Digital Commons Network^™

Nurse Strong: Building Resilience Through De-Escalation, Carrie Ann Bailey, Lynn Beeler, Robin Hicks, Vikki Meloy, Staci Wheeler, Darren Gilbert

International Nursing Research Congress (INRC)

In 2015, the American Nurses Association called upon nursing faculty to develop and create workplace violence prevention programs. In response to the ANA, our innovative educational experiences show how the implementation of scaffolded experiences in self-defense, de-escalation, and leadership within an accelerated nursing program better prepares students for the realities of practice. In healthcare, especially in fast-paced settings, nurses often face challenging situations that require quick decision-making, conflict management, and assertive leadership to maintain safety for all. Workplace violence continues to increase in prevalence in the healthcare setting. Scaffolding—a progressive, structured approach to skill development—enables students to build foundational skills …

Meaningful Mentoring: Creating A Belonging Environment For Faculty Retention, Tonja Marie Padgett, Kimberly Hodges, Angela Opsahl, Lucinda Hill, Jennifer L. Embree, Margaret Moorman

International Nursing Research Congress (INRC)

Mentoring the new faculty role can help with the retention and recruitment of new nursing faculty (Busby et al., 2022; Baker & DePiro, 2019), as well as aide in faculty preparedness. This presentation will share insights into the development of a mentoring program for new faculty coming from a clinical background. We designed a comprehensive new faculty mentoring program to increase faculty preparedness and retention. Based on feedback from past program evaluations, academic leadership interviews, and a literature review, a 10-month mentoring program was designed and implemented on three regional campuses for 28 new faculty. All newly hired faculty attended …

Asynchronous Virtual Intervention For Diabetes Foot Care: A Storytelling And Empowerment Program, Hsiao-Hui Ju, Jeffery Alford, Dina White, Daphne Hernandez

International Nursing Research Congress (INRC)

Purpose: Diabetic foot ulcers (DFU) lead to serious health complications, including a 65% recurrence rate within 3 to 5 years, a 20% chance of amputations, and up to a 70% mortality rate over five years^1,2. Furthermore, recent studies indicate that the overall incidence of amputation has increased¹. These trends underscore the urgent need for effective DFU prevention strategies^3,4. This pilot study investigated digital storytelling videos as a tool⁵ to empower adults with type 2 diabetes to enhance foot care knowledge and practices.

Methods: Participants were recruited from a primary care group by a …

From Scotland To Montana: A Global Collaboration, Marcy Nell Hanson, Margaret Lawson, Hazel Sinclair

International Nursing Research Congress (INRC)

Purpose: To build a partnership with Drug Liasion Midwife leaders of the Vulnerability in Pregnancy (VIP) program, leading to improved perinatal substance use care in Missoula County, Montana.

Background: Perinatal substance use is a global maternal health concern leading to increased maternal and infant morbidity and mortality. In the United States (US) the incidence of neonatal abstinence syndrome (NAS) increased from 1.6 to 8.8/1,000 live births between 2004 and 2016 and neonatal opioid withdrawal syndrome (NOWS) increased from 1.2 to 8.8/1,000 live births between 2000 and 2016 (Kameg, 2021; Kramlich et al., 2018; Patrick et al., 2020). In 2020 in …

A Systematic Review Of Caregiver Burden Of Children With Adhd, Nadia Abed Amro, Lila De Tantillo

International Nursing Research Congress (INRC)

Background: Raising a child with Attention Deficit Hyperactivity Disorder (ADHD) is a key challenge for the primary caregiver. This systematic review aims to identify major burdens facing primary caregivers of a child with ADHD.

Methods: The electronic databases CINAHL, PubMed, and Google Scholar were searched for studies published in English from 2017 to 2023 assessing the challenges facing caregivers of a child with ADHD.

Results: Eleven articles included in this review revealed that caregivers of children with ADHD have poor quality of life and high-stress levels. Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children …

Resilience In Health Science Education: An Integrative Review, Kylie Padron Newsom, Michelle Nichols, Susan D. Newman, Teresa M. Stephens, Diana Layne

International Nursing Research Congress (INRC)

Healthcare worker burnout in the US has reached crisis levels, leading to harmful consequences for healthcare workers, patients, communities, and the healthcare system (Murthy, 2022). Burnout-related turnover costs $9 billion for nurses and $2-6 billion for physicians annually (Murthy, 2022). Symptoms of burnout appear even before entering the workforce, with 44% of medical students and 30% of nursing students affected (Murthy, 2022). One way to decrease burnout is through resilience which reduces stress and anxiety while improving well-being (Stephens, 2013). The American Association of Colleges of Nursing (2021) and the National Academy of Medicine (2019) support incorporating resilience into education …

Rethinking Nursing Education: Supporting Neurodiversity In Nursing Classrooms, Kelly Walker, Megan Arbour, Jane Houston, Maria Milazzo

International Nursing Research Congress (INRC)

Neurodiversity is an inclusive term that describes the range of neurological or neurocognitive variation naturally found in the human population (Legault et al., 2021). Neurodivergence has historically been labeled and classified as a disability (Armstrong, 2017). Examples of neurodivergent diagnoses include specific learning disabilities in reading, writing, and math: dyslexia, dysgraphia, dyscalculia; autism; ADHD, or others. Estimated prevalence data suggests that 15-20% of adults are neurodiverse (Doyle, 2020). The Yale Center for Dyslexia reports that 20% of the general population are dyslexic (The Yale Center for Dyslexia and Creativity, 2022). Prevalence estimates of ADHD range from 3-7% (Song et al., …

Australian Mental Health Nurses’ Attitudes Towards Consumers With Mental Illness: A Survey Analysis, Anju Sreeram

International Nursing Research Congress (INRC)

Negative attitudes towards mental illness are a global issue for discrimination towards people with mental illness. Literature has identified various dimensions of stigma. Among the different dimensions, professional stigma prevents people from seeking and accessing help, which further increases mental health-related suffering in the community. Despite providing professional care to consumers, negative attitudes towards mental health conditions are evident even among Mental Health Nurses [MHNs] working in acute inpatient psychiatric units. At the same time, there is a lack of research addressing Australian acute inpatient psychiatric units’ MHNs' attitudes towards mental illness. Therefore, this study aims to assess Australian acute …

Patient-Provider Communication In Ckd Care: Patient Experiences And Nursing Implications, Christin Iroegbu, Sheridan Leak, Sam Bartolone, Celsea Tibbitt

International Nursing Research Congress (INRC)

Background: Chronic kidney disease (CKD) is a complex condition that requires extensive knowledge for adequate patient self-management. Many individuals with CKD lack sufficient understanding of their diagnosis, leading to poorer health outcomes. Effective patient-provider communication is crucial in closing this knowledge gap, particularly given the intricacies of managing CKD, other comorbidities, and complex medication regimens. This communication is essential in primary care settings, where most patients with CKD are managed. Yet, little is known, from the patient’s perspective, about how these critical conversations unfold during the clinical encounter. Understanding patients' experiences communicating with primary care providers about CKD can offer …

Effects Of Chin Tuck Against Resistance Exercise On Patients With Dysphagia After Stroke: Rct, Chia-Chi Kuo, Kuo-Li Chao

International Nursing Research Congress (INRC)

Purpose: Stroke patients often experience dysphagia, which can significantly impact nutritional intake and lead to complications such as aspiration pneumonia, prolonged hospitalization, and increased mortality. In clinical stroke rehabilitation, swallowing training is primarily conducted by physical therapists or speech therapists; however, the effectiveness of this rehabilitation is often limited by constraints related to time, space, and available personnel. The Chin Tuck Against Resistance (CTAR) exercise is safe and easy to learn, allowing patients to perform it independently. The aim of this study is to explore the effects of the CTAR exercise on stroke patients with dysphagia.

Methods: This is a …

Guiding With Love: Building Self-Regulation Through Structure And Warmth, Kylie Collette

Family Perspectives

No abstract provided.

The Value Of Play In Improving Children’S Experiences With Healthcare, Kylie Howes

Family Perspectives

Hospitalization can be a distressing experience for children, often resulting in heightened anxiety and pain due to unfamiliar environments, procedures, and personnel. This literature review examines the effectiveness of Child Life Play Interventions—specifically Developmentally Supportive Play, Psychological Preparation Play, and Distraction Play—in reducing pediatric patients’ healthcare- related anxiety and pain. Developmentally supportive play provides children with familiar, age-appropriate activities that help maintain normalcy and routine, thereby reducing stress during extended hospital stays. Psychological preparation play uses role-playing and hands-on demonstrations to enhance children’s understanding of medical procedures, alleviating anxiety and decreasing perceived pain. Distraction play shifts children’s attention away from …

When Evidence Is Shocking: The Value Of Struggling With Uncomfortable Ideas, Cortney Evans-Stout, Christin L. Porter

Family Perspectives

No abstract provided.

Marital Conflict And Male Depression: The Role Of Emotional Withdrawal And Hostility, Nicolas Enzo Mouhsen

Family Perspectives

This literature review investigates the relationship between marital conflict and male depression, focusing on emotional withdrawal and spousal hostility as key contributing factors. Male depression, often underreported due to differences in symptom expression such as anger and irritability, is explored in the context of marital dynamics. Emotional withdrawal, characterized by avoidance behaviors during conflict, is particularly prevalent among men and linked to rigid gender role perceptions. This behavior correlates with increased depressive symptoms and reduced well-being. Additionally, spousal hostility, including verbal aggression and criticism, exacerbates male depression through both the perception of aggression from a partner and self-awareness of hostile …

Divorced After Age 50: What Gray Divorced Women Can Do To Move Forward, Sheri Duvall

Family Perspectives

No abstract provided.

The Benefits Of Combining Center-Based And Home-Based Care For Preschool Children, Savannah Christensen

Family Perspectives

Abstract: Research shows that the quality of care children receive in early childhood—whether from a parent, relative, or formal child care provider—significantly influences their cognitive, behavioral, and emotional development. This article analyzes several peer-reviewed sources to examine how different caregiving environments impact development and how these effects are moderated by the quality of care and the home environment. It also addresses how socioeconomic status can shape the quality of care children receive and the long-term outcomes associated with each caregiving type. While parents are typically seen as the ideal caregivers, children in nonparental care, such as with relatives or in …

Goal-Oriented Aesthetic Treatment (Goat): A Systematic Framework For Three-Dimensional Facial Aesthetic Assessment — Part 2: Sagittal Dimension, Heng-Ming Chang, Yu-Chun Su, Min-Hsun Hsu, Yu-Ting Lin, Chih-Wei Wang

Taiwanese Journal of Orthodontics

Facial aesthetics is a multidimensional concept that requires an integrative assessment of the sagittal, vertical, and transverse planes to achieve balance and harmony. Following the evaluation of the vertical dimension in Part I, this review focuses on the sagittal plane, which plays a pivotal role in facial profile balance and anteroposterior skeletal relationships. The Goal-Oriented Aesthetic Treatment (GOAT) framework provides a structured methodology for diagnosing and addressing sagittal discrepancies, incorporating clinical reference lines, chin morphology, incisor inclination, and anchorage considerations. A comprehensive assessment of the sagittal dimension involves the use of key diagnostic tools such as the Barcelona Line (BL), …

Goal-Oriented Aesthetic Treatment (Goat): A Systematic Framework For Three-Dimensional Facial Aesthetic Assessment — Part 1: Vertical Dimension, Heng-Ming Chang, Yao Chen, Kwok-Hing Ho, Kai-Long Wang, Chih-Wei Wang

Taiwanese Journal of Orthodontics

Facial aesthetics is a multidimensional concept that requires an integrative assessment of the sagittal, vertical, and transverse planes to achieve balance and harmony. Among these, the vertical dimension plays a crucial role in determining facial proportions, occlusal function, and overall aesthetic perception. This review introduces the Goal-Oriented Aesthetic Treatment (GOAT) framework as a systematic approach to evaluating the vertical aspects of facial aesthetics, providing a structured methodology for clinical assessment and treatment planning. A comprehensive evaluation of the vertical dimension encompasses several key parameters, including facial pattern classification, vertical proportions, lip competency, and overbite analysis. Traditional cephalometric indices, such as …

The Indiana Statesman, September 11, 2025, Indiana State University

Student Newspaper

Terre Haute in rememberance of 9/11; JCPenney Suit-Up Event: Q&A with Darby Scism

September 11, 2025, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

From Model To Behavior: Methodological Challenges In Using Fuzzy Cognitive Maps To Represent Mental Models, Catherine Elizabeth Moore

Dissertations and Theses

This dissertation examines the use of Fuzzy cognitive maps (FCMs) as representations of mental models and how these representations connect to individual behavior. Fuzzy cognitive maps (FCMs) are semi-quantitative models that encode cause-and-effect structures as directed graphs. They are frequently used to represent individuals' knowledge structures/mental models and should in theory correlate to actions and decisions of individuals; however, this correlation has yet to be explored in a systematic manner. This dissertation represents the first step in experimental research on the connection between FCMs and individual behavior. It examines two theories of how humans use mental models, one based on …

Identifying Functional Regional Changes In Patients With Parkinson’S Disease And Freezing Of Gait, Taylor Robin Davis

All ETDs from UAB

Freezing of gait (FOG) affects anywhere from 20-80% of those with Parkinson’s Disease (PD) with the prevalence increasing with disease severity and length. This detrimental symptom is unpredictable and poorly characterized, which adds to the negative experience of FOG as it is difficult to treat. Using resting-state fMRI (rs-fMRI), we set out to determine the functional changes in those with PD-FOG and map onto regions of the brain where signal power, measured using fractional amplitude of low-frequency fluctuations (fALFF), synchronicity, as measured by regional homogeneity (ReHo), and strength and direction of intra-network connections as measured by static effective connectivity, are …

Bayesian Mediation Analyses For Zero-Inflated Data, Jinhong Cui

All ETDs from UAB

Mediation analysis is a fundamental tool in causal inference, enabling researchers to disentangle the pathways through which an exposure affects an outcome via intermediate variables (mediators). It has been widely applied in social sciences, psychology, and healthcare-related studies. Traditionally, mediation analysis has been conducted within the linear structural equation modeling (LSEM) framework. However, recent advances have shifted attention toward the counterfactual framework due to its flexibility in defining causal effects and its capacity to accommodate non-linear relationships, parametric and non-parametric models. Building on this foundation, methodological developments in mediation analysis have expanded to address more complex data structures, such as …

Racial/Ethnic Heterogeneity In Women’S Aging Experiences Over Time: A Latent Transition Analysis, Joshua Christian Julian Lewis

All ETDs from UAB

U.S. population aging and unprecedented racial/ethnic diversity will affect the types of social and healthcare services older adults need. These projections have renewed attention to healthy aging, which refers to the physiological/functional, psychological, and social capacity to maintain well-being. Extant research finds that most are aging unwell and through binary and biomedical operationalizations—which do not account for patterns of chronic conditions, disability, intersecting race / ethnic and gender inequality, socioculturally developed resources, and social relations—reifies the exceptions, typically men and non-Hispanic Whites, as the “aging well” benchmark. Integrating theoretical considerations of the life course, cumulative inequality, stress process, and limitations …

Voices From Two Secondary Newcomer Programs In Alabama: A Multiple Case Study, Carl Anthony Floyd Jr

All ETDs from UAB

This multiple case study investigates the design, implementation, and impact of two secondary newcomer programs in Alabama, with a focus on Students with Limited or Interrupted Formal Education (SLIFE) and non-SLIFE English Learner (EL) newcomers. Grounded in Esteban-Guitart et al.’s (2023) framework of community funds of knowledge and identity, the study explores how these programs function as community educational ecosystems. Data were collected through interviews, observations, and document reviews across two school districts and analyzed using ethnographic and thematic methods. Findings reveal that when newcomer programs are intentionally designed to leverage community assets and cultural identities, they provide meaningful academic, …

Parenting And Parental Well-Being As Risk And Resilience Factors For Mental Well-Being In Adolescents With And Without Neurodevelopmental Disorders, Wanqin Yu

All ETDs from UAB

Parenting practices and caregiver well-being are widely recognized as key determinants of adolescent mental health. However, few studies have examined how these factors operate in the context of neurodevelopmental disorders (NDDs), particularly through a risk and resilience framework. This study investigated how positive and negative parenting practices, caregiver well-being, and parenting stress relate to adolescents’ emotional well-being and internalizing problems. It also explored whether these variables differed between adolescents with and without NDDs. Participants included 105 adolescents aged 11–14 years (61.9% female; 52.4% diagnosed with an NDD) and their caregivers, drawn from a larger study on adolescent socio-emotional competencies. Caregivers …

Advice For Improving The Experience Of Web-Based Patient Portals: Qualitative Interviews With Caregiver-Adolescent Dyads, Rachel E Granberg, Jessica M Goldberg, Alison L Antes, Christine Bereitschaft, Fabienne Bourgeois, James Dubois, Bryan A Sisk

2020-Current year OA Pubs

BACKGROUND: Web-based patient portals can benefit adolescents and their caregivers by increasing access and providing greater understanding of one's health information, enhancing communication with clinicians, and supporting caregiver influence. Despite these benefits, adolescent uptake has been low with high attrition rates. Feedback from adolescents and caregivers is essential to improve the uptake and usability of the web-based patient portal.

OBJECTIVE: The aim of the study is to identify advice for medical informatics administrators and clinicians directed at improving the adolescent and caregiver experience with the web-based patient portal.

METHODS: Caregivers completed a demographic survey followed by separate qualitative, semistructured interviews …

The Resilience In Black Families Scale: A Validation Study, Destiny Kelly

All ETDs from UAB

The Resilience in Black Families Scale (RBFS) was developed to be a culturally relevant measure designed to assess the family resilience processes utilized within Black families. The purpose of this study was to validate the RBFS, which consists of a three-factor structure modeled after Walsh’s family resilience framework and is further enhanced with culturally relevant protective factors. Using a sample of 200 participants, confirmatory factor analysis (CFA) was conducted to test the theoretical hierarchical factor structure of the Resilience in Black Families model, consisting of 13 first order factors (making meaning of adversity, positive outlook, religiosity and spirituality, ethnic-racial socialization, …

2025.09.11 - Academic/Student Affairs, Enrollment, And Technology Committee Meeting Minutes, Northeastern Illinois University Board Of Trustees

Board of Trustees - 2025

Meeting materials for the NEIU Board Trustees

How Medical Mistrust Serves As A Barrier To Mental Health Treatment In The African American Community, Nicholas Young

Journal of Social, Behavioral, and Health Sciences

Throughout history, research has depicted the notion that African Americans do not make use of mental health treatment, even when their mental health status may deem it clinically necessary. One of the most prevalent deterrents to African Americans seeking treatment is the mistrust of the medical system. In the African American community, medical mistrust has a longstanding history that stems from the discrimination, racism, lack of representation in the field, and medical mistreatment that African Americans received as test subjects by the medical community over time. Various instances, throughout history, of African Americans being unjustly treated— for the sake of …