Digital Commons Network^™

Aspects Of Resiliency Among The Lives Of Student Veterans, Sydney Nolan

Senior Honors Projects, 2010-2019

This study focuses on aspects of resiliency among the narratives of student veterans; specifically psychosocial difficulties, being in a relationship, social support, and sense of purpose and control. Seven student veterans attending James Madison University participated in the study. Using qualitative interviews, the researcher was able to gather information about the transitional experience of each veteran from active duty soldier, to civilian, to student. The purpose of this study is to identify the key aspects of resiliency that helped these men transition, in hopes that programs can use this information in the future to better assist veterans in their transition …

Out Of The Darkness And Into The Limelight: How Nurse Jackie Betters The Nursing Image, Shayla M. Holloway

Senior Honors Projects, 2010-2019

Due to the media’s portrayal of nurses, the nursing image has been

misconstrued over the past few years. Although nurses tend to be overlooked in the

media, there are television series out there that help promote the profession. This

essay considers how the television series Nurse Jackie is positively changing

society’s view of the modern day nurse. By analyzing some of the main protagonists

in season one of this controversial late night drama, one can see how Nurse Jackie

dispels popular nursing stereotypes and enhances the nursing image. Although

viewers may not grasp this shows impact on nursing, this show …

Preventing Obesity And Cardiovascular Disease In At-Risk Youth, Allison Patricia Woolf, Nicole Ashley Bauernfeind, Rachel Katharine Civale, Elizabeth Rose Spellman

Senior Honors Projects, 2010-2019

The literature review that was conducted focuses on exploring the most effective way to prevent development of Cardiovascular Disease (CVD) as a late effect of childhood obesity or risk thereof. Our research focused on the 8-10 year old at-risk and obese pediatric populations and whether the use of interactive educational interventions in the community setting can be of use to reduce CVD development and improve overall health status. Our findings determined that interactive educational interventions early in childhood can improve health outcomes for these populations and prevent subsequent development of CVD. We minimized the inclusion of all research whose evidence …

Tetrameric Structure Of Beta-Amylase 2 (Bam2) In Arabidopsis Thaliana, Lauren Elizabeth Pope

Senior Honors Projects, 2010-2019

Plants store starch during the day for use at night. This process of transitory starch degradation is mostly attributable to the β-Amylase (BAM) family, which are starch exohydrolases that cleave the penultimate α-1,4 glycosidic bonds of starch to release maltose. BAM2 was recently characterized as a catalytically active, K⁺-requiring tetramer with sigmoidal kinetics and cooperativity. All other catalytically active BAMs display Michaelis-Menten kinetics, no cooperativity, and do not require salt, making BAM2’s characteristics intriguing. Due to a lack of a crystal structure, a monomeric homology model of BAM2 was generated using I-TASSER based on a BAM5 from soybean. …

The Role Of Brain Stem 5-Ht1a And Gaba-A Receptors In The Thermoregulatory Response To Hypoxic Stress, Alexander Schmidt

Senior Honors Projects, 2010-2019

Sudden Infant Death Syndrome (SIDS) is a leading cause of infant mortality. Alterations in brainstem development of Serotonin (5HT) and γ-aminobutyric acid (GABA) are linked to its cause. The sympathetic premotor neurons located in the Nucleus of the Raphe Pallidus (NRP) in the brainstem have both 5-HT1A and GABA-A receptor subtypes that mediate protective cardiovascular responses to environmental stress. It is hypothesized that alteration in these receptors at the NRP will also modify protective thermoregulatory responses to hypoxic stress such as hypothermia. Using aseptic techniques, male and female Sprague-Dawley rats (230-385g) were instrumented with radiotelemetry probes to non-invasively measure core …

Navigating Culture: An Exploration Of Domestic Violence And Abuse Resource Provision To The Harrisonburg Iraqi Refugee Community, Kaitlin Michelle Holland

Senior Honors Projects, 2010-2019

There are currently 22.5 million refugees worldwide who have been displaced from their home countries due to war, conflict, or persecution. Of this total, only 1% are recommended for resettlement each year. In recent years, many of these resettled refugees have come from Iraq, fleeing conflict stemming from the Iraq war and ISIS. Upon resettlement, refugees face significant acculturation difficulties that can negatively affect mental health. Additionally, experiencing domestic violence and abuse (DVA) can also negatively affect physical and mental health. I researched how the refugee migration experience and domestic violence and abuse affect mental health as well as what …

Theatre For The Community: A Practical Application, Megan Larissa Ciszek

Senior Honors Projects, 2010-2019

Theatre for the Community: A Practical Application

This paper serves to synthesize and reflect upon my Creative Honors Capstone project entitled “Theatre for the Community: A Practical Application.” The initial steps of the project included research into community based theatre and community outreach. This research was then used to inspire the process necessary for a fully realized production of Annie Baker’s Body Awareness, structured with community collaboration in mind. In this way, Body Awareness’ process acted as my first attempt at the practical application of my research. This paper both acts as the exploration of the concept of creating and …

Eighteenth And Nineteenth Century Bassoon Tutors And Their Published Contributions To Bassoon Pedagogy, Gina Michelle Moore

Senior Honors Projects, 2010-2019

This research project is a survey of eighteenth and nineteenth century bassoon tutors and their contributions to bassoon pedagogy. Tutors for this project were chosen from the two main schools of bassoon playing and pedagogy during the time centered in France and Germany. Bassoon teachers surveyed will include: Joseph Frölich, Karl Almenräder, Christian Julius Weissenborn, Ludwig Milde, Etienne Ozi, Eugène Jancourt, and Eugène Bourdeau.

Using Social Narratives To Improve The Healthcare Experiences Of Children Diagnosed With Autism Spectrum Disorder, Margaret Spindel

Senior Honors Projects, 2010-2019

Children with Autism Spectrum Disorder (ASD) often experience significant emotional stress when they visit a healthcare provider. The focus of this research project was to explore the use of social narratives to help reduce stress associated with this environment. Social narratives are short stories designed to walk a child through a potential situation that they will encounter, that they may not be familiar with, or that they are not currently handling properly. As part of an initial literature review, evidence for the need for additional intervention in the healthcare setting for children with ASD was established. Continuing literature review then …

Using Foraminifera In Stemseas Site 1 To Understand The Recent Paleoceanographic And Paleoclimatic History Of Tanner Basin, California Borderland, Michael Stanley Stone

Senior Honors Projects, 2010-2019

In May of 2016, the STEMSEAS Educational Transit cruise OC1605-tranA collected the STEMSEAS Site 1 core from the Tanner Basin in the California Borderland. This research serves as the first formal survey of the foraminifera preserved within that core. The purpose of this research is to use foraminifera preserved within that core to understand the recent depositional and paleoenvironmental conditions at Site 1, and to place that information into a regional paleoceanographic and paleoclimatic context. In pursuing this purpose, this research aims to answer three questions: 1) Can biostratigraphic markers in the foraminiferal assemblages in STEMSEAS Site 1 core be …

Building Social Support: A Mixed Methods Study Exploring How College Students Self-Disclose Emotions With Others In Order To Build Social Support, Aimee Brickner

Dissertations, 2014-2019

The purpose of this study was to examine the process by which college students self-disclose feelings of sadness or depression to create social support. This mixed methods study, which focused primarily on qualitative data, explored the lived experience of participants through an online survey and face-to-face semi-structured interviews. Results indicated that college students who are experiencing negative feelings grapple with challenges such as identifying someone to share their emotions with and choosing what information to share with others. Findings also demonstrated the importance of social support to college students who are dealing with feelings of sadness and depression in order …

Developmental Evaluation: Complexity Leadership Theory In Practice-A Mixed Methods Study, Terrence S. Fernsler

Dissertations, 2014-2019

Networks of organizations frequently operate within complex adaptive systems in which leadership is practiced in uncertain and ambiguous conditions. Background in complexity theories is first provided, along with how they apply to organizations operating in complex adaptive systems. A theory—Complexity Leadership Theory (CLT)—has been derived to model leadership in complex adaptive systems; CLT has been tested very little in practice. Developmental Evaluation (DE) is a practice which helps organizations and their networks adapt within complex adaptive systems. Since both processes are based in complexity, leadership characteristics in each can be expected to be similar.

This exploratory mixed methods study incorporates …

Mentalization In Counseling Processes, Matthew J. Swartzentruber

Educational Specialist, 2009-2019

The purpose of this literature review is to demonstrate the profound influences and numerous applications the concept of mentalization has within counseling processes. The skill of mentalizing extends across theoretical orientations within existing counseling frameworks and has been suggested to be a core factor within the counseling process (Allen, Fonagy, & Bateman, 2008). Mentalizing capacities have been linked to positive therapeutic alliances (Markowitz & Milrod, 2011), positive client outcomes (Bernbach, 2002; Bouchard et al., 2008; Fonagy & Target, 1996; Karlsson & Kermott, 2006; Levy et. al., 2006; Meehan, Levy, Reynoso, Hill, & Clarkin, 2009), and counselor effectiveness (Cologon, 2013); and …

Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …

Color-Grapheme Synesthesia: A Study Of Population Prevalence, Christopher Hill

Dissertations, 2014-2019

Given the current state of the literature and weaknesses of many previous prevalence studies, the primary purpose of this research study was to gather base-rate data of color-grapheme synesthesia in a general population sample. Over a period of seven months, 502 participants enrolled in the study on Mechanical Turk and completed the online Synesthesia Battery. The primary data collected was the participant’s score on the synesthesia test, whereby a score of a one or below is deemed by the battery to be indicative of someone with a color-grapheme synesthetic ability. Of the 502 participants, eight percent (0.082) of the population …

Dreams: A Unified Theory Approach, Chance Mcdermott

Dissertations, 2014-2019

Henriques (2011) proposed a new unified theory of psychology (UT) which he argued could assimilate and integrate divergent lines of thought into a coherent whole. An implication of this claim is that the system can be applied to phenomena that was not addressed in the original work and the current work tests this proposition. Specifically, the current work utilized the UT and its components to examine the dream literature, especially psychodynamic, physiological and evolutionary approaches. Following a brief introduction, the project reviews the various lines of research and interpretations of why we dream and what they may mean for us. …

Quality Improvement In Provider Attitudes Towards Adherence To Comprehensive Diabetic Care Hedis Standards, Samantha Taylor

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Healthcare Effectiveness Data and Information Set (HEDIS) is a quality measurement for standard of care used to rate a health plan or provider's ability to demonstrate clinical effectiveness. Medicare Advantage healthcare plan utilizes HEDIS as a guide for standard of care. Adherence to HEDIS is useful in decreasing chronic disease burden through preventative measures. Diabetes, a disease with high burden, has Comprehensive Diabetes Care HEDIS standards that specifically target providers. Increasing adherence to HEDIS measures is shown to significantly improve health outcomes when used with evidence-based guidelines. The literature shows having high HEDIS scores are not an incentive to adhere …

Pilot Of A Randomized Trial Comparing Outcomes Of Three Types Of Peripheral Intravenous Catheters (Pivc): Utilizing The Plan, Do, Study, Act Cycle, Heather Galang

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Peripheral intravenous catheters (PIVC) are used in high volume in acute and ambulatory settings. Due to high volume of use in patient care, complications from a PIVC can significantly impact patient experience. Literature indicates complications such as blood exposure, phlebitis, unplanned removal, infiltration, occlusion, dwell time, pain, and cost have serious consequences in patient care, leading to potential delays in treatment, patient discomfort, patient dissatisfaction, safety concerns, nursing interruptions, increased length of stay, and added costs. Gap analysis indicates additional research can prove beneficial for evidence-based care improvement. The authors propose using the plan, do, study, act to conduct a …

The Effectiveness Of Education And Cognitive Rehearsal In Managing Nurse-To-Nurse Incivility, Deborah B. Kile

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

This project was designed to evaluate the effectiveness of education on nurse-to-nurse incivility and use of cognitive rehearsal techniques on registered nurses' perception of their ability to recognize and confront incivility, along with resulting job satisfaction. Nurse-to-nurse incivility negatively affects nurses, organizations and patients. The Tri-Council for Nursing's proclamation calls nurses to recognize incivility and take steps to eliminate this in practice ("Tri-Council" 2017). A mixed method, quality improvement pilot study was conducted. Participants, (registered nurses employed in a Post-Anesthesia Care Unit in a community hospital in Virginia), received education on incivility and cognitive rehearsal techniques. Data was collected through …

Leader Self-Efficacy In Youth Leader Development: A Mixed Methods Study, Christopher J. Rehm

Dissertations, 2014-2019

Leader self-efficacy (LSE) is a construct studied in adults and college students which is associated with leader emergence, individual performance, and group performance. This mixed methods dissertation examines LSE in an eighth grade student population to determine if it can be impacted by a leader development intervention during this sensitive period of human growth. Both quantitative and qualitative methods demonstrate the effectiveness of the programming in impacting youth LSE. This holds significant implications for future educational practice, research, and the development of the next generation of leaders. A five item youth LSE scale was created which can aid in further …

This Is Herpes: A Qualitative Investigation Of The Disclosure Patterns Of Hsv2 Individuals, Katrina Miles

Masters Theses, 2010-2019

It is estimated that by 2025, 49% of the female population and 39% of the male population, aged 15-39, will have contracted herpes simplex virus 2, or as it is more commonly known, genital herpes (Fisman, Lipsitch, Hook & Goldie, 2002). However, little is understood about the ways that those with genital herpes communicate their condition with potential partners, friends, or family members. Using in-depth qualitative interviews this research focuses on understanding the unique patterns that individuals with genital herpes engage to disclose their status to significant others. Utilizing the theories of Communication Privacy Management and the Disclosure Decision-Making Model …

Assessing Morphological Deformities In Cetaceans: Definition Of Patterns And Quantification With A Case Study (Madeira Island, Ne Atlantic), Erich Dietterle

Masters Theses, 2010-2019

Documenting deformities in cetaceans can lead to understandings in the health of the populations, but also the state of ocean and human health in an area. Deformities like skin lesions can lead to information about local pollution levels or possible diseases, while physical impacts can give insight into vessel traffic or fishing gear entanglement information. Cetaceans encounter threats like vessel strikes and fishing gear entanglements worldwide, but less obvious activities like whale watching or pollution can also have impacts. Studies have been conducted worldwide and around the Madeira Archipelago to document deformities, but there are various descriptions for what is …

The Impact Of Student Leadership Engagement On Meaning In Life And Work During College, Heather Janel Strine-Patterson

Dissertations, 2014-2019

The rising need, cost, and debt for postsecondary education has increased attention and scrutiny on its value, and colleges and universities must underscore outcomes beyond employment of graduates. Psychological well-being is a promising area to expand the value of postsecondary education. Using correlations, multiple regression, and multivariate analysis of variance (MANOVA), this study seeks to contribute to an emergent body of empirical knowledge about the impact of postsecondary education on students’ well-being by specifically examining the relationship between participation in cocurricular and extracurricular experiences and students’ well-being defined by their sense of meaning in life and work. To this end, …

Connection Between Visual Arts And Music: The Painting And Music Of I-Uen Wang Hwang, Yining Jenny Jiang

Dissertations, 2014-2019

This document explores the connection between the visual arts and music, particularly focusing on the similarity between visual and aural artistic expression by analyzing two sets of piano pieces composed by I-Uen Wang Hwang, a contemporary Taiwanese-American composer and artist. The piano pieces are Dream Garden, Series I and II (2000-2004) and Preludes for Piano (2016). Series I of Dream Garden contains two piano solo compositions based on a series of Hwang’s own watercolor works. Each composition has an analogous painting: “The Horn of the Plenty” and “Butterfly Orchid”. Series II includes two compositions written for two pianos: “Red and …

Identifying Ways That Institutional Staffing And Scheduling Committees Engage Nursing Staff In Resource Allocation At The Unit And Institutional Levels, Kevin M. Shimp

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

The American Nurses Association (ANA) recommends that at least fifty percent direct care providers are involved in staffing and scheduling decisions at the institutional level (ANA Staffing, 2015). This recommendation coincides with Magnet recommendations for the staff most impacted by staffing levels. Magnet organizations are recognized for superior nursing processes and quality patient care, which lead to the highest levels of safety, quality, and patient satisfaction (ANCC, 2015). Existing research, largely at the unit level, shows that registered nurses in acute care environments have higher general work satisfaction and morale when they are engaged in decision making around staffing (Ellerbe …

New Nurse Huddle Pilot To Improve New Graduate Nurse Retention, Timothy Craddock

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Purpose: With the continued nursing shortage, it has become increasingly important for healthcare organizations to focus on nurse retention to maintain quality of care standards and maintain fiscal responsibility. The purpose of this project was to pilot a new graduate nurse huddle to improve retention of new graduate nurses.

Method: A new graduate nurse huddle was developed using past nurse residency cohort Casey-Fink Graduate Nurse Experience Survey data to focus on areas of poor performance. Mixed methods surveys were administered pre-huddle and post-huddle to measure participant intent to stay and perception of huddle value. Descriptive statistics were used to evaluate …

Improve Readmissions And Patient Satisfaction Scores With A Revised Discharge Education Plan, Michele M. Hughes

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Problem: Payers of health insurance are tracking key performance measures and are limiting payments to hospitals. With this threat to financial reimbursement hospital systems have increased emphasis on tracking and improving outcomes. The purpose of this project is to reduce all-cause 30-day readmissions and improve patient satisfaction scores in the care transitions domain after a total hip or total knee replacement by revising the discharge materials and education.

Method: The total joint replacement discharge education materials were revised to address the common causes of readmissions. The documents were reformatted to improve literacy level, readability, and patient learning. Nurses were educated …

Forced Upon The Account: Pirates And The Atlantic World In The Golden Age Of Piracy, 1690-1726, Nathan Ray

Masters Theses, 2010-2019

This thesis discusses an observed phenomenon of ordinary sailors being forced to serve on board pirate ships in the eighteenth century Atlantic World. The main argument is that when pirates lost their connections to land-based communities in the Caribbean at the end of the seventeenth century they attempted to establish the same connections to communities along the North American coast. Pirates in the early eighteenth century ultimately failed to establish lasting connections with colonies in the north and had to force more ordinary sailors to server on their crews in order to survive. Colonial and British trial records were the …

Improving Nursing Adherence To Pediatric Pain Management Bundle Using The Pdsa Cycle, Stephen W. Lovern

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Given the current standards, pediatric post-operative pain management can be a distressing outcome to the patient and family. Adequate management of post-op pain in this population is a challenge despite the availability of evidence-based interventions combined to form care bundles. Tonsillectomies are common procedures in the pediatric population and often include moderate to severe pain with ineffective pain relief. Inadequate pain management leads to unplanned admissions, longer post anesthesia care unit (PACU) stays, slower oral intake, and longer recovery periods. In this project, two interventions were tested using the plan-do-study-act (PDSA) model for rapid cycle improvements. The first intervention was …

December 7, 2017, James Madison University

The Breeze, 2010-2019

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.