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 135301 - 135330 of 5150686

Full-Text Articles in Entire DC Network

The Relationships Among Childhood Abuse, Neglect, Household Dysfunction, And Adult Anxiety: The Moderating Effect Of A Trusted Adult, Jennifer Marie Cobb Sep 2025

The Relationships Among Childhood Abuse, Neglect, Household Dysfunction, And Adult Anxiety: The Moderating Effect Of A Trusted Adult, Jennifer Marie Cobb

Doctoral Dissertations and Projects

This study investigated the relationships between the three types of adverse childhood experiences (ACEs), (abuse, neglect, and household dysfunction) and adult symptoms of anxiety, according to the Generalized Anxiety Disorder-7 (GAD-7) scale. Beyond examining the bivariate relations of each ACE type with adult anxiety, this study also investigated if having at least one supportive adult in childhood moderated the relationships. The sample consisted of 213 adults recruited online who completed an anonymous survey containing the ACE Questionnaire, the GAD-7, a question regarding the presence of a trusted adult, and demographics. Hierarchical multiple regression tested the relationships of each ACE subtype …


The Lived Experiences Of Micu Nurses During The Covid-19 Pandemic: A Qualitative Study, Thomas Hopkins Sep 2025

The Lived Experiences Of Micu Nurses During The Covid-19 Pandemic: A Qualitative Study, Thomas Hopkins

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the lived experiences of MICU nurses during the COVID-19 pandemic and how these experiences may inform disaster preparedness in the nursing curriculum. This research is guided by Watson’s (1979) theory of human caring. The theory emphasizes the importance of interpersonal relationships and emotional support in nursing practice, and how these elements can be integrated into disaster preparedness training. Using interpretive phenomenological analysis, data were collected through semi-structured interviews, field notes, and guided journaling. The interviews were conducted via digital conferencing software over the internet. Field notes were recorded during the interviews. …


The Covid-19 Pandemic And College Students' Experiences: A Phenomenological Study, Mervin L. Davis Sep 2025

The Covid-19 Pandemic And College Students' Experiences: A Phenomenological Study, Mervin L. Davis

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore and comprehend the lived experiences of college students at North Carolinian colleges and universities during the interruption and transitions of studies amid the COVID-19 pandemic. This research used qualitative inquiry design and employed Schlossberg’s transition theory to guide the study. Schlossberg’s transition theory correlates with this research and phenomenological exploration because it underscores the varying abilities and incapacities of students to persist through their studies during challenging circumstances. The setting for this research was North Carolinian higher education institutions within Mecklenburg County which boast 17 colleges and universities within a 50-mile …


Non-Opioid Alternatives For Chronic Non-Cancer Pain Management In The Elderly: A Provider’S Perspective, Okey Iloegbunam Sep 2025

Non-Opioid Alternatives For Chronic Non-Cancer Pain Management In The Elderly: A Provider’S Perspective, Okey Iloegbunam

Doctoral Dissertations and Projects

Chronic non-cancer pain is a major public health problem in the United States. The use of opioids for chronic non-cancer pain treatment has a negative impact on the quality of life of the elderly. This study aimed to explore non-opioid alternatives for chronic pain management in the elderly. It aims to explore the perspectives of pain practitioners at My Pain Center in Tucson, Arizona, in choosing non-opioid alternatives for chronic pain treatment. The study aimed to explore the factors that influence pain practitioners’ prescribing habits and how to replace opioids in treating chronic non-cancer pain in the elderly. This study …


Engaging The Hindu Community Of Loudoun County, Va With The Gospel Of Jesus Christ: An Evangelism Course For Telugu Christian Fellowship Church, Ravinder Rufus Bhimanpalli Sep 2025

Engaging The Hindu Community Of Loudoun County, Va With The Gospel Of Jesus Christ: An Evangelism Course For Telugu Christian Fellowship Church, Ravinder Rufus Bhimanpalli

Doctoral Dissertations and Projects

This Doctor of Ministry project addressed the lack of effective evangelism toward the Hindu community by the Telugu Christian Fellowship Church (TCFC) in Ashburn, Virginia. Located 35 miles from Washington, D.C., TCFC serves a suburban congregation of approximately 300 members, with an average weekly attendance of 250. The church is located in Loudoun County, one of America’s most diverse and affluent regions, home to over 44,000 Asian Indians and an estimated 18,000 Hindus. Despite this, the church’s outreach efforts had remained scattered and underdeveloped. Most church members lacked cultural sensitivity, feared offending them, or simply lacked the confidence to engage …


Describing The Retention Experiences Of Special Education Teachers In Rural California: A Phenomenological Study, Adriel Gama Reynoso Sep 2025

Describing The Retention Experiences Of Special Education Teachers In Rural California: A Phenomenological Study, Adriel Gama Reynoso

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the retention experiences of special education teachers who taught in rural elementary school districts in California. Retention was generally defined as a teacher who was influenced to stay with their district for a long time. The theory guiding this study was Herzberg’s two-factor theory of motivation-hygiene. This theory was particularly effective in addressing teacher retention because it provided a clear framework for understanding the factors that contribute to job satisfaction and dissatisfaction. This transcendental phenomenological study described the retention of special education teachers who taught in rural elementary school districts …


Parallel Lives: Revitalization Of An Ancient Method Of Inquiry, Geoffrey Thomas Uhal Sep 2025

Parallel Lives: Revitalization Of An Ancient Method Of Inquiry, Geoffrey Thomas Uhal

Doctoral Dissertations and Projects

The Parallel Lives style examination and biography is one of the oldest forms of historical inquiry, providing a comparison between a foreign subject and a more familiar subject as a frame of reference. This style of examination was popular for dissertations in the 19th century among military historians writing about generals who were stylistically known as “Great Captains” for much of history. While the moral comparisons of such histories in bygone eras possess less utility, multimodal comparisons of lives that readers have more and less contextual background to provide a model to bridge the gap between foreign and familiar subjects. …


Reclaiming Eve: The Importance And Benefits Of Women In Leadership, Takesha S. Jones Sep 2025

Reclaiming Eve: The Importance And Benefits Of Women In Leadership, Takesha S. Jones

Doctoral Dissertations and Projects

Despite considerable progress in women's career representation, global barriers remain rooted in gender discrimination through the lens of historical, cultural, and theological traditions. Imposing invisible obstacles such as the glass ceiling and sticky floors are entrenched biases that obstruct upward career advancement. Amid these challenges, the diverse talents and unique perspectives of women often remain overshadowed by their male counterparts in perceptions of quality leadership. This study aimed to explore the connection of the sins in the Garden of Eden narrative to the origins of and ongoing disqualification of women as unfit to lead. The study aimed to reaffirm gender …


Fueled To Succeed: A Transcendental Phenomenological Study On The Passion Of Students In Pursuit Of Success During And After College Life, Mesack Dieudonne Sep 2025

Fueled To Succeed: A Transcendental Phenomenological Study On The Passion Of Students In Pursuit Of Success During And After College Life, Mesack Dieudonne

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to describe college students' experiences with passion while studying in a higher education setting in Florida. For this study, passion will be defined as a natural penchant that leads an individual to highly value something or someone, increasing persistence and thus leading to success. The theory underpinning this study is Vallerand's dualistic model of passion (DMP). The central research question guiding this research is as follows: How do college students describe their experiences with passion while studying in a higher education setting in Florida? Transcendental phenomenology was selected as the qualitative research …


A Phenomenological Study Of Overcoming School Experiences Of Disability-Related Stigma To Gain Competitive Employment For Individuals With Learning Disabilities, Katherine Lamont Sep 2025

A Phenomenological Study Of Overcoming School Experiences Of Disability-Related Stigma To Gain Competitive Employment For Individuals With Learning Disabilities, Katherine Lamont

Doctoral Dissertations and Projects

The purpose of this hermeneutical phenomenological study was to interpret the experiences of overcoming disability-related stigma to gain competitive employment for individuals with learning disabilities (LDs) who have previously received special education services in public schools in the United States. Goffman’s stigma theory framed the investigation of the research question: What are the lived experiences of individuals with LDs who have received special education services in public school settings with overcoming disability-related stigma to gain competitive employment? This study was conducted with 12 participants, who each received special education services in public schools in the United States for a specific …


Public Safety Injuries: Treatment And Organizational Support Variations Experienced By Injured Employees, Patrick S. Daugherty Jr. Sep 2025

Public Safety Injuries: Treatment And Organizational Support Variations Experienced By Injured Employees, Patrick S. Daugherty Jr.

Doctoral Dissertations and Projects

Public safety employees work in an environment characterized by a greater risk of injury than the workplaces of employees engaged in other professions. The deterioration of trust in public safety workers has increased both the violence against them and their risk of injury, negatively affecting their retention and recruitment efforts. The effect is exhausted and overworked employees who answer an increasing call volume with less resources, resulting in greater stress and frustration. Frustration can be expressed with negativity and isolation toward accommodated employees while they attempt to recover from their injuries. This phenomenon raises the question of “What treatment variations …


The Difference Of Self-Efficacy Between General And Special Education Teachers In Rural Elementary Co-Taught Classrooms: Quantitative Causal Comparative, Tilnisha Pritchard Rosser Sep 2025

The Difference Of Self-Efficacy Between General And Special Education Teachers In Rural Elementary Co-Taught Classrooms: Quantitative Causal Comparative, Tilnisha Pritchard Rosser

Doctoral Dissertations and Projects

This quantitative causal-comparative study examined differences in teacher self-efficacy between general and special education teachers in co-taught classrooms within a rural school district in the southeastern United States. A convenience sample of 162 participants (99 special educators and 63 general educators) completed the short form of the Teacher Self-Efficacy Scale (TSES), which assesses instructional strategies, classroom management, and student engagement. The Mann-Whitney U test was used to compare student engagement scores, and a one-way ANOVA analyzed differences in instructional strategies, classroom management, and total self-efficacy. Findings indicated no significant difference in instructional strategies; however, special educators demonstrated significantly higher scores …


A Multiple-Case Study Exploring Ineffective Internal Communication Management Strategies Of Small Businesses, Krissandra Seymour Sep 2025

A Multiple-Case Study Exploring Ineffective Internal Communication Management Strategies Of Small Businesses, Krissandra Seymour

Doctoral Dissertations and Projects

The purpose of this qualitative, multiple-case study was to address a gap in the existing literature and to offer practical applications for small businesses with virtual employees regarding their internal communication management strategies. Previous research regarding internal communication management strategies predominantly concentrated on larger organizations. However, given the crucial role that small businesses play in the nation’s economy and the increasing employment of virtual employees, it was essential to explore the strategies employed by small businesses in the United States. For this study, 27 leaders from small businesses in the Midwest were interviewed. The findings indicated that organizations lacking effective …


Psychological Safety And Its Impact On Teacher And Staff Morale, Yvonne R. Crace Sep 2025

Psychological Safety And Its Impact On Teacher And Staff Morale, Yvonne R. Crace

Doctoral Dissertations and Projects

Psychological safety is a concept that has been around since 1965. Psychological safety exists when employees feel safe to share their ideas and opinions without fear of retaliation, retribution, or belittlement. Studies on psychological safety have mainly focused on businesses and corporations and work team learning behaviors. In recent years, it has become evident that psychological safety is needed in additional types of industries, including all stages of education, from primary to graduate school. In education, teachers and staff often feel isolated and have concerns about voicing their opinions which creates relational stress and conflict, thus lowering staff morale. This …


Are There Acculturative Differences Between Mono & Multiethnic Families, Jose R. Rodriguez Sep 2025

Are There Acculturative Differences Between Mono & Multiethnic Families, Jose R. Rodriguez

Doctoral Dissertations and Projects

This study examines the differences in acculturation experiences between multiethnic and monoethnic Latino adolescents. Using a correlational quantitative design with multiple regression analyses, data was collected online from 100 participants (minors and adults) affiliated with the Spanish Eastern District of the Assemblies of God in the U.S. Northeast Corridor. The study found that age significantly predicted ethnic identity exploration, accounting for 21% of the variance: individuals aged 16–17 and 18–21 scored higher than those aged 13–15, while gender, ethnicity, and their interactions were not significant. For identity resolution, age (13–15 group) and gender emerged as significant predictors in a model …


Science Unleashed: The Influence Of Science Content Implementation Within Learning Management Systems, D'Aieriean Murray Sep 2025

Science Unleashed: The Influence Of Science Content Implementation Within Learning Management Systems, D'Aieriean Murray

Doctoral Dissertations and Projects

The qualitative, phenomenological study addressed the factors secondary science teachers face in implementing the science content in online LMS while continuing to teach in traditional classrooms. The research addressed the adequate training secondary science teachers may or may not have received in LMS and technology integration into the classroom. Utilizing Bruner's constructivist theory (1966) concerning the virtual classroom to recognize the imperativeness of educators in curriculum development to answer the question, "How are science teachers' experiences regarding the effectiveness of LMS and online learning?" While conducting a literature analysis, the most frequent themes were faculty readiness, transitioning to online education …


Perceptions Of Faculty Influence On Graduate Student Diversity Attitudes: A Phenomenological Study, Lyn Porter Sep 2025

Perceptions Of Faculty Influence On Graduate Student Diversity Attitudes: A Phenomenological Study, Lyn Porter

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the lived experiences regarding the perceived influence of faculty interactions in shaping diversity attitudes for graduate students in healthcare-related professions across the United States. The theory guiding this study is Vygotsky’s sociocultural theory, which argues that social interactions deeply influence cognitive development (Vygotsky, 1978/1995). These interactions are necessary for the development of new skills and knowledge. Vygotsky also highlighted the role of culture in shaping how individuals think, learn, and interpret the world, suggesting that the cultural context in which faculty and students interact profoundly affects internalized values and attitudes. …


Bridging The Gap: Does Individual Crossfit Open Performance & Event-Type Influence Crossfit Games Team Performance?, Anthony J. Mack Sep 2025

Bridging The Gap: Does Individual Crossfit Open Performance & Event-Type Influence Crossfit Games Team Performance?, Anthony J. Mack

Doctoral Dissertations and Projects

Individual CrossFit Open (CFO) and CrossFit Games (CFG) performance factors, including physiological metrics, sex, competitive experience, and workout pacing strategies, are well established; however, there is a gap in the literature comparing CFO and CFG team performance. The purpose of this study was to examine whether individual CFO scores and event category (i.e., monostructural, gymnastics-skill, weightlifting, or work capacity) influence a team's final score at the CFG. Teams (n = 196) from the 2018-2024 CFG seasons were included in data collection. Data from CFO workouts (n = 28) and CFG team events (n = 62) were extracted from games.crossfit.com. Scores …


Examining Perceived Leadership Effectiveness Among Secular And Christ-Centered Leaders, Koljonna S. Lewis Sep 2025

Examining Perceived Leadership Effectiveness Among Secular And Christ-Centered Leaders, Koljonna S. Lewis

Doctoral Dissertations and Projects

Successful leadership has been studied extensively and several theories of effective leadership exist. Though there are many leadership theories that provide explanations for leader behaviors and outcomes, this study aimed to explore effective leadership that is Christ-centered and inspired by Christian faith. Research has shown that the success or failure of an organization is often dependent upon its leadership and the leader’s ability to be effective. This study proposed that the most effective leadership is reliant upon a relationship with God and an understanding of His Word. Therefore, this study examined how leaders who have Christ-centered or secular worldviews describe …


A Study Of The Relationship Between The Stress Responses From Rehearsal Preparations For Music Ensemble Performance Evaluations And Performing Arts Adolescents’ Working Memory, Gregory Thomas Minter Sep 2025

A Study Of The Relationship Between The Stress Responses From Rehearsal Preparations For Music Ensemble Performance Evaluations And Performing Arts Adolescents’ Working Memory, Gregory Thomas Minter

Doctoral Dissertations and Projects

The organization of memory retrieval is vital to the association between stress responses and negative educational achievements. These stress responses offer an opportunity to study the harmful consequences of prolonged strain on the developing brain, which may impair emotional restraint, self-control, and cognitive development. However, little research considers the fundamental notions of how stress responses from rehearsals for music ensemble performance assessments impact adolescent working memory. This mixed-methods study explored how rehearsal-related stress in music ensemble settings may affect adolescents' working memory. Participants included high school students in grades nine through 12 who participated in performing arts band ensembles. The …


Exploring Teachers’ Self-Perceptions: A Case Study Unraveling The Influence Of Professional Learning On Practice, Lindsay Goldsmith Sep 2025

Exploring Teachers’ Self-Perceptions: A Case Study Unraveling The Influence Of Professional Learning On Practice, Lindsay Goldsmith

Doctoral Dissertations and Projects

The purpose of this case study was to understand how professional development affects elementary educators' self-perceptions in the K-12 setting within American schools overseas. The theory guiding this study was Jack Mezirow’s theory on transformative learning as it explains the relationship between learning and practice. How do overseas teachers' engagement in professional learning activities contribute to transformative learning experiences, and how does the social learning context influence the development of their teaching practices? The present study utilized a case-study approach to explore how current teachers perceive their practice is affected by professional learning. Interviews, surveys, and document analysis were used …


Adverse Childhood Experiences: How They Shape Employees' Perceptions, Experiences, And Performance In The Workplace, Marcia A. Beasley Sep 2025

Adverse Childhood Experiences: How They Shape Employees' Perceptions, Experiences, And Performance In The Workplace, Marcia A. Beasley

Doctoral Dissertations and Projects

The influence of Adverse Childhood Experiences (ACEs) has been well researched, and the lifelong consequences of medical conditions have been documented. Recently, research has linked mental health concerns to ACEs, including depression, anxiety, and health risk behaviors. ACEs occur during important stages of childhood development and can disrupt these stages, leading to children learn maladaptive coping skills. The resultant maladaptive behaviors that are developed as a response to maltreatment may also hinder social relationships in adulthood. Given this, research is lacking on the influence of ACEs on perceptions in the workplace, especially from the employee’s perspective. This qualitative phenomenological study …


The Relationships Between Grief, Depressive Symptoms, Family Resiliency, And Spiritual Struggles And The Moderating Effect Of Hope Among Bereaved Fathers Following Miscarriage, Taylor Marie Sparks Sep 2025

The Relationships Between Grief, Depressive Symptoms, Family Resiliency, And Spiritual Struggles And The Moderating Effect Of Hope Among Bereaved Fathers Following Miscarriage, Taylor Marie Sparks

Doctoral Dissertations and Projects

Miscarriages are primarily treated as tragedies that impact women; however, the existing literature highlights that men experience similar impacts as women following the loss of their baby to miscarriage. Despite this, men widely report feeling forgotten and alone during their time of bereavement, with a lack of understanding and support in place for men who have lost a baby to miscarriage. This current study sought to fill the gap in the existing literature by investigating the relationship between spiritual struggles, family resiliency, depression, and grief levels in bereaved fathers following their wife’s miscarriage, using the moderating influence of hope on …


Standing Waves Of Schrödinger Equation With Constant Magnetic Field And Combined Power Nonlinearities, Zhaosheng Feng, Yu Su Sep 2025

Standing Waves Of Schrödinger Equation With Constant Magnetic Field And Combined Power Nonlinearities, Zhaosheng Feng, Yu Su

School of Mathematical & Statistical Sciences Faculty Publications

We study standing waves of the Schrödinger equation with constant magnetic field and combined power nonlinearities, which describes a single non-relativistic quantum particle in the presence of an electromagnetic field. We develop the local minima geometry method to establish the existence, estimates and mass collapse results for this equation, which generalize exiting results in the literature.


Working With Different Generations In The Post-Covid Remote Workplace: The Millennial Perspective, Rhys Morgan Alexander Sep 2025

Working With Different Generations In The Post-Covid Remote Workplace: The Millennial Perspective, Rhys Morgan Alexander

Doctoral Dissertations and Projects

Generational theory proposes that generations are inherently different from one another based on the events that occur within their lifetimes at various developmental stages. These differences have been studied in many contexts, including within the work environment. As older generations continue to remain employed, and with the shift to remote work post-COVID 19, this topic remains an important concentration for developmental and organizational researchers. The differences between generations have been found to impact on job satisfaction and general work value priorities to varying degrees. Based on this, a literature review was conducted followed by a phenomenological, interview-based study to explore …


Exploring The Deficiencies Of Business Improvement Programs: A Qualitative Look Into Continuous Improvement, Six Sigma, Eos, And Developing Hybrid Opportunities, Michelle Tucker Sep 2025

Exploring The Deficiencies Of Business Improvement Programs: A Qualitative Look Into Continuous Improvement, Six Sigma, Eos, And Developing Hybrid Opportunities, Michelle Tucker

Doctoral Dissertations and Projects

This qualitative case study researched the deficiencies of three established business improvement programs: Continuous Improvement, Six Sigma, and Entrepreneurial Operating System (EOS), to discern the possibility of a tailored hybrid improvement program. Utilizing data collected through semi-structured interviews from the experiences of twelve business leaders representing different industries. All of the leaders had five or more years of direct experience with one or more of the business improvement programs. The interviews were recorded, transcribed, and analyzed using open, axial, and selective coding, applying Constructivist Grounded Theory. The analysis found that Continuous Improvement empowered employees and nurtured incremental changes, but it …


Therapeutic Day Treatment Counselors’ Perspective Of Parental Engagement And Involvement, Dominique Rose Lynn Woods Sep 2025

Therapeutic Day Treatment Counselors’ Perspective Of Parental Engagement And Involvement, Dominique Rose Lynn Woods

Doctoral Dissertations and Projects

The purpose of this interpretative phenomenological analysis (IPA) study was to describe Therapeutic Day Treatment Counselors' (TDTCs) lived experiences with parental engagement and involvement (PEI) for TDTCs, within their professional collaborations in Virginia. The study focused on a specific aspect of TDTC’s lived experience: their perspective of PEI. Several theories were reviewed as a foundation for research development. Bronfenbrenner's (1979) Ecological Systems Theory has been an essential component of the research, as it emphasized that a child's development involves multiple elements of their environmental and social systems. Stroul and Friedman's (1986) Systems of Care Theory provided a foundation for understanding …


Health And Climate At Cop29: Advancing Integration And Bridging Research Gaps, Rupa R Patel, Yevheniia Varyvoda, Hiba Baroud, Philip J Landrigan, Aminata Kilungo Sep 2025

Health And Climate At Cop29: Advancing Integration And Bridging Research Gaps, Rupa R Patel, Yevheniia Varyvoda, Hiba Baroud, Philip J Landrigan, Aminata Kilungo

2020-Current year OA Pubs

Climate and health science is a rapidly growing, interdisciplinary field and holds importance during intergovernmental climate adaptation and mitigation policy negotiations. The 29th session of the Conference of the Parties (COP) to the United Nations Framework Convention on Climate Change (UNFCCC) convened stakeholders for negotiations and scientific discourse. This viewpoint presents insights gained by the authors' participation at COP29 focused on health and climate. The authors analyze the evolving integration of health into the UNFCCC process, dissect the contributions and the role of the Research and Independent Non‑Governmental Organizations (RINGOs), a constituency to achieve this endeavor, and identify the key …


Face Off: Evaluating Virtual Human Expressions And Non-Tracking Control Methods In Vr, J K Sangeeth Chandran, Marisa Llorens Salvador, Cathy Ennis Sep 2025

Face Off: Evaluating Virtual Human Expressions And Non-Tracking Control Methods In Vr, J K Sangeeth Chandran, Marisa Llorens Salvador, Cathy Ennis

Conference papers

Social virtual reality (VR) applications have become more ubiquitous in recent years; central to this is the communication pipeline, how users perceive virtual human facial expressions, and how they control them in real time, especially when using VR devices without face-tracking. We investigated both aspects in a set of experiments. Firstly, we compared the perception of virtual human emotions on a traditional 2D screen and in VR. In a second experiment, we used a validated set of stimuli to compare three different control methods for manipulating an avatar’s facial expressions in VR. These control methods utilize non-tracking control techniques, which …


Leading Learning Health Systems: Strategies Used To Establish And Conduct A Learning Health System, Dawn M. Bravata, Cathy C. Schubert, Amy M. Kilbourne, Scotte R. Hartronft, Ashley L. Schwartzkopf, Jennifer L. Myers, Mindy L. Flanagan, Claire E. Donnelly, Stanley E. Taylor, Mathew J. Reeves, Anthony J. Perkins, Laura E. Myers, Indrakshi Roy, Robert E. Burke, Rachael A. Beard, Marcos Montagnini, Shivani K. Jindal, Greg Arling, Caroline Madrigal, Nicholas A. Rattray Sep 2025

Leading Learning Health Systems: Strategies Used To Establish And Conduct A Learning Health System, Dawn M. Bravata, Cathy C. Schubert, Amy M. Kilbourne, Scotte R. Hartronft, Ashley L. Schwartzkopf, Jennifer L. Myers, Mindy L. Flanagan, Claire E. Donnelly, Stanley E. Taylor, Mathew J. Reeves, Anthony J. Perkins, Laura E. Myers, Indrakshi Roy, Robert E. Burke, Rachael A. Beard, Marcos Montagnini, Shivani K. Jindal, Greg Arling, Caroline Madrigal, Nicholas A. Rattray

Health Services and Informatics Research

Background

Learning health systems (LHS) improve patient and provider experiences, population health, and health system performance. LHS leaders develop LHS’ social and scientific infrastructures and align the LHS with host organization’s priorities. Although researchers have examined data infrastructure and Learning Community configurations, few studies have evaluated discrete strategies leaders deploy to construct a LHS.

Objectives

We described methods used to establish the Department of Veterans Affairs (VA) Geriatric LHS (GLHS) supporting older Veterans transitioning from hospital to home and examined strategies GLHS leaders used to conduct LHS activities.

Design

Qualitative methods were employed to review notes from all meetings and …