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Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet Jan 2026

Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet

Scripps Senior Theses

Significant behavioral overlaps in feeding patterns are observed among individuals with eating disorders (EDs) and autism spectrum disorder (ASD). These behavioral similarities can blur diagnostic boundaries, contribute to diagnostic overshadowing, and consequently increase the risk of misdiagnosis and the implementation of ineffective treatment approaches. The proposed study addresses the risk of diagnostic overshadowing as it relates to the ambiguous distinction between autism-driven feeding behaviors and clinically significant eating disorders (ED) within the autistic population. Although the literature has acknowledged behavioral similarities between ASD and EDs, limited research has systematically examined how they impact diagnostic practices and influence the likelihood of …


Effect Of Kelvin Seamount On Acoustic Propagation, Lindsey Moss Jan 2026

Effect Of Kelvin Seamount On Acoustic Propagation, Lindsey Moss

Open Access Master's Theses

This thesis contains CUI. It cannot be distributed, exported, uploaded, or published until it has gone through the proper public release process.


Exploring Community Engagement Strategies In Shellfish Aquaculture: Insights From Growers In Rhode Island And Massachusetts, Megan Hensel Jan 2026

Exploring Community Engagement Strategies In Shellfish Aquaculture: Insights From Growers In Rhode Island And Massachusetts, Megan Hensel

Open Access Master's Theses

Shellfish aquaculture is a rapidly growing industry in North America in response to the increased demand for sustainable protein. This trend holds true for Southern New England as well, where shellfish cultivation and consumption have long been embedded in the culture. However, there is a growing disconnect between shellfish growers and the communities in which they live, which has led many researchers to explore ways that growers can enhance relationships with their local communities through community engagement. The purpose of this study is to expand upon the existing literature to understand how shellfish growers in Rhode Island and Massachusetts perceive …


Gpu-Accelerated Biased Random-Key Genetic Algorithms: Framework Optimization And Llm-Driven Configuration, Fnu Harishjitu Saseendran Jan 2026

Gpu-Accelerated Biased Random-Key Genetic Algorithms: Framework Optimization And Llm-Driven Configuration, Fnu Harishjitu Saseendran

Open Access Master's Theses

This thesis presents two complementary contributions to the field of GPU-accelerated evolutionary metaheuristics for combinatorial optimization, organized in manuscript format.

The first manuscript, “BrkgaCuda 3.0: A Redesigned Multi-GPU Framework for Biased Random-Key Genetic Algorithms,” presents a ground-up architectural redesign of BrkgaCuda 2.0 that enables a true multi-GPU island model for Biased Random-Key Genetic Algorithms (BRKGA). The BRKGA island model evolves multiple semi-independent populations that periodically exchange elite solutions, a structure that maps naturally to multi-GPU parallelism; however, BrkgaCuda 2.0 is confined to a single GPU. BrkgaCuda 3.0 introduces an IslandManager that distributes populations across any number of GPUs, with multiple …


Covering The Coast: Local News Frames And Journalist Perspectives On Sea Level Rise In Rhode Island, Mackensie Dupont Crowley Jan 2026

Covering The Coast: Local News Frames And Journalist Perspectives On Sea Level Rise In Rhode Island, Mackensie Dupont Crowley

Open Access Master's Theses

Local news outlets are well positioned to communicate and localize sea level rise for communities facing significant risk, yet coverage of the issue remains understudied. This thesis examines coverage of sea level rise in local Rhode Island news and the factors shaping it. A mixed-methods approach was used following the collection of nearly 1,000 articles published between 2014 and 2024, including a content analysis of issue-level frames and semi-structured interviews with local journalists to contextualize coverage patterns. The analysis revealed that stories focusing on infrastructure and property, politics, governance, and law, and natural hazards dominated coverage, while stories about recreation …


Amino Acid Isotope Dynamics And Associated Ecological Metrics Across Accretionary Tissues Of Marine Fishes, Sofia Piccone Jan 2026

Amino Acid Isotope Dynamics And Associated Ecological Metrics Across Accretionary Tissues Of Marine Fishes, Sofia Piccone

Open Access Master's Theses

Compound-specific isotope analysis of amino acids (CSIA-AA) applied to the organic growth layers of accretionary fish tissues, including eye lenses, otoliths, and scales, has made it possible to reconstruct histories of fish physiology, ecology, and environmental conditions. Yet it remains uncertain whether amino acid isotope values, and the ecological information they contain, are conserved across these archival tissues or if differences in tissue composition, growth, protein structure, and metabolic routing produce tissue-specific offsets that alter inferred carbon sources, d15NBaseline, and trophic position. We tested this question with individually paired CSIA-AA of eye lenses, otoliths, and scales …


Evolution Of A Managed Flood-Tide Delta And Barrier-Beach System, Charlestown, Rhode Island, Zachary Justin Levitan Jan 2026

Evolution Of A Managed Flood-Tide Delta And Barrier-Beach System, Charlestown, Rhode Island, Zachary Justin Levitan

Open Access Master's Theses

Barrier-beach and estuarine areas are important ecologically and economically, and the inlets connecting them are critical for ocean exchange and greatly dynamic. Man-made jetties are often installed to maintain the connection between ocean and estuary for navigation and water quality benefits. With storms and sea-level rise, coastal systems are changing over days to decades, affecting communities in New England and around the globe. This study utilized remotely sensed data (i.e., aerial imagery, lidar, and sonar) to examine the dynamics of the Charlestown Breachway and its flood-tide delta in southern Rhode Island, USA over varying times scales. The specific research objectives …


Assessing Modular And Conventional Construction For Sustainable Student Housing At The University Of Rhode Island: A Life Cycle Approach, Lasse Franzen Jan 2026

Assessing Modular And Conventional Construction For Sustainable Student Housing At The University Of Rhode Island: A Life Cycle Approach, Lasse Franzen

Open Access Master's Theses

The building sector accounts for a significant share of global greenhouse gas emissions, with embodied impacts gaining importance as operational efficiency improves. Modular construction is frequently proposed as a lower-impact alternative to conventional site-built methods, yet reported findings remain inconsistent, and no comparative study of student housing was identified in the reviewed literature. This thesis compares the embodied environmental impacts of two student housing developments at the University of Rhode Island: the New University Housing Project (NUHP), a hybrid development combining a site-built concrete and steel podium with a factory-built volumetric timber module superstructure, and Brookside Hall, a conventional site-built …


Maternal Child Maltreatment And Intimate Partner Violence: Effects On Perceptions Of Infant Temperment And The Mediating Role Of Emotion Regulation And Responsiveness, Jewelian N. Fairchild, G. Anne Bogat, Amy K. Nuttall, Alytia A. Levendosky, Joseph S. Lonstein, Maria Muzik Jan 2026

Maternal Child Maltreatment And Intimate Partner Violence: Effects On Perceptions Of Infant Temperment And The Mediating Role Of Emotion Regulation And Responsiveness, Jewelian N. Fairchild, G. Anne Bogat, Amy K. Nuttall, Alytia A. Levendosky, Joseph S. Lonstein, Maria Muzik

Psychology Faculty Publications

Purpose

Maternal adverse experiences, such as maltreatment in childhood and later intimate partner violence (IPV) during pregnancy, can disrupt the mother-child relationship and influence maternal perceptions of infant temperament. The present study explored how these adversities influence mothers’ views of their infants’ temperaments and examined the role of maternal emotion regulation and responsiveness to their infants as mediators of these relationships.

Methods

Using data from a longitudinal study of highly stressed, vulnerable women, 355 mothers retrospectively reported on their own childhood maltreatment, as well as their experiences of IPV and emotion regulation during pregnancy. Maternal responsiveness was coded using mother-infant …


Advancing Models Of Ptsd-Aud Comorbidity: Protocol For A Multimethod Framework Using Genetics And Ecological Momentary Assessment, Elizabeth A. Stinson, Samhita Lellapalli, Sage E. Hawn, Natalie Merrill, Lance M. Rappaport, Christina M. Sheerin, Vasiliki Michopoulos, Silviu-Alin Bacanu, Roseann E. Peterson, Abigail Powers, Ananda B. Amstadter Jan 2026

Advancing Models Of Ptsd-Aud Comorbidity: Protocol For A Multimethod Framework Using Genetics And Ecological Momentary Assessment, Elizabeth A. Stinson, Samhita Lellapalli, Sage E. Hawn, Natalie Merrill, Lance M. Rappaport, Christina M. Sheerin, Vasiliki Michopoulos, Silviu-Alin Bacanu, Roseann E. Peterson, Abigail Powers, Ananda B. Amstadter

Psychology Faculty Publications

Background: Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD), which are moderately heritable, frequently co-occur and contribute to significant public health burdens, particularly among economically disadvantaged urban communities. There are noted sex differences in PTSD and AUD outcomes, with evidence suggesting women have heightened susceptibility to stress-related alcohol use. Preliminary PTSD-AUD ecological momentary assessment (EMA) findings support bidirectional associations across clinical outcomes. However, no studies to date have used PTSD-AUD comorbidity models as organizing frameworks to examine the temporal ordering and stability of within-person symptom dynamics underlying the maintenance or exacerbation of PTSD and AUD symptoms, including bidirectional and …


Parental Psychological Distress And Perceived Child Externalizing Behaviors: Examining Mediators And Bidirectional Effects, Abigail J. Anderson, Christina M. Rodriguez, James M. Henson Jan 2026

Parental Psychological Distress And Perceived Child Externalizing Behaviors: Examining Mediators And Bidirectional Effects, Abigail J. Anderson, Christina M. Rodriguez, James M. Henson

Psychology Faculty Publications

Parental psychological distress is a commonly examined risk factor for the emergence of child problem behaviors, but the factors that contribute to that relationship—such as limited parental resources like greater social support and coping skills—have not been adequately explored, particularly with attention to potential bidirectional relations that incorporate child evocative effects. The current longitudinal study examined maternal and paternal psychological distress in relation to perceived child externalizing behaviors, considering parental resources as mediators within a bidirectional model. The sample included a racially and socioeconomically diverse group of 201 primiparous mothers and 151 fathers. Mothers and fathers reported their current psychological …


I Can't Stop: The Effects Of Psychological Climate For Overwork On Recovery Experiences, Jeffrey Drake Terry, Konstantin P. Cigularov Jan 2026

I Can't Stop: The Effects Of Psychological Climate For Overwork On Recovery Experiences, Jeffrey Drake Terry, Konstantin P. Cigularov

Psychology Faculty Publications

Recovery experiences are important for many health and well-being outcomes. One potential threat to an individual's recovery experiences in the workplace is psychological climate for overwork. The purpose of the present study was to examine the relationship between psychological climate for overwork and recovery experiences. Using a multi-wave research design (N = 202), we found that psychological climate for overwork had direct effects on psychological detachment and indirect effects on psychological detachment and relaxation through cognitive workaholism and work-recovery guilt. These results suggest that psychological climate for overwork may contribute to an individual's experience of cognitive workaholism and work-recovery guilt, …


Examining The Factor Structure And Subgroup Invariance Of The Deliberate Denial Of Disordered Eating Behaviors Scale, Lindsay Howard, Sage Hawn, Kayla D. Pitchford, Riley Mcgrath, Aubri Farniok, Arturo Sesma, Kristin E. Heron Jan 2026

Examining The Factor Structure And Subgroup Invariance Of The Deliberate Denial Of Disordered Eating Behaviors Scale, Lindsay Howard, Sage Hawn, Kayla D. Pitchford, Riley Mcgrath, Aubri Farniok, Arturo Sesma, Kristin E. Heron

Psychology Faculty Publications

The denial, concealment, or omission of disordered eating behaviors has received limited attention in the eating disorder literature, partly due to the lack of reliable and valid measures. This study re-examined the factor structure of the Denial of Disordered Eating Behaviors Scale (DDEBS-12) and tested measurement invariance across gender identity, racial identity, and levels of disordered eating in a non-clinical undergraduate sample (N = 3285). Confirmatory factor analyses did not support the original unidimensional structure. Instead, a seven-item model assessing denial of dietary restriction demonstrated the best fit and was renamed the DDEBS-restriction. The revised scale showed good internal consistency …


Cross-National Longitudinal Insights Into College Alcohol Beliefs And Consequences: The Role Of Food And Alcohol Disturbance, Javiera A. Hernandez Puelma, Katherine A. Berry, Luke Herchenroeder, Alison Looby, Adrian J. Bravo, Christopher C. Conway, Fermín Fernández-Calderón, James M. Henson, Lee Horgarth, Manuel I. Ibáñez, Debra Kaminer, Matthew Keough, Oleg Medvedev, Laura Mezquita, Yanina Michelini, Generós Ortet, Ricardo Pautassi, Matthew R. Pearson, Angelina Pilatti, Mark A. Prince, Jennifer P. Read, Verónica Vidal Arenas, Cross-Cultural Addictions Study Team Jan 2026

Cross-National Longitudinal Insights Into College Alcohol Beliefs And Consequences: The Role Of Food And Alcohol Disturbance, Javiera A. Hernandez Puelma, Katherine A. Berry, Luke Herchenroeder, Alison Looby, Adrian J. Bravo, Christopher C. Conway, Fermín Fernández-Calderón, James M. Henson, Lee Horgarth, Manuel I. Ibáñez, Debra Kaminer, Matthew Keough, Oleg Medvedev, Laura Mezquita, Yanina Michelini, Generós Ortet, Ricardo Pautassi, Matthew R. Pearson, Angelina Pilatti, Mark A. Prince, Jennifer P. Read, Verónica Vidal Arenas, Cross-Cultural Addictions Study Team

Psychology Faculty Publications

The present study examined the mediational role of FAD-intoxication (i.e., restricting calories to increase or quicken alcohol intoxication) in the relationship between college alcohol beliefs (CABs) and negative alcohol-related consequences. A sample of 2543 student drinkers from six countries completed the baseline survey, and 505 drinkers completed at least one follow-up. Two models examined whether frequency of FAD-intoxication mediated the relationship between CABs and alcohol-related problems, and structural invariance testing was conducted across sex and countries. FAD-intoxication was concurrently and prospectively associated with greater endorsement of alcohol-related consequences and significantly mediated the effects of CABs on alcohol-related consequences. The relationship …


Early Parenting Stress And Later Abuse Risk: Dyadic Analysis Of Mediation By Maternal And Paternal Negative Attributions, Jewelian N. Fairchild, Christina M. Rodriguez Jan 2026

Early Parenting Stress And Later Abuse Risk: Dyadic Analysis Of Mediation By Maternal And Paternal Negative Attributions, Jewelian N. Fairchild, Christina M. Rodriguez

Psychology Faculty Publications

Predicting the likelihood parents will become physically abusive towards their children remains a high priority. Early parenting stress may increase the extent to which parents negatively appraise their children's behaviours, which in turn may influence their abuse risk. This study explored whether parental negative attributions mediated the association between early parenting stress and later abuse risk. A sample of 186 first-time mothers and 146 of their male partners reported on their parenting stress when infants were 6 months old and their negative attributions regarding child behaviours at 18 months. Parents' child abuse risk was assessed at age four using two …


Can An Experienced Qualitative Researcher Distinguish Ai From Human Qualitative Content Analysis?, Alexandra T. Lucas, Jianna Ramos, Maria Bajwa, Aaron Calhoun, Mark W. Scerbo, Janice C. Palaganas Jan 2026

Can An Experienced Qualitative Researcher Distinguish Ai From Human Qualitative Content Analysis?, Alexandra T. Lucas, Jianna Ramos, Maria Bajwa, Aaron Calhoun, Mark W. Scerbo, Janice C. Palaganas

Psychology Faculty Publications

Background

Artificial intelligence (AI) has become increasingly embedded in research workflows. Large language models (LLMs) are being used to code segments of text, organise codes into themes and interpret patterns within contexts. Recent comparisons between human and AI analyses demonstrate up to 80% thematic overlap, yet humans consistently exhibit deeper interpretive integration and contextual understanding. This study assesses whether experienced researchers can distinguish between entirely human-generated and AI-generated qualitative content analyses of a simulation debriefing.

Methods

We conducted a qualitative descriptive study comparing human-generated qualitative content analysis (QCA) with ChatGPT-4o-generated QCA using a single focus group transcript on emotion management …


A Real-Time Examination And Comparison Of Differentiation Among Suicidal Thinking And Affect Items In An Adolescent Sample, Elizabeth A. Edershile, Kinjal K. Patel, Annabelle M. Mournet, Richard T. Liu, Catherine R. Glenn, Evan M. Kleiman Jan 2026

A Real-Time Examination And Comparison Of Differentiation Among Suicidal Thinking And Affect Items In An Adolescent Sample, Elizabeth A. Edershile, Kinjal K. Patel, Annabelle M. Mournet, Richard T. Liu, Catherine R. Glenn, Evan M. Kleiman

Psychology Faculty Publications

Suicide risk assessments require individuals to differentiate among types of suicidal thoughts (e.g., passive vs. active); yet most research relies on aggregate metrics that obscure this differentiation. Indeed, more severe forms of suicidal thinking are thought to involve the simultaneous experience of multiple forms of thoughts at high intensities. The present study draws on concepts from the affect differentiation literature to (a) examine different ways to operationalize differentiation in suicidal thinking and (b) compare differentiation in suicidal thinking with differentiation in affect. Adolescents (N = 200) recently hospitalized for suicidal thoughts and behaviors completed a 28-day ecological momentary assessment …


Increasing Honest Statements In Young Children Through Presentation Of Social Contingencies And Emotionally Evocative Stimuli, George Noell, Kristin Gansle, Ella Wheelbarger, Hannah Sliman, Danielle De Lucia Jan 2026

Increasing Honest Statements In Young Children Through Presentation Of Social Contingencies And Emotionally Evocative Stimuli, George Noell, Kristin Gansle, Ella Wheelbarger, Hannah Sliman, Danielle De Lucia

Psychology Faculty Publications

Honesty is fundamental to interpersonal relationships and civil society. Although immediate contingencies often favor lying, many individuals respond honestly even when lying would be more efficient for contacting reinforcement. Across two experiments, we evaluated strategies for increasing honest responding by young children through exposure to social contingencies and emotionally evocative stimuli when material contingencies continued to reinforce lying. The stimuli were pictures of faces of children displaying happiness and sadness. The first experiment found that presession pairing of happy faces with honesty and sad faces with lying did not affect behavior; however, pairings combining verbal rule statements and faces contingent …


Sex And Gender Differences Between Experiences Of Discrimination And Physical Health: A Systematic Review, Saam Honarvar, Maryam Ajose, Bronwyn Sutherland, Alejandra Fernandez, Shakia T Hardy, Miguel Ángel Cano, Samaah Sullivan Jan 2026

Sex And Gender Differences Between Experiences Of Discrimination And Physical Health: A Systematic Review, Saam Honarvar, Maryam Ajose, Bronwyn Sutherland, Alejandra Fernandez, Shakia T Hardy, Miguel Ángel Cano, Samaah Sullivan

Library Staff Publications

Background: Despite a plethora of previous research on experiences of discrimination and physical health outcomes, there has been less attention to sex/gender differences, although some research suggests a greater stress-related biological and behavioral impact on women.

Methods: Five databases were reviewed up to May 2023 using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. We included studies that examined self-reported experiences of discrimination and physical health outcomes among adults (aged 18+) in the United States if results were either stratified by sex/gender or tested a sex/gender-by-discrimination interaction term.

Results: A total of 3,397 articles were extracted, and 50 …


Bulletin Of Yale University School Of Nursing 2026-2027, Yale School Of Nursing Jan 2026

Bulletin Of Yale University School Of Nursing 2026-2027, Yale School Of Nursing

Yale School of Nursing Bulletins and Catalogues

Series 122, Number 16

September 5, 2026


The Law And Ai As An “Apex Collaborator”: Legal Frameworks For Optimized Cooperation, David S. Filippi, Bill Tomlinson, Andrew W. Torrance Jan 2026

The Law And Ai As An “Apex Collaborator”: Legal Frameworks For Optimized Cooperation, David S. Filippi, Bill Tomlinson, Andrew W. Torrance

FIU Law Review

Law fundamentally exists to enable human cooperation, providing frameworks for everything from basic contracts to complex international agreements. As artificial intelligence systems grow more sophisticated, they may enable new ways that collaborative activity can occur. We posit the possibility of a new kind of AI entity: the “Apex Collaborator,” a computational system with capabilities for cooperation and partnership that are superior, in at least some ways, to those of humans. Just as apex predators shape the ecosystems in which they live through predation, Apex Collaborators would shape human-AI networks through their ability to enhance peaceful coexistence, collective problem-solving, and shared …


Do Attorneys Matter In Civil Rights Litigation?, Nancy Leong, Mary Emmerling, Aili Miyake, Rochelle Orlando Jan 2026

Do Attorneys Matter In Civil Rights Litigation?, Nancy Leong, Mary Emmerling, Aili Miyake, Rochelle Orlando

FIU Law Review

Civil rights cases brought under 42 U.S.C. § 1983 are very difficult for plaintiffs to win. Commentators generally blame stringent doctrinal and pleading standards for plaintiffs’ low rates of success. This Article instead focuses on factors related to attorneys who litigate civil rights cases: the identity of the attorney (i.e., whether the attorney is a solo practitioner or affiliated with a firm or a nonprofit), the prior experience of the attorney in litigating civil rights cases, and whether these two elements are related to plaintiff success. We identified and coded the dockets for 463 civil rights cases, or 20% of …


The State Of Funding For Curriculum Materials Centers And Collections, Caitlin Stewart, Jenelle Johnson Jan 2026

The State Of Funding For Curriculum Materials Centers And Collections, Caitlin Stewart, Jenelle Johnson

Faculty and Staff Publications – Milner Library

Using Spearman’s rank correlation coefficient, researchers analyzed whether there was a correlation between education student enrollment and curriculum materials center/collection (CMC) budget across eighty universities in the United States. Findings indicate that there is a positive correlation between those variables, although the relationship is weak. Universities with large education programs tend to have better-funded CMCs; however, variability across institutions is still significant. Findings suggest that many university CMCs may be comparatively underfunded based on student enrollment in education and historical trends.


Fifty Terms Or More: Researching Curriculum Materials Centers, Caitlin Stewart Jan 2026

Fifty Terms Or More: Researching Curriculum Materials Centers, Caitlin Stewart

Faculty and Staff Publications – Milner Library

Curriculum materials centers (CMCs), or specialized, localized collections of P-12 educational resources to support teacher preparation programs in higher education, are referred to by fifty unique terms in the Directory of Materials Centers and Collection 8th edition. Education Source (Ebsco) and Education Research Index (ProQuest) were searched with all distinct terms as keywords. The number of search results in the controlled search environment were logged, and all search results returned were coded as highly, somewhat, or not definitionally relevant to the established definition of a CMC. Recommendations are given for how to best search for highly relevant CMC literature, …


Integration Of Planetary Health In Health Professions Education And Training In Low- And Middle-Income Countries: A Scoping Review, Rayishnee Pillay, Veena S Singaram Jan 2026

Integration Of Planetary Health In Health Professions Education And Training In Low- And Middle-Income Countries: A Scoping Review, Rayishnee Pillay, Veena S Singaram

Health Professions Education

Purpose: This review explored the integration of planetary health and sustainable healthcare education in health professions education and training in low- and middle income countries (LMICs), by mapping capacity development initiatives, pedagogical approaches and contextual barriers to implementation. Method: A literature search was conducted using the following databases, MEDLINE (PubMed), EBSCOhost (Academic Search Complete), ERIC, ProQuest, Redalyc, Sabinet, Scielo, ScienceDirect, Scopus, Web of Science, and grey literature search on CORE, Google and Google Scholar for publications on the incorporation of planetary health and sustainable healthcare education in health professions education and training in LMICs between 1 January 2014 to 30 …


Assessing The Academic Performance Of Medical Students In Face-To-Face And Online Examinations: A Comparative Study From A Leading Medical College Of Peshawar, Pakistan, Rizwan Faisal, Iftikhar Qayum, Lia Anwar, Usama Afridi, Abdul Rahman, Rehan Ahmad Jan 2026

Assessing The Academic Performance Of Medical Students In Face-To-Face And Online Examinations: A Comparative Study From A Leading Medical College Of Peshawar, Pakistan, Rizwan Faisal, Iftikhar Qayum, Lia Anwar, Usama Afridi, Abdul Rahman, Rehan Ahmad

Health Professions Education

Background: The world of medical education is rapidly replacing the traditional face-to-face assessments of students by switching to online systems, and Pakistan is also undergoing this transition in its medical colleges and universities. It is therefore essential to obtain data on the performance of medical students in this new mode of assessment so that a smooth transition is enabled. Objective: To evaluate the academic performance of medical students in face-to-face and online examinations based on gender and professional year. Methods: A comparative study was performed at Rehman Medical College, Peshawar, Pakistan, from November 2023 to January 2024, on face-to-face and …


Professional Identity Development Among Nursing Students: The Impact Of Structured Reflective Practice, Abdelmonim El Fadely, Kamal Takhdat, Charaf-Eddine Ahraiba, Rahma Bouali, Sabah Selmaoui, Boujemaa Agorram Jan 2026

Professional Identity Development Among Nursing Students: The Impact Of Structured Reflective Practice, Abdelmonim El Fadely, Kamal Takhdat, Charaf-Eddine Ahraiba, Rahma Bouali, Sabah Selmaoui, Boujemaa Agorram

Health Professions Education

Purpose This study aimed to assess the impact of a structured reflective practice intervention on the development of professional identity among nursing students. Method A mixed-methods design was adopted. The intervention, based on guided reflective practice, was implemented with a voluntary sample of 58 participants. The evaluation relied on a quasi-experimental quantitative approach using the Macleod Clark Professional Identity Scale, with a comparison group and both pre-test and post-test measurements. A qualitative component was also included to explore the dimensions of the studied concept in greater depth. Results Quantitative findings showed a statistically significant difference between the post-test means (p < 0.001), indicating that the reflective practice intervention had a positive effect on the experimental group compared to the control group. The qualitative results further illuminated students’ reflections, which were organized into ten themes corresponding to the study’s conceptual framework: professional knowledge and skills, values and ethics, the nursing role, leadership, professional self-image, social image of the profession, sense of belonging, identification with role models, theory–practice integration, and career choice. These dimensions provided a comprehensive and nuanced understanding of professional identity, capturing the complexity of the concept. Conclusion These results support the integration of reflective practice as a pedagogical approach to fostering the construction and development of a positive professional identity. Professional identity, as a rich and multidimensional concept, goes beyond the process of professionalization—it represents its ultimate achievement.


Nursing Education In Indonesia And The Global Demand For Quality Healthcare: A Systematic Review, Evelyn Hemme Tambunan Jan 2026

Nursing Education In Indonesia And The Global Demand For Quality Healthcare: A Systematic Review, Evelyn Hemme Tambunan

Health Professions Education

Purpose: This study systematically reviewed evidence (2019–2025) on Indonesian nursing education, focusing on accreditation, competency based curricula, and workforce readiness in relation to global standards

Methods: Following PRISMA 2020 guidelines, a systematic search was conducted across Scopus, PubMed/MEDLINE, DOAJ/PMC, and policy repositories. Eligible sources included peer reviewed studies, systematic reviews, and policy reports related to nursing education in Indonesia quality assurance, competency based learning, and workforce demand.

Results: Twelve studies and reports were included, producing three themes: accreditation and quality assurance, competency based education and curriculum innovation, and workforce readiness and global alignment. Accreditation reforms, particularly Indonesia’s 2025 outcomes based …


Climate Change Education In Medical Curricula: Integration, Collaboration, And Preparedness For Emerging Health Challenges, Sungkono Sungkono, Agus Santoso, Firdiawan Ekaputra, Firdian Makrufardi Jan 2026

Climate Change Education In Medical Curricula: Integration, Collaboration, And Preparedness For Emerging Health Challenges, Sungkono Sungkono, Agus Santoso, Firdiawan Ekaputra, Firdian Makrufardi

Health Professions Education

Climate change poses increasing risks to global health, highlighting the need for healthcare professionals who understand the links between environmental change and health outcomes. Medical education is a key platform for fostering such competencies. This study aimed to examine the role of climate change education within medical curricula, focusing on its integration, the promotion of interdisciplinary collaboration, and its contribution to preparing students for emerging health challenges. This perspective paper provides an overview of current approaches to the integration of climate change education into medical training. Sources addressing curriculum design, knowledge acquisition, practical skill development, and collaborative learning were considered. …


Undergraduate Research Experiences Toward Student Success: Challenges And Opportunities For Medical Science Students At A University Of Technology, Ziningi Nobuhle Jaya Jan 2026

Undergraduate Research Experiences Toward Student Success: Challenges And Opportunities For Medical Science Students At A University Of Technology, Ziningi Nobuhle Jaya

Health Professions Education

Purpose: The study aimed to evaluate the research experiences of undergraduate medical science students at a university of technology to identify challenges and opportunities and determine the affordances of research participation for student success.

Method: The study population comprised all third-year medical science students (n=30) enrolled in the research methods module, which is the only such module offered as part of the medical science academic program. Participation was voluntary and so the final sample represents a self-selected subset of fourteen individual from the full cohort. The data collection tool comprised closed and open-ended questions evaluating challenges, lessons learned, skills developed, …