Digital Commons Network^™

Ehr Integration Of A Violence Risk Tool To Promote Safer Work Environments, Kirk Bradford

Creating Healthy Work Environments (CHWE)

In October 2022, a tragic act of workplace violence within our health system highlighted the need for a proactive, data-driven approach to staff safety. Workplace violence impacts nearly one in four nurses each year (McCollum et al., 2024); yet most organizations lack an objective tool to predict and prevent such incidents. The goal of this project was to implement and evaluate a systematic, evidence-based screening process to improve early risk detection and foster safer clinical environments—aligned with the AACN Healthy Work Environment Standard of Effective Decision-Making (AACN, 2016).

A multidisciplinary team of nursing, informatics, and security leaders integrated a modified …

Mitigating Burnout Syndrome Through Mindfulness-Based Stress Reduction, Rachel Kathryn Fajardo

Creating Healthy Work Environments (CHWE)

Burnout Syndrome (BOS) continues to affect critical care nurses, resulting in emotional exhaustion, disengagement, and threats to patient safety [1–4]. This Doctor of Nursing Practice (DNP) project evaluated the impact of a Mindfulness-Based Stress Reduction (MBSR) toolkit on BOS among nurses in a rural intensive care unit. Using a pre-post quality improvement design, baseline burnout was measured with the Maslach Burnout Inventory–Human Services Survey for Medical Personnel (MBI-HSS-MP) and custom Likert-scale surveys administered at three time points [5]. A convenience sample of ten nurses participated in asynchronous and live sessions supported by weekly education and QR-linked resources. The MBSR toolkit …

From Evidence To Action: Promoting Civility For Sustained Healthy Work Environments, Nicole Lynne Demeter, Erik Carter

Creating Healthy Work Environments (CHWE)

Background: Incivility and bullying erode psychological safety, belonging, and professional formation in nursing education (Ehsani et al., 2023). Harms fall disproportionately on historically marginalized students (Park & Kang, 2020) and occur across student–student, faculty–student, and faculty–faculty interactions (Clark & Kenski, 2022). Many students normalize bullying as a “rite of passage” (Hale & Phillips, 2019), further undermining respect (Birks et al., 2019). Reflecting the urgency, the ANA’s 2025 Code of Ethics links nurse well-being to ethical practice (ANA, 2025).

Purpose: Translate evidence into practice to reduce incivility within the College of Nursing through coordinated policy, reporting, education, and faculty development aligned …

Protecting Nursing Breaks To Reduce Burnout And Support A Healthy Work Environment, Jennifer Fabian, Hannah Kayuha Reed, Isabel Romero-Agsalda, Jachelle Braithwaite Pires, Lindsey Vandolah, Marni B. Kellogg

Creating Healthy Work Environments (CHWE)

Nurses on inpatient units frequently experience interrupted or missed meal breaks due to coworker requests, phone calls, alarm systems (such as equipment alarms and call lights), inadequate staffing to cover breaks, and a lack of a coordinated shift plan for meal breaks. Repeatedly forfeiting protected break time contributes to physical and mental fatigue and is a modifiable workplace stressor. Left unaddressed, this stressor may progress into burnout, a significant occupational risk for nurses.

Burnout in nurses has been defined as a gradual state of physical and psychological exhaustion characterized by anger, indifference, and reduced effectiveness, often accompanied by depression and …

Leadnursingforward.Org And A Focus On Nursing Retention: Advocating For Maryland’S Nursing Workforce, Kaynabess Freda, Lisa Seldomridge, Abigail Johnson

Creating Healthy Work Environments (CHWE)

Maryland’s Nursing Workforce Study identified critical shortages in registered nurses and nurse educators, emphasizing the urgent need for sustainable, equity-focused strategies to strengthen the workforce and academic pipeline (Global Data, 2022; Maryland Hospital Association, 2022; National Advisory Council on Nurse Education and Practice, 2020). To address these challenges, XXX was expanded as a statewide platform that advocates for healthier work environments through actionable, evidence-based resources. A team of academic content experts, GIS specialists, and marketers collaborated to design and implement new site features. The “Be a Maryland Nurse” page was developed to highlight statewide data and showcase successful retention strategies. …

Enhancing Nurse Preparedness And Safety In Home Health Through Simulation For Nursing Students, D'Ana Brooks, Christina Matousek, Kelli-Ann Mancini

Creating Healthy Work Environments (CHWE)

Background: Nurses working in the home health setting often work alone in isolated and uncontrolled environments, which increases their risk of experiencing violence or unsafe situations. Recent home health nurse experiences suggest that the severity of safety events has increased in violence and in some cases, led to death. In a recent survey by National Nurses United (2023), eight out of ten nurses reported experiencing workplace violence, including verbal abuse, physical threats, and being pinched or scratched.⁴ Nursing curriculum does not consistently focus on education for the home health setting or overall nurse safety, calling for a re-examination of …

Caring For Dying Patients: Implications For Wellbeing Of Registered Nurses, Danna Leigh Curcio

Creating Healthy Work Environments (CHWE)

Of the 4.7 million registered nurses working in the United States, 55% work in acute care hospitals, and one-quarter will leave the profession within five years (Smiley et al., 2023). To fill these vacancies novice nurses will be hired, caring for the sick and dying. This can be a challenge affecting wellbeing and creating diminished quality patient and family centered care (Akpinar et al., 2025). Domains, guidelines, and criteria were created addressing the emotional impact of caring for the dying while sustaining resilience, self-care, support, and adaptation (NCPQPC, 2018). Additionally, ten domains were developed (AACN, 2021), one aimed at commitment …

Icsb Poster Session, Ikhlas Khan

Oxford ICSB

Poster abstracts from the ICSB 2026 poster session.

Uscis-Grounded Ai: Preventing Hallucinations In Immigration Legal Services, Hephzibah Igwe

ONU Student Research Colloquium

Artificial intelligence chatbots increasingly provide legal information to consumers, but AI "hallucinations" (confidently stated but incorrect responses) pose serious risks in immigration law. Incorrect information about USCIS forms, fees, processing times, or filing procedures can result in visa denials, deportation proceedings, or permanent bars to entry.

This research presents a novel "source-grounded AI" system that eliminates hallucinations in immigration legal information. Rather than relying solely on large language models (LLMs) trained on general internet data, the system uses USCIS.gov as the primary source of truth for all operational data including current forms, fees, processing times, filing addresses, and policy updates. …

A Century Of Industrialization, In A Decade: Operation Bootstrap And Puerto Rican Migration To Ohio, Pablo M. Frontera-Mendez

ONU Student Research Colloquium

We have all heard the story of the Rust Belt, where it was once America’s heartland but has long been abandoned by the manufacturing sector. What if there were a place in the United States that, instead of closing plants, was building them? Puerto Rico, a US territory since 1898, had struggled to diversify its economy for half a century. Then, almost as if by magic, the island embarked on the most ambitious industrialization program the world had ever seen. The island would lift itself out of poverty no matter the cost. The Puerto Rican economy experienced growth in every …

A Trojan Attack On Tdma Synchronization In Energy-Harvesting Wireless Networks, Ethan Berei

ONU Student Research Colloquium

This paper investigates a Trojan attack targeting the time-division multiple access (TDMA) synchronization mechanism in single-hop energy-harvesting wireless networks. The attack compromises a single node, which subtly skews its transmission timing to operate outside its assigned time slot, causing localized transmission overlaps and triggering repeated network-wide resynchronization events. This behavior shortens the synchronization interval, significantly increases control-plane traffic, and leads to higher energy consumption and delay in energy-constrained networks. The attack is modeled within a finite state machine (FSM) framework and experimentally evaluated under varying energy-harvesting conditions. Experimental results show that the number of synchronization events can increase by up …

The Use Of Nams To Screen For Developmental And Reproductive Toxicity (Dart) Of Botanicals, Cynthia Rider

Oxford ICSB

No abstract provided.

Botanical Safety Consortium: Overview And Progress, Connie Mitchell

Oxford ICSB

No abstract provided.

How To Best Utilize Outcomesmtm In Patient Care Settings, Anna Spalvieri

ONU Student Research Colloquium

Pharmacies are essential for the reception and filling of prescriptions, but they can also be vital for the monitoring and managing of different patient conditions and medication regimens. Patients, especially those who are older or live with chronic conditions, can be prescribed many different medications and therapies. Inversely, they might not have the medications and therapies needed to address their conditions. ONU Healthwise Pharmacy and the pharmacy call center utilize a platform called OutcomesMTM as a way of providing Medication Therapy Management (MTM) services to help patients control their chronic conditions and manage their health. These services, delivered through phone …

Metabolomic Characterizations Of Hericium Erinaceus (Bull.) Pers. And Laricifomes Officinalis (Vill.) Kotl. & Pouzar Fungal Cultures, Kyle Meyer

Oxford ICSB

We present metabolomic characterizations of Hericium erinaceus (Bull.) Pers. (lion’s mane, yamabushitake, etc.), and Laricifomes officinalis (Vill.) Kotl. & Pouzar (syn. Fomitopsis officinalis; agarikon, eburiko, etc.) fungal cultures by high resolution orbitrap mass spectrometry and HPLC-DAD. Primary focus has been applied to the cultivation of these species on brown rice, Oryza sativa L., as a solid substrate.   In the case of H. erinaceus, we have observed key differences in lipid metabolite profiles over a 28-day fermentation time series suggesting possible grain lipid feedstocks for fungal-derived lipid production, providing clear evidence of substrate biotransformation.   For L. officinalis cultures, we observe distinct …

Lessons From The Least: Healing-Centered Discipline Reform For Neurodivergent Youth In U.S. Public Schools, Deborah Brooks

Liberty University Research Week

Disproportionate disciplinary outcomes for neurodivergent students—particularly those with autism, ADHD, and learning disabilities—represent a systemic failure of American education policy. Although students with disabilities constitute 17% of the K–12 population, they account for 29% of out-of-school suspensions and 21% of expulsions, disparities compounded by race, gender, and socioeconomic disadvantage. These patterns feed directly into the school-to-prison pipeline, a documented trajectory linking exclusionary discipline to elevated risk of juvenile justice involvement. Existing legal protections under the Individuals with Disabilities Education Act (IDEA), Section 504 of the Rehabilitation Act, and the Americans with Disabilities Act (ADA), as well as trauma-informed care frameworks, …

The Importance Of Cultural Competence: Integrating Culturally Conscious And Experiential Strategies For Transformative Learning, Janita Daggy, Kisha Burke

Liberty University Research Week

Cultural competence is a foundational ethical and professional responsibility in counselor education, emphasized by CACREP (2024) and the American Counseling Association (ACA). Despite these standards, educators often face challenges in effectively integrating multiculturalism into classroom instruction. This presentation examines evidence-based strategies for teaching cultural competence through relational, experiential, and reflective pedagogies that foster growth for both students and educators. Drawing on relational-cultural theory and relational pedagogy, participants will explore approaches for addressing sensitive topics such as race, identity, and privilege in ways that promote empathy, safety, and authentic engagement. The session highlights the role of intentional curricular design, experiential learning, …

Bioactive Metabolite Markers For Functional Mushrooms: Comprehensive Metabolomic Mapping Of Full-Spectrum Cultivated Mushrooms, Standard Production And Method Development., Julie Daoust, Ivana Blaženović

Oxford ICSB

Functional mushrooms are increasingly used in dietary supplements and functional foods, yet current scientific characterization of their chemistry remains limited by narrow extraction paradigms, limited standards availability and incomplete databases. In 2025, M2 Ingredients, in collaboration with Adikai Insights, completed a metabolomics atlas, a comprehensive untargeted metabolomics investigation of ten cultivated mushroom species grown under controlled indoor conditions in and effort to identify known bioactive molecules in whole mushroom samples to guide standard and quantitative method development targeting bioactive compounds present in the materials.   Using high-resolution mass spectrometry and advanced cheminformatics, a total of 5,139 unique functional mushroom metabolites were …

Authenticated Hericium Erinaceus Mushroom And Selected Mycelia Reference Materials For General Industry Use, Steven Dentali

Oxford ICSB

The establishment of authenticated reference materials is critical for method validation, standards development, and adulteration detection in the medicinal mushroom market. Hericium erinaceus (Lion’s Mane) is widely commercialized, yet historically has lacked species-specific analytical standards. This presentation describes the species identification protocol used by Nammex to develop and maintain authenticated H. erinaceus mushroom reference materials that support ongoing standards work, including advisory contributions to AOAC INTERNATIONAL initiatives. Production partner voucher specimens are authenticated using macroscopic, organoleptic, and morphological examination by qualified personnel, and retained as internal reference materials. Genetic verification using DNA sequencing confirms H. erinaceus identity in voucher specimens …

When The Algorithm Disciples: Recentering Discipleship In An Ai Saturated Age, Laronda Perrien-Massey

Liberty University Research Week

As Artificial Intelligence becomes an increasingly prevalent voice in everyday life, recent research from Barna Group and Gloo reveals that nearly one in three U.S. adults considers spiritual advice from AI as trustworthy as counsel from a pastor, with even higher rates among Gen Z and Millennials. This study hypothesizes that most congregants lack a theological framework for evaluating AI-generated spiritual content, and that a structured, church-based discipleship intervention will produce measurable improvements in digital discernment, perceived spiritual growth, and relational connectedness.

Prevention Vs. Treatment On The Global Stage: How National Priorities In Public Health And Healthcare Shape International Power And Health Outcomes, Sophie I. Antell

GS4 Student Scholars Symposium

National approaches to health are shaped by political priorities, institutional structures, and global positioning. This project examines how countries balance investments in public health (population-level prevention) versus healthcare (individual-level treatment), and how these choices influence both domestic health outcomes and international power. Using Taiwan and the United States as comparative case studies, the research explores how differing health system models reflect broader political identities, shape global health credibility, and affect participation in international health governance.

Taiwan's strong public health infrastructure, effective disease surveillance, and active medical diplomacy have contributed to its reputation as a capable global health actor, despite its …

The Role Of Emotional Intelligence And Defense Mechanisms In Processing Childhood Experiences And Their Impact On Adulthood, Lauren Williams

Liberty University Research Week

Early childhood relationships significantly influence developmental and relational functioning across the lifespan. Emotional intelligence has been associated with healthier relational outcomes through increased awareness of self and others. Variability in childhood experiences may contribute to the development of defense mechanisms that shape how individuals process relational memories and regulate emotional distress in adulthood. Limited research has examined how emotional intelligence and defense mechanisms interact to influence adults’ retrospective processing of childhood experiences, including attachment, rumination, and motivation. The present quantitative correlation study examined the relationships among emotional intelligence, defense mechanisms, childhood attachment experience, rumination, and motivation in a sample of …

Neurosplit: Differentiating Adhd And Early Alzheimer’S Using Eeg Biomarkers, Nithish Kumar Navaneethakrishnan

GS4 Student Scholars Symposium

Electroencephalography (EEG) is a powerful and noninvasive technique of neurophysiological recording and biomarkers of cognitive impairment. Attention Deficit Hyperactivity Disorder (ADHD) and Alzheimer's Disease (AD) are two extreme poles of the neurological impairment: one developmental and one degenerative, but they have similar behavioral and cognitive traits that make it more difficult to distinguish them. The paper provides a comparative model of distinguishing the EEG patterns of ADHD and Early Alzheimer's Disease based on spectral analysis and feature learning using deep learning. The methodology includes strict preprocessing, such as band-pass filtering, segmentation, and normalization, estimation of power spectral density, and calculation …

Preserving The Pump: Extensive History Of Cardiothoracic Surgery In A Cadaver, Joshua Lindsey, Lillian Hequembourg, Anna Brown, Thien Duy Chen

GS4 Student Scholars Symposium

During the dissection of the 85-year-old female cadaver by the medical students at the Medical College of Georgia, Savannah at Georgia Southern University, evidence of significant cardiovascular health conditions, prior surgeries, and a left-sided inferior vena cava (IVC) were discovered; providing a unique educational reservoir of anatomical and clinical knowledge. Routine dissection of the heart revealed cardiomegaly and findings consistent with a history of numerous surgical interventions. A triple coronary artery bypass graft (CABG) was indicated through surgical staples along the left anterior descending (LAD) artery, left circumflex artery, and right coronary artery with graft vessels in place to maintain …

Determination Of Kratom Alkaloids In Botanical Products Using Multi-Criteria Lc–Ms Analysis, Mengliang Zhang

Oxford ICSB

Kratom (Mitragyna speciosa) is a botanical product widely sold in the United States as powders, capsules, tablets, gummies, and beverages. Natural kratom leaves primarily contain mitragynine (MG) as the dominant alkaloid. However, an increasing number of commercial products contain elevated levels of the more potent opioid alkaloid 7-hydroxymitragynine (7-OH) and the semi-synthetic compound mitragynine pseudoindoxyl (MGP). Reliable analytical identification of these compounds is critical for dietary supplement testing, regulatory monitoring, and public health protection. However, kratom matrices contain numerous structurally related alkaloids and isomeric compounds that complicate mass spectrometric identification and may lead to false positive assignments. The objective of …

Efficacy And Safety Of Red Ginseng Extract Powder (Kgc05pg) In Achieving Glycemic Control In Prediabetes Korean Subjects: A 12-Week, Single-Center, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study, Namhan Cho

Oxford ICSB

Background: This study was conducted to evaluate the efficacy and safety of Red Ginseng Extract Powder (RGEP) in achieving glycemic control in prediabetic Korean subjects. Methods: The study consisted of 49 subjects in the RGEP group and 49 in the placebo group.  The participants were orally given 2 tablets of RGEP and placebo (500 mg/day twice daily in the morning and the evening within 30 min after meal), respectively.  The subjects were followed duration of 12-week.  The participants glycemic control parameters, such as fasting blood glucose levels, 30-, 60-, 90-, and 120-min blood glucose levels at 75gm oral glucose tolerance …

Ginsenoside-Based Theranostic Agents For Alzheimer's Disease: Implications For Brain Penetration, Cellular Uptake, And Anti-Aging Effects, Hak Soo Choi

Oxford ICSB

Red ginseng and its bioactive constituents, ginsenosides, have long been associated with neuroprotection and anti-aging effects, yet their limited ability to cross the blood-brain barrier (BBB) and poorly characterized biodistribution have hindered therapeutic translation. To address this, we developed a library of “ginsenoprobes” by conjugating major red ginseng components (Rg1, Rg3, Rb1, Rh2, Rk1, Rg5) and red ginseng extract (RGE) to a zwitterionic near-infrared (NIR) fluorophore (ZW800-1C), enabling real-time tracking of their fate in vitro and in vivo. All ginsenoprobes were purified to >95% homogeneity via preparative HPLC and rigorously characterized for optical properties, including molar extinction coefficients and dye-to-ginsenoside …

A Comparison Of Muscle Activation Patterns Between Chronic Ankle Instability And Copers Among People With A History Of A Lateral Ankle Sprain: A Critically Appraised Topic, Holly Hudson, Mirannda Wotring

Liberty University Research Week

Context: Lateral ankle sprains (LAS) are a common injury among both the general and athletic populations. Often this injury leads to chronic ankle instability (CAI) or, in some cases, a copers ankle. Copers are defined as individuals with a history of at least 1 LAS that occurred greater than 12 months ago and do not report signs of disability and/or experience episodes of ankle instability since their last ankle injury. Limited research exists to explain the differences between CAI and copers. The focused clinical question is: Do muscle activation patterns differ between individuals with CAI and those classified as copers? …

The Effect Of Myofascial Manipulation On Shoulder Rom In Postoperative Breast Cancer Patients, Maile Kaahanui, Erin Krismanits

Liberty University Research Week

Focused Clinical Question: Myofascial dysfunction can hinder daily quality of life within post operational patients, especially within post operational breast cancer patients. Myofascial manipulation has been used as an intervention for ROM in other pathologies and could be beneficial for increasing ROM post-operatively. In post-operative breast cancer patients, what effect does myofascial manipulation have on shoulder ROM?

Methods: A literature search was conducted using electronic research databases (PubMed, MEDLINE, SPORTSDiscus, CINAHL, and Jerry Falwell Library) to identify randomized control trials published within the last 10 years that include studies with myofascial manipulation as an intervention and analyzed shoulder range of …

Microhabitat Usage And Symbiotic Dynamics Of A Shell-Dwelling Cichlid (Neolamprologus Similis), Camden Haines, Hanley Rooker

Liberty University Research Week

Aquatic ecosystems promote variable microhabitats which in turn support dynamic biotic assemblages. One such microhabitat involves gastropod shells and the dependence on these microhabitats for breeding success in shell-dwelling cichlids native to Lake Tanganyika in East Africa. Once a microhabitat is selected by a male-female pair, both parents will care for the nest and eggs until the young are developed enough to leave the shell. This research aims to quantify how parental division of care influences offspring quality and developmental timing in the shell-dwelling cichlid Neolamprologus similis. Mating pairs of N. similis will be introduced to study tanks to assess …