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Articles 25801 - 25830 of 1736046
Full-Text Articles in Entire DC Network
Tlr2 Activation Enhances Inflammatory Signaling And Accelerates Cyst Growth And Renal Fibrosis In Polycystic Kidney Disease Mice, Aiping Wei, Yang Zhang, Yu Xu, Jaden Schneider, Nicholas Detterman, Xiaoyun Shu, Tyler Gregersen, Maximo Nahas Folch, Yong Li, Shibiao Chen, Yan Zhang
Tlr2 Activation Enhances Inflammatory Signaling And Accelerates Cyst Growth And Renal Fibrosis In Polycystic Kidney Disease Mice, Aiping Wei, Yang Zhang, Yu Xu, Jaden Schneider, Nicholas Detterman, Xiaoyun Shu, Tyler Gregersen, Maximo Nahas Folch, Yong Li, Shibiao Chen, Yan Zhang
Michigan Tech Publications
Polycystic kidney disease (PKD), the most common inherited kidney disorder, is characterized by progressive cyst growth and eventual organ failure. Although aberrant innate immune activation is a recognized contributor to PKD progression, the underlying molecular mechanisms remain incompletely defined. Here, we showed that Pkd1 deletion increased TLR2 and MyD88 mRNA expression in renal epithelial cells, indicating enhanced innate immune priming. In vivo, administration of Pam3CSK4 (PAM), a synthetic TLR2 agonist, preferentially amplified pro-inflammatory and pro-fibrotic responses in Pkd1RC/RC mice compared with wild-type controls, despite inducing similar signaling responses in vitro. Acute PAM treatment for one week rapidly enhanced NF-κB …
The Learning Analytics Value Chain, Charles Lang, Yunxi Kong, Geraldine Gray, Jie Gao
The Learning Analytics Value Chain, Charles Lang, Yunxi Kong, Geraldine Gray, Jie Gao
Research Outputs: 2025-Present
A persistent challenge for the learning analytics community is how to achieve a meaningful impact on educational practice. This paper proposes that Porter’s Value Chain framework provides a useful lens for addressing this challenge. This study developed operational definitions of a Learning Analytics Value Chain and mapped learning analytics research output (3,720 publications) over the last 16 years to its five stages: 1. Concept Development, 2. Prototyping & Efficacy, 3. Evaluation, 4. Dissemination, and 5. Impact & Iteration. SoLAR supported learning analytics venues show heavy concentration in Prototyping & Efficacy (41.5-43.2%) and Evaluation (43.4-53.4%), with minimal Dissemination (0.1-3.8%) and Impact …
Empowerment Or Oppression? College Students’ Interpretations Of Sex And Relationships In The Popular Media, Nicola Mcclung, Riana Pella
Empowerment Or Oppression? College Students’ Interpretations Of Sex And Relationships In The Popular Media, Nicola Mcclung, Riana Pella
Journal of Media Literacy Education Pre-Prints
Scholars have long emphasized the harmful effects of overtly sexist and oppressive media images on young people’s understandings of sex and relationships. Yet, this emphasis on explicit harm leaves a gap in understanding how college students interpret subtle, hidden, and ambiguous media messages. To address this gap, we asked 196 California college students at a large public university to critique a range of mainstream media content—from overtly oppressive, to affirming of nondominant gender identities, to containing mixed messages about empowerment and oppression. Responses were coded using our media literacy scoring guide for assessing students’ ability to critically analyze media messages …
Peace Counseling For Grief Recovery: A Study Of Its Effectiveness In Families Of Coal Mine Drowning Victims In East Kalimantan, Siti Nurul Hajirotul Qudsiyah, Wahyu Nanda Eka Saputra, Hardi Santosa
Peace Counseling For Grief Recovery: A Study Of Its Effectiveness In Families Of Coal Mine Drowning Victims In East Kalimantan, Siti Nurul Hajirotul Qudsiyah, Wahyu Nanda Eka Saputra, Hardi Santosa
Buletin Konseling Inovatif
This study examines the psychological impact of prolonged grief among families of coal mining pit drowning victims and evaluates the effectiveness of peace counseling as an intervention strategy. The study aims to assess whether structured counseling can reduce grief loss and support adaptive psychological adjustment. A quantitative quasi-experimental approach was employed using a Single Subject Research (SSR) A–B–A design involving two participants who were mothers of the victims. Data were collected using the Grief Losing Scale administered repeatedly across baseline (A1), intervention (B), and post-intervention (A2) phases. The intervention consisted of six structured peace counseling sessions focusing on emotional processing, …
Acoustic Realization Of Singleton–Geminate Contrast In Lebanese Arabic Infant-Directed Speech: A Case Study, Nief Aied Al-Gamdi
Acoustic Realization Of Singleton–Geminate Contrast In Lebanese Arabic Infant-Directed Speech: A Case Study, Nief Aied Al-Gamdi
UB Journal for Humanities
Although Infant-directed speech (IDS) involves modifications of speech to facilitate child’s language acquisition, this area of research needs more evidence on the maintenance of segmental contrasts. Drawing on a longitudinal corpus of conversation recordings of a Lebanese mother and her young son over eight months at Newcastle University, this acoustic study examined IDS with a focus on Lebanese Arabic (LA). It analyzed single and double coronal consonants (C) in two-and three-syllable trochaic words with short vowels (V). Using PRAAT-based acoustic analysis, 560 tokens of trochaic disyllabic and trisyllabic words in short-V contexts were examined for duration, intensity, and fundamental frequency …
Representations Of Riyadh In Conceptual Metaphor Maps: A Cognitive Linguistic Approach, Lubna Mohammed I Alshanquitiy, Hussein Bin Hadi Ahmed Al-Abdali
Representations Of Riyadh In Conceptual Metaphor Maps: A Cognitive Linguistic Approach, Lubna Mohammed I Alshanquitiy, Hussein Bin Hadi Ahmed Al-Abdali
UB Journal for Humanities
This study examines representations of the city of Riyadh in poetry through the lens of Conceptual Metaphor Theory as an analytical framework within cognitive linguistics, with the aim of revealing how the city’s spatial and environmental features are reconfigured into conceptual structures that contribute to the construction of meanings of identity and belonging. The study draws on a selected corpus of poetic texts and applies metaphor identification procedures inspired by the Metaphor Identification Procedure of the Vrije Universiteit (MIPVU), enabling the coding of source and target domains and the construction of mapping networks between lexical fields such as love / …
Dispelling Doubts Concerning The Hadith Of Umm Habiba A Critical Verification And Study, Abdullah Bin Ahmed Al-Jarallah Al-Zahrani
Dispelling Doubts Concerning The Hadith Of Umm Habiba A Critical Verification And Study, Abdullah Bin Ahmed Al-Jarallah Al-Zahrani
UB Journal for Humanities
This research deals with the verification (Tahqiq) of the manuscript titled “Daf’ al-Raybah ‘an Hadith Umm Habibah” by the scholar Ahmad ibn Muhammad ibn Umar al-Khafaji (d. 1069 AH). The study is divided into two main sections: The Descriptive Study: This section introduces the author and the manuscript. It covers the author’s name, lineage, birth, death, his pursuit of knowledge, scholarly status, and his written works. It also verifies the manuscript’s attribution to the author and discusses its subject matter and the author’s methodology. The Critical Edition (Verification): This section focuses on establishing the correct text and comparing it with …
Verses Revealed In Accordance With The Statements Of Some Of The Companions Presentation And Study, Dr. Hanan Bint Luwaifi Bin Ali Alamri
Verses Revealed In Accordance With The Statements Of Some Of The Companions Presentation And Study, Dr. Hanan Bint Luwaifi Bin Ali Alamri
UB Journal for Humanities
This research highlights the actions and statements of some of the Companions that led to the revelation of verses in agreement with them, offering an interpretive study and also reveals the Quranic approach to dealing with the issues faced by the Companions, and serves Quranic studies from a historical perspective. One of the problems addressed is: How did the Holy Quran deal such issues? And what are the implications of the Quranic verses on these issues? The research employs inductive, analytical, and historical methods, presenting historical events and the context of these verses. The methodology of this research involved collecting …
Marine Artisanal Fisheries And Blue Economy Development In Mainland Tanzania: An Empirical Analysis Of Catch, Revenue, And Employment (2011–2019), Iddi Mwanyoka, Modesta Medard
Marine Artisanal Fisheries And Blue Economy Development In Mainland Tanzania: An Empirical Analysis Of Catch, Revenue, And Employment (2011–2019), Iddi Mwanyoka, Modesta Medard
Blue Economy
The government of Tanzania is currently developing a Blue Economy (BE) policy for mainland Tanzania. However, it remains unclear how marine artisanal fisheries can contribute to, and support the implementation of, this emerging economic initiative. Drawing on in-depth key informant interviews, a review of relevant documents, and an analysis of nine years (2011—2019) fisheries data, this study examines the potential contribution of fish catch, revenue, and employment to the BE. The findings showed a significant (20.5%) increase in the number of fishing vessels between 2011 and 2019, together with a notable 52% rise in fish catches between 2018 and 2019. …
Literature Review: Trauma Care For Psychological Strengthening Of Adolescent Survivors Of Sexual Violence, Ahmad Tubagus Darodjat, Otto Fajarianto, Awalya Siska Pratiwi
Literature Review: Trauma Care For Psychological Strengthening Of Adolescent Survivors Of Sexual Violence, Ahmad Tubagus Darodjat, Otto Fajarianto, Awalya Siska Pratiwi
Buletin Konseling Inovatif
Sexual violence, both physically and psychologically, can be a traumatic stressor that triggers trauma in an individual's life. Trauma is a common condition that has a complex impact on an individual's life. This study aims to collect and analyze articles related to trauma care for psychological strengthening of adolescent survivors of sexual violence. The method used is a literature review. The author summarizes, makes a critical and in-depth analysis of previous literature. Based on the articles collected, it was found that sexual violence can leave a severe traumatic impact on victims. Victims may experience stress due to traumatic events, both …
Animal Olfaction In Cancer-Associated Voc Detection, Stella (Jiyun) Yang
Animal Olfaction In Cancer-Associated Voc Detection, Stella (Jiyun) Yang
Mentorship Program 2025-2026
No abstract provided.
2026 - The Thirtieth Annual Symposium Of Student Scholars
2026 - The Thirtieth Annual Symposium Of Student Scholars
Symposium of Student Scholars Program Books
The full program book from the 30th Annual Symposium of Student Scholars, held on April 22-24, 2026. Includes abstracts from the presentations and posters.
Mechanisms Behind The Impacts Of Co2 Concentration On Microbial Methanogenesis In Coal Seams, Wang Junyu, Liu Bingjun, Jiang Xiangqing, Chen Ruifeng, Xue Sheng, Zhou Wanlong, Yang Yundu
Mechanisms Behind The Impacts Of Co2 Concentration On Microbial Methanogenesis In Coal Seams, Wang Junyu, Liu Bingjun, Jiang Xiangqing, Chen Ruifeng, Xue Sheng, Zhou Wanlong, Yang Yundu
Coal Geology & Exploration
Background Coal seams exhibit the extensive distribution of a variety of indigenous functional microorganisms. Among these, some archaea enable methane metabolism using CO2 as a substrate, providing the potential for the biological CO2 storage and utilization in coal seams. However, conventional studies focus primarily on the degradation characteristics of coal matrix, leading to a lack of a systematic understanding of the mechanisms governing the adjustment of the methanation process in CO2-bearing environments. Methods This study investigated the bituminous coals with a high volatile content in the Huainan mining area. Using laboratory-scale experiments on methanogenesis through anaerobic …
Dynamic Response Characteristics And Failure Mechanism Of Coal-Rock Combination Under Different Immersion Conditions, Zhang Xiangyang, Tong Zhipeng, Duan Yungang, Yang Weikun, Chen Jianben, Xu Linfeng
Dynamic Response Characteristics And Failure Mechanism Of Coal-Rock Combination Under Different Immersion Conditions, Zhang Xiangyang, Tong Zhipeng, Duan Yungang, Yang Weikun, Chen Jianben, Xu Linfeng
Coal Geology & Exploration
Background In practical engineering, the waterproof coal pillar usually suffers from different degrees of dynamic load from the overlying strata, and its internal water distribution is non-uniform. Although the traditional “water content” index can reflect the overall water content, it is difficult to describe the non-uniform characteristics of the soaking space. Therefore, it is of great significance to clarify the dynamic failure mechanism of coal and rock mass under different immersion conditions for stability zoning control. Methods On this basis, the coal–rock combined bodies under three different forms of immersion, namely: complete immersion, unilateral immersion, and non-immersion were prepared. These …
Mechanisms Underlying Lateral Force Applied To A Pdc Cutter On A Pdc Drill Bit During Rotary Rock Breaking, Wei Jiusen, Han Xin, Liu Wei, Gao Deli
Mechanisms Underlying Lateral Force Applied To A Pdc Cutter On A Pdc Drill Bit During Rotary Rock Breaking, Wei Jiusen, Han Xin, Liu Wei, Gao Deli
Coal Geology & Exploration
Objective To improve the rock-breaking efficiency and durability of drill bits in the theoretical research on the optimal design of drill bits, the key is to systematically reveal both the rock-breaking mechanisms of polycrystalline diamond compact (PDC) cutters and the characteristics of forces applied to them. Methods Existing studies on rock breaking using a single PDC cutter generally adopt a linear or approximately linear cutting mode while neglecting the impacts of the radius of gyration. To address this issue, this study conducted experiments on cylindrical granite samples using a laboratory experimental setting for single-cutter rock breaking. With cutting depth and …
Impact Of Transformational Leadership On School Culture In K-12 Schools, Lauren Bernhardson
Impact Of Transformational Leadership On School Culture In K-12 Schools, Lauren Bernhardson
Graduate Teacher Education
This literature review examined the impact of transformational leadership on the development and sustainability of a positive school culture in K-12 schools. Peer-reviewed studies published between 2010 and 2026 were analyzed to identify trends in leadership and school culture. Sources were selected from academic databases based on relevance, publication date, and focus on school leadership and culture. The review included qualitative, quantitative, and mixed-methods research to provide a comprehensive understanding of how transformational leadership influenced the development and sustainability of a positive school culture. Findings indicated that transformational leadership established the foundation for building a positive school culture through relationship-building, …
Evaluation Of The Usage Of Children’S Literature In Perpustakaan Alternatif Wilayah Selatan (Pevita) Based On Circulation Study, Hanik Aulia Azhani, Nur Riani
Evaluation Of The Usage Of Children’S Literature In Perpustakaan Alternatif Wilayah Selatan (Pevita) Based On Circulation Study, Hanik Aulia Azhani, Nur Riani
Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan
This study aims to evaluate the usage of children’s literature at the Southern Region Alternative Library (PEVITA) based on circulation data. This study focuses on users based on circulation data. It involves observing circulation data and conducting interviews with librarians and library users. The method used is a descriptive qualitative approach, where this study describes numerical data, such as the number of uses. Data collection techniques use semi-structured interviews, direct observation, and documentation. The results of this study show that first, the collection is evaluated based on user groups, classification numbers, year of publication, subjects and topics, and types of …
Reposisi Literasi Kearsipan Dalam Lanskap Transformasi Digital, Primus Sanbein
Reposisi Literasi Kearsipan Dalam Lanskap Transformasi Digital, Primus Sanbein
Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan
Digital transformation has fundamentally reshaped the nature of archives, not only in terms of technological media but also in how archives are understood, interpreted, and accounted for. In this context, archival literacy is often narrowly framed as a set of technical skills or individual competencies, a perspective that inadequately captures the complexity of digital archives that are dynamic, distributed, and embedded in contemporary information practices. This article aims to reframe archival literacy as a conceptual lens within the landscape of digital transformation. Adopting a reflective and conceptual approach, the article situates archival literacy within information literacy discourse while examining shifts …
Exploring The Development Of Bibliometric Research In Indonesia, Wiwit Ratnasari, Rona Nisa Sofia Amriza
Exploring The Development Of Bibliometric Research In Indonesia, Wiwit Ratnasari, Rona Nisa Sofia Amriza
Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan
The growing availability of large bibliographic databases and analytical tools has accelerated the adoption of bibliometric methods across research fields worldwide. In Indonesia, bibliometric approaches have been widely applied across diverse domains; however, existing studies remain largely discipline-specific and lack a comprehensive national-level overview of how bibliometric research itself has developed. This study addresses this gap by conducting a systematic bibliometric analysis of bibliometric publications produced by Indonesian researchers. A total of 532 publications published between 2017 and 2025 were retrieved from the Scopus database and analyzed using bibliometric techniques, including descriptive analysis of study characteristics, co-authorship analysis, co-citation analysis, …
Etika Dan Vandalisme Terselubung Dalam Pemanfaatan Koleksi Di Dinas Perpustakaan Dan Kearsipan Provinsi Sumatera Utara, Annisa Intan Zakira, Haura Laudya Kharin, Dina Maulina, Zahrah Ajiziah, Sri Ramadhani, Cherin Pebina Sembiring
Etika Dan Vandalisme Terselubung Dalam Pemanfaatan Koleksi Di Dinas Perpustakaan Dan Kearsipan Provinsi Sumatera Utara, Annisa Intan Zakira, Haura Laudya Kharin, Dina Maulina, Zahrah Ajiziah, Sri Ramadhani, Cherin Pebina Sembiring
Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan
This study addresses the prevalent issue of unethical user behavior towards library collections, which threatens their preservation. The main objective is to analyze the forms and underlying causes of these behaviors at the Library and Archives Service (Dispusip) of North Sumatra Province. This research employs a qualitative case study approach, utilizing direct observation, photographic documentation, and brief interviews as its methods. The results indicate a significant occurrence of unethical practices, such as page-folding (dog-earing), underlining or scribbling on pages, and mis-shelving books. These actions are categorized as “covert vandalism” and a lack of systemic awareness, stemming from a low sense …
Association Between Maternal Factors And Stunting Based On The Indonesia Family Life Survey 5 (Ifls-5), Charissa Otniel Sukamto, Siti Nur Fatimah, Noormarina Indraswari
Association Between Maternal Factors And Stunting Based On The Indonesia Family Life Survey 5 (Ifls-5), Charissa Otniel Sukamto, Siti Nur Fatimah, Noormarina Indraswari
Makara Journal of Health Research
Background: Stunting remains a major issue in Indonesia. Maternal factors during pregnancy are one of the key determinants in preventing stunting. This study aimed to analyze the association between maternal history during pregnancy (age, height, parity, and inter-pregnancy interval) and stunting, with a comparison between urban and rural areas.
Methods: This analytical cross-sectional study used data from 3,639 children aged 1-5 years old from the household survey of Indonesia Family Life Survey 5, conducted between late October 2014 and August 2015 within 13 provinces in Indonesia. Data was analyzed using chi-square and binary logistic regression methods.
Results: …
Examining The Psychometric Properties Of The Big Three Perfectionism Scale–Short Form (Btps-Sf) Among Malaysian Chinese Students At A Private University, Kam-Fong Lee, Ashraf Sadat Ahadzadeh, Shin Ling Wu
Examining The Psychometric Properties Of The Big Three Perfectionism Scale–Short Form (Btps-Sf) Among Malaysian Chinese Students At A Private University, Kam-Fong Lee, Ashraf Sadat Ahadzadeh, Shin Ling Wu
Makara Journal of Health Research
Background: Perfectionism is increasingly prevalent among young adults and is a significant predictor of pathological and behavioral outcomes. Despite its relevance, validated and reliable measures of perfectionism tailored to university students, particularly within the Malaysian cultural and academic context, are lacking. This study addresses this gap by examining the psychometric properties of the BTPS-SF among Chinese students at a private university in Malaysia.
Methods: Data were collected using a cross-sectional design with convenience and snowball sampling from 380 students aged 18–25 years, predominantly from a Chinese student population.
Results: The results of the exploratory factor analysis, conducted …
Aristophanes And Athenian Society During The Peloponnesian War, Joshua Schmidt
Aristophanes And Athenian Society During The Peloponnesian War, Joshua Schmidt
Senior Honors Theses
At the end of the fifth century BC, Greek society underwent major changes as a result of the Peloponnesian War between Athens and Sparta. While the origin of the war and its course of events are described in contemporary sources, the impact of the war on Athenian society is mostly overlooked. However, another contemporary source, the comedies of the Athenian playwright Aristophanes, provides an alternative perspective from which to consider Athenian society. A thematic study of Aristophanes’ eleven extant plays offers a window into changes in various aspects of Athenian society during and immediately after the Peloponnesian War, such as …
Strategic Layout And Optimization Paths Of The Standard System For The Exploration And Exploitation Of Deep Coalbed Methane, Chen Xinjun, Liu Zengqin, Shen Baojian, Zhao Shihu, Ye Jincheng, Zhang Jiaqi, Wang Tianyun
Strategic Layout And Optimization Paths Of The Standard System For The Exploration And Exploitation Of Deep Coalbed Methane, Chen Xinjun, Liu Zengqin, Shen Baojian, Zhao Shihu, Ye Jincheng, Zhang Jiaqi, Wang Tianyun
Coal Geology & Exploration
Objective In China, the deep coalbed methane (CBM) industry has emerged as a key sector for the reserve growth and production addition of natural gas. However, the current CBM technical standard system, which was developed based on shallow CBM practices, is incompatible with the demands for the exploration and development of deep CBM. To address this challenge, this study proposes the optimization paths of the current standard system, aiming to provide standardization support for large-scale exploitation of deep CBM.Methods Deep CBM reservoirs exhibit complex geological conditions of high temperature, pressure, and in-situ stress, as well as the CBM occurrence …
Structural Design And Parameter Optimization Of A Vibration Absorber For Rescue Casing-While-Drilling Rigs, Liu Pu, Yao Ningping, Zou Zujie, Fan Dong, Wei Hongchao, He Binjie
Structural Design And Parameter Optimization Of A Vibration Absorber For Rescue Casing-While-Drilling Rigs, Liu Pu, Yao Ningping, Zou Zujie, Fan Dong, Wei Hongchao, He Binjie
Coal Geology & Exploration
Objective Rescue drilling rigs undergo intense vibration at borehole mouths when operating in a confined underground space of coal mines. To address this issue, this study designed a compact multi-directional, passive dynamic vibration absorber, aiming to improve the operational stability and safety of the rigs. Methods Based on the spring-mass-damping system theory, a stepwise optimization design method was proposed for the longitudinal and transverse dynamic models of the vibration absorber. For the longitudinal vibration model, the particle swarm optimization (PSO) algorithm was applied for multi-objective parameter optimization. In contrast, for the transverse vibration model, the fixed point theory was employed …
Exploring The Vertical Heterogeneity Of Extremely Thick Aquifers In Coal Mines Through Layered Fine-Scale Pumping Tests, Guo Xiaoming
Exploring The Vertical Heterogeneity Of Extremely Thick Aquifers In Coal Mines Through Layered Fine-Scale Pumping Tests, Guo Xiaoming
Coal Geology & Exploration
Objective Extremely thick aquifers in mining areas typically exhibit strong heterogeneity and high water yield. Therefore, they are prone to cause severe water inflow in mines and induce water disasters, representing a major factor affecting the mining safety of numerous mines in China. However, the vertical heterogeneity of these aquifers remains poorly understood, emerging as a primary bottleneck in the prevention and control of such water hazards. Methods To scientifically reveal the vertical heterogeneity characteristics of extremely thick aquifers, this study investigated the extremely thick Luohe Formation aquifer in a coal seam roof of a representative coal mine in the …
Alberta’S Creation: A Historical And Legal Analysis, Kent Mcneil
Alberta’S Creation: A Historical And Legal Analysis, Kent Mcneil
Articles & Book Chapters
The provinces of Alberta and Saskatchewan were created out of the Northwest Territories, a part of Canada owned and governed by the federal government. In order to understand the context and implications of Alberta’s potential secession from Canada, it is necessary to examine the history of the region and discuss the law that may be relevant to this question.
Women's Council's Gift Funds Leadership Opportunities, Michael Newsom
Women's Council's Gift Funds Leadership Opportunities, Michael Newsom
University of Mississippi News
OXFORD, Miss. – Believing deeply in the power of leadership development, Ouida and Wayne Drinkwater have established a new endowment that enables the Ole Miss Women's Council for Philanthropy to help University of Mississippi students broaden their horizons.
Improving Cultural Competence Among Healthcare Professionals Through A Targeted Staff Training Program, Oyindamola Akinkugbe
Improving Cultural Competence Among Healthcare Professionals Through A Targeted Staff Training Program, Oyindamola Akinkugbe
Doctor of Nursing Practice Projects
Limited culturally competent care for Hispanic patients worsens existing health disparities, creates misunderstandings, leads to poor health outcomes, and reduces satisfaction with the quality of care. In an outpatient clinic, more than 70% of patients are Hispanic, yet healthcare providers reported a lack of confidence in caring for culturally diverse patients. Extensive literature supports staff training to improve provider cultural competence, but implementation remains inconsistent across healthcare settings. This quality improvement project addressed this gap by implementing a targeted staff training program grounded in the Culturally and Linguistically Appropriate Services (CLAS) in Nursing framework. The purpose of this project was …
Enhancing Shared Decision-Making In Mental Health Care: A Quality Improvement Initiative, Joanna L. Hysler
Enhancing Shared Decision-Making In Mental Health Care: A Quality Improvement Initiative, Joanna L. Hysler
Doctor of Nursing Practice Projects
Shared decision-making (SDM) is an evidence-based approach that enhances patient engagement, treatment adherence, and clinical outcomes in psychiatric care. Despite strong support in the literature, SDM remains inconsistently implemented in mental health settings due to limited provider training, time constraints, and organizational barriers. The purpose of this Doctor of Nursing Practice quality improvement project was to implement and evaluate an educational intervention designed to improve SDM utilization and provider confidence within a private outpatient psychiatric practice. The project was guided primarily by the Plan-Do-Study-Act framework to support structured practice change, with Lewin’s Change Theory providing additional conceptual support. The intervention …