Digital Commons Network^™

Weighted Blankets: Implementation Of A Quality Improvement Pilot Project In The Neurosciences Intensive Care Unit, Anita Musafar

Doctoral Projects

The weighted blanket quality improvement pilot project was implemented at Stanford Healthcare (SHC) to address the limited number of nonpharmacological interventions available for agitation management in the critical care setting. Patients within the Neurosciences ICU (NSICU) at SHC are clinically complex and uniquely vulnerable to experiencing agitation. The objectives of this initiative were to understand nurses' perceptions surrounding weighted blanket use in the critical care setting and assess whether there was a decrease in Richmond Agitation-Sedation Scale (RASS) scores with this intervention. From September 2025 to December 2025, the nurses within the NSICU implemented the use of weighted blankets for …

Building A Road To Mitigate Ambulance Patient Offload Time (Apot), William J. Manguil

Doctoral Projects

Emergency departments (EDs) worldwide are experiencing increased utilization resulting in care delays for patients seeking urgent treatment. Despite critical circumstances that warrant emergency medical services (EMS) response, patients arriving to the ED via ambulance remain vulnerable to delays in care due to prolonged ambulance patient offload times (APOTs). The amount of health care providers and treatment space necessary to initiate care are both limited and often strained resources which dictate the need for innovative interventions to prevent patient harm. The following project outlines the interventions implemented at the project site to improve APOT as a means to enhance patient safety …

Mindset Versus Circumstance: How Fatalism And Food Insecurity Shape Sugar-Sweetened Beverage Consumption In Young Adult Latinas, Mi Zhou, Elba Nohely Vidal, Giselle Pignotti, A. Susana Ramírez

Faculty Research, Scholarly, and Creative Activity

This study examined the association between fatalism and sugar-sweetened beverage (SSB) consumption among young adult Latinas, with food insecurity as a moderating factor. A cross-sectional online survey was conducted with 829 Latina women aged 18–29. Measures included fatalism, food insecurity, daily SSB intake, education, and income. Moderation analyses showed that fatalism was positively associated with SSB consumption (β = 5.22, p = 0.002), as was food insecurity (β = 20.40, p = 0.010). A significant interaction between fatalism and food insecurity (β = −4.85, p = 0.024) showed that fatalism predicted higher SSB intake among food-secure participants but not among …

Liquid Fire Accelerants' Effect On Blood Detectability, Genniltza Ramirez

Themis: Research Journal of Justice Studies and Forensic Science

Five liquid fire accelerants were studied in their effects on blood detection in attempts to yield presumptive accelerant indicators to benefit fire scene investigators. The experiment involved burning different accelerant types via a 1:1 pig blood and accelerant ratio on cloth squares in trials of three, and then presumptively testing for blood using luminol. Luminol was selected for its sensitivity, subjectivity, and previous use in arson fire and thermal studies. For this study, accelerants were determined to have positive presumptive blood detection if detectable by camera for documentation. Presumptive blood detection of the accelerants resulted in: paint thinner with detection …

Two-Year Retrospective Evaluation Of Frailty To Optimize Postoperative Spinal Fusion Outcomes In Adults Aged 65 And Older, Sheri Loo

Doctoral Projects

Many older adults over the age of 65 have both spinal stenosis requiring spinal fusion surgery and frailty. As life expectancy has increased, many older individuals will undergo elective spinal fusion surgery to decrease their chronic pain in pursuit of improved quality of life. There is currently an underutilization of frailty screening for risk stratification of postoperative complications. A retrospective chart review over a two-year period from July 2023 to June 2025of adults aged 65 and older who underwent posterior spinal fusion surgery, involving 126 participants, was completed. We assessed the correlation between frailty and postoperative outcomes, discharge disposition, and …

Huebner, Thomas G., San Jose State University

Emeritus and Retired Faculty Biographies

University of Hawai'i, Linguistics, Ph.D. 1982

University of Pittsburgh, Linguistics, M.A. Certificate: TEFL/TESL

University of Wisconsin‑Milwaukee. Majors: English and Secondary Education, B.S.

A Novel Hybrid Dual-Stream Deep Learning Architecture Integrating Multi-State Lstm, Cnn, And Multi-Head Self-Attention For Water Level And Discharge Prediction (Missouri River Basin, Usa), Milad Ahmadi Gharehtoragh, Ali Mehran, Georgia Destouni, Alireza Taheri Dehkordi

Faculty Research, Scholarly, and Creative Activity

Study region: The Missouri River Basin, located between the states of Nebraska and Iowa, USA. Study focus: Water level (WL) and discharge (Q) are key hydrological variables, accurate prediction of which in both long-term and short-term (extreme events) scenarios is essential for water resources and flood risk management. We propose a novel hybrid deep learning architecture, CNN-NLSTM-SA, which integrates a Convolutional Neural Network (CNN) branch for extracting local features and a Multi-State LSTM (NLSTM) branch for capturing long-term temporal dependencies. NLSTM, with its child-parent structure, enhances memory propagation and mitigates vanishing and exploding gradients. The outputs of these two branches …

Many-Body Benchmark Of Electronic Charge And Spin Densities For Li1–Xnio2, Abdul Ghaffar, Shenli Zhang, Liwen F. Wan, Kayahan Saritas, Fernando A. Reboredo, Jaron T. Krogel

Faculty Research, Scholarly, and Creative Activity

Accurate benchmarks are particularly important for highly correlated oxides as mean-field approximations often fail to describe the subtle balance of charge transfer and magnetism in these materials with an accuracy comparable to experimental needs. Here we present accurate diffusion Monte Carlo (DMC) results of the electronic charge and spin densities for the tunable highly correlated oxide Li1–xNiO2 for x = 0, 1/2, and 1. To enable quantitative comparisons, we introduce a robust density-partitioning scheme, extending Voronoi analysis to assign atomic charges from spatially noisy DMC densities. We then benchmark common approximations used in density functional theory (DFT). Comparison against DMC …

Implementing A Buddy System To Enhance Float Pool Nurses’ Experience And Unit Integration, Nancy Kairia

Doctoral Projects

Float pool nurses play a vital role in maintaining hospital operations; however, they often experience role ambiguity, inconsistent integration, and reduced psychosocial empowerment, which may negatively influence engagement and retention. This Doctor of Nursing Practice project implemented and evaluated a structured buddy program designed to enhance psychological empowerment among float pool nurses in a large academic medical center. Guided by Gretchen Spreitzer’s Psychological Empowerment Framework, the project examined changes across four domains: meaning, competence, self-determination, and impact. A pre-post design was used to assess outcomes before and after implementation. Five nurses completed the preintervention survey; of these, four completed the …

Exploring The Benefits Of Yoruba Indigenous Knowledge And The Herbal Medicine System, Sunday Opene Ozonuwe 7317673, Ayobami Aderonke Ogungbade, Faith Ohwofasa

Library Philosophy and Practice (e-journal)

The Yoruba people are one of the West African's main ethno-linguistic or ethnic groups. They have an impressive indigenous knowledge and herbal medicinal system. They pre-occupied Oyo, Osun, Ekiti, Kwara, Ondo, Lagos and Koji state. The researchers developed seven (7) research objectives and seven (7) research questions to investigate the nature, forms, benefits and methods of preparing and administering Yoruba Herbal Medicine. Descriptive research design was adopted for the study, interviews and observations were the instruments used for data collections. Eight (8) herbal medicine practitioners were interviewed in Oyo and Ogun state. The result of the interviews was also presented …

Ethical Issues In The Use Of Emerging Technologies In The Library, Funmilola Olubunmi Omotayo

Library Philosophy and Practice (e-journal)

Digital tools and emerging technologies are transforming our world, including library settings. Libraries are shifting their collections from predominantly print publications to digital resources. Librarians have turned from an ethos of ownership and authority to service, guidance, and collaboration. From pedagogy to resource sharing, the success of many libraries relies upon diverse technologies and their widespread adoption. Librarians create technological processes, design resources, manage resources, and make use of diverse technologies to support library administration. Emerging technologies such as the Internet of Things, Artificial Intelligence and Robotics and Data mining and analytics tools are now being adopted for library administration. …

A Peer Support Model For Nursing Faculty: Stay And Thrive, Ngoc N. Hua

Doctoral Projects

Projections show a major nursing shortage over the next decade. Although many state and local efforts aim to expand the workforce, there is often less visibility into the nurse educators responsible for the healthcare pipeline. Moving clinicians into teaching roles presents unique challenges. Specifically, clinical skills do not easily transfer to classroom management,​ which can be jarring for new faculty. This "reality shock" frequently results in faculty turnover​ due to a lack of support during this important transition.​ This project looked at nursing faculty perceptions of a structured peer mentorship​ program at a Northern California community college. The intervention was …

A Quality Improvement Initiative Evaluating Factors Influencing Patient Experience With Virtual Reality During Awake​ Interventional Radiology Procedures, Quynh Dao-Payne

Doctoral Projects

Procedural anxiety and pain are common among pediatric patients undergoing awake interventional radiology (IR) procedures and may negatively affect patient comfort, cooperation, and overall patient experience. Virtual reality (VR) has emerged as a promising nonpharmacologic intervention to reduce anxiety and improve patient-centered outcomes. The purpose of this quality improvement project was to evaluate patient-reported experiences and perceived outcomes associated with VR use during awake pediatric IR procedures at Children’s Hospital Los Angeles.​ A qualitative descriptive quality improvement design was utilized. Twenty pediatric​ patients ages 10–21 years undergoing awake IR procedures with VR as part of standard clinical​ care completed structured …

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 …

Spartan Daily, May 7, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 43

Posttraumatic Symptoms As Predictors Of Engagement With A Mobile App For Coping After Military Sexual Trauma: Public Usage Data Analysis Study, Shilpa Hampole, Shannon Mccaslin-Rodrigo, Valerie Carr, David Schuster, Sofia Reyes, Sarah Senti, Kelly M. Ramsey, Jason E. Owen, W. Christopher Skidmore, Amy E. Street, Katherine Taylor, Margaret Anne Mackintosh

Faculty Research, Scholarly, and Creative Activity

Background: Military sexual trauma (MST) can have significant adverse effects on mental health and well-being, often leading to posttraumatic stress disorder (PTSD) symptoms and maladaptive beliefs. Although effective psychotherapies exist, stigma, confidentiality concerns, and systemic barriers often hinder help-seeking among service members and veterans. Mobile mental health apps offer an accessible and anonymous support alternative, potentially addressing such barriers. However, app effectiveness depends on user engagement and emerging evidence suggests that engagement may be shaped by symptom severity. Objective: This retrospective observational study aimed to explore the relationship between posttraumatic symptom severity and user engagement with Beyond MST (US Department …

Building Nurse Managers’ Knowledge And Confidence To Lead Clinical Ladder Success: A Theoretically Informed Educational Framework, Michelle Joann Chlebinski

Doctoral Projects

Background: Clinical Ladder Programs (CLPs) offer a structured pathway for nursing professional growth, fostering clinical excellence while improving nurse satisfaction and longterm retention. Although nurse managers play a pivotal role in facilitating the CLP, there is currently no comprehensive educational framework to enhance their knowledge and confidence in supporting clinical ladder advancement. Purpose: The aim of this DNP project is to develop implement, and evaluate an educational framework grounded in Benner’s Novice-to-Expert framework and Watson Caring Science® to enhance nurse managers' knowledge and confidence in leading nurses towards clinical ladder success. Methods: In a quasi-experimental study using a single-group, pre-post …

Spartan Daily, May 6, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 42

Library Professionals Job Satisfaction Level In Autonomous Arts And Science Colleges In Tamil Nadu: A Study, Ganapathy Kaniappan, Geetha A., Jayashree R.

Library Philosophy and Practice (e-journal)

This study was conducted to expansively explore the job satisfaction of employees towards the career development opportunities as the main objective, followed by identifying the main factors and concluding with suggestions to conquer the dissatisfaction level of jobs of staff serving in respective libraries. The study sample consisted of 250 respondents representing all librarians, deputy librarians, assistant librarians/documentation officers, information scientists, and library assistants working in 39 district libraries in Tamil Nadu. A structured questionnaire with a five-point Likert scale was used to collect quantitative data for the study. Based on the survey findings, this study concluded that the library …

Statistical Cryogenic Characterization Of Commercial 14nm Finfets For Analog Applications, Wesley Xi, Le Minh Long Nguyen, Vikram Magendar, Hiu Yung Wong

Faculty Research, Scholarly, and Creative Activity

Cryogenic devices at 4.2K are indispensable in the control electronics for large-scale quantum computers. Due to its small manufacturing volume, a standard commercial foundry process is likely to be used in the near and medium terms. Moreover, 77K electronics are promising for high-speed server applications. Besides digital circuits, analog circuits with non-minimal channel length are particularly important in quantum computing control. In this paper, special structures are designed to characterize the device properties of medium- and long-channel length devices at 292K, 77K, and 4.2K in a commercial 14nm FinFET process. About 100 structures were measured for both NMOS and PMOS. …

Pattern-Aware Graph Neural Networks For Handling Missing Data, Minett Tran, Taehee Jeong

Faculty Research, Scholarly, and Creative Activity

Missing data is ubiquitous in real-world datasets. Traditional methods either discard incomplete samples or apply imputation techniques that ignore potentially informative missingness patterns, implicitly assuming that missingness occurs randomly. However, missingness patterns might provide additional information. We propose pattern-aware graph neural networks that explicitly encode which features are missing alongside observed values. We used four encoding strategies-learned embeddings, frozen random embeddings, statistical features, and hierarchical representations-across seven UCI datasets with naturally occurring missingness. Our Pattern-aware methods achieve substantial improvements over baselines, with an average improvement of 17% in balanced accuracy and 22% in F1-macro across all datasets. Our code and …

A Quality Improvement Project To Strengthen Hospice Spiritual Care Delivery, Patricia Boudreau

Doctoral Projects

Spiritual care is an essential component of holistic end-of-life nursing, yet it is inconsistently provided in home hospice settings. For this Doctor of Nursing Practice (DNP) quality improvement project, we developed and implemented the Compassionate Spiritual Comfort Integration Program (CSCI), a brief, theory-based educational intervention to strengthen hospice nurses' spiritual care practices. Grounded in Kolcaba's Comfort Theory and Jinpa's Compassion Framework, the CSCI was delivered as a prerecorded webinar. A quasi-experimental single–group pretest–posttest design was used to evaluate changes in spiritual care behaviors, measured with the 17-item Nurse Spiritual Care Therapeutics Scale (NSCTS) and a single-item confidence measure. Twenty-two nurses …

Spartan Daily, May 5, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 41

Evaluation Of School Library Resources, Availability And Usage Among Female Students In Senior Secondary In Owo Local Government Area Of Ondo State., Fasa Rachael Aladeniyi (Ph.D.) Cln, Temitope Samuel Owokole, Bartholomew’Zango Wonder’Kachidi Nickaf

Library Philosophy and Practice (e-journal)

This study focused on the Evaluation of School Library Resources, Availability and Usage among Female Students in Senior Secondary in Owo Local Government Area of Ondo State. The study adopted a descriptive survey research design. The population comprised 1,137 female senior secondary school students from two selected secondary schools, while a sample of 240 respondents was selected using stratified random sampling technique. A total of 232 copies of the questionnaire were properly completed and returned. Data collected were analysed using frequency counts and simple percentages. The findings of the study revealed that school libraries in the study area are mainly …

Nurturing The Nurturers: Caritas Literacy Wellness Program, Pakeeza Ali

Doctoral Projects

Burnout, compassion fatigue, and emotional exhaustion remain significant concerns among oncology staff in high-demand ambulatory settings. This quality improvement project implemented the Caritas Literacy and Resilience Training Program (CLARITY), a microlearning-based intervention grounded in Watson’s Caring Science Theory, to support self-caring behaviors and emotional resilience among oncology staff in an ambulatory cancer center. A quasi-experimental, mixed-methods design was used, incorporating pre- and post-intervention survey data and qualitative focus group feedback. Quantitative outcomes were assessed using the Watson Caritas Self-Rating Score (WCSR) and post-intervention ratings of perceived effectiveness of the microlearning format. Wilcoxon signed-rank tests were used to examine pre-post change …

Ischool Student Research Journal, Vol.16, Iss.1

School of Information Student Research Journal

No abstract provided.

Evaluating The Impact Of A Meaningful Recognition Bundle On The Health Of The Emergency Department Work Environment And Emergency Nurse Burnout, Sean Truesdell

Doctoral Projects

Background: The health of the work environment significantly influences emergency nurse practice. The Emergency Nurses Association and the American Association of Critical-Care Nurses have called for the establishment of a healthy work environment (HWE) to improve outcomes, reduce burnout and turnover, and increase job satisfaction. Meaningful recognition is consistently among the lowest-performing HWE standards. Purpose: To implement a bundle of meaningful recognition elements in the Emergency Department (ED) and evaluate the outcomes. Methods: A quality improvement project was conducted in the ED of a non-profit community health system in Northern California. The Healthy Work Environment Assessment Tool (HWEAT) and Oldenburg …

A Pilot Project On Improving Icu Nurses’ Confidence In Early Defibrillation, Adetutu Obadina

Doctoral Projects

Early recognition of shockable cardiac rhythms and timely defibrillation are critical components of effective resuscitation during in-hospital cardiac arrest. Despite established guidelines from the American Heart Association (AHA), nurses may experience uncertainty or reduced confidence when identifying shockable rhythms and delivering timely defibrillation during cardiac arrest events. The purpose of this project was to examine whether a structured educational intervention incorporating simulation-based training could improve intensive care unit (ICU) nurses’ confidence and knowledge in recognizing shockable rhythms and performing timely defibrillation. A pre-and post-intervention design was implemented among ICU nurses at a large academic medical center between September and October …

Ai Literacy In The Nursing Informatics Community: A Needs Assessment, Jerri Westphal

Doctoral Projects

Nursing informatics professionals are required to lead AI integration in healthcare, yet their baseline AI literacy, competency, and educational needs have not been formally assessed. This descriptive needs assessment examined AI literacy, competency, adoption readiness, and engagement among nursing informatics professionals, concurrently identifying educational priorities and preferred learning modalities. A cross-sectional survey was administered to members of the American Nursing Informatics Association (ANIA) and the broader community (N = 194). The N.U.R.S.E.S. framework (Hoelscher & Pugh, 2025) informed the survey instrument's domain structure. Five composite indices were developed: AI Familiarity, Knowledge, Attitude, Competency, and Use. Descriptive statistics and Pearson correlation …

Leveraging Drone-Based Thermal Imagery And Artificial Intelligence To Advance Wildland Fire Behavior Quantification And Prediction, Phinehas Lampman, Eric Rowell, Adam K. Kochanski, Jan U.H. Eitel, Jason W. Karl, Leda N. Kobziar

Faculty Research, Scholarly, and Creative Activity

Background: Quantifying and predicting wildland fire behavior is crucial for fire management, ecological research and mitigating wildfire impacts. Rate of spread (ROS), fireline intensity (FI) and fire radiative power (FRP) are key fire behavior metrics. Aims: This study leverages uncrewed aircraft systems (UASs) equipped with thermal infrared (TIR) sensors and machine learning models to quantify and predict fire behavior. Methods: Using repeat-pass UAS-based TIR imagery, we derived high-resolution FRP, FI and ROS estimates and trained artificial neural network (ANN) and random forest (RF) models to predict ROS. Key results: This approach predicted ROS with low error (mean absolute errors (MAEs) …