Digital Commons Network^™

Simulation Experiences Of Eal Prelicensure Nursing Students: An Integrative Review, Megan Ross

International Nursing Research Congress (INRC)

Background: Globalization has increased the use of English as a common language in healthcare settings (Cheng et al., 2025). Additionally, nursing programs have increased the number of students who speak English as an additional language (EAL; Henry, 2023). EAL students often encounter unique challenges in nursing programs, including struggles with communication and cultural norms that can impact success (Henry, 2023). Simulation-based learning is an effective method to develop nursing students’ knowledge and skills (Alharbi et al., 2024). Despite its growing use, there was no comprehensive synthesis of research exploring EAL nursing students’ experiences with simulation-based learning at the time of …

Transforming Telehealth With Thrive: An Online Intervention For Nps Caring For Young Adults, Lisa V. Duffy

International Nursing Research Congress (INRC)

AIM: To develop an online, video-based intervention for nurse practitioners (NPs) that illustrates best practices to establish therapeutic relational connection (TRC) during telehealth visits.

BACKGROUND: Telehealth offers many benefits for chronically ill young adults. Despite the potential benefits of virtual visits, little attention has been given to the quality of the virtual provider-patient relationship and its consequences. Relationships with healthcare providers that are characterized by a sense of TRC have the potential to increase self-management skills which are associated with improved physical, mental, and behavioral health outcomes. Although there are known benefits to TRC, what is not known are the …

Exploring Positive Deviance In Forensic Nursing Literature, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Positive deviance (PD) is an intentional act of breaking rules in order to serve the greater good.¹ PD in nursing is intentional and honorable behavior that departs or differs from an established norm and contains elements of innovation, creativity, and/or adaptability; it also involves risk for the nurse.¹ Nurses who use PD practice differently and more effectively to provide patient-centered care.² Although professional standards guide patient care and lay the groundwork for best practices, they are not enough to guide many nursing decisions that involve multiple levels of uncertainty and risk in their practice; therefore, nurses may …

Driving Innovation: Transforming Adult Health Nursing Curricula Through Educational Advances, Suja P. Davis, Kunta Devi Punn

International Nursing Research Congress (INRC)

Background and Purpose: Traditional lectures while effective in delivering large amounts of information systematically fail to engage students actively, leading to disengagement and limited critical thinking.[1] Research indicates that active learning methods using educational innovations increase student participation, enhance their critical thinking and problem-solving skills. [2 ]The purpose of this project was to evaluate the learning outcomes of educational innovations implemented in an adult health course for nursing at Department of Nursing, Kathmandu University School of Medical Sciences (KUSMS), Nepal.

Methods: Several educational innovations such as flipped classroom, concept mapping, problem based learning, case study analysis, 2D illustrations and animations, …

Reinterpreting The Frequency Dependence Of Cortical Auditory-Evoked Response Amplitudes In Light Of Current Understanding Of Cortical Tonotopic Organization, Carl Rushworth, Alexander J. Hardy, Magdalena Sereda, Ben J. Gurer, Julien Besle, Susan T. Francis, Rebecca S. Dewey, Denis Schluppeck, Justin M. Ales, Vassilis Pelekanos, Michael A. Akeroyd, Katrin Krumbholz

School of Psychology

Tonotopy is a fundamental feature of auditory cortical organization, yet its influence on cortical auditory-evoked responses (AERs) remains unclear. Consequently, key properties of cortical AERs—such as their marked amplitude reduction with increasing stimulus frequency—still lack a coherent mechanistic explanation. To address this gap, we combined a meta-analysis of frequency-specific AER amplitudes with forward simulations of AERs informed by current knowledge of auditory cortical tonotopic layout and functional organization. The meta-analysis used a semi-systematic search covering all known automatic cortical AER components—both transient-evoked and steady-state—along with selected subcortical components for comparison. Forward simulations were based on a functional parcellation of the …

Integrating Forensic And Public Health Nursing: A Social-Ecological Approach To Addressing Ipv, Darcey Mccampbell

International Nursing Research Congress (INRC)

Background: Intimate partner violence (IPV) is a pervasive public health issue with far-reaching consequences for individuals and communities. Both public health nurses (PHN) and forensic examiners (FNE) play critical roles in addressing IPV. However, despite similarities and shared goals, these specialties often operate in isolation from one another.

Aim: This narrative review aims to summarize evidence on the interplay between PHN and FNE in addressing IPV. Using the social-ecological framework, the review identifies commonalities and areas of synergy across the individual, interpersonal, organizational, community, and societal levels.

Methods: A bibliographic search was conducted using the PubMed electronic database. The search …

Usability Evaluation Of A Smart Textile-Based Cushion System For Ubiquitous Breathing Exercises, Shonal Fernandes, Carolina García-Vázquez, Alberto Ramos Serrano, Negin Jahanbakhsh, Abdelakram Hafid, Mario Vega-Barbas

Artículos científicos

Smart textiles offer promising opportunities to address multiple aspects of relaxationfocused mental health interventions, which include monitoring and therapy. This paper presents a usability evaluation of a cushion-based smart textile system called Amiga, designed to guide users through breathing exercises that could be used in the future to support relaxation-focused interventions intended for independent use. A experimental user study with 20 participants was conducted to assess the system’s effectiveness, user performance, user experience, and overall satisfaction using structured interviews and validated usability questionnaires. The system achieved a mean System Usability Scale (SUS) score of 81.875 with standard deviation (σ = …

Staff Education To Improve Mindfulness Knowledge Among Rns, Nps, And Mas In A Behavioral Health Setting, Barbara Buxton

Walden Dissertations and Doctoral Studies

Burnout is a recurrent problem for healthcare workers and is associated with staff turnover, a decline in the quality of care, emotional fatigue, and risks to patient safety. This Doctor of Nursing Practice (DNP) staff education initiative created a mindfulness-based training program to expand the knowledge of registered nurses, nurse practitioners, and medical assistants on mindfulness practices in a behavioral health setting. Baseline assessment data identified a need for support to address emotional fatigue, absenteeism, and staff disengagement, with a mean pre‑education knowledge score of 66%. A structured, in‑person educational program addressing burnout awareness, stress reactivity, and helpful mindfulness methods …

Addressing Obesity In Rural Health Clinics, Morgan P. Trusley

Student Scholarly Projects

Practice Problem: According to the Centers for Disease Control and Prevention (CDC), more than 2 in 5 adults in the United States are obese (CDC, 2024a). In a rural primary care clinic in South Carolina, approximately 70% of patients are obese and there is no current intervention in place to help educate and guide these patients in weight loss strategies.

PICOT: In obese adults over the age of 18 at a rural health clinic with a Body Mass Index (BMI) greater than or equal to 30, does implementing weekly virtual and in person multicomponent behavioral intervention educational sessions compared to …

Improving Fluoride Varnish Application Rates In A Pediatric Primary Care Microsystem, Roman G. Roxas

Master's Projects and Capstones

Problem

Childhood caries is a preventable public health issue disproportionately affecting the underserved. National guidelines recommend fluoride varnish (FV) application during well‑child visits. In California, fewer than 15% of children under age six received FV. In a pediatric primary care clinic, baseline performance was 11% in 2025.

Context

A six‑month quality improvement project was implemented. Key barriers included reduced team cohesion, workflow variability, unclear roles, and underutilized electronic health record (EHR) prompts.

Interventions

The change package standardized medical assistant–led workflows, activated EHR prompts, and provided targeted education. Leadership reinforcement through regular huddles supported adoption, consistency, and team engagement.

Measures

Outcome …

Public Perceptions Regarding Surveillance Of Lyme Disease In Tennessee, Shaheena Yasmin Asad

Walden Dissertations and Doctoral Studies

Lyme disease (LD), a tick-borne illness, has been a growing concern in the state of Tennessee. Studies have established environmental concerns regarding a growing tick population and identified a gap between reported cases and disease burden in Tennessee. Despite this information, it remains classified as a low-incidence reporting state, raising concerns about underreporting that indicate an ineffective current surveillance system. Because the public perception regarding surveillance of LD is unknown, the purpose of this qualitative study was to explore how adults in Tennessee perceived LD as a credible public health threat within the context of the current surveillance system. Guided …

Consistent Phq-9 Administration At Mental Health Watch Initiation And Discharge In A Correctional Setting, Gouni Aicha Bouraima

Walden Dissertations and Doctoral Studies

This staff education project addressed inconsistent Patient Health Questionnaire-9 (PHQ-9) administration and documentation at mental health watch initiation and discharge in a correctional setting. A baseline audit showed 42.1% PHQ-9 documentation compliance (8 of 19 charts), below the 90% organizational benchmark, limiting objective depression severity data needed for clinical decision-making and safe transitions. The practice-focused question was: Among nurses working with incarcerated individuals at mental health watch initiation and discharge, what is the impact of staff education on nurses’ knowledge of PHQ-9 screening protocols? The purpose was to implement structured staff education to improve nurses’ knowledge of PHQ-9 trigger points, …

Emergency Nurses' Perceptions Of Interpersonal Empathy When Caring For Department Superusers, Makeba K. Cavette

Walden Dissertations and Doctoral Studies

Compassion fatigue syndrome (CFS) is a significant challenge for healthcare professionals, particularly nurses in the emergency department (ED), due to the demanding, high-pressure nature of their work environment and their increased exposure to human suffering. The purpose of this qualitative phenomenological descriptive study, guided by Nursing Theory of Personal Empathy, was to describe the meaning of ED nurses' interactions with superuser patients and how these interactions affect ED nurses' empathy and susceptibility to developing CFS. A purposive sample of 8 ED nurses with at least 3 years of experience as ED staff nurses working with superuser patients participated in semistructured …

An Exploration Of Successful Cloud Database Migration Strategies Used By Small And Medium-Sized Enterprises Leaders In The United States, Ashli Jarrett

Walden Dissertations and Doctoral Studies

Cloud database migration can improve organizational performance in small and medium-sized enterprises (SMEs), but SME leaders are concerned about ineffective migration strategies, which can increase risks to data security, regulatory compliance, and operational continuity. Grounded in diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry project was to explore the effective strategies SME leaders use to manage secure cloud database migrations, mitigate risks, enhance data security, ensure regulatory compliance, and improve organizational effectiveness. The participants were 10 SME leaders in the United States who had successfully adopted cloud-based database systems. Data were collected through semistructured interviews and publicly …

Stop Holding New York Workers Back: An Evaluation Of Non-Compete Agreements, Maxwell J. Nares

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Implementation Of Visual Bed Indicator Lights To Improve Fall Prevention Processes, Andrea Leffew

Master's Projects and Capstones

Problem: Inpatient falls remain a significant patient safety concern associated with preventable patient harm, prolonged hospitalization, and increased healthcare costs. Routine fall bundle validations identified inconsistent adherence to safe bed configuration practices, such as beds left raised and bed alarms turned off.

Context: A 3-month quality improvement project was implemented on a 20-bed medical-surgical telemetry unit within an integrated healthcare delivery system at a 130-bed community hospital in Northern California, which was experiencing an increase in inpatient falls and fall-related sentinel events.

Interventions: Implementation of bed-monitoring technology with visual indicator lights that provided real-time feedback on bed configuration.

Measures: The …

Supporting Students’ Self-Efficacy And Motivation In The Mathematics Classroom, Audrie H. Cox

Masters Projects

This project examines the role of mathematics self-efficacy in supporting student motivation, engagement, and achievement in secondary mathematics classrooms. Through a review of current research, the project identifies instructional practices that strengthen students' confidence in their mathematical abilities, including formative assessments, meaningful feedback, supportive teacher-student relationships, and opportunities for productive struggle. Drawing on these findings, a professional development workshop session was developed to equip secondary mathematics teachers with practical, research-based strategies that promote positive mathematics self-efficacy and improve overall classroom instruction. By translating research into actionable teaching practices, this project aims to support more confident, motivated, and successful mathematics learners.

Reducing Primary Cesarean Births Among Nulliparous, Term, Singleton, Vertex (Ntsv) Patients Through Structured Multidisciplinary Communication, Toyin Ajani

Master's Projects and Capstones

Background: Primary cesarean birth among nulliparous, term, singleton, vertex (NTSV) patients remained a persistent quality and safety concern in obstetric care. Unnecessary cesarean birth was associated with increased maternal morbidity, neonatal complications, prolonged recovery, higher healthcare costs, and adverse outcomes in subsequent pregnancies. Problem: A Northern California labor and delivery unit identified an elevated NTSV cesarean birth rate of 26.8%, exceeding the national benchmark of approximately 23%. Variability in provider communication, inconsistent labor management practices, and lack of standardized interdisciplinary collaboration contributed to this quality gap. Context: The project was conducted in a high-volume labor and delivery microsystem serving a …

Improving Peer Feedback Participation Through Psychological Safety Interventions In Labor & Delivery Nurses, Lindsey C. Hora

Master's Projects and Capstones

Abstract 

Background: Labor and Delivery (L&D) units require effective communication, speaking up, and team learning to support safe care. Psychological safety informed this quality improvement project as a contextual strategy to strengthen peer feedback engagement.  

Problem: Peer feedback participation among eligible L&D registered nurses at a large acute care hospital in Santa Clara, California, was 14.29% (N = 112) below the 30% project target and 80% organizational target. Low participation limited routine feedback for professional development, recognition, and team learning.

Interventions: Interventions included psychological safety education, peer feedback reinforcement, workflow integration, platform navigation support, dedicated completion time, and unit champions. …

Same-Day Cancellation Reduction In An Ambulatory Surgery Unit, Anthone Dalit Vengersammy

Master's Projects and Capstones

Problem: Same-day surgical cancellations in the outpatient surgery setting remain a significant operational and patient care challenge. Preventable cancellations negatively affect patient experience, operating room efficiency, staff productivity, and healthcare costs. 

Context: A microsystem and organizational culture assessment identified several factors contributing to same-day cancellations, including unclear preoperative instructions, incomplete medical clearance, inconsistent patient education, lack of standardized workflows, unclear staff responsibilities, and communication gaps among interdisciplinary teams. SWOT and gap analyses were used to identify opportunities for improvement and guide intervention planning.

Interventions: Quality improvement interventions were implemented through iterative Plan-Do-Study-Act (PDSA) cycles. Strategies included revising preoperative patient instructions, …

Consumer Behavior In End-Of-Current-Use Electronics: A Multi-Method Approach To Improving Sustainability Outcomes, Payam Saeedi

Theses

The proliferation of network-connected consumer electronics has created a sustained challenge for sustainability and data security at the End-of-Current-Use (EoCU) stage. In the United States, devices accumulate in storage rather than entering reuse or recycling pathways, and a substantial share of devices change hands without proper data sanitization. This dissertation characterizes and quantifies consumer behavior at EoCU of consumer electronics in the U.S., with the goal of supporting the design of interventions that improve sustainability and data security outcomes. A survey of 4,000 U.S. respondents (3,747 after data cleaning) was developed and deployed across 10 categories of network-connected devices, capturing …

Sense Of Purpose As The Guiding Light In Nursing Practice: A Grounded Theory Study, Kathleen Casler

Theses & Dissertations

Problem: As a prosocial profession, individuals may enter the practice of nursing because of an interest in helping and caring for others. However, over time, nurses may be challenged with experiences of burnout that can impact both their relationship with the profession and patient outcomes.

Background/Significance: A sense of purpose has been associated with positive physical, behavioral, and psychological outcomes. In a professional context, a sense of purpose may provide support for navigating complex work environments. It is currently not known what nurses’ experience of sense of purpose may be in relation to nursing practice and how their sense of …

Chronotivity: Concurrent And Prospective Influences On Creative Performance Among College Students, Hreem Mahadeshwar

Theses

Creativity is increasingly understood as a dynamic process influenced by biological, psychological, and contextual factors. Previous research has linked chronotype, sleep quality, affect, curiosity, and creative self-efficacy to creative performance; however, relatively little is known about how these factors jointly relate to creativity among college students or whether they predict creative performance over time. The present study examined concurrent and prospective relationships in undergraduate students at RIT (T1: n = 210; T2: n = 38), between these variables and creative performance using a two-timepoint design. Creative performance was assessed using the Alternative Uses Task and scored for creative quality and …

Examining Six Domains Of Resilience With Latinx College Students From Migrant Farmworker Backgrounds: A Quasi-Experimental Single Case Design Study, Rebecca Dickinson, Raissa Miller, Cian L. Brown, G Michael Russo, Emma Knowles

Trauma Counseling and Resilience

Resilience-building interventions show promise in higher education, yet few studies focus on Latinx college students from migrant farmworker backgrounds (LMFWs), a group facing significant challenges such as acculturative stress, mixed familial immigration status, and educational discontinuity. This quasi-experimental single-case design study examined resilience domains among LMFW students participating in a group-based intervention informed by the predictive 6-factor resilience model. Resilience was measured across six domains: collaboration, vision, tenacity, reasoning, health, and composure, using standardized assessments adapted from Rossouw and Rossouw (2018). Pre- and post-intervention scores were visually analyzed to assess change at the individual level. Results indicated a evidence of …

The Roles Of Adverse And Benevolent Childhood Experiences In Posttraumatic Growth And Social Connectedness Following Interpersonal Trauma, Margaret Poandl, Emily Kitching, Daniel Gutierrez, Yuqi Zhang

Trauma Counseling and Resilience

Interpersonal trauma, such as childhood abuse, neglect, and intimate partner violence, is a prevalent and harmful form of trauma associated with deleterious psychosocial outcomes. Despite its negative impacts, individuals exposed to interpersonal trauma may also experience posttraumatic growth (PTG). While adverse childhood experiences (ACEs) are known risk factors and benevolent childhood experiences (BCEs) are potential protective factors for adult outcomes, little is known about how combinations of ACEs and BCEs influence PTG. This study examined how combinations of ACEs and BCEs relate to PTG and social connectedness among individuals who have experienced interpersonal trauma. Using cross-sectional survey data from 615 …

Padres Ayudando A Padres: Co-Constructing A Family-Centered Mental Health Intervention Of, By, And For Central American Immigrant Parents, Rachael Goodman, Colleen K. Vesely, Maribel Tohara Nakamatsu, Victoria Stone, Valeria Quintana, Bethany Letiecq, Amigas De La Comunidad

Trauma Counseling and Resilience

In the wake of the COVID-19 pandemic, our partners in a Central American immigrant enclave reported an increasing need to support parents and children whose mental health was negatively impacted by the confluence of underlying systemic stressors and traumatic experiences. Using our existing family-centered participatory action research (FCPAR; Letiecq, Vesely, et al., 2022) approach and guided by the transcreation model (Nápoles & Stewart, 2018), we co-constructed a mental health intervention in partnership with community members, via our community advisory board (CAB). Essential to this process was building the intervention with the community, ensuring that it was culturally and contextually grounded …

Collective Trauma And Systemic Negligence: Exploring South Korean Disasters Through Media And Cultural Narratives, Jung H. Hyun, Eunae Han

Trauma Counseling and Resilience

Disaster trauma often occurs at multiple levels, with the systemic level highlighting its collective impact on survivors. Betrayal trauma, inflicted by trusted individuals or institutions including the government, further compounds this experience. Drawing on historical and contemporary challenges in modern Korean history and recognizing their collective impact on the Korean population, this paper examines Korean betrayal trauma stemming from disasters, introduces a new concept of political betrayal trauma, and explores how media can serve as a tool for healing. Through a fictional case study, this paper illustrates how collective cultural narratives support both survivors and the broader society in validating …

Budol-Budol Time: A Perspective From The Global South On Generation Z’S Digital Status Consumption Through An Interactive Video, Luis Angelo Francisco Lopa, Kateleen Claire Malabag Gonzales, Jaedon Tongol Santos Jats

DLSU Arts Congress Conference Proceedings

This research critiques the contemporary digital landscape, as social media influencers shape Gen Z's consumer behavior, often driving "status overconsumption," the repetitive purchase of trending goods to enhance social standing. The study investigates the complex relationship between social media exposure and consumption patterns among affluent Gen Z (ages 13 to 28) in Laguna, Makati, Taguig, and Quezon City, Philippines. Its objective is to address the environmental consequences of these behaviors, including excess waste and carbon emissions from production and related industries, which consumers often overlook. Grounded in social comparison and status consumption theories, the research utilizes a sequential mixed-methods triangulation …

Phantoms Of The Self: An Art Installation On The Commodification Of Anik-Anik Culture, Vito Lomod, Minuet Deniña, Jaihzel Failana, Joshua R. Marcial

DLSU Arts Congress Conference Proceedings

The practice of anik-anik culture remains relevant and prominent among Filipinos, especially among Gen Z. Decorating, collecting, and preserving miscellaneous items as an extension of one’s identity and memory exemplifies the Filipino maximalist aesthetic. In context, Filipinos are naturally inclined to be maximalists, driven by the desire to connect and the tendency to fill empty spaces, hence the aesthetic of Filipino maximalism. Usually, this is evidenced in, but not limited to, consumption and fashion practices. Correspondingly, its current practices have also sparked discussions about the effects of consumerism and the dilution of the origins of anik-anik, which is deeply rooted …

Kapwa Beckett: Co-Performance, Pakikipagkapwa, And Relational Meaning-Making In Philippine Stagings Of Samuel Beckett, Christian Gabriel Tolentino

DLSU Arts Congress Conference Proceedings

This reflective-practice study examines how kapwa and pakikipagkapwa emerged through translation, rehearsal, staging, and reception in three Philippine productions of Samuel Beckett: Endgame (2016), Happy Days (2019), and the devised classroom piece Beckett, Godot & Us Waiting (2023). Using comparative production analysis and a dialogical co-performance orientation drawn from Dwight Conquergood, I analyze rehearsal exercises, adaptation notes, production materials, staging decisions, and remembered performer-audience encounters. The analysis identifies distinct relational practices across the productions: collaborative localization and sensory dramaturgy in Endgame; negotiated media adaptation and mediated intimacy in Happy Days; and devising, Meisner repetition, physical trust, and shared post-pandemic waiting …