Digital Commons Network^™

The March Toward Indian Black Solidarity, Tara Marella Weber

Tapestries: Interwoven voices of local and global identities

This essay explores Indian Americans’ nuanced identity, privilege, and historical relationship to Black Americans. Today, Black and Indian American racial identities are often isolated from one another due to the effects of White Supremacy and Anti-Blackness within the Indian American diaspora. This paper assumes that complicity and conflict are not the end, but anti-racism and solidarity are possible within the diaspora. The paper will begin with a brief explanation of terms and phrases concerning my paper. I will attempt to answer two major research questions: What systems were put into place by White Supremacist Institutions to position Indian Americans as …

Vaccines On The Move And The War On Polio, Laura Muñoz-Blanc, Federico Fabio Frattini

Fondazione Eni Enrico Mattei Working Papers

The rising number of refugees and internally displaced people (IDPs) presents new challenges for vaccine distribution and the spread of diseases. How do forcibly displaced population inflows affect infectious diseases incidence in host communities? Can a policy intervention that vaccinates children during their migration mitigate the impacts? To answer these questions, we examine the Pakistani mass internal displacement from the conflict-affected Federally Administered Tribal Areas in 2008. Using a difference-in-differences approach, we compare new polio cases in districts near and far from the conflict zone before and after 2008. The spatial distribution of districts relative to the historical region of …

Full Issue: Fall 2024

DePaul Magazine

In DePaul Magazine's fall 2024 issue, DePaul’s new men’s basketball coach draws up plays for a revitalized hoops program, the DePaul Art Museum provides a home for marginalized artists and social justice, environmental sustainability initiatives cultivate community equity, and career changers get trained to teach in high-need public schools.

Stress And Trauma-Related Concerns Among Law Enforcement, James Hughes

Master of Arts in Human Services

Law enforcement personnel work in environments with routine exposure to high stress and trauma which can lead to increased risk for mental health conditions such as posttraumatic stress disorder (PTSD). The purpose of this study was to learn about the prevalence and effects of PTSD and related mental health issues among law enforcement (LE) officers and how psychological issues are managed within the LE system. An explanatory sequential mixed methods design strategy was used that involved collecting quantitative data first and then explaining the results with in-depth follow-up qualitative data. In the first quantitative phase of the study, data was …

Improving Nursing Deployment Readiness, George Mcenroe

Doctor of Nursing Practice (DNP) Projects

Improving Air Force Nursing Deployment Readiness

Abstract

Background. Air Force nurses must be prepared for deployment to support military missions on short notice. During deployments, they may be asked to practice in demanding and austere wartime environments. The required competencies for deployment include the care of multi-trauma patients, mass casualty care, and military-specific skills.

Problem. Air Force nurses are required to maintain an annual Comprehensive Medical Readiness Program (CMRP) checklist, a list of clinical skills based on their nursing specialty. Assessing and maintaining deployment readiness is an ongoing challenge. The Air Force does not currently use any …

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.

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 …

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 …

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 …

Black Mothering: Experiences Of Black Mothers In Safety Conversations With Black Sons, Theresa Libios

Walden Dissertations and Doctoral Studies

Black mothers raising Black sons in the United States face the immense challenge of preparing their Black sons for a society where police violence pose significant threats to their safety. The critical safety conversations, commonly referred to as "The Talk," highlight the need for culturally informed interventions to address the psychological toll on Black mothers. This study explored the lived experiences of Black mothers navigating these safety conversations, with the goal of fostering empathy and developing culturally competent mental health services. This qualitative hermeneutic phenomenological study, grounded in intersectionality theory, examined the interconnected influences of race, gender, and systemic oppression …

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 …

The Impact Of Positive-To-Negative Teacher Interaction Ratio On Student Performance, Naomi L. Phillips

Theses and Dissertations

Challenging behavior is a growing problem for teachers. Praise has been promoted as a positive strategy for addressing problem behavior. The ratio of praise-to-correction (positive-to-negative) may be important to the effectiveness of praise. A 4:1 ratio has been recommended as optimal to improve student performance. This ratio has never been experimentally tested. There is little known of the feasibility and social validity for maintaining a high positive-to-negative ratio. The purpose of this study was to evaluate the effect of a 4:1 positive-to-negative ratio (PNR) on problem behavior and academic performance of junior high students with an intellectual disability classification in …

Determinants Of Pediatric Tuberculosis In Dki Jakarta During The Covid-19 Pandemic, Chandrayani Simanjorang, Rana Zahra Raniyah Wangsawinangun, Ulya Qoulan Karima, Fajaria Nurcandra

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

The COVID-19 pandemic has affected the diagnosis and treatment of pediatric tuberculosis (TB), which can pose a public health burden if not properly treated. This study aims to find out the risk factors for pediatric TB. The design of this study was cross-sectional, using TB surveillance data extracted from maintenance cards of individuals who underwent TB screening in 2020–2022 at health facilities in DKI Jakarta. The independent variables in this study are age, gender, contact history, BCG immunization, and nutritional status. Logistic regression analysis was performed to identify factors associated with childhood TB after bivariate analysis using chi-square to determine …

Addressing Alcohol Use Disorder In The Outpatient Indigenous Health Clinic Setting, Kylie M. Timmerman

Doctor of Nursing Practice (DNP) Projects

Background: Alcohol use disorder disproportionately impacts American Indian and Alaska Native (AIAN) populations at higher rates of disease morbidity and mortality. In the primary care setting, few treatment resources are available to patients outside of medication-only options.

Local Problem: While the intervention site (rural Tribal Federally Qualified Health Center [FQHC]) was known to have a well-established medication-assisted treatment (MAT) program for opiate use disorder (OUD), the was a need for alcohol use disorder (AUD) resources.

Methods: A review of current evidence was conducted to explore best practices for addressing AUD in the AIAN outpatient clinic setting.

Intervention(s): A quality improvement …

A Comparison Of Discrete-Trial Techniques On Direct Service Provider Productivity, Mackenzie Mansel

Electronic Theses & Dissertations

Early intensive behavioral intervention (EIBI) is one way to remediate social deficits, skill detriments, and problematic behaviors of children diagnosed with ASD (e.g., Cohen et al., 2006; Lovaas, 1987; Smith, 2001; Waters et al., 2020). Effective EIBI includes fast-paced instruction, 35-40 average treatment hours a week, and an early age at the start of intervention (Lovaas, 1981). Positive outcomes of EIBI include fine and gross motor skill acquisition, placement in a typical education classroom, increased language, and decreased problematic behaviors (e.g., Cohen et al., 2006; Lovaas, 1987; Smith, 2001; Waters et al., 2020). One method of EIBI with very little …

Effects Of Mastery Criterion On Response Maintenance, Sydney Mcfall

Electronic Theses & Dissertations

Autism Spectrum Disorder (ASD) is characterized as having at least two deficits in areas of functioning such as impaired language development, impaired social development, and the presence of excessive or stereotyped repetitive behaviors or interests (Granpeesheh et. al., 2009). Early and intensive behavioral intervention (EIBI) is an evidence-based practice for remediating deficits in individuals with ASD (Love et. al., 2008). One important component of intensive intervention is defining the mastery criterion, or the point at which a skill has been learned to a sufficient level that allows for maintenance. Mastery criterion is necessary to progress intervention targets on a rapid …

Interleaving Practice: A Better Approach To Band Rehearsal Structure, Matthew Reimer

Electronic Theses & Dissertations

The purpose of this thesis is to identify the merits of a band rehearsal structure that incorporates elements of an interleaving schedule, whereby multiple items of a similar nature are rehearsed in a mixed fashion rather than in a blocked format where one task is completed before moving on to the next. The project looks at the current state of research related to interleaving in the study of the arts, potential obstacles, motivational strategies to increase student receptiveness, and specific examples of how to implement the research in an intermediate band rehearsal. Included are resources and strategies for pitch and …

Journey To Baby-Friendly Designation: Standardizing Infant Feeding Education, Jasmine Geronimo Ibay

Master's Projects and Capstones

Problem The influence of formula companies in hospitals has caused a decrease in national breastfeeding rates, increasing risks of adverse health outcomes among infants. In response, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) launched the Baby-Friendly Hospital Initiative (BFHI) in 1991 to support breastfeeding practices for infant development and eliminate commercial interests of formula companies from hospitals. Context The quality improvement (QI) project was conducted at Hospital A’s Birth Center, serving a diverse population of patients in the greater East Bay of Northern California. The microsystem has 24 labor beds, 13 antepartum beds, and 33 …

Improving Mood Scores With Social Robot Dog ‘Pupper’ In Pediatric Cardiovascular Patients, Alyssa Lopez

Master's Projects and Capstones

Objective Pediatric hospitalization has been shown to increase the risk of developmental delays, social isolation, and mental health disorders. Consequently, decreased happiness also results from hospitalization, leading to reduced motivation and less engagement in their care. Aim The aim of this project is to improve the mood of pediatric patients aged 3-25 years by 50% from the patient’s baseline level within one month, from October 16, 2024 to November 13, 2024, on a pediatric cardiac step down unit by utilizing a social robot dog to motivate patients in engaging in their care. Methods Twelve participants between the ages 4-18 years …

Falling Victim To The Beauty Algorithm, Niti Majethia

Capstones

As life on the internet becomes the new normal, the impact of social media becomes more pervasive and relentless. This story delves into how platforms like Instagram and TikTok can amplify the societal pressures on women to live up to an impossible beauty standard. Various experts weigh in on how this pressure affects women of all ages — from little girls to grown-up, established influencers. This timely narrative underscores the steep cost of society’s obsession with beauty as a measure of value and whether there is an escape to it at all.

How Will Ai Impact Knowledge Sharing Within Construction Clustering? Bringing Back The Conversation On Social Contagion Within Construction Clusters, Oluwasegun O. Seriki, Mark Mulville, Ruairi Hayden

Conference Papers

Construction clusters and innovation systems play a crucial role in enhancing competitiveness and fostering sustainable development in the construction sector. These clusters facilitate knowledge sharing, interactive learning, and collaborative innovation among firms, institutions, and other stakeholders. The success of construction clusters depends on numerous factors, including firm size, economic climate, and attitudes towards innovation. While some clusters transform into innovation systems by becoming tacit-knowledge intensive, there is not much data or investigation into how they may adapt to changing demands spurred by advances in artificial intelligence (AI). There is some preliminary research highlighting the lack of dispersed innovation networks within …

Stress Management Education Module For Nursing Students, Valentina Loreto-Ashley

Doctor of Nursing Practice (DNP) Projects

Abstract

Background. Stress refers to a state of mental tension caused by a difficult situation. Research indicates that stress negatively affects university students.

Problem. Researchers have found that 30% of undergraduate nursing students have symptoms of burnout resulting from an overaccumulation of stressors and 97.8% were at moderate risk for developing burnout.

Approach. An educational module consisting of a 15-minute YouTube videos was designed, developed, and implemented to increase awareness about stress, reduce feelings of anxiety, and identify integration potential of such a module in nursing education to promote student well-being. Participants completed an online survey before …

The Level Of Anxiety Associated With Coping Mechanisms In First Year Physician Assistant Students, Julianna Paczewski, Heidi Uvodich

Physician Assistant Capstones, 2020-current

No abstract provided.

Improving Compliance In Missed Visits Documentation, Ma Rosalie Felix

Master's Projects and Capstones

Problem: Within the South Bay Hospice Agency, documentation compliance for missed visits was 68% in the first quarter of 2024, when the national standard should be 100% according to the Centers for Medicare & Medicaid Services.

Context: Inadequate nurse documentation and communication between health professionals can lead to medical errors, poor team communication and suboptimal patient outcomes (Tasew et al., 2019). Therefore, the importance of documentation compliance is imperative. Hospice staff perform scheduled visits for terminally ill patients 1-2 times a week; however, a missed visit can occur when a patient declines it for a variety of reasons.

Interventions: The …

Interventions In Treating Ptsd As A Result Of Birth Trauma, Christine Marie Samatra-Montalvo

Master's Projects and Capstones

This paper explores the prevalence, causes, and consequences of PTSD resulting from childbirth, highlighting the need for effective intervention strategies. A systematic review of 25 studies encompassing cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), pharmacotherapy, and support groups was conducted to evaluate their effectiveness. Findings indicate that CBT and EMDR are the most promising treatments, with pharmacotherapy and support groups also providing substantial benefits. However, access to these interventions remains a challenge for certain populations. This paper underscores the importance of tailored, trauma-informed care and suggests that comprehensive maternal mental health programs can significantly improve outcomes for mothers …

Implementation Of A Daily Engagement System Board (Desb) To Improve Hospital Staff Communication, Catherine Villanueva

Master's Projects and Capstones

Implementation of a Quality Improvement (QI) project to help improve staff communication between shifts at an Inpatient Acute Psychiatric Unit was determined to be of immense need. This unit is part of a large acute medical hospital. Currently, the end of shift report consists of a verbal report along with a robust printed end of shift report consisting of shift related information. This printed end of shift report can have as many as seven to nine pages thus causing information overload and decreases prioritized patient information. Furthermore, missed information or too much information can be provided in the verbal shift …

Adolescent Suicide Prevention Techniques, Kaitlyn R. O’Malley

Honors Capstones

The purpose of this paper is to understand prevention techniques for adolescent suicide. Suicide is defined as death caused by injuring oneself with the intent to die. Suicide is the fourth leading cause of death among 15–29-year-olds (WHO). From 2021 to 2022, the number of suiciderelated deaths increased by 2.6%. 48,123 people died from suicide in 2021 alone. (CDC) From 2011-2021, 13% of high school girls tried to commit suicide, and 30% of them considered trying (Youth Risk Behavior Survey Data Summary and Trends Report: 2011–2021). Suicide is very preventable in society, which is why, with how many people try …