Digital Commons Network^™

Quality Improvement Project: Evaluating The Impact Of Provider Education On Sbirt On Screening For Suds, Faith Ogala

Doctor of Nursing Practice Projects

Substance use disorder (SUD) is a serious public health issue in people with psychiatric disorders. However, diagnosis and treatment are often delayed, leading to poor treatment outcomes and increased social and economic costs. The purpose and aim of this Doctor of Nursing Practice (DNP) project was to educate providers on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model to facilitate the timely diagnosis of SUDs in patients with dual diagnoses. The key outcomes were provider knowledge and SBIRT implementation rates. The Donabedian Model of Healthcare Quality assessed the outcomes, whereas Lewin’s Change Model guided implementation. The project employed …

Establishing A Standardized Suicide Risk Screening Policy For Psychiatric Providers: Closing Gaps In Provider Accountability And Clinical Documentation, Fadekemi Olude

Doctor of Nursing Practice Projects

Psychiatric providers in outpatient settings often experience inconsistent confidence and incomplete documentation when conducting suicide risk screening, contributing to missed opportunities for early identification of at-risk patients. This quality improvement project addressed the need for standardized suicide risk screening at an urban outpatient psychiatric clinic. The purpose was to evaluate documentation using the Columbia-Suicide Severity Rating Scale (C-SSRS). Using a pre-post intervention design guided by Lewin's Change Theory and the Donabedian Model of Quality Improvement, a 60-minute training session was delivered to 31 psychiatric providers. Participants completed pre- and post-intervention General Self-Efficacy Scale (GSES) surveys. Chart audits (N = 1,970) …

A Functional Nutrition Literature Review For Brain Fog And Adhd-Like Symptoms In Adults, Natalie Elisani Aldahondo-Matos

Department of Nutrition Student Projects

Attention-deficit/hyperactivity disorder (ADHD) and ADHD-like symptoms, such as difficulty concentrating, mental fatigue, and problems with executive functioning, are increasingly recognized in adults. Although medication is commonly used to manage ADHD, there is growing interest in whether nutrition may also play a role in supporting brain function and attention. Several nutrients involved in brain health including omega-3 fatty acids, vitamin B12, magnesium, iron, and choline  have been suggested as potential contributors to cognitive performance and attention. However, the research examining the connection between diet and ADHD symptoms is still limited and sometimes shows mixed results.

The purpose of this project was …

Quality Improvement Project Ai-Powered Conversations: Enhancing Nursing Students’ Interview Skills, Judy K. Staley

Doctor of Nursing Practice Projects

Professional communication is an essential skill for nursing students, particularly in job interviews. Deficits in professional communication can negatively impact future employment and accreditation outcomes. Current practices in faculty-led mock interviews can be limited by time constraints and the need for consistent feedback, underscoring the need for a more consistent and effective method supported by current evidence-based literature. The purpose of this quality improvement project is to evaluate whether integrating AI-assisted mock interviews into faculty-led practices influences faculty perceptions of student preparedness. Guided by Kotter’s Change Model and supported by the constructivist framework, the project aimed to enhance the effectiveness …

New Nurse Faculty Mentorship: A Quality Improvement Project, Kimberly B. Porter

Doctor of Nursing Practice Projects

The ongoing nursing faculty shortage limits program capacity and makes it harder to retain novice nurse educators transitioning from clinical practice to academia. The literature highlights issues such as insufficient mentorship, role confusion, and a lack of structured support as key factors contributing to early faculty attrition. This quality improvement (QI) project aimed to implement and evaluate an evidence-based mentorship program to improve perceptions of mentorship effectiveness among new-to-academia nurse faculty in a School of Nursing in Arkansas. The purpose was to implement and evaluate a mentorship program designed to improve perceptions of mentorship among new-to-academia nurse faculty. The project …

Quality Improvement Project: Impacting Staff Confidence In Recognizing Hiv Medication Adherence, Joy Nwansi-Iro

Doctor of Nursing Practice Projects

Medication adherence to antiretroviral therapy is essential for viral suppression and improved outcomes among individuals living with human immunodeficiency virus (HIV). Despite advances in treatment, healthcare providers lack confidence in recognizing medication adherence challenges and implementing appropriate interventions. Evidence suggests that provider education using standardized adherence assessment tools improves adherence monitoring and clinical decision-making. The purpose of this quality improvement project is to evaluate whether an educational intervention and a standardized workflow using the CASE Adherence Index would impact healthcare staff confidence in recognizing HIV medication adherence. Lewin’s Change Theory guided the project through the stages of unfreezing, change, and …

Quality Improvement Project: Enhancing Staff Delivery Of Non-Pharmacological Interventions In Serious Mental Illness Care, Kimberly Vann

Doctor of Nursing Practice Projects

Serious mental illness places a significant burden on global healthcare systems, increasing hospital utilization and critically impairing patients' functional status. Often crippling, these illnesses are mostly treated with medication therapy despite proven research to show effective outcomes with holistic and non-pharmacological therapies. Non-pharmacological interventions (NPIs) are often underutilized in outpatient mental health settings. The purpose of this quality improvement project was to determine whether structured training impacted staff confidence in delivering NPIs and impacted documentation frequency in the electronic health record (EHR). The project was guided by the Iowa Model of Evidence-Based Practice and implemented using the Plan-Do-Study-Act (PDSA) cycle, …

Quality Improvement Project Bridging The Gap In Scholarly Productivity: An Educational Workshop For Tenure-Track Nursing Faculty, Britney Thorne

Doctor of Nursing Practice Projects

Tenure-track nursing faculty often balance teaching, service, and scholarship responsibilities, which can be overwhelming when promotion and tenure expectations are unclear or insufficiently supported. At a historically Black university, a school of nursing identified gaps in scholarly productivity and limited guidance for early-career faculty, highlighting the need for structured support. Guided by Knowles’ Adult Learning Theory and Lewin’s Change Theory, this Doctor of Nursing Practice (DNP) quality improvement project examined whether structured faculty development workshops could improve faculty knowledge of scholarly productivity, engagement in scholarly activities, and perceptions of tenure and promotion expectations. A quasi-experimental pre-post design was implemented over …

Improved Simulation, Bayesian Estimation, Phase Activation, And Non-Cartesian Reconstruction In Fmri, John Bodenschatz

Dissertations (1934 -)

In fMRI it is desirable to obtain images with high contrast and low noise at a high spatio-temporal resolution. Doing so allows for a more reliable assessment of capturing brain dynamics in higher detail. Many techniques have been employed and tested to collect more images per unit of time and/or increase spatial resolution, while maintaining a high quality image. This has been done using in-plane and through-plane acceleration with promising results (SENSE, GRAPPA, CAIPIRINHA, CAIPIVAT). Following a description of work done towards a unified fMRI simulation software package, this dissertation will present work towards three methods to enhance fMRI time …

Extending Cubesat Star Tracker Operation To Very Low Earth Orbit Using A 2d-Morphological Clutter Filter, Anthony James Shipp

Honors Capstone Projects and Theses

No abstract provided.

Navigating Uncertainty: A Deep Insight Into Tariffs’ Effects On The Automotive Industry, Gavin J. Gautier

Honors Theses

The purpose of this thesis is to address the financial, strategic, and external effects caused by tariffs within the automotive industry, with a specific focus on the effects caused by the Section 232 tariffs imposed on aluminum and steel. More Specifically this thesis will examine a comparative analysis of General Motors between 2017 and 2018 during the Section 232 enactment. While traditional studies tend to observe the input-cost effect, my hope is to examine the broader effects at the firm-level, such as inventory shifts, cost management, and risk hedging procedure. Through an evaluation of GM’s 10-K filings, key financial ratios, …

Assessing Difficulty Of Link Prediction On Benchmarking Knowledge Graphs, Lydia Klecan

Theses

Knowledge graphs represent real-world data in a directed graph format where two entities, connected by a predicate, represent one fact. Link prediction models predict new relationships using existing entities and predicates, and are trained using benchmarking knowledge graphs. Redundancies exist within benchmarking knowledge graphs that allegedly artificially improve the results of link prediction. It is assumed in the link prediction field that if a model scores well on a highly redundant benchmarking knowledge graph, it may not directly correlate to good performance on other more complex knowledge graphs. This research creates new analysis methods and evaluation metrics for measuring redundancies …

Expedited Internet Bypass Protocol (Eibp) For Inter-As Routing, Tejas Ramakant Mhadgut

Theses

Inter-AS link failures in conventional routing architectures are recovered through a combination of Border Gateway Protocol (BGP) hold-timer expiry, Link State Advertisement (LSA) flooding, and network-wide Forwarding Information Base (FIB) recomputation, a process that produces data plane outages measurable in seconds and affects every routing node in the involved Autonomous Systems (AS) regardless of topological relevance. This report presents the design, implementation, and evaluation of a failure recovery mechanism for Expedited Internet Bypass Protocol (EIBP), a label-based routing protocol in which forwarding decisions are derived from structured tier addresses rather than distributed routing tables. The implemented mechanism comprises three components: …

Any One & Every One, Sarah V. Dumitrascu

Electronic Theses and Dissertations 2020 - Present

With a predictable job, a rent-stabilized apartment, and stellar dental insurance, still, Ever E. Whan does not like her office job any more than she did on day one. Nothing about it suits her—not the work, the hours, the team, not the break-room coffee machine. She thinks of quitting every day, but something she can’t name, but feels overwhelmingly, keeps her there. While she fantasizes about her grand resignation, she isn’t moved to act until a tragedy occurs on the job.

Hoping to do just about anything else, Ever isn’t quite prepared for the offer she’s given: to work as …

Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins

Walden Dissertations and Doctoral Studies

Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …

The Role Of Otto In Indecent By Paula Vogel, Ben Turchiarelli

Student Theses

Between December 5th and 9th, 2025, Brooklyn College’s Department of Theater presented Indecent by Paula Vogel, directed by MFA directing candidate Sam Plattus. It was my privilege to play the role of Otto, a member of a troupe of dead actors, tasked with presenting a nearly coextensive play-within-a-play describing the controversial Broadway production of The God of Vengeance, by Sholem Asch. Otto presents several older male characters, including real-life figures; among them author I.L. Peretz, and actor Rudolph Schildkraut. Some of these scenes are depicted in the story as a play-within-a-play-within-a-play, and there are numerous musical interludes throughout wherein Otto …

University Theatre Guild Guide, Maria Perez

Honors Theses

The WMU Theatre Guild Assistant position is one of the primary assistantships in the Arts Administration department. The Theatre Guild Assistant works alongside Emily Duguay, the Director of Arts Administration, Joan Herrington, the Director of the School of Theatre and Dance, and the WMU Theatre Guild Board to manage their daily operations and help develop donor events. The University Theatre Guild Guide explains the details and processes this position follows. This guide is broken down into four sections. The first section is the Introduction. The Introduction includes congratulations from the past Theatre Guild Assistant and a short breakdown of the …

The Use Of Cognitive Biases In Russian Cyber Operations, Emma Manning

Honors Theses

This thesis examines how Russia has employed reflexive control through cyber operations to influence decision-making in foreign states, focusing on disinformation campaigns during the 2014 annexation of Crimea and the 2016 U.S. presidential election. Reflexive control, a concept rooted in Russian military doctrine, seeks to shape an adversary's perceptions and decision-making by providing carefully crafted information that leads targets to make choices favorable to the initiator. This research argues that while the fundamental objectives of reflexive control have remained consistent, technological advances have significantly expanded Russia's ability to conduct operations in developing cyber domains.

Using qualitative analysis of open-source intelligence, …

Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins

Walden Dissertations and Doctoral Studies

Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …

Student Perspectives On Title Ix Policy Across North Texas College Campuses, Felicia Chism

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study examined how North Texas higher education students’ lived experiences with Title IX (TIX) shaped their perceptions of the policy’s fairness, accessibility, and implementation. The study addressed the problem that experiential perspectives of TIX remain underexplored, despite their importance for understanding institutional accountability and student trust. Guided by the social ecological model and organizational justice theory, the research investigated how individual, relational, institutional, and societal factors influenced students’ interpretations of TIX processes. Eight students from North Texas public universities who had direct involvement in a closed TIX case participated in semi‑structured interviews. Data were analyzed using Moustakas’s …

Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon

Walden Dissertations and Doctoral Studies

Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …

The Importance Of Play-Based Learning, Nina Cavanaugh

Masters Projects

Play-based learning is a beneficial tool that can help support development of not only young children but students of all ages and abilities. While research may show that play-based learning has benefits for students’ development, many schools in the United States, including public schools in Macomb County do not have professional development opportunities to educate teachers on play-based learning. This project covers the benefits, theories, and implementation strategies of play-based learning. It explains how play-based learning can be beneficial for students cognitive and academic skills.  It also supports social emotional development, physical development, and language development. Not only does play-based …

Comparative Analysis Of Rectal Dose In Two-Arc Versus Three-Arc Vmat Prostate Cancer Using Spaceoar, Amanda Bookout

Masters Projects

Abstract

Purpose

The purpose of this study is to determine the dosimetric impact on rectal dose by comparing two arc versus three arc VMAT plans on prostate patients who have received SpaceOAR.

Methods

A retrospective planning technique was performed on eight prostate cancer patients who had been previously treated with three-arc VMAT plans. For each plan, a two-arc plan was generated by removing the third arc and re-optimizing the plans using identical constraints and objectives. Dosimetric parameters were analyzed using dose volume histogram (DVH) analysis, including rectal dose metrics, V60 Gy, V65 Gy, V70 Gy, target coverage, PTV V95%, conformity …

Providing Individualized Support For Students With Adhd, Jeremy Scott Clymer

Masters Projects

Many general education teachers lack sufficient skills to successfully serve students with special needs. This project aims to provide professional development materials for pre-service and in-service educators which will provide them with information to help them achieve better outcomes for students with ADHD. Based on existing research about how ADHD can affect students differently and how to best account for those learning differences, the project provides background information about the different subtypes of ADHD, best practices for curriculum design, common accommodations for students with ADHD, and types of interventions that can help students with ADHD succeed. It includes a slide …

Finiteness Of Torsion Loci And Normal Functions Arising From Cycles On Hadamard Products, Devin Akman

Arts & Sciences Graduate Student Theses and Dissertations

The unifying theme of this dissertation is normal functions. In the first chapter, we study an invariant of knot exteriors and similar manifolds called the A-polynomial through the lens of vanishing loci of normal functions. Using a special case of the Zilber-Pink conjecture, proven in the second chapter, we show that only finitely many irreducible Laurent polynomials of bounded overgenus appear as factors of A-polynomials. In the third chapter, we construct normal functions from hypergeometric variations of Hodge structure and compute their regulators. Finally, we determine under which conditions incomplete motivic cohomology cycles on families complete to cycles on their …

Influence Of Web Thickness And Concrete Cover On The Fire Resistance Of Aashto Type Iv Prestressed Concrete Bridge Girders, Fnu Nidhi

Electronic Theses and Dissertations 2020 - Present

Bridge fires caused by vehicle accidents, fuel tanker explosions and storage of combustible material beneath highway structures have led to severe structural damage and catastrophic collapse of prestressed concrete bridges. Critical structural collapse due to fire incidents such as I-85 prestressed concrete bridge girder collapse in Atlanta, 2017 and I-95 steel plate girder bridge partial collapse in Philadelphia, 2023 demonstrated the vulnerability of girders when exposed to extreme hydrocarbon fire temperatures exceeding 1000°C within few minutes. These events highlight the urgent need to better understand the thermal and structural behavior of bridge girders and explore design modifications that can enhance …

Crave Nothing More Fervently, Jesse Gwilliam

Theses

Crave Nothing More Fervently is an expressionistic journey that struggles with my fear of time’s ceaseless advance towards death. Through the establishment of a personal visual style I call psychedelic perception, I look for a future that struggles against my personal fears of loss and death. This strategy aestheticizes the world as a strategy of pursuing a creative life that stands against fatality.  In Crave Nothing More Fervently my concept of psychedelic perception is a framework that extrapolates from the late cultural theorist Mark Fisher’s manuscript Acid Communism defined as a political ethic of adaptive creativity. Besides simply revealing the …

Guillemette, Fiona Veronique

Theses

In my photography project, Guillemette, I entertain the idea of inheriting an ability for mediumship from my maternal family lineage. As an origin, I use the question of having (or not having) these powers to explore intertwined relationships between myself and my mother, mediumship and theater, belief and entertainment, and the spirit and earthly worlds. The setting of the series moves between France, where my maternal family is from, and Western New York, where I currently reside, and the birthplace of 19th-century Spiritualism, the belief that spirit mediums can communicate with the dead. Mediumship, a central pillar in the work, …

On Time-Series Analysis By Structured Matrix Decompositions With Applications To Signal Direction-Of-Arrival Estimation, Georgios Ierotheos Orfanidis

Electronic Theses and Dissertations 2020 - Present

Modern autonomous systems operating in highly dynamic, non-stationary environments require reliable inference from short, potentially corrupted time-series measurements, where conventional statistical methods relying on large-sample support and stationarity assumptions become fundamentally inapplicable. This dissertation develops a unified, model-free theoretical framework for time-series analysis, with a particular application to signal Direction-of-Arrival (DoA) estimation, grounded in structured matrix decompositions under both the L2-norm and L1-norm formulations.

We first approach the problem from a conventional viewpoint by carrying out standard matrix analysis directly on Hankel-structured representations of time-series data. In this context, we demonstrate that L1-norm decompositions of Hankel matrices offer strong resistance …

Computer Vision And Deep Learning-Based Decision Support System Using Eye Motion Tracking For Nystagmus Detection, Kowshik Balasubramanian

Electronic Theses and Dissertations 2020 - Present

This thesis presents the design, implementation, and experimental validation of an artificial intelligence (AI)-driven system for detecting and quantifying nystagmus an involuntary, rhythmic oscillation of the eyes intended as a portable, low-cost complement to conventional Videonystagmography (VNG). The complete pipeline integrates six algorithmic stages: face landmark detection, contrast enhancement, background-aware pixel thresholding, grid-based vertical column filtering, connected-component cluster analysis, and centroid computation, operating in real time on standard smartphone video to extract a sub-pixel normalized iris position time-series without any specialized eye-tracking hardware or infrared illumination. The system supports diagnostic decision-making, highlighting its promise for incorporation into telemedicine settings. The …