Digital Commons Network^™

Leveraging Ai To Democratize The Hidden Curriculum In Medical Education: An Implementation Framework, James Keith Martin Ii, Mercedes Byrd

Libraries Scholarship

The “hidden curriculum” in medical education—comprising unwritten rules, values, and expectations—significantly impacts student success, yet remains inaccessible to students from underrepresented backgrounds. This paper presents a theoretical framework and practical implementation strategy for using artificial intelligence (AI) to democratize access to this hidden curriculum. We analyze how cognitive load theory and the Fast/Slow Thinking paradigm explain inequities in professional integration, then propose a comprehensive implementation approach to guide equitable AI integration. This model demonstrates how AI tools, when thoughtfully implemented, can reduce cognitive burdens on disadvantaged students, accelerate professional acculturation, and contribute to building an inclusive medical workforce.

The Effects Of Parental Emotion Regulation On Child Mental Health, Vanessa Brouse

Student Works

No abstract provided.

Identifying Barriers And Place-Based Solutions To Physical Activity For Older Adults In East Tennessee, Lydia Hoskins, Jodi Southerland

Journal of Appalachian Health

Introduction: Older adults in East Tennessee (TN), the fastest growing demographic, face significant health challenges, with 44% reporting four or more chronic conditions. The state ranks 45th in physical inactivity among older adults, exacerbating chronic disease risks, fall-related injuries, and mental health issues. Urban-rural disparities in East TN further complicate efforts to promote active living, particularly for rural residents.

Purpose: This qualitative study explored socioecological barriers and solutions to increase physical activity (PA).

Methods: In April 2024, two focus group were conducted in East TN, with a total of 11 participants composed of six community partners and five older adults. …

Person-Centered Trauma-Informed Care (Pctic): A Training Needs Assessment For Home And Community-Based Services In West Virginia, Ranjita Misra, A. Brianna Sheppard, Natalie Wilson, Megan C. Govindan, Matthew Myers, Amanda Acord-Vira, Steven Wheeler, Heather Henderson, Christena Ross, Laura Cooper, Rachel A. Goff

Journal of Appalachian Health

Introduction: Person-centered, trauma-informed care (PCTIC) is a combined, holistic service model promoting the well-being and empowerment of trauma survivors.

Purpose: This study examined the PCTIC knowledge, skills, and abilities needed by West Virginia (WV) Medicaid Home and Community-Based Services (HCBS) direct service professionals (DSPs) to serve clients that may have experienced trauma.

Methods: Semi-structured interviews were conducted with diverse stakeholders (n = 32) from 19 organizations that provide HCBS services in all 55 counties. Interviews focused on identifying current training, needs and knowledge gaps, and priority areas for additional PCTIC training. ATLAS.ti software was used to manage and code. Validity …

Instrument Development And Psychometric Testing Of The Capstone-Experience Preceptor Preparedness Scale: The Cap-Express Study, Lisa Eyring Guthrie

Dissertations

Preceptors are relied upon to prepare nursing students during their capstone experience as novice, generalist nurses. There is currently no instrument that measures the preceptor’s level of preparedness. The purpose of this study was to psychometrically test a 67-item instrument, the Cap-ExPresS developed during a pilot study, which evaluated the level of self-perceived confidence preceptors reported when working with capstone students.

Development And Psychometric Testing Of The Capstone-Experience Preceptor Preparedness Scale: The Cap-Express Study, Lisa Eyring Guthrie

Sigma Foundation for Nursing Research Grant Reports

Objective of grant funding: To provide funds to purchase gift cards as incentives for N = 300 anticipated sample, to perform psychometric testing on a new instrument measuring preceptor preparedness, the Cap-ExPresS.

Implementation Of A Mobile-Based Mindfulness Intervention To Mitigate Nursing Student Stress, Wendy S. Carley

International Nursing Research Congress (INRC)

This project analyzed the effect of the daily use of a mindfulness-based mobile application on associate degree nursing undergraduate prelicensure students' perceived stress levels. Nursing students experience elevated stress levels that may be reduced through mindfulness behaviors. Undergraduate, prelicensure nursing students participated in establishing the impact of mindfulness on perceived stress levels in a quantitative pre/post-intervention study. The evidenced-based studies chosen for this review consisted of randomized controlled trials, pilot studies, pre/posttest designs, systematic reviews, quantitative and qualitative studies. Project research data was collected using a pre/posttest design to evaluate the effectiveness of a stress management program in reducing stress …

Food Insecurity, Sodium-Restricted Diet Adherence, And Mental Health In Patients With Hypertension, Reimund Serafica

International Nursing Research Congress (INRC)

This study aims to investigate food insecurity, attitudes toward sodium-restricted diets, and mental health outcomes among Filipino-Americans with hypertension in a primary care setting.^1,2 Additionally, it seeks to explore patient perceptions of dietary restrictions and how nurse practitioners can use this information to enhance clinical management.^3,4

A two-phase, mixed-methods approach was employed. In Phase 1, a cross-sectional study was conducted, recruiting a sample of 135 Filipino-American adults with hypertension from a primary care clinic in Southern Nevada. Data collection tools included demographic surveys, the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), the Dietary Sodium Restriction Questionnaire (DSRQ), …

Cross-Cultural Adaptation Of The Sinhala Version Of The Self-Care Self-Efficacy Scale, Sujeewa Dilhani Maithreepala, Sriyani Padmalatha Konara Mudiyanselage, Bih-Ching Shu

International Nursing Research Congress (INRC)

Background and Objective: The Self-Care Self-Efficacy Scale (SCSE) assesses a patient's confidence in managing their self-care in chronic conditions, such as heart failure (HF). Higher levels of self-efficacy are strongly linked to improved self-care behaviors and better clinical outcomes. No culturally adapted instrument is available in Sinhala to assess SCSE in Sri Lanka. This study aimed to translate, culturally adapt, and test the reliability of the SCSE among HF patients in Sri Lanka.

Methods: The cross-cultural adaptation followed a structured process based on established guidelines for self-report measures. In Stage 1, two bilingual experts fluent in Sinhala independently performed forward …

From Dirt To Data: Resilience Stories In Ebp, Qi, And Research – We Are The Stories We Tell, Cecelia Lorayne Crawford, Hazel Torres

International Nursing Research Congress (INRC)

Purpose: Storytelling is foundational to the human experience and cuts across all cultures by conveying norms, ethics, and connectedness. Nursing narratives are used to relate stories of compassion, caring, and resilience. Research, evidence-based practice (EBP), and quality improvement (QI) also have their own stories of translating science into patient care. This presentation describes how resilient storytelling can integrate new knowledge in all settings, with “lessons-learned” for nurses globally, regardless of gender, generation, or culture.

Relevance/Significance: Research, EBP, and QI represent common ground for nurses to transform equitable care, engage nursing practice, and develop inclusive relationships. Literature discusses storytelling …

Women’S Experiences Of Posttraumatic Growth After Intimate Partner Abuse, Mary Ellen Doherty, Elizabeth Ann Scannell

International Nursing Research Congress (INRC)

Background: Intimate partner abuse can disrupt one’s basic core of dignity, self-respect, confidence, and motivation. Abused women can go through life in a tangled web of control and abuse that their partner dictates. Posttraumatic growth after abuse may lead to positive psychological changes because of this highly stressful experience.

Theoretical Framework: The posttraumatic growth framework of Tedeschi and Calhoun guided this study.

Purpose: To describe the experiences of women who have endured intimate partner abuse and the domains of posttraumatic growth.

Methods: Interviews with 14 women who self-reported intimate partner abuse using a semi-structured interview guide derived from the posttraumatic …

Mastering Interprofessional Facilitation, Essential Knowledge, And Skills For Effective Facilitation, Julie Lamothe

International Nursing Research Congress (INRC)

Interprofessional education (IPE) is a critical practice in today’s fragmented healthcare system. IPE prepares students to work collaboratively, ensuring they are ready to join the workforce as effective team members (Brashers et al.,2020; Caratelli, et al., 2020). The Center for Interprofessional Practice and Education offers an Interprofessional (IP) Core Curriculum, which has been completed by over 4,000 students. The XX University School of Nursing plays a significant role both in terms of participating students and facilitators. Interprofessional partnerships are promoted by the American Association of Colleges of Nursing’s (AACN) Nursing education model, The Essentials: Core Competencies of Nursing. One of …

The Experience Of Fathering A Child With Autism Spectrum Disorder And The Challenge Of Self-Care, Mary Lynn Fahey

International Nursing Research Congress (INRC)

Parenting a child with autism spectrum disorder (ASD) is associated with a high level of chronic stress which has the potential to negatively impact the well-being of the parents and may be mitigated by self-care. To date, there has been little research about the experience of fathering a child with ASD, and self-care among these fathers. This study used a qualitative descriptive narrative design with Story Theory as the theoretical framework and Story Inquiry Method as the methodology to explore the experience of fathering a child with ASD and the challenge of selfcare.
Several themes and sub-themes related to the …

Cognitive Behavioral Therapy In Improving Sleep Quality And Emotional In Patients With Stroke, Chia-Yu Chiu, Mei-Ling Chung

International Nursing Research Congress (INRC)

Background/Purpose: Post-stroke patients often have sleep and emotional problems. Cognitive behavioral therapy has been recommended to be included in the treatment of insomnia patients. However, its effectiveness in treating stroke-related sleep and emotional problems is unclear. This systematic review aims to explore the effect of cognitive behavioral approach while application in stroke patients.

Method: This study searched for research literature before October 2024 in nine Chinese and English databases including Pubmed, Cochrane, CINAHL, PsycArticles, Embase, Medline, CNKI, CEPS (Huayi), and SportDiscus with Full Text, regardless of age and gender , no language restrictions in Chinese and English, the research design …

Patient’S Sexual Dignity Discomfort In Healthcare Setting: A Concept Development, Sihyun Park

International Nursing Research Congress (INRC)

Background: Touch and physical proximity are essential in various healthcare procedures. Despite their necessity, some procedures can evoke feelings of shame, embarrassment, humiliation, fear, and anger in patients (Brennan et al., 2023; Harriel-Hidlebaugh, 2023). Such negative experiences can lead to psychological harm, such as post-traumatic stress disorder, and may cause patients to avoid or refuse further care (Flynn et al., 2020; Harriel-Hidlebaugh, 2023).

Objective: This study aimed to develop and define the concept of “patient’s sexual dignity discomfort.”

Design: This study utilized a hybrid model of concept development, comprising three phases: theoretical, fieldwork, and analytical phases (Schwartz-Barcott & Kim, 2000). …

The Influence Of Social Determinants Of Health And Diet Quality On Symptom Experiences In Patients With Colorectal Cancer, Youran Lee

Sigma Foundation for Nursing Research Grant Reports

This study aimed to:

1. Identify subgroups in patients with colorectal cancer (CRC) with distinct symptom profiles,
2. Examine the association between SDOH characteristics and distinct symptom profiles in patients with colorectal cancer, and
3. Determine if diet quality acts as a mediator between social determinants of health variables and distinct symptom profiles.

Retelling A Tale In Pictures: A Fusion Of The Arts In A Medieval Emaki Of The Japanese Court Romance Geni Npo Monogatori "Tale Of Genji", Sheena Woods

The Ozark Historical Review

The Genji no monoga ta ri 源氏の物語, the Tale of Genji, b y the Japanese court lady Murasak i Shi kibu 紫式部 ( c . 9 7 3 – c . 1014), thought to have been completed around the year 1008, is one literary masterpiece of the Heian 平安 period (794–1185) that has been adapted for retelling many times. A little over one hundred years after its conception it had been adapted and lavishly illustrated as an emaki 絵 or “ picture scroll." This paper provides a discussion on the importance of the emaki to the representation of this early …

Humanitarian Intervention And Just War Theory, Nathaniel R. King

The Ozark Historical Review

Since the end of World War II, the United States has engaged in a new type of warfare. No longer fighting conventional wars, the United States has begun to enter into an intervention style of warfare. Often, intervention occurs on humanitarian grounds, rather than for reasons of conquest, which can often lead to unwanted destruction and alienate local populations. At the same time America’s military tactics shifted the world saw the resurgence of universal human rights. Increasingly included within these rights was the right to protection, or R2P. Just war theory becomes joined with humanitarianism when the action of intervening …

Assertions Of Monastic Identity And Power In The Cloister And Nave Of St. Gall, John D. Treat

The Ozark Historical Review

The Carolingian monastery lived in an unresolved tension between the purity of separation from the world and the benefits to be gained from secular engagement. To confront this dilemma, the parts of the monastery received new layers of symbolic meaning, opening some spaces to lay penetration while shielding others more securely. Here I will examine the monastic cloister and the nave of the abbey church as instances of these two tendencies.

The Ozark Historical Review, V. 42, 2013 Entire_Issue

The Ozark Historical Review

No abstract provided.

“It’S Like Mental Marginalization”: Stories Of Four Music Students At A Hispanic Serving Institution., Sarah Minette

Visions of Research in Music Education

Researchers have explored the ways in which P-12 teachers and students negotiate Latino/a/x/e cultural and musical identities in the classrooms (Abril, 2009; Lechuga & Schmidt, 2018; Palkki, 2015). While some have connected culturally responsive teaching to the needs of the growing number of Latino/a/x and Hispanic students in P-12 settings (Abril & Kelly-McHale, 2015), currently, no studies within music education address the experiences of music students at Hispanic Serving Institutions (HSIs), as well as the music making practices, curriculum, and faculty experiences at HSI. This case study examined how a music department at an HSI served the needs of its …

Music Making To Transgress: A Phenomenology Of Transgressive American Music Educators, Anders P. Lewis

Visions of Research in Music Education

This phenomenological case study examined four self-described transgressive music teachers in the United States. Transgressive teachers may be described as those who challenge oppressive structures, both in educational settings and in the broader social context, to support marginalized students. Findings suggest that teacher identity creation and analytic frameworks of oppressive structures shape the elements of their transgressive pedagogies. These findings also suggest varied paths of becoming for transgressive teachers. The researcher concludes with suggestions for further research and implications for current teachers.

Autonomous Instrumental Music Learning On An Online Platform: How Is Study Motivation Related To Engagement And Study Outcomes?, Kai Tuuri, Jukka Vahlo, Oskari Koskela

Visions of Research in Music Education

Musical instruments have been recognized as attractive targets of volitionally developed long-term engagement. However, in music education research, the significance of autonomy in fostering learning motivation has mainly been perceived through the prism of student-teacher interaction. Addressing this gap, this study shifts the focus towards an autonomous learner perspective embracing the learner’s volitional approach and interest in engaging with musical instrument learning. Through an analysis of a survey sample (N=215) involving participants’ experiences with an online music learning platform, the study explores participants’ study motives and their association with study engagement, alongside the subsequent learning and wellbeing outcomes. An exploratory …

Conducting Inclusion: A Udl-Inspired Approach To Choral Education, Maria Varvarigou

Visions of Research in Music Education

In this paper I explore the possibilities of a Universal Design for Learning (UDL)-inspired curriculum developed over four years of teaching a module on choral conducting education in three formats: online, as blended, and in-person. The learners were primary school generalist student-teachers. They had diverse backgrounds, experiences, and levels of confidence in choral singing and conducting. Examining UDL through the theoretical lens of inclusive pedagogy offered a theoretical foundation to discuss my approach to creating inclusive choral conducting environments that promote learning and participation. At the same time, implementing inclusive pedagogy through UDL brought to the surface institutional challenges and …

The Scarlet - Volume Civ, No. 1 (September 5, 2025), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The September 5, 2025 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University.

Fathers' Racial Differences In Perceived Workplace-Induced Stereotype Threat: Impacts On Sense Of Belonging, Job Satisfaction, And Turnover, Frances Evalyne Kealiimahiaiokalani Hampton

Dissertations and Theses

Black fathers (BFs) face unique workplace challenges due to racialized and gendered stereotypes that undermine their legitimacy as men, workers, and parents. Drawing on Stereotype Threat Theory (STT) and Stereotype Embodiment Theory (SET), this study examined how workplace-induced stereotype threat (WIST) affects BFs' job attitudes and turnover intentions (TIs). I hypothesized that BFs would report higher WIST than White fathers (WFs), and that WIST would mediate the effects of race-related perceptions on job satisfaction (JS), sense of belonging (SOB), and TIs. In addition, perceived organizational support (POS) was tested as a moderator on the relationships between WIST and these job-related …

Strategies For Addressing The School Vaping Problem In The United States, Shanika Cole

Walden Dissertations and Doctoral Studies

Vaping has become a pressing health concern among students, providing easy access to nicotine and other harmful chemicals. In schools, this issue threatened student well-being, discipline, and policy enforcement, underscoring the need for effective prevention. The purpose of this mixed-method study was to examine of the U.S. school practices and policies addressing vaping and (b) the development of a strategic prevention and intervention plan informed by the American Stop Smoking Intervention Study Framework (ASSIST Model). The study focused on one public school system and sought to answer practice-based research questions: How can the Board of Education effectively decrease vaping incidence …

Impact Of Retaining Midlevel Managers At A U.S. Bank Branch, Sharlene Marie Malcolm

Walden Dissertations and Doctoral Studies

Employee retention is essential for sustaining organizational stability and performance, particularly in the financial services industry, where turnover disrupts client relationships and reduces productivity. This challenge matters to bank leaders seeking efficiency, employees pursuing career stability, clients depending on consistent service, and communities relying on strong financial institutions. The purpose of this qualitative pragmatic inquiry study was to explore strategies that midlevel bank managers in U.S. branches used to reduce employee turnover. Guided by Herzberg’s two-factor theory, the study examined how intrinsic motivators, growth opportunities, autonomy, appreciation, and work–life balance shaped loyalty and commitment. Data were collected through semistructured interviews …

Out Of The Vacuum: The Effect Of Tax Liability Changes On Compliance In The Presence Of Withholding Position And Group Affiliation, Chelsea Rae Austin, Donna Bobek Schmitt, Spenser G. Seifert

Faculty Publications

Prior research has established that tax liability increases lead to decreased compliance. However, tax liability changes do not happen in a vacuum. Notably, prior research has also identified a withholding phenomenon: individuals in a tax due position are less compliant than those in a refund position. Additionally, tax law changes are often enacted in politically polarized environments. We examine how three factors—tax liability changes, withholding position, and group affiliation—combine to influence individuals' tax compliance decisions. Our experimental results show that a tax increase is universally experienced as a loss, even when coupled with a tax refund and enacted by an …

More Than Trauma: The Story Of Intergenerational Survival, Tiffany Fang

Dissertations

Parental trauma can have a profound effect on children. The process of passing along traumatic experiences, known as the intergenerational transmission of trauma (IGT) and the process of passing along adaptations to these adverse circumstances, known as the intergenerational transmission of resilience (IGR), have been explored in populations such as survivors of the Holocaust and war refugees (Danieli et al., 2017; Kellermann, 2001; Sangalang & Vang, 2017). This study sought to extend findings to Chinese American immigrant families, many of whom experienced trauma in the form of war, sociopolitical violence, and poverty in 20th-century China. Despite the presence of these …