Digital Commons Network^™

A Nursing-Driven Delirium Protocol, Alexandria Gray Bridges

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Delirium is a common, often preventable, condition in hospitalized patients and is associated with increased complications, worse outcomes, increased risk of death, and increased health care costs. Purpose: The purpose of this project was to determine if, utilizing a nursing-driven, non-pharmacological intervention, based on the NICE Guidelines, can decrease the incidence of delirium. Methods: Using the Iowa Model of Evidenced Based Practice to Promote Quality Care (Iowa Model), an EBP project was implemented. Patients were identified as being at risk of delirium using The Confusion Assessment Method (CAM) and these patients received the non-pharmacologic intervention as part of …

Assessing The Readiness Of Chf Patients To Use The Medisafe App To Increase Medication Adherence, Janet Lynn Kubas

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Heart failure (HF) is a complex cardiovascular disease that affects 6.2 million Americans and is associated with high morbidity and mortality, with almost 400,000 deaths annually. Medication adherence in HF can lower the risk of death and rehospitalization. As many as 46% of heart failure patients have medication nonadherence. The 2021 Update to the 2017 American College of Cardiology Expert Consensus Decision Pathway for Optimization of Heart Failure Guidelines recommends smartphones or other mobile health (mHealth) applications (apps) for medication adherence tracking. Purpose: This evidence-based practice project aimed to assess the readiness of HF patients admitted to an …

Improving Self-Efficacy In Heart Failure Care, Tracy Bennett Mcleod

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Heart Failure contributes significantly to the morbidity and mortality of the adult population and is one of the leading causes of 30-day readmissions. The cost of heart failure is a substantial healthcare burden. Purpose: The purpose of this project was to determine if implementing the “Rise Above Heart Failure” educational program would improve heart failure knowledge, weight monitoring, and reduced re-admission rates in heart failure patients. Methods: A pre-test and post-test survey named The Dutch Heart Failure Knowledge Scale was utilized. Van der Wal, Jaarsma, Moser, and Van Veldhuisen (2005) developed this questionnaire to evaluate patients' knowledge. The …

The Use Of A Clinical Pathway To Increase Child Abuse Screenings Of Young Children With Fractures, Stephanie Li Schaller

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Nationally, infants and young children who present to emergency departments with fractures are not being screened adequately for possible physical abuse with a skeletal survey (Paine & Wood, 2018; Shelmerdine et al., 2014; Wood et al., 2019). Without universal screenings, implicit bias along racial and socioeconomic lines becomes a factor in deciding which children with fractures get screened, resulting in either under-or over-utilization of skeletal survey screenings (Kim et al., 2017; Paine & Wood, 2018). When child abuse is not diagnosed correctly, further abusive injuries or death can occur (Ravischandiran et al., 2010). Purpose: This evidence-based practice project …

Pediatric Patients In Diabetic Ketoacidosis: A Pathway To Improvement, Rebecca Russell Vincent

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Pediatric patients in diabetic ketoacidosis (DKA) frequently present to non-pediatric specific care centers initially for medical management where providers may or may not be familiar with standards and treatment guidelines particular to this specialty population. Purpose: The purpose of this project was to establish a pediatric DKA clinical pathway (CPW). Pediatric patients require precise treatments tailored to age and weight specifications. A pediatric DKA CPW identifies treatment order sets, goals, and outcomes customized to the patient’s metabolic demand. Commonalities within a predictable course of treatment for patients with a shared clinical diagnosis result in accelerated care, improved patient …

The Impact Of Nurse-Patient Engagement With Health Information Technology On Patient Portal Usage, Quyen Thuy Vo

Doctor of Nursing Practice Scholarly Projects

The patient portal, a Health Information Technology (HIT) tool, was created to promote patient engagement with available health information to improve health outcomes. Low patient portal use of available educational interventions with a HIT tool is an identified problem at a rural hospital in North Carolina. Low usage could be related to nurses’ unfamiliarity with HIT tools. This DNP project provided nursing staff with a flipped classroom learning module on utilizing available HIT tools within the hospital setting, increasing nurses’ engagement with the patient portal. A sample of Registered Nurses (RNs) from two units who were previously taught to utilize …

Bridging The Gap: Improving Hypertension In African American Women And Preventing Cardiovascular Disease, Latoshia Danielle Williams

Doctor of Nursing Practice Scholarly Projects

Problem Statement: There is a disproportionate number of African American women (AAW) diagnosed with hypertension (HTN) with modifiable health and behavior risk factors that contribute to cardiovascular disease (CVD). Purpose: The purpose of this DNP project was aimed at evaluating if a 12-week educational program using Life Simple 7 guidelines from the American Heart Association (AHA) within a primary care facility for adults diagnosed with hypertension and who are overweight would reduce blood pressure, body mass index, and increase knowledge regarding hypertension. Methods: A pretest and posttest intervention design was utilized to determine the outcomes of this study. The setting …

Non-Intrusive Microwave Surface Wave Technique For Cable Damage And Aging Detection, Ahmed Shah Arman

Theses and Dissertations

Power plants, power distribution and transmission networks, automobiles, aircrafts, trains, industrial manufacturing plants etc. use a variety of cables and wires. The insulation and jacket polymer materials of cables can degrade over time due to operational stressors and environmental conditions. Materials may age, corrode, get chaffed and go missing which if remain undetected and unaddressed can result in major failures. Insulation degradation or damage detection from a distance normally involves the application of direct contact reflectometry techniques. This requires the cable to be disengaged and a diagnostic signal to be directly applied to a cable with a return path. While …

Feasibility And Preliminary Outcomes Of A 6-Week Mindful Walking Program To Maintain And Improve Cognition In Adults At Risk For Alzheimer’S Disease Or Other Related Dementias, Caroline Mannion Wood

Theses and Dissertations

The present study examined the impact of a 6-week Mindful Walking intervention. Participants completed 30 minute walking sessions twice a week for 6 weeks. Ten older adults attended 100% of the supervised walking sessions. Pre-post comparison of the Montreal Cognitive Assessment and examination of subtests of the Montreal Cognitive Assessment did not reveal a significant change in mean scores (p.05, one-tailed). The number of steps accumulated as a result of Mindful Walking and other activities measured with the ActivPAL and change in MoCA total scores did not reach significance. Generally, the Mindful Walking program was well-liked (4 on a scale …

Peer Observation And Feedback As A Professional Development Structure, Malisa Dawn Johnson

Theses and Dissertations

In American schools, teachers seldomly have time to see each other teach resulting in missed opportunities to learn and grow from one another. Participants engaged in peer observation and feedback in order to determine the effectiveness of this professional development structure on practitioner growth, teacher efficacy, and overall teacher satisfaction. Data was collected from multiple sources that indicated several themes of growth resulting from the peer observation and feedback cycles including an increase in flexibility and willingness to have others in classrooms, new practitioner thinking and application to classroom practice, and the expansion of influence on highly effective teachers on …

Image Restoration Under Adverse Illumination For Various Applications, Lan Fu

Theses and Dissertations

Many images are captured in sub-optimal environment, resulting in various kinds of degradations, such as noise, blur, and shadow. Adverse illumination is one of the most important factors resulting in image degradation with color and illumination distortion or even unidentified image content. Degradation caused by the adverse illumination makes the images suffer from worse visual quality, which might also lead to negative effects on high-level perception tasks, e.g., object detection.

Image restoration under adverse illumination is an effective way to remove such kind of degradations to obtain visual pleasing images. Existing state-of-the-art deep neural networks (DNNs) based image restoration …

Early Career Education Faculty Perceptions Of Assessment And Accreditation: A Look Into Individual Needs And Earlier Involvement, Lisa M. Peterson

Theses and Dissertations

The purpose of this descriptive study was to examine the perceptions and needs of first-year/early-career faculty (FYECF) as they interact with a College of Education’s Assessment and Accreditation Office in the work that is vital in the continuous improvement and accreditation of their programs to determine potential ways to streamline this work within the office and engage faculty in these practices earlier in their careers. Six research questions guided this work: (1) What are the responsibilities given to FYECF and what level of support are they receiving for each of these duties? (2) What is the engagement level of FYECF …

Networked Digital Predictive Control For Modular Dc-Dc Converters, Castulo Aaron De La O Pérez

Theses and Dissertations

The concept of power electronics building blocks (PEBB) has driven advancements in highly modularized converter systems with many identical subsystems. PEBBs are distributed subsets of converter systems and thus require communication with a control system for their coordination. For this type of system, the communication latency with hard deterministic deadlines is the driving attribute of communication system requirements. However, inherent communication requirements for PEBB-based converter systems also provide opportunities for coordination of energy flow.

Leveraging developments in Gigabit serial communication channels, a control and communication platform architecture for distributed control schemes based on the 2D-Torus communication network topology was developed …

Climate Change Compliance, Susan S. Kuo, Benjamin Means

Faculty Publications

Unless corporations prioritize climate change mitigation, efforts to control global warming will fail. Yet, the strategies that have been proposed for enlisting corporations are insufficient to the task. In our era of political polarization, a comprehensive “Green New Deal” to transition the U.S. economy away from fossil fuels is a nonstarter. Nor can we expect corporate risk management or social responsibility to fill the gap; there are practical limits to how far corporate managers can depart from strategies designed to maximize profits for investors.

This Article contends that climate change is a compliance issue. Scholars have overlooked compliance as a …

Racial Disparities In South Carolina's Juvenile Justice System: Why They Exist And How They Can Be Reduced, Grace E. Driggers

South Carolina Law Review

No abstract provided.

Customer Touchpoint: Conceptualization, Index Development, And Nomological Validation, Hyunsu Kim

Theses and Dissertations

Business executives across a wide variety of sectors, including retail, education, banking, healthcare, as well as hospitality and tourism, have increasingly realized that offering a superior customer experience is vital to a firm’s long-term success. Due to the experience-based nature of hospitality and tourism offerings in terms of heterogeneity, inseparability, intangibility, and perishability, providing exceptional CXs has long been recognized as essential to gaining a competitive advantage and establishing a foundation for brand loyalty.

To better understand what CX entails, hospitality and tourism scholars have conceptualized different forms of experiences, including flow experiences and memorable dining experiences. However, little attention …

Providing Voice And Choice In The Classroom: The Effect Of Choice Boards On Student Motivation And Attitudes, Deborah B. Malinoski

Theses and Dissertations

The purpose of this action research was to explore how incorporating choice boards as a tool for personalized learning in social studies influenced sixth-grade students to engage in the classroom. Engagement in the classroom is necessary for students to meet educational goals. To engage in learning, students need intrinsic motivation to encourage them to strive to meet their potential. Research in personalized learning shows students who are provided opportunities for “voice and choice” show higher signs of achievement in meeting their goals (Pane et al., 2017). This action research study was guided by two research questions that explored the effect …

Action Research Assessing The Perceptions Of Arabic Military Flight Students Using A Gamified Learning Intervention During Flight School Training, Matthew R. Middleton

Theses and Dissertations

The purpose of this action research was to evaluate flight students’ perceptions of a reward-based gamification intervention for their motivation to study outside the classroom while attending the Initial Entry Rotary Wing (IERW) flight school in the Kingdom of Saudi Arabia. Saudi Arabia has an ever-increasing population with a diverse number of teachers from all over the world teaching curricula not suited to Saudi Arabians; thus, the Kingdom is striving to improve its education system to motivate its students. The most popular way of enhancing the education system is by empowering and inspiring students to perform better. The Saudi Arabian …

Knowledge-Infused Learning, Manas Gaur

Theses and Dissertations

In DARPA’s view of the three waves of AI, the first wave of AI, symbolic AI, focused on explicit knowledge. The second and current wave of AI is termed statistical AI. Deep learning techniques have been able to exploit large amounts of data and massive computational power to improve human levels of performance in narrowly defined tasks. Separately, knowledge graphs have emerged as a powerful tool to capture and exploit a variety of explicit knowledge to make algorithms better apprehend the content and enable the next generation of data processing, such as semantic search. After initial hesitancy about the scalability …

A Descriptive Analysis Of An Instructional Coaching Process And Its Impact On Student Reading Learning Outcomes, Frederico Leon Rowe

Theses and Dissertations

Instructional coaching has become a widely used method that focuses on improving teacher effectiveness and enhancing professional growth that might help teachers focus on individual needs, growth in teaching and learning, and sharing best practices with others. Instructional coaches have the potential to bridge that gap. The mixed methods study was conducted to describe the instructional coaching process among grades 2 through 5 teachers. The qualitative differences were similarities between the literacy coach’s and the mathematics coach’s procedures and processes in goal setting, observations, meetings, conferences, and feedback. For grades 2 and 3, the non-coaching group had lower pre-reading scores …

Investigating The Impact Of Nonlinguistic Cognitive Reserve On Naming Pre- And Post-Treatment, Lillian Jarold

Theses and Dissertations

Background: The relationship between linguistic and nonlinguistic cognition in persons with aphasia is complex and often debated in the literature. Furthermore, the impact of nonlinguistic cognition on aphasia treatment outcomes is unclear. The present study sought 1) to examine the relationship between WAIS scores and performance on a test of naming and 2) to examine the relationship between WAIS scores and change scores on a test of naming between baseline and post-treatment in persons with chronic aphasia.

Method: This retrospective study utilized data from participants (N=102) who were recruited for a multi-center cross-over trial (POLAR: Predicting Outcomes of Language Rehabilitation). …

The Impact Of An Interactive Simulation Program On English Language Learner Achievement In A Middle School Science Classroom, Scott Sutherland

Theses and Dissertations

The purpose of this study was to determine how a particular technology program, Gizmos, would impact English language learner students in demonstrating their verbal and written comprehension of science content at a proficient level. Gizmos were incorporated as an intervention to facilitate the teaching of two different topics, convection cells and hurricane motion. This study involved three English language learner students with varying World-Class Instructional Design and Assessment (WIDA) proficiency levels between one and four. Semi-structured interviews, semi-structured observations, and work samples were conducted and collected from each of the participants. My analysis demonstrated a strong correlation between the use …

Methyltransferase Mystery: Epigenetic Mechanisms Induced By Food Limitation In Daphnia Pule, Trenton C. Agrelius

Theses and Dissertations

Daphnia are ecologically important organisms that have been well studied in the context of evolution, ecology, ecotoxicity, and genomics. Daphnia have strong maternal effects in which the environment experienced by the mother can alter offspring disease resistance, life history traits, and morphology, as well as gene expression and methylation for multiple generations. Coupled with their ability to reduce genetic differences via parthenogenesis, Daphnia are an ideal system for epigenetic studies involving the transmission of maternal effects. Using two clones of Daphnia pulex, we investigated the plasticity of life history and DNA methyltransferase (Dnmt) gene expression with respect to food …

Transforming Instructors’ Resistance To Change Mindset Using Eti-Based Content Sequence Of The First Courses In Financial Accounting Reform Initiative, Mujtahid Subagyo

Theses and Dissertations

As an accounting professor who has been teaching subjects in the domain of Financial Accounting (FA) for more than 10 years, I have observed the worrying phenomenon of reform stagnation in my accounting education program. There have been several reform efforts, mostly designed in a top-down mechanism, both in the aspect of curriculum and instruction aimed to improve the quality of education service in our institution in general. Unfortunately, most of them failed to be executed and some of them did not even make it to the planning stage mainly due to general resistance from the faculty. The current research …

Affective Risk Perceptions Toward Travel In A Covid Era: Policy And State Political Influences, Chloe Riley

Theses and Dissertations

This paper aims to analyze the influence of state political affiliation and policy on affective risk perceptions, in the context of COVID-19. The study of risk perceptions in the travel literature is important because it can help industry leaders predict tourist decision-making and ensure feelings of safety for travelers. The relevance of risk perceptions has become even more apparent since the start of the COVID-19 pandemic. This study analyzes three policies put into place to mitigate the spread of COVID-19: mask mandate, cancellation of public events, and school closures. Affective risk perceptions were measured by the Tourism Crisis Management Initiative’s …

Preparing Students To Think In The 21St Century: The Impact Of Asynchronous Online Discussions On Critical Thinking Skills In A High School English Class, Evan Way

Theses and Dissertations

The purpose of this action research was to evaluate how the implementation of asynchronous online discussions into the classroom impacts the critical thinking skills of secondary language arts students. Although critical thinking has shown to be an important 21st century skill (Paul & Elder, 2002), many students are leaving high school lacking the thinking skills necessary to succeed in a modern society (Arum & Roksa, 2011; Conley, 2015). Standardized testing results within the population of this study indicated similar critical thinking deficits as the rest of the nation. This study focused on two central research questions: (1) To what extent …

The Devil And Tom Robot: The Use Of Robotics To Impact Empathy In Secondary Students Of American Literature, Susan K. Porter-Voss

Theses and Dissertations

The purpose of this action research study was to evaluate the effect of a robotics-based intervention on empathy for students enrolled in secondary English and literature courses. Empathy, as a concept, is an integral component of reading comprehension and student motivation. A decline in reported individual levels of empathy among young adults can negatively influence longitudinal academic and career success. Robotics present a promising method in which to impact student learning in K-12 environments. Student manipulation of Wonder Workshop Cue robots in designed challenges was integrated within literature content standards for English III. The outlined study measured the impact of …

A Descriptive Mixed-Methods Study Examining Teachers’ Needs And Preferences For Technology Integration Professional Development, Amber Birden

Theses and Dissertations

The purpose of this study was to examine teachers’ needs and preferences for technology integration professional development (PD). To guide the study, three research questions were developed: (1) What are teachers’ needs and preferences for technology integration professional development in K-12 schools?, (2) How are teachers currently integrating technology for teaching and learning in their classroom?, and (3) How do teachers perceive technology benefits and usefulness of technology integration for teaching and learning?

This was a descriptive mixed methods study. The research study included 33 educators from six different U.S. states. Quantitative data was collected from the technology needs assessment …

Cognitive Consequences Of Covid-19 Infection And Quarantine-Induced Social Isolation: Hope For The Young And Mildly Infected, Kristin Nickole Kirchner

Theses and Dissertations

Coronavirus disease 2019 (COVID-19) has infected over 539 million individuals worldwide, and initial research supports the possibility that COVID-19 may damage the central nervous system either directly or indirectly. Neurological signs and noted cognitive deficits observed in even mildly infected patients are a cause for concern for those infected by COVID-19; the effect of social isolation on the central nervous system is also of interest. The present study sought to determine the extent of these potential cognitive deficits in a young and mildly infected sample of college students. Participants completed an extensive survey assessing their experience with COVID-19 and any …

A Finding Place: Social Justice Poetry Toward Empathy In The Secondary English Language Arts Classroom, Patricia Vicino

Theses and Dissertations

This study examined the effects of a combined reader-response and close reading approach to social justice poetry on the empathy levels of secondary level English Language Arts students in my classroom. This action research study occurred over a six-week period during a Fall 2021 English elective course with six student participants in a high school within South Carolina. Research was conducted via a mixed methods approach that analyzed both quantitative and qualitative data from prestudy and poststudy Likert scales along with surveys, interviews, observation notes, and artifacts. The data revealed that student empathy levels were elevated after the study unit …