Adult and Continuing Education Commons^™

Improving Early Detection And Response To Clinical Deterioration Among Nurses Through Competency-Based Interventions, Courtney E. Miller

Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Clinical deterioration among hospitalized patients remained a significant contributor to preventable morbidity and mortality, often due to delayed recognition and response in general care settings (Choi et al., 2025; Chung & Jung, 2024).

PICOTS: For registered nurses working on a general level of care inpatient hospital unit (P), how did a competency-based training program bundle incorporating didactic educational intervention of learning how to use technology, machine learning (ML) based early warning system (EWS) of trends and patterns to identify at risk patients, and low-fidelity simulation-based education (SBE) (clinical readiness to improve confidence with education and coaching) (I), …

Between The Rails: Experiential Education And Its Impact On Compliance And Consistency In Racetrack Surface Management, Heather Mackenzie

Theses and Dissertations--Community & Leadership Development

Recent regulatory requirements within the Thoroughbred racing industry have increased expectations for consistent collection and reporting of racetrack surface data. Despite clear standards, implementation in daily operations remains inconsistent, highlighting a gap between regulation, knowledge, and practice. This study examined the impact of an experiential education curriculum on racetrack personnel’s self-efficacy and reporting consistency.

Using a quantitative design, data were collected through pre- and post-surveys measuring self-efficacy and records of the number of days surface data were entered. Descriptive statistics, paired-samples t-tests, and effect size analyses were used. Results showed a statistically significant increase in self-efficacy (p < .001) with large effect sizes, indicating meaningful gains in confidence and comfortability. Reporting consistency did not show a statistically significant change (p = .885).

Overall, experiential education …

Moral Distress Of The Professional Adn Gatekeeper During Early Covid-19: An Interpretivist Qualitative Study, Kimberly Triche

Dissertations of Practice

MORAL DISTRESS OF THE PROFESSIONAL ADN GATEKEEPER DURING EARLY COVID-19: AN INTERPRETIVIST QUALITATIVE STUDY

This interpretivist qualitative study examines the experiences of Associate Degree Nursing (ADN) faculty at two-year institutions in Illinois navigating the “Regulatory Pincer,” the intersection of state-mandated lockdowns and rigid licensure requirements, during the COVID-19 pandemic. This research illustrates how the sudden transition to online modality and the abrupt dismantling of the traditional “gatekeeper” model forced faculty to navigate high stress environments with negligible preparation. The findings reveal that the necessity of maintaining instructional continuity while stripped of tactile verification tools created a profound state of “moral …

Shaping Resources And Equity To Improve Student Outcomes In Virginia’S Public Schools, Nia Byas, Ashley Coles, Briana Jones

The Grace E. Harris Leadership Institute Publications

School efficiency reviews are an essential accountability tool that protects classroom dollars, can generate long-term savings, and equitably improve student outcomes. Conducting a review every 10 years balances accountability with fiscal practicality and is extremely valuable as school districts face funding cuts.

Pilot Program For Telemental Health Access To Rural Underserved Localities, Traci Brickhouse Jones, Sarah Kott, Oswaldo Moreno, Aneida Winston

The Grace E. Harris Leadership Institute Publications

This proposal recommends legislation directing Virginia Department of Behavioral Health and Developmental Services to establish a two-year pilot program focused on expanding telemental health access in rural Virginia. The purpose of the pilot is to address persistent behavioral health disparities in areas where residents face major barriers to obtaining timely mental health care.

The legislation is designed to build on existing telehealth infrastructure and aligns with Virginia’s Statewide Telehealth Plan under § 32.1-122.03:1, which already supports broader use of telehealth services across the Commonwealth. By creating a focused pilot first, the state can test implementation strategies before considering broader expansion.

Civic Engagement Education & Voter Preparedness Act, Monica Callahan-Smith, Elia Molina-Valenzuela, Kevin Starlings, Raven Sharrieff

The Grace E. Harris Leadership Institute Publications

Objective: To establish a structured, equitable, and consistent approach to civic education for all Virginia high school students.

Focus: Concentrates on practical voter readiness and high school instruction to bridge the gap between theoretical knowledge and active participation.

Trauma-Informed Approach In The Carceral System, Katherine Means, Adrienne Jackson, Tayia West, Kenneth Hunter

The Grace E. Harris Leadership Institute Publications

This proposal seeks to establish a foundation to drive the development of a comprehensive, trauma-informed framework for Virginia Department of Corrections by identifying opportunities and recommendations for implementation.

This proposal aims to improve VADOC’s adherence to a true structure of rehabilitation, leading to the adoption of a statewide trauma-informed corrections statute.

A Path Towards Housing Sustainability: Eviction Record Expungement Reform, Frank Molina-Valenzuela, Taisha Steele, Brandi Daniels, Tamara Del Rosario

The Grace E. Harris Leadership Institute Publications

The Problem: Confronting the "Scarlet Letter" of Housing

No Virginian should be denied a home because of a dismissed legal filing or a resolved financial hurdle from the past. In Virginia, the mere filing of an unlawful detainer (eviction) creates a permanent public record regardless of the outcome. The new permanent record acts as a "scarlet letter" in the form of a 7 to 10 year shameful blemish on their public record.

Understanding Ai Usage On Campus: Perspectives Of Faculty, Staff, And Students At A Regional Comprehensive Institution, Sudarshana Bordoloi Dr., Brooke Burk

Essays in Education

The rapid rise of generative artificial intelligence (AI) has reshaped teaching, learning, research, and administrative work across higher education. To better understand how campus communities are engaging with AI, this study examines the perspectives and practices of faculty, staff, and students at a regional comprehensive university in Minnesota. Drawing on survey data from 143 respondents, the study explores patterns of AI usage, perceived benefits and challenges, and the training needs required for ethical and effective integration of AI tools. Findings indicate that students primarily use AI for tutoring, idea generation, and drafting written assignments; faculty rely on AI for research, …

The Digital Divide Among Urban University Students, J.B. Oleet, Chien Yu

Journal of Educational Technology Development and Exchange (JETDE)

The purpose of this study was to examine urban university students’ post-pandemic experiences with the digital divide, focusing on Motivational, Physical, Skills, and Usage Access to information and communication technologies (ICTs) based on van Dijk’s resources and appropriation theory. The study revealed students’ positive perceptions of their digital divide experiences. Intrinsic Motivational Access (IMA) scored particularly high, indicating a strong internal drive to engage with ICTs, while Physical Access (PA) showed discrepancies in access to specialized tools like programming software. Students displayed high competency in Operational, Informational, and Strategic Skills Access, with significant correlations between Physical and Operational Skills Access. …

Caregiver Training: Improving Social Determinants Of Health, Patient Safety, Empowerment Through Improving Elder Care Education And Skills, Kathleen Thimsen

Nursing Faculty Research

Caregiver training (CaGi TRaining) is a time-tested intervention aimed at improving safety in elders living and aging in place in the community. While elder abuse and maltreatment was the intial purpose of the project, with over 3500 Caregivers graduated from this program since 2009, the course has addresses social determinants of health, and improved workforce pipelines by providing stable employment, improved self-efficacy, and confidence demonstrated by self-reports at graduation and in follow up surveys. Previously learners without a high school diploma retruned to school to obtain a GED (40%), with an additional return to school for bacalaureate and degrees (27%) …

Finding Community: Addressing Doctoral Student Loneliness And Fostering Belonging In Higher Education, Sydney Hamrick

UNF Graduate Theses and Dissertations

Doctoral students often experience loneliness, isolation, marginalization, and other challenges related to belonging. While prior research has connected belonging to persistence, well-being, and academic success, little is known about doctoral students’ lived experiences of belonging and loneliness. This hermeneutic phenomenological study, grounded in Max van Manen’s Phenomenology of Practice, guided by the Sense of Community Theory and informed by a Transformative Worldview, explored how institutional, structural, relational, and personal factors shaped doctoral students’ experiences. Data were collected through semi-structured interviews and analyzed using an interpretive phenomenological approach informed by van Manen’s lifeworld existentials, including lived relation, lived space, lived …

Evaluating The Comparison Of Different Body Locations For Data Collection Using Galvanic Skin Response Of Forensic Chemistry Students When In Lecture And Laboratory Environments, Elisa Guerrero

Honors Undergraduate Theses

Anxiety is the response that humans can have when exposed to a stimulus. It can be caused by a multitude of factors, such as psychological, biological, or physiological stimuli. Anxiety can be presented as a state or as a trait in a person. Trait anxiety is typically seen as a more stable personality trait, whereas state anxiety is a more intense temporary emotional state. In our study, anxiety was regarded as a more state-like characteristic. A galvanic skin response (GSR) Shimmer3+ device can measure skin electro-conductance changes following stimulation. In a situation where a participant is experiencing anxiety, levels of …

Listening In Lectures Self-Assessment, David Keck

A. Listening in Class and in Professional Settings

A handout designed to help students assess -- and ultimately improve -- their listening habits in the classroom. Sections include Preparing for Class; Mindset; Relationship with the Instructor; Relationship with Fellow Students; During Class; and After Class.

Awareness, Empathy, Action: How American Students’ Study Abroad Experiences In The Middle East And North Africa (Mena) Influence Self-Perceptions Of Global Citizenship, Renee Lamb

Theses and Dissertations

Internationally minded practitioners and academics have posited for decades that global citizenship could be a tool the world can use to build a stronger and more sustainably minded global culture. Through global citizenship’s inclusion in the United Nations Sustainable Development Goals, Target 4: Quality Education, educators from pre-primary to university have been put at the forefront of this movement. At the higher education level, study abroad is arguably the most important global learning tool used by American institutions today for building global citizenship. However, the vast majority of American students study abroad in Western Europe, leaving a glaring gap in …

Aadej Comm 12 1 2026

AADEJ - The Communicator

The Communicator is the official publication of the American Association of Dental Editors & Journalists (AADEJ), promoting awareness of the association’s activities and offering valuable insights for dental editors and journalists to enhance their publications. It is published quarterly, distributed digitally via email to members, and posted on the Association’s website at aadej.org, with archives on ADA Commons. Regular contributions from the Editor-in-Chief, Executive Director, President, and Associate Editor cover various topics.

This issue provides practical strategies for journal growth, such as building sustainable author pipelines and using digital analytics to increase content reach. Features include articles addressing ethical, …

Data Presentation For Dental Authors And Editors: The Convergence Of Message, Audience, Medium, Armamentarium, And Style, Benjamin Chaffee

AADEJ - The Communicator

Tables, figures, and other visuals convey information in ways that are not possible with words alone. When done well, these communication tools make data engaging, make complex ideas accessible, and make idea exchange efficient by sharing information in less printed space and requiring less reading time than standard written text. Poorly done, however, tables and figures can confuse and frustrate readers, distracting them from otherwise sound scholarship. Despite their impact on the reader experience, figures and tables are sometimes afterthoughts in the writing process, including in formal author guidelines and scientific writing courses. Authors and editors can elevate the effectiveness …

The Teacher Shortage Crisis: How Workplace Relationships Influence Retention, Attrition, And The Education Labor Market, Jeremy Brooks

University of the Pacific Theses and Dissertations

This study took a closer look at how high school teachers perceive the ongoing teacher shortage, with particular attention to how workplace conditions and the broader school climate impact whether they choose to stay in the profession. Special focus was given to teachers in their first five years, a group especially vulnerable to early attrition. As the conversation around teacher turnover grows louder, this research seeks to better understand what’s driving teachers’ decisions from their own perspectives, not just policy data or administrative assumptions.

The study used a basic qualitative research design, relying on one-on-one, in-depth interviews to gather insights …

Development Of A Comprehensive Practical Exam (Cope) Assessment Process For Occupational Therapy Doctoral Students, Robert E. Larson, Cynthia Tiongco, Sandra M. Whisner, Laurie D. Stelter, Laura Alexander, Megan R. Taylor, Molly Setliff, Paula Perkins, Belinda D. Alexander, James Matthew D. Geddie

Journal of Occupational Therapy Education

Measures are needed to ensure students are adequately prepared for clinical experiences. A Comprehensive Practical Exam (CoPE) was developed based on high fidelity simulation and an Observed Structured Clinical Examination format to assess readiness for Level II fieldwork. Teams of faculty developed multiple case simulations with consistent components across the cases for first- and second-year student cohorts. Rubrics were developed for grading student performance on the simulations with categories required for Level I fieldwork completion as well as other components required for success on Level II fieldwork. The CoPE included three components: chart review/preparation, client interaction, and documentation. The first-year …

Hands-On: Integrating Active Learning Into An Upper Extremity Occupational Therapy Elective, Jennifer Radziak, Katie Jones, Kelsey Picha

Journal of Occupational Therapy Education

In an effort to provide students with advanced clinical practice skills, several occupational therapy elective courses were developed. The current article describes an educational innovation that involved an in-person elective course for graduate second year Master of Science in Occupational Therapy students that focused on the upper extremity. The course was team-taught, promoted active learning, and used unique activities to engage students in the learning process. Relevant evidence-based practice literature and clinical guidelines were incorporated into the course to teach students about the treatment of upper extremity conditions. The active learning strategies implemented in the course included fresh donor dissection, …