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The Hidden Logic Behind Migration and Success
No full textThis research paper explores the hidden drivers of financial success among Eritrean migrants navigating uncertainty, displacement, and limited institutional access. Drawing on original survey data collected from diaspora communities across East African host countries, I apply a mixed-methods framework combining ordinal and binary logistic regression, random forest classification, bootstrapping, and Bayesian causal mediation; to identify the structural and cultural variables most predictive of financial stability. The findings reveal that participation in Ekub, a traditional rotating savings association, and engagement in communal support systems are the strongest predictors of financial success, outperforming conventional factors such as age, education, or employment status. A bidirectional mediation model confirms that Ekub and community trust reinforce one another, forming a resilient economic infrastructure rooted in shared obligation and interdependence. Interpreting these patterns through historical, behavioral, and cultural lenses, the study challenges individualistic assumptions in mainstream economic theory. To extend the practical value of these insights, I developed Raymoch.com, a digital platform that translates these models into a predictive tool and cultural archive. This research re-conceptualizes migrant resilience not as individual perseverance, but as a structured, inherited system of trust, discipline, and communal logic
Implementation of a Triage System for the Residents at a Residential Facility to Improve Triage Assessment Skills of the Staff as Well as Improve the Level and Timeliness of Care
No full textTriage is an integral part of the clinical process which involves assessing patients and determining their level of care in order to get them appropriate, timely treatment. Several countries utilize a standardized triage system with established criteria to aid staff in their decision-making during assessments (Peta et al., 2023). The Nursing and Residential Triage (NaRT) tool, from the Manchester Triage System (MTS), was shown to enhance staff clinical assessment skills and help avoid inappropriate ED transfers during a study among older adults in a residential facility (Markey et al., 2024). For this project, the main issue identified at the residential facility was low triage accuracy among the team leader nurses, which was leading to overuse of the ED. As such, the NaRT tool was selected and modified to fit the needs of this facility, with the aim that this triage algorithm would increase triage accuracy to the benchmark of 90% (Bazyar et al., 2022). After the final draft of the NaRT was created, an orientation session with the nurses was conducted, and in this same meeting the nurses passed the post-test with 100% and provided positive feedback on the tool, demonstrating both staff competency and satisfaction. Additional results on the triage accuracy achieved using the NaRT tool will be acquired by contacting the Clinical Director at a later time. The implementation of the NaRT tool at this site has significant implications, since increasing triage accuracy will also lead to greater resident safety and lower costs to the facility. As the NaRT is a physical tool in its current state, a natural direction for the future would be integration of the tool into the Electronic Health Record (EHR), which would improve workflow and streamline documentation
Does the Addition of Digital Care Along With Standard Chemotherapy Teaching That is Provided at City of Hope Increase Patient Satisfaction and Confidence?
No full textChemotherapy education is critical when it comes to improving patient confidence, reducing anxiety, and enhancing symptom management. However, there is still a variety of patients who begin their infusion therapy with a limited understanding of what to expect. This quality improvement project was conducted at an outpatient infusion center, exploring whether combining traditional nurse-led chemotherapy education calls with a digital care platform would enhance patient satisfaction and confidence compared to standard care alone. A total of forty-one adult oncology patients participated in an educational survey at the end of each follow-up phone call, which was completed three days after their first infusion appointment. Out of those patients, 56.1% found digital care extremely helpful in managing their symptoms independently, 70.7% of patients expressed high confidence in their ability to manage the side effects of chemotherapy at home, and 92.7% expressed satisfaction with the education they received. These results demonstrate the benefits of a multimodal education approach that uses both online platforms in addition to traditional nurse-led teaching to improve treatment preparedness, reduce overwhelming emotions, and promote independent self-management in each individualized oncology patient
Factors Influencing the Re-emergence of Vaccine-Preventable Diseases Using the Social Ecological Model: A Scoping Review
No full textAbstract
Background.
Several factors contribute to the resurgence of vaccine-preventable diseases, affecting coverage rates and vaccine uptake during recent outbreaks. The pandemic has underscored how crucial it is to comprehend vaccine literacy, as this understanding influences people\u27s perspectives and behaviors toward vaccination, particularly in their approaches to problem-solving and decision-making.
Objective.
The present study conducts a scoping review of research on the impact of vaccine literacy and vaccine uptake on the re-emergence of vaccine-preventable diseases in the United States, framed by the social ecological model (SEM).
Design.
PubMed and Google Scholar were utilized as online databases to identify papers published between 2015 and 2025. The study included 21 articles, focusing on vaccine literacy or health literacy as a primary or secondary outcome, and encompassing different demographics and populations.
Results.
The majority of publications (67%) reported cross-sectional studies, while the remaining 33% were qualitative (19%), narrative reviews (9.5%), and mixed methods (4.5%). Overall, 57% of the studies included the adult population, 38% examined parents, and 5% focused on children. Most studies (71%) employed surveys as a data collection method, while 19% used mixed methods and 10% analyzed secondary data. Researchers assessed vaccine literacy in 48% of the studies, health literacy in 33%, and knowledge in 10%; the remaining 9% did not evaluate any of these components. Overall, 90% of the studies indicated that lower vaccine or health literacy levels were associated with vaccine hesitancy in the most vulnerable populations identified in each study. In some cases, other factors prevented people from getting vaccinated despite high vaccine literacy levels (10%).
Conclusion.
This scoping review underscores the pivotal role of vaccine literacy in shaping vaccine uptake and preventing the resurgence of vaccine-preventable diseases in the United States. Lower vaccine and health literacy levels consistently correlated with vaccine hesitancy, particularly among vulnerable groups, while higher literacy generally supported acceptance.
Keywords.
Measles; pertussis; polio; vaccine literacy; health literacy; re-emergence; resurgence; outbreaks; vaccine hesitancy; vaccine uptake
Mental Health and Substance Use Interventions within Muslim Community Spaces: A Community Based-Participatory Research Proposal
No full textBackground. Muslim Americans face significant mental health and substance use challenges compounded by Islamophobic discrimination, cultural stigma, and barriers to accessing culturally competent services. They also significantly underuse professional mental health services. Purpose. This study aims to collaborate with Muslim communities within the San Francisco Bay Area to develop a replicable intervention framework for addressing mental health and substance use stigma within mosques and other Muslim community spaces. Methods. The proposal uses a community-based participatory research (CBPR) methodology while integrating the theory of planned behavior (TPB) and stigma theory in the framework. This proposal outlines the four phases of intervention development: (1) community engagement and needs assessment, (2) collaborative intervention development, (3) evaluation planning, and (4) data analysis. Implications. The approach is expected to improve attitudes toward mental health and substance use services, reduce stigma, and strengthen psychological sense of community among participants
Food, Fitness, and Filipino Culture: Evaluating and Reimagining Chronic Disease Interventions for Filipino Americans Through the PEN-3 Framework
No full textFilipino Americans experience high rates of chronic diseases such as diabetes and hypertension. This paper reviews nutrition and exercise interventions targeting this population through the strengths-based PEN-3 cultural framework, focusing on cultural identity, relationships and expectations, and cultural values. It identifies effective strategies that engage these cultural components, and highlights gaps such as limited research on Filipino-American health outcomes. Recommendations include family-centered approaches, culturally relevant activities like tinikling dance, and community-driven online healthy recipe archives to promote positive health behaviors. These culturally informed strategies aim to improve self-efficacy, support lasting health behavior change and reduce chronic disease prevalence nationwide
The Impact of Culturally Grounded Breastfeeding Programs on Black Maternal and Infant Outcomes: A Scoping Review
No full textAbstract
Background: The lack of culturally grounded breastfeeding programs and understanding of their impact on Black breastfeeding initiation, duration, and health outcomes hinders improving Black breastfeeding rates in the U.S.
Research aim: This scoping review examines the impact of culturally grounded breastfeeding programs on Black mothers\u27 and infants\u27 health, and factors contributing to their success.
Methods: A scoping review of the literature was conducted using the CINAHL and SCOPUS databases. In the end, 34 scholarly articles were chosen for this review because they examined the impact of culturally grounded breastfeeding programs on Black breastfeeding rates and health outcomes.
Results: Culturally grounded programs have a positive association with Black breastfeeding. Culturally grounded programs have a positive impact on Black breastfeeding and health outcomes. Successful programs include social support, are community-based or centered, accessible, and racially concordant. Implementing a successful program involves providing social support, being community-based or community-centered, accessible, and culturally responsive.
Conclusion: Low Black breastfeeding rates result in poor maternal and infant health outcomes. Culturally grounded programs, which are evidence-based, aim to improve these rates through tailored support and education. Understanding factors behind their success is key to closing the Black breastfeeding healthcare gap
Targeted Depression Screening for At-Risk High School Students: An Integrated Review
No full textDepression in high school students is underrecognized because symptoms can present not only as mood issues but also behavioral or academic problems. This integrated review examined literature from 2010-2015 using PsycInfo, ERIC, CINAHL, and PubMed to evaluate the effectiveness of targeted depression screening for students referred for behavioral, academic, or social concerns. Studies meeting inclusion criteria assessed targeted or clinically referred screening methods, with a focus on validated tools such as the Patient Health Questionnaire modified for Adolescents (PHQ-A). Findings indicate that targeted screening effectively identifies depressive symptoms in at-risk students and is more feasible in resource-limited schools than universal screening. Implementing targeted screening with existing referral workflows allows schools to allocate resources more efficiently, address disparities in mental health access, and replace disciplinary responses with proactive support. Overall, targeted screening is an effective strategy for improving early detection, timely referral, and equitable mental health care in high school settings
Ethical decision-making for AI in mental health: the Integrated Ethical Approach for Computational Psychiatry (IEACP) framework
No full textMisconceptions about Nursing in High School Students of Color: Promoting Diversity in Nursing
No full textBackground: Equitable and culturally competent care can reduce health disparities among underserved populations; yet the nursing shortage the US faces does not allow for better patient outcomes. One barrier is how the profession can be negatively viewed among high school students of color.
Methods: A comprehensive literature search was performed to identify how perception of nursing affects a student’s career choice and what influences these perspectives. Three databases were utilized for this search: The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus. Six articles were selected for this review. The following themes have been identified: misconceptions, where they come from, and early exposure to nursing.
Results: Misconceptions such as nursing being a woman’s job and a low-tier job are consistent findings. Concerns about competitive and expensive programs are reported deterrents. Media, family, and peers are the main sources of student opinions. Social media can shape the public’s view on nursing. A key factor for choosing nursing as a profession is early exposure as it can debunk common myths about nursing through positive changes in perception.
Discussion: There is a strong need for a large-scale assessment on current views on nursing, where it stems from, what strategies can be implemented to change perception, and how it affects diversity and community health. Local institutions like nursing schools and healthcare systems can provide many opportunities for young people to get early exposure to nursing