Digital Commons Network^™

Enhancing Learning Methods In Medical Education: Effective Strategies For Student Success, Syed Tawassul Hassan, Syeda Kashaf Batool, Muhammad Liaquat Raza

Health Professions Education

This perspective highlights three often overlooked but highly effective methods for boosting student performance in medical education. Active recall, which involves retrieving information from memory during learning, helps strengthen understanding and retention of complex medical concepts. Spaced repetition, spreading out study sessions over time, enhances long-term memory formation and reduces forgetting. Both techniques have been shown to outperform traditional passive review and cramming. We have also emphasized the importance of lifestyle factors, particularly sleep and diet, in academic success. Studies using wearable devices have linked better sleep quality to higher grades, with poor sleep habits significantly hurting performance. To implement …

Factors Predicting The Adversity Quotient In The Work Of Generation Z Nurses At Northeastern University Hospitals, Pornpimon Sookpier, Wanchanok Juntachum, Jitpinan Srijakkot, Sompratthana Dapha, Chanaporn Pinsuwan

Health Professions Education

Purpose: (1) To study the adversity quotient in the work of Generation Z nurses at Northeastern University Hospitals, (2) to examine the relationship between coping strategies, optimism factors, and the adversity quotient, and (3) to investigate factors influencing the adversity quotient in the work of Generation Z nurses at Northeastern University Hospitals.

Method: This cross-sectional analytical study included 202 Generation Z nurses from a university hospital in northeastern Thailand, selected via stratified random sampling. Data were collected from 198 participants (98.02% of the sample) from June to July 2024. Research instruments consisted of validated questionnaires assessing the adversity quotient, coping …

Mapping Hospital Managers Education And Training In Europe: A Narrative Scoping Review, Tiago Rodrigues, Teresa Magalhães

Health Professions Education

Purpose: Hospital managers are required to have knowledge and skills that enables them to effectively plan, manage, coordinate and monitor health care activities and services provided in complex organizations and contexts. This scoping review explores aspects and concepts regarding hospital managers education, training and competence development, including the description of common areas or topics included in hospital managers education curriculum and training programs in European countries in terms of qualification, identifies core competencies and discusses trends in the organization and functioning of healthcare institutions and systems, and their impact on education, training and practice in health management.

Methods: …

Influence Of Clinical Supervision And Ethical Sensitivity On The Compassion Competence Of Nursing Students, Ejercito Mangawa Balay-Odao, Joseph Almazan, Jennifer Mesde, Junel Bryan Bajet, Nahed Alquwez, Cherryl Codiase Danglipen, Jonas Preposi Cruz

Health Professions Education

Introduction: Clinical supervision is an essential component of nursing education. Ethical sensitivity and compassion competence are critical components to develop among nursing students to ensure patient-centered nursing care.

Aim: This study aimed to determine clinical supervision, ethical sensitivity, and compassion competence among student nurses and its influencing factors. Also, it determined the influence of clinical supervision and ethical sensitivity on compassion competence.

Method: This study utilized a descriptive quantitative cross-sectional correlation design. Data were collected from 452 nursing students from August 2022 to January 2023 using convenient sampling. The "Clinical Supervision Evaluation Questionnaire," the "Ethical Sensitivity Questionnaire for Nursing Students," …

The Students’ Conceptions Of Assessment (Scoa) Instrument: A Validation Study In Medical Education Context, Diantha Soemantri, Nadia Greviana, Najila Ramadhina

Health Professions Education

Purpose: To validate the Students’ Conceptions of Assessment (SCoA) instrument for the medical education context as a tool to examine Indonesian medical students’ conceptions of assessment in general before its implementation.

Method: A cross-sectional study was conducted to validate the translated SCoA instrument. The original 45-item instrument was translated to Indonesian with some modifications. The study was conducted on a total of 308 preclinical and clinical participants in two public medical schools: Universitas Indonesia and Universitas Udayana.

Results: The samples were found to be suitable for exploratory factor analysis, as indicated by a high Kaiser–Meyer–Olkin value (0.949) and a significant …

“Globes" Module (Guiding Learners Towards One Health, Biodiversity, And Environmental Stewardship): Catalyzing Synergies To Advance Leadership And Scholarly Engagement With One Health In Under Graduate Medical Education, Krishna Mohan Surapaneni

Health Professions Education

Background: The concept of One Health addresses the interconnected health of humans, animals, and the environment, offering a critical framework for tackling complex health challenges. However, gaps in the integration of One Health principles into medical education limit the ability of future healthcare providers to operationalize this knowledge in practice. The "GLOBES" module (Guiding Learners towards One health, Biodiversity, and Environmental Stewardship) was designed to bridge these gaps, aligning with Sustainable Development Goals (SDG 3, 13, 14, 15) to promote holistic and interdisciplinary healthcare education. Methods: The "GLOBES" module was developed with 22 competencies across ten categories, incorporating case-based learning, …

Exploring Employment Preferences And Brain Drain Tendencies Of Turkish Medical Students: Implications For The Health Sector, Ahmet Kaya, Ahmet Y. Yesildag, Yasemin Kaya, Ferit Sevim, Sedat Bostan

Health Professions Education

Background: This study explores the perceptions of medical students in Türkiye regarding physicians' working conditions, wages, and medical education, independent of current debates and trends in public and private health institutions. The study was designed to analyse the perspectives of future doctors in a context where physicians are advocating for their rights, participating in strikes, and contemplating emigration.

Methods: A quantitative, cross-sectional survey was conducted with 420 medical students across different regions of Türkiye. Data were collected through an online form and analyzed using parametric tests, correlation, and frequency analysis.

Results: Students predominantly favored specializing in Plastic Reconstructive and Aesthetic …

The Art Of Masking And Performing For The Perfect Marriage In William Shakespeare’S The Taming Of The Shrew, Rita Oliva

Dissertations and Theses

This thesis explores how William Shakespeare’s The Taming of the Shrew exaggerates the art of masking and performing as necessary social techniques for women surviving the patriarchal culture of Padua. Through close analysis of Katherine and Bianca Minola, both sisters adopt performative identities, the “shrew” and the “ideal woman,” that reflect, resist, and expose the restrictive gender norms governing female behavior, qualifications for marriage, and worth. While Bianca’s apparent passivity and rhetorical femininity promote her to manipulate societal expectations to her advantage, Katherine’s refusal to submit to the societal and cultural standards of Padua results in her categorization of a …

Cather, Silko, Hunt: Rethinking Prosperity Twentieth-Century Explorations Of Interiority, Materiality, And Transcendence, Aileen Montoya

Dissertations and Theses

• Interiority
• Materiality
• Transcendence
• Prosperity
• Modernism
• Subjectivity
• Narrative Identity
• Spiritual Landscapes

The Correlation Between Working From Home And Depression, Anxiety & Stress And The Moderating Effect Of Parenting, Lauren H. Marshall

Murray State Theses and Dissertations

This thesis explores the impact of working from home on depression, anxiety and stress and whether parenting has a moderating role in its impact. The number of individuals working from home increased dramatically because of the pandemic and many individuals continue to work from home despite the absence of government-issued lockdowns and the diminishing threat of the COVID-19 virus. Earlier pre-pandemic research supports several positive work-related outcomes of working from home; however, little consideration has been given to the long-term impact of this major change in the way we work on individual’s mental health. Social isolation, an increase in sedentary …

The Link Between Poor Student Reading Proficiency And College And Career Readiness, James D. Kirkland Iii

Murray State Theses and Dissertations

The ability to read proficiently is a skill often considered necessary for the success of an individual while in school and after graduating from high school. Although reading proficiency plays a large role in an individual's success, many students in our nation’s schools struggle to read and comprehend the texts they are presented with in their academic courses. The purpose of this research study was to determine whether a link existed between the reading proficiency and college and career readiness of high school agriculture students. The study used a mixed methods approach that collected both qualitative and quantitative data to …

Predicting Capture And Survival Probabilities Of The Arizona Tiger Salamander: A Comparison Of Capture-Recapture Models, Brittney Nelson

Murray State Theses and Dissertations

Capture-recapture models are essential tools for estimating population dynamics in ecological studies. A fundamental component of these models is the capture history matrix, which records individual detection over time and serves as the basis for estimating survival and capture probabilities. This presentation explores three statistical approaches to these estimations: the Cormack-Jolly-Seber (CJS) model, the Hidden Markov Model (HMM) for CJS, and the Bayesian CJS model. The CJS model provides a likelihood-based framework for estimation, and the HMM CJS incorporates latent states into the model to account for uncertainty in detection. The Bayesian CJS extends this same analysis by integrating prior …

Teachers Stay And Go: The Impacts Of Agriculture Education Teacher Retention In Georgia, Alisha Richardson, Kristie Guffey

Murray State Theses and Dissertations

Agricultural education teachers are vital in shaping students' academic and social development while supporting Georgia’s largest economic sector. Despite their importance, the retention of qualified agriculture teachers has remained a persistent challenge since the 1970s (Camp, 1995). This study examined the factors influencing teacher retention in Georgia’s agricultural education programs, to identify actionable strategies to reduce attrition. Findings revealed that supportive workplace environments, strong student relationships, professional learning communities, and mentorship opportunities are key motivators for teacher longevity. Financial incentives and targeted professional development emerged as effective retention tools (Guffey & Young, 2020). In contrast, high levels of stress, particularly …

Evaluating The Brief Symptom Inventory (Bsi) And Bsi-18 Psychometrics, Samantha Freville

Murray State Theses and Dissertations

The Brief Symptom Inventory (BSI) (Derogatis, 1975, 1993) is often utilized as an intake screener for psychiatric symptoms with a variety of populations. The present study evaluated the internal consistency, convergent validity, and discriminant validity of the BSI-18 when compared to similar subscales, including Somatization (SOM), Anxiety (ANX), and Depression (DEP), and dissimilar subscales, including Nonsupport (NON), Drug Problems (DRG), and Alcohol Problems (ALC), on the Personality Assessment Inventory (PAI) to determine its clinical utility in communicating clients’ level of distress in an outpatient clinical sample. The results indicated that Global Severity Index (GSI) scores of the BSI and BSI-18 …

The Representation Of Feminine Beauty In Generative Artificial Intelligence Models, Haley R. Stacy

Murray State Theses and Dissertations

As Artificial Intelligence (AI) technology advances, its influence on media and societal perceptions becomes increasingly significant. This dissertation explores how popular generative visual AI models represent women and the implications for racial and body type inclusivity. This study examines women’s perceptions of AI-generated representations. Two primary research questions are being explored: (1) How do AI-generated algorithms represent women in visual outputs when prompted with broad beauty-related keywords? (2) How do women perceive their representation in these AI-generated visual outputs? Through a detailed analysis of AI-generated imagery, the research uncovers implicit and explicit biases within these systems. The research also gathered …

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …

Equine Hair Cortisol Concentration And The Effects Of Season, Storage Method, And Personality Traits, Savannah M. Rivers, Grace A. Robertson, Thomas Powell, Lydia O'Sullivan, Shea Porr

Murray State Theses and Dissertations

Stress exists everywhere, for survival, adaptation is necessary. These adaptations directly reflected the stresses the animal experienced and demonstrated the ability to cope. An animal that could not cope could not survive. Stressful experiences resulted in behavior patterns for each animal. Consistent behavior can be defined as personality [1]; therefore, stress could directly influence personality by changing behavior.

Stress research helped analyze and identify animal personality traits, especially horses. Human-horse pairings partially relied on personality traits and, when considered, often led to improvements in welfare [2]. There are various tools to assess personality, one being Equine Personality Assessment [3]. The …

Master Of Disguise: Humor, Disguise, And Performance Anxiety, Jordan Pearsall

Murray State Theses and Dissertations

This study examined humorous facial disguise in relation to social anxiety during a speech task. Social anxiety is characterized by a strong desire to present a positive image of oneself to others, while simultaneously doubting one’s ability to do so (Clark & Wells, 1995). Performance anxiety is a subtype of social anxiety that affects individuals in various performative contexts, to include public speaking. Previous research has examined the relationship between social anxiety and facial concealment through face-masking (Karimi 2024; Saint & Moscovitch, 2021), concluding that facial concealment can serve as a safety behavior intended to reduce social anxiety. Further, humor …

Out Of The Circle: Exploring Religious Ostracism In Cyberball, Ralph D. Stewart Iii

Murray State Theses and Dissertations

The purpose of this study was to investigate the psychological effects of social ostracism in group settings, particularly in relation to social identity theory (Tajfel & Turner, 1979) and the need to belong (Baumeister & Leary, 1995). Collective self-esteem, hostility, and belonging were examined to see if they changed significantly with the implementation of ostracism through the Cyberball paradigm (Williams, 2000). The relationship between ostracism, hostility, and religious fundamentalism was also explored. Though insignificant results from subsequent analysis were obtained, these results suggest weaker ostracism effects for interpersonal measures rather than intrapersonal measures consistent with findings by Hartgerink et al. …

Managing Campus Dissent: An Assessment Of University Responses To Pro-Palestinian Protests, Kathryn S. Walker

Murray State Theses and Dissertations

University leaders face challenges navigating student dissent and effectively upholding free speech while encouraging students to view the world from a new perspective. Higher education institutions employ a variety of strategies to handle campus crises and mitigate negative perceptions that may arise. This qualitative research study provides insight into the crisis communication strategies employed by university administrators at ten institutions with the highest number of pro-Palestinian protest days from October 7, 2023, to May 29, 2024, through the analysis of university statements and student newspaper responses. Campus leaders found themselves in a challenging position, unable to satisfy all constituencies. Each …

Understanding Bird Diversity: A Modeling Approach In An Urban And Wetland Ecosystem, Clay Bliznick

Murray State Theses and Dissertations

The global increase in anthropogenically-driven shifts of land cover has resulted in losses to many natural communities such as prairies and wetlands. These ecosystems take on artificially-derived characteristics such as croplands, buildings, and roads to the extent that they no longer resemble the areas they once were. This process often results in the loss of biodiversity, ecological integrity, and valuable ecosystem services in these environments. Attempts to restore the condition and function of these disturbed areas are often implemented, but due to the complexity of factors driving these restorations, there is often a lack of practical insight needed to optimize …

Wildlife Distribution Mapping And Analysis In Gorongosa National Park, Mozambique, Using Site And Satellite Imagery Data, Pinho Joaquim Munhequeira Mr

Murray State Theses and Dissertations

One of Mozambique's most important conservation sites, Gorongosa National Park has seen critical ecological changes over the past several decades resulting from climate variability, habitat loss, and political instability. This research integrates Geographic Information Systems (GIS) and remote sensing to examine the relationship between vegetation dynamics and wildlife population, and distribution. The main goals of this study are to evaluate the spatial distribution of particular wildlife species: buffalo (Syncerus caffer), elephant (Loxodonta africana), hippopotamus (Hippopotamus amphibius), and zebra (Equus quagga), and determine the impact of vegetation density and land cover on their …

The Impact Of The Implementation Of The Interconnected Systems Framework (Isf) On Educators, Kayla Jones

Murray State Theses and Dissertations

Amid growing concerns around teacher retention and educator job satisfaction, this study explored how system-level frameworks, particularly the Interconnected System Framework (ISF), could influence key teacher outcomes. While the ISF has been widely associated with improved student outcomes, this research investigated its potential to enhance educator experiences, focusing on working conditions, retention rates, and school climate. Quantitative analysis revealed that schools implementing the ISF or PBIS reported significantly more favorable working conditions and school climate compared to non-implementing schools. Although teacher retention rates did not significantly differ across implementation types, notable variability within the non-implementing group suggests a need for …

Perceptions Of Partnership: How Instructional Designers And Faculty Collaborate To Design Online Courses In Higher Education, Robin Zahrndt

Murray State Theses and Dissertations

This ethnographic study examines the collaboration between faculty members and instructional designers during the development of online courses at a large, research-intensive university. As institutions expand their digital learning initiatives, effective partnerships between faculty and instructional designers have become increasingly important; however, they are often constrained by hierarchical norms, disciplinary differences, and time pressures. Using a framework for interdisciplinary collaboration in healthcare settings, this study analyzed recorded meetings and post-participation interviews to examine how collaboration unfolded and how participants perceived its influence on course quality. Findings indicate that faculty maintained clear ownership of instructional decisions, often viewing designers as supportive …

The Preferred Leadership Styles Of Generation Z Public Educators, Rex Booth

Murray State Theses and Dissertations

Amid declining enrollments in teacher preparation programs and increasing teacher turnover, understanding the characteristics of Generation Z, who constitute a substantial portion of the future workforce, is critical for effective recruitment and retention in education. This quantitative study explored the preferred leadership styles of Generation Z public educators in western Kentucky using the Multifactor Leadership Questionnaire (MLQ). Specifically, it examined preferences for transformational, transactional, and passive-avoidant leadership styles and assessed whether these preferences varied by race, gender, or years of experience. Results revealed a strong preference for transformational leadership, followed by transactional leadership, with a clear aversion to passive-avoidant approaches. …

Analyzing The Impact Of Geographic Location, Owner Knowledge, And Veterinary Guidance On Equine Vaccination Protocols, Colleen Mcanally

Murray State Theses and Dissertations

This study explored how equine owners decide which diseases their horses are vaccinated for based on their geographic location, the knowledge they have on specific equine diseases, and how much they rely on their veterinarian’s recommendations. A total of 55 horse owners throughout the United States completed an online survey. The results showed that while most owners vaccinate for common core vaccines including West Nile Virus, Tetanus, and Rabies, fewer vaccinated for risk-based vaccines like Leptospirosis. Many owners felt confident in their knowledge of national guidelines for annual core vaccinations, but only a small number of owners were able to …

New Psychoactive Substances Detected In Wastewater Samples Collected Along The Interstate Highway Rest Areas In Kentucky, Durga Prasad Kodati

Murray State Theses and Dissertations

The rapid emergence and proliferation of new psychoactive substances (NPS) pose significant challenges to public health and law enforcement. The potential for abuse and toxicity of these substances, which are intended to mimic the effects of controlled drugs, has been raising concerns as these compounds are designed to evade being regulated. There are traditional methods of tracking NPS, such as seizures and forensic toxicology, but they are delayed and seldom effective because these substances continue to evolve rapidly. Wastewater-based epidemiology (WBE) has emerged as a promising tool for real-time surveillance of drug consumption. The primary objective of this research was …

The Role Of Educational Administrators In Shaping School Culture, Bo B. Culver

Murray State Theses and Dissertations

Abstract

This qualitative multiple-case study explored the role of educational administrators in shaping and sustaining positive school culture across three high schools in Alabama: a suburban public school, a rural public school, and a private Christian academy. Guided by transformational and ethical leadership theories, the study examined how administrators influence school climate, navigate challenges, and respond to external pressures. Data were collected through semi-structured interviews, document analysis, and cultural artifact review. Findings revealed that administrators who modeled ethical leadership, maintained visibility, and fostered relational trust were more effective in cultivating inclusive, resilient, and values-driven school cultures. Shared leadership practices and …

Bridging Diversity And Discipline: Stakeholder Perceptions Of Dei And Technical Rigor In Agriculture Education, David A. Yarbrough

Murray State Theses and Dissertations

School-based agricultural education (SBAE) serves as a foundational model for preparing students through classroom instruction, Supervised Agricultural Experiences (SAEs), and FFA involvement. This study examined the perceptions of Georgia high school agricultural educators regarding how diversity, equity, and inclusion (DEI) initiatives impact technical rigor and traditional agricultural knowledge within SBAE programs. Educators reported that DEI efforts did not compromise technical rigor, and traditional elements, such as SAE and FFA, remained central to program success. These findings suggest that inclusion and tradition can coexist, with DEI seen as a complement rather than a conflict with SBAE goals. The results provide valuable …

An Examination Of The Current Status Of Middle School Agricultural Education And Perceptions Amongst State Ffa Leaders, Alex Holman, Timothy Alexander Holman Jr.

Murray State Theses and Dissertations

Middle school agricultural education programs were first officially recognized within the National FFA Organization in 1988 when 7th and 8th grade students were granted FFA membership. This study was conducted to examine the current status of middle school agricultural education programs and the perceptions of state FFA leaders across the United States, especially with the recent addition of 5th and 6th grade students being granted membership. Using a mixed-methods survey distributed to 52 state FFA leaders in all 50 states, Puerto Rico, and the U.S. Virgin Islands, the study gathered enrollment data, participation opportunities, and perceived advantages and disadvantages associated …