Digital Commons Network^™

Nurse Confidence In Mental Health Communication: Examining The Effect Of An Educational Intervention In Outpatient Specialty Departments, Joy-Ruth Mathews

Doctoral Dissertations and Projects

The global prevalence of mental health illnesses has prompted a growing need for healthcare professionals to be prepared to identify and address these concerns. Many nurses in outpatient specialty departments report feeling underprepared and lacking confidence when communicating with patients about mental health concerns. This scholarly project utilized an educational intervention to improve nurse confidence in mental health communication, the application of therapeutic communication techniques, and resource identification. A quasi-experimental, one-group pretest/posttest design was implemented, with nurses from outpatient specialty departments at Duke Health’s Kernodle Clinic completing pre- and post-Likert scale surveys to assess changes in their self-reported confidence. The …

Qualitative Ethnographic Research On The Efficacy Of A Christian-Based Approach To Mentorship For Black Males, Arnold M. Campbell

Doctoral Dissertations and Projects

This study advanced qualitative research by identifying several statistical gaps in the social sciences related to leadership development, learning principles, character traits, and spiritual formation for a specific demographic of Black males. This researcher aimed to understand the efficacy of Christian-based actions through mentorship programs that intend to address social deficits. From a theological and theoretical context, this research literature review and observations focused on the practical Christian-based approaches to mentorship that provided a model to improve the lives of a specific demographic of Black males considered high-risk and vulnerable. The target group was raised in single-parent homes and attended …

1-2-1 Reciprocal Discipleship: A Transformation Strategy For Effectively Growing Mature Disciples Of Jesus Christ, Scott M. Whitley

Doctoral Dissertations and Projects

Believers in the Lord Jesus Christ are called to be transformed into the image of Christ through the intimacy of knowing the Father (Eph. 4:13; 2 Cor. 3:18; John 17:3). This can be taught and experienced through one-on-one discipleship, thus fulfilling the Great Commission. Unfortunately, many different discipleship models have become the prevailing stratagem, leaving one-on-one discipleship less emphasized or wholly abandoned. This has resulted in significant transformation through intimacy being lost in many churches and leading to a departure from scriptural discipleship. Therefore, this action research project assumed that consistent participation in the 1-2-1 Reciprocal Discipleship: A Transformation Strategy …

Developing A Ministry Model That Reengages The Members Of Mount Zion Into Fulfilling God’S Purpose, Desmond Wayde Wallace

Doctoral Dissertations and Projects

Making a meaningful difference within a ministry that requires intervention demands not only strategic planning and teamwork but also leadership that is unwavering in its commitment to fulfilling God’s purpose through service. The church under review has faced significant shifts within its community beginning in the late 1990s and extending into the early 2000s. Unfortunately, these changes did not lead to the anticipated growth and development; instead, they triggered a noticeable decline within both the ministry and the surrounding area. This decline has had a cascading effect, negatively impacting the community and further eroding the church’s vitality, resulting in decreased …

An Intellectual History Of The American Right To Keep And Bear Arms, John Charles Davis

Doctoral Dissertations and Projects

This dissertation presents an examination of the intellectual history of the American right to keep and bear arms, as well as its embodiment in the Second Amendment of the United States Constitution. The document presents the history of ideas surrounding the concept of the right to keep and bear arms, from early Western Civilization through various channels, including English traditions, and how they contributed to the unique perspective on the right to keep and bear arms that emerged in America. Explores not only English contributions, but those of the Scots, and philosophers throughout Europe and Western Civilization, as well as …

Nurse-To-Nurse Change-Of-Shift Handoff Communication: The Experience Among Senior Nursing Students In A Hospital Setting—A Transcendental Phenomenological Study, Karen Bryson

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the lived experiences of senior nursing students with nurse-to-nurse change-of-shift handoff communication during their clinical practicum at a major healthcare system in the United States. The guiding research question was: What are the lived experiences of senior nursing students when communicating shift-to-shift handoff reports to incoming nurses during senior clinical practicum in an acute care hospital setting? Bandura's social cognitive theory and Kolb's experiential learning theory are the two theories that support the conceptual framework of this study. Ten nursing students were purposefully recruited from local two-year and four-year nursing …

Pilot Study: Integrating The Epic Stroke Narrator Into Inpatient Code Stroke Protocols To Improve Symptom Onset Identification And Reduce Intervention Times, Stacy L. Carter

Doctoral Dissertations and Projects

In-hospital strokes are often underrecognized, leading to treatment delays and poorer outcomes compared to community-onset strokes. This scholarly project evaluated whether integrating the Epic Stroke Narrator into inpatient code stroke protocols could improve documentation of last known well time (LKWT) and reduce time to intervention. A 6-week quasi-experimental pilot study guided by the Iowa Model of Evidence-Based Practice and Rogers’ diffusion of innovations theory was conducted on a neuroscience telemetry step-down unit at a comprehensive stroke center in Richmond, Virginia. Education on the Stroke Narrator was provided to bedside nurses and was followed by implementation and evaluation of narrator use …

A Phenomenological Study Of Parent And Educator Perceptions Of Inclusive Education For Individuals With Disabilities, Karin Elizabeth Kawagoe

Doctoral Dissertations and Projects

This phenomenological qualitative study, grounded in disability theory, explores the lived experiences of parents and educators regarding inclusive education. At present, laws and regulations promote the inclusion of individuals with disabilities. Inclusion has evolved since the mid-1950s. The biblical foundation for inclusion draws on the life of Jesus. This study examined how concepts of belonging, willingness, perceptions of inclusion, and evidenced based practices manifest in perceptions of advocacy, empathy, flexibility, and collaboration. Data was collected using interviews with parents and educators. Thematic analysis revealed that parents’ experiences centered on advocacy, resilience, empathy, and compassion, reflecting feelings of isolation and being …

Building Stability Through Compassion: A Study Of City Gates Ministries’ Impact On Homelessness And Resource Distribution, Bryan Christopher Pruitt

Doctoral Dissertations and Projects

This Dissertation-in-Praxis focused on how City Gates Ministries, a nonprofit organization in Thurston County, Washington, improved its support for individuals and families facing homelessness and poverty by refining its operational systems. The initiative aimed to strengthen donation intake, inventory management, and furniture delivery, which had previously strained resources and hindered organizational consistency. Guided by biblical leadership principles, the project introduced cost-effective solutions like a barcode-based digital inventory system, color-coded signage, and modular volunteer training sessions. Outcomes included a 30% reduction in inventory duplication errors, a nearly 45% decrease in retrieval times for high-demand items, and a decrease in misplaced inventory …

October 16, 2025, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

Advanced Artificial Intelligence Software In Mental Health Field Integrating Into Practice, Nazanin Azimi Hagjoo

Doctoral Dissertations and Projects

The integration of artificial intelligence software in health care has delivered revolutionary changes by enhancing efficiency, increasing accuracy, saving time, and improving clinician life balance. In very recent years, the mental health field also has started to be transformed by AI software; the adoption of AI technologies has helped to meet the demand for mental health services. AI tools have great potential to improve the efficiency and efficacy of clinicians, as they can provide diagnostic tools, smart treatment plans, improved medication refill processes, and monitoring of patient outcomes and well-being, as well as prevent medication errors. Such exciting innovations help …

Stress And Psychological Capital: Exploring The Link Between Psychological Capital And Occupational Stress, Andrew Regalado

Doctoral Dissertations and Projects

The objective for this quantitative correlational study was to investigate how positive psychological factors, such as grit, resilience, and mental toughness, are related to employee perceptions of occupational stress. In this study, 115 full-time employees across various levels of occupational stress and risk, completed online surveys utilizing the Short Grit Scale (Grit-S), the Conner-Davidson Resilience Scale 10 (CD-RISC-10), the Mental Toughness Questionnaire 10 (MTQ10), and the Perceived Occupational Stress Scale (POS). The results indicated that grit, resilience, and mental toughness do not relate to perceptions of occupational stress. Additionally, grit, resilience, or mental toughness were not related to perceptions of …

Bacterial Identification, Antibiotic Susceptibility Testing (Ast), And Epstein-Barr Virus (Ebv) Testing To Increase Organ Transplantation Within A Western Regional Community, Vedarrius D. Williams

Doctoral Dissertations and Projects

Clinical transplantation demands have increased immensely in recent years and, along with increasing supply shortages, many barriers to successful organ donation arise from a lack of dedicated testing to rule out microbial or bloodborne infections. There are currently minimal, federal regulatory requirements for transplantation specimen testing. The purpose of this study is to explore how to increase the viability and success of transplantations in the Western regions of the United States using kidney, pancreas, and kidney/pancreas transplant data from University Medical Center Southern Nevada (UMCSN) transplant center. UMCSN transplant center and Donor Services Laboratory (DSL) in Las Vegas perform bacterial …

When Cybersecurity Becomes A Reason For Amending Or Terminating An International Commercial Contract: Proposed Solutions, Mohammed El Hadi El Maknouzi, Enas Mohammed Alqodsi, Iyad Mohammad Jadalhaq, Ashraf Khalil

All Works

This study investigates the issue of a country's cybersecurity evolving into a justification for amending the scope of or terminating an international commercial contract. Therefore, the hypothesis is grounded in the neglect of cybersecurity-related issues during the negotiation of certain types of international commercial contracts, as well as in the drafting of their clauses. This underscores the need for an analytical approach to trace the emergence of such risks. The identification of these risks by the public authority responsible for overseeing cybersecurity may result in the suspension of the performance of the international commercial contract. This measure affects the national …

The Impact Of Big Five Personality Traits On Entrepreneurial Orientation, Moustafa Haj Youssef, Nagham Sayour, Naser Valaei, Hiba Hussein, Mostafa Harakeh

All Works

Our study explores the interplay between the Big Five Personality Traits (B5-PT) and Entrepreneurial Orientation (EO) among home and international entrepreneurs in the Middle East, focusing on Jordan, Saudi Arabia, and the United Arab Emirates. Utilizing fuzzy-set qualitative comparative analysis (fsQCA), we investigate how different combinations of personality traits influence EO in distinct entrepreneurial contexts. The findings reveal four universal configurations and four context-specific configurations that lead to high EO, highlighting the dynamic and configurational nature of entrepreneurial behaviour. For home entrepreneurs, high conscientiousness and agreeableness are key drivers of EO, reflecting a focus on collaboration and resource management within …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Effect Of Water At Different Ph Levels Adjusted With Organic And Inorganic Acidifiers On The Growth Performance, Blood Biochemistry, Carcass Yield, And Meat Physicochemical Properties Of Broilers, Asad Ali Shah, Shahid Mehmood, Fazal Raziq, Muhammad Tahir Khan, Assad Ullah, Yasir Abbas, Syed Kaleem Ul Hassan, Sohail Ahmad, Smile Manzoor, Kashif Khan

Turkish Journal of Veterinary & Animal Sciences

This study evaluated the effects of varying water pH levels, adjusted with organic (formic acid) and inorganic (sodium hydrogen sulfate) acidifiers, on the growth performance, blood biochemistry, carcass yield, and meat quality of broiler chickens. The objective was to determine how these factors affect broiler health and production efficiency. In a 35-day feeding trial, 420 day-old chicks were randomly assigned to a 2 × 3 factorial design that tested two types of acidifiers (organic versus inorganic) at three pH levels (5.8, 6.8, and 7.8), with six replicates of 10 birds per treatment. Birds were provided with acidified water ad libitum …

Investigation Of The Usability Of The Difference In Body Structure As A Breeding Method In Unselected Sheep Flocks (I-Fattening Performance- Slaughter And Carcass Characteristics), Mehmet Naci̇ Oktay, Bora Özarslan

Turkish Journal of Veterinary & Animal Sciences

This study investigated the development of a meat-type sheep strain by using the differences in body structure in Kangal Akkaraman an indigenous sheep breed of Türkiye. The control group consisted of 15 male lambs born to ewes with dairy-type (DT) body structure and the experimental group consisted of 15 male lambs born to ewes with meat-type (MT) body structure. The sheep in the DT group were selected for their elegant, clear bony lines; long, thin neck; triangular body structure that widens from front to rear; and the leg length longer than the depth of the chest. In selecting sheep for …

Mycoplasma Pneumoniae-Induced Mucositis Sine Rash: Case Report In An Adult Patient, Sultan Qaboos University

Sultan Qaboos University Medical Journal

No abstract provided.

Web3-Based Identity And Kyc Innovations For Next-Generation Fintech, Usama Arshad, Abdallah Tubaishat, Sajid Anwar, Zahid Halim, Abedallah Abualkishik, Abrar Ullah

All Works

The growing reliance on digital financial services necessitates a secure, efficient, and privacy-centric approach to identity verification and Know Your Customer (KYC) compliance. Traditional identity management systems rely on centralized databases, making them susceptible to data breaches, inefficiencies, and regulatory constraints. Over 10 billion identity records have been exposed in centralized KYC breaches, leading to a 60% increase in financial fraud cases. The rise of Decentralized Finance (DeFi) has further complicated KYC compliance, requiring innovative solutions that balance privacy and regulatory requirements. This paper proposes a Web3-powered decentralized identity framework that leverages blockchain technology, self-sovereign identity (SSI), verifiable credentials (VCs), …

Dietary Patterns For Weight And Glycemic Management In Persons With Type 1 Diabetes: A Meta-Analysis Of Clinical Trials, Daria Igudesman, Laura M Nally, Alyssa A Grimshaw, Craig G Gunderson, Elizabeth G Considine, Laura M Jacobsen, Mustafa Tosur, Peter A Gottlieb, Irl B Hirsch, Lori M Laffel, Jennifer L Sherr, Chantal Mathieu, Richard E Pratley

Children’s Nutrition Research Center Staff Publications

Background: Medical nutrition therapy is fundamental for managing glycemia and weight in type 1 diabetes, yet dietary guidance specific to this population and relevant subgroups is lacking.

Purpose: We synthesized the interventional literature investigating diet patterns for glycemic and weight management in youth and adults with type 1 diabetes, with attention to interindividual variation that suggests the need for precision approaches. The protocol was prospectively registered (CRD42024519941).

Data sources: AMED, CINAHL, Cochrane Library, Ovid MEDLINE, Ovid Embase, Google Scholar, and Web of Science Core Collection were searched from January 2011 to June 2024.

Study selection: Clinical trials ≥4 weeks with …

Addressing Language Challenges In Bilingual Neuropsychological Assessments At The South Texas Alzheimer's Disease Research Center (Adrc), Stephanie Santiago-Mejias, Gabrielle Hromas, Ashley Laroche, David A. Gonzalez, Robin C. Hilsabeck, Katya Rascovsky, Silvia Mejia-Arango, Amy Werry-Mcfarlin, Claudia Satizabal, Hector Trevino

School of Medicine Publications

Introduction: Neuropsychological assessment of bilingual (English/Spanish) individuals presents challenges that can impact test validity. Language proficiency influences cognitive performance, yet clear guidelines for determining the appropriate test language are lacking. We describe our experiences at the South Texas Alzheimer's Disease Research Center (STAC) in addressing these challenges within the context of National Alzheimer's Coordinating Center (NACC) Uniform Data Set (UDS) assessments and broader Alzheimer's Disease Research Center (ADRC) protocols. We outline steps toward a structured language assessment approach.

Methods: We implemented a process to assess language proficiency, integrating self-reported and objective measures, including the language dominance index (LDI). Case examples …

Stoic Wisdom For The Contemplative Teacher: Prosochê And Praemeditatio Malorum As Alternative Approaches To Mindfulness, Anna Rumjahn

Journal of Contemplative and Holistic Education

In K-12 environments where teacher burnout and attrition are increasingly prevalent, where can educational professionals seek sustainable approaches to reduce exhaustion, emotional demands, and uncertainty? In this paper, I extend Christopher McCaw’s research on the direct and dynamic relationship between contemplative practices and who teachers are and are becoming. By examining the current debates around defining reflective and contemplative practitioners, I call for alternative definitions of mindfulness when considering teacher professional becoming and submit for consideration the perspectives of Greco-Roman philosophy which has hitherto been less explored apropos education. Using prosochê (attention) and the Stoic exercise of praemeditatio malorum to …

A Plane, A Plaque, And A Prize: J.R.R. Tolkien And Peter Medawar, Kristine Larsen

Journal of Tolkien Research

On May 4, 1941, a military plane crashed near Tolkien's home. This article ties together his family's experience, the impact it had on the Oxford community, and a Nobel Prize, whose winner Tolkien later shared air raid warden duty with.

Clinical Management Of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome As A Curriculum Thread To Meet Accreditation Standards In Physical Therapy Education, Sallie W. Rediske, Heidi Shearin, Todd E. Davenport, Melinda W. Maxwell

Internet Journal of Allied Health Sciences and Practice

Purpose: ME/CFS is a debilitating, complex, chronic illness that is estimated to affect up to nine million Americans. It requires a paradigm shift in treatment approach to one of energy conservation due to metabolic effects resulting in exercise and activity intolerance. Including clinical management of ME/CFS as a curriculum thread in Doctor of Physical Therapy (DPT) programs is vital for safe and effective care of people with ME/CFS and can help meet accreditation standards. Methods: ME/CFS significantly impacts quality of life. It has been recognized by the World Health Organization since 1969 as a biomedical neurological disorder. Prior to …

The Relationship Between Resilience And Burnout Among Athletic Trainers In The Traditional Sport Setting, Stephanie M. Singe, Emily Saracino, Alexandrya Cairns, Christianne M. Eason

Internet Journal of Allied Health Sciences and Practice

Purpose: Athletic training is a stressful profession, prone to burnout. Being able to cope with prolonged stress, such as being resilient, may buffer experiences of burnout. Resilience is an individual’s ability to adapt and overcome stressors. Burnout is a byproduct of prolonged stress, likely to poor coping or ability to adapt to stress. The goal of the study was to explore the relationship between resilience and burnout among athletic trainers in collegiate and secondary school settings. Methods: 885 athletic trainers (476=collegiate setting; 409=secondary school setting) completed the study. Of the 885 participants, 525 were female, 348 were male, and 11 …

Unraveling The Impact Of Spider Cage Therapy On Static And Dynamic Standing Balance In Children With Spastic Diplegic Cerebral Palsy: A Randomized Clinical Trial, Varsha Anbu, Senthil Kumar Natarajan, Jagatheesan Alagesan, Akshaya Venkat, Rekha Chitrada

Internet Journal of Allied Health Sciences and Practice

Purpose: The intent of this study was to ascertain the efficacy of spider cage therapy for static and dynamic standing balance in children with spastic diplegic cerebral palsy using Pediatric Balance Scale (PBS) and Gross Motor Function Measure (GMFM). Cerebral palsy described as a group of disorders with uneven posture and movement were spastic diplegia is the most prevalent type. Method: This study was a randomized controlled trial that used random sampling and blinded evaluators. Children with diplegic CP aged between 5 and 10 years, with GMFCS levels II-IV, were assigned to spider cage therapy group and conventional …

Evaluating The Self-Efficacy Of Novice Educators In Nursing And Allied Health Care Programs As It Pertains To Faculty Development, Amanda Doneski, Martin S. Rice

Internet Journal of Allied Health Sciences and Practice

Purpose: Career choices in nursing and allied health include but are not limited to nursing, radiologic technology, dental hygiene, respiratory therapy, and occupational therapy.¹The majority of health care professions require the practitioner to hold certain required credentials. These credentials are obtained upon successful graduation from an accredited curriculum, passing some sort of board exam, and applying for and obtaining a state license to practice in their designated area of expertise.² Advancement opportunities in management, sales, and education are attainable for many healthcare professionals.³ Individuals who transition from the role of a health care provider to educator …

Assessing Student Physical Therapists' Metacognition In A Foundational Course In An Accelerated Curriculum, Dalila Dias, Cheryl J. Hill, Annie Burke-Doe

Internet Journal of Allied Health Sciences and Practice

Introduction: This study addressed the problem of limited empirical evidence on the effective assessment and implementation of metacognitive strategies in accelerated health programs. Certainty-based markings have been implemented in health education to cultivate students’ self-monitoring and regulating skills; however, they have not been evaluated in a foundational course in an accelerated healthcare program. The theoretical framework that grounded this study was the metacognitive theory. Methods: A systematic review of the literature was performed by searching ProQuest, PubMed, EBSCO, and CINAHL databases Using a one-group pre-posttest study design, the research questions explored whether certainty-based markings improved student physical therapists’ test performance, …

Knowledge And Perceived Barriers About Hand Hygiene Among Interns In A Tertiary Care Teaching Hospital, Riddhi Soni, Pradeep Jadhav (Corresponding Author), Rekha Mane

Internet Journal of Allied Health Sciences and Practice

Purpose

Good hand hygiene is a significant factor in preventing hospital-acquired infections (HAI) and antibiotic resistance. The concepts of hand hygiene need to be evaluated among healthcare interns who are in the training stage.

Aim

To determine the knowledge of hand hygiene and associated barriers among dental, medical, and physiotherapy Interns.

Methods

A prospective, cross-sectional study was conducted among 150 healthcare interns (50 each from Dentistry, Medicine, and Physiotherapy) selected using a 4-block randomization method. Participants who did not provide consent, undergraduate students, postgraduate residents, and faculty members were excluded. Data were collected using a structured survey comprising two sections: …