Digital Commons Network^™

Strategies Of It Managers To Promote Technology Adoption In Jamaican Government Institutions, Jodie-Ann Dione Brown

Walden Dissertations and Doctoral Studies

The success of digital transformation depends on effective adoption of technology. Information technology (IT) managers and policymakers must develop robust tactics to achieve long-term acceptance and use of new technologies, as a lack of effective technology adoption strategies can hamper carefully designed digital transformation initiatives. Grounded in the extended unified theory of acceptance and use of technology, the purpose of this qualitative multiple case study was to explore the strategies used by IT managers to effectively promote technology adoption in Jamaican government institutions. The participants were four IT managers and practitioners in Jamaican government institutions. Data were collected from semistructured …

Coercive Deterrence: Adapting Deterrence For Strategic Competition With China, Terry Tracy

The US Army War College Quarterly: Parameters

This article proposes coercive deterrence as a core strategic concept to enable a whole-of-US- government approach to counter China through hybrid operations. For more than 80 years, deterrence theory has been characterized by the use of threats and force. In contrast, the article argues that deterrence can be achieved without either. A nation can exercise deterrence by choice—proactively shaping the environment to constrain the adversary to choices that do not threaten. The article examines deterrence theory, Chinese strategy, and case studies to offer practitioners a theory of victory in hybrid environments, synchronizing US interagency strategies through coercive deterrence.

The Consequences Of Declining Patriotism In The United States, Neil N. Snyder

The US Army War College Quarterly: Parameters

Patriotism, an important determinant of American civil-military relations, is in decline among many Americans. This article analyzes the results of an extensive national survey fielded to assess Americans’ attitudes and finds that more veterans value patriotism than Generation Z nonveterans, that Americans’ trust in their military is correlated with their value for patriotism, and that members of Generation Z are more likely to consider serving in the US military if they value patriotism. Although patriotism is normally a source of national unity, it may now be a source of division between veterans, nonveterans, and Generation Z.

Parameters Autumn 2025, Usawc Press

The US Army War College Quarterly: Parameters

No abstract provided.

Disinformation As Ground-Shifting In Great-Power Competition, Sorin Adam Matei

The US Army War College Quarterly: Parameters

Disinformation, distinct from misinformation, replaces accepted principles of objectivity and verifiability with novelty, framing, authority, self-reference, and conformity to create a new “truth paradigm.” This article introduces a novel definition and framework for understanding disinformation as a strategic tool in great-power competition. It includes a review of case studies, such as Russian disinformation campaigns during the Russia-Ukraine War and analyzes cognitive biases and social behaviors that facilitate the spread of disinformation. Policy and military practitioners will find actionable insights into countering disinformation, including its sociopsychological mechanisms and proposed targeted counterstrategies to protect the integrity of information flows in defense and …

Who Is In Charge Of Cyber Incidence Response In The Homeland?, Kelly R. M. Ihme, Patrick O'Brien Boling, Michael Zimmerman, Timothy G. Mccormick

The US Army War College Quarterly: Parameters

This article argues that the fragmented US cybersecurity framework—marked by the absence of a lead agency, insufficient whole-of-government coordination, and inconsistent private-sector compliance— undermines national resilience to cyber threats. Unlike existing literature that often focuses on technical vulnerabilities, this piece highlights systemic governance failures through detailed case studies of the SolarWinds, Colonial Pipeline, and Change Healthcare cyberattacks. The article identifies critical gaps in cyber incident response by drawing on incident reports, policy analysis, and expert commentary and offers actionable recommendations to strengthen national cybersecurity, making it especially relevant for policymakers and military practitioners concerned with protecting critical infrastructure.

War Fighting: The Case Of Ulysses S. Grant, Thomas Bruscino

The US Army War College Quarterly: Parameters

This article argues that American military professionals must focus on war fighting in publishing about military history to bring their unique military perspectives to the study of war. Most writing on military publishing offers general encouragement without providing focus to military writers. This article uses the historical example of American professional military writing and teaching from the American Civil War to World War II about General Ulysses S. Grant to demonstrate the value of analyses focusing on war fighting, especially relative to popular and academic histories of Grant’s military leadership. This study’s conclusions will assist future US military writers and …

Book Reviews, Usawc Press

The US Army War College Quarterly: Parameters

No abstract provided.

Ai Enabled Autonomous Weapons And Human Control: Part Iii: Human Control And System Operators, Lena Trabucco

International Law Studies

This article is the third installment of a three-part series on AI-enabled weapons and human control. Artificial intelligence (AI) is shaping debates about military technology by challenging the role of human decision-making in the use of autonomous weapon systems (AWS). This article argues that effective governance of AI-enabled AWS requires moving beyond narrow conceptions of “meaningful human control” and instead recognizing a network of embedded human judgment throughout the weapon system’s lifecycle. This article focuses on the operator stage, examining the unique role of operators through guiding, observing, and terminating deployed AWS. Drawing on policy debates, doctrinal frameworks, and empirical …

Creating A Classroom Environment For Prekindergarten Students To Develop Social-Emotional Competencies And Transition Out Of The Step Program., Ayeshah N. Major

Theses and Dissertations

This mixed-methods study examined how the integration of Conscious Discipline and SEL-focused children’s literature can support the development of social-emotional competency in prekindergarten students. The problem of practice is that some children enter school without the foundational social-emotional skills necessary for successful learning and positive peer interactions. The purpose of this study is to identify strategies that support social-emotional growth and create an environment that aids STEP students in transitioning to a traditional prekindergarten classroom. Data was collected using parent questionnaires, student assessments, classroom observations, student interviews, and student drawings. The findings revealed that children’s literature provided accessible and meaningful …

The Correlation Of Anti-Acetylated Peptide Antibodies With Anti-Acetylated Lysine Peptide Antibodies And Anti-Acetylated Ornthinine Peptide Antibodies With Rheumatoid Arthritis, Fatima Qasim Al-Obaidy, Abdulnasser M. Al-Gebori, Mohammed Hadi Munshed Alosami

Baghdad Science Journal

Rheumatoid arthritis (RA) is a chronic, progressive autoimmune disease with a global prevalence of 0.24%–1%, requiring early diagnosis and aggressive treatment. It is associated with synovial and cartilage destruction. This study is designed to investigate the evaluation of anti-acetylated peptide antibodies (AAPA), acetylated lysine peptide antibodies (AcLys,), anti-acetylated ornthinine peptide antibodies (AcOrn), liver function test, and body mass index (BMI) in Rheumatoid arthritis patients. One hundred-ten RA patients (86.36% female, 13.63% male) in comparison with forty healthy controls. Anti-acetylated- peptide Antibodies (AAPA), Anti-acetylated Lysine peptide Antibodies (AcLys), Anti-acetylated-ornthinine peptide Antibody (AcOrn) were determined by Enzyme Linked Immunosorbent Assay (ELISA) and …

Be Your Own Brain Advocate: Why Older People Should Request Routine Cognitive Testing, Josey M. Batura, Elizabeth B. Fauth

All Current Publications

Your primary care physician can conduct regular screenings and track cognitive changes; however, patients may need to advocate for and request testing. If there is noticeable loss in cognitive function, you may benefit from a more accurate diagnosis and a treatment plan or care plan from a medical specialist. Detecting cognitive changes early is better than knowing too late.

The Presence Of Family Members During Brainstem Testing: An Ethical Dilemma, Natalie L. Mcevoy, Pierce Geoghegan, Sophia Downey, Jos Latour, Alan Gaffney, James O'Rourke, Gerard F. Curley

School of Nursing and Midwifery

The purpose of this article was to discuss the ethical issues relevant to inviting family members to witness brainstem testing in the intensive care unit (ICU). To highlight these issues, we begin by discussing a hypothetical clinical case of a patient admitted to the ICU following an out-of-hospital cardiac arrest. A brief review of the literature on current practice will be presented, followed by a balanced discussion on the practice of permitting relatives to witness brainstem testing under the ethical principles of beneficence, non-maleficence, autonomy and justice. Finally, we will present a discussion on international recommendations surrounding this practice as …

Clinical Applications Of Probiotics: A Comprehensive Review Of Benefits And Challenges, Riyam Wissam Hassan

Maaen Journal for Medical Sciences

Probiotics are beneficial microorganisms that help balance microbes in intestines and promote growth beneficial bacteria, they vary between bacteria, yeasts, and fungi and they are helpful to human health when taken in adequate and suitable amounts. In addition to maintaining intestinal health and help with digestion and absorption, also inhibiting development and preventing spread of harmful microorganisms. It exists in different forms, in the intestines and in the foods, products fermented, and in the pharmaceutical supplements. Because human health depends largely on the interaction between humans and these microorganisms known as probiotics, it has found that these organisms have vital …

Universal Screening Of Intimate Partner Violence During Pregnancy: A Scoping Review, Janet Wong, Haixia Ma

International Nursing Research Congress (INRC)

Background: Intimate partner violence (IPV) during pregnancy is a significant public health issue and leads to severe consequences for both the mother and fetus, including risks of preterm birth, low birth weight, and maternal psychological distress such as depression, anxiety, PTSD, and even maternal mortality. Despite its prevalence, comparable to conditions like gestational diabetes and preeclampsia, there is no global universal screening protocol for IPV.

Objectives: This presentation covers the findings and discussions on a scoping review with the content of (1) existing clinical guidelines and practices for IPV screening across different countries; (2) current screening methods and tools, and …

From Research To Practice: The Development And Evaluation Of A National Nurse Residency Program, Angela C. Wolff, Judy Boychuk Duchscher, Marin Charette, Jean-Daniel Jacob

International Nursing Research Congress (INRC)

Over the last decade, many employers internationally have addressed the transition issues new nursing graduates experience by providing formal 6 to 12 month nurse residency programs to reduce stress, foster workforce integration and competency, and decrease nurse turnover. The increasing international demand for nurses, compounded by the COVID-19 pandemic, further underscores the need for structured support systems to help new nurses navigate their transition into practice.

Our research aim is to (a) determine whether participation in a 6-month structured and formalized Nurse Residency Program (NRP) impacts nurse residents’ stress, competence, and confidence integrating into the registered nurse role; (b) understand …

Storied Narratives Of Partners Of Those Who Underwent A Prostatectomy, Meredith Anne Ford, Darpan Patel

International Nursing Research Congress (INRC)

Prostate cancer (PCa) is the second most common cancer among men and the second leading cause of death. Despite this statistic, PCa also has a high survival rate when caught early. A radical prostatectomy (RP) is one of several treatment options and has two main adverse effects: erectile dysfunction and urinary incontinence. Based on these adverse effects, PCa is perceived as a “couple’s disease.” Therefore, this study aimed to understand the storied narratives of a partner and their relationship with their loved one who has undergone an RP. With a PCa diagnosis and surgical treatment, partners may experience higher …

Predictors For Different Levels Of Covid-19 Vaccination Among Immigrant And Non-Immigrant Adults, Cheryl Zlotnick, Orit Cohen Castel

International Nursing Research Congress (INRC)

Overview: This study contributes to the literature by examining a comprehensive operationalization of vaccination status among working-age (21-49 years), immigrant and non-immigrant adults.

Background: The commonly used outcome, obtained any vaccination versus not, tends to overestimate COVID-19 vaccination utilization, distorting the associations found with covariates/predictors. More recent studies have used a three-variable COVID-19 status outcome of any, partial or complete vaccinations. However, they lacked a theoretical framework and focused on older and non-immigrant populations. This study examined working-age immigrants and non-immigrants, used the three-variable operationalization of COVID-19 vaccination, and was guided by Andersen’s Behavioral Model with its three factors …

Managing Dementia Behavioral Symptoms: Informal Caregivers’ Experience And Needs, Modupe Adewuyi, Xinyue Zhang, Lota Iwuagwu

International Nursing Research Congress (INRC)

Background: Eighty-three percent of persons with Alzheimer's disease and related dementias (Pw-ADRD) rely on informal caregivers—mainly family and friends—for at-home care. In 2023, over 11 million dementia caregivers provided an estimated 18.4 billion hours of unpaid care, valued at $346.6 billion [1]. Although there is a wealth of literature on the roles of dementia informal caregivers, there is little data on their ability to manage the behavioral symptoms experienced by approximately 90% of Pw-ADRD [1], as well as the resources they utilize for support [2]. These symptoms have been positively correlated with functional and cognitive impairment leading to earlier placement …

Does Journal Writing Reduce Stress And Depression In Parents Of A Critically Ill Child?, Lauren Kemp, Cara Gallegos

International Nursing Research Congress (INRC)

Background: An estimated 230,000 children are admitted to the Pediatric Intensive Care Unit (PICU) annually in the United States. A child’s critical illness is stressful for the entire family, causing significant emotional distress among parents. The PICU experience can lead to the development of clinical distress and anxiety in parents following patient discharge. Journal writing is an intervention that has been effective for improving mental health outcomes in various populations. Several meta-analyses show small to moderately sized beneficial effects in improving depression, stress, and PTSD symptoms in the general population. Recently, there has been more interest surrounding the use of …

Seizure First Aid Simulation: Teaching Students While Exploring Future Faculty Collaboration, Kathryn N. Nelson, Sarfraz Masih

International Nursing Research Congress (INRC)

Background: Epilepsy is disproportionately distributed across the world, with 80% of individuals with epilepsy living in low and middle-income countries (World Health Organization, 2024). The prevalence of epilepsy in Pakistan is estimated to be approximately 1%, with those living in rural areas less likely to receive treatment (Khatri et al., 2003).

Nurses need to know the immediate actions to take when someone experiences a seizure; however, gaps in training are common (Lee & Sim, 2020; Liu et al., 2024). Seizure First Aid training programs have been developed to help healthcare professionals and caregivers of persons with epilepsy respond to seizures …

Embracing Identity: Unmasking Challenges In Lgbtq+ Disclosure Journey, Maya Rabins, Amie Koch, Jill Brennan-Cook, Gillian Jackson

International Nursing Research Congress (INRC)

Background: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals often experience challenges pertaining to disclosure of their sexual orientation to others, or "coming out." Coming out can be stressful and significantly impact an individual's mental health, confidence, and safety due to factors including family and friends support, religion, environment, and finances. This study explored the lived experiences of LGBTQ+ adult individuals coming out, including experiences of ambiguous loss (AL).

Methods: This mixed-methods, IRB-approved study included 429 LGBTQ+ identifying individuals who completed an online anonymous survey about their coming out experience. We utilized virtual and social media platforms, and snowball sampling. …

Effectiveness Of Telenursing On Self-Management In Geriatric Patients With Heart Failure, Pinar Yel, Aysenur Cetin Uceriz, Yasemin Ozer Güclüel

International Nursing Research Congress (INRC)

Heart failure (HF), a syndrome caused by heart abnormalities, affects up to 20% of those over 75, leading to symptoms like dyspnea, fatigue, and edema. Effective self-management in HF involves adherence to medications, nutrition, exercise, symptom monitoring, and timely healthcare-seeking behavior. Telenursing offers remote support through virtual platforms, which research suggests may reduce hospital readmissions and improve the quality of life in HF patients. This study aims to explore the impact of telenursing on self-management in elderly HF patients, addressing gaps in knowledge about symptom control, self-care capacity, and quality of life. A systematic review was conducted using studies from …

Promoting Resilience Of Nurses In The Pediatric Intensive Care Unit, Amy E. Davis, Donna J. Copeland-Streeter

International Nursing Research Congress (INRC)

Background: Second victims are nurses involved in a perceived traumatic patient-related event.¹ Exposure to these events, especially throughout a career, can lead to psychological, emotional, or physical distress, known as second-victim syndrome.^{2, 3} Studies have shown that the most effective management of distress for second victims is through immediate emotional support from a peer.⁴ Therefore, reflective nurse leaders understand the need to develop organizational support systems to promote resilience and mitigate symptoms of second victim syndrome.^{5, 6}

Objective: The objective was to reduce second victims' perceived distress levels by 10% within three months of deploying …

There Are No Words: What Do You Call A Parent Who Has Lost A Child, Sandra K. Cesario

International Nursing Research Congress (INRC)

Background: There is no commonly used English word to describe a parent whose child is deceased. A child who has no parents is an orphan and a person who has lost a spouse is a widow(er). Absence of terminology to describe parents after the death of a child may contribute to difficulty in adapting to a new identity and alter societal expectations for grieving. Vilomah, a word borrowed from the Sanskrit language meaning "against the natural order," has emerged in non-nursing literature to describe a parent whose child has died. It is derived from the concept that parents …

The Potential Benefits Of Co-Design In Dog-Assisted Treatment Programs For Veterans Seeking Mental Health Care, Parvin (Pary) Bahmanyari, Pauleen Bennett, Tiffani Howell

People and Animals: The International Journal of Research and Practice

Veterans are more likely than the general population to experience a range of mental health problems. While many veteran mental health support programs are available, veterans may struggle to access and engage with these services for various reasons (e.g., a stigmatized perception of mental health disorders, mistrust). Animal-assisted services have become more popular in civilian and military health care settings where traditional therapies (e.g., cognitive behavioral therapy) may not always be effective. Assistance dogs, for example, which live with veterans to provide disability support, have been successfully employed for veteran mental health. Unfortunately, a subgroup of veterans may miss out …

Talking With Dragons: How Dragons Reveal The Hero's Heart, Anne Elise Crafton

The Ozark Historical Review

The author shines a light onto the transformation Dragons over time and their relationships with heroes in European narrative and art. The study provides primary source analysis as well as a review of the secondary literature as represented through the works for Frazer, Dundes, and Tolkien.

The Ozark Historical Review, V. 46, 2018

The Ozark Historical Review

No abstract provided.

Digital Leadership And Literacy As Strategic Levers For Employee Outcomes In Pakistan's Telecommunication Sector, Saman Javed, Shaista Nayyar

Business Review

Digitalizing operations is essential for gaining and maintaining competitive advantage, driving product and process innovations, and ensuring effective decision-making. The performance and engagement of today’s workforce are also contingent upon its capability to handle digital technologies. Here, the digital prowess of the leaders plays a cardinal role in the digitalization process. Keeping this in mind, this research aims to determine the impact of digital leadership on employees’ digital literacy, and their subsequent effect on key employee outcomes like engagement and performance in the telecom sector of Pakistan. Data was collected from 369 telecom workers employed at the three major Pakistani …

#Falseflag: Exploring Themes In Conspiracy Theory Tweets Regarding The Robb Elementary School Active Shooter Event, Madison K. Doyle, Carolyn Willis

Qualitative Criminology (QC)

"Little is known about the content of conspiratorial posts on social media, specifically regarding active shooter events. This study explores the content of conspiracy theory tweets during the six months following the active shooter event at Robb Elementary School in Uvalde, Texas. 194 tweets were analyzed. The analysis resulted in two main themes: False Flag and Hypothesized Reasoning. These themes represent the similarities and variations in content among the tweets. In line with research suggesting that people are most vulnerable to conspiratorial thinking when trying to explain unusual and unsettling events, results indicate that many posts were attempting to provide …