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Articles 61 - 90 of 6981
Full-Text Articles in Medicine and Health Sciences
Creating A Culture Of Well-Being By Removing Barriers To Participation In A Multi-Campus Cancer Center, Adam Siegman, Miranda M. Phillips, Jennifer Bickel
Creating A Culture Of Well-Being By Removing Barriers To Participation In A Multi-Campus Cancer Center, Adam Siegman, Miranda M. Phillips, Jennifer Bickel
Advances in Cancer Education and Quality Improvement
Background: Healthcare professionals in geographically distributed cancer care settings may face barriers to accessing workforce well-being resources due to geographic distance, staffing constraints, and operational demands. Disconnect & Refresh was developed to improve access to restorative wellness opportunities across community-based cancer care sites.
Methods: Disconnect & Refresh was implemented at The University of Texas MD Anderson Cancer Center across 4 Houston area locations. The initiative included BeWell Paws, virtual reality meditation, chair yoga, and creative wellness activities delivered during the workday. Participation was voluntary and tracked through employee badge scans. Participants were invited to complete an anonymous post-event survey, and …
Leadforward: A Department-Based Leadership Development Program To Support Workforce Well-Being, Leisa A. Bryant, Denise Marshall, Loreal Williams, Miranda M. Phillips
Leadforward: A Department-Based Leadership Development Program To Support Workforce Well-Being, Leisa A. Bryant, Denise Marshall, Loreal Williams, Miranda M. Phillips
Advances in Cancer Education and Quality Improvement
Introduction: Leadership development is increasingly recognized as an important strategy for supporting workforce engagement, professional growth, and succession planning in healthcare settings. To address leadership development needs within Food, Nutrition, and Patient Transportation (FNPT) departments, a structured leadership development program, LeadForward, was developed for emerging and midlevel leaders.
Project Description: LeadForward was implemented within the FNPT departments at a comprehensive cancer center. Ten participants completed the inaugural cohort. The curriculum was organized into 6 instructional modules designed to develop leadership competencies among emerging and midlevel leaders. Leadership outcomes were assessed using pre- and postprogram self-assessments across 14 leadership competency …
Testing Personalization In Llm-Based Mental Health Support: A Proposed Experimental Design For College Students, Tchalim P. Agninoube, Greg Williams
Testing Personalization In Llm-Based Mental Health Support: A Proposed Experimental Design For College Students, Tchalim P. Agninoube, Greg Williams
Annual DBA Scholars Conference
Rising student mental health demand has outpaced campus counseling capacity. This paper proposes a 2x2 between-subjects experimental design to test whether a personalized LLM-based chatbot, grounded in just-in-time adaptive intervention principles and cognitive load theory, provides better short-term anxiety reduction than a standard chatbot across stress and neutral contexts. The personalized chatbot uses wearable stress data, sleep quality, self-reported overwhelm, and support preferences to select between low-load and elaborative support paths. The design contributes a practical framework for evaluating personalization in AI-driven mental health tools and informs scalable, responsible institutional deployment.
Bridging Awareness And Action: A Multilevel Model Of Organizational Learning, Safety Climate, And Sickle Cell Trait Safety Compliance, Kimberly Snowden
Bridging Awareness And Action: A Multilevel Model Of Organizational Learning, Safety Climate, And Sickle Cell Trait Safety Compliance, Kimberly Snowden
Annual DBA Scholars Conference
Despite the existence of NCAA and National Athletic Trainers’ Association guidelines, preventable sickle cell trait (SCT)-related adverse events continue to occur in athletic settings. This study examines how organizational learning capacity, safety climate, leadership commitment, and individual risk perception influence compliance with SCT safety protocols and related safety outcomes. Drawing on Organizational Learning Theory, Safety Climate Theory, and the Health Belief Model, the study proposes a multilevel framework tested through an explanatory sequential mixed-methods design. Findings are expected to identify organizational predictors of compliance and provide practical recommendations to strengthen SCT safety implementation and reduce preventable athlete harm.
Entrepreneurship Education In Doctor Of Pharmacy Programs: A National Survey Of Course Prevalence, Characteristics, And Assessment Methods, Karl Hess, Richard Beuttler, Reza Taheri
Entrepreneurship Education In Doctor Of Pharmacy Programs: A National Survey Of Course Prevalence, Characteristics, And Assessment Methods, Karl Hess, Richard Beuttler, Reza Taheri
Pharmacy Faculty Articles and Research
Entrepreneurship and innovation are increasingly being recognized as important for pharmacy practice transformation, advancement, and the sustainability of the profession. However, the extent and nature of entrepreneurship education in Doctor of Pharmacy (PharmD) programs remain largely unknown. This study characterizes the prevalence, content, entrepreneurial skills and attitudes, pedagogical approaches, and assessment methods in colleges and schools of pharmacy in the United States (US). A cross-sectional descriptive survey was developed, validated, and administered to all 142 accredited colleges and schools of pharmacy in the US from June to August 2025. A total of 107 institutions responded for a 75% overall response …
Oct. 2026 - A Lifetime Of Saying Yes To Service, Timothy Rath
Oct. 2026 - A Lifetime Of Saying Yes To Service, Timothy Rath
The Journal of the Michigan Dental Association
This biographical feature profiles Dr. Raymond Gist, celebrating his receipt of the key to the city of Flint, Michigan, and his six-decade career in dentistry. Tracing his journey from Flint to becoming the first Black president of the American Dental Association (ADA), the story highlights his dedication to patient care, mentorship, and leadership within organized dentistry. Dr. Gist encourages early-career and underrepresented dentists to embrace leadership roles and community involvement, demonstrating how committing to service elevates the profession and advances oral health equity.
Oct. 2026 - Mastery Creates Presence, Anish Gupta D.D.S.
Oct. 2026 - Mastery Creates Presence, Anish Gupta D.D.S.
The Journal of the Michigan Dental Association
Written by oral surgeon Dr. Anish Gupta, this reflective essay explores the connection between clinical mastery and patient-centered hospitality in surgical practice. Defining practice core values as "be the best, do the best" and "unreasonable patient-centeredness," the author illustrates how technical expertise frees clinicians to be fully present and empathetic with anxious patients. The article emphasizes that clinical competence should serve to alleviate patient fear, remove practice friction, and elevate the healthcare experience through mindful, compassionate service.
Oct. 2026 At Your Service - Answers On Address Changes, Staff Credentials, And Retirement, Mda Membership Department Staff
Oct. 2026 At Your Service - Answers On Address Changes, Staff Credentials, And Retirement, Mda Membership Department Staff
The Journal of the Michigan Dental Association
This member service Q&A feature provides practical administrative guidance for Michigan Dental Association members. It addresses legal requirements regarding patient requests for dental hygienist licensing credentials, clarifying that practices must provide names but are not required to provide license numbers. It outlines retirement procedures, detailing eligibility for reduced dues, retired life membership status, and continued participation in continuing education and volunteer initiatives. Additionally, the article guides members on seamlessly updating home address information and personal profiles using the online MDA Member Compass portal.
Oct. 2026 From The Editor - Advocacy Works. We've Seen It., Romesh Nalliah
Oct. 2026 From The Editor - Advocacy Works. We've Seen It., Romesh Nalliah
The Journal of the Michigan Dental Association
In this editorial, the Editor-in-Chief emphasizes the vital role of professional advocacy in protecting patients and sustaining dental practices. Drawing inspiration from historical advocacy efforts, such as Benjamin Ricci's fight for institutionalized care standards, the article highlights recent victories achieved by the Michigan Dental Association. Key achievements include securing increased Medicaid reimbursement rates after decades of stagnation and advocating for the passage of Senate Bill 105 to eliminate burdensome virtual credit card fees. The author underscores that health policy change requires active engagement from dentists advocating on behalf of their patients and profession.
J Mich Dent Assoc Oct. 2026
The Journal of the Michigan Dental Association
The October 2026 issue of the Journal of the Michigan Dental Association highlights advocacy, leadership, clinical practice, and practice management for Michigan dentists. The cover story examines how MDA advocacy led to the passage of Senate Bill 105, prohibiting forced virtual credit card transaction fees. Features include a profile on Dr. Raymond Gist, first Black ADA president; clinical guidance on caries management with Dr. Melissa Seibert; insights from the LEAD leadership program; and surgical mindfulness by Dr. Anish Gupta. Regular departments cover unlicensed employee legalities, supporting caregiver employees, open health insurance enrollment, and MDA organizational updates.
Chacahoula 2026, Volume 93, Pawan Khatri, Alayna Pellegrin
Chacahoula 2026, Volume 93, Pawan Khatri, Alayna Pellegrin
Chacahoula
The 2026 issue of Chacahoula, There's No Place Like Home, emphasizes the way in which our university becomes a home to students. Featuring prize-winning poetry from Allyson Gee, Nick Fredrick, Amaris Kendall and Anmol Subedi, the book includes December 2025 and May 2026 graduating classes, as well as stunning photography of campus life on the banks of Bayou Desiard. With features covering students, faculty, and staff, this year's time capsule preserves an academic year in the life of the University of Louisiana at Monroe. This edition includes a video message from President Carrie Castille. Download the PDF to your device …
Uae Audiences' Reliance On Social Media As A Source Of Information On Complementary And Alternative Medicine: A Study Of Al Ain City Residents Based On Media System Dependency Theory, Abdul Rahman Al-Toum, Mohammed Al-Kaabi, Najoud Al-Mansouri, Ahmed Bin Ishaq, Amer Khaled Ahmad, Maram Manajrah
Uae Audiences' Reliance On Social Media As A Source Of Information On Complementary And Alternative Medicine: A Study Of Al Ain City Residents Based On Media System Dependency Theory, Abdul Rahman Al-Toum, Mohammed Al-Kaabi, Najoud Al-Mansouri, Ahmed Bin Ishaq, Amer Khaled Ahmad, Maram Manajrah
This study examined the extent to which UAE audiences rely on social media as a source of information on complementary and alternative medicine (CAM) and the resulting effects of this reliance. Grounded in Media System Dependency Theory, the study employed an audience survey using a questionnaire administered to a sample of (132) Emirati citizens in Al Ain. The findings revealed that the combined medium and high reliance reached (53%). Regarding the effects, cognitive effects recorded the highest arithmetic means, followed by affective and behavioral effects at comparable levels. Hypothesis testing showed no statistically significant differences in the degree of reliance …
Mentorship As A Catalyst For Change Readiness: A Qualitative Study Of How Effective Mentoring Mitigates Burnout And Turnover During Organizational Transformation, Jeffery M. Camp
Journal of Online Mentoring
This qualitative study examined how effective mentorship mitigates burnout and attenuates turnover intention during organizational change, foregrounding the perspectives of experienced mentors. Drawing on Biggs’s presage–process–product (PPP) model, data were collected through semi-structured interviews (n = 12) and two focus group discussions (n = 6 each), engaging 18 unique mentors employed in organizations with 1,000 or more employees. Thematic analysis following Braun and Clarke’s six-phase protocol yielded four themes: (1) mentorship as strategic facilitation of organizational change; (2) mentorship as provision of emotional and psychological support; (3) empowering mentees through relationship-building; and (4) applying adaptive and reflective strategies. …
Advancing Blood Production And Distribution: Leveraging Ai In The Expeditionary Care Environment, Andrew Hall, Michael Carrillo, Garrion Jackson, Jennifer Hall, Ryan Comes
Advancing Blood Production And Distribution: Leveraging Ai In The Expeditionary Care Environment, Andrew Hall, Michael Carrillo, Garrion Jackson, Jennifer Hall, Ryan Comes
Joint Force Quarterly
It is a whole of government effort to ensure there is sufficient blood supply during times of crisis and conflict. The interagency is responsible for the blood production, delivery and ultimately utilizes blood across the world to treat hemorrhaging patients. Blood is an individually donated resource that saves lives in the expeditionary environment. The ideal blood supply chain maximizes production, utilization, and remaining shelf life of blood products where it is needed across the world. Optimized production and delivery of blood maximizes lifesaving while minimizing wastage. The advancement in artificial intelligence represents an opportunity to apply technology to this critical …
Developing A Deep Learning-Based Artificial Intelligence System For Detecting Scientific Misinformation On Digital Platforms, Shorouq Al-Awawdeh, Ayah Al- Jafari
Developing A Deep Learning-Based Artificial Intelligence System For Detecting Scientific Misinformation On Digital Platforms, Shorouq Al-Awawdeh, Ayah Al- Jafari
Objectives: This study develops and evaluates an Arabic scientific misinformation detection system by fine-tuning AraBERT-base-v2. It examines the effects of early stopping and input sequence length on model performance, interprets selected linguistic characteristics associated with misleading content, and discusses the limitations of using machine-translated data.
Methodology: The study adopted a mixed-methods design, employing a systematic integration of quantitative and qualitative approaches, supported by an interpretive qualitative reading. The initial database consisted of 23,546 records, including 123 Arabic articles collected from the Akeed, Sheek, and Taqeen platforms, and 23,423 foreign-language records drawn from the GossipCop and PolitiFact collections within FakeNewsNet. After …
Pearls From Local Dentists: The Problem In Your Practice Probably Isn’T A Staffing Problem
Pearls From Local Dentists: The Problem In Your Practice Probably Isn’T A Staffing Problem
West Michigan District Dental Society Bulletin
"Clinical Corner: Pearls from Local Dentists" is a section of the WMDDS Bulletin where local dentists share clinical wisdom for fellow practitioners. This edition discusses The Problem in Your Practice Probably Isn’t a Staffing Problem.
From Dissertation To Deployment: A Unified Software Platform Operationalizing Clinical-Prediction And Sequential-Security Ai For Healthcare, Olsi Shehu, Damiana Teliti, Jasmin Kevrić, Bekir Karlik
From Dissertation To Deployment: A Unified Software Platform Operationalizing Clinical-Prediction And Sequential-Security Ai For Healthcare, Olsi Shehu, Damiana Teliti, Jasmin Kevrić, Bekir Karlik
Communications of the IIMA
Advances in machine learning for healthcare are abundant, yet most validated models remain confined to research notebooks and never reach secure, usable clinical software. This paper addresses that deployment gap by presenting a unified, security-hardened software platform that operationalizes two complementary streams of doctoral research inside a single, role-based hospital information system. The first stream contributes a clinical-prediction capability: an ultra-hybrid ensemble that couples a quantum-inspired feature transformation, particle-swarm feature selection, and calibrated soft voting for cancer-outcome prediction (96.41% accuracy, AUC-ROC 0.983 on TCGA-BRCA), survival stratification, multi-cancer generalization, and pharmacogenomic drug-response classification (89.31% mean accuracy across 25 compounds). The second …
Ai-Supported Analysis Of Jury Deliberation Impact Factors, Jennifer Siciliani Phd
Ai-Supported Analysis Of Jury Deliberation Impact Factors, Jennifer Siciliani Phd
Generative AI Teaching Activities
Students conduct a controlled, two-run generative AI jury simulation to examine how a single socio-legal variable affects simulated jury deliberation. They compare and manually code the AI-generated outcomes against peer-reviewed human jury research to evaluate the model’s accuracy, limitations, and potential biases.
From The President - The Transformative Value Of Our Profession, Melanie E. Mayberry, Dds, Ms-Hcm
From The President - The Transformative Value Of Our Profession, Melanie E. Mayberry, Dds, Ms-Hcm
The Journal of the Michigan Dental Association
Melanie E. Mayberry, MDA President, reflects on the transformative value of dentistry on both patients and the personal lives of practitioners. The article emphasizes how the dental profession builds stronger communities through service, empathy, mentorship, and continuous learning. Highlighting student and patient resilience in the face of adversity, Mayberry draws inspiration from events like the Kalamazoo Mission of Mercy, where volunteers provided over one million dollars in free dental care. She encourages dentists of all generations to foster a community of belonging, embrace professional evolution, and appreciate the spiritual and personal rewards of their service.
Udm Dean's Report - A Look At The Student Of Today As We Prepare Them For Tomorrow, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph
Udm Dean's Report - A Look At The Student Of Today As We Prepare Them For Tomorrow, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph
The Journal of the Michigan Dental Association
UDM Dental School Dean Mert N. Aksu discusses the profiles, expectations, and challenges of modern dental students, highlighting their collaborative nature, tech-savviness, and focus on wellness and work-life balance. The report outlines UDM's clinical curriculum enhancements, including systems-based biomedical integration, and extensive clinical practice labs. Aksu addresses the substantial 58% inflation-adjusted rise in educational debt since 2008 and updates on community service rotations (Corktown Clinic, Titans for Teeth), the implementation of the new Vermont Track for rural care, the adoption of AI radiographic analysis, and comprehensive student mental health support programs.
Um Dean's Report - Meeting The Challenge Of Educating Dentists In A Constantly Evolving Profession, Jacques E. Nör
Um Dean's Report - Meeting The Challenge Of Educating Dentists In A Constantly Evolving Profession, Jacques E. Nör
The Journal of the Michigan Dental Association
University of Michigan School of Dentistry Dean Jacques Nör highlights the school's historical legacy during its 150th anniversary and details recent academic, clinical, and research progress. Key developments include the establishment of the state-of-the-art Digital Dentistry Center for in-house digital workflows, a pediatric certificate program in Social Epidemiology funded by a $2.1 million federal grant, the transition to Epic electronic health records (integrated with MyChart), and the community-based collaborative care rotation program in Marquette. The report also highlights national faculty leadership roles and $24.1 million in research funding.
J Mich Dent Assoc Sept. 2026
The Journal of the Michigan Dental Association
Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200-plus members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.
The September 2026 (Volume 108, No. 9) issue of the Journal is published in print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.
This full compilation of the September 2026 Journal of the Michigan Dental Association features the deans' reports from the …
Patient-Centered Imaging In Dentistry, Erika Benavides Dds, Phd, Fabiana Naomi Soki, James R. Geist Dds, Ms, Angela M. Hoikka, Dds, Ms
Patient-Centered Imaging In Dentistry, Erika Benavides Dds, Phd, Fabiana Naomi Soki, James R. Geist Dds, Ms, Angela M. Hoikka, Dds, Ms
The Journal of the Michigan Dental Association
This clinical feature discusses joint guidelines by the ADA and AAOMR for patient-centered dental radiography and cone-beam computed tomography (CBCT), emphasizing individual risk-based needs rather than routine schedules. It covers the principles of radiation safety: justification, optimization (ALARA/ALADA), and dose limitation. The article maps out specific imaging modalities recommended for caries, periodontal disease, endodontics, orthodontics, implants, and TMJ disorders. Additionally, it summarizes Michigan's administrative rules for X-ray installation shielding, equipment alignment, stable mechanical support, operator positioning, and the mandatory radiography training program requirements for dental assistants.
A Message From The Managing Editor, Carissa Bayack
A Message From The Managing Editor, Carissa Bayack
Binghamton University Undergraduate Journal
A message from the 2025-2026 Managing Editor of the Binghamton University Undergraduate Journal, Carissa Bayack.
Medical Tourism Patient Guidance: A Content Analysis Of Risk Reduction Guidelines Available To Global Health Seekers., Alicia Mason, Angela Ashmore
Medical Tourism Patient Guidance: A Content Analysis Of Risk Reduction Guidelines Available To Global Health Seekers., Alicia Mason, Angela Ashmore
Faculty Submissions
This study examines medical tourism (MT) patient guidance messages intended to reduce procedural risks—those directly related to biomedical treatments—and process risks, which involve logistical, administrative, and interpersonal challenges of seeking healthcare abroad. The analysis focuses on print and digital publications authored by individuals independent of the MT industry, including policy researchers, travel health experts, lifestyle reporters, and consumer-focused medical travel writers. Using a two-phase digital and database search strategy, 27 publications from 2009 to 2024 were identified and analyzed using exploratory content analysis methods. Findings reveal important differences in the scope and depth of guidance aimed at reducing risks for …
``But What About Me?'': A Structural Redesign For Cascading Trust Into An Integrated Culture Of Care, Hazelin Hei Laam Ngan
``But What About Me?'': A Structural Redesign For Cascading Trust Into An Integrated Culture Of Care, Hazelin Hei Laam Ngan
Patient Experience Journal
In healthcare, patient experience (PX) and employee experience (EX) are often managed as separate priorities despite their interdependence. This article presents a case study from NYC Health + Hospitals/Community Care, a 250-person safety-net division providing home-based services across New York City. In response to frontline staff repeatedly asking, ``But what about me?'' when offered PX best practice suggestions, the organization integrated patient experience, staff engagement, and wellness into a unified Care Experience portfolio led by the Chief Experience Officer. From this structural redesign emerged a practical framework for trust-building organized around three pillars: Purpose, Presence, and Partnership. Purpose aligns staff …
Building A Culture Of Trust: Engaging Teams With Targeted Tactics For Meaningful Improvement In Patient Experience, Anna Buckner, Kimberly Lewis
Building A Culture Of Trust: Engaging Teams With Targeted Tactics For Meaningful Improvement In Patient Experience, Anna Buckner, Kimberly Lewis
Patient Experience Journal
Rising financial pressures and the need to revitalize culture prompted a renewed emphasis on patient experience at Billings Clinic. This case study describes the impact of redefining patient experience as a measure of trust and a set of care processes. It presents an alternative to the more traditional view of patient experience as an outcome metric based on meeting patient expectations. Billings Clinic chose the patient survey question likelihood of recommending as an organizational goal or key performance indicator (KPI). Under the direction of executive leadership, the patient experience team developed a new strategic framework aimed at driving improvement for …
Plan Of Day | Plan Of Stay: How Inter-Disciplinary Communication Improved Patient Experience And Hospital Throughput, Theresa Jean Dionne, Felicia Hurst, Danna Qunibi, Lauren Lazar, Sydney Mccurdy, Ashlyn Coenraad, Brittney Ward, Whitney Black, Ashley Nelson, Judd Salem, Luisa Restrepo
Plan Of Day | Plan Of Stay: How Inter-Disciplinary Communication Improved Patient Experience And Hospital Throughput, Theresa Jean Dionne, Felicia Hurst, Danna Qunibi, Lauren Lazar, Sydney Mccurdy, Ashlyn Coenraad, Brittney Ward, Whitney Black, Ashley Nelson, Judd Salem, Luisa Restrepo
Patient Experience Journal
Background: Effective communication among healthcare team members is critical for delivering high-quality, patient- and family-centered care while optimizing hospital operations. This case study examines the implementation of a structured ``Plan of Day | Plan of Stay'' model, leveraging bedside whiteboards to enhance inter-disciplinary communication in a pediatric hospital setting. By providing a clear, visual summary of daily care plans, care team members, and discharge goals, whiteboards foster transparency, empower patients and families, and facilitate coordinated clinical decision-making. Purpose: This quality improvement initiative evaluated the implementation of a standardized Plan of Day | Plan of Stay communication model on a pediatric …
Patient Psychological Safety: A Qualitative Study Of Patient Experiences, Derick R. Simmons, Cheryl Rathert, Ryan Valayil, Maria Joseph, Ibraheem Jawadi
Patient Psychological Safety: A Qualitative Study Of Patient Experiences, Derick R. Simmons, Cheryl Rathert, Ryan Valayil, Maria Joseph, Ibraheem Jawadi
Patient Experience Journal
There is growing interest in understanding patients' experiences with psychological safety during healthcare encounters. Recent studies reveal that patients describe needing patient psychological safety (PPS) to form connections with their care providers, which are associated with better health outcomes. Therefore, it is critical to examine indicators of PPS. Using a phenomenological interpretive approach, this study utilized a patient narrative survey methodology to qualitatively explore how and why patients experience a lack of PPS during their healthcare encounters. We surveyed patients from across the U.S. and analyzed responses among a sub-sample of respondents to an open-ended question whose responses indicated they …
Patient-Centred Care: An Integrated Bibliometric And Structural Equation Modelling Approach, Japheth Nuhu Ahmed
Patient-Centred Care: An Integrated Bibliometric And Structural Equation Modelling Approach, Japheth Nuhu Ahmed
Patient Experience Journal
This study investigates how communication and service quality in Patient Relationship Management impact patient satisfaction through trust. The literature in this field is predominantly in developed countries, whereas it is scarce in sub-Saharan Africa. Combining bibliometric analysis and structural equation modelling, the study highlights emerging research trends and provides empirical evidence to guide healthcare practitioners, policymakers, and researchers in improving patient care. To strengthen its theoretical foundation, the study integrates the Social Exchange Theory and Expectancy–Disconfirmation Theory to explain the model. The study retrieved quantitative data from the Scopus database for bibliometric analysis. A questionnaire was used to collect data …