Digital Commons Network^™

Implementing Phq-2 In An Outpatient Mental Health Practice, Krishona Poignard

Doctor of Nursing Practice Projects

Depression remains widely underidentified in outpatient behavioral health settings, where variable screening practices limit early recognition and appropriate treatment. This quality improvement project addressed this gap by standardizing screening through targeted clinician education. The purpose was to improve clinician confidence and adherence to validated tools, specifically the Patient Health Questionnaire-2 (PHQ-2) and, when indicated, the Patient Health Questionnaire-9 (PHQ-9). The project aimed to increase consistent tool use through an evidence-based educational intervention guided by Lewin’s Change Theory and the Iowa Implementation for Sustainability Framework. A quasi-experimental, single-group pretest–posttest design was employed with licensed clinical staff, including licensed social workers (LSWs), …

The Relationship Between Socioecological Factors And Resilience Among Urban Workers During The Covid-19 Pandemic, Puttaporn Onkhamsee, Sukanya Tantiprasoplap,, Wanna Sanongdej

Jurnal Keperawatan Indonesia

The global outbreak occasioned by the coronavirus disease 2019 (COVID-19) has affected people of working age in urban communities, both socially and psychologically, making resilience an important aspect of efforts to cope with such a crisis. Against this backdrop, this study identified and investigated the socioecological factors associated with the resilience of employable urban residents against the COVID-19 pandemic as part of a conceptual framework that encompasses individual, family, and community resilience. This cross-sectional research involved 368 working-age individuals recruited via simple randomization from communities in seven areas in central Bangkok. Data were collected through a questionnaire survey and examined …

Rhetorical Analysis Essay, Reema A. Rao

Open Educational Resources

This assignment is a rhetorical analysis essay typically assigned as part of the English 110 course during the summer semester. For this assignment, students apply their understanding of rhetorical appeals and devices to read a chosen text closely and analyze how the author constructs meaning and purpose. A variety of resources are provided to students, each accompanied by a brief overview, and students may select a topic of personal interest from these options. They then conduct a rhetorical analysis of their chosen source and write an essay based on that analysis.

Students are supported with a wide range of , …

An Active Learning Simulation For Teaching Hadoop In An Undergraduate Business Curriculum, Ruben A. Mendoza Ph.D., Liyuan Liu Ph.D.

International Journal for Business Education

This paper shows the effectiveness of an experiential learning activity for teaching core Hadoop concepts to undergraduate business students across all majors (Finance, Marketing, etc.). The complexity of Hadoop, with its distributed computing model and deep technical requirements, presents significant challenges in educational settings. The simulation was developed for an introductory course in a Business Intelligence & Analytics (BI&A) curriculum and adapted for use in a Database Management (DB) course. Results show significantly higher performance on questions centered on the topic in an online test preparation game with a total of 236 students in 11 different offerings of the course. …

Kecemasan Orang Tua Yang Memiliki Anak Disabilitas Intelektual Di Slbn 4 Jakarta, Hermito Gidion, Purnama Betty Sitorus, Zahrah Nabila Humayrah

Jurnal Fisioterapi Terapan Indonesia

Anxiety is a common mental condition characterized by feelings of nervousness, fear, and restlessness that can interfere with daily life. Parents who have children with intellectual disabilities often experience anxiety due to various factors, including psychological pressure and high emotional burdens. The aim of this study was to analyze the level of anxiety among parents who have children with intellectual disabilities at SLBN 4 Jakarta and to identify the relationship between predisposing and precipitating factors and the level of anxiety. This research employed a quantitative descriptive approach with a cross-sectional design. The sample consisted of 81 parents at SLBN 4 …

On Consciousness And Death: In Conversation With Allan Leslie Combs—A Posthumous Study Of An Influential Thinker’S Perspectives, Leila A. Kincaid

Journal of Conscious Evolution

The following is a summary of key findings from my analysis of the unconventional interviews that I posthumously conducted with Dr. Allan Leslie Combs in a creative take on qualitative interviews. This study is based on my viewing of several of his recorded interviews and talks and on reading two of his books, The Radiance of Being and Consciousness Explained Better. From these sources, I created a synthesis of theoretical responses from Combs to my interview questions for the purposes of this study. These findings include insights gained from my textual coding process and their relationship to emergent themes in …

The Founding History Of The Journal Of Conscious Evolution, Charles H. Silverstein

Journal of Conscious Evolution

This article traces the founding history of the Journal of Conscious Evolution (JCE), established by Allan Leslie Combs in 2005. The narrative explores three distinct perspectives on conscious evolution that influenced the journal’s creation: Barbara Marx Hubbard’s emphasis on humanity’s interconnectedness and creative potential, the General Evolution Research Group’s systems theory approach led by Ervin László, and Combs’s integration of the developmental growth of states and structures of consciousness within a conscious evolution framework. The article details how Combs developed the curriculum for the first accredited Master of Arts degree program in Conscious Evolution at The Graduate Institute in Connecticut …

Workplace Violence In The Ed As A Global Phenomenon: Literature Review, Katelyn George, Julie Kientz Elting

Biennial Convention (CONV)

Purpose: This presentation reviews the literature to explore the experience of workplace violence towards healthcare workers from patients/families in the emergency department as a global phenomenon.

Background: Attention to workplace violence (WPV) in emergency departments (ED) by patients or families toward healthcare workers in the US has been increasing (Carey & Hendricks, 2023; Doehring et al., 2024; McLaughlin & Khemthong, 2024). Since EDs are a point of entry to care, WPV can be exacerbated due to the fast-paced and unpredictable environment (McLaughlin & Khemthong, 2024). Patients are commonly admitted experiencing pain, substance use issues, and mental health crises which may …

Restorative Masculine Integration Theory, Todd Angelucci, Julian L. Gallegos

School of Nursing Faculty Publications

The Restorative Masculine Integration Theory (RMIT) introduces a strengths-based, systems-oriented framework for promoting healthy masculinity through healing, leadership, and relational engagement. Developed in response to the adverse effects of masculine suppression, such as emotional disengagement, burnout, and polarity collapse, RMIT outlines a five-phase Cycle of Masculine Restoration: reclaimed masculinity, emotional safety and trust, grounded leadership, rebalanced gender polarity, and healing with cultural renewal. These stages are underpinned by core concepts including psychological safety, peer mentorship, emotional literacy, and authentic masculinity. Drawing from interdisciplinary foundations in gender studies, emotional intelligence, trauma-informed practice, polarity theory, and servant leadership, RMIT offers an adaptable …

The Dynamics Of Terrorism And Counter-Terrorism: The South Africa Experience, Oluranti Samson Afowowe

Journal of Terrorism Studies

Defining Terrorism within the context of South African government promulgated Terrorism Act of 1967 as’ action(s) that endanger the maintenance of law and order’, innocuously suggest that the phenomenon of terrorism in South African political space is not a recent development. This study examines the historical, socio-economic and demographic dis-equilibrium as indicative factors of terrorism within the context of South Africa. Theoretical postulations on the phenomenon of terrorism within the context of South Africa state experience also engaged the attention of this study. Attempts are made to identify the nexus between social relationships and the nature, essence and political dimensions …

Understanding The Complexity Of Child Soldier Recruitment Problems In Sudan, Maskur Riyadi

Journal of Terrorism Studies

This study examines human rights violations in the recruitment of child soldiers in Darfur, Sudan, where more than 300,000 boys and girls under the age of eighteen were recruited by government armed forces, militias, or non-state armed groups. Using a qualitative literature study, this study aims to examine the factors behind the recruitment of child soldiers and examine the phenomenon using international humanitarian law. This study concludes that the recruitment of child soldiers is caused by competition for limited natural resources, easy access to weapons, and unequal levels of education and economy. The violations found based on humanitarian law are; …

Inclusion Of Students With Physical Disabilities In Nursing Education, Julie Kientz Elting

Biennial Convention (CONV)

Purpose: The purpose of the research was to explore the perceptions of nursing faculty that create educational barriers for academically prepared students with physical disabilities. A case report of a woman who uses a wheelchair and earned her undergraduate nursing degree is presented.

Background: The Americans with Disabilities Act requires employers to identify the essential functions of employee positions to prevent discrimination against people with disabilities. For in-patient RN roles this might include standing for 12 hours or ability to lift 50 pounds. Pre-licensure nursing programs often use these functions as technical standards in admission requirements. This is not consistent …

Psychological Distress And Quality Of Life Among Infertility Couples Undergoing Infertility Treatment In Malaysia, Farrahdilla Hamzah, Zamzaliza Abdul Mulud, Malini Mat Napes, Sarah Abdul Mubarak, Rosliza Shafie

Jurnal Keperawatan Indonesia

Infertility often leads to stress, anxiety, and depression, significantly affecting the quality of life of affected couples. This study explored the sociodemographic and psychological factors influencing the quality of life among infertile couples undergoing in vitro fertilization (IVF) treatment in Malaysia, using a cross-sectional design. A total of 126 infertile couples were purposively sampled from three public hospitals offering IVF treatment. The Depression, Anxiety, and Stress Scale (DASS-21) measured psychological distress levels, while the Fertility Quality of Life (Ferti-QoL) scale assessed fertility-related quality of life. Data collection adhered to strict ethical standards, with confidentiality ensured. Participants provided informed consent and …

The Influence Of Naturalness On Grocery Shoppers' Purchase Decisions In The United States, Rebecca Neusner

Honors Theses - Providence Campus

The term “natural” and naturalness labeling have increasingly been used on food packaging for a largely disinformed public who associate naturalness with qualities that are often not present in the products that display it. This survey-based study examines the influence of naturalness on the decision-making process of grocery shoppers in the United States. Survey responses were analyzed to determine the value participants place on products with naturalness indicators and to identify what other attributes they prioritize when shopping. The results indicate that participants value naturalness and price in their purchase decisions more than attributes such as brand or appearance, and …

The Impact Of Pine Resin-Epoxy Ratios On Fire Resistance And Acoustic Performance Of Banana Fiber Composites, Cokorda Istri Putri Kusuma Kencanawati, Dewa Ngakan Ketut Putra Negara, I Gede Andy Andika Parahita

Journal of Mechanical Engineering Science and Technology (JMEST)

Because of their low environmental impact and biodegradability, composite materials derived from natural fibers and resins have drawn interest as sustainable substitutes for synthetic materials in thermal and acoustic applications. Two promising natural components are banana stem fiber and pine resin, but they need to be modified due to their mechanical limitations and flammability. Epoxy resin is commonly used to enhance structural performance; however, its effects on acoustic and fire resistance properties require further investigation. This study examined how different epoxy resin contents affected the sound absorption and fire resistance of composites made from banana stem fiber and pine resin. …

Assessing Community Readiness And Benefits Of A Nursing Program: Implications For Healthcare And Education, Mary Anne Frances D. Reyes, Aaron A. Funa, Robert Jamisola, Ma. Joahna D. Perdigon, Jerica D. Latonero

Jurnal Keperawatan Indonesia

In response to recent policy shifts allowing the establishment of new nursing programs in the Philippines, this study assesses the perceived readiness of Sorsogon, a geographically underserved province, to implement a bachelor of science in nursing program. It also explores the anticipated benefits that such a program may offer to students and the local community. A cross-sectional survey of 375 stakeholders, selected through purposive sampling, was conducted using a validated instrument developed through expert consultation. Quantitative data were analyzed using descriptive statistics, while qualitative responses were examined through thematic analysis. The findings reveal widespread support for the proposed program, emphasizing …

Enhancing Patient Satisfaction Among Coronary Heart Disease Patients Through Islamic Spiritual Care With Murottal In Nursing Practice, Aris Citra Wisuda, Citra Suraya, Suzanna Suzanna, Muhamad Andika Sasmita Saputra, Manisha Manisha, Hesly Devitasari, Dian Emiliasari, Tukimin Bin Sansuwito

Jurnal Keperawatan Indonesia

Spiritual care is essential in nursing, especially for patients with chronic or palliative conditions such as coronary heart disease. Although medical intervention is crucial, Islamic spiritual therapy using murottal has a significant impact on patient satisfaction. This study aims to evaluate the effectiveness of murottal in enhancing patient satisfaction among individuals with coronary heart disease. A quasi-experimental pretest-posttest design was used with 52 participants at Siti Khadijah Islamic Hospital, Palembang, Indonesia. Total sampling was applied, and data were analyzed using the paired sample t-test. Patient satisfaction was measured using a Likert-scale questionnaire to assess the impact of murottal spiritual care. …

Young Adults And Early-Onset Psychosis: A Grounded Theory Study Of Experiences Of Identity Development, Katherine Hayden-Lewis, Deborah Rubel

The Qualitative Report

While identity development is a crucial task for young individuals ages 15-25, current research inadequately centralizes identity development in the context of first-time psychosis related to schizophrenia spectrum disorders. This study addresses the knowledge gap by exploring the grand research question, “How does a young person experience their identity development after the first episode of psychosis?”. Constructivist grounded theory methods influenced by critical frameworks were used to collect and analyze data with seven young adults engaged in first episode psychosis programs. Participants were young adults, between the ages of 19-24, that at the time of the study were enrolled in …

Potential Mechanisms Of Influence Between Spiritual Practices And Cognitive Health: A Systematic Review And Conceptual Model, Katherine Carroll Britt, Hayoung Oh, Augustine Cassis Obeng Boateng, Sherry Morgan, Sato Ashida, Corey Nagel, Roland J Thorpe, Harold G Koenig

Staff and Researcher Publications

Background/Objectives: This systematic review summarizes the evidence regarding potential mechanisms underlying the relationship between spiritual practices and cognitive health in adults. The review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Methods: An extensive search of six electronic databases (i.e., PubMed, PsycINFO, Embase, Sociological Abstracts, ATLA, CINAHL) was conducted using keywords related to spiritual practices, religious activities, and cognitive health from 1 January 2000 to December 2025. The quality of the included studies was assessed using the Mixed Methods Appraisal tool aligned with the study design.

Results: A total of …

A Certainty-Weighted, Belief-Based Model Of Political Attitudes: A Bayesian Analysis Of American Public Attitudes Toward The Affordable Care Act, Gabriel Miao Li, Josh Pasek, Jon A. Krosnick

Communication Faculty Articles and Research

This study proposes a novel, certainty-weighted account of the process by which political beliefs shape political attitudes. Building upon expectancy-value frameworks, this paper introduces belief certainty as a moderator of belief impact. A Bayesian partial-pooling approach is used to test a model positing how beliefs about what the Patient Protection and Affordable Care Act does and does not do relate to overall attitudes toward the law. This analytic method manages the complexity of multiple potentially correlated beliefs and evaluations by imposing a structural constraint to avoid multicollinearity and enable accurate estimation of parameters. Data from a nationally representative sample survey …

Teachers’ Experiences With Physical Or Verbal Aggression In The Aftermath Of Covid-19, Juana M. Lang, Lucinda A. Hines, Karen Johnson

The Qualitative Report

This hermeneutical phenomenology study explored teachers’ lived experiences facing verbal or physical aggression from students after schools reopened post-COVID-19. Grounded in Bandura’s Social Learning Theory, Heider’s Attribution Theory, and Lazarus and Folkman’s Transactional Stress Theory, the study addressed the research question: What were teachers’ lived experiences with verbal or physical aggression from students after the first wave of COVID-19? Purposive and snowball sampling strategies were used in the study. The sample included four teachers (two middle schools and two high schools) from the Southeastern U.S. Data were collected through open-ended iterative interviews and analyzed thematically. Findings revealed four themes: teachers …

Indonesian Efl Learners’ Views Of Fondi Application Toward Speaking Performance: A Qualitative Approach, Toni Indrayadi, Suhaimi Suhaimi, Usman Usman

The Qualitative Report

This study aims to explore English department students’ perceptions regarding the effectiveness of Fondi Application (FA) in enhancing speaking proficiency. FA is a Task-Based Language Teaching (TBLT) application that provides conversations in the form of voice calls packaged like games. This qualitative approach is based on semi-structured interviews and thematic analysis. Five selected participants with FA technology intervention were interviewed about their perception after using the application as self-learning media for two months. Five main themes emerged from the findings; FA is a potential technological tool to enhance speaking proficiency including fluency, lexical resources, grammatical accuracy, and pronunciation. The participants …

Navigating The Storm: A Qualitative Metaphor-Based Analysis Of Resilience And Identity Reconstruction Among Displaced Professionals, Erhan Atay, Serkan Bayraktaroglu, Leo Johannesberg

The Qualitative Report

Building on previous management scholarship, this paper explains how Conceptual Metaphor Theory (CMT) and metaphorical expressions inform organizational resilience and leadership communication in employee support strategies. It tries to capture the interplay between personal sensemaking and collective adaptation. The study aims to provide practitioners with hands-on insights into developing inclusion, resilience, and identity reconstruction in organizational and societal contexts of disruption. The analysis identifies three critical metaphorical themes: resilience, which is likened to "climbing a mountain;" isolation, which is likened to being "trapped in a bubble;" and identity reconstruction, which is likened to "picking up the shattered pieces of a …

Translanguaging In Indonesian Efl Classrooms: Pedagogical Insights And Student Perspectives, Fauzi Miftakh, Elih Sutisna Yanto, Annisa Fitria Harjadi

The Qualitative Report

This study investigates translanguaging practices in Indonesian secondary English classrooms and analyzes how teachers and students use multiple languages to enrich the learning experience. Drawing on observations, interviews, and field notes from two teachers and four students in West Java, the study found that translanguaging fosters student comprehension, confidence, and identity affirmation. Teachers strategically used English, Indonesian, and Sundanese to scaffold instruction across various phases, creating an inclusive learning environment. Students responded positively, pointing to a reduction in anxiety and improved participation. These findings are consistent with sociocultural learning theories and challenge monolingual ideologies. The study concludes that translanguaging is …

Cycling Network Planning Through Urban Form Analysis: A Contextual Gis Model, Nora Osama Ahmed, Rania Adham Sayed, Mona Mahrous Abdel Wahed

HBRC Journal

Promoting cycling as a sustainable mode of urban mobility requires a deep understanding of how urban form influences cyclists’ route choices. This study investigates the influence of urban form on cyclists’ route selection in an attempt to enhance context-sensitive cycling network planning. Five factors of urban form density, transportation infrastructure, housing/building type, land use, and street layout are examined to determine if any of them have a contributing factor to route selection. Based on an extensive review of the literature, the research develops an Urban Form–Cyclist Route Priority Matrix (UF-CRP Matrix) that categorizes urban conditions into three levels of desirability …

The Criteria For Identifying The Memory Of The City In Valuable Parks: Happy Land Park In Mansoura City, Esraa Ahmed Mansour, Esraa Mohamed Elazab, Sherif Ahmed Sheta

HBRC Journal

Urban memory is a complex phenomenon that develops gradually within the urban environment. However, the rapid physical changes required by today’s fast-paced world often led to the destruction of recognizable urban elements. These changes also create unfamiliar settings and erode many intangible experiences, including both positive and negative memories. Research shows that parks are among the most influential urban spaces in shaping collective memory. Even Egyptian parks designated as heritage sites suffer greatly. This status has not always ensured the preservation of their unique character. This highlights the need to review and strengthen protective laws to better maintain these parks …

High User Perception Of The Social Housing Of The State Intervenor In The South Suburban Zone, Tamaulipas, Mexico, Laura Del Carmen Moreno-Chimely, Yolanda Guadalupe Aranda-Jiménez, Carlos Alberto Fuentes-Pérez

HBRC Journal

Uninhabited social housing in the Southern Conurbation Zone of the state of Tamaulipas, Mexico (Tampico, Altamira) reflects 21.19%. Currently 11.32% is located in Altamira in subdivisions built by the private sector during the facilitator state. The social housing of the public sector of the intervenor state by governmental institutions such as INFONAVIT and FOVISSSTE, located in Tampico with more than 50 years old are almost entirely inhabited even with deteriorated constructive characteristics and economic depreciation. The objective of the research is to analyze the perception of the users of the housing state intervenor prior to 1992 and state facilitator 1993–2010 …

Accuracy Of Student Career Choice: Analysis Of Interest And Personality Match In The Industry 4.0 Era, Nikon Aritonang, I Nyoman Sudana Degeng, M Ramli, Adi Atmoko

Buletin Konseling Inovatif

This study aims to clarify the high number of college students choosing unsuitable career choices. The impact of choosing an unsuitable career path can significantly hinder the development of Indonesian human resources in the context of the industry 4.0 era. This is caused by shifting paradigms in the recruitment process of most companies or institutions that no longer prioritize a diploma as the key factor in seeking new hires. Instead, there is greater emphasis on the employee's skills, interests, creativity, and innovation, followed by a diploma and achievement index. Descriptive-qualitative design was employed. Samples were collected from college students at …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Does Employees’ Meaningfulness Of Work Mediate The Link Between Their Cognitive Diversity And Creative Process Engagement?, Mohammad Tamzid Hossain, Sabrin Sultana, Salma Begum, Md. Sahidur Rahman, Md. Aftab Uddin

Management Dynamics

This study aims to investigate how employees' cognitive diversity affects their creative process engagement, with a focus on the role of their meaningfulness of work as a mediator in this connection. A survey was used with a quantitative method to collect responses from 207 employees of small, medium, and large service and manufacturing businesses in Bangladesh that were registered with the Chittagong Chamber of Commerce and Industry. The collected data were then analyzed using Smart PLS 4 to evaluate the hypotheses and examine the mediating effect of the study. The findings reveal that employees’ cognitive diversity has a significant impact …