Digital Commons Network^™

Addressing Hidden Barriers To Follow Up Healthcare: A Community Referral Pilot Project, Amber Williams

Doctor of Nursing Practice Projects

Objective: The project was aimed to reduce the number of participants lost to primary care follow-up following a mobile health unit screening event.

Design: A pilot study program screening tool implementation was utilized to address the hidden barriers of the Social Determinants of Health (SDoH) during a Winter 2021 event.

Sample: A group of 12 participants were screened during a mobile health unit event. Eight of the participants opted to be a part of the pilot study.

Measurements: A comparison ratio of Primary Care follow up was compared from the Winter of 2020 with Winter of 2021, where the screening …

Aerosol Spacers With Asthma Inhalers: Best Practice For School Health Nurses, Casey Page

Doctor of Nursing Practice Projects

Healthcare providers do not have adequate knowledge regarding the use of aerosol spacers and asthma inhalers. Inappropriate use of asthma inhalers may lead to poor medication distribution in the lungs and poor asthma control. The utilization of aerosol spacers with asthma inhalers is shown to increase medication distribution to the lungs. Asthma is the number one chronic condition seen by school health nurses. An online learning module was created for school health nurses to reiterate the best practice use of aerosol spacers with asthma inhalers. After completion of the online learning module, school health nurses answered nine questions on an …

Hand Hygiene For Health Promotion, Phyllis Knight-Brown

Doctor of Nursing Practice Projects

For many years public health organizations, such as The World Health Organization (WHO) and The Centers for Disease Control and Prevention (CDC), have stressed the need for proper hand hygiene. Proper hand hygiene requires a prescribed process to rid the hands of potentially infecting organisms by using soap and water (handwashing) or hand sanitizer (sanitizing). These processes need to be performed at critical times to promote infection prevention. Many studies have shown that hand hygiene is a learned behavior that becomes habitual over time, and behavior change mechanisms in addition to education are needed to affect a long-term change in …

Evaluating An Overall Experience Of Virtual Learning In Meeting The Continuing Education Needs Of Rural Nurses In North Carolina, Yuen Li (May) Cheung

Doctor of Nursing Practice Projects

Background. Rural nurses in North Carolina (NC) face several barriers to accessing face-to-face continuing education (CE) opportunities.

Objective. The purpose of the project is to connect to rural nurses in NC by designing accessible and flexible CE programming that includes virtual learning activities.

Methods. System Usability Scale (SUS) and the Usability Metric for User Experience short version (UMUX-Lite) tools were used. to predict whether participants will use or adopt a new technology following a North Carolina Area Heath Education Center (NC AHEC) hosted virtual conference.

Findings. Of the 103 participants who attended the CE conference, 93 …

Virtual Medication Reconciliation Simulation With Senior Nursing Students, Courtney B. Calhoun

Doctor of Nursing Practice Projects

Abstract not available

Enhancing Learning And Self-Efficacy With Virtual Simulation, Lawone J. Lane

Doctor of Nursing Practice Projects

Background Evidence is lacking for support in the use of virtual simulation as a viable alternative for experiential learning and enhancing satisfaction, self-efficacy, and learning.

Problem Virtual simulation activities can provide opportunities for nursing students outside of clinical sites. In prelicensure nursing education, how does the development of a virtual simulation compare to traditional nursing education and does virtual simulation enhance student satisfaction, self-efficacy, and learning?

Approach A non-experimental descriptive design was used to examine attitudes of prelicensure nursing students related to perceived satisfaction, self-efficacy, and learning following a virtual simulation in place of a clinical site experience.

Outcomes Nursing …

Self-Care Practice In Nursing, Leslie Rhom

Doctor of Nursing Practice Projects

Nurses encounter multiple stressors throughout each shift. If this is not managed well through self-care and coping strategies, it can negatively impact one 's health and the well-being and care delivered to patients. The purpose of this project is to bring awareness of current self-care strengths and limitations of nursing students, equipping students with evidence-based practices to enhance self-care. This effort can lead to improved patient care outcomes by decreasing job turnover, burnout, and compassion fatigue. The participants in this project were pre-licensure nursing students in the final semester of nursing school. Participants attended a didactic lecture, completed the Mindful …

Enhanced Breastfeeding Support Using Video Education To Improve Exclusive Breastfeeding Rates In A Baby-Friendly Acute Care Facility, Carol Mayernik

Doctor of Nursing Practice Projects

Exclusive breastfeeding (EBF) provides health benefits and is recommended by professional health organizations including the American Academy of Pediatrics, The World Health Organization, and the Centers for Disease Control and Prevention. Healthcare facilities support families to achieve EBF by educating clinicians and patients about the benefits of exclusive breastfeeding, providing prenatal education and hospital support to patients, and by achieving Baby-Friendly Designation through the Baby-Friendly USA, as endorsed by the World Health Organization/UNICEF. Most pregnant patients desire to exclusively breastfeed yet multiple barriers exist to achieve this goal. Evidence supports the use of video learning as an effective way to …

Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas

Antioch University Dissertations & Theses

Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …

The Air That We Breathe: Neutral And Volatile Pfas In Indoor Air, Maya E. Morales-Mcdevitt, Jitka Becanova, Arlene Blum, Thomas A. Bruton, Simon Vojta, Melissa Woodward, Rainer Lohmann

Graduate School of Oceanography Faculty Publications

Sources of exposure to per- and polyfluorinated alkyl substances (PFAS) include food, water, and, given that humans spend typically 90% of their time indoors, air and dust. Quantifying PFAS that are prevalent indoors, such as neutral, volatile PFAS, and estimating their exposure risk to humans are thus important. To accurately measure these compounds indoors, polyethylene (PE) sheets were employed and validated as passive detection tools and analyzed by gas chromatography–mass spectrometry. Air concentrations were compared to dust and carpet concentrations reported elsewhere. Partitioning between PE sheets of different thicknesses suggested that interactions of the PEs with the compounds are occurring …

Human Centeredness: The Foundation For Leadership-As-Practice In Complex Local/Regional Food Networks, Maryann Martinez

Antioch University Dissertations & Theses

Our local and regional food systems are predominately modeled on a failed capitalist market-based economy. In the absence of corporate accountability, and/or support on the federal policy level, local and regional leadership and self-organized networks are critical to the scaling across and evolution of a moral and equitable food system. Networked food systems leaders are developing the capacity to solve wicked problems, and spark change. Understanding the values and practices of local food systems leadership that initiate, influence, and support activities is essential to understanding how to foster conditions for local and regional food network growth. My dissertation research is …

Decolonizing Food Systems Research – The Case Of Household Agricultural Food Access In Bikotiba, Togo, Katryna Maria Kibler

Antioch University Dissertations & Theses

Indigenous West African farmers are among the most climate change threatened globally. Food insecurity is prevalent in West Africa because ecological, social, political, and economic instabilities, and globalization worsen climate pressures. In this study, I collaborated with the community of Bikotiba (bih-CO-ti-buh), Togo, to understand their household agricultural food access, one aspect of resilience to food insecurity. I adopted a feminist approach of reflexivity, radical vulnerability, and radical empathy, combined with decolonizing principles, to argue that there could be an ethical way for well-trained Western researchers to engage Indigenous communities, if negotiated carefully. Together, Indigenous Research Assistants and I developed …

Building Urban Resilience In New York City, Eliseo Magsambol Cubol

Antioch University Dissertations & Theses

Existing research shows that cities around the world are now turning to urban resilience as a new approach to governing the urban climate challenges because of the increasing exposure of vulnerable populations and critical infrastructures in coastal cities and communities to extreme weather events. However, there is limited scholarly understanding about how cities and urban regions overcome challenges to the implementation of urban resilience. In particular, little research has focused on local stakeholder perspectives on urban resilience, which can offer valuable insights to help cities and urban regions address these challenges. To better understand stakeholder perspectives, this dissertation shares the …

Experience Of Gender Role Expectations And Negotiation In Second Generation Desi Couples, Deepa Patel

Antioch University Dissertations & Theses

Due to the lack of research on the Desi community, this qualitative study was the first of its kind to investigate the process of gender role expectation and negotiation style among second generation Desi couples. Previous research provided awareness of unequal treatment amongst the male and female genders within the patriarchal structure of the Desi community. However, this study provided a unique understanding on Desi couples’ perspective on gender dynamics. Six couples, ages 25- 35, who were married for at least 3 years and identified as second generation Desi were interviewed in order to gain a deeper understanding of gender …

Surviving Heatwaves: Thermal Experience Predicts Life And Death In A Southern Ocean Diatom, Toby Samuels, Tatiana A. Rynearson, Sinéad Collins

Graduate School of Oceanography Faculty Publications

Extreme environmental fluctuations such as marine heatwaves (MHWs) can have devastating effects on ecosystem health and functioning through rapid population declines and destabilization of trophic interactions. However, recent studies have highlighted that population tolerance to MHWs is variable, with some populations even benefitting from MHWs. A number of factors can explain variation in responses between populations including their genetic variation, previous thermal experience and the cumulative heatwave intensity (°C d) of the heatwave itself. We disentangle the contributions of these factors on population mortality and post-heatwave growth rates by experimentally simulating heatwaves (7.5 or 9.2°C, for up to 9 days) …

Higher Education's Immunity To Change: Understanding How Leaders Make Meaning Of Their Student Success Landscape, Brittany Motley

Antioch University Dissertations & Theses

Closing equity gaps in the higher education sector is a long-standing issue. This issue has become exacerbated with the impact of COVID-19 and racial injustices happening across America. Now more than ever it has become imperative to use participatory action research to understand how leaders make meaning of their student success landscape and use that meaning to influence their strategic action for equity. I engaged two student success stakeholders from one university as co-researchers to help identify a problem in practice as it relates to equity gaps in student success. We used a modified approach to immunity to change (ITC) …

Should The U.S. Government Actively Assert Its Own Patents?, Christopher J. Morten, Barry Datlof, Amy Kapczynski, Donna Meuth, Zain Rizvi

Faculty Scholarship

On March 10, 2021, our journal partnered with the Engelberg Center on Innovation Law and Policy to host a symposium addressing the role and impact of U.S. innovation policy on access to medicine. Our 2021 Symposium Issue — Volume 11, Issue 1 — captures that event.

The following article represents the second of four panels. This panel asked, “Should the U.S. government actively assert its own patents?” The panel was moderated by Christopher Morten, Deputy Director of NYU Law’s Technology Law & Policy Clinic. The panelists included Barry Datlof, Chief of Business Development and Commercialization in the Office of Medical …

The Lie Of Pandemic Pivot And Essential Work, Alexandra Crampton

Social and Cultural Sciences Faculty Research and Publications

My emotional responses to this moment include feelings of anger, hope, and déjà vu. Although the scope and scale of this pandemic is unprecedented in our lifetimes, what has been especially hard is not necessarily new – nor entirely unprecedented – and therefore unavoidable. In this essay, I reflect on what was avoidable and call for better response. We must question the seemingly benign (if not optimistic) terms emerging as pandemic discourse, such as “pivot to a new normal” and “essential work,” for what they reveal of social injustice and failure to avert future crisis.

Dangerous Women/Women In Danger: Gendered Impacts Of The September 11th Attacks, Louise Cainkar

Social and Cultural Sciences Faculty Research and Publications

VERBAL AND PHYSICAL EXPRESSIONS of public animosity toward Arab and Muslim Americans surged in the United States in the first months after the attacks on September 11, 2001 (9/11), and then quelled to highly varying degrees afterward, depending on place (Levin 2017). This pattern was unlike punitive government actions, which continued nationwide at high levels for years (see Cainkar 2009). My ethnographic and sociological study of the impacts of 9/11 on Muslim Arabs in metropolitan Chicago, involving field research conducted between 2002 and 2005 and in-depth interviews with 102 Arab Muslims (45 percent of whom were women), found that women …

Cryptic Metabolisms In Anoxic Subseafloor Sediment, Arkadiy I. Garber, Gustavo A. Ramírez, Sean M. Mcallister, William Orsi, Steven D'Hondt

Graduate School of Oceanography Faculty Publications

Microbial gene expression in anoxic subseafloor sediment was recently explored in the Baltic Sea and the Peru Margin. Our analysis of these data reveals diverse transcripts encoding proteins associated with neutralization of reactive oxygen species, including catalase, which may provide an in situ source of oxygen. We also detect transcripts associated with oxidation of iron and sulfur, and with reduction of arsenate, selenate and nitrate. Given limited input of electron acceptors from outside the system, these results suggest that the microbial communities use an unexpectedly diverse variety of electron acceptors. Products of water radiolysis and their interactions with sediment continuously …

Disadvantaged Unincorporated Communities And The Struggle For Water Justice In California, Jonathan K. London, Amanda L. Fencl, Sara Watterson, Yasmina Choueiri, Phoebe Seaton, Jennifer Jarin, Mia Dawson, Alfonso Aranda, Aaron King, Peter Nguyen, Camille Pannu, Laurel Firestone, Colin Bailey

Faculty Scholarship

This article maps a meshwork of formal and informal elements of places called Disadvantaged Unincorporated Communities (DUCs) to understand the role of informality in producing unjust access to safe drinking water in California’s San Joaquin Valley. It examines the spatial, racial, and class-based dimensions of informality. The paper aims to both enrich the literature on informality studies and use the concept of informality to expand research on DUCs and water access. We use socio-spatial analyses of the relationships between informality and water justice to reach the following conclusions: DUCs face severe problems in access to safe drinking water; disparities in …

Letter To Council Members Regarding Council Draft 5, Jane C. Ginsburg, June M. Besek

Faculty Scholarship

We understand that the ALI Council will consider Council Draft 5 (CD5) of the Restatement of the Law, Copyright (Copyright Restatement) project at its meeting on January 20-21, 2021. We appreciate the opportunity to provide comments on CD5. We hope that you will give careful consideration to these comments and send CD5 back to the Reporters to address the problems we describe below.

Corporate Finance For Social Good, Dorothy S. Lund

Faculty Scholarship

Corporations are under pressure to use their outsized power to benefit society, but this advocacy is unlikely to result in meaningful change because corporate law’s incentive structure rewards fiduciaries who maximize shareholder wealth. Therefore, this Essay proposes a way forward that works within the wealth-maximization framework and yet could result in dramatic social change. The idea is simple: Use private debt markets to provide incentives for public-interested corporate action. Specifically, individuals who value prosocial corporate decisions could finance them by contributing to corporate social responsibility (CSR) bonds that would offset the corporation’s implementation costs. To provide an incentive to depart …

Microbiopsy Sampling For Examining Age-Related Differences In Skeletal Muscle Fiber Morphology And Composition, Garrett Hester, Trisha Vandusseldorp, Phuong L. Ha, Kaveh Kiani, Alex A. Olmos, Melody Jabbari, Shania Kalladanthyil, Soobin An, Alyssa R. Bailly, Benjamin E. Dalton, Anton Bryantsev

Faculty Articles

The increasingly popular microbiopsy is an appealing alternative to the more invasive Bergström biopsy given the challenges associated with harvesting skeletal muscle in older populations. Parameters of muscle fiber morphology and composition derived from the microbiopsy have not been compared between young and older adults. The purpose of this study was to examine muscle fiber morphology and composition in young (YM) and older (OM) males using the microbiopsy sampling technique. A secondary aim was to determine if specific strength is associated with serum levels of C-terminal agrin fragment [CAF; an indicator of neuromuscular junction (NMJ) degradation]. Thirty healthy, YM ( …

Disability Admin: The Invisible Costs Of Being Disabled, Elizabeth F. Emens

Faculty Scholarship

This Essay comes in five parts. After this Introduction, Part I begins by briefly sketching the concept of life admin and setting out the understanding of disability that informs the ADA. Part II demonstrates the special burdens that admin places on people with disabilities and uses this argument to refine the social model of disability and clarify its implications. This theoretical insight lays the groundwork for Part III to fill a gap in the analysis of “reasonable” accommodation under Title I. This Part shows that, although courts have set out a cost-benefit analysis as the framework for determining the “reasonableness” …

Populist Prosecutorial Nullification, Kerrel Murray

Faculty Scholarship

No one doubts that prosecutors may sometimes decline prosecution notwithstanding factual guilt. Everyone expects prosecutors to prioritize enforcement based on resource limitation and, occasionally, to decline prosecution on a case-by-case basis when they deem justice requires it. Recently, however, some state prosecutors have gone further, asserting the right to refuse categorically to enforce certain state laws. Examples include refusals to seek the death penalty and refusals to prosecute prostitution or recreational drug use. When may a single actor render inert her state’s democratically enacted law in this way? If the answer is anything other than “never,” the vast reach of …

Regulating Antitrust Through Trade Agreements, Anu Bradford, Adam S. Chilton

Faculty Scholarship

Antitrust law is one of the most commonly deployed instruments of economic regulation around the world. To date, over 130 countries have adopted a domestic antitrust law. These countries comprise developed and developing nations alike, and combined produce over 95 percent of the world’s GDP. Most of the countries that have adopted an antitrust law have done so since 1990. This period of significant proliferation of antitrust laws also coincides with a notable expansion of international trade agreements, including the creation of the World Trade Organization (WTO) in 1995 and the negotiation of numerous bilateral and multilateral trade agreements. These …

Trading Pharma Goods The Wto Legal Framework, Neeraj Rajan Sabitha, Petros C. Mavroidis

Faculty Scholarship

Trading of pharma goods has attracted widespread global attention in the wake of the COVID-19 pandemic. The Agreement on Trade in Pharmaceutical Products (“Pharma Agreement”) – a sectoral agreement between a handful of WTO members – was concluded in 1994 and aimed to eliminate duties on various pharmaceutical products. Nevertheless, this is all that the Pharma Agreement does: it eliminates duties and does not touch upon the regulatory aspects relating to marketing of pharmaceutical goods. WTO members remain sovereign to decide on this score, but must observe the WTO Licensing Agreement as well as nondiscrimination. Thus, while the intensity of …

Biometric Analysis Of Emotional Responses And Cognitive Effort To Stimuli In Euhydrated Versus Hypohydrated States, Chase Castleberry

Electronic Theses and Dissertations

The purpose of this study was to examine the effects that hydration status, euhydrated versus hypohydrated, has on emotional responses and the intensity of these responses to three separate stimuli of a carbohydrate-electrolyte drink. Six male participants provided informed consent for participation. During a single trial of a walking dehydration exercise in an environmental chamber at 35℃, participants viewed three stimuli, pre and post exercise, consisting of a video commercial, three still images, and live viewing of a carbohydrate-electrolyte drink while reporting perceptual measures. Arousal and feeling states decreased from 3.89 to 2.50 and 3.83 to 2.17 (p = 0.02, …

Emerging State-Level Environmental Justice Laws, Michael B. Gerrard, Edward Mctiernan

Faculty Scholarship

Environmental justice (EJ) has grown in prominence in the political discourse in the last several years While most of the attention has gone to federal actions, several states have just adopted their own laws to advance EJ.

The basic idea behind EJ is that disadvantaged communities should not be disproportionately exposed to environmental hazards, that these communities should have a say in the actions that affect their environment, and that the environmental laws should be vigorously enforced there.