Digital Commons Network^™

Case Management For End-Stage Renal Disease Patients, Jamie L. Andrews

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Social determinants of health (SDOH) and health literacy directly impact adults with end-stage renal disease (ESRD) on hemodialysis (National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK], 2022; Ulrich, 2020). Adults with ESRD account for 1.5 million hospital admissions and 500,000 re-admissions within 30 days annually (NIDDK, 2022). Case management is essential in reducing re-admissions for adult ESRD patients, requiring abilities to identify factors affecting adult ESRD patients appropriately.

Methods: Therefore, an evidence-based practice (EBP) project using the IOWA Model framework was implemented to increase the knowledge base in identifying care and resources for ESRD patients for telephonic …

Guideline On The Education And Use Of The Cognitive Assessment And Care Planning Services Visit For Patients 65 And Older With Cognitive Impairment, Katherine J. Koonce

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction: The lack of education and use of the Cognitive Assessment and Care Planning Services (CACPS) visit creates a gap in care for Medicare patients over the age of 65 with cognitive impairment.

Methods: Recommendations were created from a robust collection of graded, evidence-based literature. The recommendations were presented to a set of stakeholders who rated each recommendation on a Likert scale from 1 (poor) to 4 (excellent).

Results: The twelve stakeholders agreed with the recommendations to support the education and use of the CACPS visit for Medicare patients 65 and older.

Conclusion: This guideline promotes provider education to investigate …

The Human Dimension Of “Home”, Robert A. Destro

Scholarly Articles

All societies provide a legal framework that protects the pivotal functions of home and family. None provide a clear legal definition of “home”. Nor, this article argues, can they. “Home” is a concept rooted in the lived experience of human persons. In this article, the second in a series, the author employs the “human dimension” [HDIM] concept, initially developed by the U.S. military and later adopted by the Organization for Security and Cooperation in Europe, as the lens through which one can examine the “human element” of human rights. The framework for this analysis is the “four clusters of value-types” …

Nursing News & Views - January 2025, Brenda Rocha Rn, Cno

Nursing Newsletters

Nursing News & Views - January 2025

Annual Report, 2024-2025, University Of Arkansas, Fayetteville. College Of Education And Health Professions

College of Education and Health Professions Annual Reports

No abstract provided.

Exploring The Barriers To The Implementation Of Acute Care Nurse Practitioner Roles, Madeline Wd Mcnulty

2025 Fall Honors Capstones Projects - Archive

Acute care nurse practitioners (ACNPs) are associated with improved patient outcomes and are among the fastest-growing professions in healthcare. However, this growth is accompanied by barriers to the ACNP role. Despite this expansion, limited research has examined these barriers or identified strategies to reduce them in acute care settings. Therefore, this study aimed to identify the obstacles to ACNP practice and to describe approaches to overcoming them. A qualitative descriptive design was employed. Twenty-one pioneering ACNPs participated in semi-structured interviews. Data were analyzed using the “Sort and Sift, Think and Shift” method. We identified nine themes in the study: four …

Kenyon Alumni Magazine - Winter 2025

Kenyon College Alumni Bulletin

No abstract provided.

From Insight To Experience Mapping Experiential Approaches To Cultivating Self-Awareness In Undergraduate Social Work Curricula, Georgianna E. Goff

Social Work Theses - Archive

This scoping review examines the current state of experiential learning methodologies used to increase self-awareness among undergraduate social work students. While the Council on Social Work Education (CSWE) emphasizes self-awareness as a core professional competency, the literature reveals a notable lack of a standardized, field-wide definition and a reliance on fragmented pedagogical approaches. This Review systematically analyzed nine empirical studies, mapping the key characteristics, theoretical frameworks, and teaching methods. The findings indicate that most studies used qualitative or mixed-methods designs, with a majority relying on Kolb’s and Dewey’s experiential learning theories to bridge the gap between classroom theory and professional …

Resveratrol Exerts Anti-Inflammatory Effects On Human Thp-1 Macrophages, Valeria B. Martinez

Chemistry & Biochemistry Theses - Archive

Inflammation is a natural biological response to harmful stimuli. It initiates a series of reactions that prompt defensive and curative mechanisms, ridding the body of offending agents and healing remaining injuries. Inflammation involves the intricate communication between cells, requiring complex signaling that mediates various pathways. This acute form of inflammation is vital for our survival, promoting a myriad of mechanisms that function to defend and heal. However, if this inflammatory response is not resolved, it results in a prolonged condition referred to as chronic inflammation. This persistent inflammatory state is incredibly harmful, damaging the host's healthy cells, tissues, and organs. …

Developing The Rural Older Adult Dementia Prevention-Health Behaviors (Road-Hb) Questionnaire: A Mixed Methods Approach To Instrument Development, Jessica Cassidy

Social Work Dissertations - Archive

Older adults living in rural communities are at heightened risk of dementia; however, preventative strategies can reduce these risks. To facilitate dementia prevention efforts in rural communities, this methodological study developed the Rural Older Adults Dementia prevention–Health Behaviors questionnaire (ROAD-HB) by applying a lifespan approach to the Health Belief Model (HBM). The questionnaire contained three embedded instruments and was constructed following a stage development design involving item pool processes with community and expert review panels. Convergent mixed methods were used to assess the ROAD-HB’s validity, including a pretest in 36 older adults from two rural Northeast Texas counties and cognitive …

Burnout Among Nurses In The United States, Faheem Ohri

Social Work Dissertations - Archive

Burnout is an exhausted state of the body, mind, and emotions, characterized by feelings of “depersonalization and reduced personal accomplishment” resulting from prolonged and continuous occupational stress. Burnout among nurses in the United States (U.S.) is a growing concern with significant implications for healthcare professionals and patient outcomes. Nurse burnout compromises patient safety and workforce stability, but pre-pandemic national correlates remain understudied. This dissertation examined employment settings and demographic correlates of burnout among U.S. nurses using the National Sample Survey of Registered Nurses (NSSRN) secondary datasets. Compared inpatient burnout odds pre-/post-pandemic using national twin surveys. Jackknife complex survey logistic regression …

Exploring A Collective Grief Experience In The U.S.: Qualitative Findings From Older Parents Whose Only Child Has Died, Yongqiang Zheng, Leslie Wuest, Jeongah Kim, Rebecca Rodriguez

Faculty Publications - College of Social Work

Despite its profound physical and mental health impacts, research on the loss of an only child in later life among older U.S. adults remains scarce. This phenomenological qualitative study explores the lived experiences and meanings older bereaved parents attribute to their loss. Data from 24 participants were collected through written narratives guided by structured questions, and online focus groups. Inductive thematic analysis revealed 6 themes: the enduring intensity of grief, significant secondary losses, feelings of isolation and alienation, the role of social support in coping, and spirituality and religion’s influence on their journey. By amplifying these parents’ voices, the study …

Inhibition Of Activin A Signaling Slows The Progression Of Barrett's Esophagus Induced Esophageal Adenocarcinoma, Lily A. Giardino

Graduate Thesis and Dissertation post-2024

In 2020, approximately 1.03 billion cases of Gastro-esophageal Reflux Disease (GERD) were reported worldwide, representing a significant global health burden. Chronic GERD is a potent initiator of Barrett’s Esophagus (BE), a precancerous condition in which the squamous epithelium is converted into columnar-like epithelium in the distal esophagus in response to reflux injury. Barrett’s Esophagus is the only known precursor to Esophageal Adenocarcinoma (EAC), a disease with a five-year survival rate of 21%. First line treatments focus on acid suppression and endoscopic mucosal resection but did not result in a decrease of EAC incidence highlighting the importance of new therapeutics. Previous …

Longitudinal Analysis Of Skilled Nursing Facilities Outcomes And Patient Populations And The Participation In The Bundled Payments For Care Improvement Model 3 Initiative, Adam Reres

Graduate Thesis and Dissertation post-2024

The Bundled Payments for Care Improvement Model 3 initiative was a pilot program that tested how post-acute care, particularly in skilled nursing facilities in attempts to improve efficiency in healthcare delivery using an alternative payment method called bundling.

This study explores how structural and performance characteristics of skilled nursing facilities relate to participation in BPCI Model 3 initiative, with particular attention to how these factors may influence outcomes, patient population, and participation decisions over time. By examining national data across two time points, the study aims to assess whether an alternative payment model can prompt changes in care delivery, patient …

2025-2026 Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2025-2026 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Representative National Survey On Drug Use During The Covid-19 Stay-At-Home Order In The Usa, Soo-Hoon Lee, Bernadette Cullen, Alidon Athey, Calliope Holingue, Michelle R. Kaufman, Paul Nestadt, Jack Samuels, Tracy Vannorsdall, Phillip Phan

Management Faculty Publications

Objectives This study explores the drug use behaviour in the US general population in the early days of the COVID-19 pandemic with a focus on the relationship between sociopsychological factors, mobility restrictions from March to June 2020 and mental health conditions.

Design A retrospective anonymous online survey representing a cross-section of the US population in 2020.

Setting A qualified panel of 500 000 Qualtrics participants stratified by gender, race, age and geographical region to represent the US population.

Participants 3340 participants voluntarily consented to respond.

Measures Outcome measure for illicit and non-medical use of prescription drugs based on the National …

Gait During Community Ambulation And Laboratory-Based Walking In People With Mild Traumatic Brain Injury, Prokopios Antonellis, Jae W. Lee, Peter C. Fino, Margaret M. Weightman, Siting Chen, Margaret Stojak, Mark E. Lester, Carrie W. Hoppes, Leland E. Dibble, Laurie A. King

Physical Therapy Faculty Publications

Background: Gait impairments are common in individuals with mild traumatic brain injury (mTBI), presenting in the acute phase and often persisting in subtle ways over time. Despite the prominence of laboratory gait evaluations, a comprehensive understanding of gait deficits post-mTBI necessitates the examination of various gait domains in real-world environments. Assessing gait during a community ambulation task (CAT) may capture real-world challenges and influence focused interventions or rehabilitation in individuals with mTBI.

Research Question: The aim of the study was to compare gait performance across independent gait domains in individuals with and without mTBI using wearable sensors during both the …

Behavioral Health Training For Integrated Behavioral Health: A Delphi Study, Nicholas Schmoyer, Lisa Corbin, Jessica Huffman, Gülşah Kemer

Counseling & Human Services Faculty Publications

Using a classical Delphi design, the authors used an interdisciplinary panel of behavioral health experts in integrated behavioral health (IBH) to identify foundational skills and knowledge counselor educators need to teach clinical mental health counselors for IBH practice. Eighty-eight statements were identified. Implications are provided for counseling and other behavioral health educators.

Whether To Offer Interventions At The End Of Life: What Physicians Consider And How Clinical Ethicists Can Help, Joelle Robertson-Preidler, Mikaela Kim, Sophia Fantus, Janet Malek

Faculty and Staff Publications

Background: Advances in life-prolonging technologies increasingly create dilemmas for physicians who must decide whether to offer various interventions to patients nearing the end of life. Clinical ethicists are often consulted to support physicians in making these complex decisions and can do so most effectively if they understand physicians' reasons for making recommendations in this context.

Methods: Semi-structured interviews were conducted with surgeons, nephrologists, intensivists, emergency physicians, and oncologists regarding the considerations they have used to make decisions about offering interventions for patients nearing the end of life. Interview transcripts were thematically analyzed.

Results: We identified six types of considerations physicians …

Protecting Older Adults Who Are Incarcerated: Does The 8th Amendment Work?, Jalayne J. Arias

Health Matrix: The Journal of Law-Medicine

Older adults in prison and within other carceral systems (i.e. jails, parole) are uniquely at risk for elder mistreatment. Emerging research has begun to consider the experiences of older adults within carceral settings, including aging in prison, chronic conditions and medical care, compassionate release, and end-of-life care. This research exposes evidence that prisons and other carceral settings lack resources and services for older adults. Given increased vulnerability and a lack of protective resources, older adults experiencing incarceration may experience disproportional rates and consequences of elder mistreatment. A public health approach to develop tools and resources that would prevent, detect, and …

Decision-Making Supports And Cognitive Decline, Rebekah Diller

Health Matrix: The Journal of Law-Medicine

For persons with a range of cognitive disabilities, supported decision-making, rooted in a human rights approach to disability, has emerged as a tool that permits them to make legally binding decisions and avoid guardianship. As supported decision-making policy has evolved in the United States, state statutes have primarily focused on formal agreements through which individuals can designate trusted supporters to assist in obtaining information, processing that information, and communicating a decision. This Article argues that supported decision-making has promise for preserving the autonomy of persons living with dementia, but that the model of a supported decisionmaking agreement embodied in the …

Undergraduate Curriculum Council Annual Report [2024-2025], East Tennessee State University

University Level Committee Year End Reports

No abstract provided.

2025 F1rst Look, Nova Southeastern University

First Look

No abstract provided.

Eastern Michigan University, Winter Commencement Program, December 14, 2025, Eastern Michigan University

Commencement Programs and Materials

No abstract provided.

Improve Your Library Performance With Improv, Esther Garcia, Joshua Wallace

Loex Conference Proceedings 2025

No abstract provided.

Riverside Methodist Hospital History, Ohiohealth

OhioHealth Hospital Histories

Riverside Methodist Hospital History from 1892 - present.

Know More Falling: Community-Based Fall Prevention, Edward R. Mcwithey

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The aging population is expected to grow to 2 billion worldwide by 2050 (Rosado et al., 2021). Aging is classified as a determinant risk factor for falls and fall-related injuries (Rosado et al., 2021). This capstone project aimed to promote understanding and address fall prevention in the older adult population with multiple stakeholders throughout the Dallas, Pennsylvania community. Project goals included developing community partnerships, providing education and addressing wellness and health equity among community-dwelling older adults through multifaceted interventions. The literature search yielded a synthesis and analysis of current evidence focused on community-based fall programming, adding to the body of …

Occupational Therapy In Caregiver Education And Dementia Care, Sophie Winter

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The doctoral capstone project addresses education on optimal care for individuals with dementia to increase occupational performance and limit excess disability through training sessions with caregivers. The community program created took place at a community memory care adult day program. The bulk of the project focuses on education for caregivers of those with dementia through creating educational handouts, practicing through trainings, and creating personally tailored activities for cognition maintenance and participation. Caregiver manuals were made to address caregiver burnout, education, and competency. The other major part of this capstone was program development assessing the needs of the population and creating …

Fp-25-24 Age Variation In The Refined Divorce Rate, 1990 & 2023, Krista K. Westrick-Payne

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Preserving Memories, Building Relationships, Jamie H. Cochran

Doctor of Nursing Practice Projects

Loneliness among adults aged 65 and older is a significant health concern linked to negative physical and mental outcomes, especially in rural communities. This DNP project implemented a 4-week scrapbooking intervention within a faith-based rural community in North Carolina to reduce feelings of loneliness. Guided by Watson’s Theory of Human Caring, participants engaged in collaborative arts activities designed to foster social connection and emotional expression. The potential results of this project are multifaceted, including improved social engagement, emotional well-being, and strengthened community bonds. The findings support integrating creative, relationship-centered strategies into community nursing practice to enhance well-being among older adults.