Digital Commons Network^™

From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus

Master's Projects and Capstones

This quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project …

Beyond Compliance: How Targeted Education Improves Psychotropic Medication Documentation And Patient Safety In Skilled Nursing Facilities, Dyani Williams

Master's Projects and Capstones

Psychotropic medications are routinely prescribed in skilled nursing facilities to manage behavioral and psychological symptoms, but inadequate documentation poses risk to patient safety and leads to regulatory noncompliance. Objective: This project aimed to improve nursing staff knowledge and confidence in documenting psychotropic medication use in order to safeguard patient safety and follow Center for Medicare and Medicaid Services (CMS) guidelines. Aim: A targeted education session and standardized flowsheets were developed to enhance documentation adherence and staff confidence in psychotropic medication administration. Methods: To assess knowledge, comfort, and adherence to documentation standards a pre- and post-intervention survey were administered to nursing …

A Visual Nudge Toward Safer Skin: Reducing Hospital-Acquired Pressure Injuries (Hapi) At The Bedside, Iris Quach

Master's Projects and Capstones

Objective: With the increasing prevalence of hospital-acquired pressure injuries (HAPIs) among trauma patients at Highland Hospital, a quality improvement initiative was developed as a call to action. The overarching goal of this project was to design and implement a Quality Assurance and Performance Improvement (QAPI) intervention that was both feasible and cost-effective to address existing gaps and disparities during hospitalization at Highland Hospital, part of Alameda Health System in the Bay Area. Aim: The project aimed to evaluate whether a bedside visual cueing system could strengthen nursing compliance with pressure-injury prevention protocols and improve the consistency of communication among interdisciplinary …

Looking At Labels, Examining Values: Knowledge, Narrative, And Multilingualism In American Art Museums, Mary Mitchell

Masters Theses

Object labels are key components of the knowledge production networks in American museums. But despite their sustained use in the Western museum field since the late nineteenth century, museum labels are not frequently regarded as valuable sources in scholarship on museum history and practices. In this thesis, I reposition labels in art museums as objects of value that should be studied for their important role in producing and disseminating knowledge. What can we learn about art museums by looking closely at their labels—specifically about those institutions’ values? How do labels reveal the hierarchies of value that art museums construct between …

Factors Influencing The Re-Emergence Of Vaccine-Preventable Diseases Using The Social Ecological Model: A Scoping Review, Glenda Dorina Rodriguez Lenarduzzi

Master's Projects and Capstones

Abstract

Background.

Several factors contribute to the resurgence of vaccine-preventable diseases, affecting coverage rates and vaccine uptake during recent outbreaks. The pandemic has underscored how crucial it is to comprehend vaccine literacy, as this understanding influences people's perspectives and behaviors toward vaccination, particularly in their approaches to problem-solving and decision-making.

Objective.

The present study conducts a scoping review of research on the impact of vaccine literacy and vaccine uptake on the re-emergence of vaccine-preventable diseases in the United States, framed by the social ecological model (SEM).

Design.

PubMed and Google Scholar were utilized as online databases to identify papers published …

Shattering The Silence: The Path To Maternal Equity In Texas, Karah Renfroe

The Scholar: St. Mary's Law Review on Race and Social Justice

The Black maternal mortality crisis reflects the persistence of institutionalized racism embedded in the U.S. healthcare system. In Texas, Black women account for just 11% of births yet represent 31% of maternal deaths—a mortality rate more than twice that of their white counterparts. This staggering disparity has persisted, even as statewide initiatives have improved maternal outcomes for non-Black women. This Comment situates the current crisis within a broader historical continuum: from the coerced medical experimentation on enslaved Black women by figures such as J. Marion Sims, through the codified racism of the Jim Crow era, to present-day inequities ingrained in …

Loneliness And Support For Political Violence Within The United States, Kellen Downey

Political Science Student Papers and Posters

Although loneliness is a growing public health issue in the United States, its political effects remain understudied. This paper seeks to understand the relationship between loneliness and the support of political violence by utilizing the Chapman Survey of American Fears (CSAF Wave 11). This survey, which is a component of the 2025 Chapman Survey of American Fears, includes the three-item UCLA Loneliness Scale, as well as two separate items specifically measuring political violence. Using a national survey (N=1,015), I address the following questions: (1) Are lonely individuals more likely to support violence on political grounds? (2) Does strongly identifying with …

Fcf India, Arturo Torres Torres Landa, Rachel Lin-Peistrup

Miller Center Fellowship

Afforestation has critically emerged and been widely adopted for ecological restoration and climate change resilience in rural India.

There is a rise in carbon credit schemes and their integration of small farmers into global environmental markets; the relevance of such schemes, however, must not be measured solely by carbon returns. This research explores the larger social, economic, and cultural context of afforestation by conducting a mixed-methods analysis of tree-planting actions undertaken by FCF India, with special regard to the experiences of farmers in Assam. We seek to gauge whether such non-carbon aspects offer transparent and measurable channels of value, and …

RutopíA, Shivani Glynn, Emma Hardie

Miller Center Fellowship

To maximize the benefits of ecotourism and ensure its impacts are positive and sustainable over the long term, it is essential to have tools that accurately and transparently measure and evaluate these impacts. To maximize the benefits of ecotourism and ensure its impacts are positive and sustainable over the long term, it is essential to have tools that accurately and transparently measure and evaluate these impacts. Rutopía, a sustainable ecotourism company based in Mexico City, has developed an “Impact Score” tool intended to assess the social, environmental, and cultural effects of its community-based tourism experiences. During our time working onsite …

German Intern Advances Residential Decarbonization In Rural Minnesota, Communications And Marketing

Campus News Archive

No abstract provided.

Application Of Theoretical Frameworks To Maternal And Infant Nutrition Case Study Discussion Board, Tiffany Hylton

Teaching Repository of AI-Infused Learning

This assignment integrates AI into graduate-level maternal and infant nutrition coursework by requiring students to generate recommendations from an AI tool, then verify, analyze, and refine them using evidence-based resources and theoretical frameworks. The strategy emphasizes critical thinking, professional judgment, and ethical responsibility in applying AI within healthcare education.

Mental Health Literacy In Biology Graduate Teaching Assistants: Perception, Knowledge, And Training Needs In College Stem Education, Kanza Arshad, Ricardo Montoya, Nicole Scheuermann, Heather E. Bergan-Roller

Honors Capstones

College students experience a high prevalence of mental health challenges, and STEM students exhibit lower mental health literacy than students in other disciplines. Graduate Teaching Assistants (GTAs) play a crucial role in supporting undergraduate students, yet little is known about their mental health literacy (MHL) or how they navigate student disclosures in instructional settings. This preliminary study examines MHL among GTAs in biology, as well as their knowledge, perceptions, and training needs regarding MHL. We used semi-structured interviews and thematic analysis to examine how biology GTAs understand mental health, their responsibility related to student well-being, and what supports they identify …

Standardizing The Use Of The Sinc Screening Tool In A Rural Clinic, Madison Foss

DNP Projects

Unmet contraceptive need represents a persistent quality gap in rural primary care, where reproductive health discussions are often inconsistently addressed. A rural primary care clinic in Shelbyville, Tennessee lacked a standardized, evidence-based process for screening women of childbearing age (15–44 years) for contraceptive needs. This quality improvement project evaluated the feasibility and effectiveness of implementing the Self-Identified Need for Contraception (SINC) screening tool to support routine, patient-centered care. The SINC tool consists of a single validated question designed to identify patients who wish to discuss contraception or pregnancy prevention during clinical visits. Plan–Do–Study–Act cycles were used to integrate the tool …

Are We Leaving Donors Behind? An Evaluation Of Accessibility Of Higher Education Donor Webpages And Leadership Priorities, Lauren E. Baldwin

Electronic Theses & Dissertations

This study investigated the web accessibility and readability of U.S.-based nonprofit higher education institutions (HEIs) across the Foundation home, donation, and contact pages of selected websites. Utilizing a combination of manual verification and computer-automated analysis techniques, this study analyzes (n=101) institutional websites. Quantitative analysis reveals these webpages frequently contain WCAG 2.1 Level AA accessibility error types that are likely to affect the perceivability, operability, and understandability of the user’s experience, especially for individuals with disabilities or limited English proficiency. Further, these tests reveal significant differences by sector across multiple WCAG 2.1 Level AA accessibility error types, indicating that …

Suprasegmentals And Small Talk Skills: An Adult Esl/Efl Teacher Training And Curriculum Design, Katya Davida Landau

Master's Projects and Capstones

There is inadequate education and training for Adult ESL teachers on how to teach pronunciation, especially the essential suprasegmental feature of intonation. This leads to the perpetuated issue of lowered intelligibility amongst ESOL learners, which limits their opportunities in English-speaking settings. Through the provision of innovative curriculum and teacher training videos that share pedagogical content knowledge (PCK) on the subject of suprasegmental phonemes, these issues can be addressed.

Any curriculum developed to teach suprasegmentals must consider the role of creative and engaging activities to inspire learners, comprehensibility and intelligibility, embodied pronunciation techniques, and the impact of explicit, communicative, and task-based …

Love Culture, R. J. Mcdonald Jr.

Undergraduate B.F.A. Theses in Studio Art

No abstract provided.

The Parables Of Gammalot, Celique Williams

Undergraduate B.F.A. Theses in Studio Art

No abstract provided.

Subculture And Identity As An Escape From The Societal Norms Of Power Imbalance And Authoritative Abuse, Sarah Goldberg

Master's Theses

By definition, a “bolthole” is an animal’s escape or burrow; or, a person’s escape or place of refuge. It also connotes construction, building, even sculpture - relating proletarian materials to themes of working-class labor and the need for escape. Through sculpture, installation, drawing, and oil painting, Bolthole as a body of work examines power imbalance as a societal norm, and identity and subculture as a rejection of the influence of capitalist institutions. Animal symbolism is used in combination with figurative work and portraiture, directly comparing power imbalances between humans to those in nature; such as predator and prey, parent and …

Reflect: Glmc Building On 10-Years Of Global Leadership Mentoring Experience, Ellen B. Buckner, Tanya F. Lott, Brenda Owusu, Karen Morin, Khalilah M. Mccants

Biennial Convention (CONV)

Introduction: Sigma members reflect a caring culture to show desired change. Following Sigma’s initiation of Global Regions in 2011, a group of visionary Sigma leaders established the Global Leadership Mentoring Community (GLMC).¹

Purpose: The GLMC mentor-mentee relationships broaden nurses ability to reflect on personal and professional leadership growth. The vision of the GLMC is through successful mentoring, participants will enhance their confidence in their global nursing leadership, gaining greater cultural awareness of the issues challenging professional nursing and be personally enriched. This unique mentoring opportunity has demonstrated that global leadership mentoring can strengthen nurses in all settings and help …

December 12, 2025 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Showcasing Student Artwork In An Academic Library, Holly Gabriel, Jan Juliani

Collaborative Librarianship

In this paper, the collaborative efforts of a Government Documents Librarian, an Art Librarian, and an Emerging Media and Digital Arts Professor at a regional public university with a liberal arts focus are detailed. The collaborative project began as a way to celebrate the 70th anniversary of the university library's membership in the Federal Library Depository Program. The authors asked students in a graphic design class to each create a poster featuring a randomly assigned government agency to display in the library as part of the anniversary celebration. The professor and librarians framed the poster project as a real-world design …

How To Describe A Massacre? A Collaborative Metadata Justice Project, Bailey Hoffner, Eugene Albin, Jennifer Watson, Jay Shorten, Jacquelyn Slater Reese, Todd Fuller, Karie Antell

Collaborative Librarianship

Throughout the summer of 2020 and into the following fall, a cross-unit working group at the University of Oklahoma Libraries (OU Libraries) collaborated to compile and submit a proposal to change the Library of Congress Subject Heading (LCSH) Tulsa Race Riot, Tulsa, Okla., 1921 to Tulsa Race Massacre, Tulsa, Okla., 1921. The working group members situated this project in the context of the metadata justice movement, which seeks to correct problematic descriptions. They also see this proposal as part of the broader work undertaken over many decades by Tulsa activists and community leaders. This successful proposal required working group …

Archivist, Subject Librarian, And Education Faculty Collaboration: Co-Instruction In History Of Education Classes, Laura Cameron, Kara Flynn

Collaborative Librarianship

In many academic libraries, primary source instruction happens in a vacuum, and students don’t always make connections between the skills they learn in a primary source instruction session and skills they may have already learned in information literacy-focused library instruction that they have participated in previous courses. This case study describes the design and objectives of an instructional partnership formed between an Education & Engagement Archivist, Education Librarian, and History of Education professor at a public, four-year university. The Education & Engagement Archivist and Education Librarian worked in tandem to develop interconnected lesson plans, allowing the Education & Engagement Archivist …

The Syntax And Semantics Of Reciprocal Constructions In Chibarwe: A Lexical Mapping Account, Tendai Chirimaunga

Journal of Humanities and Social Sciences

Bantu languages have a robust structure, which is usually stated to be agglutinative, accommodates affixations of a wide range of morphemes both as prefixes (to the left of the root), as well suffixes (to the right of the root) before placing the terminal vowel. In their verbal morphology, the reciprocal is one of the many derivational affixes that have, however, not gained similar prominence as the study of the applicative and the causative construction. The thrust of this study is to investigate the syntax and semantics of reciprocal constructions in ChiBarwe, a marginalised cross-border language spoken in Zimbabwe and Mozambique. …

Effects Of Integrated Biological And Chemical Fertilization On Pecco And Banji Shoot Development In Tea Plants, Intan Ratna Dewi Anjarsari, Muhammad Raihan Abdillah Farros, Santi Rosniawaty

Jurnal Kultivasi

Tea productivity and quality are largely determined by shoot structure, particularly the balance between pecco shoots (tender buds and young leaves) and banji shoots (older, less productive shoots). Conventional reliance on inorganic fertilizers often enhances overall growth but does not necessarily improve shoot structure, while biofertilizers alone provide limited nutrient availability. This study aimed to evaluate the effects of combining microbial-based liquid biofertilizers with inorganic fertilizers on the structure of tea shoots. The experiment was carried out on seed-derived tea plants using a randomized block design with several fertilization treatments, including sole biofertilizer, sole inorganic fertilizer, and their combinations. The …

The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes

Walden Dissertations and Doctoral Studies

Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …

Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan

Walden Dissertations and Doctoral Studies

Scholarly literature has found that post-traumatic stress impacts first responders; however, little attention has been paid to how first responders learn resiliency through post-traumatic growth (PTG). The purpose of this hermeneutic phenomenological study was to explore a gap in the literature of first responders who learned resiliency through posttraumatic growth following a critical incident in the line of duty. The research study was grounded in Heidegger’s philosophy of hermeneutic phenomenology, guided by resiliency theory , and informed by post-traumatic growth theory. Seven first responders from multiple disciplines were invited to participate in semi-structured interviews designed to provide rich and reflective …

African American Small Business Success Strategies, Zena Foster

Walden Dissertations and Doctoral Studies

Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …

Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke

Walden Dissertations and Doctoral Studies

This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …

Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis

Walden Dissertations and Doctoral Studies

A lack of successful strategies can lead to a high failure rate among small businesses. Women small business owners often express concerns about identifying successful strategies, which research shows are a key predictor of business sustainability. Grounded in entrepreneurship theory and participative leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that some women small business entrepreneurs use to sustain their businesses beyond 5 years. The participants were five women small business owners from different sectors in the East Coast region of the United States who had sustained their businesses beyond 5 …