Digital Commons Network^™

Creating A Neonatal Intensive Care Unit Evidence Based Evaluation Protocol, Mary Redlin

Occupational Therapy Capstones

Background: Neonatal Intensive Care Units (NICU) in the United States admit approximately 300,000 infants annually (Valencia et al., 2023). Upon admission, neonatal occupational therapists assess a range of factors, including neurobehavioral, neuromotor, musculoskeletal, and sensory systems, as well as family/caregiver interactions and activities of daily living (Craig et al., 2018). This comprehensive evaluation underscores the need for effective assessment tools, efficient protocols, and adequate support for therapists. However, practitioners often face challenges that impact the quality of care, such as limited resources, lack of specialized training, and inconsistent organizational standards (Kaur et al., 2021). Occupational therapy has emerged as a …

Promoting Wellness In Community-Dwelling Older Adults: An Occupational Therapy Approach Guided By The Eight Dimensions Of Wellness, Mckenzie Ulrich

Occupational Therapy Capstones

Background: Wellness is a process where an individual intentionally makes choices to support a satisfying lifestyle and is aware of their choices (Swarbrick & Yudof, 2015). In the United States, unhealthy lifestyle choices and the high prevalence of chronic conditions negatively influence one’s health, wellness, and quality of life (Li et al., 2018). Additionally, age-related changes can negatively influence one’s overall well-being. Examples of age-related changes may include changes in strength, mobility, coordination, balance, gait, and cognitive functioning (Bello-Haas et al., 2018a; Bello-Haas et al., 2018b; Judge & Dawson, 2018). Occupational therapy's role in health promotion and prevention includes promoting …

Occupational Participation Through Harm Reduction, Allie Reiffenberger

Occupational Therapy Capstones

Purpose: Individuals who have experienced homelessness face higher risks of physical disabilities, mental illnesses, and substance use disorders (SUD), which often co-occur, compared to the general population (Mosel, 2024; Parker & Scaffa, 2020; SAMHSA, 2023a). Due to past experiences and unmanaged chronic conditions, substance use, and negative health behaviors are common. The high prevalence of SUD, mental illness, and chronic health conditions in this group severely affects their ability to engage in daily activities, influencing overall health and well-being (Marshall et al., 2020a). While complete abstinence is often deemed ideal, it can be unrealistic for this population. Harm reduction seeks …

Accessibility Of Higher Education: Supporting Student Self-Advocacy, Morgan Diane Halliday

Occupational Therapy Capstones

As of the 2020-2021 academic year, 1 in 5 undergraduate students reported having a disability (National Center for Education Statistics, n.d.). College students with disabilities (CSWD) face social and physical environmental barriers to higher education due to exclusive policies, procedures, and designs. In turn, occupational engagement is decreased, inhibiting participation in education. A college education can support career opportunities, financial stability, and personal development (Plotner & May, 2019). Therefore, it is essential that CSWD have equitable access. Despite efforts from college campuses to become more accessible, gaps remain that require CSWD to be self-advocates. The purpose of this project was …

A Guide To Occupational Therapy Intervention Planning For Individuals With Migraines In Rural Communities, Angelina M. Caron

Occupational Therapy Capstones

One in ten individuals in the world experience migraines (Amari et al., 2022). Migraines are a debilitating condition that presents with symptoms of intense head pain, aura, and nausea (American Migraine Foundation, 2018; Mayo Clinic, 2023). These symptoms have a global effect on an individual’s life and affect the meaningful and necessary tasks they do each day including work, school, family and social life, and their emotional health and cognitive functioning (Buse et al., 2019; Estave et al., 2021). Occupational therapy (OT) can be used with individuals with migraine by addressing factors such as routines, migraine self-management, cognitive strategies, and …

Coming To Your Senses: A Guide For Sensory Considerations In Higher Education, Aspen D. Delano

Occupational Therapy Capstones

Background: Sensory stimuli bombard humans at every point during their day. Senses are the avenue through which humanity interacts with its world. Individuals have varying thresholds of sensory stimuli. When people face more stimuli than they can cope with, they struggle to interact with the world around them. This can pose a significant challenge for graduate-level college students due to the already strenuous mental load required for formal education. The association between sensory processing and stress has strengthened in recent years, with individuals reporting a positive feedback loop between these constructs (Harrold et al., 2024). Stress leads to greater sensory …

2025 North Dakota American Indian & Alaska Native Maternal Child Health Profile, Kilyn R. Parisien

Public Health Student Publications

This report was created to identify and address the health needs and inequities of American Indian and Alaska Native (AI/AN) women and their children who reside in North Dakota

Data in this report has been collected from a variety of federal and state agencies, such as the North Dakota Department of Health and Human Services, U.S. Census Bureau (American Community Survey), and Centers for Disease Control and Prevention. The NDDoH’s approach for this report was to focus on having high-level discussions for each of the sections of AI/AN maternal and child health. This report is one of four components in …

Journey To Understanding — An Introduction To North Dakota Tribes (2025), Cheryl Ann Kary Née Red Eagle, Sunshine Archambault-Carlow, Emma Jean Blue Earth, Carol Davis, Linda Gourneau, Oliver Gourd, Eugene Hale, David Henderson, Marilyn Hudson, Angeline Fourth Iron Road, Demus Mcdonald, Jt Shining One Side, Scott Simpson, Sharla Steever, Nicholas Asbury, Sashay Schettler, Lucy Fredericks, Native American Training Institute, United Tribes Technical College

North Dakota Tribal History and Culture Series

Journey to Understanding: An Introduction to North Dakota Tribes is an introductory booklet intended to give a quick overview of Indigenous culture in North Dakota. It is a starting point for the rest of the North Dakota Tribal History & Culture series. The booklet explains the names and backgrounds of the nations that share geography with North Dakota. It also teaches basic cultural competency to facilitate interaction for people from a different background. The content is presented in the form of self-quizzes with provided answers. Journey to Understanding was originally used within the North Dakota Department of Human Services (NDDHS) …

Facilitating Engagement In Meaningful Occupations Through Nature-Based Experiences, Sydney Johnson

Occupational Therapy Capstones

Background: Many children, especially those living in urban areas, are spending less time in nature than ever before which is decreasing their engagement in meaningful occupations such as sleep, play, education, social participation, and activities of daily living. Interacting with nature can improve children’s emotional regulation, development, attention span, mental health, and overall well-being. It is important that children have access to nature and its benefits to ensure they are reaching their full potential in life. One method to improve children’s access to nature is providing them with nature-based activities that can be modified or adapted for those living in …

Creating Equitable Employment Practices For Adjunct Faculty: Perceptions Of Academic Administrators At Public Institutions In A Great Plains State, Constance Mciver

Theses and Dissertations

Adjunct faculty are a substantial feature of the higher education classroom. Their increased prevalence has contributed to elevated concerns regarding the employment practices of these part-time faculty. While numerous published accounts of adjunct faculty experiences are available, recorded perceptions of academic administrators are less prevalent. Eighty-six academic administrators from six public universities in a Great Plains state participated in a researcher-developed survey to determine the expectations placed upon and compensation practices for adjunct faculty, as well as perceptions of the strengths and weaknesses of the adjunct system and the feasibility of providing more equitable compensation. Survey findings suggest there is …

Eco-Friendly Synthesis Of Anemonin From 5-Hydroxymethylfurfural, A Biomass-Derived Starting Material, Diane Zefack Tangmi

Theses and Dissertations

Anemonin, a valuable cyclobutane containing dilactone is a bioactive natural product from Ranunculaceae plants. It holds great potential for applications in pharmaceuticals and materials science. However, traditional synthesis methods are hampered by low yields, toxic reagents, and environmental concerns, limiting its practical use. This study highlights the development of green and scalable synthetic strategies designed to achieve high yields while minimizing environmental impact. Our approach focuses on sustainable methodologies, including optimized steam and fractional distillation performed under mild conditions to reduce waste and energy demands. Protoanemonin’s natural ability to dimerize under mild heating offers a green approach to anemonin synthesis, …

Genetic Epidemiology Of Chronic Wasting Disease And Epizootic Hemorrhagic Disease In North Dakota Deer, Ethan S. Baker

Theses and Dissertations

Wildlife diseases have become a critical factor in the management of animal populations across the globe. Such diseases can compromise individual health, reduce population sizes, and disrupt ecosystem biodiversity. As a result, there can be a loss in recreational opportunities which, in turn, can cause economic losses for communities relying on these populations. Effective wildlife disease management not only requires the ability to respond to outbreaks but also the capacity to predict how diseases interact with populations and ecosystems. Due to the complexity of disease dynamics, a multidisciplinary approach is essential for gaining a comprehensive understanding of these systems. In …

Exploring The Experiences Of First-Year Pre-Nursing Students’ Sense Of Belonging In A Living-Learning Community And First-Year Seminar, Robyn Bancroft

Theses and Dissertations

Many factors may influence how a student experiences their first year adjusting to college life. The University of North Dakota, a public research institution located in Grand Forks, ND, recently implemented a nursing living-learning community (LLC) comprised of first-year, pre-nursing students, which also required the students to take a one-credit first-year seminar (FYS) together, known as UNIV 101 – Introduction to University Life. A total of 10 participants who resided within this living-learning community for a minimum of one academic year and were enrolled in the same section of UNIV 101 during their first semester submitted reflection papers. Additionally, eight …

Exploring Refugee Students’ Experiences In Midwest Higher Education Environments: Culturally Responsive Practices For Educators, Rohana De Silva

Theses and Dissertations

This qualitative study examined the teaching and learning strategies used by highereducation faculty to support refugee students at a Midwestern university. Recognizing that refugee students bring diverse cultural, linguistic, and experiential backgrounds to academic environments, this research examined how instructional practices can either promote or hinder their educational success. Traditional teaching methods often fall short in addressing the complex needs of this student population. Using Yosso’s Community Cultural Wealth Framework, Bourdieu’s Theory of Cultural Capital, and Resilience Theory, this study analyzed the narratives of refugee students to uncover how their lived experiences influenced their educational journeys. Findings revealed that refugee …

Impact Of Resin Grinding On Per- And Polyfluoroalkyl Substance Adsorption In Rapid Small-Scale Column Tests, Tihitna Gezahegn Mulugeta

Theses and Dissertations

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants with significant health risks. Among the different technologies for PFAS removal, adsorption is preferable due to low-cost, operational simplicity, and use of regenerable adsorbents. While pilot-scale fixed-bed columns are ideal for evaluating adsorption media, they are time- and resource-intensive. Rapid Small-Scale Column Tests (RSSCTs) offer a practical alternative, yet most studies have focused on granular activated carbon, with limited insight into ion exchange (IX) resins. Due to limited literature on the effect resin preparation on the performance of RSSCTs and their prediction accuracies are unexplored. This study investigates the effect of …

Strengthening Traffic Safety Laws On The Crow Indian Reservation, Darcy Merchant

Theses and Dissertations

The Crow Indian reservation is located in south-central Montana. The reservation is one of the largest land-based tribes in Montana, encompassing an area of over three thousand square miles. The reservation borders the state of Wyoming to the south and the Northern Cheyenne Indian reservation to the east. The reservation features a comprehensive transportation system that encompasses tribal, county, state, and federal roadways. Drivers and passengers who travel on these roadways are at higher risk for fatal and severe injury-related motor vehicle crashes than those in other reservations. This situation largely stems from the critical absence of targeted traffic safety …

Doctoral Student Mentoring: A Quantitative Analysis Of Faculty And Student Perceptions And Expectations, Laura Margaret Look

Theses and Dissertations

Doctoral student success is heavily influenced by the quality of mentoring and advising relationships with graduate faculty, yet doctoral student completion rates remain at a low rate of around 50%. The purpose of this quantitative study was to examine the mentoring relationships of doctoral students by surveying doctoral students and graduate faculty who mentor graduate students to identify their expectations for the mentor and mentee in the mentoring relationship. Data were collected from 155 students and 68 faculty in the spring 2024 semester at the University of North Dakota, a Midwest R2 institution. Nonparametric statistical analysis revealed several misalignments between …

Mindfulness And Modification Therapy (Mmt) Group Feasibility And Acceptability Among Prison Residents With Dysregulated Behaviors, Leslie Unger

Theses and Dissertations

Mindfulness and Modification Therapy (MMT; Wupperman, 2019) is a transdiagnostic therapy that systematically integrates aspects of six empirically supported treatments for impulsive and dysregulated behavior. As such, MMT may offer an efficient approach to addressing a variety of dysregulated behaviors, thereby supporting increased safety within carceral settings and enhancing goals of rehabilitation. To date, MMT has demonstrated positive results in community settings when treating substance misuse and anger/aggression, but it has not yet been examined in a prison setting. The present research examines the feasibility and acceptability of using a 14-session version of group MMT as a voluntary treatment option …

Military Recruitment And Retention: A Policy And Practice Analysis, Orly Naum

Theses and Dissertations

The ongoing decline in United States military recruitment and retention presents a growing challenge to sustaining an effective All-Volunteer Force (AVF), particularly within the United States Coast Guard, a branch that has historically been underrepresented in academic research, and across the Department of Defense (DoD). This convergent mixed methods study examined how generational cohorts and individual motivations influence recruitment and retention, integrating quantitative data from the Defense Manpower Data Center (DMDC) and qualitative survey responses from a veteran-rich collegiate population. The quantitative analysis revealed statistically significant differences in Armed Forces Qualification Test (AFQT) scores between Generation Z (GenZ) and Generation …

Which University Faculty Are Successful Researchers? Developing And Testing Measures Of Research Competence To Predict Faculty Research Motivation And Success, Muhammad Salahuddin

Theses and Dissertations

University faculty play a pivotal role in producing research that leads to positive social change through the creation of new knowledge, enhancement of higher education quality, and improved university rankings. Faculty produce more when they feel competent, autonomously motivated, and acknowledged. Past studies have measured faculty research competencies using self-report scales that may contain biases, potentially leading to significant discrepancies in research outcomes. My program of research – a three-article dissertation – aimed to develop and validate the test-based measures of faculty research competence that can more reliably predict faculty research success. The three studies provide an enhanced understanding of …

Visible, Invisible: (Levantine) Arab American Men On Mental Health, Nesreen Jaber

Theses and Dissertations

To address the dearth in psychological research and practice in regards to Arab American men, this study examined the lived experiences of seven Levantine (Belad Al Sham) Arab American men with origins in Palestine, Lebanon, and Iraq. Semi-structured interviews, Interpretive Phenomenological Analysis (IPA), and a Liberation Psychology framework were utilized to explore their definitions of mental health, their experiences of stigma, their experiences with mental health therapy, and their attitudes towards psychology and therapy. A total of seven superordinate themes emerged that highlighted the roles of gendered stigma, cultural incongruence in therapeutic praxis, Eurocentric norms in psychology, and conceptualizations of …

Mental Health Stigma Among Latiné Adolescents: Help-Seeking Intentions And Recommendations, Brenda D. Barragan

Theses and Dissertations

Latiné adolescents in the United States face increasing mental health challenges, including elevated rates of depression, suicidal ideation, and emotional distress, particularly in underserved regions such as the Midwest. Despite these needs, Latiné adolescents remain underrepresented in mental health research, particularly with respect to how cultural values and intersecting identities—such as gender, immigrant status, and perceived socioeconomic status—influence stigma and help-seeking behaviors. Grounded in the Theory of Planned Behavior (TPB), this study explored how mental health stigma and cultural factors shape help-seeking intentions and recommendations among 95 self-identified Latiné adolescents in North Dakota and Minnesota. The study examined two primary …

Computational Prediction Of Hemolysis In Laminar Non-Newtonian Fluid, Nasim Gholizadeh

Theses and Dissertations

Hemolysis, the rupture of red blood cells (RBCs), is a critical concern in blood-circulating devices, requiring accurate predictions to ensure patient safety. This study investigates the sensitivity of hemolysis predictions to variations in viscosity models and hemolysis coefficients under complex flow conditions. Computational Fluid Dynamics (CFD) simulations were conducted using Ansys Fluent and OpenFoam on identical meshes with the FDA benchmark nozzle model. Under laminar flow conditions, CFD frameworks accurately predicted global variables, but variations in derived quantities, such as strain rate and vorticity, emerged due to differences in numerical solvers and gradient evaluation methods. These variations affected predictions of …

Examining A Year One Sor Implementation: A Mixed-Method Study Of Teacher Experiences And Student Literacy Scores, Christine Litzinger

Theses and Dissertations

With increasing national and legislative mandates prioritizing SoR practices, many schools are shifting their literacy practices to align classroom instruction, interventions, and screening to follow reading research, which can require a shift in pedagogy for individual educators and schools. This exploratory sequential mixed-methods study explored a year one implementation of the Science of Reading (SoR) in a mid-size midwestern school district during their first year of across-district literacy reform. Qualitative case study interviews were conducted of K-3 Classroom teachers (4) and literacy coaches (4). Emergent themes from the findings included value in high fidelity professional development, challenges related to resource …

The Role Of Student Loan Debt On Delayed Homeownership Among Black American College Graduates, Dedan Makongoro Kusaga

Theses and Dissertations

The growing burden of student loan debt in the United States has raised significant concerns about its broader social and economic impacts, particularly on young adults’ ability to achieve financial milestones such as homeownership. Black American college graduates are especially affected, often carrying higher loan balances and facing greater financial barriers due to historical and structural inequalities. This quantitative study examined the role of student loan debt and other factors influencing delayed homeownership among Black American college graduates, using the public-use Baccalaureate and Beyond (B&B: 2008/2018) dataset from the National Center for Education Statistics (NCES). Findings indicated student loan debt, …

Studentification And Off-Campus Housing: A Case Study Of Grand Forks Near-Campus Neighborhoods, Alva Lindstroem

Theses and Dissertations

With national trends in higher education experiencing dwindling enrollments and personal economies increasingly strained, the University of North Dakota (UND) has grown to become the biggest public higher education institution in North Dakota, having effectively bounced back from the COVID-19 pandemic drop in enrollment. Grand Forks, North Dakota, is the host of UND and home to a student body of over 14,000 as of 2023 fall semester. This study focuses on; to what extent is studentification taking place in Grand Forks, ND; and how the observed housing- and demographic patterns in Grand Forks align with, or diverge from, the broader …

Why Can't We Just Be: Native American College Student Sense Of Belonging At The University Of North Dakota, Gavin Michael Nadeau

Theses and Dissertations

Sense of belonging is a primary indicator of retention and persistence to graduation forNative American college students. Though more than doubling in the past 30 years, Native American college student enrollment has decreased since 2010 (197,000 in 2010 to 107,000 in 2021) (PNPI, 2021; NCES, n.d.). In 2020, Native American students’ 2nd year retention rate was more than 20% lower than their white peers at the University of North Dakota (UND, 2020). When college students of color feel like they belong, they are more likely to retain, persist, and graduate (Mowreader, 2024; Hurtado & Carter, 1997; Hurtado et al., 1999). …

Investigating The Role Of Keratin 6 And Sox2 In Regulating Growth, Stemness, Basal/Squamous Expression, And Chemotherapy Response In Muscle-Invasive Urothelial Carcinoma, Nelofar Nargis

Theses and Dissertations

Urothelial carcinoma (UC) is a prevalent and aggressive malignancy arising in urothelial cells, with arsenic exposure recognized as a significant environmental risk factor. It is categorized into two primary subtypes based on the extent of cancer progression beyond the bladder’s muscle wall: non-muscle-invasive urothelial carcinoma (NMIUC) and muscle-invasive urothelial carcinoma (MIUC). While NMIUC is associated with a relatively favorable prognosis, progression to MIUC is more aggressive and leads to significantly worse outcomes, including poor treatment response and increased metastasis. Squamous differentiation (SD) in UC is an emerging hallmark of aggressive UC, with patients often having poor prognoses and developing chemoresistance, …

From Emily To Loralei To Rory: A Qualitative Textual Analysis Of Scripts From Gilmore Girls For Real-World Application, Erin Mccann

Theses and Dissertations

In the realm of interpersonal communication and intrafamilial research, one dynamic, the mother and daughter pairing, is especially poignant in exploring the ties of closeness, the openness of communication and the potential for long-term impact on a daughter’s development. When studying the mother and daughter dynamic through a work of fiction, patterns can be observed without bias, allowing for evaluation of the strength of relationship and identification of broader implication to the discipline of family communication. In this study, a textual analysis was conducted evaluating 21 exemplary episodes of the 2000s television show Gilmore Girls focused entirely on the interactions …

The Wicked Problem Of Moral Distress: Exploring The Experiences Of Rural Clinic Nurses, Sydney Rae Johnson

Theses and Dissertations

Background: Moral distress is an occupational hazard for nurses that can negatively impact nurses, patients, and the healthcare system. Moral distress has been well documented in high-risk care environments. Each nursing care environment has its own unique triggers for moral distress, but these triggers are unknown in rural clinic nurses. Design and Purpose: This convergent mixed methods study sought to gain a broader understanding of moral distress in nurses working in rural clinic settings.

Methods: Convergent mixed methodology was used to gain a broader understanding of moral distress in nurses working in rural clinic settings. Following ethical approvals, informed by …