Digital Commons Network^™

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 …

Perbandingan Kesenjangan Perilaku Manusia Purba Di Wilayah Sulawesi Dan Flores, Kaylica Putri Kurniawan, Siti Oktavia Caroline, Nazwa Fariha Ramadhani

Multikultura

Wallacea, particularly the islands of Sulawesi and Flores, holds important archaeological evidence of the behavioral transition between Homo sapiens and earlier archaic hominins. This article aims to compare the behavioral gaps that occurred at two sites, namely Leang Bulu Bettue, Sulawesi, and Liang Bua, Flores. The results of the study indicate that Sulawesi and Flores have significantly different gap patterns, where at Leang Bulu Bettue there was a drastic change in substance, while at Liang Bua the opposite behavior occurred, where there was technological continuity from Homo floresiensis to early Homo sapiens with gradual behavioral changes. The results of this …

Tinjauan Arkeologis Dan Interaksi Manusia Toalean Di Leang Panninge, Kabupaten Maros, Sulawesi Selatan, Naila Maulidiya Ajitoko, Mayfa Rahmah Padmarani, Syakira Athiyah As'ad

Multikultura

The karst landscape of South Sulawesi served as the habitat of Toalean culture bearers, a Middle Holocene hunter-gatherer group active from 8,000 to 1,500 years ago, recognized through distinctive artefacts including Maros points, backed microliths, and osseous tools. This paper conducts an archaeological review of Toalean remains at Leang Panninge, Maros Regency, covering material culture, site stratigraphy and chronology, and population interactions within the Wallacean migration context, using a descriptive-analytical literature review approach. Findings reveal well-preserved Toalean cultural deposits spanning 9,400 to 1,500 years ago. The most significant discovery is the skeletal remains of a female individual aged 17–18 years, …

Situs Lida Ajer Dalam Konteks Supererupsi Erupsi Toba, Zulianikha S. Putri, Arni Nazirawati, Alia Fatima

Multikultura

The Toba eruption approximately 74,000 years ago was one of the largest volcanic events of the Quaternary and is often associated with the catastrophic hypothesis, which argues that the event caused extreme global cooling and severe reductions in human populations. However, recent studies suggest that its impacts were less destructive than previously assumed. This paper examines the position of Lida Ajer Cave within the context of the Toba eruption through a literature review of archaeological, geological, and paleoenvironmental publications. The review shows that the presence of Homo sapiens at Lida Ajer, dated to approximately 73,000–63,000 years ago, places the site …

Penggunaan Onomatope Dalam Buku Cerita Anak Berbahasa Mandarin Dan Bahasa Indonesia: Analisis Kontrastif, Ruixi Zou, Usmi Usmi, Uti Aryanti

Multikultura

This article examines the comparison of onomatopoeia in Mandarin Chinese and Indonesian in children's literature. The study aims to identify, classify, and compare onomatopoeic forms found in the Mandarin children's story Bǎo Húlú De Mìmì (The Secret of the Magic Gourd) and the Indonesian children's story collection Sehari Satu Dongeng. This research employs a descriptive qualitative approach and a contrastive analysis method. The data were collected through close reading and note-taking techniques, and were analyzed using referential and comparative methods. The classification is based on the source of the represented sounds, namely human sounds, animal sounds, natural phenomena, and …

Kajian Paleoantropologi Homo Floresiensis Di Liang Bua Dan Mata Menge Tahun 2016-2026, Candra Agustin, Sahla Nabillah, Siti Zahra Indah Permata

Multikultura

The discovery of Homo floresiensis at Liang Bua Cave, Flores Island, in 2003 stands as one of the most revolutionary breakthroughs in twenty-first-century paleoanthropology. This small-bodied hominin species sparked global scientific debate regarding both its species validity and the possibility of pathological conditions in the discovered individual. This study aims to analyze the development of paleoanthropological interpretations of Homo floresiensis at the Liang Bua and Mata Menge sites during the period 2016–2026. A qualitative method with a descriptive-analytical literature review approach was applied to relevant international scientific publications. The results show that redating of the Liang Bua site revised the …

Pemikiran Kolonial Louis J.M. Feber Terhadap Islam Di Jawa Tahun 1911, Shafira Syifa Salsabila, R Achmad Sunjayadi

Multikultura

This study discusses Louis Jean Marie Feber’s (1885–1964) colonial views on Islam as written in In de schaduw der waringins (1922), focusing on the sub-chapter ‘De Mislukte Mekkagang’ as the main corpus. L.J.M. Feber was an engineer and the founder of the Catholic Party in the Dutch East Indies. Feber visited the Dutch East Indies in 1909 and worked in Java until 1920. He wrote In de schaduw der waringins (1922) based on his observations and experiences whilst in Java. Feber’s views on Islam on Java differed from previous Dutch missionaries. Feber did not focus solely on Islam …

Benturan Norma Islam Dengan Kebijakan Karantina Terhadap Jemaah Haji Wanita Di Pulau Onrust (1912), Tano Susetyo Yoso, Fajar Muhammad Nugraha

Multikultura

Onrust Island is one of the islands in Kepulauan Seribu and served as a quarantine facility for Hajj pilgrims in the early 20th century. This study examines the conflict between Islamic norms regarding the practice of Hajj (the mahram and muhrim principle) and gender-neutral colonial health policies towards female Hajj pilgrims in quarantine on Onrust Island in 1912. The primary data used consists of Dutch colonial government reports from the archive Vervoer van personen en goederen over zee. De voorstellen tot voorziening in het beheer c.a. van de quarantaine-inrichting op de eilanden Onrust en Kuiper. 1909–1912. This study uses Kuntowijoyo’s …

Representasi Kehidupan Sosial Remaja Queer Di Belanda Dalam Film Out (2024), Ajie Kelana, Barbara Elisabeth Lucia Pesulima

Multikultura

Belanda dikenal relatif terbuka terhadap homoseksualitas, kondisi yang tercermin dalam film Out (2024) karya Dennis Alink tentang dua remaja queer, Ajani dan Tom, yang menjalani kehidupan baru di Amsterdam. Penelitian ini mengkaji representasi kehidupan sosial remaja queer dalam film tersebut dan relevansinya dengan realitas sosial remaja queer di Belanda, menggunakan teori representasi Stuart Hall dengan pendekatan konstruksionis serta konsep congruence Carl Rogers, melalui metode deskriptif kualitatif. Hasil analisis menunjukkan bahwa film merepresentasikan kehidupan sosial remaja queer sebagai proses adaptasi yang dipengaruhi ruang sosial: keluarga sebagai ruang penerimaan tanpa syarat namun idealis dibanding realitas Belanda, desa sebagai ruang yang membatasi …

Tindakan Diskriminasi Terhadap Pekerja Wanita Dalam Film I Don't Fire Myself, Marsha Azzahra Putri, Euis Sulastri

Multikultura

This study examines the discrimination experienced by Park Jeong-eun in the film I Don't Fire Myself and analyzes it from the perspective of Mary Wollstonecraft's liberal feminist theory. This research employs a descriptive qualitative method, using scenes and dialogues from the film as the primary data source, while books, online sources, and previous studies serve as secondary data sources. Data were collected through repeated observation of the film and note-taking of scenes depicting discriminatory practices. The findings reveal that the discrimination experienced by Park Jeong-eun is reflected in unfair company policies, unequal job distribution, and workplace social relations characterized by …

Transformasi Konsumsi Anime Di Prancis Lewat Platform Streaming, Diajeng N. R. Salsabila, Airin Miranda

Multikultura

Covid-19 pandemic has brought significant changes to media consumption habits, especially on streaming platform services. The government's appeal for people to remain at home has ultimately contributed to a spike in the number of users of these services, with anime content as the top choice. This phenomenon is reminiscent of the early period when anime such as Goldorak and Candy Candy first dominated the French market, marking the beginning of a major shift in the acceptance of Japanese popular culture in France. To answer this research problem, Wahidmurni's (2017) qualitative method, Fairclough's (1995) critical discourse analysis, and literature study were …

Tragedi Tempe Bongkrek Di Banyumas: Upaya Pemerintah Daerah Tingkat Ii Dalam Menangani Kasus Keracunan (1988-1989), Regita A. Zahra, Didik Pradjoko

Multikultura

This study examines the efforts made by the local government in handling the mass poisoning case resulting from the consumption of tempe bongkrek in the Banyumas area from 1988 to 1989 to prevent a recurrence. Bongkrek tempeh is an Indonesian culinary dish made from coconut dregs or cake, and it is not uncommon for this food to be contaminated by the bacteria Pseudomonas cocovenenans if produced improperly. The consumption of tempe bongkrek among the community at that time was not only influenced by economic factors, but also related to the habits and views of the community towards traditional foods. This …

Transformasi Jeong Dalam Budaya Korea: Representasi Keluarga Pilihan Dalam Film Korea Love In The Big City, Widad Marshallova Nursandi, Fadhila Hasby

Multikultura

Jeong is an important cultural value in South Korean society that has traditionally been associated with family relationships, emotional closeness, and a sense of togetherness. Social changes in contemporary Korean society have created space for jeong to develop beyond biological family ties. This study aims to analyze the transformation of the meaning of jeong through the representation of chosen family in the film Love in the Big City (LitBC), which is represented as a form of negotiation with dominant family norms. This research employs a qualitative approach using cultural text analysis based on Stuart Hall's theory of representation. The data …

Reproduksi Pola Keibuan Tokoh Zhenya Dalam Film Нелюбовь (Nelyubov) ‘Tanpa Cinta’ (2017) Karya Andrey Zvyagintsev, Ratu Diva Majirelle, Thera Widyastuti

Multikultura

Andrey Zvyagintsev’s Нелюбовь (Nelyubov) or Loveless (2017) portrays the absence of affection in a family through divorce, child neglect, and emotional disconnection. This study analyzes the reproduction of Zhenya’s mothering pattern through Nancy Chodorow’s feminist psychoanalysis. Zhenya is read in three positions: a daughter lacking maternal affection, a wife in a fractured marriage, and a mother emotionally distant from Alyosha. Using qualitative content analysis, this study examines scenes, dialogues, expressions, gestures, character relations, and visual elements. The findings show that Zhenya’s mothering pattern is reproduced through childhood affective deprivation, an unsupportive marriage, social expectations of motherhood, and maternal …

Gaya Bangunan Gedung A Rumah Piatu Muslimin Senen, Jakarta Pusat, Bunga Tri Junisha, Isman Pratama Nasution

Multikultura

Muslimin Orphanage is one of the cultural heritage buildings in Central Jakarta with a long historical background and an enduring social function from the colonial period to the present day. This study examines Building A, the main structure within the Muslimin Orphanage complex, with the aim of identifying its architectural style based on its surviving physical characteristics and observable architectural elements. Employing a descriptive-analytical method with a building archaeology approach, the research draws on field observations, photographic documentation, literature review, and archival research. The analysis focuses on the building's massing, spatial layout, façade, roof, ceiling, columns, walls, floors, doors, windows, …

Pemaknaan Ikon Makhluk Hidup Dengan Kaligrafi Arab Pada Srabad Dari Kesultanan Cirebon, Fitria Anisya, R. Cecep Permana

Multikultura

Islamic art in the Nusantara (Indonesian Archipelago) represents a fusion of Islamic tradition and local cultural wisdom that flourished through coastal trade routes. One of the most distinctive manifestations of this fusion is the art of srabad Cirebon. Etymologically, the term srabad derives from the Javanese expression "mingser saking abad", meaning the transition from the Hindu era to the Islamic era. This art form presents anthropomorphic elements uncommon in conventional Islamic artistic tradition, in which icons of living creatures are specifically constructed from the structure of Qur'anic verses. Studies that examine the relationship between the depiction of living creature icons …