Digital Commons Network^™

Optimizing Patient Adherence Through Improved Technology-Based Communication By Enhancing Staff Efficiency At An Opiate Treatment Program Clinic, Jennifer Parsons

Doctor of Nursing Practice Projects

High rates of missed appointments and unreliable follow-up remain a problem in outpatient opioid treatment clinics. This project improved the communication workflow at a methadone maintenance clinic by strengthening reminder systems and staff coordination. A needs assessment found several problems: appointment reminders were inconsistent, tracking was unreliable, and staff communication often relied on manual handoffs. The project was to test a technology-based workflow designed to improve staff communication and reduce missed appointments. The Technology Acceptance Model and Lewin’s Change Theory guided the change. The clinic implemented automated reminders, secure messaging, and clearer documentation to support daily communication. A pre-post evaluation …

Digital Competence Of Primary School Teachers In Andalusia (Spain): A Multidimensional Analysis Based On Self-Perceptions, Francisco Ábalos-Aguilera, Luis M. Romero-Rodríguez, Bárbara Mercedes Castillo Abdul Hadi

Artículos científicos

This study analyzes the self-perception of digital teaching competence (DTC) among primary education teachers in Andalusia, using an instrument based on the European DigCompEdu framework. Data were collected through a self-administered online questionnaire applied to a sample of 416 primary education teachers working in Andalusia. The study employed a mixed-methods design, combining quantitative analyses (descriptive, correlational, and comparative) with qualitative analysis of open-ended responses. Employing a mixed-methods approach, the research assesses teachers’ competence levels and examines differences according to professional experience, school ownership, teaching specialization, and territorial distribution. Results indicate that most teachers perceive themselves at intermediate levels of digital …

The Secret Garden: Staff Caring For Staff, Erin Quinlan, Jennifer Schlebusch

Creating Healthy Work Environments (CHWE)

Healthcare workers provide for others in thoughtful, therapeutic ways, which becomes problematic if their mental and emotional resources are depleted. When healthcare workers experience a self-care deficit, their well-being and patient care are compromised. Recent factors contributing to staff stress include the impact of COVID-19 and the Pediatric Behavioral Health Crisis. An identified need to improve staff well-being was visible. The purpose of this quality improvement project, using the Plan-Do-Study-Act methodology, was to develop and implement the Secret Garden to improve the health of the work environment. The Secret Garden is a staff-only respite space, operationalized and managed to support …

The Echo: February 23, 2026, Taylor University

2025-2026 (Volume 113)

No abstract provided.

A New Nurse’S Journey: How To Increase Retention By Providing The Resiliency Tools Nurses Need, Jocelyn E. Marx, Sara Humeny

Creating Healthy Work Environments (CHWE)

In a recent study, 68% of nurses put their patient's health, safety, and wellness before their own (Linton, M. & Koonmen, J. 2020). This presentation will take you on a journey beginning from the minute a nurse starts in our organization. We believe nurses caring for themselves so they can care for others is a priority. New nurses begin to learn on their very first day of employment at our network how self-care and well-being are a part of our nursing mission, vision, and philosophy, as supported by the chosen nurse theorist Jean Watson. It is encouraged for nurse leaders …

Showpower: A New Paradigm For Community Engagement, Sean Green

Community Engagement

For decades, the dominant paradigm in community engagement, education, and social work has relied heavily on the concept of "empowerment" to address the systemic gaps hindering marginalized populations. However, the etymological and practical applications of empowerment have increasingly devolved into a paternalistic, deficit-based model, implying a directional transfer of authority from a privileged institution to a subjugated community. As recent scholarship confirms, historically marginalized groups—such as first-generation and low-income students—continue to face persistent structural barriers despite decades of these traditional institutional interventions (López et al., 2023). This white paper formally introduces a novel theoretical framework, lexicon, and operational mindset: Showpower. …

Population Satisfaction Indicators Of The Quality-Of-Life Standards During The Work Trip (A Case Study Of The Cities Of Minia And New Minia), Shimaa Mohammed Hamdy Derbala, Amna Waz Amgad Ali

Mansoura Engineering Journal

The research examined the indicators of population satisfaction with the quality of life during work trips in the cities of Minia and New Minia, in relation to the problem of low urban communication between the two cities and the continued dependence of debtors on each other to provide employment opportunities. The research examined previous studies linking the quality of life of work trips to the environmental, social and psychological aspects of the movement and economy, A questionnaire was designed for a sample of the population (388 individuals) to assess the residents' impression of the quality of life during their work …

Assessment Of Histopathological Features Of The Placenta And Plasma Level Of Βhcg, Estrogen, And Progesterone In First-Trimester Spontaneous Miscarriage, Russul Hameed Hassan, Mukhtar K. Haba

Baghdad Science Journal

Miscarriage is a distressing complication with many fetal and maternal abnormalities. About 15% of pregnancies end in spontaneous miscarriages, and over 80% of these occur in the first 12 weeks of gestation. This research aims to evaluate the changes in the hormonal status in addition to determining the types and incidences of abnormalities in the decidua and chorionic villi of placentas that have been aborted. The peripheral blood samples were collected from twenty normal pregnant women as a control group and 30 aborted women. The obstetric characteristics results showed that the patients' mean maternal age was 25.73 ± 7.32 years …

“Promoting Civility And Anti-Bullying Behaviors In The Workplace” Initiatives Driven By The Nurse Residency Program, Leilanie Gacayan Apana

Creating Healthy Work Environments (CHWE)

To alleviate the fear of “nurses eating their young” and impede disruptive behaviors, incivility, and bullying in the workplace, newly graduate nurse residents (NGNRs) learn strategies to promote a civil work environment upon hire into the Nurse Residency Program (NRP). Setting the expectation of acceptable workplace behaviors early in their nursing careers empowers NGNRs to advocate for and exhibit professional conduct fostering civility in the workplace. The necessity to provide NGNRs the resources to deflect detrimental attitudes in patient care areas was essential to ensure safe patient care and outcomes. During role transition discussions, NGNRs expressed insecurity, distress, and high …

Realist Review: A Tool For Interpreting The Impact Of Structural Stigma On Workplace Bullying-Associated Trauma, Laura Dzurec, Jennifer L. Embree, Monica Kennison, Matthew S. Howard

Creating Healthy Work Environments (CHWE)

Stigma is a mark of disgrace emerging from shared sets of negative attitudes and inaccurate beliefs. To be stigmatized is to be identified as ‘less-than,’ to be ‘disapproved of,’ to be the focus of often-uninformed criticism. Workplace bullying victims, those individuals targeted by bullies in their workplaces and inveigled/taken in by their bully counterparts’ subtly demeaning affronts, simultaneously become victims of stigma (Dzurec et al., 2014). Recent study data (Howard et al., under review) suggest that for victims, bullies’ affronting behaviors may, ultimately, override personal beliefs. Bullies’ stories come to own those victimized, acting surreptitiously and imperceptibly to direct and …

Leveraging Best Practice Initiatives To Develop An Innovative And Proactive Approach To Stress Management, Shannon Cronin Patel, John Hunt, Mary Law

Creating Healthy Work Environments (CHWE)

Background: A 2023 Premiere Inc. survey reported that greater than 40% of US healthcare professionals have experienced at least one episode of workplace violence during the past two years. Confounding issues position healthcare professionals at increased risk for experiencing daily stress inducing situations including but not limited to: staffing related deficiencies, increased incidences of workplace violence, and increased risk for secondary victim incidents that perpetuate wounded healers. Despite increases in stress inducing situations, current stress mitigating interventions remain reactive, antiquated, and fail to meet the emotional needs of healthcare professionals. Current stress and critical incident management models provide reactive support …

Positional Differences In Internal And External Match-Play Loads Among Njcaa Division Ii Women's Soccer Players, Shannon Baisden

Doctorate in Kinesiology

This study quantified and compared the internal and external match-play demands of female community college soccer players by position during competitive match play. Using a retrospective observational design, GPS- and heart-rate–derived data were analyzed across eight regular-season matches from one NJCAA Division II women's soccer team. Nineteen outfield players were classified as defenders, midfielders, or forwards. Internal load was assessed using heart-rate metrics and time spent in intensity zones, while external load was measured using total distance and proprietary workload metrics. Linear mixed-effects models were employed to evaluate positional differences while accounting for repeated measures. Results revealed clear positional trends …

Navigating (M)Otherhood: Perception, Practice, & Policy Of Adolescent Pregnancy In The North Coast Of Perú, Mahir Rahman

USF Tampa Graduate Theses and Dissertations

“It’s a vicious circle”, the obstetricians of Huanchaco repeated time and time again after discussing a recently pregnant 13-year-old girl who had just moved to the North Coast of Perú. Adolescent pregnancy is an extremely stigmatized topic in global maternal and child health discourse. Pregnant adolescents are subject to educational policy, clinical protocol, and community practice. While global scholarship emphasizes adolescent pregnancy prevention, limited scholarship focuses on the conditions in which adolescent pregnancy is perceived, discussed, and managed. More importantly, these perspectives are even less documented amongst the North Coast of Perú.

This thesis serves as an ethnographic exploration of …

Immigrant Firms’ Commitment And Survival: Does Owner Identity Matter?, Nathaniel C. Lupton, Sarika Pruthi, Alfredo Jiménez

Faculty Research, Scholarly, and Creative Activity

How does immigrant ownership influence small firm survival in comparison with that of family ownership? While it is generally accepted that socioemotional wealth (SEW) preservation motivates family firms to avoid taking risks, this effect has not been considered in immigrant-owned firms. Many of the same affinity factors are likely to influence the survival of both ownership types, but we argue that immigrant-owned firms may experience them more strongly as they reside at the intersection of the liabilities of smallness and foreignness. Drawing on a large sample of small and medium enterprises (SMEs) in Ecuador, we find that immigrant-owned firms have …

Faculty Readiness And Ethical Perceptions Of Artificial Intelligence Integration In Higher Education Teaching And Assessment, Ayesha Afzal, Shahid Rafiq, Aisha Sami

Higher Learning Research Communications

The rapid advancement of artificial intelligence (AI) technologies presents both transformative opportunities and complex challenges for higher education, particularly in teaching and assessment. This study examines the readiness of faculty members in Pakistani universities to integrate AI tools into pedagogical and evaluative practices, alongside their ethical perceptions of AI use in academic contexts. Using a qualitative research design, semi-structured interviews were conducted with 20 faculty members across diverse disciplines and institutions. Thematic analysis, guided by the Technology Acceptance Model (TAM), the Technological Pedagogical Content Knowledge (TPACK) framework, and Rest’s Four-Component Model of ethical decision making, revealed four interrelated themes: (1) …

Exploring The Role Of Higher Education Leaders In Quality Culture Development: A Mixed Methods Study, Eshetu Mandefro, Tesfaye Semela, Ashebir Bezabhi

Higher Learning Research Communications

Objectives: In higher education institutions (HEIs), building a strong quality culture (QC) is essential to ensure the quality of education provided. QC integrates organizational, managerial, and psychological elements that shape how quality is understood and improved in HEIs. This study explores how leaders at the departmental and faculty levels navigate and contribute to quality culture development (QCD).

Methods: We employed a sequential explanatory mixed-methods design. A total of 1,029 academics completed questionnaires, and 33 leaders at the departmental and faculty levels were interviewed at three public universities in Ethiopia.

Results: The findings reveal that leadership roles at the departmental and …

Shifting Focus: Youth Sports And Mental Health, Tara Boer

Faculty Work Comprehensive List

"Ultimately, athletes should be encouraged to develop their identity holistically. They are athletes, but they are first and foremost children of the King."

Posting about protecting mental health while participating in sports from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

Shifting Focus

Short-Term Spark Or Long-Term Flame? Sustaining Academic Psychiatric Departments, Rohit Shankar, Richard Laugharne, Derek K. Tracy, Dinesh Bhugra

Peninsula Medical School

SummaryOver the past two decades, the number of academic psychiatrists in the UK has declined by more than a third, despite an expansion in medical schools and growth in most other medical academic specialties. Drawing on direct experience of establishing a new academic unit, we argue that the long-term sustainability of academic psychiatry departments is critical for service quality, innovation and talent development. This paper outlines the structural, cultural and strategic factors needed to create academic units that endure and flourish beyond individual careers, enabling better integration of research and clinical practice.

Strategies For Sustainable And Inclusive Outdoor Wayfinding In Healthcare Facilities: An Approach To Enhance User Experience At Kafr Alsheikh University Hospital, Egypt, Rania Abd Allateef Ghanam, Ahmed Salah El-Deep

Mansoura Engineering Journal

Outdoor wayfinding plays a critical role in shaping user experience in healthcare environments, where inadequate navigation can heighten stress and hinder timely access to care. Despite the presence of wayfinding systems in many hospitals, outdoor navigation remains underexamined and inconsistently addressed in design guidelines. This study fills this gap by investigating architectural strategies to enhance outdoor wayfinding and reduce user stress. The research focuses on Kafrelsheikh University Hospital in Egypt and applies a twophase methodology: (1) a comprehensive literature review to identify current principles, guidelines, and best practices in outdoor wayfinding, and (2) an on-site case study to assess existing …

The Impact Of Integrating Social Benefit Requirements For Urban Green Infrastructure And Place Identity Attributes To Enhance The Sense Of Place - Case Study Of Central Park, Madinaty, New Cairo City, Egypt, Ibrahim Magdi Mohammed, Rehab Abdelfatah Abdel Aziz Mahmoud

Mansoura Engineering Journal

This research develops an integrated model that links the social benefit requirements of Urban Green Infrastructure (UGI) with the non-physical attributes of Place Identity (PI) to enhance the Sense of Place (SOP) in contemporary urban environments. The need for this integration arises from limitations in current planning frameworks, which often prioritize ecological performance while overlooking cultural, perceptual, and behavioral dimensions that shape user attachment and belonging. The study adopts an inductive and synthesis-based approach to identify key UGI indicators across environmental, social, economic, and spatial dimensions, alongside PI attributes related to places’ legibility, uniqueness, publicness and territoriality, place’s identification. To …

Masalah Penegakan Hukum Dan Kesadaran Hukum, Dr. Soerjono Soekanto, S.H., M.A.

Jurnal Hukum & Pembangunan

Abstract

Pensyaratan (Reservation) Dalam Perjanjian Internasional, Sri Setianingsih Suwardi, S.H.

Jurnal Hukum & Pembangunan

Abstract

Profile Of An Emerging Pastoral Wellness Leader, Nisaa Robinson

College of Arts and Cultural Studies

This essay presents a leadership profile of the author through the lens of leadership emergence and a reflective analysis process utilizing Robert Clinton’s leadership development model presented in The Making of A Leader (2012), a later consolidated four-phase timeline, and a Leadership Profile Worksheet (Appendix A). Nisaa Robinson's life, leadership, and ministry service are presented and analyzed in terms of phases, sub-phases, process items, and boundary events.

A Comparative Analysis Of Maladaptive Perfectionism In Male And Female Competitive Bodybuilders, Maddox B. Utter, Christian O. Quintero, Samantha S. Dardaman, Stephen E. Rowden, Scott B. Martin

International Journal of Exercise Science: Conference Proceedings

Bodybuilding is a sport focused on physique optimization, where success is determined by judges’ evaluations of muscle mass, symmetry, and definition. Due to the sport’s emphasis of physical aesthetics, bodybuilders may feel the need to compare themselves with other competitors. This evaluation and comparison of physique may expose athletes to maladaptive perfectionistic tendencies, such as setting unattainably high standards, excessive worry over mistakes, and a diminished sense of competence. While current bodybuilding literature is limited, previous research suggests that perfectionism may lead to psychological impairments (e.g., body dysmorphia, anxiety, and reduced self-confidence) which may manifest differently between male and female …

Prep Monitoring, Coaching Presence, And Competitive Anxiety In Bodybuilders, Rafael E. Cachutt, Samantha S. Dardaman, Christian O. Quintero, Stephen E. Rowden, Maddox B. Utter, Scott B. Martin

International Journal of Exercise Science: Conference Proceedings

Competitive bodybuilding involves severe dietary restriction, high training demands, and constant evaluation of physique-related outcomes. Within the sport, it is common for competitors to engage in intensive prep monitoring behaviors such as tracking caloric intake and training load to support contest preparation. As contest prep practices may tax attentional resources and disrupt emotional regulation of competitors, some athletes utilize formal coaching to assist with performance monitoring while others engage in self-coaching strategies. PURPOSE: The purpose of this study was to examine sport anxiety levels amongst competitive bodybuilders who engage in prep monitoring behaviors. Additionally, the contribution of coaching presence was …

Video Games, Age, And Athlete Status: Predictors Of Youth Sport Participation Intent, Trey J. Danos, Jordan A. Blazo, Travis E. Dorsch

International Journal of Exercise Science: Conference Proceedings

Video games are a popular cultural object for children and adolescents. However, the impact that video games have on the intention to participate in sport is understudied. PURPOSE: The purpose of this study was to evaluate whether video games can influence the intention to participate in sport based on age groups and participation in sport. METHODS: Data were collected through the Aspen Institute Sports & Society’s 2026 Project Play initiative. 3,946 children, aged ten to seventeen, participated in a survey nationally, in which they were asked a battery of questions related to their demographics, such as age and …

The Role Of Attentional Focus In Ergometer Rowing Performance, Ana C. Morales Elizondo, Tatiana Zhuravleva

International Journal of Exercise Science: Conference Proceedings

The effects of internal attentional cues versus external attentional cues have produced inconclusive findings regarding which attentional cue is more beneficial (Newmann, et al. 2020). Recent research has found a holistic approach that improves performance and learning in discrete tasks like vertical jumps; however, it has not been investigated with continuous tasks like rowing. PURPOSE: The purpose of this study was to examine the effects of internal, external, and holistic attentional cues on ergometer rowing performance. METHODS: Thirty-seven participants performed a six-minute ergometer rowing task across three different sessions, with at least 48 hours between each session, in a counterbalanced …

How Self-Talk Affects Performance Among Ncaa Division Iii Female Athletes, Micah Rabey, Briannah Mejias, Giana Hilliard, Cambryn Holloway, Matt Robinson, Kristen Mcalexander

International Journal of Exercise Science: Conference Proceedings

Self-talk alters mental toughness, emotional control, and behavioral reactions, and can affect an athlete’s cognitive and psychological condition throughout training, competition, and practice. Few studies have examined the role of self-talk specifically among female athletes and no known study has measured its effects among female athletes at the NCAA Division III level. PURPOSE: Examine how NCAA Division III female student athletes describe the role of self-talk in their athletic performance and identify specific ways they perceive self-talk, its functions during training and competition, and its impact on focus, motivation, confidence, and overall performance. METHODS: In the Fall of 2025, modified …

Ncaa Division Iii Athletes’ Perceptions Of Impactful Peer Leadership​, Gabriel Palacios, Andrea Eckermann, Justin Gooden, Caden Battenfield, Matthew Robinson, Kristen Mcalexander

International Journal of Exercise Science: Conference Proceedings

While sport leadership strongly influences team cohesion, motivation, and success, most research focuses on coaches rather than peer athletic leaders. PURPOSE: Explore common characteristics among peer athletic leaders and how they influence a team’s motivation and success. METHODS: In the Fall of 2025, modified questions from the Leadership Scale for Sport (LSS) and the Grit Scale-Original (GS-O), measuring leadership behaviors, leadership qualities, team dynamics, and the influence of peer leaders, were emailed to student athletes at a NCAA Division III University. RESULTS: Thirteen participants (M age= 20.15 years, SD=1.46 years) representing five sports (basketball N=8, cross country N=1, soccer N=1, …

Preliminary Data On The Effect Of Exercise Time Of Day In Sedentary Young Adult Females, Autum Andrusick, Julia Martin, Robyn T. Whitehead, Malcolm T. Whitehead

International Journal of Exercise Science: Conference Proceedings

Research studies investigating the time of day that individuals engage in exercise have not specifically targeted sedentary females or their preferred time of day to engage in exercise. Previously published studies have implemented cohorts that include both males and females and/or have focused on hormonal influences and daily patterns. Perceived energy and activation levels (for example: active, calm, and sleepy) have yet to be investigated as determinants of exercise time of day preference factors. PURPOSE: The purpose of the study was to determine if exercise time of day effects mood in sedentary adult females. METHODS: Eight females aged 23 ± …