Digital Commons Network^™

Strategies That U.S. Healthcare Leaders Use To Maximize Nurse Retention, Kristie Lynn Carmichael

Walden Dissertations and Doctoral Studies

Nursing home nurses’ intent to leave their organization can contribute to negative organizational and patient outcomes. Nursing home leaders are concerned that nurse turnover can negatively affect patient care, productivity, and organizational performance. The purpose of this qualitative pragmatic inquiry project was to identify successful strategies nursing home leaders use to improve nurse retention. Herzberg’s two-factor theory provided the conceptual foundation, and the guiding research question focused on successful nurse retention strategies used by nursing home leaders. Data were collected through semistructured interviews with six senior nursing home leaders who had at least 5 years of leadership experience and had …

Implementation Of A Comprehensive Menopausal Care Program To Address Gaps In Perimenopausal And Postmenopausal Health, Sheri Davis

Walden Dissertations and Doctoral Studies

Summary This quality improvement (QI) project evaluated a practice change at a rural ambulatory care clinic where patients’ menopause symptom experiences were often underrecognized and screening relied on a nonvalidated assessment supplied by a hormone-product vendor. The purpose was to determine whether replacing that tool with the validated Menopause-Specific Quality of Life (MENQOL) questionnaire, with staff education and a consultation-first, symptom-focused workflow improved documentation and patient-reported outcomes. Guided by the Plan-Do-Study-Act framework, preimplementation and postimplementation patient surveys were compared using descriptive statistics and independent-samples t tests, and patient comments and staff interviews were reviewed for themes. Documentation compliance was complete, …

A Proposal For A Standardized Diabetes Self-Management Education And Support Program To Enhance Primary Care Nurses' Knowledge And Confidence, Esther Ebere Agbo

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus is a prevalent chronic condition in primary care that requires effective patient self-management education. Primary care nurses play a critical role in providing diabetes education; however, inconsistent training may affect the quality and consistency of patient education. This Doctor of Nursing Practice (DNP) executive leadership systems improvement project proposed a Standardized Diabetes Self-Management Education and Support (DSMES) program in a primary care clinic. The identified practice problem is the lack of standardized diabetes education at the project site. The practice-focused question is as follows: Will a proposed standardized DSMES program for nurses and patients in a …

Middle School Teachers' Perspectives On Their Use And Resources Needed For Differentiated Reading Strategies, Latanya Renee' Calhoun

Walden Dissertations and Doctoral Studies

English Language Arts (ELA) standards cultivate essential literacy skills that support students’ academic achievement and future success. The problem in this study was less than one-fourth of local middle school students met proficiency on the ELA Mississippi Academic Assessment Program (MAAP), suggesting challenges with implementing targeted reading instructional strategies. Guided by Tomlinson’s framework for differentiated instruction, the purpose of this basic qualitative study was to explore local middle school teachers’ perspectives on their use as well as resources and support needed for the implementation of differentiated reading strategies. Semistructured interviews were conducted with 12 middle school teachers who had roles …

Standardized Adult Adhd Assessment And Management Protocol, Alicia Gray

Walden Dissertations and Doctoral Studies

This quality improvement project evaluated a standardized adult attention-deficit/hyperactivity disorder (ADHD) assessment and management protocol in a private outpatient psychiatric practice. Four psychiatric nurse practitioners conducted evaluations independently, resulting in variable screening, documentation, and stimulant safety review. A baseline review of 40 charts showed documented screening with the Adult ADHD Self-Report Scale version 1.1 (ASRS-v1.1) in 32.5% of charts, complete criteria from the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) in 45.0%, substance-use screening in 27.5%, and cardiovascular screening in 35.0%. The practice-focused question addressed whether a standardized protocol would improve diagnostic documentation and safe prescribing adherence. …

Developmental Strategies Hr Saas Leaders Use To Support Employee Development, Dawn Draper-Jackson

Walden Dissertations and Doctoral Studies

The disconnect between performance assessment and employee development can negatively affect workforce effectiveness and organizational performance. Business leaders and human resource professionals face significant challenges when performance assessment systems are disconnected from employee development, limiting workforce capabilities and organizational effectiveness. Grounded in organizational learning theory, the purpose of this qualitative pragmatic inquiry was to explore how Human Resource Software-as-a-Service (HR SaaS) leaders implement performance assessment strategies to support employee development. The participants were 12 HR SaaS leaders in the United States. Data were collected through semistructured interviews and publicly available HR industry documents. Through thematic analysis, four themes were identified: …

Nurse Professionals’ Perceptions Of Childhood Poverty And Its Impact On Southern Appalachian Children’S Mental Health, Katelyn Brooke Gilmore

Walden Dissertations and Doctoral Studies

Childhood poverty is a social determinant of health associated with adverse mental health outcomes among children, yet limited research has examined this relationship from the perspectives of nurse professionals working in Southern Appalachia. The purpose of this basic qualitative study was to explore nurse professionals’ perceptions of the influence of childhood poverty on children’s mental health in Southern Appalachia. Maslow’s hierarchy of needs served as the theoretical framework. Semi-structured interviews were conducted with 10 licensed nurse professionals who worked with children in the region, and data were analyzed thematically using ATLAS.ti. Three overarching themes emerged: (a) poverty creates unmet needs …

Chatgpt Employment Anxiety And Career Confidence: Discipline-Contingent Evidence From Malaysian Undergraduates, Fahd A. Raza, Abtar D. Singh, Rabia Anwar, Jonathan Js Kovilpillai, Analisa Hamdan, Fumiko Konno, Husna Hr Azami, Murali Raman

Higher Learning Research Communications

Background: The rapid diffusion of generative artificial intelligence (AI) has raised concerns about graduate employability, yet evidence on how ChatGPT employment anxiety relates to career confidence remains limited, particularly in non-Western contexts.

Objectives: We examined whether ChatGPT employment anxiety is associated with career confidence among Malaysian undergraduates and whether academic discipline or usage intensity moderates that association.

Methods: Using the Malaysian subset of the 2024–2025 Global ChatGPT Student Survey (Aristovnik et al., 2025; N = 315 ChatGPT users), we constructed a four-item employment anxiety index (α = .80) and estimated hierarchical ordinary least squares (OLS) regressions predicting a single-item measure …

Adult Day Programs For Adults With Dementia, Tiffany Blacklidge, Robert Martin

Advocate GME

No abstract provided.

Complete Atrioventricular Block Revealing Late-Onset Cardiac Fabry Disease: Diagnostic Role Of Native T1 Mapping, Nouhaila Bentama, Lamyae Bakamel, Jalal Tagueniti, Fatiha Ait Yahya, Brahim Meftout

Journal of the Saudi Heart Association

A 63-year-old man presented with symptomatic complete atrioventricular block requiring urgent pacemaker implantation. Evaluation revealed non-obstructive left ventricular hypertrophy with normal coronary arteries. Cardiac magnetic resonance showed diffusely reduced native T1 values and inferolateral late gadolinium enhancement, suggesting Fabry cardiomyopathy; amyloidosis was excluded by bone scintigraphy. Diagnosis was confirmed by markedly reduced alpha-galactosidase A activity, elevated lyso-Gb3, and a pathogenic hemizygous GLA variant (p.Asn215Ser). Enzyme replacement therapy with agalsidase beta was initiated, with early stabilization of myocardial deformation and septal thickness. This case highlights native T1 mapping as a key diagnostic biomarker in unexplained left ventricular hypertrophy.

Transforming The Panama Canal From Transportation Infrastructure Into A Tourist Destination: Opportunities, Challenges, And Sustainability Implications, Ali Kheleel Ibrahim, Muthana Faaeq Almasoodi

AUIQ Humanities and Social Sciences

This research examines the transformation of the Panama Canal from functional transportation infrastructure into a significant tourist destination while maintaining operational integrity. Employing descriptive and analytical methodologies, the study analyses visitor statistics, economic impacts, infrastructure investments, and sustainability challenges across recent years. Findings reveal substantial growth in visitor numbers and demonstrate that canal tourism consistently contributes to a significant proportion of national tourism revenues. The Panama Canal's higher visitor figures relative to the Suez Canal are consistent with, though not causally attributable to, differences in institutional approaches to tourism development, as establishing causality would require controlled comparative data unavailable within …

Optimizing Job Demands And Resources To Enhance Employee Engagement And Organizational Performance, Ali Shakir Zaidan, Hadeel Kadem Saeed, Arash Arianpoor, Siraj Razooqi Abbas

AUIQ Humanities and Social Sciences

This study examines how Job Demands, resources, satisfaction, work engagement, and firm performance are interrelated using the job demands–resources (JD-R) model. According to this model, job demands are important for organizations, but if they are not balanced by sufficient job resources, they can cause strain and lower satisfaction. By contrast, job resources act as critical enablers, mitigating the adverse effects of demands, promoting job satisfaction, and enhancing employee engagement. By conceptualizing job satisfaction as a mediating variable, the proposed model clarifies how the interplay between demand and resources leads to increased work engagement, which contributes to improved firm performance. This …

An Agentic Ai Decision-Support Framework For Interpretable Crowd Status Monitoring Via Yolov5, Hasanain Hazim Azeez, Rafea Mohammed Ibrahim, Esraa H. Yahyaa, Thura Jamal, Nasri Sulaiman

AUIQ Humanities and Social Sciences

For public safety in crowded public places, less human detection is insufficient without interpretability and actionability of decision assistances. Although deep learning–based video surveillance systems have achieved accurate detection recently, the majority are restricted to passive perception and do not convert visual products into executive decisions for crowd status. This study presents an agentic AI-based decision support framework for interpretable real-time crowd status monitoring, to link vision-based perception and public safety decision. The proposed framework incorporates a YOLOv5-derived human detection module, an agentic state evaluation by considering persistability and a transparent rule-based decision making, which distinguishes scenes into crowd versus …

The Case For Required Tesol Coursework In Michigan Educator Preparation Programs, Angela Komsic Super

MITESOL Journal: An Online Publication of MITESOL

This study examines teacher candidate preparedness to support English learners across Michigan educator preparation providers (EPPs) using data from the Michigan Department of Education Educator Workforce Data Report. Data from the statewide Candidate Survey Suite, including responses from candidate supervisors, cooperating teachers, and teacher candidates, were analyzed to examine perceived preparedness at both state and institutional levels. Findings indicate that preparedness to support English learners remains comparatively lower than other areas of teacher preparation and showed little change following implementation of Michigan’s revised 2020 teacher preparation standards. Considerable variation was also observed across EPPs. To explore this variation, a document …

A Biased Variant Of The Ladybug Clock Problem, Jacob Vogelpohl, Russell May

Communications on Number Theory and Combinatorial Theory

Instead of the common assumption of uniform probabilities for steps in a random walk on a graph, we generalize the steps to be biased and compute several statistics related to biased random walks on a cycle graph, more fancifully known as the ``ladybug clock problem." We obtain new explicit formulas for the distribution of probabilities for a walk to end on a particular node, the expected cover time for the cycle, and other similar statistics. We carry out these computations solely with generating functions related to the classic gambler's ruin problem.

Lessons From Media Narratives About Displaced Students In Higher Education, Lisa Ruth Brunner

Critical Internationalization Studies Review

No abstract provided.

Let's Learn About Sheep, Justin S. Luther

AS Series – Animal Science

No abstract provided.

Sugar : Hints And Recipes, Ruth M. Dawson

A Series – Agronomy/Plant Science

No abstract provided.

Guard Against Spoilage, Ruth M. Dawson

A Series – Agronomy/Plant Science

No abstract provided.

More Attractive Farmsteads For North Dakota, Harry A. Graves

A Series – Agronomy/Plant Science

No abstract provided.

Narrowing The Path To Justice: The Impact Of Pulsifer On The First Step Act And Federal Sentencing Reform, Olivia Santora

St. John's Law Review

(Excerpt)

The Supreme Court’s decision in Pulsifer resolved a critical circuit split regarding the scope of the safety valve provision, but did so in a way that denied hope of reduced sentences for thousands of incarcerated individuals. The case centered on a statutory interpretation question: whether a defendant becomes ineligible for safety valve relief if they meet any one of the three criminal history conditions—A, B, or C—or only if they satisfy all three conditions simultaneously.  The Court sided with the narrower interpretation, holding that meeting any one condition disqualifies a defendant from an opportunity for relief.

This distinction …

An End To Ends?: Rethinking The Adjudication And Regulation Of Flavored Electronic Nicotine Delivery Systems In The United States, Elizabeth Sack

St. John's Law Review

(Excerpt)

This Note will characterize the jurisdictional nuances underlying courts’ adjudication of flavored ENDS premarket tobacco product applications (“PMTAs”). Part I will detail how Congress has legislated and delegated standard tobacco and ENDS regulation to the FDA. Additionally, Part I will discuss the biochemical pathways and harm-reduction mechanisms currently associated with ENDS. Part II will review how circuit courts have handled ENDS manufacturers’ challenges to the FDA’s denials of their PMTAs. Part III will argue that the FDA must make efforts to streamline the guidance it provides ENDS manufacturers. It will recognize that the FDA’s priorities to encourage smoking prevention …

Bridging Troubled Waters: Simplifying New York’S Riparian Property And River Access Laws, John Eikamp

St. John's Law Review

(Excerpt)

Part I of this Note provides a review of New York’s riparian property laws, beginning with the English common law and ending with Douglaston Manor v. Bahrakis. Part II provides an analysis of OGC-9 and its failures as an extension of the Douglaston Manor decision. Part III proposes that, to resolve this dysfunction, Douglaston Manor must be abrogated, at least in part, by statute. The statute, drawing on the laws of other states and the federal government, and informed by expert opinion, must set forth a list of the state’s navigable waterways so that anglers are no longer …

The Dormant Territorial Clause, Anthony M. Ciolli

St. John's Law Review

(Excerpt)

This Article explores the metes and bounds of the Dormant Territorial Clause, that is, the implicit constitutional limitation on state authority to address issues that implicate United States territories but otherwise fall within the traditional purview of state government. Part I explores the threshold question of whether a Dormant Territorial Clause even exists, ultimately concluding that the explicit positive grant of power to Congress to make needful rules and regulations for the territories must restrict the authority of state governments, even when Congress has not expressly acted. Part II then ascertains the principles that should apply to a Dormant …

Closing Remarks, Jelani Jefferson Exum

St. John's Law Review

(Excerpt)

Thank you so much, Judge Bellacosa. Your message is truly inspiring. And it is an honor for us to receive an A+ grade from you!

Let me turn it back to you, our alumni judges. I am so glad you could join us tonight and allow us to recognize your professional achievements. And of course, with so many potential employers in the room, I can’t help myself . . . . Many of you hire 1L interns and clerks. I encourage all of you to take on our amazing students and give them an opportunity of a lifetime to …

Keynote Address, The Honorable Joseph William Bellacosa

St. John's Law Review

(Excerpt)

First things first, thank you for the convocation, Judge Edwards, for the very kind introduction, Judge Vyskocil, for the table setting menu from Cardozo Professor John Barrett, and especially to you, Dean Jelani Jefferson Exum, for your kind invitation to be part of this special program honoring judicial alumni of our alma mater. And a hearty congratulations to our alma mater and all of us judicial alumni on the 100th Anniversary celebration.

Dean, I recall that you encouraged me to participate tonight, a special privilege, with a thoughtful request for “brief remarks.”

Introducing The Honorable Joseph William Bellacosa, The Honorable Mary Kay Vyskocil

St. John's Law Review

(Excerpt)

Good evening, I am Mary Kay Vyskocil, class of 1983, now a judge in the Southern District of New York.

I am a very proud alumna of St. John’s Law School and am so humbled to be with this impressive gathering of alumni who have served our state and our country as members of the judiciary. The law school provided all of us with the sound legal foundation we needed to handle the important work of the judiciary and I, for one, am very grateful for the education I received at the law school, the friends I made while …

Continued: Celebrating Alumni In The Judiciary, Jelani Jefferson Exum

St. John's Law Review

(Excerpt)

Thank you, John. I now have the honor of introducing the Honorable Mary Kay Vyskocil, class of 1983, former President of the St. John’s Law Alumni Association Board of Directors, and co-founder of its Manhattan Chapter.

Honorable Mary Kay Vyskocil serves as a United States District Judge for the Southern District of New York, a position she has held since December 20, 2019. Prior to her promotion to the district court, Judge Vyskocil served as a United States Bankruptcy Judge for the same district from 2016 to 2019.

Alumni In The Judiciary, John Q. Barrett

St. John's Law Review

(Excerpt)

Good evening, friends. Happy 100th birthday. Thank you for being here. And thank you for all that you do for St. John’s University School of Law, including making us so proud.

I will begin by repeating what I just said about why we are here tonight. We are here in our school’s centennial year to celebrate all of you, plus all other alumni, who have served or do serve as judges.

You might not realize that judges played a central role in St. John’s Law’s founding.

Continued: Celebrating Alumni In The Judiciary, Jelani Jefferson Exum

St. John's Law Review

(Excerpt)

Thank you, Judge. It is now my privilege to introduce Professor John Q. Barrett, the Benjamin N. Cardozo Professor of Law. Professor Barrett is a nationally recognized scholar of Constitutional Law, Criminal Procedure, and Legal History. He is also the Elizabeth S. Lenna Fellow at the Robert H. Jackson Center, where his work focuses on Justice Robert Jackson’s legacy and the Nuremberg Trials.