Digital Commons Network^™

Male Partners' Experiences During Their Spouses' Menopausal Transition, Veronica Adwoa Agyare, Martha Yawa Benti, Martha Atiemo

International Nursing Research Congress (INRC)

Background: Menopause involves a range of physical, emotional, behavioural and physiological changes that may affect the quality of life of women and their partners. Usually, men endure in silence and seem invisible. Evidence shows a dearth of literature on men’s perspectives regarding their spouses’ menopause in Sub-Saharan Africa (Zhang et al., 2020; Matina et al., 2025). The study explored Ghanaian men’s experiences during their spouses menopausal transition.

Method: The study utilised an exploratory, descriptive qualitative approach to understand the phenomenon. Thirteen men living with wives experiencing menopause involved in the study based on information power. Interviews were conducted face-to-face and …

Predictors Of Choking In People With Schizophrenia In A Psychiatric Hospital: A Case-Control Study, Ying-Jyun Tsung, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Choking risks include advanced age, swallowing disorders, poor dental health, rapid eating, and large bites, especially in older adults and those with intellectual disabilities. Protective factors are adequate chewing and slower eating. More research is needed on psychiatric inpatients, especially those with schizophrenia.

Purpose: This study aimed to identify factors related to choking in psychiatric inpatients with schizophrenia.

Methods: A total of 250 participants were recruited from a psychiatric institution in Northern Taiwan. The case group comprised 50 high choking-risk participants, identified by a history of choking and a Choking Risk Assessment (CRA) score above 20 or a “Yes” …

Identification Of Positive Deviance In Forensic Nursing Practice, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Violence is a sustained global public health issue.¹ Forensic nurses (FNs) receive specialized education to apply nursing knowledge and skills within the intersection of the healthcare and legal systems, focusing on people who experience or perpetrate violence, trauma, abuse, and maltreatment.² Positive Deviance (PD) in nursing is intentional and honorable behavior that departs or differs from an established norm and contains elements of innovation, creativity, and/or adaptability; it also involves risk.³ These nurses practice differently and more effectively to provide patient-centered care.⁴ Although professional standards guide care and lay the groundwork for best practices, they are …

Emergency Reinfusion Of Vaginally Salvaged Red Cells After Vacuum-Assisted Vaginal Delivery In A Jehovah's Witness: A Case Report, William Hughes

Peninsula Medical School

Perinatal blood management is critical for all obstetric patients as peripartum haemorrhage is common, unpredictable, and consequences can be severe. Patients who do not consent to allogeneic transfusion of blood products introduce additional complexity and are at greater risk of morbidity and mortality. There is growing evidence that reinfusion of autologous blood salvaged from vaginal deliveries is safe and can be lifesaving. Delivering this potentially lifesaving care requires that staff well trained in intraoperative cell salvage are always resident on the delivery suite, and that the delivery suite multidisciplinary team is familiar with the procedure. Here we present a case …

Development And Evaluation Of Personalised Post-Diagnostic Dementia Support Based In Primary Care: The D-Pact Research Programme, Tomasina M. Oh, Hannah Wheat, Richard Byng, Sarah Morgan-Trimmer, Michael Clark, Sarah Griffiths, Paul Clarkson, Victoria Allgar, Angela Bate, Saqba Batool, Rebecca Beresford, Noor Butt, Joseph Coombes, Siobhan Creanor, Sonia Dalkin, Zoe Doran, Nicolas Farina, Leanne Greene, Alex Gude, Margaret Hart, Jane Horrell, Basharat Hussain, Wendy Ingram, Hannah Jones, Reena Lasrado, Tanya Lee, Baber Malik, Rosemarie Mccabe, Antonieta Medina-Lara, Nia Morrish

Peninsula Medical School

Background: Dementia affects nearly 1 million people in the United Kingdom and their unpaid carers physically, psychologically, socially and economically, highlighting that both need support. Post-diagnostic support is recognised as inadequate globally. In England, it is fragmented or absent apart from primary care – leaving many feeling unsupported as the condition progresses. The Dementia PersonAlised Care Team research programme began in 2018 to address evidence gaps on the effectiveness of dementia support roles and what constitutes ‘good’ support. Objective: Dementia PersonAlised Care Team aimed to develop and evaluate an intervention comprising dementia support workers based in primary care, supporting people …

Predictors Of Adverse Events After Emergency Transfers In Long-Term Care: A Secondary Analysis, Yu-Chi Chen, Yi-Ru Liao

International Nursing Research Congress (INRC)

Long-term care residents worldwide frequently require emergency medical care due to multimorbidity, frailty, and functional impairment. After returning to long-term care facilities, many experience rapid health changes, leading to preventable adverse events, reduced care quality, and safety concerns. Identifying predictors of such events is essential to inform risk stratification and proactive nursing surveillance in long-term care settings. This study aimed to examine predictors of adverse events after emergency transfers, using Taiwan as a population-level case context.

A secondary data analysis was conducted using medical records from 19 long-term care facilities in northern Taiwan between October 2022 and September 2023. A …

Sleep Quality Trajectories In Mothers And Fathers During The Postpartum Period, Shu-Yu Kuo, Hsin-Yi Lai

International Nursing Research Congress (INRC)

Purpose: Sleep disturbance is a common experience among families during the postpartum period and can impair parental adjustment and infant care. Few studies have examined sleep quality over time within a family dyad. This study aimed to investigate the sleep trajectories of mothers and fathers from the early postpartum period to three months postpartum

Methods: We conducted a prospective follow-up of mother-father dyads at 1 week, 1 month, and 3 months postpartum. Inclusion criteria were age ≥18 years and a singleton, full-term pregnancy; parents or infants with high-risk complications were excluded. Demographic and health information were collected using a structured …

Nurses' Perspectives On Parental Involvement In Infant's Pain Care In Neonatal Intensive Care Units, Danielle Sobers, Carol Mcnair, Marsha Campbell-Yeo, Fabiana Bacchini, Mariana Bueno

International Nursing Research Congress (INRC)

Hospitalized infants are frequently exposed to painful procedures with suboptimal pain care, which can negatively impact infants’ growth and development. Research has demonstrated the effectiveness of skin-to-skin care and breastfeeding for pain relief, highlighting the importance of parental involvement in pain care in intensive care. However, parental involvement for pain care is not yet standard practice. As nurses play a key role in neonatal and pain care, the goal of this study is to understand nurses’ needs to enable parental involvement in pain care.

Methods: This is a descriptive, cross-sectional, survey-designed needs assessment study. Nurses residing in Canada and working …

Preventing The Next Tragedy: Applying Root Cause Analysis (Rca) In A Military Suicide Event, Li-Ling Lin, Kai-Wen Li, Yun-Shih Lin

International Nursing Research Congress (INRC)

This study examines a near-miss suicide by a high-risk military patient in an acute psychiatric ward. Using Root Cause Analysis (RCA), latent errors in system design and communication were identified, guiding strategies to enhance patient safety and care quality.

Objective: The purpose of this study was to implement RCA in a military suicide event and improve the process of care in an acute psychiatric ward.

Methods: The RCA process involves identifying the problem, establishing a timeline, identifying the causes, creating a cause-and-effect diagram, and implementing strategies. We conducted personnel interviews and on-site walk to understand the operations and environment, reconstructing …

The Consequences Of Using Human Behavior To Train Ai, Lauren Treiman

McKelvey School of Engineering Graduate Student Theses & Dissertations

Artificial intelligence (AI) is now an integral part of everyday decision making. These systems not only help us make choices but also learn from our behavior. Therefore, it is important to understand how our interactions with AI influence these systems. Current approaches often assume that the behavior used to train AI accurately reflects how people would naturally behave. However, people are often informed that their choices will be used for AI training, and as a result, may change how they would normally act. In this dissertation, we combine psychological and computer science perspectives to investigate the consequences of this awareness. …

Jessica De Falco V. The State Of Nevada, 142 Nev., Adv. Op. 51 (Aug. 06, 2026), Umar Abdullah

Nevada Supreme Court Summaries

It is not a violation of separation of powers when a prosecuting attorney withholds consent to a jury trial waiver under NRS 175.011(1) because the state constitution protects both parties' right to jury trial.

Process From Noise: Erosion Threshold Variability And The Morphology Of Gravel-Bed Rivers, Robert Paul Kostynick

Arts & Sciences Graduate Student Theses and Dissertations

Rivers are remarkably consistent as their geometry, width, depth, and slope change systematically downstream in response to differences in fluid discharge and sediment transport throughout a channel. Rivers move both water and sediment through terrains that depend on these downstream geometric adjustments influencing water quality, ecology, infrastructure, channel morphology, and landscape evolution at increasing timescales respectively. Rivers thus influence all aspects of life and define our spatial landscapes that shape boundaries, whether physical, politically, or socially. Nevertheless, a river is dynamic and does not adhere to human-defined boundaries, making it vital that we understand how these features change over time …

Chitinase Variants Establish Environmental Inflammatory Lung Conditioning, Yilin Wang

Arts & Sciences Graduate Student Theses and Dissertations

Environmental particulate exposure contributes to the severity and persistence of numerous acute and chronic lung diseases, including asthma, viral pneumonia, acute respiratory distress syndrome, and pulmonary fibrosis. Chitin, a highly abundant environmental polysaccharide present in fungi, insects, and mites, is continuously encountered at mucosal barrier surfaces and functions as an immunostimulatory particulate substrate within the respiratory tract. Acidic mammalian chitinase (AMCase; CHIA) is an evolutionarily conserved mammalian enzyme that degrades chitin-containing particles and regulates inflammatory responses at barrier tissues. Common human CHIA polymorphisms reduce AMCase enzymatic activity and are associated with asthma susceptibility; however, the physiologic consequences of these variants …

Hematopoietic Stem And Progenitor Cell Reprogramming During Breast Cancer Progression Promotes Myeloid-Biased Hematopoiesis, Emily Maria Eul

Arts & Sciences Graduate Student Theses and Dissertations

Breast cancer progression is associated with systemic immune dysregulation characterized by the expansion of immunosuppressive myeloid populations that promote tumor progression, metastasis, and resistance to therapy. However, the mechanisms that sustain pathological myeloid expansion remain incompletely understood. In particular, it remains unknown whether solid tumors functionally reprogram hematopoietic stem and progenitor cells (HSPCs) to drive enhanced myeloid output and if bone-derived signals can regulate tumor-associated hematopoietic remodeling. In murine models of primary and metastatic breast cancer, tumor progression induced the remodeling of the hematopoietic compartment, characterized by the expansion of HSPCs, enhanced myeloid differentiation, and systemic accumulation of myeloid populations. …

Programming Of The Pre-B Cell Checkpoint And Maintenance Of B Cell Development By Dna Damage Responses, Haley Schmidt

Arts & Sciences Graduate Student Theses and Dissertations

During early B cell development, the stepwise arrangement of the B cell receptor (BCR) by immunoglobulin (Ig) gene recombination defines developmental stages and coordinates checkpoints for differentiation. Early pre-B cells express an incomplete version of the BCR, referred to as the pre-BCR, which signals clonal expansion and additional Ig rearrangements. These cellular programs are essential for B cell development and are carried out in a highly regulated fashion during the pre-B cell checkpoint. Clonal expansion defines the strictly proliferative large pre-B cell stage, while Ig rearrangements occur exclusively in small pre-B cells. Signaling in pre-B cells must carefully orchestrate cessation …

Lessons Learned For The Independent Panel For Evidence For Action Against Amr From Previous International Science Panels: Stakeholder Views From The 2025 Lagos Workshop, Iruka N. Okeke, Anthony Mcdonnell, Ayodele A. Akinyele, Javier Guzman, Kevin Outterson

Faculty Scholarship

In September, 2024, the UN General Assembly assigned the Quadripartite Joint Secretariat on Antimicrobial Resistance (AMR) the task of establishing an Independent Panel for Evidence for Action against AMR (IPEA). To promote stakeholder views and input around the constitution and functioning of this Panel, which could feed into the Quadripartite Joint Secretariat’s consultation process, we independently commissioned seven papers to examine the lessons that could be learned from other high-level scientific panels. We then convened 85 stakeholders, primed with the background papers. The Workshop, held in Lagos, Nigeria in April, 2025, drew representation from around the world, particularly low-income or …

Anthony T. Dipietro ’98 Establishes Perpetual $1 Million Scholarship Fund At New York Law School In Honor Of His Mother Carmen Dipietro, New York Law School

NYLS Community News

No abstract provided.

``But What About Me?'': A Structural Redesign For Cascading Trust Into An Integrated Culture Of Care, Hazelin Hei Laam Ngan

Patient Experience Journal

In healthcare, patient experience (PX) and employee experience (EX) are often managed as separate priorities despite their interdependence. This article presents a case study from NYC Health + Hospitals/Community Care, a 250-person safety-net division providing home-based services across New York City. In response to frontline staff repeatedly asking, ``But what about me?'' when offered PX best practice suggestions, the organization integrated patient experience, staff engagement, and wellness into a unified Care Experience portfolio led by the Chief Experience Officer. From this structural redesign emerged a practical framework for trust-building organized around three pillars: Purpose, Presence, and Partnership. Purpose aligns staff …

Building A Culture Of Trust: Engaging Teams With Targeted Tactics For Meaningful Improvement In Patient Experience, Anna Buckner, Kimberly Lewis

Patient Experience Journal

Rising financial pressures and the need to revitalize culture prompted a renewed emphasis on patient experience at Billings Clinic. This case study describes the impact of redefining patient experience as a measure of trust and a set of care processes. It presents an alternative to the more traditional view of patient experience as an outcome metric based on meeting patient expectations. Billings Clinic chose the patient survey question likelihood of recommending as an organizational goal or key performance indicator (KPI). Under the direction of executive leadership, the patient experience team developed a new strategic framework aimed at driving improvement for …

Plan Of Day | Plan Of Stay: How Inter-Disciplinary Communication Improved Patient Experience And Hospital Throughput, Theresa Jean Dionne, Felicia Hurst, Danna Qunibi, Lauren Lazar, Sydney Mccurdy, Ashlyn Coenraad, Brittney Ward, Whitney Black, Ashley Nelson, Judd Salem, Luisa Restrepo

Patient Experience Journal

Background: Effective communication among healthcare team members is critical for delivering high-quality, patient- and family-centered care while optimizing hospital operations. This case study examines the implementation of a structured ``Plan of Day | Plan of Stay'' model, leveraging bedside whiteboards to enhance inter-disciplinary communication in a pediatric hospital setting. By providing a clear, visual summary of daily care plans, care team members, and discharge goals, whiteboards foster transparency, empower patients and families, and facilitate coordinated clinical decision-making. Purpose: This quality improvement initiative evaluated the implementation of a standardized Plan of Day | Plan of Stay communication model on a pediatric …

Patient Psychological Safety: A Qualitative Study Of Patient Experiences, Derick R. Simmons, Cheryl Rathert, Ryan Valayil, Maria Joseph, Ibraheem Jawadi

Patient Experience Journal

There is growing interest in understanding patients' experiences with psychological safety during healthcare encounters. Recent studies reveal that patients describe needing patient psychological safety (PPS) to form connections with their care providers, which are associated with better health outcomes. Therefore, it is critical to examine indicators of PPS. Using a phenomenological interpretive approach, this study utilized a patient narrative survey methodology to qualitatively explore how and why patients experience a lack of PPS during their healthcare encounters. We surveyed patients from across the U.S. and analyzed responses among a sub-sample of respondents to an open-ended question whose responses indicated they …

Patient-Centred Care: An Integrated Bibliometric And Structural Equation Modelling Approach, Japheth Nuhu Ahmed

Patient Experience Journal

This study investigates how communication and service quality in Patient Relationship Management impact patient satisfaction through trust. The literature in this field is predominantly in developed countries, whereas it is scarce in sub-Saharan Africa. Combining bibliometric analysis and structural equation modelling, the study highlights emerging research trends and provides empirical evidence to guide healthcare practitioners, policymakers, and researchers in improving patient care. To strengthen its theoretical foundation, the study integrates the Social Exchange Theory and Expectancy–Disconfirmation Theory to explain the model. The study retrieved quantitative data from the Scopus database for bibliometric analysis. A questionnaire was used to collect data …

From Anticipation To Relief: Anxiety Reduction And Patient Experience As Indicators Of Trust During Dental Extractions In Orthodontic Treatment, Kanza Tahir, Mubassar Fida, Rashna Hoshang Sukhia

Patient Experience Journal

Trust is central to healthcare encounters involving fear and uncertainty. This quasi-experimental study evaluated changes in anxiety before and after dental extractions performed during orthodontic treatment planning and examined whether patient experience factors were associated with post-extraction anxiety. Fifty patients aged 11–40 years undergoing fixed orthodontic treatment requiring extraction were recruited consecutively at a tertiary care hospital from October 2023 to June 2024. Anxiety was measured immediately before and after extraction using the Beck Anxiety Inventory. Post-procedure patient experience was assessed with a structured questionnaire addressing reassurance, communication, privacy, shared decision-making, perceived understanding, and overall experience. Paired t-tests and simple …

Self-Medication Experience And Healthcare Trust Among Youth: A Regionally Concentrated Digital Survey In Indonesia, Wahyudi Wahyudi, Azra Muzaiyana Nasution, Arini Dwi Rahmadani, Alysa Rahmadani Hasibuan

Patient Experience Journal

Self-medication has become a central experience for youth transitioning toward independent medical decision-making. In the digital era, young people must navigate a complex landscape of health information while seeking independent health solutions. This study investigates self-medication experiences and healthcare trust among youth, utilizing a regionally concentrated digital survey approach in Indonesia. Data were collected via a cross-sectional approach using digital platforms (Instagram, TikTok, and Twitter/X), facilitated by 76 trained enumerators. While respondents from all 38 provinces participated, the sample (N = 2,790) exhibits a major geographical concentration in the Sumatra region. The study employed a validated 16-item instrument to evaluate …

Trust Earned Through Relational Care: How Adverse Childhood Experiences Shape Patient Trust In Their Inpatient Physicians—A Convergent Mixed-Methods Study, Marlise Jeanne Pierre-Wright, Ibrahim Badreldin Mokhtar, Uma Thachapuzha, Yashoswini Chakraborty, Revika Singh, Rachel O'Conor, Jing Song, Julia Lee, Maria E. Theodorou, Christine Schaeffer, Kimberly Collins, Muriel Jean-Jacques

Patient Experience Journal

Background: Adverse childhood experiences (ACEs) are common, with approximately 60% of the population reporting at least one exposure. Despite well-established links between ACEs and adverse health outcomes, little is known about how ACE exposure shapes hospitalized patients' trust in inpatient physicians. Objective: To examine the association between ACEs and hospitalized patients' trust in inpatient physicians and to explore how trust is formed among patients with high ACE exposure. Methods: In this convergent mixed-methods study, 86 patients admitted to a general internal medicine teaching service at a large urban academic medical center were surveyed across six data-collection sessions (January–July 2024). Participants …

Navigating Uncertainty: Patient Experiences Of Birads 0 Mammogram Results, Petranea Smith, Jasmine Warren, Marina Demas, Roberta Goldman, Joanne E. Wilkinson

Patient Experience Journal

Objective: Describe experiences of patients receiving BIRADS 0 (inconclusive) mammogram results in electronic health portals. Methods: Recruited eighteen patients who had received BIRADS 0 results via the portal in the last 5 years.Semi-structured interviews yielded qualitative data, analyzed sequentially using the immersion crystallization method to identify content and then iterative coding both individually and in groups. A team of 4 researchers coded and analyzed the transcripts, using repeated meetings and a shared spreadsheet to organize codes and develop thematic elements via visual organization. Results: Themes included baseline comfort/trust with healthcare and how it interacted with anxiety about the uncertainty of …

From Hospital To Home After Lower-Extremity Open Reduction And Internal Fixation: Patients' Experiences Of Pain Self-Management And Trust-Building Discharge And Follow-Up Support, Sahrudi Sahrudi, Achmad Fauzi Kamal, Masfuri Masfuri, Kasiyah Junus

Patient Experience Journal

After lower-extremity open reduction and internal fixation (ORIF), patients often return home while pain, wound care, mobility restrictions, medication routines, and follow-up needs are still evolving. During this transition, trust in discharge information may shape how patients interpret symptoms, use analgesics, mobilise, involve family members, and decide when to seek help. This qualitative descriptive study explored patients' experiences of pain self-management after lower-extremity ORIF in an Indonesian public hospital context, with attention to trust-building needs across discharge and early follow-up. Eighteen adults participated in individual face-to-face semi-structured interviews at an orthopaedic outpatient clinic. Interviews were audio-recorded, transcribed verbatim, and analysed …

Nurses' Perceptions Of Medical Services In Acute Care Hospitals In The Post-Covid-19 Era, Yoko Nakano, Tomoya Yokotani, Rika Nakajima, Hidemi Yoshii

Patient Experience Journal

Purpose: This study aimed to clarify nurses' perceptions of healthcare services in acute care hospitals. Methods: A cross-sectional, anonymous, web-based questionnaire was conducted using SurveyMonkey. Participants were selected using convenience sampling. The survey included questions about the participants' basic attributes and the 22-item M-SERVQUAL scale (a modified multiple-item scale for measuring consumer perceptions of medical service quality). Data analysis involved age-based comparisons using the Kruskal–Wallis test, followed by multiple comparisons using the Bonferroni method. The significance level was set at p < 0.01. Results: The survey was distributed to 1,542 participants, yielding 566 valid responses, with an effective response rate of 36.7%. …

Pathways To Patient-Provider Conflict In Nigeria: A Structural Equation Model Of Expectations, Communication, Trust, And Organizational Constraints, Akaninyene O. Unaam, Christie Divine Akwaowo, Edidiong A. Unaam

Patient Experience Journal

Objective: This study empirically investigated the drivers of patient-provider conflict and tested a conceptual model linking treatment expectations, communication, trust, and organizational constraints to conflict intensity in Nigerian tertiary care. Methods: A cross-sectional survey of 400 patients (response rate 82.3%) and 150 healthcare providers (response rate 71.2%) from three Nigerian tertiary hospitals was conducted using stratified random sampling. Validated, culturally adapted scales measured unrealistic treatment expectations, communication barriers, organizational constraints, trust, and conflict intensity. Data were analyzed using Structural Equation Modeling (SEM) with maximum likelihood estimation and bootstrapping for mediation testing. Multi-group confirmatory factor analysis established measurement invariance across samples. …

Centering Community Voices To Address Healthcare Inequities In Underserved Utah Populations, Karishma Shah, Jazmine Abril, May Shaaban, Silvia Soule, Sonia Sehgal, Rawad Farhat, Jeannette Villalta, Oreta Tupola, Valentine Mukundente, Cathy Wolfsfeld, Ivana Holiday, Walter Watchman, Carrie Olvera, Lauren Gleave, Kamaile Tripp, Alexander Sperber, Rita Osborn

Patient Experience Journal

Persistent disparities in health outcomes across the United States are often driven by systemic inequities and social determinants of health. In Utah, these inequities are particularly pronounced among racially, ethnically, and geographically underserved populations. Community healthcare workers (CHWs) who share lived experiences with these communities are uniquely positioned to bridge the gap between patients and a fragmented healthcare system. This study aimed to explore how underserved communities in Utah perceive and interact with the healthcare system, centering their lived experiences to inform more equitable care models. We conducted eight focus groups with 73 participants from six medically underserved communities: African …