Digital Commons Network^™

Nurturing A Healthy Work Environment For New Graduate Nurses In A Large Multi-Site Healthcare System, Vanessa C. Lopez, Nicole M. Ferrer, Lori S. Schultz, Ghada B. Dunbar

Creating Healthy Work Environments (CHWE)

This innovative program began with the New Graduate Registered Nurse (NGRN) cohort completing an initial survey and reflection. In alignment with literature findings, program data revealed NGRNs experienced heightened levels of stress and anxiety related to academic disruptions, limited resources, sudden change, and uncertainty in the healthcare environment due to the pandemic^3,4. With guidance from evidence-based practice standards, key stakeholders identified an aim to enhance the well-being of NGRNs by adapting and incorporating the American Association of Critical Care Nurses (AACN) Six Standards of healthy work environment. The Six Standards include 1.) Skilled communication, 2.) True collaboration, 3.) …

Spartan Daily, March 4, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 18

Social Studies Teacher Perceptions Of The Effectiveness Of Professional Development To Support The Facilitation Of Controversial Conversations, Kristen Mast

Doctorate in Education

Funding and support for social studies instruction have dwindled in most public schools in the United States over the past two decades, leaving social studies teachers without high-quality curriculum materials and professional development opportunities. Without proper training, many social studies teachers are using ineffective instructional strategies and are not regularly utilizing best practices, including the facilitation of controversial conversations in the classroom. In a time when the political divide in the United States continues to increase, these skills can help strengthen American democracy in the long term. This study investigated professional development as a possible pathway to improve the facilitation …

Newsletter 2026.03.04, Fcrh Honors Program

What's Going On, Honors? (2025-26)

No abstract provided.

Why We Work: Examining The Relationships Between Nurse Compensation, Burnout, And Intention To Leave Nursing, Jacqueline Christianson, Jill Guttormson, Maharaj Singh, Abir Bekhet, Norah Louise Johnson

Creating Healthy Work Environments (CHWE)

Purpose: The ongoing nursing shortage contributes to chronic nurse understaffing, which is associated with care rationing and adverse patient outcomes (Kiekkas et al., 2019 Tubbs-Cooley et al., 2019). Burnout-related attrition from the nursing profession is particularly problematic to the nursing workforce because it is both prevalent and preventable (Shah et al., 2021). Intention to leave the profession prior to anticipated retirement has been associated with burnout, however the nursing shortage has been observed to fluctuate in tandem with the availability of alternative economic opportunities (Benson, 2012). Additionally, many nurses self-report intention to stay in the profession despite burnout for financial …

Development Of A Resilience Training Program To Combat Burnout In Nursing Practice, Maggie Doherty Lynch

Creating Healthy Work Environments (CHWE)

In a recent advisory (2022), the Surgeon General of the United States put forth a call to build a thriving healthcare workforce and address conditions contributing to burnout, citing the many detrimental effects on patient care and safety as well as the financial burden when burnout contributes to turnover. Given the physical, emotional, and intellectual demands of nursing practice, nursing professionals are at risk and the implications for healthcare delivery are significant. Acknowledging the innate stressors of providing healthcare it is the responsibility of leaders in the industry to mitigate burnout to sustain the workforce critical to healthcare in the …

Medial Pulvinar Nucleus As A Causal Hub For Heteromodal Naming, Oscar Woolnough, Tessy Thomas, Kathryn M Snyder, Ellery Wheeler, Jay Gavvala, Nitin Tandon

Faculty, Staff and Student Publications

Our ability to retrieve the names of objects in our environment is a fundamental aspect of everyday life. This process requires a complex, dynamic network of cortical and subcortical interactions. While the cortical constituents of this network have been extensively studied with intracranial recordings, the subcortical nodes of the naming network are unclear. We probed the role of the left medial pulvinar nucleus in naming with direct intracranial recordings and stimulation in eight humans (three male, five female) as they named objects using pictures and auditory and written descriptions. We found a spectrotemporal signature of naming in the left medial …

Akibat Yuridis Dari Suatu Perkawinan Di Bawah Tangan, M. Idris Ramulyo, S.H.

Jurnal Hukum & Pembangunan

Abstract

Akibat Yuridis Dari Suatu Perkawinan Di Bawah Tangan, M. Idris Ramulyo, S.H.

Jurnal Hukum & Pembangunan

Abstract

Volume 12, 2025

James Madison Undergraduate Research Journal (JMURJ)

No abstract provided.

Nonfiction Winner: Shannon With Buckteeth, Annie With Dandelions, Annelise M. Klepper

Lindsay J. Cropper Creative Writing Contest

No abstract provided.

“Today’S Video Is Sponsored By: Child Labor” The Need To Expand Federal Child Labor Protections To Online Content Creation, Zayda Torres Barrios

St. John's Law Review

(Excerpt)

The Fantastic Adventures YouTube channel, owned by Machelle Hobson, had grown to almost 800,000 subscribers and over 250 million views by 2019. The channel’s content featured Hobson’s seven adopted children in entertaining weekly ten-to-fifteen-minute skits where they did things like pretend to be superheroes and have lightsaber battles. However, things were not as blissful as they seemed as Hobson was arrested in March 2019—facing thirty child abuse related charges. The police said the children were “malnourished” and had been withdrawn from school for many years to have more time to film videos for their family channel. The probable cause …

Defining The Undefined: Reimagining The “Undue Hardship” Standard In Light Of Its Harmonious Interpretation, C. Sam D’Alba

St. John's Law Review

(Excerpt)

Part I of this Note provides background on the student loan crisis and the history of the nondischargeability of student loan debt. Part II of this Note examines the DOJ’s Guidance on litigating “undue hardship,” the intra-circuit criticism of the Brunner framework, and the need for harmony in understanding “undue hardship” in light of other authority governing student loans. Part III of this Note argues for a shift in the analysis of “undue hardship” based on practical guidance from the DOJ, the DOE, and the courts. This shift focuses on the subjectivities of each bankruptcy case and the need …

Breaking The Cycle Of Violence: Transitional Justice For El Salvador In The Shadow Of Authoritarianism, Marsha Pimentel

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Shared Steps To Independence: Qualitative Exploration Of A 4:1 Collaborative Pediatric Clinical Education Model, Kathryn E. Sawyer, Megan B. Flores, Elizabeth M. Ardolino

Internet Journal of Allied Health Sciences and Practice

Purpose: As demand for pediatric clinical placements increases, innovative supervision models are needed to expand capacity while supporting student learning. Grounded in situated learning and Communities of Practice theory, a 4:1 collaborative clinical education model was designed with four students to one clinical instructor (CI). This study explored how participation in this 4:1 collaborative pediatric clinical education model influenced physical therapy students’ learning, professional identity development, and clinical practice. Method: A qualitative study using a social constructivist paradigm was conducted. Nine Doctor of Physical Therapy students who completed a 4:1 collaborative pediatric clinical placement participated in semi-structured interviews immediately following …

Effects Of Mindfulness-Based Intervention On Stress And Anxiety In Doctor Of Physical Therapy Students: A Prospective Cohort Design, Kelli J. Brizzolara, Kathy Shirley

Internet Journal of Allied Health Sciences and Practice

Purpose: The demanding nature of physical therapist (PT) education often leads students to experience very high stress levels, which can negatively impact both their academic performance and overall wellbeing. Mindfulness-based intervention programs have been used to decrease stress and anxiety in the general population. However, there is limited evidence of their use with Doctor of Physical Therapy (DPT) students. The purpose of this study was to explore the impact of a brief mindfulness-based intervention on stress and anxiety in DPT students. Methods: Thirty-seven DPT students completed an 8-week mindfulness program, including daily individual mindfulness sessions (10 minutes) and …

Prevalence And Determinants Of Perceived Stress Among Undergraduate Respiratory Therapy Students In Saudi Arabia, Abdulmajeed A. Baogbah, Ralph D. Zimmerman, Laryssa D. Frederick, Corinne M. Hathaway

Internet Journal of Allied Health Sciences and Practice

Background: Stress is a common phenomenon among health sciences students, severely impacting students in different ways. Similar to other students, undergraduate Respiratory Therapy (RT) students are at a high risk of stress exposure that may harm their well-being. To enhance students’ well-being, it is essential to examine the prevalence and determinants of perceived stress among undergraduate RT students. Methods: A cross-sectional study was conducted during the academic year (2023-2024) to explore the prevalence and determinants of perceived stress. Data was collected through an anonymous self-administered survey consisting of 46 questions, including demographics, the Perceived Stress Scale (PSS-14), and sources of …

The Effectiveness Of Virtual Reality And Augmented Reality-Based Simulation On Healthcare Students' Learning-A Review Of The Literature, Matthew Mills

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation is increasingly used to supplement authentic clinical experiences in preparation for future healthcare students. However, the most realistic simulation experiences are frequently costly, time-intensive, and difficult to scale, especially for programs with budgetary restrictions. Virtual reality (VR) and augmented reality (AR) have been proposed as easily scalable tools to provide students with a realistic simulated environment. However, as technology is rapidly evolving, there is a need to understand the evidence surrounding VR and AR's impact on healthcare student learning to optimize the deployment of these technologies and justify the costs associated with implementation. Methods: A review of the …

A Mixed Method Approach To Assessing The Feasibility Of Implementing The Ottawa Paramedic Physical Abilities Test (Tm) In The Australian Context, Samantha Sheridan, Rodney Pope, Renee S. Macphee, Alexander Macquarrie, Steven Fischer, Gavin Buzza, Hannah Stack, Lyndal Bolton, Jacob Grevell, Christopher Tony Sheridan, Jacinta Buckman, Russell Rayner

Internet Journal of Allied Health Sciences and Practice

Introduction: There is a need for evidence-based pre-employment physical fitness test standards in paramedic organisations. This study aimed to assess the feasibility of implementing an existing, international, standardised pre-employment paramedic physical capacity test, the Ottawa Paramedic Physical Abilities Test (OPPAT^TM), in the Australian context. Methods: In this mixed-method feasibility study, 12 undergraduate paramedicine students completed two generic predictive tests - a three-minute step test (3MST₂₀) and a grip strength test - and two physical employment tests: the Ottawa Paramedic Physical Abilities Test (OPPAT^TM) and the New South Wales Ambulance Test (NSWAT) – and a …

The Effect Of Debriefing Following A Computer-Based Low-Fidelity Simulation On The Self-Efficacy Of Health Professions Students: A Randomized Cross-Over Control Study, Matthew Mills, Enrico Gandolfi, Richard E. Ferdig, Kimberly Peer

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulations have been increasingly used in health science education to supplement clinical experience. There is evidence of the benefits of high-fidelity simulation (HFS) with debriefing, but HFS is costly and time-intensive to administer. Low-fidelity simulation (LFS) has been proposed as an alternative that is easier to scale and more cost-effective; however, the evidence surrounding its impact on students is mixed, possibly because debriefing is frequently omitted in LFS. Methods: A randomized experimental mixed methods cross-over control study was performed to evaluate the impact of a structured debriefing session following an interactive computer-based low-fidelity simulation on the self-efficacy and anxiety …

What Numbers Don't Tell Us: Can Sociodemographic Factors Identify Grit, Resilience, And Imposter Phenomenon In Hybrid Doctor Of Physical Therapy Students?, Benton Lindaman, Marlena Calo, Brandon Ness, James Smoliga, Moyo B. Tillery, Suzanne Trotter, Liana Wooten, Shefali Christopher

Internet Journal of Allied Health Sciences and Practice

Purpose: To determine whether routinely collected sociodemographic admissions criteria (e.g., first-generation status, race, government assistance, youth employment) could serve as proxies for non-cognitive traits such as grit, resilience, and imposter phenomenon in hybrid Doctor of Physical Therapy (DPT) students. Method: A descriptive, cross-sectional survey was conducted among first-year students (N=100) across three accelerated, hybrid DPT programs. Students completed validated instruments measuring grit (Grit-O), general resilience (Brief Resilience Scale), academic resilience (Academic Resilience Scale), and imposter phenomenon (Clance Imposter Phenomenon Scale) during their first semester. Sociodemographic data were obtained from admissions applications. Between-group comparisons were analyzed using independent t-tests and …

The Effect Of A Mindfulness-Based Program On Musculoskeletal Pain And Function, Christine Conroy, Kent E. Irwin, Paige Dougherty, Teresa Elliott-Burke

Internet Journal of Allied Health Sciences and Practice

Purpose: Mindfulness-based Stress Reduction (MBSR) is a structured therapeutic tool that was developed in the 1980s by Kabat-Zinn and colleagues. Mindfulness-based interventions (MBIs) have been developed based on the fundamental principles of MBSR and are an emerging area of research. These programs are used to decrease pain levels and kinesiophobia in patients with chronic disease and pain. The purpose of this case study is to describe the effects of MBIs on function and pain for a middle-aged patient, two-month post-proximal humerus fracture. Method: A 53-year-old woman presented status post closed fracture of the proximal right humerus resulting from a …

Effectiveness Of Core Strengthening In The Treatment Of Chronic Low Back Pain: A Literature Review, Khalid G. Attia

Internet Journal of Allied Health Sciences and Practice

Purpose: Chronic low back pain (CLBP) is one of the leading causes of disability in the world. High levels of functional impairment, mental stress, and socioeconomic burdens usually accompany it. With the shift in paradigm to a non-pharmacological approach to management, core strengthening exercises have assumed a central role in the conservative approach to CLBP rehabilitation. Moreover, there is also the inclusion of complementary practices of yoga and Pilates, as well as new technologies in digital health, which has expanded the field of therapy The goals of this literature review are to review evidence of the effectiveness of core stabilization, …

Face And Content Validity Of A Survey Tool To Measure Perceived Barriers And Facilitators To Diabetes Management In Rural Veterans: Perspectives Of Registered Dietitians, Jameson Tade, Mary Shotwell, Ronette Lategan-Potgieter, Marty R. Jacobson

Internet Journal of Allied Health Sciences and Practice

Purpose: Type 2 diabetes mellitus (T2DM) is a major health challenge in the United States, affecting over 36 million Americans exceeding $105 billion annually in treatment-related costs.^1,2 Type 2 diabetes affects some populations more than others, including rural and veteran populations.^1,3 Registered dietitians (RDs) are an integral part of the diabetes management team, but limited literature is available to identify perceived barriers to T2DM management in military veterans who preside in rural areas. The purpose of this study was to explore face and content validity of a survey tool distributed to Veterans Health Administration (VHA) dietitians in a …

The Sympathetic And Clinical Effects Of Dry Needling To The Thoracolumbar Junction Multifidi: A Randomized Controlled Trial, Nicole Clark, Cheryl J. Hill, Joshua Cleland, Thomas Massie, Shane Koppenhaver

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary aim of this study was to investigate the neurophysiological effects of dry needling (DN) to the thoracolumbar junction multifidi when compared with a placebo. The secondary objective was to determine if there is a relationship between post-treatment pain and disability and the magnitude of sympathetic nervous system activity. Methods: Participants were eligible if they had low back pain, limited flexibility in at least one hamstring, and had not previously received DN. Participants completed the Numeric Pain Rating Scale and Oswestry Disability Index, underwent pressure pain threshold testing, and were randomized to a DN or sham …

Enhancing Village Health Volunteers' Capacity In Health Promotion For Ncd Risk Groups Via Digital Technology: An Action Research Study In Sing Buri, Thailand¬, Worayuth Nak-Ai, Ngamjit Phranetr, Phatt Thaitrong, Uten Sutin, Pinkamon Sompeewong

Journal of Health Research

Background: Non-communicable diseases (NCDs) pose a major public health challenge in Sing Buri Province, Thailand. This action research examined the effectiveness of digital health communication innovations delivered through Village Health Volunteers (VHVs) to support NCDs management among at-risk populations.

Methods: Employing the Plan-Act-Observe-Reflect cycle (PAOR), the study engaged 8 VHVs, 40 at-risk individuals, and 6 public health officers at Pikhun Thong Health Promotion Hospital, Sing Buri Province from February to September 2024. Digital interventions included pedometer apps, LINE-based dietary tracking, and peer learning groups with competitions and rewards. Quantitative data were analyzed using z-tests and Wilcoxon signed-rank tests, while …

Multiple Q-Dqn Algorithm Based Rumor Control In Social Networks, Zainab Hasan, Huda Naji Nawaf

Journal of Intelligent Informatics, Networking, and Cybersecurity

Malicious rumours on social media platforms like Facebook, Twitter, and others can be widely disseminated because of social problems. It is challenging to manage a rumour once it gains growth and quickly moves throughout a network. One of the main issues with information dissemination is figuring out how to reduce the propagation of rumours within a social network. A deep reinforcement learning technique might be an effective strategy to manage the rumour issue. Deep Q learning network (DQN) has been used in the literature to mitigate rumors by selecting a blocker at each time step. In this work, the proposed …

Development Of Hypergraph Based Deep Neural Framework For Precise Cancer Subtyping And Meta Visualization, Pooja G Ms

Theses and Dissertations

Accurate Cancer Subtyping is a cornerstone of modern oncology essential for effective diagnosis and guiding personalized treatment. Histopathological Images (HIs) which capture the microscopic structure of tissues are widely used for cancer detection and subtyping. Even though deep learning has made significant advances, existing HI based subtyping methods often focus on specific cancer types, lacking a generic framework.

A unified framework that can classify multiple cancers with high specificity is desperately needed. In response to these limitations, this thesis proposes a robust multi-cancer, multi-class subtyping framework called DSHGNet (Depthwise Separable Hypergraph Convolutional Neural Network) which integrates Depthwise Separable Convolutional Neural …

Navigating Homelessness And Housing Accessibility: An Ethnography Of Guests At Operation Nightwatch, Chase Kawika Patton

Dissertations and Theses

In 2025, over 7,000 individuals in Portland, Oregon experiencing unsheltered homelessness are without access to shelter or transitional housing. In this resource gap Operation Nightwatch (ON) provides material support for people experiencing homelessness (PEH) in the University District neighborhood of downtown Portland. This study focused on the experiences of chronically homeless guests of Nightwatch as they navigated homelessness and housing access. The study relied on semi-structured interviews with staff and guests and on-site participant observation to determine the availability of support to access housing in a system governed by Coordinated Access and the Housing First model. Primary research took place …

Maria Milletti, Oral History Interview, 2025., Micah Bookout

Oral Histories

Maria Milletti is a chemistry professor at Eastern Michigan University. She has worked at EMU for more than thirty-five years and has mentored over fifty students for the Undergraduate Symposium. In her interview, Dr. Milletti discusses her educational experiences, the culture of the chemistry department, and how the Symposium has helped her grow as a mentor. She also describes how she prepares students for the Symposium and compares it to other conferences.