Digital Commons Network^™

Environmental Citizenship And Behavioral Determinants Of Wind Farm Tourism: Evidence From Grass Skyline, Zhangjiakou, China, Danqing Liu, Leonardo Jackson, Randall S. Upchurch, Catherine Johnson

Plymouth Business School

This study examines the intersection of renewable energy and tourism by exploring why domestic tourists visit wind farm sites for recreation. Traditionally seen as industrial facilities, wind farms are now recognized as dual-purpose attractions that promote environmental awareness and local economic growth. Using the Value–Belief–Norm (VBN) theory, Theory of Planned Behavior (TPB), and New Environmental Paradigm (NEP) as theoretical lenses, we investigate the psychological, social, and cultural factors influencing wind farm tourism. The key determinants of tourist behavior include attitudes, subjective norms, perceived behavioral control, personal norms, and environmental beliefs. Structural equation modeling (SEM) indicates that personal norms have the …

Ai-Driven Biomedical Perspectives On Mental Fatigue In The Post-Covid-19 Era: Trends, Research Gaps, And Future Directions, Saba Parveen, Md Belal Bin Heyat, Umair Tariq, Faijan Akhtar, Hafiz Muhammad Zeeshan, Seth Christopher Yaw Appiah, Shang-Ming Zhou, Huang Lei

School of Nursing and Midwifery

Mental fatigue is a complex condition arising from various neurological processes and influenced by external factors such as stress and cognitive demands. This comprehensive review elucidates the primary neurological mechanisms underlying mental fatigue, particularly emphasizing how it was elevated or otherwise affected during the COVID-19 pandemic. We explore the intricate relationship between prolonged cognitive tasks, chronic stress, and the development of mental fatigue, emphasizing the impacts that mental fatigue has on mental health across diverse populations. Utilizing advanced artificial intelligence techniques, including machine learning and deep learning, this study identifies and quantifies the patterns of mental fatigue. The innovative approach …

The Problem Of Selective Miracles, Andrew Hronich

Liberty Theological Review

The problem of evil designates an umbrella of similarly related arguments linked together by family characteristics. Within this larger genus, the problem of selective miracles stands apart as a particularly underdeveloped species of argument that analytical and philosophical theologians have failed to adequately reckon with. By contextualizing this peculiar argument within an adequate metaethical framework, this article synthesizes a deontological framework with the elucidating work of John Peckham and his cosmic warfare theodicy. It further repudiates alternative approaches to the problem of selective miracles proffered by consequentialists and process theologians. In sum, the article contends that Peckham's cosmic warfare theodicy …

Washington Report: Single Level Of Appeals Gains Favor Within Irs; Aicpa To Survey Cpa Practitioners, Thomas R. Hanley, William R. Stromsem

Tax Adviser

No abstract provided.

Helping Bipoc, Women, And First-Generation Students Maximize The Value Of Unpaid Internships, Ted Thornhill, Nicole Torres, Christina Van Wingerden

Journal of Educational Research and Practice

Internships and practicums are a required component of nearly all degree programs in human services and its subfields—and most are unpaid. These unpaid positions often have a disproportionate impact for BIPOC and first-generation students, especially women—many of whom are economically disadvantaged and must work to support themselves and sometimes their families. Increased student activism, non-profit campaigns, and journalistic accounts show student frustration over their unpaid labor. Despite the righteousness of these students’ cause, the reality is that the implementation of an equitable, robust, and sustainable nationwide system of paid internships, in the near-term, is politically impracticable. Given that most human …

Building Climate Resilience: Community Gardens And Environmental Education In Christchurch, New Zealand, Caleb T. Mccauley

Capstone Collection

The socio-political movements in post-earthquake Christchurch are studied to better understand the interplay of community gardens, climate, environmental, and land-based education, and to analyze their relevance to entrenching climate resilience in the region. Social networks and community responses to natural disasters like an earthquake are leveraged to understand their ability to influence the pillars of climate resilience, those being community, economic, and ecological resilience, respectively. The central hypothesis and research question of this paper will seek to answer: Can social cooperation in the wake of a natural disaster influence the ability of a community to respond to similar disruptions caused …

Navigating Early Intervention: The Experiences And Impact Of A Parent Coaching Model On Immigrant And Refugee Families In Rural Massachusetts, Emily Pleasant

Capstone Collection

Early Intervention (EI) programs play a critical role in supporting the developmental needs of children from birth to age three. This study explores the experiences of immigrant and refugee families engaging with EI services in rural Massachusetts, focusing particularly on the implementation and effectiveness of parent coaching models. Utilizing a mixed methods design that incorporates both narrative and phenomenological approaches, the research examines how families from culturally diverse backgrounds perceive and engage with EI services. This study discusses what barriers or facilitators they encounter throughout their journeys with Early Intervention. Preliminary findings suggest challenges related to language, cultural differences in …

Educational Lifecycle: Transitioning From Undergraduate To Graduate-Level Expectations, Khalil A. Mrabe, Rosie Defeo, Arlenys Loffredo

Internet Journal of Allied Health Sciences and Practice

The World Health Assembly has recognized the current and future place of education, training, and development within their 2030 global strategy. While education in allied health professions continues to evolve, limited information is known about the challenges graduate students face when transitioning into these programs. In response to recent societal and educational shifts, a systematic review was conducted to explore the academic, psychological, social, and professional barriers affecting first-term allied health students. Utilizing the SPIDER framework along with searching across different platforms (Psychinfo, Web of Science, and ProQuest) to locate peer-reviewed studies published within the last five years. Forty-seven studies …

Learning To Treat The Whole Person: Assessing Spiritual Care Curriculum Inclusion At Faith And Non-Faith-Based Doctor Of Physical Therapy And Master Of Athletic Training Programs In Texas, Tricia Blalock, Heather Hudson, Andrew R. Meyer, Ryan Hebdon

Internet Journal of Allied Health Sciences and Practice

Purpose: Given the identified importance of assessing the spiritual domain of health as a component of cultural competence and holistic care in physical therapy and athletic training and the importance that their governing bodies have indicated that spiritual care should play in treating patients, this current study examined how faculty, at entry-level Doctor of Physical Therapy (DPT) and Master of Athletic Training (MAT) programs in Texas, perceive the importance and inclusion of spiritual dimensions of care in their programs. Methods: We disseminated an online, cross-sectional, mixed-methods survey to a total of 289 faculty members from a total of 27 programs …

Holistic Approach To Managing Grade 3 Vaginismus: An Obg Physiotherapy Perspective, Nagma Khan

Internet Journal of Allied Health Sciences and Practice

Background: Vaginismus is a condition characterized by involuntary pelvic floor muscle contractions, which can make vaginal penetration painful or impossible. This disorder has both physical and psychological components, often leading to significant emotional distress, anxiety, and relationship difficulties. Effective management requires a holistic, multidisciplinary approach, combining physical therapy with psychological support. This case report examines the treatment of a 29-year-old woman with grade 3 vaginismus, highlighting the role of Obstetrics & Gynaecology (OBG) physiotherapy in improving both physical symptoms and emotional well-being.

Case Presentation: A 29-year-old female presented with grade 3 vaginismus, with a history of severe pelvic floor tension …

The Impact Of Pet Therapy On Stress Reduction And Academic Performance Among Allied Health Students, Catherine Brock

Internet Journal of Allied Health Sciences and Practice

Purpose: Interest in pet therapy is increasing due to its potential to alleviate internal and external stress signs through the human-animal bond. This study investigates the effects of pet therapy compared to environmental and behavioral modifications on allied health students' stress levels and exam performance. Methods: We conducted an anonymized randomized intervention design with allied health students to compare perceived stress and test scores. Eighty-five students were randomly assigned to one of three intervention groups. We hypothesized that students who participated in pet therapy before their exam would report lower anxiety and achieve higher exam scores than those who received …

Integrating Neuroaesthetic Design Into Brain-On-Chip Research: Toward Enhanced Neural Engagement And Cognitive Accessibility, Piper Hutson, James Hutson

Faculty Scholarship

This study examines the potential for neuroaesthetic design and adaptive neurofeedback principles to enhance brain-on-chip (BoC) research, with an emphasis on optimizing neural engagement and cognitive accessibility for diverse populations. Existing BoC platforms have transformed neuroscience through high-fidelity modeling of neural circuits, yet cognitive accessibility and sensory inclusion remain comparatively underexplored. Drawing upon recent studies in neuroinclusion, multisensory interface design, and adaptive feedback, this work synthesizes findings from biophilic interface architecture, neurofeedback literature, and embodied cognition frameworks. The manuscript outlines a multidisciplinary research agenda that prioritizes sensory diversity and ethical considerations in the evolution of BoC systems. Instead of making …

Investigating Relationships Between Education Professionals' Trauma Histories And Causal Attributions For Students' Disruptive Behaviors, Christina D. Rodefeld

Theses and Dissertations

Using attribution theory as a theoretical framework, this mixed methods study investigated how education professionals reported and perceived the relationship between their histories of trauma and their attributions for disruptive student behavior. Participants completed four surveys to measure Adverse Childhood Experiences, adulthood trauma, COVID-19-related trauma, and causal attributions for disruptive behavior. Bivariate correlations between each of the trauma history datasets and causal attributions datasets were conducted to investigate these relationships. Two semi-structured interviews with six participants were also conducted and analyzed using deductive and inductive coding processes. Quantitative analyses found a statistically significant relationship between participants’ reported adulthood trauma amounts …

Team Resilience In The Nba: When Teams Fall Behind, Chloe M. Howell, Nadav Goldschmied

McNair Summer Research Program

National Basketball Association (NBA) games have become more volatile in scoring as the pace of the game has quickened and reliance on the three-point shot has increased. This research analyzes 20-point scoring deficits and the comeback abilities of NBA teams from an archival, as well as team resilience perspective, which is the ability of a team to deal with adversity. The collective experience of challenge by all team members is a process more complex to study than individual resilience due to the diverse interactions between teammates. Another aspect of this study is the context of locale or home versus away …

Immigrant Surveillance In San Diego During A Fascist Era, Jennifer L. Torres Leon

McNair Summer Research Program

The following qualitative study examines a new increase of technological surveillance used on immigrants by San Diego’s local law enforcement. Drawing from in-depth interviews of the San Diego Privacy Advisory Board and Trust SD, insights of technological related violations are sanctioned by the San Diego Police Department. This is done through ambiguous language regarding “criminal investigations” and lack of definitive use policy, despite several memorandums and recommendations by the SD Privacy Advisory Board. Present findings reveal a duality of immigrant surveillance instigating hyper-visible tracking and broadcasting an image of their criminality. This study contributes to scholarship or crimmigration and urban …

The Consequences Of Workplace Racial Discrimination: A Scoping Review, Yaritza A. Ortiz, Evelyn D. Sarsar

McNair Summer Research Program

Racial discrimination has been consistently associated with negative mental health outcomes among marginalized communities. Racial discrimination within the workplace has shown to be detrimental to mental well-being and behavioral outcomes, however, there is much less work investigating these links. Therefore, this scoping review aimed to understand the association between workplace racial discrimination and mental and behavioral health outcomes.

Empirical articles were identified using Google Scholar and PsycINFO. The extracted data included, design of the study, the number of participants, ethnicity or race, type of discrimination, mental or behavioral outcome, and the results produced by the data. For the final review, …

Implementation Of Medication Administration Education To Increase Medication Technician Knowledge And Confidence, Nicole C. Yan

Master's Projects and Capstones

Problem: Medication technicians have minimal formal training and education in medication administration. Insufficient knowledge and a lack of confidence present safety concerns, such as medication errors, which decrease the quality of patient care.

Context: The setting is an assisted living facility in the San Francisco Peninsula that provides around-the-clock patient care, promoting independence in a safe and home-like environment for 53 patients.

Interventions: The proposed intervention involves implementing a quality improvement (QI) project to educate medication technicians on medication administration safety. The educational sessions, completed in two in-person sessions, include a PowerPoint lecture, interactive case studies, and group discussion.

Measures: …

Empowering Medical-Surgical Nurses To Conquer Burnout: Building Resilience And Wellness, Catherine P. Morante

Master's Projects and Capstones

Problem: In the healthcare industry, nurse burnout is a well-documented issue that affects the well-being of both healthcare professionals and their patients. Burnout manifests as intense exhaustion, depersonalization, and diminished personal accomplishment (Okoniewski & Verni, 2024).

Context: Burnout affects patient outcomes and drives up costs (Dall’Ora et al., 2020). When nurses are overwhelmed, attendance is affected (Unpublished confidential document; 2024). Resilient nurses are essential to a healthy, reliable workforce (Unjai et al., 2024).

Interventions: From May to July 2025, a 12-week initiative was launched to reduce the effects of nurse burnout in the workplace. Evidence-based interventions were implemented, incorporating educational …

Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott

Master's Projects and Capstones

Abstract

Problem: A 2024 assessment at a 250‑bed Northern California medical center revealed that 76% of 16 inpatient nurse leaders met "high‑burnout" criteria on the Maslach Burnout Inventory, and leader turnover had climbed to 25%, more than triple national benchmarks, threatening patient care quality, financial stability, and alignment with Magnet® and employee engagement goals.

Context: Root causes included pandemic‑era promotions without development support, a task‑oriented leadership culture, and eroding psychological safety (Press Ganey engagement ≈ 30%). An integrative logic model positioned Watson's Caring Science as the theoretical base, Schön's Reflective Model for adaptive learning, and the Prosci ADKAR change framework …

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …

Perceptions Of Child–Adult Relationship Enhancement (Care) Training Usefulness For Educational, Behavioral, And Allied Health Professionals: Attitudes Toward Evidence-Based Practices, Julia L. Kiefer, Kristin J. Perry, Dustin E. Sarver, Emily-Anne S. Del Rosario, Lauren B. Quetsch

Psychiatry Publications

Child–Adult Relationship Enhancement (CARE) is an evidence-informed approach to promote positive child–adult relationships in youth with behavior problems or traumatic stress. Implementing CARE in community settings may extend accessibility to evidence-based practices (EBP) for children in underserved areas. The present study examined health professionals’ perceptions of CARE. Participants were 277 professionals from a statewide training initiative including early childhood educators (n = 178), allied health professionals (n = 48; speech, occupational, physical therapists), and behavioral health clinicians (n = 51) completing CARE training. Participants completed the Evidence-Based Practice Attitude Scale (Aarons (2004) Mental Health Services Research 6:61–74) …

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Greg S. Young, Tony Charman, Cherly Klaiman, Ami Klin, Natasha Marrus, Sally Ozonoff, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Jane E. Roberts

Faculty Publications

Importance Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification.

Objective To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD.

Design, Setting, and Participants This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Tony Charman, Cheryl Klaiman, Ami Klin, Natasha Marrus, Sally Ozonof, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Rebecca J. Landa, Daniel S. Messinger, Jane E. Roberts, Wendy L. Stone, Helen Tager-Flusberg, Amy N. Esler, Meghan Miller, Somer L. Bishop, Jed T. Elison

Faculty Publications

IMPORTANCE Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification. OBJECTIVE To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD. DESIGN, SETTING, AND PARTICIPANTS This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

From Bed To Table: Improving Outcomes By Encouraging Patient Mobility During Meals, Quyen Ho

Master's Projects and Capstones

Abstract

Background: Hospital-acquired pneumonia (HAP) is a preventable complication associated with increased morbidity, prolonged hospital stays, and elevated healthcare costs. Early mobility, particularly positioning patients out of bed for meals, is a key strategy to mitigate this risk. Problem: On a 42-bed telemetry unit, only 24% of eligible patients were positioned out of bed for meals. This low rate of mobility presented an opportunity to reduce the risk of HAP and improve patient outcomes. Interventions: This quality improvement initiative, guided by the Donabedian Model, employed a nurse-led intervention that included daily mobility assessments, visual bedside cues, and targeted staff education. …

Improving Intraoperative Antibiotic Stewardship To Reduce Surgical Site Infections: A Quality Improvement, Allyson Nichelle Heard

Doctor of Nursing Practice (DNP) Manuscripts

Purpose: Surgical site infections (SSIs) have been associated with poor pre-surgical incision antibiotic and intraoperative redosing practices and are the leading cause of postoperative readmissions and healthcare-acquired infections. A Quality Improvement (QI) project was developed to evaluate SSIs rates and pre-surgical incision antibiotic dosing and intraoperative redosing practices of anesthesia providers at a Level 1 trauma center in the Midwest. Methods: A pre- and post-intervention knowledge, attitudes, and practices (KAP) survey addressing intraoperative antibiotic stewardship was administered to 138 anesthesia providers. Interventions included education, a reference sheet, and a clinical pathway. Data analysis for surgical procedures involving anesthesia services, …

Enhancing Care Coordination And Expedited Appointment Scheduling By Structured Workflow Process In Oncology Clinics: A Quality Improvement Initiative, Jasmine Lassiter

Doctor of Nursing Practice (DNP) Manuscripts

Background and Significance: Delays in oncology appointment scheduling can negatively impact timely cancer treatment, care coordination, and patient outcomes. Inefficiencies often stem from inconsistent workflows, communication breakdowns, and limited visibility into provider availability, contributing to scheduling inaccuracies, and treatment delays (Fletcher et al., 2023; Johnson et al., 2020). Purpose: This quality improvement project aimed to implement and evaluate a structured workflow for expedited oncology appointment scheduling in an outpatient setting to improve scheduling accuracy, care coordination, and healthcare team vitality. Intervention and Implementation Plan: Guided by the Institute for Healthcare Improvement (IHI) Model for Improvement and the Johns Hopkins Evidence-Based …

The Implementation Of A Pilot Program On Puberty And Menstruation Education For Adolescent Females And Youth Development Specialists For A Gender-Specific Community Organization: A Quality Improvement Project, Cassandra Tavares

Doctor of Nursing Practice (DNP) Manuscripts

Background & Significance: Adolescent girls in the United States (U.S.) often lack adequate education and support regarding puberty and menstruation, despite the importance of this knowledge for healthy development (Schmitt et al., 2022). Only 21% of school systems serving ages 8–12 provide puberty education, and many educators feel unprepared to teach it (Schmitt et al., 2022). Purpose: This quality improvement project aimed to equip youth development specialists (YDS) at a community organization with a structured curriculum and educational tools to confidently educate adolescent females (ages 8–13) on the physical, emotional, and social aspects of puberty and menstruation. Intervention: A four-day …

Mca 10100 Oer/Ztc Syllabus, Daniel Gilmore

Open Educational Resources

This is a syllabus for the MCA 10100 Introduction to Media Studies course taught at City College in the Media & Communication Arts department. It is an OER & ZTC compliant syllabus.