Digital Commons Network^™

Registered Nurse-Led Annual Wellness Visits In Rural Health Clinics: A Program Evaluation Of A New Role, Tina Switzer

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The passage of the Patient Portability and Affordable Care Act had a goal of increasing access for preventive care. The Medicare Annual Wellness Visit (AWV) has been a free yearly, comprehensive preventive care opportunity for most Medicare beneficiaries since 2011. Because of the time intensive nature of these visits, the overall national completion rate for them has been low as providers often perceive time and resource constraints. Registered Nurses (RNs) have the skill set to complete these visits with minimal provider involvement. Rural residents often face health care access barriers and outcome disparities, and Rural Health Clinics (RHCs) are a …

Improving Glycemic Control During The Covid-19 Pandemic: A Quality Improvement Project, Megan Henderson

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Diabetes is a costly, chronic health condition. The COVID-19 pandemic has significantly impacted the delivery of health care and exacerbated chronic health conditions, such as diabetes. Diabetes is one of the most significant comorbid conditions associated with poor COVID-19 outcomes (Cariou et al., 2020). Control of blood glucose levels during the COVID-19 pandemic has proved challenging to maintain. The purpose of this quality improvement project is to identify gaps in diabetic self-care and then implement a diabetic toolkit to improve self-efficacy of diabetes self-management. According to the American Diabetes Association (2022), self-management of diabetes, education, and support from providers is …

Developing A Quality Improvement Process: Impacting Patient Outcomes And Achieving Ambulatory Accreditation, Colleen E. Nappi

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Colon cancer is the second leading cause of cancer deaths in the United States (US) and colonoscopy is the best method for screening and detecting cancer before symptoms are present. A colonoscopies' ability to detect precancerous lesions or identify colorectal cancer (CRC) relies on patients having a high-quality bowel preparation. The US Multi Society Task Force (USMSTF) on colorectal cancer set quality standards for colonoscopy including bowel preparation quality, adenoma detection, and cecal intubation times. As a private gastroenterology practice in Northern Virginia was preparing for re-accreditation with the Accreditation Association for Ambulatory Health Care (AAAHC) it was determined that …

Improving Access For Medicare Inpatient Psychiatric Patients: A Health Policy Analysis, Malinda B. Whitfield

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The Medicare Inpatient Psychiatric Services (IPS) policy, originally developed in the 1960s and without any significant or meaningful updates since the 1980’s, is physician specific, does not reflect the current model of care for psychiatric inpatients, and is restrictive for psychiatric mental health nurse practitioner (PMHNP) practice. The policy is complex, consists of outdated regulations, and results in millions of dollars in compliance costs for Inpatient Psychiatric Facilities (IPFs) annually (NABH, 2019). Although clearly an important part of the inpatient psychiatric services team, PMHNPs are not identified or defined in the policy (Center for Medicare and Medicaid Services [CMS], 2019). …

Sequencing An Inserted Concatemer In Caenorhabditis Elegans Strain Hlh-29::Gfp, Simon T. Anderson

Senior Honors Projects, 2020-current

Hairy/Enhancer of Split (HES) proteins and their homologs play vital roles in the development of animals, and in the regulation of cancer and other diseases. HLH-29 is an REF-1 family protein and a Caenorhabditis elegans homolog of human HES proteins. A transgenic animal model has been developed to facilitate analyses of this protein, containing an inserted concatemer of the green fluorescent protein reporter gene, regulated by the hlh-29 promoter, and a mutant rol-6 allele. Though the strain has been used previously, the location and structure of the insertion has been unknown. Sequencing of the whole hlh-29::gfp genome with high-molecular weight …

Pandemic Reflections: Stories Of National Ffa Student Leaders During The Covid-19 Pandemic, Theresa Seibel

Senior Honors Projects, 2020-current

The impacts of the COVID-19 pandemic were felt by most every individual in the world, and the effects of the pandemic will have implications for years to come. Even still, it becomes necessary to capture the work and impacts of this life experience of those who lived and led during such a time. The National FFA Organization, with its student leadership, continued to deliver its mission of the organization during the pandemic. This project aimed to develop a digital narrative to contribute to the historical record of FFA officers’ experiences in the National FFA Organization during the COVID-19 pandemic.

The …

Identifying Systems Of Support In High Schools For Gender And Sexually Diverse Youth Living In Conservative Communities: A Phenomenological Qualitative Study, Nuriyah Bender

Masters Theses, 2020-current

Within the first few months of 2022 more than 300 anti-LGBTQ+ bills were introduced in states across the country (Human Rights Campaign, 2022). Many of these bills, some of which are now laws, discriminate against transgender students or restrict instruction and materials related to LGBTQ+ topics in schools. Gender and Sexually Diverse (GSD) students often do not feel safe in schools (Kosciw et al., 2020). Using a phenomenological approach, this qualitative study sought to identify the factors that helped GSD students feel the most supported in high schools in order to assist educators with actionable ways they can support students …

Toward An Informal Informed Classrooms: Professional Musicians' Informal Music Learning Experiences, Rachel M. Smith

Masters Theses, 2020-current

Authors have studied informal music learning with different age groups. Lucy Green (2005) studied the topic with adolescents and identified it an intuitive and natural way children learn. Chad West and Radio Cremata (2016) studied informal music learning at the collegiate level, and Martina Vasil (2019) studied secondary music teachers who implemented informal music learning strategies in their teaching practices. Informal music learning in adults is relatively under-explored compared to adolescent and collegiate age groups. Utilizing lenses drawn from John Dewey’s curricular ideas to help students find meaning in learning and motivation as viewed through Self-Determination Theory, I sought to …

Musikah V’Ḥalil, “Music And The Flute”: The Use Of Jewish Prayer In Flute And Piano Music, Kathryn L. Rudnik

Dissertations, 2020-current

Music has been a part of Jewish life since Biblical times and remains an integral part of the culture. Within Jewish music, instruments have also played an important role historically. The flute has been traced through Judaism back to Biblical times; however, it has lost prominence in modern synagogue and religious services. As Western music has developed into the twenty-first century, composers, both Jewish and Gentile, have been exposed to the music of the Jewish communities, some of whom have utilized it in their own compositions. Compositions based on Jewish prayer melodies have brought up the question of whether the …

Activist, Entrepreneur, Leader: The Influence Of Social Justice Advocacy And Entrepreneurial Orientation On Leader Self-Efficacy, Kathleen Q. Johnson

Dissertations, 2020-current

This quantitative study examined individual entrepreneurial orientation and social justice advocacy as antecedents to leader self-efficacy in the complex and dynamic context of the opioid epidemic. Throughout history, leaders have emerged in response to societal challenges; leadership is not restricted to the boundaries of hierarchical, administrative, bureaucratic organizational frameworks. Complexity leadership theory and its recognition of leadership in complex adaptive systems provides an overarching framing. Five characteristics of individual entrepreneurial orientation were incorporated: risk-taking, innovativeness, perseverance, passion and proactiveness (Santos et al., 2020). Social advocacy activity was measured using the social issues advocacy scale (Nilsson et al., 2011). The dependent …

Implementing Routine Depression Screening In An Urgent Care Setting: An Implementation Science Project, Lori Conyers

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Identifying patients with depression is essential, and early detection of depression leads to early intervention. Routine screening of patients for depression is the responsibility of the primary care provider, but many patients have not had a primary care visit in the recent past. Those patients without a primary care provider are likely not being screened for depression. Urgent care (UC) may be the best opportunity to screen patients who do not have a medical home. However, the dynamic nature of the urgent care setting may dissuade staff from engaging in routine screening. As a quality improvement (QI) effort, regular PHQ …

Postoperative Atrial Fibrillation Prevention: A Quality Improvement Project, Emily O. Schneiderman

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Postoperative atrial fibrillation remains one of the most common complications after cardiac surgery despite surgical and medical advances in the field. While generally transient, postoperative atrial fibrillation increases long-term morbidity and mortality, hospital length of stay, and financial obligation. The postoperative heart's unique chemical and physical properties make tactics for preventing and treating postoperative atrial fibrillation differ from classic atrial fibrillation management. This quality improvement project utilizes a care bundle for non-pharmacologic measures and early beta-blockade administration to reduce the incidence of postoperative atrial fibrillation. Implementation of this care bundle establishes a standard of care, increases clinician knowledge and accountability, …

Narrative Review: Food Image Use For Machine Learnings’ Function In Dietary Assessment And Real Time Nutrition Feedback And Education, Jason Fee

Masters Theses, 2020-current

Technology has played a key role in advancing the health and agriculture sectors to improve obesity rates, diseasecontrol, food waste, and overall health disparities. However, these health and lifestyle determinants continue to plague theUnited States population. While new technologies have been and are currently being developed to address these concerns, they may not be practical for the general population. Utilizing machine learning advancement in food recognition using smartphone technology may be a means to improve the dietary component of nutrition assessments while providing valuable nutrition feedback. This narrative review was conducted to assess the current state of the literature on …

A Survey Of School Psychologists To Promote Support For Developing Self-Advocacy Skills In Students With Disabilities, Kiarra K. Steer

Educational Specialist, 2020-current

Self-advocacy is a critical skill for effective communication and for individual assertion of interests, needs, and rights (Hengen & Weaver, 2018). It is especially important for people with disabilities to be able to self-advocate, which includes understanding their own abilities and rights and being able to voice when they need assistance or when their rights are being violated (Hengen & Weaver, 2018).

Even though self-advocacy has been determined to be a necessary skill for students with disabilities to develop, research indicates that self-advocacy instruction is often not provided to students with disabilities. Furthermore, while researchers have shown that teaching students …

The Rationale For The Utilization Of Under Desk Bikes In Office Settings, Danielle Little

Masters Theses, 2020-current

Inactivity and sedentary behavior are major health concerns, exacerbated by the amount of time individuals spend at work. Purpose: To examine if 30-60 minutes of daily under-the-desk bicycle (UDB) use while working for 8 weeks helped sedentary and physically inactive adults reach the U.S. physical activity guidelines (PAG) and improve perceptions of wellness and job satisfaction. Methods: Subjects (n=22, average age=45.3 yrs, average BMI=30.2 kg/m2) cycled for 30-60 minutes on workdays for 8-weeks at a self-selected intensity level of 2 or 3 out of 8 total levels. Participants were advised not to engage in additional physical activity outside the study …

Calm-Mo: An Integrative Tool For Psychological Mindfulness, Charles L. Miller

Dissertations, 2020-current

Henriques has developed a “Unified Theory” that consists of eight key ideas he argues can effectively frame both the science of psychology and the practice of psychotherapy. CALM-MO, the eighth of these ideas, offers an integrative, principled approach to psychological mindfulness. CALM-MO is an acronym that encapsulates the process of cultivating a “calm” meta-cognitive observer that embodies the attitudes of curiosity, acceptance, loving compassion, and motivation toward valued states of being. Henriques posits that the idea consolidates key elements from across the various schools of thought to bring together essential therapeutic principles geared toward seeking and maintaining well-being. As such, …

Effects Of Reading Intervention On Behavior Outcomes Of Middle School Students: A Rapid Review, Davina Putz

Educational Specialist, 2020-current

Reading is one of the most valuable skills acquired in life with tremendous effects on future success in education, professional career, and daily living. While effective reading instruction continues to be focus of elementary school education, some students proceed to middle and high school stuck on an elementary grade reading level. Below grade level reading ability can result in numerous behavioral and academic struggles at the secondary level. The current study systematically investigated the body of research evaluating effects of reading interventions on behavior outcomes. Five publications met inclusionary criteria to be further analyzed using narrative synthesis and visual analysis …

Teacher Perception Of A Brief Mindfulness-Based Curriculum And Its Impact On The Development Of Social Skills And Self-Regulation On A Preschool Classroom, Allison Poggendorf

Educational Specialist, 2020-current

Recent studies on mindfulness and its impact on children have found promising results, especially with social-emotional skill development. A majority of the research on mindfulness applied in educational setting tends to focus on elementary and high school students, and there is limited, but growing research that examines the impact of mindfulness among early childhood students. This current study explored the impact of a brief mindfulness-based curriculum on an intact preschool classroom. Specifically, this study examined if preschool teachers perceive mindfulness practices in the classroom to impact their students’ self-regulation skills and social skills and how likely they were to continue …

Effects Of Reading Intervention On Behavior Outcomes Of Middle School Students: A Rapid Review, Davina Putz

Educational Specialist, 2020-current

Reading is one of the most valuable skills acquired in life with tremendous effects on future success in education, professional career, and daily living. While effective reading instruction continues to be focus of elementary school education, some students proceed to middle and high school stuck on an elementary grade reading level. Below grade level reading ability can result in numerous behavioral and academic struggles at the secondary level. The current study systematically investigated the body of research evaluating effects of reading interventions on behavior outcomes. Five publications met inclusionary criteria to be further analyzed using narrative synthesis and visual analysis …

Evaluating Phonemic Proficiency And Oral Reading Fluency In Middle School Students, Cara Mcquaid

Educational Specialist, 2020-current

Research on reading performance in both public and private schools in the United States notes that students’ reading skills are declining compared to previous years, and there is a need for effective identification of skills and interventions to bridge the gap between current performance and the target skill level. While some research on reading instruction and reading skills primarily focuses on initial skills such as phonological awareness only in early grades, other research suggests that as reading skills develop and become more advanced, foundational skills such as phonological awareness also develop.

The purpose of the current study was to assess …

Virtual Instruction During The Covid-19 Pandemic, Katie B. Kelley

Educational Specialist, 2020-current

Student motivation and the impacts of the school environment on it have been heavily researched. However, motivation during the COVID-19 pandemic has not been studied in detail due to the recency of events. To understand how the pandemic impacted student motivation, this study applied the Self-Determination Theory (SDT) in understanding how motivation functions through three pieces: autonomy, competence, and relatedness (Deci & Ryan, 1985). This current study examines students’ perceived motivation in virtual and hybrid instruction during a pandemic from students’ perspectives. It used surveys from a similar study with the addition of qualitative questions about instructional strategies (Edwards, 2009). …

The Impact Of Teacher Wellness Programming During Highly Stressful Times, Madeline Brawley

Educational Specialist, 2020-current

The purpose of this study was to examine the impacts of participating in a stress-management program on teachers’ self-reported stress and well-being. Participants included a small group of new teachers and their assigned veteran teacher mentors from an elementary school in a large school district in Central Virginia. Self-reported stress as it relates to teacher-teacher relationships and physical symptoms increased significantly from pre- to post-test completion. All other stress measures, with the exception of time management, also increased over time; however none of these changes were significant. Teaching efficacy and school connectedness declined over time, while teaching satisfaction increased. These …

Strategies And Methods Of Training Teacher Emotional Competence, Christina D. Beaton

Dissertations, 2020-current

Teaching is an emotional endeavor. That is why teachers must be equipped with skills to manage their emotions as well as emotions of their students. The present research investigates a strategies and methods for a model of training teacher emotional competency. Elementary school teachers (N=78) were asked about their perception of the importance of emotional competencies including emotional self-awareness, emotion regulation, effective emotional expression, identifying and responding to students’ emotions, promoting a positive emotional climate in the classroom, using emotions to promote learning, skills to promote student emotional competence, and skills to maintain teacher well-being. They also reported how often …

Does A Sender’S And Recipient’S Relationship Influence Readers’ Interpretation Of Message Tone?, Allison Arp

Masters Theses, 2020-current

Given the importance of computer-mediated communication (CMC) and the uniqueness of the cues that have meaning in this environment, research is warranted to investigate how the relationship between the people communicating via CMC might impact the way the message and cues are interpreted. This study aims to investigate whether different inherent levels of authority and familiarity between a message sender and recipient affect how email tone is interpreted. Previous studies demonstrate that when individuals communicate with authority figures, they employ different strategies than when communicating with peers. Furthermore, individuals adapt their behavior to mimic the interactants behavior, which in turn …

Expiratory Flow Limitation In Youth Endurance-Trained And Recreationally Active Females, Sarah Ridgeway

Masters Theses, 2020-current

The purpose of this study was to investigate the presence of expiratory flow limitation (EFL) in endurance trained (ET) youth females compared to a recreationally active (RA) group. EFL has been reported in ET males of pubertal age, however, the presence of EFL in ET youth females is not established. Methods: Youth ET female subjects (n=9, 15.8 ± 1.1 years) and RA subjects (n=10, 16.8 ± 1.6 years) completed an incremental exercise test to exhaustion on a cycle ergometer to determine peak oxygen consumption (VO_2peak). Maximum flow volume loops (MFVL), forced vital capacity (FVC), forced expiratory volume in …

The Theory Of Reasoned Action As A Basis For Investment In Cryptocurrency, Wrr Rinaldo

Masters Theses, 2020-current

In the past decade and a half, emergent blockchain technology has gained widespread attention, especially in the past few years. For the most part, attention has been focused on cryptocurrencies, but non-fungible tokens (NFTs), that use similar technology, have been given attention as well. Many concerns about these technologies have arisen, particularly that of the environmental impacts associated with them. Utilizing the theory of reasoned action, diffusion of technology theory, and surveys conducted through Amazon Mechanical Turk, this research attempts to uncover if there is a link between the level of cryptocurrency knowledge that an individual possesses and the level …

The Perceived Self-Efficacy Of School Counselors To Provide Interventions And Support To Students Using Substances And The Potential For Collaboration With School Psychologists, Monica Holtz

Educational Specialist, 2020-current

Substance use has the potential to impact a student’s academic success; however, school counselors are in a position to intervene and provide support to these students to potentially mitigate the impact of the students’ use. Research shows that school-based interventions are effective in reducing substance use, but school counselors may not feel clinically prepared to provide these services. A random sample of school counselors in the state of Virginia practicing at the middle and high school level completed a survey regarding their feelings and perceptions of substance use intervention and support, including their self-efficacy to provide services, level of training, …

English Language Experiences Of High School Spanish Speaking Multilingual Learners Across Different Environments, Ismael Valdez

Educational Specialist, 2020-current

This phenomenological study investigates the English language experiences and perceptions of English language use in Spanish speaking Multilingual Learners within the ESL classroom, in the broader school environment and outside of school. The researcher collected information from 8 participants through interview format. The study provides a broader understanding of the ways these Multilingual Learners develop language and their thoughts on these experiences. This study is not meant provide a comprehensive view of all the experiences of Spanish speaking Multilingual Learners, but rather to provide the personal experiences of high school Spanish speakers and their thoughts on their current opportunities to …

School Racial Climate And Discipline Practices, Maya Rivers

Educational Specialist, 2020-current

The disproportionate use of punitive discipline practices with students of color in American school systems is prevalent among many sources of literature. Consequently, student experiences and perceptions of school climate are often tainted, which has yielded school-wide initiatives to improve in these areas. As school psychologists work to improve school climate with the goal of decreasing the racial discipline gap, they may consider strategies to improve the school’s racial climate. Using the School Climate for Diversity – Secondary Scale (Byrd, 2017), the current study explored what relationship, if any, exists between school racial climate and discipline at the secondary level. …

The Role Of Teacher Efficacy In Readiness To Support Lgbtq+ Students In Schools, Andrew Levy

Educational Specialist, 2020-current

LGBTQ+ students experience a myriad of difficulties associated specifically with their sexual or gender minority status. The current body of research has focused on negative outcomes of these difficulties, while there is a dearth of research into how schools can position stakeholders to support these students. Teachers often serve as consistent, direct points of contact for students in schools. As such, this study aims to explore teacher candidates’ sense of professional self-efficacy and its relationship with their confidence in supporting LGBTQ+ students in three ways: individual interventions, developing their own knowledge and skills, and systems-level advocacy. Teacher candidates were surveyed …