Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 8881 - 8910 of 793908

Full-Text Articles in Entire DC Network

The Library As A Partner In Wellness: A Curated Resource Collection For Medical Students, David Stewart May 2026

The Library As A Partner In Wellness: A Curated Resource Collection For Medical Students, David Stewart

Posters

Medical education involves intense stress; 82% of students experience high distress, facing higher rates of burnout and mental illness than the general population2,3. This is often attributed to a medical culture prioritizing technical efficiency over humanistic care1 . Medical libraries are uniquely positioned to bridge this gap, as students perceive them as safe, confidential communal spaces2 . Despite this, only 18% of U.S. medical libraries currently offer dedicated wellness resources2 . To address this, Narrative Medicine, the engagement with patient stories, has emerged as one way to foster narrative competence1 . These interventions improve clinical connections and self-perspective, helping students …


All Or Nothing: How Relationship Volatility Can Lead To Disordered Eating Habits, Hibah Ali May 2026

All Or Nothing: How Relationship Volatility Can Lead To Disordered Eating Habits, Hibah Ali

Student Scholar Symposium Abstracts and Posters

Emotional eating remains one of the most prevalent yet overlooked coping mechanism among adolescents and young adults. A 2025 meta-analysis reported a 44.9% global prevalence of emotional eating among overweight and obese individuals, calling attention to this growing public health concern. Among the many factors contributing to this trend, the quality of one’s intimate relationships is a crucial influence on overall health. With a focus on heterosexual relationships, manipulative behaviors such as love-bombing can trigger feelings of shame and rejection, which can then lead to individuals seeking control over other aspects of their lives. Grounded in Emotional Regulation Theory, this …


Posttraumatic Symptoms As Predictors Of Engagement With A Mobile App For Coping After Military Sexual Trauma: Public Usage Data Analysis Study, Shilpa Hampole, Shannon Mccaslin-Rodrigo, Valerie Carr, David Schuster, Sofia Reyes, Sarah Senti, Kelly M. Ramsey, Jason E. Owen, W. Christopher Skidmore, Amy E. Street, Katherine Taylor, Margaret Anne Mackintosh May 2026

Posttraumatic Symptoms As Predictors Of Engagement With A Mobile App For Coping After Military Sexual Trauma: Public Usage Data Analysis Study, Shilpa Hampole, Shannon Mccaslin-Rodrigo, Valerie Carr, David Schuster, Sofia Reyes, Sarah Senti, Kelly M. Ramsey, Jason E. Owen, W. Christopher Skidmore, Amy E. Street, Katherine Taylor, Margaret Anne Mackintosh

Faculty Research, Scholarly, and Creative Activity

Background: Military sexual trauma (MST) can have significant adverse effects on mental health and well-being, often leading to posttraumatic stress disorder (PTSD) symptoms and maladaptive beliefs. Although effective psychotherapies exist, stigma, confidentiality concerns, and systemic barriers often hinder help-seeking among service members and veterans. Mobile mental health apps offer an accessible and anonymous support alternative, potentially addressing such barriers. However, app effectiveness depends on user engagement and emerging evidence suggests that engagement may be shaped by symptom severity. Objective: This retrospective observational study aimed to explore the relationship between posttraumatic symptom severity and user engagement with Beyond MST (US Department …


Perspective On Speech Therapy, Aac Devices, And Community Support: A Case Study Of A Caregiver Of An Adult With Down Syndrome, Ella Harris May 2026

Perspective On Speech Therapy, Aac Devices, And Community Support: A Case Study Of A Caregiver Of An Adult With Down Syndrome, Ella Harris

Honors College Theses

For someone with a disability such as Down syndrome (DS), they often present with deficits in speech and language. These individuals typically require a caregiver for their physical, mental, and social needs, and their caregiver also often serves as their primary communication partner. This study explored caregiver perspectives on how they facilitate communication including their experiences with speech therapy services, augmentative and alternative communication, and community communication supports. A caregiver of an adult with DS participated in a structured interview to discuss their experiences as a caregiver for an individual with complex communication needs. The data from the interview was …


Leveraging Artificial Intelligence (Ai) To Strengthen Mtss Within Catholic Schools, Kaitlin D. Reichart, Adam B. Lockwood, Jessica Pizzute (Kukura) May 2026

Leveraging Artificial Intelligence (Ai) To Strengthen Mtss Within Catholic Schools, Kaitlin D. Reichart, Adam B. Lockwood, Jessica Pizzute (Kukura)

Education: School of Education Faculty Publications and Other Works

Many Catholic schools face resource challenges that result in limitations surrounding the implementation of multi-tiered systems and support (MTSS). Artificial intelligence (AI) offers a potential tool for Catholic schools to strengthen systems of support. This article provides a conceptual analysis regarding opportunities for AI to strengthen core components of MTSS, such as identifying evidence-based interventions, developing progress monitoring tools, analyzing student data, and facilitating personalized instruction. The article also discusses the challenges and limitations of leveraging AI within Catholic schools, specifically when supporting staff and students. Although the article is focused on US contexts, there are conceptual implications that may …


A Content Analysis Of Emotional Valence And Engagement In Youtube Comments, Lydia Britton '27 May 2026

A Content Analysis Of Emotional Valence And Engagement In Youtube Comments, Lydia Britton '27

Student Research

This study investigated the relationship between YouTube comment participation and emotional valence. We hypothesized that highly negative-valenced comments would generate higher engagement (likes and replies), based on prior research showing that emotionally intense content drives interaction. Fifty comments from ten popular videos across five categories (shopping, music, gaming, news, and sports) were analyzed using linguistic indicators (language and emojis) and intensifiers (capitalization, exclamation points, profanity). Each comment was assigned a dominant valence and a Likert scale rating. Engagement was measured by likes per view and replies per view. Results showed a negative correlation between emotional valence and replies. Despite trending …


Cloud-Deployed Rna-Seq Analytics For Identifying Imaging And Therapeutic Targets In Chemotherapy-Induced Toxicities, Zhimu Wang May 2026

Cloud-Deployed Rna-Seq Analytics For Identifying Imaging And Therapeutic Targets In Chemotherapy-Induced Toxicities, Zhimu Wang

McKelvey School of Engineering Graduate Student Theses & Dissertations

Chemotherapy has significantly improved cancer survival rates; however, many anticancer agents induce severe acute and chronic side effects that substantially reduce patient quality of life and limit therapeutic efficacy. Despite their clinical importance, the molecular mechanisms underlying chemotherapy-induced toxicities across different organs remain incompletely understood, in part due to the lack of integrated, scalable, and accessible analytical platforms capable of synthesizing large transcriptomic datasets across tissues and experimental models.

This thesis describes the development of a cloud-deployed RNA-seq analytics platform designed to identify candidate imaging biomarkers and therapeutic targets associated with chemotherapy induced toxicities. The platform integrates large-scale transcriptomic datasets …


Motivating Lung Cancer Screening Uptake: An Experimental Test Of Didactic Versus Narrative Messages For Lung Cancer Screening Among Individuals Who Currently Smoke Or Formerly Smoked, Honor M. Woodward May 2026

Motivating Lung Cancer Screening Uptake: An Experimental Test Of Didactic Versus Narrative Messages For Lung Cancer Screening Among Individuals Who Currently Smoke Or Formerly Smoked, Honor M. Woodward

USF Tampa Graduate Theses and Dissertations

Lung cancer is the number one cause of cancer-related death in the United States and worldwide. Lung cancer screening with low-dose computed tomography (LDCT) has been associated with a 20% reduction in lung cancer-related mortality. Despite the obvious benefits of lung cancer screening with LDCT, screening is heavily underutilized compared to other cancer screening tests. Thus, it is critically important to develop strategies that help motivate screening uptake among eligible individuals. This study explored the effectiveness of narrative messages for motivating lung cancer screening uptake among individuals eligible for lung cancer screening who currently smoke or formerly smoked. Drawing from …


Exploring North Carolina’S Teen Pregnancy Prevention Initiative In Rural Communities, Annie Belle Perry May 2026

Exploring North Carolina’S Teen Pregnancy Prevention Initiative In Rural Communities, Annie Belle Perry

Walden Dissertations and Doctoral Studies

No abstract provided.


From Demolition To Digital: Using Virtual Reality To Interpret Hamilton House, Hannah R. Miller May 2026

From Demolition To Digital: Using Virtual Reality To Interpret Hamilton House, Hannah R. Miller

Graduate Final Projects

This master’s project investigates the potential of digital reconstruction as a tool for documenting and interpreting demolished historic resources, using Hamilton House as a case study. Employing a mixed-methods approach, the research integrates archival analysis with digital modeling to recreate the spatial context of the house. By grounding the digital model in historical evidence, this study examines how virtual reconstruction can be used to interpret social relationships, patterns of use, and lived experiences that are not fully captured through traditional means of documentation. This project also considers the interpretive implications of reconstructing using fragmentary historical data, addressing the possibilities and …


Spectator 2026-05-07, Editors Of The Spectator May 2026

Spectator 2026-05-07, Editors Of The Spectator

The Spectator

No abstract provided.


Exploring The Impact Of Ungrading On Student Engagement And Motivation In A First-Year Composition Class, Mary B. Gruis May 2026

Exploring The Impact Of Ungrading On Student Engagement And Motivation In A First-Year Composition Class, Mary B. Gruis

Dissertations, Theses, and Projects

This study investigated the association between student engagement, motivation, and self-efficacy in college-level writing-intensive courses using an ungraded approach. Motivated by disillusionment with traditional grading methods and inspired by texts on equitable grading and culturally responsive teaching, the researcher explored how ungrading could foster deeper learning and equitable educational practices. Grounded in Bandura’s (1997) self-efficacy framework, this qualitative case study examined the lived experiences of first-year composition students at a two-year institution. Data collection included student interviews, student reflections, and an instructor interview. The analysis revealed themes aligned with self-efficacy, engagement, and motivation, suggesting that ungrading positively impacted students' perceptions …


Building Preschool Teacher Confidence In Understanding Student Accommodations By Implementing The Multi-Tiered Systems Of Support (Mtss) Framework, Heather Briese May 2026

Building Preschool Teacher Confidence In Understanding Student Accommodations By Implementing The Multi-Tiered Systems Of Support (Mtss) Framework, Heather Briese

Dissertations, Theses, and Projects

Abstract

The overall goal of this paper is to highlight the crucial role that educators have with student development. Educators' knowledge and the ability to implement High-Leverage Practices (HLPs), Evidence-Based Practices (EBPs), and providing the Mutli-Tiered Systems of Support  (MTSS) are essential for student growth through effective student accommodations. This paper will examine how these practices can be implemented to support students in both academics and socially-emotionally. In order for early childhood educators to be successful in providing student support they need to have a comprehensive understanding of High-Leverage Practices (HLPs), Evidence-Based Practices (EBPs), Mutli-Tiered Systems of Support (MTSS) and …


Zoo U: An Emotional Wellness Intervention Case Study, Georgia B. Reemts May 2026

Zoo U: An Emotional Wellness Intervention Case Study, Georgia B. Reemts

Dissertations, Theses, and Projects

The purpose of this project was to evaluate the effects of Zoo U, a digital game-based social-emotional learning (SEL) intervention, on a third-grade student's self-control and peer relationship skills. Zoo U focuses on teaching social skills by providing practice opportunities through a virtual simulation that mimics realistic school scenarios, targeting 6 core skill areas: communication, cooperation, emotion regulation, empathy, impulse control, and social initiation. The student participant received the intervention service once each week for nine sessions. Progress monitoring measures included student self-report direct behavior ratings (DBR), observational DBR reporting from the student’s classroom teacher, and Zoo U activity reports. …


Investigating The Relationship Between Student Nurse Perceptions Of Faculty Caring Interactions And Their Reported Professional Quality Of Life, Lynette A. How May 2026

Investigating The Relationship Between Student Nurse Perceptions Of Faculty Caring Interactions And Their Reported Professional Quality Of Life, Lynette A. How

Dissertations, Theses, and Projects

Abstract

Burnout and compassion satisfaction in academic clinical contexts are critical dimensions of professional quality of life (ProQOL) in nursing education, yet their influence on student perceptions of faculty caring remains underexplored. Guided by Watson’s Theory of Human Caring and a social constructivist lens, this quantitative, cross-sectional correlational study examined relationships between nursing students’ self-reported professional quality of life and perceptions of faculty caring interactions. Data were collected from 207 prelicensure nursing students enrolled in practical, associate, and baccalaureate programs at two Midwestern institutions. Two validated instruments were employed: the Professional Quality of Life Scale – Short Version (Short ProQOL) …


Effects Of Natural And Urban Soundscapes On Affective States And Concentration In Educational Settings, Ahmad Rusdi, Fani Eka Nurtjahjo, Mutiara Sari, Elmira Syamsa Musliha, Hasya Nadhira, Rahmanisa Maharani, Gladys Marisca, Aisyah Raihana Azzah May 2026

Effects Of Natural And Urban Soundscapes On Affective States And Concentration In Educational Settings, Ahmad Rusdi, Fani Eka Nurtjahjo, Mutiara Sari, Elmira Syamsa Musliha, Hasya Nadhira, Rahmanisa Maharani, Gladys Marisca, Aisyah Raihana Azzah

Journal of Environmental Science and Sustainable Development

Although environmental noise has been extensively studied, limited research has compared the differential effects of natural and urban soundscapes on psychological outcomes. This pilot study examined the impact of urban and natural soundscapes on students’ concentration and affective responses. A pre–post experimental design with two groups was implemented, involving 12 undergraduate participants (aged 18–24 years) with equal gender representation. Concentration was measured using the polyshape board, which was preliminary validated in this study, while affective states (pleasantness and arousal) were assessed using the Affect Grid Scale (AGS) before and after exposure. Given the limited sample size and the ordinal data, …


Perceived Principal Influence Tactics And Early-Tenure Teacher Status, Vanessa Perez-Peterson, Christopher Benedetti May 2026

Perceived Principal Influence Tactics And Early-Tenure Teacher Status, Vanessa Perez-Peterson, Christopher Benedetti

School Leadership Review

Teacher staffing stability remains a persistent challenge for schools, particularly during the early years of teachers’ placement. This study examined whether teachers’ perceptions of principal influence tactics were associated with early-tenure status, defined as 0–3 years at their current campus. Guided by influence tactics theory, a quantitative, cross-sectional design was employed using survey data from 167 certified teachers in Southeastern Texas. Participants completed the Influence Behavior Questionnaire–General (IBQ-G), and composite indices of noncoercive, soft-coercive, and hard-coercive tactics were included in a logistic regression model, along with teacher and principal demographic variables. None of the three influence-tactic categories was significantly associated …


Mind Over Measure: The Role Of Self-Care Practices In Mitigating Mental Health Strain Among K-12 Educators, Jerry Burkett, Ryan Hulla May 2026

Mind Over Measure: The Role Of Self-Care Practices In Mitigating Mental Health Strain Among K-12 Educators, Jerry Burkett, Ryan Hulla

School Leadership Review

Teacher mental health is a critical concern in K-12 education, with high rates of burnout demanding effective protective strategies. This study investigated the relationship between five dimensions of teacher self-care (Physical, Psychological, Emotional, Spiritual, and Professional) and overall mental health outcomes, while specifically exploring differences between elementary (K-5) and high school (9-12) educators. A sample of K-12 teachers completed the Mental Health Inventory (MHI-5) and the Self-Care Inventory. Correlational analysis found that all five self-care dimensions were significantly and positively associated with mental health, with Professional Self-Care demonstrating the strongest link (r=.48, p


Principals’ Questioning Practices As Drivers Of Innovation And School Improvement, Miguel M. Gonzales, Tiberio Garza, Elizabeth Leon May 2026

Principals’ Questioning Practices As Drivers Of Innovation And School Improvement, Miguel M. Gonzales, Tiberio Garza, Elizabeth Leon

School Leadership Review

The art of asking questions plays a pivotal role in leadership and organizational change. This study examined the questioning practices of school principals for school improvement. The Discovery Skill of questioning, as illustrated in the Innovator’s DNA Framework outlined by Dyer and colleagues (2019), was adopted as the guiding framework. Data were gathered with a survey with open-response items from 124 school principals on their questioning behaviors for school improvement. Findings showed principals’ questioning from the qualitative investigation confirmed that most principal questioning habits resided in the description territory within the Innovator’s DNA Framework context. The findings suggest that school …


Dictionary Of A Vietnamese-American* Borderland, Ngọc Hải Nguyễn '26 May 2026

Dictionary Of A Vietnamese-American* Borderland, Ngọc Hải Nguyễn '26

Senior Scholarly and Creative Symposium

This project, composed of a contextualising research paper and an autoethnographical writing creative component, explores the conceptualisation of Anzaldúa's (2021) borderlands by applying to the author's own experience as a Vietnamese-native student growing up along multiple cultural points of inquiry (primarily the American culture). The core research question of this paper is What does it mean to be at the crossroads of many cultures? In the research paper, the author first contextualises the current discourse on borderlands, along with a justification for their usage of storytelling as a mode of inquiry. The author implements a framework theorised through Loveless (2019) …


The Prosecution Of Nicolás Maduro, Jose Manuel Vanegas May 2026

The Prosecution Of Nicolás Maduro, Jose Manuel Vanegas

NSU Undergraduate Law Journal

This paper examines the complex legal and political issues that came from the capture of Nicolás Maduro by United States authorities, an event that has generated controversy in both domestic and international legal debate. It begins by providing the necessary background of Maduro’s rise to power, his role as president, and the broader political and economic conditions of Venezuela under his administration. The paper then analyzes the criminal charges brought against him in U.S. federal court, including allegations of narco-terrorism, conspiracy to import cocaine, and related offenses tied to alleged collaborations with transnational criminal organizations. Building on this foundation, the …


Merely Bystanders: Understanding And Overcoming The "Appalling Silence Of The Good People”, Catherine A. Sanderson May 2026

Merely Bystanders: Understanding And Overcoming The "Appalling Silence Of The Good People”, Catherine A. Sanderson

Heroism Science

This article reviews classic and contemporary research on the psychological processes that contribute to silence and inaction in the face of problematic behavior. In ambiguous situations, people look to others for cues, but mutual hesitation can result in collective inaction. In group contexts, diffusion of responsibility reduces people’s sense of obligation to intervene, decreasing the likelihood that help is offered. Additionally, fears of social and professional costs—such as rejection, ostracism, or reputational harm—discourage speaking up, reflecting a broader human sensitivity to social pain. The article concludes by outlining evidence-based strategies for overcoming bystander inaction, including skills-based training, opportunities for practice, …


Communication Competency And Intercultural Adaptation Of Multinational Company Leaders In The Local Cultural Context, Andi Kurniawati S.E., M.M., Dr. Fuad Mas'ud , Mir May 2026

Communication Competency And Intercultural Adaptation Of Multinational Company Leaders In The Local Cultural Context, Andi Kurniawati S.E., M.M., Dr. Fuad Mas'ud , Mir

International Conference on Business and Management Research (ICBMR)

This study discusses the role of intercultural communication competencies of leaders in the context of multinational companies in Indonesia. The background is a multicultural global business landscape, where the ability to communicate across cultures is key to organizational success. The objectives of this research are to identify the forms of intercultural communication competencies that emerge in interactions between foreign leaders and local employees, to explore leaders' communication adaptation strategies in the Indonesian cultural context, and to analyze how local cultural dimensions such as high communication context, power distance, and collectivism influence the effectiveness of leadership and communication styles of multinational …


System And Method For Relational Matching Using Non-Presentational Behavioral Signals With Pre-Exposure Bilateral Model Correction, Joseph Jm Walker May 2026

System And Method For Relational Matching Using Non-Presentational Behavioral Signals With Pre-Exposure Bilateral Model Correction, Joseph Jm Walker

Defensive Publications Series

This disclosure establishes prior art for a computer-implemented system and method for privacy-first, values-aligned relational matching and community formation. The system is defined by a fixed operational sequence: private reflection, behavioral observation, simulated interaction modeling, bilateral correction, and conditional identity revelation. Behavioral modeling is performed on non-presentational behavioral signals—user-generated data produced in the absence of a perceived audience—thereby reducing incentive for strategic self-representation and mitigating data distortion common in existing social and dating platforms.

A Behavioral Pattern Recognition Engine (BPRE) generates compatibility distributions grounded in established relational research frameworks. A Simulation and Correction Interface (SCI) presents interpretive models of potential …


Involuntary Medication Administration Review: A Historical Look At New Jersey Psychiatric Law And Its Significance, Casey Burke, Joon Min Chun D.O., Ramya Kommidi D.O., Salvatore Montana Messina D.O. May 2026

Involuntary Medication Administration Review: A Historical Look At New Jersey Psychiatric Law And Its Significance, Casey Burke, Joon Min Chun D.O., Ramya Kommidi D.O., Salvatore Montana Messina D.O.

Rowan-Virtua Research Day

The legal and ethical evolution of involuntary psychiatric medication in New Jersey has been shaped through the landmark legal cases Rennie v. Klein and Brandt v. Monte. To this effect, this poster explores how each case shaped state hospital policy and the balance between patient autonomy and clinical judgment. Rennie v. Klein (1978) established a constitutional right for involuntarily committed patients to refuse psychotropic medication, except in emergencies or with due process safeguards. Decades later, Brandt v. Monte (2006) exposed flaws in New Jersey’s administrative procedures—particularly Administrative Bulletin 78-3—which permitted coercive practices under the guise of emergency treatment and lacked …


Premenstrual Disorders In Females With Neurodevelopmental Conditions: A Systematic Review, Akhila Archakam, Nikhila Archakam, Harshal Parmar, Wesley Kim May 2026

Premenstrual Disorders In Females With Neurodevelopmental Conditions: A Systematic Review, Akhila Archakam, Nikhila Archakam, Harshal Parmar, Wesley Kim

Rowan-Virtua Research Day

Background: Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are prevalent conditions associated with substantial functional impairment and psychiatric morbidity. Symptoms are driven by heightened sensitivity to cyclical fluctuations in estrogen and progesterone rather than absolute hormone levels. Individuals with neurodevelopmental conditions, particularly attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), may exhibit altered neurobiological and emotional regulation pathways that increase vulnerability to these hormonal changes; however, this relationship has not been systematically synthesized.

Methods: A systematic review was conducted in accordance with PRISMA guidelines. PubMed, Embase, and Cochrane CENTRAL were searched from 2000–2026 for studies evaluating associations between ADHD, …


Evaluation Of Possible Suicide Attempt And Treatment Of Chronic Serotonin Syndrome: A Case Report, Lalitya Karra, Colin Villarin May 2026

Evaluation Of Possible Suicide Attempt And Treatment Of Chronic Serotonin Syndrome: A Case Report, Lalitya Karra, Colin Villarin

Rowan-Virtua Research Day

No abstract provided.


In Patients With Acne Vulgaris, How Do Standard Acne Treatments Combined With Adjunct Microbiome-Targeted Therapies Compare To Standard Acne Treatments Alone In Affecting Clinical Outcomes?, Sree Gowri Sudharshan May 2026

In Patients With Acne Vulgaris, How Do Standard Acne Treatments Combined With Adjunct Microbiome-Targeted Therapies Compare To Standard Acne Treatments Alone In Affecting Clinical Outcomes?, Sree Gowri Sudharshan

Rowan-Virtua Research Day

Background: Acne vulgaris is a very common chronic skin condition that occurs when hair follicles become clogged with oil, dead skin cells, and bacteria. Nearly 50 million Americans are affected annually, and it usually occurs around puberty. Due to rising antibiotic resistance and unwanted side effects to current mediations, emerging research on the role of skin and gut microbiome in acne development is of interest.

Hypothesis: Adjuvant microbiome-targeted therapies may offer better clinical outcomes than standard acne treatments alone.

Methods: Literature search performed in PubMed and Embase using keywords related to acne vulgaris, microbiome-targeted therapies, and targeted acne treatments. Of …


Faith, Science, And Choice: Vaccine Attitudes Among Religious University Students, Jamie Jensen May 2026

Faith, Science, And Choice: Vaccine Attitudes Among Religious University Students, Jamie Jensen

ScholarsArchive Data

These data comprise a Q-methodology study conducted at Brigham Young University among undergraduate students to determine vaccine attitudes in relation to religious and political ideologies. It includes raw sort data, templates for running Q-methodology, and interview transcripts.


Stress First Aid: A Foundation For Creating Healthy Work Environments, Richard J. Westphal May 2026

Stress First Aid: A Foundation For Creating Healthy Work Environments, Richard J. Westphal

Creating Healthy Work Environments (CHWE)

Burnout is not the failure of an individual to cope; it is the expected response to working in unbalanced systems where demands exceed resources.1 Traditional self-care resilience strategies that include a range of mindfulness and physiological are important individual skills but are not sufficient to address the intensity and duration of occupational stress in health care.2 Health workers (HCW) face chronic exposure to fatigue, trauma, loss, and moral distress. These four sources of stress injury can have an independent or cumulative effect that negatively impact patient quality and safety, individual team members well-being, team cohesion, and organizational trust. …