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South Carolina Law Review

No abstract provided.

Place-Based Versus Practice-Based Norms For American Lawyers: "It's The End Of The World As We Know It (And I Feel Fine)", James E. Moliterno

South Carolina Law Review

No abstract provided.

Three Strategies For Improving Access To Civil Legal Assistance In South Carolina, Elizabeth Chambliss

South Carolina Law Review

No abstract provided.

Ethics, Lawyering, And Regulation In A Time Of Great Change: Field Notes From The (R)Evolution, Lucian T. Pera

South Carolina Law Review

No abstract provided.

The Right To (Human) Counsel: Real Responsibility For Artificial Intelligence, Keith Swisher

South Carolina Law Review

No abstract provided.

Navigating Rough Waters: Empowering Law Students To Act As Navigators For The Unrepresented, Alicia M. Forehand

South Carolina Law Review

No abstract provided.

Hpv Vaccine Hesitancy: Improving Vaccination Rates In The Pediatric Primary Care Setting, Stephanie Meltzer Carper

Doctor of Nursing Practice Scholarly Projects

Problem statement: The Human Papillomavirus (HPV) vaccine protects against carcinogenic strains of HPV and is administered during childhood to provide maximum protection during peak risk for exposure and HPV disease. Despite demonstrated efficacy, HPV vaccine hesitancy leads to decreased vaccination rates in the pediatric primary care setting. Purpose: This quality improvement project aims to improve HPV vaccination rates at SouthernMED Pediatrics, Summerville, South Carolina. Methods: A pre-intervention survey was administered to identify parental concerns regarding the HPV vaccine to create a customized educational handout. Health care providers systematically used motivational interviewing, presumptive approach communication techniques, and a customized educational handout …

Retrospective Analysis Of Benzodiazepine And Sedative Use In The Surgical-Trauma Intensive Care Unit, Ronelle Guinyard Goodwin

Doctor of Nursing Practice Scholarly Projects

Problem Statement: There has been an increase in benzodiazepine use and delirium occurrences in the surgical-trauma intensive care unit (STICU). Purpose: This Doctor of Nursing (DNP) project aimed to explore the current practice of benzodiazepine and sedative use for adult patients admitted to the STICU who developed alcohol withdrawal syndrome (AWS) or delirium. Method: A retrospective chart review with descriptive analysis was completed for all adult patients admitted to the STICU at a regional community level 1 adult and level 2 pediatric trauma center, diagnosed with AWS or delirium, and treated with benzodiazepines during their intensive care unit (ICU) stay. …

Improving Communication And Workflow Among Advanced Practice Providers And Nurses On Nightshift In An Intensive Care Unit, Chelsey Alise Durr Massey

Doctor of Nursing Practice Scholarly Projects

Problem Statement: There is often a lack of streamlined communication on nightshift among the reduced care team in acute care settings. The absence of organized collaboration and shared decision-making contributes to strained professional relationships between the advanced practice provider (APP) and the nurse. Purpose: Nightly provider-nurse bedside rounds were implemented in a 21-bed cardiovascular intensive care unit (CVICU) using a goal sheet to improve communication among the APPs and nurses. Methods: A pretest-posttest design in which surveys were used in this quality improvement (QI) project to determine perceptions of communication between APPs and nurses. Inclusion Criteria: All APPs and rotating …

Impact Of A Standardized Checklist On Post Discharge Appointment Attendance And Readmission Rates Of Veterans With A Mental Health Diagnosis, Henretta N. Milton-Williams

Doctor of Nursing Practice Scholarly Projects

Inpatient readmissions are among the most severe problems facing hospitals. Readmissions are most common in the first two to five days after discharge, especially among veterans with mental illnesses at the Columbia Veteran Administration Hospital System (CVAHS) inpatient units. The discharge planning process should begin as soon as a patient is admitted and should be updated throughout the inpatient stay to ensure a safe transition of care from inpatient to outpatient. This Doctor of Nursing Practice (DNP) quality improvement project is aimed to develop and implement a standardized checklist to streamline and organize the discharge planning for all veterans admitted …

Using The Buzzy Device To Decrease Pain, Fear, And Anxiety With Venipunctures And Injections, Lisa Santiago Sauls

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Anxiety, fear, and pain related to initiating peripheral venous access or injections are a high priority in the ambulatory infusion clinic setting for both children and adult populations.

Purpose: To determine if the Buzzy device will decrease anxiety, fear, and pain related to adult patients undergoing peripheral venous access or injections in ambulatory infusion clinics.

Methods: Age, sex, route of medication the patient is receiving. A post-procedure questionnaire assessed the participant's satisfaction with the Buzzy device. Pain, fear, anxiety, and patient satisfaction were all measured using a visual analog scale.

Inclusion Criteria: Patients aged eighteen and above receive …

Implementation Of A Peer To Peer Concussion Management Program And Its Effect On Concussion Knowledge And Reporting Behaviors In Collegiate Club Sports Athletes, Brian Wallace Stefan

Doctor of Nursing Practice Scholarly Projects

Problem: Concussions continue to be a common injury in both athletes and non-athletes across the world. In college, symptoms and recovery time from concussion injuries can lead to loss of social interaction, class time, and participation in school events such as sports. For collegiate club athletes at the University of Pittsburgh, there is currently no mandated concussion protocol, making injury management more difficult. Purpose: This project's purpose was to determine whether a peer-to-peer concussion education tool is a viable implementation option to improve the concussion environment for this population compared to their current structure with no protocol. Method(s): A five-step …

Implementation Of Daily Multidisciplinary Rounding Audits Of Adherence To An Indwelling Catheter Protocol Impact On Catheter-Associated Urinary Tract Infections, Jacqueline April Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Catheter-associated urinary tract infections (CAUTIs) among critical care patients negatively impact the trajectory of the patient’s hospitalization through increased mortality, morbidity, length of stay, and cost. To combat this, hospitals have implemented bundles in compliance with evidence-based practice models to reduce CAUTIs. Purpose: Determine if implementing a daily multidisciplinary rounding audit of established CAUTI prevention protocol decreases the occurrence of CAUTIs in critical care patients with indwelling urinary catheters. Methods: Participants in this quality improvement project included critical care nurses and providers participating in daily multidisciplinary rounds on all critical care patients with indwelling urinary catheters admitted to …

Sleep, Physical Activity, And Sedentary Time In The First Year Postpartum, Erin Elizabeth Kishman

Theses and Dissertations

The postpartum period is a unique time for women, where many women experience changes in sleep and activity patterns. Sleep, physical activity, and sedentary time have all been associated with health outcomes, but there is limited research on how these behaviors change throughout the postpartum period. The purpose of the first aim (Study 1) of this dissertation was to examine trajectories of sleep characteristics in Black and White women during the first year postpartum and to examine if there were any racial differences. The purpose of the second aim (Study 2) was to examine trajectories of the percentage of time …

Biobehavioral Synchrony In Autism Spectrum Disorder, Carly Glenn Moser

Theses and Dissertations

Social communication difficulties are a core feature of autism and are associated with a range of long-term consequences, including persistent deficits in pragmatic language and fewer and poorer quality friendships. High-quality synchronous interactions between parents and their children play a crucial role in children’s social functioning. The theory of biobehavioral synchrony suggests that the dyadic coordination of behavioral and physiological processes is essential to maximally benefit from a communicative exchange. Respiratory sinus arrhythmia (RSA) serves as an indicator of physiological regulation and is reduced in those with autism; thus, dyadic coordination of RSA may also be impacted and could play …

Mechanisms Of Social Stress Susceptibility And Resilience In Female Rats, Brittany Sara Pate

Theses and Dissertations

Social stress is the most common form of stress humans experience and often precipitates the onset of several comorbidities, including anxiety, depression, post-traumatic stress disorder, and cardiovascular diseases. While many individuals experience social stress and can respond, cope, and recover, some individuals are more likely to develop subsequent health conditions. Importantly, women are particularly susceptible to stress-related disorders, and the prevalence rates for these comorbid conditions are 2-3-fold higher among females compared to males. Epidemiological data suggest that cycling ovarian hormones may play a role in promoting stress susceptibility in females. Therefore, the current studies aimed to examine the effects …

Black And Battered: The Impact Of The Violence Against Women Act On Women Of Color, Antonia D. Adams

Senior Theses

Domestic violence is the intentional act of someone exerting control to harm another person. Domestic violence can impact individuals of all genders, ethnicities, and backgrounds. However, domestic violence has a disproportionate impact on Black women over their white counterparts. By analyzing raw SLED data, as well as peer-reviewed articles and personal interviews, this paper will explore whether the Violence Against Women Act (VAWA) helped Black women, or if it failed to protect them. The hypothesis is that VAWA did not address the unique needs that Black women faced in domestic violence. Due to the myriad of circumstances that Black women …

Parenting During A Pandemic: Understanding The Impact Of Covid-19 On Early Childhood Development, Jessica A. Manes

Senior Theses

The early years of a child's life are crucial for their development, shaping their ability to process information, communicate, and form their identity. However, the COVID-19 pandemic disrupted essential elements necessary for optimal early childhood development, including quality education, nurturing environments, and social stimulation. This study explored how parents in South Carolina perceived the pandemic's impact on their children's development. Five themes emerged from the study. Firstly, remote work due to pandemic protocols significantly affected the parent-child relationship. Secondly, the family's socioeconomic status influenced their ability to cope with and protect their children from the pandemic's impact. Thirdly, isolation resulting …

The Effect Of Visual Feedback On Vocal Compensation Abilities In Individuals With Post-Stroke Aphasia, Marissa Rylee Olson

Theses and Dissertations

Speech production is a complex and highly organized process comprised of various sensory and perceptual components. Post-stroke aphasia can impair speech production abilities by interrupting individuals’ ability to detect and correct speech errors and produce their targeted behavior. Contemporary models of speech production aim to understand the relationship between sensory systems and the human ability to produce perceptually accurate speech. This study seeks to understand the relationship between visual feedback and vocal compensation abilities in individuals with post-stroke aphasia to determine the effectiveness of incorporating visual feedback into therapeutic expressive language intervention. It was hypothesized that that the multi-sensory experimental …

Through The Looking Glass: Professional Responsibility, The Public Interest, And The Future Of Legal Ethics And Lawyer Regulation In The United States: Speech: Welcome And Opening Remarks, William C. Hubbard

South Carolina Law Review

No abstract provided.

In Re Anonymous Applicant For Admission To The South Carolina Bar, O. Gracie Fowler

South Carolina Law Review

No abstract provided.

Barriers And Facilitators Of Diet, Physical Activity Levels, And Sleep Among Nursing Undergraduates And Early-Career Nurses: A Qualitative Descriptive Study, Michael D. Wirth, Jaclyn Meyer Phd, Rn, Faan, Angela Jessup, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

Purpose: Mechanisms leading to burnout, associated with high turnover in nursing, may start as early as in nursing school. Given health habits (e.g., diet, physical activity, and sleep) can exacerbate or lessen the impact of burnout, this study examined current barriers and facilitators to healthy diet, physical activity levels, and sleep among nursing undergraduates (UGs) and early-career nurses (ECNs). Research Design: Qualitative descriptive study. Sample: 25 nursing UGs and 25 ECNs (within 3 years of graduation) from a Southeastern college of nursing. Data Collection and Analysis: After development of theory-informed interview guides, participants conducted interviews either in-person or by phone, …

Becoming A Man: Concepts Of Writing Witness And Masculinity For Black Adolescent Males In Children’S And Young Adult Literature, Chelsea Danielle Rogers

Theses and Dissertations

Historically, the black male has had the world at his back, from the moment he stepped onto American soil, kidnapped and enslaved, the pressures to be a “good man” as a student or eventually as a father, to the need to “be somebody” as a proud American citizen, a human. In my dissertation, I evaluate further the position of the adolescent black male through the lens of young adult literature. The framework of a young adult novel is grounded in the experience of youth and adolescence rather than in adulthood and its nostalgic tendencies. The young black male experience and …

1, 2, 3: Counting On Problem Based Learning To Improve Mathematical Achievement In African American Students, Kelley P. Spahr

Theses and Dissertations

Mathematics is an important component of our everyday lives. It involves necessary skills, such as computation, problem solving, and critical thinking. In spite of this, a significant portion of our students are unable to demonstrate proficiency. These students are typically the underserved, marginalized students who are over represented in remedial classes and behavioral statistics (Gibson, 2022; Harper, 2010, 2021; Zilanawala, et al., 2018). This research study presented two instructional interventions, culturally relevant pedagogy and problem-based learning, to examine the impact of self-efficacy, critical thinking, and mathematical achievement. This study utilized a mixed-methods triangulation design. The participants of this study were …

Effects Of Parenting And Self-Efficacy On Diet, Family Mealtime And Weight-Related Outcomes In African American Adolescents, Haylee Michele Loncar

Theses and Dissertations

Despite substantial research and concern, adolescent overweight and obesity continues to be a significant public health problem. Theory based on developmental literature emphasizes the role of adolescent self-regulatory factors, like self-efficacy, in health behavior engagement and weight-related outcomes. There is also extensive literature that highlights parents’ role in promoting self-regulatory development through warm and responsive behaviors and practices. However, few studies have considered longitudinal associations and changes in weight-related outcomes over time, as well as moderated effects by parenting. This study assessed longitudinal associations between adolescent self-efficacy parenting factors and adolescent BMI, diet, and family mealtime to fill gaps in …

Teaching About Transfer: Making The Invisible Visible Through Explicit Instruction, Brittany Morgan Capps

Theses and Dissertations

Transfer of learning—or the act of adapting previously learned knowledge to new contexts—is an inherently complex process made even more mystifying by its often unconscious and therefore “invisible” occurrence. Writing, too, is a complicated activity that depends on and responds to a number of internal and external factors. Transferring writing knowledge, then, is a challenging task for writers of all experience levels. Researchers in writing studies have designed curricula intended to help college students transfer writing skills, knowledge, and practices from the writing classroom to other disciplinary and workplace contexts. Those teaching for transfer (TFT) and writing about writing (WAW) …

Drug Repurposing: New Mechanisms And Applications Of Existing Compounds, Biyun Celia Cui

Theses and Dissertations

HIV infection remains a significant global health challenge. Despite the widespread use of combination antiretroviral therapy, people living with HIV (PLWH) still face a disproportionate burden of major health problems. One of these problems is HIV-associated neurocognitive disorders (HAND), which includes a spectrum of cognitive, motor, and behavioral impairments. Although severe forms of HAND have decreased, milder forms are on the rise, posing a significant obstacle for PLWH.

The persistence of HIV in the central nervous system (CNS) is a challenge of HAND treatment and involves a combination of factors, including neurotoxic HIV proteins, chronic neuroinflammation, and comorbidity with substance …

Exploration Of The Association Between Obesogenic Environments And Childhood Overweight/Obesity Rates In Rural Counties In The United States, Kara Lea Ferguson Davis

Theses and Dissertations

Rising obesity rates, particularly among children, pose a significant public health concern. Of particular concern is the prevalence of childhood obesity in rural communities, with up to 38% of rural children classified as overweight or obese, compared to 30% of urban children. Rural communities often lack the typical built environment characteristics associated with increased physical activity rates and healthy eating behaviors. Further, research on obesogenic environments within rural areas is limited. This study aimed to address this research gap by examining the association between obesogenic environment features and childhood overweight/obesity rates across the urban-rural continuum.

Simple and multiple linear regression …

One Training Is Not Enough: The Effects Of A Cultural Humility Training On Mentors’ Verbal Behavior, Anna Flitner

Theses and Dissertations

Youth mentoring has been used as a method of prevention and intervention related to social, psychological, and academic outcomes for youth and adolescents, many of whom come from minoritized or low SES backgrounds. Although more diverse than other helping professions, mentors in formal programs are often white which can lead to potential cultural incongruence. To help mentors understand their own identities and work with youth of diverse backgrounds, mentoring programs have begun implementing cultural humility trainings. The current study examines the effects of a cultural humility training in mentoring. Mentors were randomly assigned to the control or training condition in …

Examining The Associations Of The Kidney Allocation System With Patient Sensitivity, Wait Time To Transplant, And Donor Distance, Shamika Danielle Jones

Theses and Dissertations

Background

The Kidney Allocation System (KAS) was created in 2014 to address long wait times for a kidney transplant, inappropriately matched kidneys, and high re-transplantation rates. This research examines the associations of the KAS with the percentage of sensitized patients receiving a kidney transplant, wait time to transplant and the distance between donor and recipient hospitals.

Methods

Data from the Scientific Registry of Transplant Recipients (SRTR) was used for this research. The study population included adults over 18 in the United States who received a kidney transplant between December 4, 2009, and December 4, 2018. Patients simultaneously waitlisted for other …