Digital Commons Network^™

Professional Identity Development Among Nursing Students: The Impact Of Structured Reflective Practice, Abdelmonim El Fadely, Kamal Takhdat, Charaf-Eddine Ahraiba, Rahma Bouali, Sabah Selmaoui, Boujemaa Agorram

Health Professions Education

Purpose This study aimed to assess the impact of a structured reflective practice intervention on the development of professional identity among nursing students. Method A mixed-methods design was adopted. The intervention, based on guided reflective practice, was implemented with a voluntary sample of 58 participants. The evaluation relied on a quasi-experimental quantitative approach using the Macleod Clark Professional Identity Scale, with a comparison group and both pre-test and post-test measurements. A qualitative component was also included to explore the dimensions of the studied concept in greater depth. Results Quantitative findings showed a statistically significant difference between the post-test means (p < 0.001), indicating that the reflective practice intervention had a positive effect on the experimental group compared to the control group. The qualitative results further illuminated students’ reflections, which were organized into ten themes corresponding to the study’s conceptual framework: professional knowledge and skills, values and ethics, the nursing role, leadership, professional self-image, social image of the profession, sense of belonging, identification with role models, theory–practice integration, and career choice. These dimensions provided a comprehensive and nuanced understanding of professional identity, capturing the complexity of the concept. Conclusion These results support the integration of reflective practice as a pedagogical approach to fostering the construction and development of a positive professional identity. Professional identity, as a rich and multidimensional concept, goes beyond the process of professionalization—it represents its ultimate achievement.

Climate Change Education In Medical Curricula: Integration, Collaboration, And Preparedness For Emerging Health Challenges, Sungkono Sungkono, Agus Santoso, Firdiawan Ekaputra, Firdian Makrufardi

Health Professions Education

Climate change poses increasing risks to global health, highlighting the need for healthcare professionals who understand the links between environmental change and health outcomes. Medical education is a key platform for fostering such competencies. This study aimed to examine the role of climate change education within medical curricula, focusing on its integration, the promotion of interdisciplinary collaboration, and its contribution to preparing students for emerging health challenges. This perspective paper provides an overview of current approaches to the integration of climate change education into medical training. Sources addressing curriculum design, knowledge acquisition, practical skill development, and collaborative learning were considered. …

Undergraduate Research Experiences Toward Student Success: Challenges And Opportunities For Medical Science Students At A University Of Technology, Ziningi Nobuhle Jaya

Health Professions Education

Purpose: The study aimed to evaluate the research experiences of undergraduate medical science students at a university of technology to identify challenges and opportunities and determine the affordances of research participation for student success.

Method: The study population comprised all third-year medical science students (n=30) enrolled in the research methods module, which is the only such module offered as part of the medical science academic program. Participation was voluntary and so the final sample represents a self-selected subset of fourteen individual from the full cohort. The data collection tool comprised closed and open-ended questions evaluating challenges, lessons learned, skills developed, …

Assessing The Effectiveness Of The Well-Being Through Occupational Participation (Wbop) Intervention In Promoting Well-Being In Occupational Therapy Students From A Philippine University: A Convergent Mixed-Methods Study, Elena Wong Espiritu, Maria Concepcion Dc. Cabatan, Guia Allyza D. Rabacca, Marlowe Eriberto P. Acuña Jr, Jay Allen B. Villon, Peñafrancia E. Ching

Health Professions Education

Purpose: Filipino occupational therapy students experience decreased well-being during their educational experience. However, there is a limited amount of literature describing their well-being and a scarcity of culturally specific interventions to promote student well-being. The Well-Being Through Occupational Participation intervention is an evidence-based, manualized program consisting of a variety of occupation-based activities. The objective of this study aimed to assess the effectiveness of a modified version of the intervention in promoting undergraduate Filipino occupational therapy student well-being.

Methods: A convergent mixed-methods approach was used, specifically longitudinal survey for the quantitative design and qualitative descriptive for the qualitative design. Data was …

Factors Associated With Academic Outcomes And Leave Of Absence Among Health Professions Graduate Students, Laura Plummer, Emile Boutin, Hien Nguyen, Devashish Tiwari, Sanah Chatiwala, Deborah Altsher, Nara Gavini, Keshrie Naidoo

Health Professions Education

Purpose: The purpose of this mixed-methods study was to examine the extent to which health professions graduate students' demographic, academic, and environmental factors influence time to graduation. It also aimed to explore the experiences of graduates who took a leave of absence (LOA), including their perspectives on the factors contributing to delayed graduation and the strategies that supported their reintegration and eventual success.

Methods: A mixed methods explanatory sequential design with the qualitative analysis providing deeper context to the quantitative data. The qualitative arm of the study utilized a phenomenological approach. Descriptive statistics (mean, standard deviations for the continuous variables, …

Assessing Medical Professionalism In Future Physicians: A Nationwide Perspective From Saudi Arabia, Jawad S Albashri, Waad I Barnawi, Abdullah F Albukhari, Ahmed S Albashri, Abdullah S Algarni, Khalid Alzahrani, Ramy Samargandi

Health Professions Education

Background:

Medical professionalism is a core competency in medical education and a cornerstone of professional identity formation. In Saudi Arabia, where medical education is rapidly expanding under Vision 2030, limited nationwide evidence exists on professionalism among medical students.

Methods:

A cross-sectional study was conducted from October to November 2024 using the validated Learners’ Attitudes on Medical Professionalism Scale (LAMPS). A convenience sample of 1,234 students from the 2nd–6th years across all five regions and both governmental and private universities completed the survey. LAMPS scores were compared by academic year, gender, GPA, region, and university type using Mann-Whitney U …

An Exploration Of Npte Predictors Of Success In Nontraditional Pta To Dpt Bridge Students, Stefanie Anderson, Nicole Schroeder, Mario Baker, Sean Mcbride

Health Professions Education

Purpose: PTA to DPT Bridge programs are uniquely designed to bridge the skills of a working physical therapy assistant (PTA) and those needed to become a Doctor of Physical Therapy (DPT). The purpose of this study is to explore factors predictive of the National Physical Therapy Examination (NPTE) scores unique to the nontraditional PTA to DPT student.

Methods: This study utilized a quantitative, non-experimental design to examine predictive factors associated with DPT students’ performance on the NPTE. Student records from 86 graduates from the 2022 to 2024 cohorts, of a single PTA to DPT Bridge program were collected and …

Students’ Views On Professionalism As A Window Into Their Professional Identity Formation, Jennifer H. Kwon, Charles F. Shuler, Judith Walker, Hsingchi Von Bergmann

Health Professions Education

Purpose: Professional identity formation (PIF) provides a process-based framework for understanding professionalism, focusing on how individuals integrate professional values and roles into their broader sense of self. Limited research has examined how dental students perceive professionalism and how these perceptions shape their developing professional identities. Understanding these perspectives may provide insight into their PIF journey and help inform the design of educational strategies to address their need.

Method: An online survey, consisting of both open-ended and close-ended questions, was emailed to undergraduate students in the Faculty of Dentistry at one Canadian university. Descriptive statistics were conducted using JASP (Version 0.16.1; …

Design, Delivery And Impact: Practical Tips For Impactful Continuing Professional Development, Helen Mcgregor, Brett Vaughan, Louise Horstmanshof

Health Professions Education

Continuing professional development (CPD) is essential for maintaining competence and improving patient care, yet most approaches often have limited impact on practice. This Practice Brief draws on qualitative research with Australian allied health professionals to identify what motivates CPD engagement and supports meaningful learning. Participants highlighted that improving patient outcomes is the strongest driver, and that learning is most effective when it is relevant, actionable, socially interactive, and linked to real-world practice. We synthesised these insights into the PRACTICAL framework, outlining nine principles for CPD design: Patient Outcomes, Recipients, Actionable Takeaways, Co-design, Theory, Investment, Collaborative Learning, Assessment, and Link to …

Cohen's D In Medical Education Assessment: A Double-Edged Sword For Quality Assurance, Majid Ali

Health Professions Education

No abstract provided.

Preparedness Of Recent Australian And New Zealand Podiatry Graduates: Insights From Practising Podiatrists, Katrina Reynolds, Michelle Mclean

Health Professions Education

Purpose. Transitioning to the workforce can be challenging for health professional graduates when they are not adequately prepared for clinical practice. This study explored the perceptions of practising podiatrists, including those who were also clinical supervisors, regarding the preparedness of recent graduates for clinical practice and identified potential improvements in podiatry education to enhance readiness.

Method. Registered, practising podiatrists in Australia and New Zealand (ANZ) were recruited from December 2018 to May 2019 via professional organisations and social media. Data were collected through an online survey comprising closed and open-ended questions exploring perceptions of recent graduate preparedness, suggested program changes, …

Affirmatively Misled: The Commutation Instruction That Distorted Louisiana’S Death Penalty, G. Ben Cohen

Akron Law Faculty Publications

In 1997, Louisiana voters amended the state constitution to mandate that capital juries be instructed on the governor’s power to commute life and death sentences. This amendment, urged by the Louisiana District Attorneys Association, followed a Louisiana Supreme Court ruling that found an earlier clemency instruction violated the state constitution.     The instruction was fundamentally false. Louisiana governors, it turns out, lacked the unilateral authority to commute sentences; such actions require a favorable vote from the Parole Board. This reality became starkly clear in 2023, when the clemency petitions of fifty-six condemned prisoners—many sentenced by juries affirmatively given this instruction—were terminated …

Survivors Of Historical Intergenerational And Familial Trauma Scale For Black American Descendants Of Enslaved People: A Development And Initial Validation Study, Loryn Chás Kimbrough

Graduate Research Theses & Dissertations

Despite extensive research documenting cultural and racialized trauma, no validated assessment tool had previously captured the intrafamilial mechanisms of trauma transmission specific to the BADEP population, whose trauma lineage is rooted in slavery. The present study addresses this gap through the development and initial validation of the Survivors of Historical Intergenerational and Familial Trauma Scale (SHIFTS), a culturally grounded instrument designed to measure the transmission of historical trauma (HT) and ongoing intergenerational trauma (IGT) among Black American Descendants of Enslaved People (BADEPs). The SHIFTS examines how HT gives rise to the continued transmission of two interrelated legacies: survival-based and trauma-rooted …

Utilizing Coal For Mesophase Pitch-Based Carbon Fiber Production: Precursors, Processes, And Progress, Christina M. Thompson

Theses and Dissertations--Chemistry

Graphitic materials possess unique properties due to the unique combination of layered crystalline structure and carbon’s low atomic weight. High performance carbon fiber is one such example, displaying exceptional strength-to-weight ratios, stiffness, and thermal and chemical resistance. These properties render high performance carbon fiber a critical structural reinforcement material in the manufacture of composites across various industries, such as for automotive and aerospace applications. However, balancing fiber performance with precursor and processing costs remains a challenge. As alternative carbonaceous feedstocks are explored, coal has gained interest for utilization in graphitic products as a relatively abundant and low-cost source of aromatic …

Elucidating The Impacts Of Non-Covalent Interactions In Organic Materials Through A Multiscale Computational Approach, Sashen A. Ruhunage

Theses and Dissertations--Chemistry

Noncovalent interactions (NCIs) in π-conjugated organic materials serve as tunable levers that influence molecular structure and intermolecular interactions in the condensed phase and, in turn, impact the electronic, optical, and mechanical properties of these materials. NCIs include attractive dispersion, electrostatic, and induction interactions, as well as repulsive exchange interactions. However, how to design materials with NCI considerations remains an open question across many fields. Here, we seek to provide an electronic and atomistic perspective on these interactions through multiscale simulations to aid materials design, processing, and performance optimization. In this study, we investigate NCIs and their effects across various systems …

Student Familiarity With The Periodic Table Of The Elements: Results From Cued-Recall And Eye-Tracking Assessments On Memory, Victor A. Okuo

Theses and Dissertations--Chemistry

Learning element symbol–name associations and the spatial organization of elements on the periodic table is a foundational step in learning chemistry, supporting later understanding of chemical formulas, equations, bonding, and stoichiometry. Although students often rely on memorization strategies to learn periodic table content, this task is challenging due to the large number of elements and the apparent ambiguity in matching some element symbols to their names.

This study explores students’ recall of element names when given element symbols as cues and their knowledge of element locations on the periodic table when given element names as cues. The study also examines …

Preoperative Glucagon-Like Peptide-1 Therapy In Bariatric Surgery Patients With Morbid Obesity (Premo): Rationale And Study Design For A Randomized Controlled Trial, Varun Jain, Colleen A. Mcmullen, Joy I. Kimbrough, Anna K. Rockich, Daniel L. Davenport, Gregory S. Hawk, Barbara S. Nikolajczyk, Philip A. Kern, Simon J. Fisher, Joshua P. Steiner, William B. Inabnet Iii, Marlene E. Starr

Surgery Faculty Publications

Introduction: Bariatric surgery is the most effective treatment modality for individuals with morbid obesity, providing significant and durable weight loss and comorbidity resolution. Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide receptor agonists have shown promise as weight loss drugs, in addition to their use in the treatment of metabolic disorders. While multimodal weight management is the standard of care for individuals with morbid obesity, the benefit of antecedent GLP-1 therapy prior to bariatric surgery has not been well-studied. The objective of this study is to conduct a clinical trial testing the hypothesis that preoperative treatment with a dual GLP-1/glucose-dependent insulinotropic …

Amustaline/Glutathione Pathogen-Reduced Red Cell Hemoglobin Utilization In Complex Cardiac Surgery, Ian J. Welsby, Michael E. Sekela, Edward L. Snyder, James D. Gorham, John S. Mcneil, Kathy Liu, Stanley Bentow, Thomas Gniadek, Laurence Corash, Nina Mufti, Richard J. Benjamin

Surgery Faculty Publications

Background: The ReCePI randomized, controlled trial compared amustaline/glutathione pathogen-reduced (PR) and conventional red blood cell (RBC) transfusions in cardiac surgery. Study design and methods: We performed a post-hoc analysis of hemoglobin (Hb) utilization and safety outcomes. Hb content of study RBCs was measured at manufacture. Subject Hb levels, estimated blood loss and blood product use were recorded during and for 7 days post-surgery. Acute kidney injury (AKI) incidence was graded over 7 days, and adverse events were assessed for 28 days. Results: PR-RBCs contained 5.2% less Hb (mean [SD] Test 58.1 [6.5] g; Control 61.5 [6.8] g Hb, p <.001) due to manufacturing volume losses. Four hundred fifty-six PR- and 524 conventional RBCs were transfused to 159 Test and 162 Control subjects, respectively. Mean subject baseline and post-surgery Hb levels, and blood loss were not different between groups. Test subjects tended to require fewer total RBCs (3.5 [2.7] Test vs. 4.0 [3.5] Control, p =.08) resulting in 17.6% significantly less mean total Hb transfused (Test 203.2 g; Control 246.8 g Hb, p =.01). The proportions of subjects transfused with, and the number of platelet and cryoprecipitate units transfused were not different. Test subjects received less plasma (2.3 [1.8] units Test vs. 3.5 [3.8] Control, p =.03). Overall incidence of adverse events and AKI were not clinically different. Imbalances in AKI severity (Grade III Test 15/159 [9.4%]; Control 7/162 [4.3%], p =.07) may suggest under-transfusion in the highest-risk Test subjects. Discussion: Test patients required less transfused Hb than control subjects to maintain equivalent daily hemoglobin levels following similar blood loss.

Prolonged Invasive Mechanical Ventilation Is Associated With Decreased Survival After Lung Transplantation Among Recipients With Primary Graft Dysfunction, Meghan Aversa, Shaf Keshavjee, Tereza Martinu, Marcelo Cypel, Andrew T. Sage, Joshua M. Diamond, Jonathan P. Singer, Scott M. Palmer, Krishna Pandya, Edward Cantu, Jason D. Christie, Michaela R. Anderson

Surgery Faculty Publications

Introduction: Prolonged invasive mechanical ventilation (IMV) after lung transplantation is an appealing early prognostic outcome as it can be reproducibly assessed both prospectively and retrospectively. Whether use of IMV at 72 h after lung transplantation is associated with post-transplant graft survival is unknown. Methods: We performed a retrospective cohort study of 1511 participants in the multi-center Lung Transplant Outcomes Group cohort (2011–2018). Using Cox proportional hazards models and restricted mean survival time, we investigated whether IMV at 72 h was associated with post-transplant graft survival. We secondarily evaluated whether IMV at 72 h was concordant with severe primary graft dysfunction …

Mouse Models For Post-Sepsis Syndrome, John Matthew K. Ang, Stephanie F. Mori, Erick Lewis, Maria E.C. Bruno, Arnold Stromberg, Hiroshi Saito

Surgery Faculty Publications

Background – Sepsis survivors commonly suffer from chronic Post-Sepsis Syndrome (PSS). To understand the mechanisms of PSS, it is critical to utilize appropriate animal models. While cecal ligation and puncture (CLP) is a widely used model of sepsis, a concern exists regarding its suitability for studying long-term outcomes. Alternatively, we previously optimized a highly reproducible murine cecal slurry (CS)-injection model of sepsis. The objective of this study was to compare the suitability of CS and CLP models for investigating PSS. Methods – Male 4-month-old C57BL/6 mice were divided into 7 groups: (1) Naïve control; (2) Sham: laparotomy control; (3) CL: …

Mary Hollis Papers - Accession 1457, Mary Hollis Faris, Hollis Family

Manuscript Collection

This Mary Hollis Letters consists of personal correspondence dating from 1932 to 1935, including letters and postcards addressed to members of the Hollis family, primarily Mary Hollis Faris (1911-1986) who was a 1932 graduate of Winthrop College. The correspondence documents family relationships, travel, daily activities, and social life during the period. A significant portion of the letters reflects a courtship between Mary Hollis and her future husband John Franklin “Frank” Faris (1909-1981), offering insight into romantic relationships, social customs, and leisure activities in the early 1930s. The series also includes communications among family members that reference vacations, weather, household matters, …

Rev. William Cummins Davis Collection - Accession 1782, William Cummins Davis

Manuscript Collection

The Rev. William Cummins Davis Collection consists primarily of a bound 1823 volume titled Lectures on the New Testament: In Which the Four Evangelists Are Harmonized, and the Work Interspersed with Critical Notes and Observations on Several Passages. Published posthumously by Davis’s eldest son, the Rev. Robert M. Davis (1793–1824), this volume is one of eight issued in a projected series originally intended to comprise only two volumes. The work compiles sermons, theological lectures, and critical annotations reflecting Davis’s distinctive interpretations of the New Testament.

William Cummins Davis (1760–1831) was a prominent and controversial Presbyterian minister in the Carolinas …

Carol Jean Jennings Wts Memorabilia Collection - Accession 1802, Carol Jean Jennings

Manuscript Collection

The Carol Jean Jennings WTS Memorabilia Collection consists of materials documenting her student experience at the Winthrop Training School and the graduating class of 1955. The collection includes photographs, newspaper clippings, programs, tickets, postcards, and a 1955 Garnet and Gold WTS yearbook.

These materials provide insight into student life, school activities, and commemorative events associated with Winthrop Training School during this period.

The Federalism Canons As Ordinary Interpretation, Anthony J. Bellia, Bradford R. Clark

Journal Articles

From the article

Scholars remain generally skeptical of substantive canons of statutory interpretation even as courts continue to employ such canons in important cases. Unlike semantic canons, which help judges discern the best meaning of statutory text in context, substantive canons provide tiebreakers when the text is unclear or require special clarity in order for the text to perform certain functions. Among the substantive canons, the so-called “federalism canons” have been singled out for special scrutiny. The federalism canons are a family of canons that require courts to avoid interpreting an act of Congress to divest states of certain sovereign …

Faces Of Formalism, Jeffrey A. Pojanowski

Journal Articles

Formalist approaches to legal interpretation, such as textualism and originalism, are ascendant in federal statutory and constitutional law. Yet with success have come uncertainty and dissatisfaction. Formalists and their critics observe that textualism and originalism can seem as open-ended as the purposive and dynamic methods they were supposed to replace. This Article tries to diagnose the source of this discontent. It does so by identifying two different faces of formalist interpretation: the formalism of authority—adherence to original sources of law—and the formalism of method—constraint through predictable, rule-bound interpretation. Defenses of formalism often assume these two paths to constraint run together, …

International Law Duties Not To Recognize, Not To Assist, And To Cooperate Against Peremptory Norms (Jus Cogens) Violations,, Diane A. Desierto

Journal Articles

Peremptory norms (jus cogens) are the highest norms of international law. When these norms are violated, all States and international organizations have, at a minimum, three international legal duties to discharge while the violation is occurring: (1) the duty of non-recognition, where no State or international organization should recognize the situation caused by the violation; (2) the duty of non-assistance, where no State or international organization should render any aid or assistance to maintain this situation caused by the violation; and (3) the duty of cooperation, where all States and international organizations should cooperate to bring the violation to an …

Histopathological Effects Of The Intrathecal Chondroitinase Abc Administration In Spinal Cord Injured Rats: A Systematic Review, Mohammad Amin Habibi, Ali Anjomshoa, Mohsen Sadeghi-Naini, Zahra Ghodsi, Samuel Berchi Kankam, Erfan Razavi, Armin Aryannejad, Seyed Mohammad Piri, Akam Ramezani, Rasha Atlasi, Kawthar Mohamed, Sina Shoo, Meysam Kaveh, Akbar Fotouhi, Arman Zeinaddini, James S. Harrop, Alex R. Vaccaro, Michael G. Fehlings, Vafa Rahimi-Movaghar

Department of Orthopaedic Surgery Faculty Papers

Introduction: Chondroitinase ABC (ChABC) has been considered a potential treatment for spinal cord injury (SCI). We aim to identify and evaluate the histopathological effects of intrathecal ChABC administration in SCI rat models.

Methods: We searched PubMed/MEDLINE, Scopus, Web of Science, Embase, and Cochrane Library for studies published from the inception of each database until November 22, 2022.

Results: Of 3857 screened citations, 17 studies met eligibility criteria and were entered into the qualitative analysis. Sixteen studies were of high quality, and one study was of medium quality. The four main rat strains used in studies were Sprague-Dawley, Wistar, Lister hooded, …

Assessing Sustainable E-Cigarette Prevention Messaging In Public Health Communication, Addo Anim Adinkrah

Graduate Research Theses & Dissertations

This study examines the sustainability of e-cigarette or vaping prevention messaging on X (formerly Twitter) and the message-design strategies used by public health institutions to maintain message visibility over time. Using the McGuire Communication/Persuasion Model and Media Framing theoretical frameworks, the research employs a qualitative thematic analysis based on Braun and Clarke’s six-phase approach to analyze 506 tweets from official accounts affiliated with the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA). The findings reveal that prevention messages are sustained through repeated core warnings and reinforcement of institutional authority rooted in scientific and …

Symbolic Logistic Regression For Interval-Valued Predictors: A Simulation Study And Application To Health Data, Soad Abdullah

Graduate Research Theses & Dissertations

This thesis investigates symbolic logistic regression for interval-valued predictors through simulation studies and a real health data application. Classical logistic regression assumes exact predictor values, whereas in many practical settings variables are available only in interval form due to coarsening or reporting uncertainty. Two simulation studies examine the impact of interval uncertainty under asymmetric intervals and measurement error. Symbolic models based on midpoint and midpoint-plus-width representations are compared with the classical approach. Results show that midpoint modeling captures the general relationship but introduces bias under asymmetry, while incorporating width reduces this distortion. Under measurement error, classical logistic regression exhibits attenuation …

The Only Duck I’Ve Ever Loved Is Daffy In Drag: A Textual Analysis Of Gender Norm Reinforcement In The Looney Tunes Show, Sara Bahaji

Graduate Research Theses & Dissertations

In 2011, Warner Brother’s latest attempt to make Looney Tunes appeal to modern audiences was released, The Looney Tunes Show. This was a departure from classic Looney Tunes, from its slice-of-life sitcom setting to the changes in the characters. But one of the ways it stood out in not just classic Looney Tunes but contemporary cartoons, was its treatment of Daffy Duck. This thesis is a textual analysis of the show’s presentation of Daffy Duck’s gender. Different frameworks were used to build the analytic tools: signifying theory, as presented by Savoy (1995), gender accountability from West & Zimmerman (1987) and …