Digital Commons Network^™

Nudging Implementation Of Low Tidal Volume Ventilation: A Stepped Wedge, Cluster Randomized Trial, Meeta Prasad Kerlin, Michael O. Harhay, Fan Li, Dylan S. Small, Yingying Lu, Wei Wang, Barry D. Fuchs, Mark E. Mikkelsen, Teresa Tran, Aerielle Belk, Jasmine A. Silvestri, Tamar Klaiman, Stefania Scott, Elizabeth Levy, Michael W. Sjoding, Rachel Kohn, Karsten J. Roberts, Rinad S. Beidas, Scott D. Halpern

College of Health Professions Faculty Papers

BACKGROUND: "Nudges" embedded in the electronic health record (EHR) facilitate desired decisions while preserving autonomy and may provide a scalable strategy to overcome the common implementation barrier of lack of knowledge about a best practice. We sought to test whether EHR-based nudges targeting two intensive care unit (ICU) clinician groups would safely increase evidence-based use of low tidal volume ventilation.

METHODS: We performed a stepped-wedge, cluster randomized, hybrid type 3 effectiveness-implementation trial in 12 ICUs from February 2021 to May 2023 to test three nudges targeting clinicians responsible for order entry and respiratory therapists responsible for operationalizing orders and documentation. …

Staff Education To Improve Appointment Adherence In Outpatient Behavioral Health, Yvonne Joseph

Walden Dissertations and Doctoral Studies

No abstract provided.

Fall-Prevention Program For A Long-Term Care Organization, Roslyn Y. Heyward

Walden Dissertations and Doctoral Studies

No abstract provided.

Expertise First: Reflections On Informal Artificial Intelligence Mentoring In An Asynchronous Nursing Faculty Community, Anna Liza D. Villena Phd, Rn, Fnp-Bc

Journal of Online Mentoring

The integration of generative artificial intelligence (AI) into higher education has arrived faster than the support structures designed to help faculty navigate it. This article reflects on one faculty member’s experience providing informal AI integration mentoring to nursing colleagues at Walden University, a fully asynchronous online graduate nursing program, where clinician-educators with deep disciplinary expertise often struggled to recognize that expertise as an asset in their interactions with AI tools.

Drawing on Rogers’ (2003) diffusion of innovations theory, the article describes the mentoring approach that emerged from practice, the central insight that faculty are not failing to integrate AI because …

Comparative Behavioral Impacts Of Neuroactive Pharmaceuticals On Crayfish Locomotion, Grace Elizabeth Smith

Masters Theses

Pharmaceuticals are increasingly recognized as contaminants of concern in aquatic ecosystems, often entering waterways due to incomplete removal by wastewater treatment plants. Despite frequent detection, the effects of these compounds on non-target, neurochemically sensitive organisms such as crayfish remains underexplored. Gabapentin, an anticonvulsant that binds to presynaptic voltage-gated calcium channels and reduces excitatory neurotransmitter release, is one such emerging contaminant. Given crayfish’s ecological importance and sensitivity to neuroactive substances, exposure to gabapentin may disrupt key behaviors such as locomotion. To place gabapentin’s effects in context, we also examined escitalopram (Lexapro), a selective serotonin reuptake inhibitor that elevates synaptic 5-HT, and …

A Systematic Review And Meta-Analysis: Psychometric Properties Of Functional Tests In The Cancer Population, Mckenna Culter, Austin Schlater, Grace Molfenter, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

An After-School Adaptive Cycling Program For Children With Disabilities: A Pilot Study, Betsy Donahoe-Fillmore, Trisha A. Renner, Kate Burkart, Emma Feldman, Raegan Oehler, Kennedy Dedario, Britney Kozlowski, Terri Dinkelaker, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

A Comparison Of Drop Vertical Jump And Running Biomechanics Among Varying Experience Levels With Running, Jacob Hamme, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

The Ccu Disease Hunters: Putting Undergraduate Research To Work To Improve Community Health And Training The Next Generation Of Doctors, Paul E. Richardson

Journal of the South Carolina Academy of Science

No abstract provided.

Table Of Contents

Journal of the South Carolina Academy of Science

No abstract provided.

Science In Service Of Society: My Journey In Immunology And Public Engagement, Prakash Nagarkatti

Journal of the South Carolina Academy of Science

No abstract provided.

Restoration Of Neural-Based Function: Collaborative, Multidisciplinary Research To Develop Neurorehabilitation Knowledge, Measures, And Tools To Improve Function In The Real World, Steven A. Kautz

Journal of the South Carolina Academy of Science

No abstract provided.

Development And Implementation Of A Tai Chi Group In A Community-Based Brain Injury Program, Haley D. White

Occupational Therapy Doctorate Capstone Posters

My capstone was completed at NeuroRestorative, a Neuro community-based setting that provides Occupational Therapy, Physical Therapy, and speech-language pathology. The purpose of the ALE and Capstone Project is to develop and implement a weekly tai chi group within a community-based brain injury setting that incorporates tiered modifications to address varying cognitive and physical abilities. The program is designed to promote improved overall functional participation while reducing periods of downtime and inactivity among participants. To support long-term sustainability and carryover, educational handouts and training materials will be provided to staff to facilitate ongoing implementation of the group intervention.

The goals of …

I Am God's Masterpiece: Ministry For Adults With Idd, Raegan M. Wilson

Occupational Therapy Doctorate Capstone Posters

This capstone project was completed in collaboration with Parkway Ministries in Corbin, Kentucky. My Applied Leadership Experience (ALE) took place in a community-based faith setting and focused on the ACOTE areas of Program Development, Education, and Advocacy. As part of a collaborative project to develop an inclusive Vacation Bible School (VBS) for adults with intellectual and developmental disabilities (IDD), my individual focus was supporting caregivers through education, resource development, and community engagement. A needs assessment and literature review identified caregiver burden, social isolation, limited educational resources, and reduced access to support services as common challenges for caregivers of adults with …

Improving Functional Electrical Stimulation Prescription For Persons With Multiple Sclerosis: A Case Series, Shahla Hosseini, Kimberly Bigelow, Nick Padgett, Robert Campbell, Lauren Boland, Skylar Forsberg, Brett Weaver, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

The Effects Of Yoga On The Symptoms Of Perimenopause And Menopause: A Randomized Control Trial, Wendy Chorny, Betsy Donahoe-Fillmore, Brenlyn Rostad, Olivia Miller, Summer Rivas, Andrea Heitkamp, Cassidy Albers, Kennedi Gephart, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

A Tennis Ball Necklace As Simple Feedback To Effectively Reduce Impact Kinetics During Running, Kevin Sheehan, Matthew Minard, Andrew Clark, Jason Clingenpeel, Morgan Gigandet, Nicolas Love, Madison Scott, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson’S Disease, Harold Merriman, Kurt Jackson, Kyle Arrowood, Kaylee Virag

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Split-Squat Lower Limb Biomechanics In Individuals With And Without Chronic Ankle Instability, Joaquin Barrios, Eva Carbone, Matt Cesario, Marshall Flynn, Danielle Updike

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Soft Tissue Mobilization Versus Hold-Relax Stretching On Wrist Extensor Tendon Stiffness In Tennis Players, Brendan Burck, Adina Taylor, Cody Pohlman, Andrew Traven, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Targeted Skin Cancer Education Improves Agricultural Workers' Safe Sun Practices And Knowledge In South Dakota: A Farm Show Survey, Leah Naasz, Kianna Thelen, Candace Zeigler

Scholarship Pathways Program

Targeted Skin Cancer Education Improves Agricultural Workers' Safe Sun Practices and Knowledge in South Dakota: A Farm Show Survey

Leah Naasz, MD | Candace Zeigler, MD

Background: Agricultural workers are at increased risk for skin cancer due to prolonged ultraviolet (UV) exposure, yet many underutilize sun protection. Brief, community-based educational interventions may improve knowledge and preventive behaviors.

Objective: To provide a targeted skin cancer educational session to increase awareness and promote sun protection behaviors among agricultural workers in South Dakota.

Methods: Twenty agricultural workers attending the Vermillion and Sioux Falls Farm Shows participated in a pre- and post-educational survey. Inclusion …

Program Development And Implementation Of A Sensory-Based Self Regulation Curriculum For Adults With Down Syndrome At Gigi’S Playhouse, Grace Blair

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Gigi’s Playhouse Nashville, a non-profit organization offering free programming and services to individuals of all ages with Down syndrome and their families. The goal of this project was to develop and implement an educational curriculum for adult education programs focused on daily life skills, money management, physical health, self confidence, and a variety of other topics. A secondary focus of this project was to support sensory regulation in individuals with Down syndrome to promote overall health and participation. The results were physical and digital materials to be used for future adult …

Patient Reported Outcome Measure Use In Heart Transplant Care, Nichole Côté

Doctoral Projects

Despite growing evidence supporting Patient-Reported Outcome Measures (PROMs) in chronic disease management, no consistent application exists within the international heart transplant community. This Doctor of Nursing Practice project implemented the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) as a PROM within the a large volume heart transplant clinic, evaluating workflow feasibility, the association between Overall Summary Scores (OSS) and visit length, and clinician perceptions of PROM use. The KCCQ-12 was administered via a mobile health application with automated distribution. Workflow integration was assessed by calculating the percentage of scheduled visits with completed PROM documentation. Visit length was measured using electronic medical record …

Examining The Rural Workforce: Comparing Admissions Strategies And Training Pathways In U.S. Medical And Dental Education, Charolyn A. Harris

Honors Theses

Access to healthcare in rural and underserved communities remains a significant challenge in the United States, particularly in dental care, where workforce shortages are more pronounced. This study examines how medical and dental education programs develop rural healthcare providers, focusing on admissions strategies and training pathways. Using a structured scoping review and secondary data analysis, this research compares how each field incorporates known predictors of rural practice, such as rural background and training experiences, into workforce pipeline development. Findings indicate that while both medical and dental education recognize rural background as a strong predictor of rural practice, medical education more …

Neuroprotective Effects Of Estradiol And Genistein And Interactions With Aromatase Inhibitions Post Cerebellar Lesion In Male Zebra Finches, Grace E. Thompson, Anthony P. Irovic

Honors Theses

Across vertebrates, peripheral and brain-derived estradiol (E₂) promotes neuroplasticity. After injury, E₂ can be derived locally from testosterone via aromatase (AROM), an enzyme that is upregulated in glia at the site of neural injury. E₂disrupts testicular function and elevates cancer and stroke risk, primarily via binding to estrogen receptor alpha (ER α). Genistein (GEN), a phytoestrogen, is similar to E₂ but binds preferentially to estrogen receptor beta (ER β). It may offer neuroprotection without adverse effects of E₂. We used adult male zebra finches (ZF) to model neuroprotective effects of E_{2 …}

A Transgenerational Analysis Of Factors Influencing Fertility Among Jamaican Men, Shanique Deniellia Essuman

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On The Phq-9 Tool And Its Use, Claudine Agwi Mbah

Walden Dissertations and Doctoral Studies

No abstract provided.

The Intersection Of Faculty Perceptions Of Student Evaluations Of Teaching And Nursing Retention: The Challenges Of Undergraduate Nursing Programs In Higher Education Institutions, Melissa Wolff

Dissertations, Theses, and Projects

For over 100 years, higher education institutions in the United States of America have been using student evaluations of teaching (SET) to evaluate course effectiveness and teaching quality. SETs are used to inform faculty about areas where course improvements are needed, if course objectives have been met, and the strength of their teaching ability. Even with the longstanding integration of SETs in higher education their reliability and validity have been questioned. Various factors negatively influence student ranking of faculty including class size, faculty appearance, ethnicity, and gender. SETs also impact faculty’s ability to earn tenure and promotion, which raises concerns …

Countless Journeys: Becoming A Mental Health Counselor, David Smallen

Dissertations, Theses, and Projects

This self-analysis articulates the author’s process of developing, across his own lifetime, personal aspects essential to professional practice as a mental health counselor. Explored in this paper are the author’s experiences across diverse areas of development, including: relationships, culture, mental and physical health, career and hobby interests, and personal strengths. The author’s theoretical orientations towards therapeutic practice, including the lenses of Psychosocial Lifespan Development, Relational-Cultural Theory, and Existential Theory, are articulated and connected to his personal narrative. Results from two personality inventories, the VIA Character Strengths Inventory and the Primals Inventory are presented and discussed, as are key points from …

A Critically Appraised Topic: Effectiveness Of Hydrogen-Rich Water Therapies In Reducing Inflammation, Bill Craig, Dawn Hammerschmidt, Jay Albrecht

Dissertations, Theses, and Projects

Inflammation is an important part of healing, but prolonged inflammation or inflammatory disease can cause excess pain and tissue damage. Hydrogen-rich water therapies have shown to have positive effects on this wide variety of conditions and may have a role in future therapeutic intervention for inflammatory conditions and acute injury care. Hydrogen is a commonly known element that has recently been the subject of scientific studies to analyze its beneficial properties when used as a therapeutic intervention. Hydrogen is physically the smallest element on the periodic table, and when two hydrogen atoms combine to form H2, it is known as …