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Trauma-Informed Care In Oncology, Susan K. Lee, Kevin R. Clark Nov 2025

Trauma-Informed Care In Oncology, Susan K. Lee, Kevin R. Clark

Biennial Convention (CONV)

Introduction: Trauma-informed care (TIC) refers to the widespread impact of trauma on patients, focusing on safety, trust, empowerment, and collaboration. Oncology patients are particularly vulnerable to trauma due to the emotional and physical distress associated with cancer diagnoses and treatments. This literature review examined the role of TIC in oncology, emphasizing its effects on patient outcomes, healthcare provider practices, and challenges in implementation.

Methods: A systematic review was conducted using PRISMA guidelines. Studies published from 2018 to 2024 were selected from PubMed, CINAHL, and PsycINFO. Keywords included "trauma-informed care," "oncology," "patient outcomes," and "interdisciplinary collaboration". A total of 10 studies …


Neuropsychiatric Research Databases For People With Intellectual Disabilities And Epilepsy (Refine): A Feasibility Study Protocol, Crispin Musicha, Helen Neilens, Emily Stanyard, Victoria Allgar, Joe Lomax, Ryan Ashford, Helen Hambly, Paigan Aspinall, Emma O’Shaughnessy, Chris Rollinson, Sarah Lennard, Brendan Mclean, Anna Simpson, Pamela Bowman, Heather Angus-Leppan, Lance Watkins, Richard Laugharne, Jon Allard, Rohit Shankar Nov 2025

Neuropsychiatric Research Databases For People With Intellectual Disabilities And Epilepsy (Refine): A Feasibility Study Protocol, Crispin Musicha, Helen Neilens, Emily Stanyard, Victoria Allgar, Joe Lomax, Ryan Ashford, Helen Hambly, Paigan Aspinall, Emma O’Shaughnessy, Chris Rollinson, Sarah Lennard, Brendan Mclean, Anna Simpson, Pamela Bowman, Heather Angus-Leppan, Lance Watkins, Richard Laugharne, Jon Allard, Rohit Shankar

Peninsula Medical School

Introduction This project explores the feasibility of setting up a neuropsychiatric de-identified database (DiD) and a Research Register (RR) to collect, analyse, monitor and systematically report clinical data for people with intellectual disabilities (PwIDs) and epilepsy.Methods and analysis A multicentre project designed to collect de-identified data from clinical records at three adult ID specialist services in England and Wales and to develop an RR of PwID and epilepsy. Patients added to the DiD will be identified from patient clinic lists, clinic letters, in-house databases and electronic systems. Patients to be added to the RR will also be identified through attendance …


Cognitive Testing Of Candidate Items In A Wellbeing Measure Developed For Aboriginal And Torres Strait Islander Peoples, Alana Gall, Gail Garvey, Kate Anderson, Abbey Diaz, Kirsten Howard Nov 2025

Cognitive Testing Of Candidate Items In A Wellbeing Measure Developed For Aboriginal And Torres Strait Islander Peoples, Alana Gall, Gail Garvey, Kate Anderson, Abbey Diaz, Kirsten Howard

Journal of the Australian Indigenous HealthInfoNet

Purpose Health and wellbeing for Aboriginal and Torres Strait Islander peoples is poorly understood, due to commonly used measures of quality of life and wellbeing not aligning with their collectivist worldviews. The need to develop a wellbeing measure, grounded in the aspects of life that Aboriginal and Torres Strait Islander people identify themselves as important, was therefore a priority. The current study aimed to cognitively assess the face and content validity of a new wellbeing measure under development for Aboriginal and Torres Strait Islander adults. Methods We employed a qualitative cross-sectional cohort design. Forty-nine unique draft wellbeing statements underwent cognitive …


Helping Craft Beer Hunters Make Their Next Great Beer Discovery, Mark Mitchell, Sheila Mitchell Nov 2025

Helping Craft Beer Hunters Make Their Next Great Beer Discovery, Mark Mitchell, Sheila Mitchell

Atlantic Marketing Journal

The number of craft beer producers and consumers in the United States has increased dramatically over the last ten years. This manuscript provides an overview of the craft beer marketplace in the United States with a focus on the craft brewers and retailers as well as the consumers who favor craft beers. Craft beer enthusiasts are a “consumption community” or, a group of consumers who share a deep involvement with the craft beer category. This study presents a list of common business practices designed to appeal to this unique consumer group.


Trusted Advisor: Reality Or Fading Myth?, Stephen C. Carlson, Susanna Warnock, Gerald Sullivan, Margaret Ryder Nov 2025

Trusted Advisor: Reality Or Fading Myth?, Stephen C. Carlson, Susanna Warnock, Gerald Sullivan, Margaret Ryder

Atlantic Marketing Journal

The role of trusted advisor has long differentiated the role of community banking from traditional national banks in its relationship with small businesses. This study serves two purposes. First is to confirm presence of a trusted advisor relationship and secondly, understand the impact of digital banking services on the community banker – small business owner relationship. Using data collected in a survey of community bankers and small business owners in five southeastern United States, this study assesses the viability of the trusted advisor construct by applying the Integrative Model of Organizational Trust (Mayer, Davis, & Schoorman, 1995, 2007), trust-building behaviors …


Post-Translational Modifications Of Psd-95 In Glutamatergic Synapses, Sai Kanuru, Het T. Gor, Lauren Kohlsaat, Daniel Bichao Paiva Parada,, Xela Bui, Jary Delgado Nov 2025

Post-Translational Modifications Of Psd-95 In Glutamatergic Synapses, Sai Kanuru, Het T. Gor, Lauren Kohlsaat, Daniel Bichao Paiva Parada,, Xela Bui, Jary Delgado

Undergraduate Research and Engagement Symposium

PSD-95 is a pivotal postsynaptic scaffolding protein that regulates synaptic maturation, receptor localization, and signaling proteins, including mediating NMDA receptor clustering and function in synaptic plasticity. NMDA receptor-dependent LTD is dependent on multiple post-translational modifications. One of these modifications, phosphorylation of PSD-95, destabilizes the protein which can prompt the exit of associated AMPARs from postsynaptic spines. Our investigations highlight a potential factor in PSD-95 destabilization, isomerization of phospho-T19 by Pin1. We hypothesize that Pin1 mediated phosphorylation of PSD-95 may either protect or target PSD-95 for ubiquitination, playing a critical role in NMDAR-LTD.


Exploring Student And Faculty Perceptions Of Website Credibility, Mark J. Viner Dr., Elizabeth S. Stewart Dr. Nov 2025

Exploring Student And Faculty Perceptions Of Website Credibility, Mark J. Viner Dr., Elizabeth S. Stewart Dr.

Intersections: Critical Issues in Education

This research investigation delves into the multifaceted realm of internet searches and online web pages, aiming to explore thoughts and opinions held by undergraduate students, graduate students, and faculty. Understanding how individuals navigate and interpret information online is crucial as the digital landscape evolves.

The study investigates the factors concerning users' choices in searching for information online and search results' perceived accuracy or validity. Additionally, it delves into users' perceptions of online content, examining their practices, credibility, and the sharing of information online with others.

By collecting and analyzing responses from undergraduate students, graduate students, and faculty, the research identifies …


Critical Dialogue As A Decolonial Feminist Approach To Healing And Restoration In Antiracist Literacy Education, Dianne Wellington, Amy Walker Nov 2025

Critical Dialogue As A Decolonial Feminist Approach To Healing And Restoration In Antiracist Literacy Education, Dianne Wellington, Amy Walker

Intersections: Critical Issues in Education

Antiracist work requires healing and restorative practices to sustain meaningful change. This study examines critical dialogue as a restorative practice in literacy education, using duoethnography to explore its role in antiracist efforts. Grounded in decolonial feminist research, we frame healing as an intergenerational movement and literacy education as a catalyst for transformation. Our findings advocate for restorative literacies that challenge systemic oppression, emphasizing relational, justice-driven practices to foster resilience, transformation, and coalition-building in academia. We offer implications for how literacy education can engage lived experiences, histories, and epistemologies to support individual and collective healing.


Sustaining Momentum While Dissertating: The Journey Of Two Women Scholars, Tasha Egalite, Kristin L. Kew Nov 2025

Sustaining Momentum While Dissertating: The Journey Of Two Women Scholars, Tasha Egalite, Kristin L. Kew

Intersections: Critical Issues in Education

This paper is a narrative reflection on some reasons for earning a doctorate and writing a dissertation. We are two scholars interested in sustaining educational change and dedicated to better understanding and supporting the process and growth of students in doctoral programs. In our pláticas, we share and reflect on our own doctoral journeys, the critical issues we encountered, and the hoops we jumped through while completing our dissertations.


"No Closed Door": How A Peer-Led Wellness Café Model Facilitated & Supported Staff-Student Partnerships, Sharon Ferguson, Aimee O. Byrne Nov 2025

"No Closed Door": How A Peer-Led Wellness Café Model Facilitated & Supported Staff-Student Partnerships, Sharon Ferguson, Aimee O. Byrne

Teaching and Learning Together in Higher Education

No abstract provided.


Quality Improvement Project: Effects Of Ongoing Clinical Education Training On Nursing Faculty’S Self-Efficacy In Clinical Education, Sarah Ferguson Nov 2025

Quality Improvement Project: Effects Of Ongoing Clinical Education Training On Nursing Faculty’S Self-Efficacy In Clinical Education, Sarah Ferguson

Doctor of Nursing Practice Projects

Clinical education is essential for bridging theory and practice in nursing education, yet many clinical instructors transition from expert bedside nurses to novice educators without adequate orientation and training. This quality improvement project examined the effects of ongoing clinical education training on nursing faculty self-efficacy at a satellite nursing school in North Texas. This project, guided by Patricia Benner’s Novice to Expert framework and Lewin’s change model, aimed to determine whether continuous professional development throughout the term would increase clinical faculty confidence compared to standard onboarding alone. A descriptive pre/post design was used, with the Clinical Nursing Teacher Self-Efficacy Scale …


Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh Nov 2025

Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh

Walden Dissertations and Doctoral Studies

Poor-quality suppliers present a significant risk and cost liability across the manufacturing industry. Industrial automotive manufacturing leaders are concerned with this challenge because supplier quality directly affects production efficiency and accounts for over 70% of total production costs. Grounded in resource dependence theory, the purpose of this qualitative pragmatic inquiry was to explore successful strategies supply chain leaders use to identify and address poor-quality suppliers to improve manufacturing processes and achieve cost savings. The participants were six purposefully sampled supply chain leaders in the U.S. industrial automotive sector who were experienced in successful supplier mitigation strategies. Data were collected using …


A Critical Analysis Of Women’S Experiences Of Sport Participation In Saudi Arabia, Nouf Bamuhair, Richard Giulianotti, Carolynne Mason, Amer Alajmi Nov 2025

A Critical Analysis Of Women’S Experiences Of Sport Participation In Saudi Arabia, Nouf Bamuhair, Richard Giulianotti, Carolynne Mason, Amer Alajmi

Journal of Global South Sport Studies

This study investigates Saudi women's experiences in sports participation within the context of the country's evolving social reforms. It addresses a major research gap on participation and policy issues, alongside a dearth of in-depth empirical studies on women and sport in Saudi Arabia. Traditionally, cultural norms, policies, and conservative interpretations of Islam have restricted women's involvement in sports in Saudi Arabia. However, recent reforms under Vision 2030, aim to enhance women's participation in sport. Using an intersectionality framework, the study examines how age, socioeconomic status, and geographical location shape women's sports experiences. Through semi-structured interviews with women in Riyadh and …


Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms Nov 2025

Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms

Walden Dissertations and Doctoral Studies

Poor communication practices have significantly strained marital relationships, contributing to increased divorce rates in the United States. As a self-conscious emotion, hubristic pride often leads to poor communication, which in turn exacerbates marital discord and contributes to the breakdown of families. The purpose of this basic qualitative study was to explore how divorcees perceive the impact of hubristic pride on communication in their previous marriages. The theoretical framework underpinning this study was Homans’s social exchange theory. Data were obtained from eight divorced participants not actively involved in ongoing custody proceedings through semistructured interviews and analyzed using Saldaña’s descriptive coding methodology. …


Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho Nov 2025

Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is a chronic and debilitating psychiatric condition characterized by intrusive memories, avoidance behaviors, hyperarousal, and alterations in mood and cognition following exposure to traumatic events. Although evidence-based pharmacotherapy is a cornerstone of PTSD treatment, medication nonadherence remains a pervasive barrier to effective symptom management and functional recovery. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an evidence-based clinical practice guideline (CPG) aimed at improving medication adherence in adults diagnosed with PTSD in outpatient psychiatric settings. Guided by the Johns Hopkins Evidence-Based Practice Model and appraised through the AGREE II instrument, current …


Preservice Teachers’ Preconception Of Student Voice In Their Teacher Education, Joan Belfon Nov 2025

Preservice Teachers’ Preconception Of Student Voice In Their Teacher Education, Joan Belfon

Walden Dissertations and Doctoral Studies

A 2022 Jamaican education report highlighted that student-centered pedagogy is crucial to educational outcomes. A problem exists in that there is limited research on how student voice practices within student-centered pedagogy are incorporated into teacher training. Before preservice teachers’ praxis can be transformed, greater understanding of their preconceptions about student voice is essential. Guided by conceptual change theory, the purpose of this generic qualitative study was to explore the preconceptions of preservice teachers in rural central Jamaica about student voice in their teacher education. Eight preservice teachers preparing for the secondary level in three Jamaican higher education institutions were purposefully …


Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare Nov 2025

Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare

Walden Dissertations and Doctoral Studies

Organizational leaders increasingly face challenges associated with employee noncompliance with cybersecurity controls, which expose business leaders to reputational and financial risks. Addressing this business problem is critical for cybersecurity leaders and business executives who aim to strengthen digital resilience and sustain profitability. The purpose of this qualitative pragmatic inquiry was to explore effective strategies organizational leaders use to enhance employee cybersecurity compliance through training. The project was grounded in the protection motivation theory and total quality management frameworks, which provide insight into the behavioral and continuous improvement dimensions of cybersecurity management. Six cybersecurity leaders from Nigeria participated in semistructured interviews. …


Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr Nov 2025

Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr

Walden Dissertations and Doctoral Studies

The global pandemic, COVID-19, had an impact on the academic experiences of all college students. First-generation college students who often experience special challenges in adjusting to academia may have faced additional challenges given the transition to online learning. However, there has been little research focused on the impact of COVID on their adjustment to college. The purpose of this study was to explore the experiences of an unanticipated learning transition among first-generation college students pursuing higher education at a 4-year school, during a global pandemic. The theoretical framework for this study was based on an interactionalist theory focused on the …


Quality Improvement Project: Improving Providers’ Self-Efficacy In Facilitating Mat Usage Through Educational Training, Joshua W. Moore Nov 2025

Quality Improvement Project: Improving Providers’ Self-Efficacy In Facilitating Mat Usage Through Educational Training, Joshua W. Moore

Doctor of Nursing Practice Projects

Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) are common diseases treated in detox facilities around the world. Medication-assisted treatment (MAT) is the most effective treatment for OUD and AUD. Despite the need for MAT, many providers do not prescribe lifesaving medications due to a lack of knowledge and confidence. The purpose of this quality improvement project at a local detox facility is to answer the question: What effect on providers’ self-efficacy in facilitating MAT usage upon discharge does educational training have? Under the Social Cognitive Theory (SCT), self-efficacy was targeted using the Plan-Do-Study-Act (PDSA) change model. The aim …


The Impact Of Adverse And Positive Childhood Experiences And Moral Injury On Compassion Fatigue Among Law-Enforcement Officers And First-Responders, Kaylee Nesland Nov 2025

The Impact Of Adverse And Positive Childhood Experiences And Moral Injury On Compassion Fatigue Among Law-Enforcement Officers And First-Responders, Kaylee Nesland

Doctor of Psychology (PsyD)

More than ever, United States law enforcement officers are overworked, under-trained, and exposed to a great deal of trauma. Societal pressure to display strength and resilience, as well as fears of judgement and loss of job security, inhibit law enforcement officers from accessing psychological treatment and support (Drew & Martin, 2021). Without mental health support in place, compassion fatigue reveals itself, ultimately causing hurt and damage to individuals in law enforcement and those they interact with. This study examined whether adverse or positive childhood experiences affect compassion fatigue among law enforcement officers. Participants of this study—current and historical law enforcement …


Associate Professor Of Linguistics, Tasbeeh Yasser Elessaily Tye, Wessam Morsi Wm Nov 2025

Associate Professor Of Linguistics, Tasbeeh Yasser Elessaily Tye, Wessam Morsi Wm

English Language and Literature

Code-mixing occurs when speakers alternate between two or more languages within a single utterance, and it is used

in different social contexts such as academic, media, and daily conversations. Given the paucity of studies conducted on code-

mixing phenomenon at the university level in Egypt, the current study aims to examine the perception of phycology Department

students toward English-Arabic code-mixing at a private university in Egypt. The participants of the study were 70 Egyptian female

and male students that aged from 17-23 years old. A survey of 18 questions was distributed to the participants. The qualitative and

quantitative methods were …


Regional Sustainability Gap Index (Rsgi): A White Paper, Rob Ogburn, Bill Provaznik, Keke Wu Nov 2025

Regional Sustainability Gap Index (Rsgi): A White Paper, Rob Ogburn, Bill Provaznik, Keke Wu

Business & Community Services

The Regional Sustainability Gap Index (RSGI) is a new measure designed to assess whether a region is on a sustainable economic path for its residents. The index combines two components: Mi, which measures the current wage gap between a county and the most economically active county in the state, and Ri, which measures each county’s wage-growth trajectory relative to that same frontier county. Together, Mi and Ri reveal not only a region’s present wage altitude but also the direction in which that wage horizon is moving. In Washington State, Mi reflects the distance between a county’s median wages and King …


Assessing The Validity Of The Mental Health–Related Survey In Collegiate Student-Athletes, Lindsey Keenan, Zachary K. Winkelmann, Luis Torres, Yvette Ingram, Rachel Daltry Nov 2025

Assessing The Validity Of The Mental Health–Related Survey In Collegiate Student-Athletes, Lindsey Keenan, Zachary K. Winkelmann, Luis Torres, Yvette Ingram, Rachel Daltry

Department of Kinesiology Scholarship and Creative Works

Context

Mental health screenings are recommended during preparticipation physical examinations. The Mental Health–Related Survey (MHRS), a 9-item questionnaire adapted from the 18-item Mental Health Screening Form-III, is suggested in 3 consensus and/or position statements. However, there is no evidence on the effectiveness of the MHRS.

Objective

To assess the validity of the MHRS for mental health screening in collegiate student-athletes.

Design

Cross-sectional study.

Setting

University athletic program.

Patients or Other Participants

Five hundred fifteen National Collegiate Athletic Association Division II student-athletes (age = 20 ± 1 years).

Main Outcome Measure(s)

Participants completed the MHRS, the Patient Health Questionnaire for depression …


Justice Ketanji Brown Jackson Inspires Ole Miss Students During Stop, Staff Report Nov 2025

Justice Ketanji Brown Jackson Inspires Ole Miss Students During Stop, Staff Report

University of Mississippi News

OXFORD, Miss. – Drawing on stories from her memoir, U.S. Supreme Court Justice Ketanji Brown Jackson told University of Mississippi students on Sunday (Nov. 16) that perseverance and strong mentors helped guide her path to the bench.


Balik-Tanaw: The Road Taken, Soledad S. Reyes Nov 2025

Balik-Tanaw: The Road Taken, Soledad S. Reyes

Perspectives in the Arts and Humanities Asia

This paper looks back at my professional career as a teacher and as a critic in the last fifty years. In hindsight, it was intertwined with the specificities of our history and culture. It began in the context of increasing criticism of the dominance of Western writing vis-à-vis Philippine writing, and of the interrogation of the role of literature in a dysfunctional society. The anticolonial thrust shaped the kind of teaching and scholarly activities I engaged in: the study of vernacular literature, women’s writings, Philippine popular culture, and the translation of Tagalog works for a broader readership.


Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan Nov 2025

Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan

Journal of Social, Behavioral, and Health Sciences

The current study explored the factors influencing female breast cancer patients’ intentions to attend mindfulness-based stress reduction (MBSR) programs in Texas, utilizing the Theory of Planned Behavior (TPB) as the guiding framework. MBSR is a widely recognized stress management intervention shown to improve psychological well-being, yet its adoption among this population remains limited. The current study specifically examined the relationships between attitudes, subjective norms, and perceived behavioral control in predicting intentions to participate. A quantitative, cross-sectional survey design was employed, with 60 participants recruited via social media and support groups (see Appendix A). Data were collected using a validated TPB-based …


Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards Nov 2025

Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is associated with significant health complications, including stroke, myocardial infarction, heart failure, and kidney disease. Despite advances in the treatment and management of HTN, a lack of medication adherence contributes to the persistence of HTN-related morbidity and mortality affecting men in The Bahamas. The purpose of this qualitative descriptive phenomenological study, guided by Pender’s health promotion model and Bandura’s social cognitive theory, was to explore the lived experiences of Bahamian men diagnosed with hypertension regarding their adherence to prescribed medications. Using Giorgi’s descriptive phenomenological method, in-depth, semistructured interviews were conducted with 11 participants. Data were analyzed through repeated …


We Are Not Okay: Narratives Of Black Women Educators Working With Predominantly White Staff, Lindsay Charlotta Bussey Nov 2025

We Are Not Okay: Narratives Of Black Women Educators Working With Predominantly White Staff, Lindsay Charlotta Bussey

LMU Theses and Dissertations

Black women educators (BWEs) who worked in schools with a predominantly White staff endured environments that discouraged them from being themselves, oppressed their natural skill set, and limited their effectiveness. BWEs were not typically recognized for their pedagogical strengths and talents but rather only as racial minority representation in the school. This dissertation study’s two central research questions asked (a) how BWEs perceived the challenges and socio-emotional effects of working in school spaces with predominantly White staff and (b) what conditions were needed to be created for BWEs to heal and feel safe. This research utilized qualitative methods and focused …


Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie Nov 2025

Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie

Walden Dissertations and Doctoral Studies

Gen Z, the first digital-native cohort, faces unique challenges in forming romantic relationships, including heightened dating anxiety. While there is extensive research with previous generations on dating anxiety, self-esteem, and early rejection, no study has examined parental rejection, self-esteem, and dating anxiety collectively, particularly in consideration of gender diverse individuals and digital dating platform use. The purpose of this correlational study was to examine (a) predictors of dating anxiety and (b) whether parental rejection during childhood and rejection sensitivity influenced dating anxiety, as well as the role of self-esteem in mediating those predictor variables. The conceptual framework was the interpersonal …


Development Of An Evidence-Based Guideline For Nurse-Led Interventions To Improve Medication Adherence In Patients With Severe Mental Illness, Grace Uche Kalu Nov 2025

Development Of An Evidence-Based Guideline For Nurse-Led Interventions To Improve Medication Adherence In Patients With Severe Mental Illness, Grace Uche Kalu

Walden Dissertations and Doctoral Studies

I conducted this Doctor of Nursing Practice (DNP) project to address medication nonadherence among adults with severe mental illness (SMI) in a psychiatric care setting by developing an evidence-based clinical practice guideline (CPG) for nurse-led interventions. The identified practice gap was the absence of a standardized, evidence-informed framework to guide nurses in enhancing pharmacotherapy adherence, which is a critical issue linked to relapse, rehospitalization, and diminished quality of life in this population. This project was guided by the following practice question: Will an evidence-based guideline on nurse-led interventions to improve medication adherence in patients with SMI be approved by a …