Digital Commons Network^™

A Novel Deliberative Multicriteria Evaluation Approach To Ecosystem Service Valuation, Georgia Mayrommati, Mark E. Borsuk, Richard B. Howarth

New Hampshire EPSCoR

Although efforts to address ecosystem services in decision making have advanced considerably in recent years, there remain challenges related to valuation. In particular, conventional economic approaches have been criticized for their inability to capture the collective nature of ecosystem services, for their emphasis on monetary metrics, and the difficulty of assessing the value of ecosystem services to future generations. We present a deliberative multicriteria evaluation (DMCE) method that combines the advantages of multicriteria decision analysis with a deliberation process that allows citizens and scientists to exchange knowledge and evaluate ecosystem services in a social context. Compared with previous applications we …

Implementing A Nurse-Led, Family Caregiver–Integrated Delirium Prevention Protocol To Improve Bcam Screening Compliance And Caregiver Confidence Among Hospitalized Older Adults, Geraldine K. Ijezie

Doctor of Nursing Practice Final Project Abstract

Purpose:  To evaluate the effectiveness of a nurse-led, family caregiver–integrated delirium prevention protocol in improving bCAM screening compliance and caregiver confidence among hospitalized older adults in an Acute Care for the Elderly (ACE) unit.

Background; Delirium is a common but preventable complication in hospitalized older adults. Baseline assessments on the ACE Unit identified inconsistent bCAM screening and limited caregiver involvement. This quality improvement (QI) project aimed to improve early recognition through routine nurse screening and caregiver education to improve early delirium recognition and prevention.

Methodology: 12-week QI project using three PDSA cycles implemented nurse bCAM education, caregiver education, visual reminders, …

Implementing An Icu-Specific Pressure Injury Prevention Bundle (Skin Safe)To Reduce The Incidence Of Hospital-Acquired Pressure Injuries In Adult Surgical Intensive Care Unit., Komal Ali

Doctor of Nursing Practice Final Project Abstract

PURPOSE

The purpose of this project was to evaluate the effectiveness of implementing an ICU-specific pressure injury prevention bundle (SKIN SAFE) Sto reduce hospital-acquired pressure injuries (HAPIs) in an adult Surgical ICU.

BACKGROUND

HAPIs remain a major safety concern in critically ill patients. Standardized prevention bundles improve adherence and reduce incidence.

METHODOLOGY

This QI project in a 20-bed Surgical ICU used the PDSA framework to implement the eight-component SKINSAFE bundle. Strategies included staff education, champions, and weekly audits. Data were collected through EMR review, monthly PIP audits for HAPI incidence, and weekly compliance audits.

RESULTS

Pre-intervention data showed two HAPIs …

Evaluating The Effectiveness Of A Mindfulness-Based App To Reduce Stress Among Psychiatric Nurses At A Children’S Hospital, Miracle U. Izevbekhai

Doctor of Nursing Practice Final Project Abstract

The purpose of this quality improvement project was to evaluate the effectiveness and feasibility of a mindfulness-based mobile application (Smiling Mind) to reduce perceived stress and emotional exhaustion among psychiatric nurses on an adolescent inpatient unit at a children’s hospital.

Psychiatric nurses experience high levels of stress and burnout, which threaten staff well-being, retention, and patient safety. Brief, app-based mindfulness practices may offer a low-burden strategy to support nurse wellness in high-acuity environments, but real-world uptake and impact are not well described.

Using a pre–post quality improvement design, a convenience sample of 11 nurses enrolled in a 12-week intervention. Nurses …

Promoting Sleep Hygiene In The Intensive Care Unit- Implementation Of A Sleep Bundle, Emma J. Harris

Doctor of Nursing Practice Final Project Abstract

Purpose: This quality improvement (QI) project’s purpose was implementation of a sleep bundle for at least 25% of an 18-bed cardiac intensive care unit (ICU) and reduce noise level by 20% (decibels) through education of at least 75% of the patient-care staff 3 months post-implementation.

Background: This quality improvement (QI) project’s purpose was implementation of a sleep bundle for at least 25% of an 18-bed cardiac intensive care unit (ICU) and reduce noise level by 20% (decibels) through education of at least 75% of the patient-care staff 3 months post-implementation.

Methodology: Patients were assessed using the Richard Campbell Sleep Questionnaire …

The Prevention Of Mouth Sores In Breast Cancer Patients Receiving Doxorubicin Using Oral Cryotherapy, Imani Wright

Doctor of Nursing Practice Final Project Abstract

PURPOSE

The purpose of the evidence-based project is to implement and evaluate oral cryotherapy to reduce and prevent incidence and severity of chemotherapy-induced mucositis in breast cancer patients receiving Doxorubicin at a large cancer hospital in Southeast Texas.

BACKGROUND

Chemotherapy-induced oral mucositis is a common and painful complication among breast cancer patients receiving Doxorubicin leading to difficulty eating, treatment delays and a decrease in patient satisfaction and adherence to treatment regimen. Despite strong evidence supporting oral cryotherapy, its use is seldomly used in many oncology settings.

METHODOLOGY

A pre- and post- intervention quality improvement design guided by the Plan-Do-Study-Act (PDSA) …

Implementation Of An Escape Room Simulation To Decrease Falls In An Inpatient Psychiatric Unit, Natalie J. Ramirez

Doctor of Nursing Practice Final Project Abstract

Purpose

This quality improvement project aimed to decrease patient falls by 25% from baseline within three months of implementing an escape room simulation-based fall-prevention training program for registered nurses (RNs) and mental health technicians (MHTs).

Background

The project was implemented in a 23-bed adult inpatient psychiatric unit within a teaching hospital in the Southwest region of the United States.

Methodology

The Plan-Do-Study-Act (PDSA) framework guided the implementation of an escape room-style fall-prevention simulation. A total of 70 staff members, consisting of nurses and MHTs, participated in a 15-minute simulation to identify fall hazards in a staged patient room using the …

Implementation Of The Pressure Injury Prevention Care Bundle At A Home Based Hospice Program: A Quality Improvement Project, Adaeze U. Amechi-Fannin

Doctor of Nursing Practice Final Project Abstract

Purpose: This Doctor of Nursing Practice project was created to improve the prevention of pressure injuries in hospice patients receiving care through a Home-based Hospice and Palliative program. The project focused on introducing a standard set of care steps (a care bundle), enhancing caregiver education, and tailoring interventions to meet each patient’s unique needs, with the goal of improving overall patient outcomes.

Background: Pressure injuries remain a common and serious problem in hospice care, especially among patients who are immobile or confined to bed. Although effective prevention methods are known, inconsistent use of these methods, limited caregiver training, and poor …

Avian Influenza And The Approach To Designing An H5n1 Vaccine, Lauren N. Hickey

Honors Program: Senior Projects (Public)

The Avian influenza virus (AIV) H5N1 has been responsible for the culling and deaths of millions of birds since 2022 with concern for wildlife, livestock, and human infections occurring as well. With eggs flying off the shelves in grocery stores, even individuals not involved in the agricultural industry have seen the drastic effects of this disease first-hand. For chickens, this virus works quickly and overpowers the innate immune system before the adaptive immune system has time to properly respond. Therefore, a safe and effective vaccine could reduce the number of poultry deaths and prevent the continuous spread of the infection. …

The Impact Of Paid Parental Leave On Maternal And Neonatal Outcomes: France Vs. The United States, Allie Papp, Cecilia Holben, Adrianna Lakota

University Research

The purpose of this systematic review is to compare policies for maternal and paternal leave in France and the United States, to determine how differences in policies may influence or affect overall health outcomes in mothers, neonates, and the family. The PICOT question is, “How does paid parental leave for both parents in France compared to the United States influence maternal, neonatal, and family health outcomes?” France federally mandates paid maternity and paternity leave; however, the United States does not provide, or guarantee paid parental leave at the national level. Methods include a PRISMA (2020) guided literature search of the …

Social Emotional Learning (Sel) For Secondary English Language Learners (Ells), Summer E. Wallace

Honors Projects

This literature review and unit plan seeks to understand what Social Emotional Learning (SEL) is and provide resources to educators on its importance in the classroom. The literature review provides an overview of peer-reviewed sources from various educational journals, as well as online publications. It also contains interviews with two educators currently in the field. This project examines the benefits of SEL within the classroom and beyond, and proposes steps and considerations for implementing SEL into the classroom. It also includes specific provisions for SEL instruction to secondary English Language Learners (ELLs). Additionally, it discusses specific strategies to implement in …

Bridging The Gap Between Career Expectations Versus Labor Market Realities, Reinette P. Madrid, Grethel T. Ledesma, Ignatius Aryono Putranto, Jyro B. Triviño

Leadership and Strategy Faculty Publications

Most students lack awareness regarding the labor market outcomes for their chosen college majors. This study aims to answer what factors affect the career expectations of graduating students at Quezon City University and how these expectations align with the prevailing labor market situation. It employed descriptive, causal, and explanatory research using a sample of 108 respondents from fourth-year information technology students for the school year 2021 to 2022. Eight of the nine null hypotheses were rejected by employing multinomial logistic and linear regression. Student fixed effects and other labor market outcomes significantly predicted salary, estimated stability, and estimated skills in …

The Contractual Womb: U.S. Surrogacy Reform Through A Federal Bioethical Framework, Yasmine A. Quinones

Student Works

No abstract provided.

Crc Station: Improving Colorectal Cancer Screening Rates In Primary Care, Kathryn Nanji

Doctor of Nursing Practice Final Project Abstract

Purpose: To improve colorectal cancer (CRC) screening completion rates among eligible patients at a primary care clinic, located in Houston, Texas, by optimizing the medical assistant (MA) workflow and addressing systemic and patient-level barriers.

Background: The project site is a Federally Qualified Health Center that provides comprehensive and inclusive care to diverse and underserved populations, including those with low income, living with HIV/AIDS, experiencing homelessness, and uninsured. Despite the availability of non-invasive screening methods like the fecal immunochemical test (FIT), CRC screening rates remain suboptimal due to workflow inefficiencies, patient barriers, and inconsistent follow-up.

Methodology: A multifactorial intervention was implemented …

Addressing The Challenges Of Cognitive Decline In The Physician Workforce, Sharona Hoffman

Faculty Publications

This book chapter examines the growing challenge of cognitive decline among aging physicians and analyzes various approaches to addressing it. In 2024, twenty percent of working physicians were sixty-five or older, and evidence suggests that 12-14% of older clinicians have cognitive deficits that may affect job performance. The chapter evaluates two primary approaches to cognitive assessment: employer-initiated programs and programs operated by state medical boards. Employer "late career practitioner policies" (LCPP) that require older physicians to undergo testing are becoming increasingly popular among health care organizations. But they are vulnerable to challenge under disability and age discrimination laws, as evidenced …

Hearsay In High Definition: Body-Worn Cameras And The Future Of Intimate Partner Violence Prosecutions, Kenechukwu Okocha

Working Papers

Technological advances in documenting police encounters with the public have outpaced evidentiary hearsay rules. Specifically, the rapid adoption of body-worn cameras (BWCs), fueled by racial justice and police reform advocates, has produced previously unavailable, vivid, and timely recordings of IPV victims’ accounts of abuse. Unfortunately, state and federal rules governing hearsay often prevent juries from considering these out-of-court statements. Such restrictions carry particular force in IPV cases, where victims frequently recant or decline to testify at trial due to abuser manipulation or distrust of the criminal justice system.

Courts and legislatures have eased some evidentiary restrictions in IPV cases in …

From Global Governance To Regulatory Retreat: The Csddd, Fashion Supply Chains, And The Limits Of Eu Supply Chain Ambition After Omnibus I, Cienna Alam

Student Works

No abstract provided.

Fragmented Data Privacy Statutes And Political Insecurity In The Face Of Dormant Commerce Clause Challenges, Filip Malesev

Student Works

No abstract provided.

Constitutional Limits On Occupational Licensing Bans As Collateral Consequences Of A Criminal Conviction, Imran Rabbani

Student Works

No abstract provided.

Ai: Governance Patchwork To A Unified Regulatory Regime, Vamsi K. Revuru

Student Works

No abstract provided.

From “Be Kind, Rewind” To The 21st-Century Data Mine: The Video Privacy Protection Act, Jenna Kornicki

Student Works

No abstract provided.

Cyberbullying And Free Speech Considerations Under The New Jersey Anti-Bullying Bill Of Rights Act, Jesse R. Place

Student Works

No abstract provided.

Beyond The Cash Kickback: Contractual Control As Remuneration In Private-Equity-Backed Physician Practices, Maxwell Dandrea

Student Works

No abstract provided.

Revising The Role Of Minors And Their Participation In Their End-Of-Life Care: An Argument For A Shared Decision-Making Model Rooted In Pediatric Patients’ Decision-Making Capacity, Taylor Talcott

Student Works

No abstract provided.

A House Of Cards: Humphrey’S Executor, Trump V. Slaughter, Latombe, And The Structural Vulnerability Of The Eu-Us Data Privacy Framework, Noah Jaffe

Student Works

No abstract provided.

Hidden Obligations: Why Unenforced Discretionary Cia Penalties Trigger Reverse False Claim Liability Under The Fca, Lucas Girardi

Student Works

No abstract provided.

Originalism’S Impact On The Sovereignty Of Indian Nations, Julian Allber

Student Works

No abstract provided.

Bodily Autonomy And Involuntary Servitude: Applying The Thirteenth Amendment To Restrictions On Abortion In The Case Of Pregnancy Induced By Rape, Joseph Innocente

Student Works

No abstract provided.

A Franciscan Approach To Lawyering, Christopher C. Van Haight

Student Works

No abstract provided.

From Schoolhouse To Enforcement Zone: The Legal Limits Of Ice Access In Public Schools, Yinet De Leon

Student Works

No abstract provided.