Digital Commons Network^™

Relevance, Works And Context Engineering, Michael K. Buckland, Wayne De Fremery

Proceedings from the Document Academy

Relevance is regarded as centrally important in documentation and information science but has resisted satisfactory definition. The literature presents vague, subjective descriptions and/or operational definitions based on untenable theoretical assumptions. The “work” is a similarly central and poorly defined concept in bibliographic theory and cataloguing. This short essay summarizes previous scholarship that reformulates concepts of relevance in information science as functions of use and works in bibliographic theory as useful sets of objects. Conceptual utility in both cataloging theory and information science is sought by developing descriptive models that attend to the positionality and temporality of “works” and “relevance” as …

Beyond The 'Idols Of The Marketplace': Managing Semantic Change In Research, Christopher B. Rauch, Hyung Wook Choi, Mat Kelly

Proceedings from the Document Academy

Semantic change refers to the process by which words acquire new meanings over time or in different contexts, particularly as they transition between disciplines. This shift in meaning, especially when words are adopted as terms in multiple academic areas, often leads to confusion and ambiguity. This study focuses on the terms "agent" and "ontology," tracing their semantic evolution over time and across disciplines to understand how their meanings differ between fields such as philosophy, law, and artificial intelligence. Drawing on insights from Boon and Van Baalen's metacognitive framework, the analysis demonstrates how understanding these differences can help prevent miscommunication.

Constructions Of Pertenencia Fluyente: Latinx Religious Placemaking Beyond Community & Belonging In The Midwest U.S., Karla García

Tapestries: Interwoven voices of local and global identities

How has the Latinx diaspora utilized the Catholic Church as a space to construct an environment of “home”? To answer this question, I draw upon five semi-structured ethnographic interviews conducted with parish members and leadership at the shared parish of San Miguel Arcángel, situated in the Upper Midwest. Understanding that community exists partly due to parish members' distinct methods of community cultivation over the last twenty years, I question if belonging inherently follows. Analysis of interview responses shows that community, belonging, and tensions coexist within the parish. Puerto Rican scholar Felix Padilla’s 1985 study utilizes the term “situational identity,” while …

Architectures Of Solidarity: The Worker Cooperative Movement In Chicago, Katherine Norquist

Tapestries: Interwoven voices of local and global identities

This article analyzes the worker cooperative landscape in Chicago, defining both the historical roots of the movement and the current barriers and supports faced by worker-owners. The paper takes two approaches. First, I compile existing research related to worker cooperatives, labor history, and the solidarity economy in order to trace the roots of Chicago's present-day worker cooperative landscape. Secondly, to more specifically delineate the supports and barriers currently encountered by worker co-ops, I conducted descriptive interviews with several members of Chicago-based cooperative incubation and worker rights organizations. Thematic analysis of their comments helped me to outline certain factors at play …

Controlling Knowledge And Critiquing Systems: The Florida Education System, Camille C. Samuel

Tapestries: Interwoven voices of local and global identities

This research paper analyzes the way white nationalism’s impact on the public education system particularly in the South [of the United States], specifically in Florida. The primary focus will involve the discussion pertaining to racial history and how it is taught. In order to effectively address this issue, we must compare the past to the present and how, unfortunately, history is repeating itself. The paper includes a deep dive into Florida’s state history as well as the personal experiences conducted through an interview of myself and my father, who was a student within the Florida public education system and has …

Contrasting Ideologies Of Schooling In The United States, Dalia Davidson

Tapestries: Interwoven voices of local and global identities

Schools can be a mirror of society and the drivers of social change (Durkheim 1951). The contrasting ideologies of reproducing and resisting social hierarchies shapes public schooling in the United States. Yet, teachers, administrators, and curriculum writers often take an ahistorical approach to solving inequalities in schools. For my paper, I used a historical analysis, literature review and my experience interning in public schools to contextualize the contrasting ideologies of schooling and the role they play in shaping current outcomes of public education. I argue that when students of color are struggling in school, teachers are conditioned to blame families …

Constructing The Communal Body: Literary Topographies Of Underclass And Working-Class Neighborhoods In Modern Osaka (1933-1960), Ran Wei

Arts & Sciences Electronic Theses and Dissertations

When literary scholars examine narratives about Osaka, they have largely focused on the relationship between Osaka and Tokyo or the representations of Osaka in the national imagination. The approach tends to neglect the role that minority groups play in creating Osaka as a city of local cosmopolitanism. Centering on how Osaka writers have represented four underclass and working-class neighborhoods in the city, this dissertation scrutinizes how the narratives complicate the images of Osaka constructed by the national government and challenge the official narrative of a homogeneous Japan. Despite Osaka’s changing position within the nation-state, its importance as a home for …

Improving Immunization Rates In Children Under Two Years Of Age In Linn County, Kansas Through Nursing Education, Heather L. Webber

Doctor of Nursing Practice Scholarly Project

Immunizations are one of the most beneficial preventive health measures available to children under two years of age. Failing to receive these preventative immunizations during these crucial years could result in the child developing serious diseases that may lead to long term disability or even be fatal. By increasing immunization rates, children will be more protected against common childhood diseases which will allow them to grow and thrive. The purpose of this scholarly project was to identify ways to improve vaccination rates in children under two years of age at specific clinics in Linn County, Kansas, using healthcare professional education. …

2024 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2024 commencement program. Commencement was on Friday, December 13, 2024.

Infant Mortality Data: Missing Pieces To Prevention In Lesotho, Jacinda Croissant

Master's Projects and Capstones

Lower-middle-income countries (LMICs) like Lesotho lack complete and quality infant mortality data. Without infant mortality data, it can be challenging to develop public health education, programming, and policies to address preventative infant deaths in specific populations (Rao et al., 2004). A literature review identified strategies to improve infant mortality data in LMICs. Through a community engagement model and digital storytelling, community members can gain awareness, begin an ongoing conversation about local public health issues, and participate in an improved data collection system. Infant mortality is often used as an indicator of health for a population; improved infant mortality data can …

Improving Health Equity: Integrating Mental Health Services Into Mobile Health Clinics For Unhoused And Low-Income Populations In The United States, Tiffany Lynn Wong

Master's Projects and Capstones

Mental health disparities among homeless and low-income populations in the United States highlight significant challenges in access and quality of care. This literature review explores the integration of mental health services into Mobile Health Clinics (MHCs) as a promising recommendation to address these disparities. I used various search engines, extracting 10 articles published from 2013 to 2023 focused on the U.S. MHCs show its effectiveness in improving healthcare access and quality of care, covering different services like mammography, reproductive health, COVID-19 testing, and diabetes care. Building on these successful models, this paper proposes extending MHCs to include mental health screenings, …

Reducing Heart Failure Readmissions Through Standardized Daily 1:1 Education, Neil R. Carlos

Master's Projects and Capstones

Problem: In 2023, a Northern California hospital's Cardiac Procedure Unit (CPU) admitted 100 heart failure patients, with 24 readmissions primarily due to inadequate self-management education. These admissions cost over $8.4 million, highlighting the urgent need for better patient education to reduce readmissions and healthcare expenses.

Context: A quality improvement initiative was launched in the CPU that handles pre- and post-cardiac care, including for heart failure patients. The unit's focus on urgent care and other priorities resulted in insufficient patient education regarding heart failure.

Intervention: From January to June 2024, the initiative implemented daily personalized teach-back education sessions on self-management. These …

Beat The Clock: Improving First Case On-Time Starts (Fcots) In The Ambulatory Surgery Unit (Asu), Myrna M. Bernardo

Master's Projects and Capstones

Abstract

Problem: A local Bay Area hospital Ambulatory Surgery Unit (ASU) strives to maintain the first case on-time starts (FCOTS) at 90%. Optimal FCOTS compliance enhances operating room (OR) efficiency, resource utilization, and patient outcomes. Data from January 2022 to December 2023 shows that ASU’s FCOTS remains at a monthly average rate of 67%. This project focuses on closing the 23% gap by achieving 73% FCOTS compliance in the first quarter to progressively achieve the unit 90% goal or higher.

Context: The five ASU ORs handle a daily volume of 25-35 cases. An interdisciplinary team conducted a root cause analysis …

Maternal Health Care In Rural South Africa: Risk Factors Impacting The High Maternal Mortality Rate, Ngozi Okemiri

Master's Projects and Capstones

Abstract

Objective: This paper examines the barriers that inhibit woman from accessing comprehensive maternal health care services in rural areas of South Africa.

Methods: I used multiple databases (PubMed and Google Scholar) to extract literature that explored the factors pertaining to maternal health service delivery and utilization, disparities, and perspectives. I identified 10 articles that met the inclusion criteria and utilized a qualitative, quantitative or mixed methods approach.

Key Findings: A thematic analysis determined that inequities in maternal health care services, inconsistent leadership and resources in district hospitals and low maternal health literacy among women in rural areas played a …

The Impact Of Adverse Childhood Experiences And Allostatic Load On Premature Birth Rates: A Literature Review, Roxane J. Scherek

Master's Projects and Capstones

This paper examines the relationship between Adverse Childhood Experiences (ACEs), allostatic load, and the likelihood of women giving birth prematurely in the United States and Canada. I searched multiple databases exploring this association, identifying nineteen articles published between 2004 and 2024. The literature highlights that racism and discrimination are a cause of chronic stress, and that this stress, and implicit bias, are both implicated in preterm birth. While ACEs scores have been found to be associated with preterm birth, the results for allostatic load are mixed. The results suggest that more attention should be paid to mitigating the stress associated …

Advancing Health Promotion In Older Adults Through An Education Technology Program, Cinthya Chavez

Master's Projects and Capstones

Problem Older adults often need a foundational understanding of technological use and how it may be utilized to enhance health promotion. Facility A needs to have a technology program to help residents learn and build upon technology use skills. Research suggests that a continuous technological program with continual support for participants can result in increased long-term use of technology which ultimately helps older adults live more independently with a higher quality of life. To address the problem at Facility A, a technology educational program with a focus on health promotion will be implemented to increase technology use and resident engagement. …

Optimizing Fall Prevention: A Quality Improvement Initiative To Enhance Documentation And Intervention Accuracy Using The Hester Davis Scale In Medical-Surgical Units, Kiana Conn, Brooklin Hunter-Johnson, Jashan Kahlon, Adrian Paz

Master's Projects and Capstones

Falls among hospitalized patients remain a critical safety concern, particularly in medical-surgical units caring for geriatric and oncology patients. This quality improvement project aimed to evaluate and address gaps in adherence to fall prevention protocols by utilizing the Hester Davis Scale (HDS) in two medical-surgical units at a large metropolitan hospital in Southern California. The project focused on auditing current practices to identify inconsistencies in documentation and intervention implementation, emphasizing areas such as bed alarm activation, fall risk signage placement, and armband use. Weekly audits were conducted from October 3 to October 29, 2024, to establish baseline data and inform …

Transforming Care: Elevating Oral Hygiene Compliance To Combat Nosocomial Aspiration Pneumonia In Adult Oncology Patients, Karina Larrea

Master's Projects and Capstones

Objective Aspiration pneumonia is a preventable, yet common complication in oncology patients undergoing chemotherapy, steered by suboptimal compliance with oral hygiene protocols and elevated susceptibility due to mucosal barrier injuries. Despite its major impact on healthcare costs and morbidity, compliance with evidence-based practices remains inadequate. Aim This project aimed to decrease nosocomial aspiration pneumonia rates from 1.5% to 1.3% by enhancing oral hygiene compliance from 41% to 70% over a 12-week period. Methods Proposed interventions included implementing paired oral hygiene order sets into electronic medical records, once-per-shift cues, staggered patient education sessions, and staff education on standardized protocols. Pre-intervention data …

Healing Words: The Power Of Patient-Centered Communication In Bedside Reports, Sin Yee Lai

Master's Projects and Capstones

Objective In the healthcare setting, using language that is not patient-centered can result in lower patient satisfaction, increased miscommunication, and heightened anxiety for patients. Hospital A currently lacks education on the use of patient-centered language within the peripartum mesosystem, despite being required to conduct bedside reports. Hospital A is an urban tertiary hospital in San Francisco, whose peripartum mesosystem is divided into two levels with a total of 35 beds. Aim The project aimed to increase patient satisfaction by implementing patient-centered language during bedside reports for peripartum nurses from 70% to 80% during labor and delivery (L&D) to postpartum (PP) …

Implementation Of A Food Security Program To Reduce Hypertension At A Primary Care Clinic, Maribel Ballesteros

Master's Projects and Capstones

The food security program aims to reduce hypertension and food insecurity by increasing access to fresh fruits and vegetables. Although food insecurity is a growing public health issue, the food security program experienced significantly low enrollment compared to projected values. The quality improvement project was conducted in an adult medicine department in a primary care clinic in San Francisco serving the Latinx community. To address the issue of low program enrollment, a comprehensive educational food security program flyer was developed containing program information, including frequently asked questions. The flyer aimed to increase program enrollments by increasing program education. Fifty flyers …

Optimizing Peripartum Bedside Reports Through Patient-Centered Communication, Harpreet Kaur

Master's Projects and Capstones

Abstract

Background Effective patient-centered communication (PCC) during bedside shift reports (BSR) is crucial in peripartum care, where patients face physical recovery and emotional adjustment. However, communication gaps during transitions from labor and delivery (L&D) to postpartum (PP) units can lead to patient dissatisfaction and misinterpretation of care instructions. Hospital A, an urban tertiary care medical center in San Francisco, operates a peripartum mesosystem across two floors with 35 dedicated beds. Aim The project aims to increase patient satisfaction by implementing patient-centered language in bedside reports for peripartum units from 70% to 80% for a three-week period. Methods Stakeholder engagement, a …

Travel English For Japanese Third Age Learners: A Communicative Model, Yoshiko Okamura

Master's Projects and Capstones

The goal of this curriculum project is to effectively develop the English communicative skills of a small group of Japanese third age English language learners. The term, third age learners (TALs), represents learners who are generally in their mid-60s through early 80s, retired, healthy, active, and motivated to learn something new. When it comes to English language learning strategies, one size does not fit all. An effective curriculum must be built on the theories and approaches that fit the specific needs of the target learners. The first three chapters of this project report describe the theories, approaches, and methods applied …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Delays In Care Due To Inaccessibility Of Essential Medical Items In Surgical Unit, Puleiaava Basil Thomsen

Master's Projects and Capstones

Abstract

Objective/Background

This project aims to establish efficient access to medical supplies in operating rooms, essential for timely patient care and preventing adverse outcomes, using evidence-based guidelines. Poorly stocked or disorganized pediatric anesthesia carts lead to safety risks, workflow disruptions, and unclear restocking responsibilities. Despite efforts to improve cart management at Hospital C, challenges persist, including inconsistent inventory practices, outdated systems, and a lack of baseline data for evaluation. Resolving these issues is critical to aligning the unit's practices with hospital-wide goals for efficiency and patient safety.

Aim

This quality improvement project aims to train 80% of anesthesia technicians in …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Evaluation Of Implementing Clinical Partnerships For Fourth Semester Bachelor Of Science In Nursing (Bsn) Students And Employers On Perception Of Readiness To Practice, Gwendolyn Kay Chrisenbery

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Gwendolyn K Chrisenbery MSN, APRN, FNP-C

Abstract

Today’s new graduate nurses are entering a complex and constantly evolving healthcare environment. Nursing education has not kept up with the changing environment, resulting in graduate nurses not being ready to practice at graduation. To better prepare graduate nurses for practice, education methods must evolve with the changing demands of healthcare (National Academies of Sciences, Engineering, and Medicine, 2021). Utilizing clinical partnerships between universities and healthcare facilities to provide clinical experience to Bachelor of Science in Nursing (BSN) students could provide opportunities for learning that better …

Decision Making And Performance Optimization In Distributed Cyber Physical Networks, Md Sahabul Hossain

Electrical and Computer Engineering ETDs

Cyber-Physical Systems (CPSs) integrate computation, networking, and physical processes, while Cyber-Physical Networks (CPNs) enable communication and coordination among components. With advances in IoT and smart devices, CPSs are increasingly vital for applications such as smart grids, industrial automation, and autonomous vehicles. This dissertation explores decision making and performance optimization in Distributed Cyber-Physical Networks (DCPNs), focusing on efficiency, reliability, decentralization, and security. Using network economic theories (e.g., game theory, contract theory) and machine learning (e.g., Reinforcement Learning, Federated Learning), it addresses key problems: 1) a cost-effective positioning system with Reconfigurable Intelligent Surfaces (RISs) and RL, 2) energy-efficient task offloading in Multi-access …

The San Francisco Cultural Districts Program: A Potential Answer To Fighting Gentrification And Uplifting Culture And Neighborhoods, Boston Rizal Palacios

Undergraduate Honors Theses

As San Francisco neighborhoods are rapidly changing due to gentrification and displacing longtime residents and small businesses, the San Francisco Cultural Districts Program was established in 2018 with the goal to disrupt gentrification by prioritizing the voices of people within these disinvested neighborhoods. Through analyzing government documents, news articles, and conducting personal interviews, I am conducting a hypothesis-generating, qualitative case study on one of the cultural districts, SOMA Pilipinas. This is to determine if the San Francisco Cultural Districts Program is an effective model in giving impacted communities more of a role in decisions about how to best protect their …

Stress, Screens, And Social Skills: Parental Stress As A Longitudinal Predictor Of Preschool Social Behavior Mediated By Parental Technoference, Sarah Ashby

Theses and Dissertations

This study examines the longitudinal relationship between parental stress, parental technoference, and preschool children's social behavior, including physical aggression, relational aggression, and prosocial behavior. Using data from Project M.E.D.I.A., the study explores how parental stress may be linked to disruptions in parent-child interactions through increased use of digital media, termed "technoference." It was predicted that an increase in parental stress would increase physical and relational aggression, and decrease prosocial behavior over time, as mediated by parental technoference. A sample of 460- parent-child dyads was analyzed across three time points using structural equation modeling. Despite expectations, results did not find significant …