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Pragmatic Analysis Of Ai Image-To-Text Generation: The Case Of Chatgpt, Grok, And Gemini, Ariel U. Bosque

Social Sciences and Development Review

The study aims to conduct a comparative analysis of ChatGPT, Grok, and Gemini to evaluate their capacities in image-to-text generation. The researcher utilized three AI-generated image prompts from Canva, which were processed through the mentioned generative AI (GenAI) models. With the aid of a standardized text prompt, each model was instructed to produce eighteen descriptive sentences corresponding to the prompts. The study examined the contextual alignment, pragmatic appropriateness, as well hallucinations and pragmatic errors present in the generated sentences through pragmatic analysis. The analysis revealed the use of appropriate referents, modal markers, and descriptive details that contributed to contextually and …

Evaluation Of A Streamlined Insurance Advocacy And Pre-Authorization Process For Hormone Replacement Therapy, Ellison Edwards

Walden Dissertations and Doctoral Studies

This organizational process evaluation project addressed the high rate of insurance denials for hormone replacement therapy (HRT) for women with symptomatic menopause and "normal" laboratory values within a private primary care setting. The practice problem involved bureaucratic barriers in the front office and a lack of structured advocacy, which delayed patient access to evidence-based care. The purpose of this project was to evaluate the impact of a streamlined insurance advocacy and pre-authorization process on access to therapy. The project utilized a standardized "Insurance Advocacy Toolkit" and evidence-based templates aligned with the 2023 North American Menopause Society (NAMS) guidelines. Analytical strategies …

Improving Post-Rehabilitation Discharge Outcomes Through A Care Coordination Bundle, Cavene Facey

Walden Dissertations and Doctoral Studies

Hospital readmissions remain a significant quality and patient safety concern across the United States, particularly among patients transitioning from rehabilitation settings to home or community-based care. Ineffective care transitions, fragmented communication, inconsistent discharge planning, and inadequate follow-up contribute to preventable hospital readmissions, increased healthcare costs, and poorer patient outcomes. Evidence consistently demonstrates that structured transitional care interventions and standardized care coordination processes improve continuity of care while reducing readmissions and enhancing patient satisfaction The purpose of this Doctor of Nursing Practice (DNP) project was to develop an evidence-based Clinical Practice Guideline (CPG) designed to improve post-rehabilitation discharge outcomes through implementation …

A Proposal For A Nurse-Led Continuity Of Care Program, Belinda Siri Mesape

Walden Dissertations and Doctoral Studies

At an outpatient primary care and behavioral health clinic, the practice problem is the high rate of patient no-shows and late appointment cancellations. Missed appointments are a problem, disrupting continuity of care and follow-up and potentially affecting patient outcomes. A comprehensive literature search was performed using PubMed/MEDLINE, CINAHL Complete, the Cochrane Library, PsycINFO, and Google Scholar. The search revealed 26 peer-reviewed studies. Literature consistently supports the use of multifaceted interventions to improve appointment adherence in outpatient settings. The project proposal consists of the development of an evidence-based practice (EBP) program proposal to address the gap in practice in improving appointment …

Staff Education About Prescribing Glucagon-Like Peptide-1s (Glp1s), Deenis Garcia

Walden Dissertations and Doctoral Studies

Obesity is a growing health concern that affects many people. In recent years, the use of glucagon-like peptide-1 (GLP1s) has become increasingly popular to combat obesity. The use of GLP1s has shown successful outcomes, yet there are inconsistencies when prescribing the medication for weight loss. The practice problem identified at the organization was the lack of consistent and evidence-based guidance for providers to utilize when prescribing GLP1s for weight loss. The practice-focused question was to determine whether education on structured guidance tools for clinical staff who prescribe GLP1 medications improves their knowledge and intent to use these tools when prescribing …

Mental Health Professional Preparedness To Address Mental Health Stigma And Challenges In Military Populations, Scott Martin Katzka

Walden Dissertations and Doctoral Studies

Veterans and service members often delay or avoid engaging in mental health services because of stigma experienced during military service and after transitioning to civilian life, contributing to worsening mental health outcomes. Although mental health professionals (MHPs) with military cultural competence can reduce stigma and improve engagement in care, little is known about how newly trained MHPs perceive their preparedness to effectively serve this population. The purpose of this hermeneutic, phenomenological study was to answer the question of what the lived experiences of new MHPs regarding their preparedness were to support veterans and service members experiencing mental health stigma. Seven …

Alcohol Withdrawal Management Practices And Prevention Of Escalation Events In Hospitalized Adults, Danielle Logan

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an organizational process evaluation examining alcohol withdrawal management among hospitalized adults. Alcohol withdrawal can cause severe agitation, seizures, delirium, behavioral emergencies, transfers, and prolonged hospitalization, making early recognition and evidence-based management essential to patient safety. The practice-focused question examined whether hospitalized adults experiencing alcohol withdrawal were assessed and treated proactively based on risk factors and clinical presentation or reactively after symptom escalation, and whether management practices contributed to Code Green activation and higher-level-of-care transfers. The purpose was to identify practice gaps and develop evidence-based recommendations to improve safety and consistency of care. A …

African American Mother Counselors' Lived Experiences During The Dual Pandemics Of Covid-19 And Structural Racism, Shanti Jones

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that the dual pandemics of COVID-19 and structural racism in 2020 created compounded personal and professional stressors for African American mothers who are professional counselors, yet little was known about how they appraised these stressors and selected coping strategies. The purpose of this hermeneutic phenomenological study was to describe what it means to be an African American mother and professional counselor making decisions about coping strategies to manage personal and professional stressors during the dual pandemics of COVID-19 and structural racism in 2020. Guided by Heideggerian hermeneutic phenomenology and informed by the Transactional …

Development Of A Proposal For An Occupational Safety And Wellness Program, Lodie Rogers

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) evidence-based practice project was a quality improvement initiative focused on developing and implementing an occupational safety and wellness program (OSWP) in an industrial organization. The practice problem was the absence of a formal, standardized program for injury prevention, near-miss reporting, hazard identification, employee wellness, safety education, and leadership accountability. Evidence from scholarly databases, Occupational Safety and Health Administration (OSHA) reports, organizational safety data, incident reports, near-miss documentation, and compliance measures supported the project. I examined how a 10-week OSWP can reduce employee incidents, improve safety culture, decrease injuries, increase engagement, and sustain wellness practices. …

Hiring Out-Of-Field Teachers In Urban Title I Schools In Georgia, Lakeshia Pruitt Dixon

Walden Dissertations and Doctoral Studies

Urban Title I schools commonly experience teacher shortages, prompting principals to hire teachers to teach content areas for which they are not certified. The problem addressed in this study was that 8% of the teachers within a large urban school district in Georgia were teaching out-of-field. Guided by Elmore’s conceptual framework of knowledge, skills, and dispositions, the purpose of this basic qualitative study was to explore the factors contributing to principals’ decisions to recommend hiring out-of-field teachers in urban Title I schools in Georgia and to examine the support available for those teachers to meet certification requirements. Semistructured interviews were …

Recognizing Appropriate General Inpatient Hospice Patients Time To Stop Normalizing Suffering, Oliver Charles Roth

Walden Dissertations and Doctoral Studies

Hospice patients experiencing uncontrolled pain, dyspnea, agitation, anxiety, delirium, or other severe symptoms may require General Inpatient (GIP) hospice care for intensive symptom management. However, inconsistent recognition of symptom crises can delay escalation to the appropriate level of care, contributing to unnecessary patient suffering, caregiver distress, and avoidable emergency department or hospital utilization. This Doctor of Nursing Practice executive leadership project evaluated the implementation of an educational framework designed to improve clinician recognition and timely escalation of patients who may be appropriate for GIP hospice care. Education emphasized early identification of uncontrolled symptoms, interdisciplinary communication, documentation, and escalation for clinical …

Staff Education To Improve Geriatric Mental Health Screening And Pharmacotherapy, Andy Wu

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement project addressed the lack of standardized workflows and clinical confidence regarding geriatric mental health screening and safe antidepressant initiation at a rural primary care clinic. Utilizing the FOCUS-PDSA framework, a 15-minute staff education module and a clinical pocket guide were implemented to train Medical Assistants (MAs) on integrating PHQ-9 and GAD-7 screenings during triage, and to equip providers with EHR SmartPhrases and 2023 AGS Beers Criteria prescribing guidelines. A pre- and post-intervention 5-point Likert scale survey evaluated the knowledge and clinical confidence of the clinic staff (n = 12). Results demonstrated a …

Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal

Walden Dissertations and Doctoral Studies

Equine assisted therapies have been shown to be an effective treatment approach for individuals experiencing mental health issues. However, there have been rising challenges in standardization and nomenclature throughout the field. Current research supporting the benefits of equine assisted therapies is often from the client perspective. There is a gap in understanding what occurred in session that made it beneficial to their mental health. The purpose of this phenomenological study was to describe the lived experiences of equine assisted therapy facilitators in terms of mechanisms that produce positive changes in their clients. The theories and concepts that ground this study …

Ipep Partnerships That Remove Barriers To Student Enrollment By Providing Free Health Assessments, Jean Ann Davison

International Nursing Research Congress (INRC)

The health and well-being of children are critical factors in their academic success and overall development. In our state, a significant percentage of families face barriers to accessing essential healthcare services, particularly among uninsured families, low-income populations, and migrants. North Carolina law mandates that children receive a health assessment, including hearing and vision screening, along with required immunizations, within twelve months before entering public school, or they may face expulsion. Many children, especially those from underserved communities, struggle to meet this requirement, jeopardizing their education and health. Recognizing these challenges, our School of Nursing Mobile Health Clinic worked with community …

Factors Influencing Pediatric Palliative Care Utilization: A 12-Year Retrospective Study In Taiwan, Tzu-Ying Yang, Wei-Wen Wu, Frank Leigh Lu, Shao-Yi Cheng, Tsung-Hsien Yu, Kristin Berg

International Nursing Research Congress (INRC)

Background and objective: Pediatric palliative care (PPC) improves the quality of life for children with life-limiting conditions and their families by addressing physical, psychological, and spiritual needs. Despite increasing recognition of its benefits, PPC remains underutilized, particularly in Asian contexts where early integration and service accessibility are still limited. This study aimed to examine trends and factors influencing PPC utilization among deceased children in a tertiary children’s hospital in Taiwan from 2012 to 2023, to provide evidence on predictors for more equitable access to PPC.

Methods: A retrospective study was conducted using medical records of children aged 1–18 years who …

“It’S Not Just Cost”: Barriers To Mammography Screening Access Among Low-Income Women In The United States—A Scoping Review, Julia Messerman, Callia Nickels, Nigel C. James

Health Studies Faculty Publications

Despite the recognized importance of early detection, disparities in mammography access persist among low-income women in the United States. While financial barriers are often emphasized, less is known about how multiple barriers interact to shape access to screening. We conducted a scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines to synthesize evidence on barriers to mammography access among low-income women in the United States. A systematic search of PubMed, CINAHL, and Google Scholar identified peer-reviewed studies published between 2010 and 2025, of which 47 met inclusion criteria. Extracted barriers were categorized into …

In-Hospital Exercise For Delirium Prevention In Non-Icu Patients: A Meta-Analysis, Chen-Pi Li, Tsai-Mei Huang, Hsueh-Mi Chien, Ru-Yin Tsai

International Nursing Research Congress (INRC)

Background and Aim: Delirium is a common and high-impact complication among hospitalized older adults. With increasing nursing workload, there is growing interest in simple and feasible interventions that can be integrated into routine care. This review evaluated whether structured in-hospital exercise programs for non-ICU inpatients reduce delirium incidence and improve functional outcomes.

Methods: A systematic review and meta-analysis of randomized controlled trials was conducted involving non-ICU inpatients who received structured exercise or physical activity programs compared with usual care. Searches were performed in PubMed, Embase, MEDLINE, and the Cochrane Library through August 2025. Risk of bias was assessed using the …

Digital Pressure Sensing Technology For Dysphagia Rehabilitation: A Nursing-Led Pilot Study, Nai Ching Chen, Yu-Ru Lin, Yi Chou, Huei-Yu Chen, Chia-Shu Lin, Jui-Yu Weng, Jinn-Rung Kuo

International Nursing Research Congress (INRC)

Purpose: Advances in artificial intelligence and sensor-based health monitoring are transforming dysphagia care from early screening to personalized rehabilitation (Wong et al., 2025; Alter et al., 2025). This study evaluated the feasibility of the Digital Swallowing Pressure Ball (DSPB), a nursing-led innovation integrating real-time pressure sensing, Bluetooth Low Energy (BLE) transmission, and cloud analytics to enhance individualized swallowing rehabilitation. The DSPB addresses limitations of conventional Chin Tuck Against Resistance (CTAR) exercises, which lack quantifiable feedback and remote monitoring (Archer et al., 2020).

Methods: A four-week pilot study was conducted with 11 participants with dysphagia after stroke or traumatic brain injury. …

Factors Influencing Geriatric Nursing Performance Among Korean Hospital Nurses, Yeon-Ju Kang, Eunji Seo, Jiyeon Ha, Minkyung Kang

International Nursing Research Congress (INRC)

Purpose: The global aging population has increased the demand for competent geriatric nursing care in acute hospital settings (Espinel-Jara et al., 2025, OCED, 2025). This study aimed to identify factors influencing geriatric nursing performance among Korean hospital nurses, focusing on nursing professionalism and work intensity, which would inform strategies for improving care quality.

Methods: A descriptive correlational study was conducted with 144 nurses from medical and surgical wards, intensive care units, and emergency units in three general hospitals in South Korea. Participants had at least six months of clinical experience and provided direct care to patients aged 65 years or …

Mastery Learning Using Past Exam Questions To Enhance Achievement And Self-Directed Learning, Chin-Ting Lee

International Nursing Research Congress (INRC)

Purpose: This quasi-experimental study aimed to evaluate the effects of a mastery learning strategy based on past examination questions on nursing students’ self-directed learning ability and academic achievement in fundamental nursing.

Methods: A total of 106 second-year nursing students from a nursing junior college in Taipei participated in the study. The experimental group (n = 54) received mastery learning interventions, which included practice with past examination questions, error correction, and individualized feedback, while the control group (n = 52) received traditional instruction. The intervention lasted 18 weeks, and data on the Self-Directed Learning Instrument (SDLI) and academic achievement were collected …

The Future Of Nursing Education: Discovering Al Avatars For Interactive Online Asynchronous Classe, Christina Baker, Dawon Baik, Sharon Giarrizzo-Wilson

International Nursing Research Congress (INRC)

This project introduces an innovative telehealth simulation using artificial intelligence avatars in a graduate-level online informatics course to enhance student engagement and develop digital health competencies aligned with national nursing education standards. Nursing education has historically lagged in integrating interactive, competency-based digital health training, particularly in online environments, despite the growing role of technology in healthcare delivery (Kleib et al., 2024; El Arab et al., 2025). Traditional simulation approaches often fail to incorporate emerging technologies such as artificial intelligence (AI), leaving a gap in preparing nurses for technology-driven practice (Chan et al., 2025; Buchanan et al., 2021). The project intervention …

Tackling Nurse Faculty Preparedness And Retention: A Fami-Md Quality Improvement Initiative, Lisa A. Seldomridge, Tina Brown Reid, Nicole J. Hall, Bradley P. Hauck, Beverly P. Payne

International Nursing Research Congress (INRC)

The ability of nursing programs to graduate more students is constrained by a shortage of qualified faculty, limiting program capacity and narrowing the pipeline of new registered nurses (AACN, 2024; Lubhy, 2023). Addressing this gap requires targeted solutions. One proven approach is the Faculty Academy and Mentorship Initiative of Maryland (FAMI-MD), a program launched in 2011 to help registered nurses transition into clinical faculty roles. To date, 684 nurses have completed the Academy, with 70% serving in teaching positions across Maryland—demonstrating its effectiveness as a faculty pipeline.

This presentation highlights outcomes of a quality improvement project to update FAMI-MD’s Introductory …

Icu Nurses Knowledge, Attitudes, And Involvement In Clinical Research In Australia–A National Survey, Joanne Mcintyre, Frances Fengzhi Lin, Anne Mette Nørby Adams

International Nursing Research Congress (INRC)

Introduction: Clinical research is vital in critical care settings to support evidence-based care for patients. Studies have shown that hospitals involved in research have better outcomes, but the quality of the study is dependent on the multi-disciplinary team involvement, often including the engagement of nurses in clinical research protocol development and delivery. A recent literature review highlighted variable levels of nurses’ clinical research engagement with the need for targeted education, improved communication, and institutional backing, to ensure nurses better engage. However, despite international recognition of the issue, little is known about how Australian ICU nurses engage with clinical research.

Aim: …

Leading Through The Tempest: A Framework For Climate Equity, Preparedness, And Global Resilience, Candace Dumas

International Nursing Research Congress (INRC)

Purpose: The TEMPEST Framework- Transdisciplinary Equity & Medicine for Preparedness, Environment, Systems and Transformation was developed in response to gaps identified in 10 international frameworks assessing health consequences of severe weather events. Prior models demonstrate strong integration of direct, indirect, mental, and equity-related health impacts (Boyal et al., 2018; Birnbaum et al., 2015) but remain limited by contextual specificity, data gaps, and lack of empirical validation (Hunter et al., 2016; Smith et al., 2022; Gonah et al., 2025). TEMPEST is an innovative and evidence-informed model advancing the World Health Organization’s (WHO) Operational Framework for Climate-Resilient Health Systems (CRHS) (World Health …

Discovering Innovative Didactic Evaluation Through An “Escape Womb”, Cheryl A. Corbett, Shelly Jensen Reed, Cori Reynolds

International Nursing Research Congress (INRC)

Background: Nursing education continues to evolve in response to the increasing complexity of healthcare practice. Competency-based education (CBE) has emerged as a leading framework aligning curriculum, learning experiences, and assessments to ensure graduates are prepared for professional practice. However, best practices for evaluating competency in nursing students are not established, and student perspectives are underrepresented. Understanding these perspectives is vital to inform effective evaluation strategies and advance CBE implementation in nursing education.

Purpose: This study explored undergraduate nursing students’ experiences participating in a maternal-newborn escape room designed as a comprehensive course evaluation activity.

Methods: A convenience sample of 115 undergraduate …

Vision Transformers And Convolutional Neural Networks For Land Use Scene Classification, Arun D. Kulkarni

Computer Science Faculty Publications and Presentations

Land use scene classification (LUSC) from remote sensing imagery plays a critical role in environmental monitoring, urban planning, and sustainable resource management. In recent years, deep learning methods have significantly advanced the state-of-the-art, with Convolutional Neural Networks (CNNs) dominating the field because of their strong ability to capture local spatial features. However, the emergence of Vision Transformers (ViTs) has introduced a new paradigm that models long-range dependencies through self attention mechanisms, potentially enabling improved global context understanding. This study presents a comparative assessment of Vision Transformers and CNN-based architectures for remote sensing land use scene classification. Representative CNN models, such …

Climate Change And Desert Ecosystem Resilience: A Systematic Review Of Impacts, Adaptation Strategies, And Sustainability Pathways, Ghada Abd Elsattar Mohammed Oraby, Garmat Zahra

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Desert ecosystems are among the most climate-sensitive environments on Earth, where rising temperatures, altered precipitation regimes, and increasing aridity threaten ecosystem stability, biodiversity, and ecological functioning. Despite covering more than one-third of the global land surface, a comprehensive understanding of how climate change affects desert ecosystem resilience and the effectiveness of adaptation strategies remains limited. This study conducted a systematic review following the PRISMA framework to evaluate the impacts of climate change on desert ecosystem resilience and to identify effective adaptation and restoration pathways. A total of 16 high-quality studies were selected from 403 records retrieved from the Scopus database. …

Trends And Directions Of Sustainable Halal Tourism Development: A Systematic Literature Review With Special Reference To Malaysia, Anna Mariana Zebua, Bayu Wijayanto, Dedi Hermon, Febriandi Febriandi, Rosmadi Fauzi

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

As an emerging sector in the global tourism industry, halal tourism is projected to inspire behavioral changes and policy strategies rooted in sustainability principles, particularly within faith-based communities and from the perspective of tourism geography in Malaysia. This study aims to identify research trends, analyze key sustainability determinants, and determine the direction of sustainable halal tourism development in Malaysia through a Systematic Literature Review (SLR) following PRISMA guidelines, screening 20 articles from Scopus, Google Scholar, and Web of Science (2020–2025). Findings reveal that halal tourism development is shaped by national policy integration, uniform certification systems, and strong institutional coordination. Sustainability …

Evaluation Of Tsunami Preparedness And Appraisal Of Disaster Mitigation Education In Kebumen Regency, Indonesia: An Application Of Marker-Based Augmented Reality Approach, Muhammad Guruh Bintang Wicaksana, Erni Suharini, Andi Irwan Benardi, Edi Kurniawan, Puji Lestari, Atta-Ur Rahman

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

This study addresses the critical gap in tsunami disaster mitigation education and the lack of interactive, contextually field-based disaster education media. It develops and evaluates a tsunami preparedness medium using a Marker-Based Augmented Reality (MBAR) approach, specifically tailored to the tsunami risk profile of Karangbolong Village, Kebumen Regency, Indonesia. Methodologically, the study integrates three frameworks: a disaster literacy model (knowledge, skills, attitudes), a disaster literacy continuum (basic to critical), and the UNESCO-IOC Tsunami Ready 12-indicator framework, combining them into a single instructional product developed through the Multimedia Development Life Cycle (MDLC). This integration of all three frameworks into one locally …

Completing The Hospital Transfer Journey: A Descriptive Study Of The Demographic, Clinical, And Facility Factors Associated With Successful Transfer Back​, Chelsy Chairez-Ortiz, Natalie Crump

Posters: 2026 Summer Undergraduate Research Program

No abstract provided.