Digital Commons Network^™

Health Information Orientation, Social Support, And Diabetes Self-Care Behavior Among Indian Adults: The Roles Of Education And Self-Efficacy, Yam Limbu, Devon Johnson, C. Jayachandran, Christopher J. Mckinley, P. Raghunadha Reddy

College of Communication and Media Scholarship and Creative Works

This study examines the direct and indirect influences of health information orientation and social support on diabetes self-care behavior through self-efficacy and the moderating role of education on such indirect effects. Data were collected from Indian adults with type 2 diabetes using a self-administered questionnaire. Results suggest that self-efficacy fully mediates the link between health information orientation and diabetes self-care behaviors. In addition, social support is directly related to self-care behaviors and indirectly through self-efficacy. This indirect association was stronger among patients with higher education compared with those with a lower level of education. The results offer several public health …

Examining Public Responses To Transgressions Of Ceos On Youtube: Social And Semantic Network Analysis, Jin A. Choi, Sejung Park

College of Communication and Media Scholarship and Creative Works

In what was labeled the "nut rage" incident, the vice president of Korean Air, Hyun-Ah Cho (Heather Cho), demonstrated behavior that exemplifies corporate transgression and deviation from societal moral standards toward a flight attendant aboard a flight. Such behavior instigated the public to express negative sentiment on various social media platforms. This study investigates word-of-mouth network on YouTube in response to the crisis, patterns of co-commenting activities across selected YouTube videos, as well as public responses to the incident by employing social and semantic network analysis. A total of 512 YouTube videos featuring the crisis from December 8, 2014 through …

Facilitating Appropriate Clergy Response To Abuse Among Parishioners In The Wisconsin Conference Of Seventh-Day Advetnists, Nicholas S. Moore

Doctor of Ministry Projects

Problem

Clergy are frequently the initial point of contact for parishioners seeking guidance and counseling on various life issues and challenges. In certain instances, these matters may be linked to physical and/or sexual abuse, either directly or indirectly. Many clergy have not had the opportunity to receive training on recognizing the signs, symptoms, prevalence, causes, and effects of abuse, or on how and when to refer individuals to specialists or law enforcement when abuse is suspected. This can lead to inadequate emotional and spiritual healing at best, and further psychological damage at worst, for parishioners, with effects that may last …

A Strategy To Equip Selected Members Of The Gaeta Church To Build Bridges With Immigrants To Draw Them Toward The Fellowship Of The Congregation, Rebecca Kessewa Gaisie

Doctor of Ministry Projects

Problem

Due to the outbreak of a civil war in Libya in 2011, Italy has been experiencing a great influx of immigrants. Many are scattered throughout Italy, including Gaeta. A majority of the Italian members of Gaeta Church do not understand and engage in the call of God to bring all people into the fellowship of the church. This causes a lack of interest in building bridges to reach immigrants.

Method

The task of this project was to develop, implement, and evaluate a strategy to equip some members of Gaeta church to build bridges with immigrants to draw them toward …

Spiritual Care For Staff During Trauma And Acute Stress At Adventist Healthcare, Sydney: An Ethnographic Study, Stenoy Stephenson

Doctor of Ministry Projects

Problem

Health Care is evolving from an exclusive concentration on the physical dimension of illness to a more holistic model which considers the psychosocial and the spiritual. There seems to be a growing need for the spiritual care of the staff who have experienced trauma and acute stress. Although the need for spiritual care in health care services has been largely advocated, there is arguably a lack of attention to the spiritual care needs of staff dealing with traumatic situations and acute stress. The task of this project is to develop, implement, and evaluate spiritual care intervention with staff who …

Self-Care Through Clinical Pastoral Education For Emotional Healing Of Pastoral Staff In The United States: A Case Study For Exploring Relationships, Roberto Vizcaino

Doctor of Ministry Projects

Problem

I have observed that many pastors are suffering from problems experienced in the past and in the present. The problems are both personal (e.g., lack of self-care and depression) and national (e.g., lack of support for social recovery from hurricanes and other natural and socioeconomic catastrophes). Some of the problems experienced by these pastors are because they have not had the opportunity to identify the traumas they experienced in their lives and that still affect them now. In addition, many of them do not have a place where they can share their problems with their colleagues, be heard, supported, …

A Mindfulness Self-Compassion Huddle Initiative For Emergency Room Nurses, Shannon R. Nelson

Electronic Theses and Dissertations 2020 - Present

This quality improvement initiative aimed to improve levels of compassion satisfaction (CS), burnout, and secondary traumatic stress (STS) among Emergency Room (ER) nurses. This project was implemented during shift huddles in a busy urban city ER. Adopted from a previous study conducted by authors Tripathi and Mulkey in 2023 where the authors incorporated mindfulness-based self-compassion (MBSC) exercises based on the teachings of Christopher Germer and Kristin Neff (2019). The authors discovered a significant improvement in Professional of Quality of Life (ProQOL-5) scores in CS, burnout, and STS when MBSC was implemented (Tripathi & Mulkey, 2023). The project was implemented over …

Enhancing Maternal Mental Health: A Quality Improvement Project To Increase Postpartum Depression Screening, Phabrina Richemond-Etienne

Electronic Theses and Dissertations 2020 - Present

Background: Postpartum depression (PPD) remains a significant public health concern, often leading to adverse outcomes for both mothers and infants. The Edinburgh Postnatal Depression Scale (EPDS) is a validated screening tool that can facilitate early identification and timely referral for mental health services. At the community partner’s Health Department, low referral rates for mental health services among postpartum mothers underscored the critical need for a systematic and effective approach to screening and referral. Methods: Electronic health record (EHR) data from January to August were reviewed to assess baseline referral rates before EPDS implementation. After the introduction of EPDS screening in …

Reducing Missed Appointments In Primary Care: A Three-Pronged Approach, Juliette Mercadante

Electronic Theses and Dissertations 2020 - Present

Missed appointments disrupt care continuity, delay diagnoses, and decrease revenue in primary care settings. This quality improvement project at Meadow Clinic aimed to reduce no-show rates through evidence-based interventions targeting identified barriers such as forgetfulness, scheduling conflicts, and transportation issues. Participants included 72 patients with a history of missed appointments, who were surveyed to identify their preferences and challenges for adhering to office visits. The project used Jean Watson’s Theory of Human Caring and the Plan-Do-Study-Act framework (Appendix A) to guide the design and implementation of interventions: enhanced telehealth integration, personalized multi-modal reminders, and patient education on digital health tools. …

Insomnia Management Via Smartphone Delivered Cognitive Behavioral Therapy, Elisa Ereckson

Electronic Theses and Dissertations 2020 - Present

The purpose of this quality improvement initiative was to improve sleep quality and reduce insomnia severity in individuals diagnosed with insomnia. This project was completed with 11 total participants, in which smartphone-delivered cognitive behavioral therapy for insomnia (i.e., CBT-I Coach) was utilized four or more days out of the week. The project spanned the course of six weeks. Insomnia severity was measured using the Insomnia Severity Index (ISI) and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The General Self- Efficacy Scale (GSE) was also utilized to evaluate participants general self-efficacy. Questionnaires were administered pre and post …

Patients With Diabetes: Increasing Identification And Referral For Common Mental Health Issues, Anastasia M. Lunina

Electronic Theses and Dissertations 2020 - Present

Diabetes is one of the fastest-growing global health emergencies of the 21st century (IDF, 2021), with over 37 million Americans currently living with the condition (CDC, 2023). People with diabetes are at increased risk for mental health disorders such as diabetes distress, depression, and anxiety, which can worsen disease outcomes (ADA, 2021; Nouwen et al., 2019). These comorbidities heighten the risk of complications, hospitalizations, and mortality (Egede et al., 2010). However, a notable gap exists in primary care providers’ ability to address mental health concerns in this population (Jones et al., 2021). This Quality Improvement (QI) project aimed to enhance …

Implementing Kdigo Guidelines Into Primary Care Practice, Oniel D. Laucella

Electronic Theses and Dissertations 2020 - Present

Chronic kidney disease (CKD) affects millions globally, often remaining undiagnosed until reaching advanced stages. Early detection, especially in high-risk populations such as those with diabetes, hypertension, or a family history of CKD, is critical for improving outcomes (National Kidney Foundation, 2020). Diabetes is the leading cause of CKD, followed by hypertension, and screening for microalbuminuria is an effective, low-cost method for early detection. This Doctor of Nursing Practice (DNP) project sought to improve healthcare providers' knowledge, attitude, and practices (KAP) regarding CKD screening and management by implementing newly released Kidney Disease: Improving Global Outcomes (KDIGO, 2024) clinical practice guidelines in …

Using A Caring-Based Follow-Up Phone Call Protocol To Improve Appointment Adherence In A Mental Health Setting, Daphney Valbrun

Electronic Theses and Dissertations 2020 - Present

Telemedicine is a more beneficial technology that can make it easier for people to get preventive treatment and help their long-term health. Missed appointments are detrimental to clients’ health, create scheduling problems, reduce productivity, increase healthcare costs, cause revenue loss, and diminish access to adequate healthcare for clients who could have been seen in the unused appointment slots. Non-adherence to medication is another area of concern associated with poorer prognosis and incremental differences in treatment cost. By examining the efficacy of telehealth services in maintaining treatment adherence among ethnic minority populations, this project aimed to shed light on how digital …

Evidence-Based Program Evaluation Of A Primary Care Weight Loss Plan, Joy L. Mowett-Fuller

Electronic Theses and Dissertations 2020 - Present

This evidence-based program evaluation assesses the effectiveness and patient adherence to a structured weight loss intervention at a local primary care clinic. The program targeted 21 adults, aged 27-60, with BMI ≥ 27 kg/m², many of whom faced cardiovascular risks. Over nine months, participants engaged in a program combining semaglutide injections, dietary guidance, behavioral counseling, and regular physical activity. Baseline and follow-up measures at three, six, and nine months evaluated outcomes alongside self-reported quality of life assessments. The results demonstrated significant reductions in BMI and weight (p < 0.01, CI: 95%), with participants reporting increased confidence and self-efficacy. The findings underscore the effectiveness of a nurse-led, compassionate primary care approach to weight management. Recommendations include extending follow-up periods and integrating demographic considerations (education, race, culture) to enhance adherence and long-term success. This evaluation provides actionable insights for clinic and broader healthcare contexts, with plans for dissemination through faculty presentations, publications, and local and national conferences.

The Impact Of Routine Scripted Follow-Up Phone Calls On Missed Appointments And Patient Satisfaction, Tracian Kelly

Electronic Theses and Dissertations 2020 - Present

This QI project assessed the effectiveness of scripted follow-up telephone calls in improving patient satisfaction and reducing no-show rates at my project site. This project aimed to identify whether maintaining caring-based communication patterns could produce patient involvement and clinic functional efficiency improvements using a pre- and post-intervention design. This study presents qualitative data collected from 13 patients before and after the intervention, which involved receiving scripted monthly phone calls. The results showed that although patient satisfaction scores remained stable, it was impossible to attribute the improvement fully. The mean satisfaction scores increased from 6.33 before the intervention to 22.54 and …

Participation In A Mindfulness Program To Improve Non-Motor Symptoms For Individuals With Parkinson’S Disease, Randi B. Loomis

Electronic Theses and Dissertations 2020 - Present

This project aimed to address the challenge of managing non-motor symptoms in individuals with Parkinson’s disease (PD) through a mindfulness-based intervention. Non-motor symptoms, including mood disturbances, cognitive impairments, and urinary issues, significantly impact the quality of life and are often overlooked in clinical practice. The mindfulness program demonstrated statistically significant reductions in UPDRS Part I scores post-intervention (t(4) = 5.31, p < .01), highlighting improvements in emotional and cognitive symptoms. NMSS data revealed Mood/Cognition and Urinary domains as key areas of concern, further emphasizing the need for targeted interventions. Participants reported enhanced mood, relaxation, and social connection, identifying these as the most valued aspects of the program. Recommendations include expanding access to mindfulness classes, offering tiered options for diverse skill levels, and integrating the program into standard Parkinson’s care. As a Doctor of Nursing Practice (DNP) )-led initiative, this project underscores the critical role of DNPs in implementing evidence-based, patient-centered interventions to address complex healthcare challenges.

Enhancing Palliative Care Referrals For Primary Care Patients With Noncommunicable Diseases, Nadia Marcellus

Electronic Theses and Dissertations 2020 - Present

Timely identification of palliative care needs in primary care is pivotal in improving patient outcomes and quality of life for individuals with chronic or life-limiting illnesses. Conversely, delayed recognition of these needs frequently results in missed opportunities for early intervention and comprehensive care planning. This quality improvement (QI) project focused on implementing the Supportive and Palliative Care Indicators Tool (SPICT) to enhance early identification and referral to palliative care within a primary care setting. The initiative sought to bridge care gaps by providing structured educational sessions to three medical doctors and five nurse practitioners. Participants received training on the SPICT …

Unleashing The Potential: The Impact Of Biophilic Office Design On Enhancing Employee Productivity, Asmaa Elantary

Mansoura Engineering Journal

The observed landscape influences people in numerous ways, including aesthetic appreciation, health, and well-being. The evidence of health benefits associated with viewing those landscapes has proven exceptional value. A comprehensive review of papers on landscapes and sound effects on health was conducted. According to a growing body of evidence, exposure to visible landscapes positively affects one's health and fitness. The most pressing social and economic challenge now is increasing worker productivity, attracting, and retaining exceptionally talented employees, and improving overall employee performance. This will not happen unless companies provide a safe, comfortable, and stimulating work environment; this will not happen. …

Establishing A Quantitative Assessment Tool For Biophilia In Healthcare Facilities, Sara Moustafa Fouda, Mohanad Ali Fouda

Mansoura Engineering Journal

This study aims at developing a novel assessment tool that can quantitatively evaluate the level of biophilia integration in healthcare facilities. The developed assessment tool helps to address the difficulty of biophilia quantification in the built environment due to the broad nature of the biophilia concept. The methodological approach for the tool depends on employing biophilic design patterns as a basis for biophilia, where these patterns are correlated to a group of biophilia-related features of the WELL Building Standard. This correlation is attained through a list of Integrated Design Guidelines (IDGs) that is proposed to act as an intermediate ground …

Enhancing The Perception Of Public Urban Spaces Via Place-Making: Martyrs' Square And Selected Locations In El-Gaish Street Case Study, Vert Kamal Ramzy, Nanees Abdel Hamid Mohamed Ali Elsayyad, Lamis Saad El-Din El-Gizawi

Mansoura Engineering Journal

Trust be told that urban spaces have generated a lot of controversy in recent years. The major issues that I will address in this paper are transformations in the urban environment affected by different appearances due to economic and social changes that shape their meaning through human interactions for creating a social life. With the emergence of modern architecture and planning patterns, urban spaces have become the focus of researchers for study and analysis to determine the best destination.

This paper aims to present place-making as an approach to strengthening the perception of public urban spaces and, consequently, its impact …

Vertical Farming: A Key To Sustainable Compact Cities, Mohab Taher Abdelfatah, Sahar Mahmoud El-Arnaouty, Akram Abdelhakim Zayan

Mansoura Engineering Journal

Urbanization continues to surge, with projections indicating that by 2050, around 70 percent of the global population will reside in urban areas. In response, urban planners are exploring novel urban paradigms to ensure food security through urban agriculture, a cornerstone of sustainable development encompassing environmental, economic, and social dimensions. This study addresses a critical research gap within urban agriculture, conducting a comparative analysis between horizontal and vertical farming methodologies within urban contexts. By categorizing various typologies of vertical farming, from container farms to mixed-use structures, this research highlights their distinct contributions to sustainable urban development. Emphasis is placed on vertical …

The Dark Side Of Category Expansion: Will Existing Ones Pay The Price?, Qi Yu, Ron Berman, Eric Bradlow

Research Collection Lee Kong Chian School Of Business

Many retailers that manage product assortments believe that “more is better”. We challenge this conventional wisdom by demonstrating that a retailer may face more price-sensitive demand for existing categories after a category expansion. While introducing a new category to a store may increase the demand for the existing ones, this increase sometimes suggests a movement towards the steeper part of the demand curve and an increase in price sensitivity. We build a model of multi-category purchases with transportation costs and generate a series of theoretical predictions of the changes in price sensitivity after category expansion. We then estimate the model …

Quantifying An Inconvenient Truth : Revisiting A Culture Of Adjustment On Work/Rest Hours, Bikram S. Bhatia, Raphael Baumler, Maria Carrera-Arce, Michael E. Manuel, Inga Bartuseviciene

Reports

No abstract provided.

Effects Of The Covid-19 Crisis On Seafarers And Shipping, Raphael Baumler, María Carrera-Arce, Johan Hollander, Magnus Broström, Karolina Stark

Reports

The report is a testament to the remarkable resilience of the ships and port interface, and the adaptability of port workers and seafarers during the COVID-19 crisis. It also brings to light the vulnerabilities and trends within the sector. The ability of these workers to manage the shockwave ensured that trade flow continued, sustaining the world. However, this period had severe impacts on their livelihoods, starkly highlighting the industry’s inadequate consideration of its human element and the rapid pace of digitalization. The research employed a unique combination of quantitative and qualitative approaches to explore and cross-validate information. This included an …

Cultural Capital And Underdevelopment In Less Developed Countries: The Case Of Northern Ghana, Jonas Quashie Klutsey, Kwadwo Adusei-Asante, Victor Fannam Nunfam

Research outputs 2022 to 2026

Development paradigms under the sustainable development goals (SDGs) identify cultural capital as an indispensable asset for development in less developed countries. However, the phenomenon of culture and underdevelopment nexus has attracted little research attention in Ghana. The study used modernization theory and ethnographic research methodology to explore the role of cultural capital deficits in northern Ghana's underdevelopment. Our findings suggest a close correlation between cultural capital and underdevelopment relative to unethical attitudinal standards, value deficits, and an anti-development mindset. We recommend the inclusion of cultural reorientation in the design of development intervention programs to uphold high integrity standards. We further …

Eastern Australian Farmers Managing And Thinking Differently: Innovative Adaptation Cycles, David K. Mckenzie, Janine Joyce, Kerstin K. Zander, Penelope A.S. Wurm, Kim M. Caudwell

Research outputs 2022 to 2026

The uncertainty of climate change is a significant challenge prompting Australian farmers to create different thinking and different management systems that ensure sustained farm business viability and continuity, particularly in extreme environments. The purpose of this study was to explore the conditions and adaptive processes for managing farm resilience and cyclic adaptation pathways, in response to climate change. A positive deviance sample of farmers was interviewed, and data was collected from a cohort of twenty-two climate change innovators across Eastern Australia. Grounded theory analysis of data identified three processes and two transactional maps of climate change adaptation, in this under …

Are We Talking About The Same Thing? The Case For Stronger Connections Between Graduate And Worker Employability Research, Jos Akkermans, William E. Donald, Denise Jackson, Anneleen Forrier

Research outputs 2022 to 2026

Purpose and approach: This article presents the case for creating stronger connections between research on graduate and worker employability. We offer a narrative review of commonalities and differences between these research streams and offer thoughts and suggestions for further integration and mutual learning. Findings: We outline some of the main theories and concepts in the graduate and worker employability domains. Furthermore, we analyze how these show considerable overlap, though they have barely connected with each other yet. We also formulate an agenda for future research that would spur stronger connections between the fields. Finally, we turn to our fellow authors, …

Physical Restraint In Older People: A Statement From The Early Career Network Of The International Psychogeriatric Association, Mustafa Atee, Claire V. Burley, Victor A. Ojo, Agboola J. Adigun, Hayoung Lee, Daniel J. Hoyle, Olufisayo Elugbadebo, Tomas Leon

Research outputs 2022 to 2026

The International Psychogeriatric Association (IPA) has expressed significant concerns over the use of physical restraints in older people across diverse aged care settings. Following an extensive analysis of the available literature, the IPA's Early Career Network (ECN) has formulated a collection of evidence-based recommendations aimed at guiding the use of physical restraints within various care contexts and demographic groups. Physical restraints not only infringe upon human rights but also raise significant safety concerns that adversely impact the physical, psychological, social, and functional well-being of older adults. Furthermore, their effectiveness in geriatric settings remains inadequate. Given these considerations, the IPA and …

Does Intrauterine Exposure To Diabetes Impact Mental And Motor Skills? A Meta-Analysis Of The Bayley Scales Of Infant Development, Diana Arabiat, Mahammad Al Jabery, Lisa Whitehead

Research outputs 2022 to 2026

Background: Attempts to conduct meta-analyses of the association between child development and diabetes have been limited by the wide range of tools and definitions of developmental outcomes used in the literature. We aim to meta-analyze a widely used measure of child development, the Bayley Scales of Infant Development, with respect to exposure to diabetes and developmental scores. Methods: PsycINFO, MEDLINE/PubMed, EMBASE, Emcare, and Google Scholar databases were searched. Two independent reviewers screened, extracted, and quality-appraised the studies using JBI SUMARI software. Forest plots were created with the standardized mean difference using the random-effects model, and heterogeneity was assessed using I2. …

Personal Values, Subjective Wellbeing, And The Effects Of Perceived Social Support In Childhood: A Pre-Registered Study, Patricia R. Collins, Joanne Sneddon, Julie A. Lee

Research outputs 2022 to 2026

Personal values are broad motivational goals that have been found to have systematic relations with subjective wellbeing in adults. Values that promote higher subjective wellbeing are considered healthy while those that hamper it are considered unhealthy (Schwartz & Sortheix, 2018). However, little is known about these relations in children. This pre-registered study examined (1) whether the values of children (6 to 12 years of age) relate to their subjective wellbeing and (2) whether these relations are moderated or mediated by perceived social support from parents, teachers, classmates, and close friends. These research questions were examined with a sample of 738 …