microorganisms. …

Assessing Community Extension Initiative In Developing Culture-Based Iped For Teachers And Learners In Sultan Kudarat, Philippines, Ramil M. Arciosa, Lovelyn C. Llanillo, Anneril R. Lorio, Mary Grace Gallego, Leizel Meriales, Armando Dardo, Dennis Valdez, Jonalyn Perfecio, Noriana Aguil

ASEAN Journal of Community Engagement

One of the tenets of higher education is the extension of the community that responds to the social and cultural surroundings, including the Indigenous Peoples (IP) and their rights to education. A supportive and relevant education with respect to cultural identity becomes important. This study aims to assess a community extension initiative at its preliminary stage in developing IPEd in the Philippines based on the teachers’ and learners’ awareness level of such programs. The study was conducted in two IPEd schools, Manirub Integrated School and Ugis Elementary School, at Esperanza, Sultan Kudarat. The study examined the teachers’ and learners’ awareness …

Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty

Walden Dissertations and Doctoral Studies

The lack of diversity in healthcare management is a social issue that can lead to increased implicit bias and adverse effects on patient care and quality. This study examined the underrepresentation of Black RNs in leadership roles within healthcare. The purpose of this qualitative descriptive study was to explore the perceptions of Black RNs in leadership regarding the opportunities and resources they need for advancement, as outlined in three research questions. A sample of 10 BSN nurses responded to 10 semi-structured interview questions, grounded in critical race theory. Codes were developed from responses, resulting in nine themes and 16 sub-themes, …

Ending Gender-Based Sexual Violence On Canadian Campuses: Peer Educator Perspectives, Jason A. Laker

Faculty Research, Scholarly, and Creative Activity

Gender-based and sexual violence (GBSV) remains a pervasive problem in higher education, disproportionately affecting marginalized students and undermining their safety, well-being, and academic success. Post-secondary institutions (PSIs) increasingly rely on peer educators (PeerEds) to deliver prevention and response programs, leveraging their shared student experience to foster trust and engagement. This study explores the motivations and experiences of GBSV PeerEds in Canada and the United States, revealing how personal trauma, institutional critique, and allyship drive their involvement. Findings highlight the emotional labour, secondary trauma, and systemic constraints PeerEds face, alongside their contributions to campus culture and advocacy. The study critiques institutional …

The Evolving Therapeutic Landscape Of Nanoscale Cancer Drug Delivery Systems: Future Perspectives, Nafeesa Qudsia Hanif, Bushra Arshad, Anila Fariq, Syed Imam Hussain Abidi, Sohail Ameer Marwat, Aneela Fatima

Journal of Bioresource Management

Cancer is one of the main causes of deaths in the world. Conventional cancer therapeutic approaches such as chemo- and radiotherapy have burdened the cancer patients with arduous physical and psychological challenges. Moreover, in case of onset of this disease, huge amount is required against the medications (chemotherapy and radiotherapy). It is estimated that annually, the increasing cancer disease incidence rate is alarming. In developed countries, the health support is given by the nation. Therefore, the health managements in the developed nations are over-burdened due to heavy expanses against expansive cancer therapy treatments. Interestingly, tumor treatments have undergone a comprehensive …

The Role Of Working Memory In The Acquisition Of L2 Russian Case, Natalia V. Parker

Russian Language Journal

With the development of cognitive psychology and psycholinguistics, the view of individual differences has been evolving and now includes concepts such as cognitive processing and Working Memory (WM) (e.g., Doughty, 2019; Jackson, 2020; McConnell, 2023; Wen & Teng, 2023). The present study contributes to this line of research by investigating the relationship between WM capacity and the accuracy of L2 Russian case inflection production by complete beginners in instructional settings, which is an under-researched area. The data are part of a larger study, which involved a 20-week teaching intervention with English-speaking volunteers (n=27), who were taught two Russian cases (Prepositional …

Metastatic Uveal Melanoma Surveillance: A Delphi Panel Consensus, Juan Alban, R. Christopher Bowen, David A. Reichstein, Meredith Mckean, Jose Lutzky, Ezekiel Weis, Richard D. Carvajal, Susan Dulka, Brian G. Morse, Marcus O. Butler, Suthee Rapisuwon, Kevin B. Kim, Sanjay Chandrasekaran, Allison Betof Warner, Jonathan S. Zager, Bartosz Chmielowski, Sapna P. Patel, Leonel Fernando Hernandez-Aya, Zelia M. Correa, Leslie A. Fecher, Yana G. Najjar, Kamaneh Montazeri, Alexander N. Shoushtari, Asad Javed, Dan S. Gombos, April K. S. Salama, Katy Tsai, Frank H. Miller, Nikhil Khushalani, Rino S. Seedor, Evan J. Lipson, Sunil A. Reddy, Elizabeth Buchbinder, Shailender Bhatia, Anna Pavlick, Inderjit Mehmi, Thomas Aaberg, Alexandra P. Ikeguchi, Ivana K. Kim, Scott D. Walter, Arun D. Singh, Ryan J. Sullivan, Jacob S. Choi, Basil K. Williams, Marlana Orloff, Prithvi Mruthyunjaya, Megan D. Schollenberger, Namita Gandhi, J. William Harbour, Sunandana Chandra

Department of Radiology Faculty Papers

BACKGROUND/OBJECTIVES: Uveal melanoma is a rare but aggressive intraocular malignancy that metastasizes in up to half of patients, most commonly to the liver, despite effective local treatment. In the absence of robust evidence, there are no standardized guidelines for post-treatment surveillance, resulting in wide variation in imaging modalities, frequency, and duration across physicians and institutions. This study aimed to develop expert consensus recommendations for surveillance strategies in patients with uveal melanoma.

METHODS: A modified Delphi method was conducted across three iterative survey rounds between September 2024 and February 2025 using an online platform. Panelists included medical oncologists, ocular oncologists, radiologists, …

Dynamic And Stable Motivation Patterns In Intensive Second Language Learning: Insights From A Russian Summer Immersion Program, Dmitrii Pastushenkov

Russian Language Journal

Understanding what shapes student motivation is essential to improving second language (L2) programs. While motivation is among the widely studied individual differences (IDs) in second language acquisition (SLA), research has largely focused on commonly taught languages, limiting broader applicability. This mixed-methods study, grounded in Dynamic Systems Theory (DST), explores the motivational development of learners studying a less commonly taught language (LCTL), Russian, during an eight-week summer immersion program. Data were collected from 52 students across four instructional levels. Motivation was assessed through two brief online surveys, developed based on research by Gardner, Dörnyei, Lanvers, Thompson, and others, and administered during …

Why Russian? Language Choice And Enrollment In U.S. Universities, Emma Calderwood, Teresa R. Bell, Jennifer Bown, Grant H. Lundberg

Russian Language Journal

Russian language enrollments at U.S. universities have declined steadily since 2009 (MLA, 2023), yet little research has examined current student motivations for studying Russian, particularly after the 2022 escalation of the Russo–Ukrainian War. This study surveyed two groups: (a) students enrolled in any 101-level language course at University X and (b) students in Russian courses at six U.S. universities. Results show that motivations for studying Russian are primarily integrative—general interest in the language, desire to converse with Russian speakers, aspirations to travel to Russian-speaking countries, and previous Russian knowledge—rather than instrumental. Students who considered but did not choose Russian most …

Variability Of Individual Learner Trajectories In A Transformative Language Program, Victoria Hasko, Anastasiya Smith

Russian Language Journal

This qualitative multiple case study investigates how individual learner differences manifest and evolve within a transformative, proficiency-oriented undergraduate Russian language program. Drawing on complexity theory and transformative approaches to language education, the study explores how learners’ motivations, identities, and professional aspirations develop in a curriculum that integrates advanced language learning with long-term career planning. Three focal participants were followed longitudinally across their undergraduate trajectories, using a combination of standardized proficiency assessments and in-depth reflective interviews. Thematic analysis revealed four key themes shaping learner development: evolving orientations toward language learning, the curriculum as a transformative scaffold, emerging professional identities, and growing …

The Mediating Role Of Positive Psychology: Mindfulness And Learner Beliefs In The Russian Language Classroom, Kelly Knickmeier Cummings

Russian Language Journal

Language learning is an inherently emotional process, shaped by both positive and negative experiences that influence the individual difference of learner beliefs. This article explores the mediating role of positive psychology (PP) in second language acquisition (SLA), with a particular focus on mindfulness and its potential to reshape learner beliefs in the Russian language classroom. Drawing on theories such as Seligman’s PERMA model and Fredrickson’s broaden-and-build theory, as well as evidence-based interventions, the article argues that mindfulness-based interventions (MBIs) provide practical tools for cultivating positive learner beliefs and inclusive, growth-oriented classroom environments. Examples of MBIs—including practices of noticing, savoring, exploring …

International Education And Spiritual Emptiness A Reflection From Europe, Nitya N. Timsina

Journal of Comparative & International Higher Education

This essay is a revolt against a biased understanding called “internationalization” in education which grounds all historical, geographical, philosophical, ecological, and cultural distinctions in the world into a Platonic absolute. The key to this problem, this essay argues, lies in the drive to ontological, conceptual, or theoretical understanding in our approach to knowledge with its primacy in the Western thought. This essay calls into question this absolute sphere of influence, power and mastery enjoyed by the Western sciences, and a sense of space and authority it enjoys to make others impossible in the world. It does so by bringing different …