Digital Commons Network^™

Clinical Practice Guideline On Reducing Catheter -Associated Urinary Tract Infections (Cautis), Nkechi Christiana Udah

Walden Dissertations and Doctoral Studies

The project was a clinical practice guideline (CPG) for early catheter removal to prevent catheter-associated urinary tract infections (CAUTIs). At the project site, the practice gap was the surgical nurses’ nonadherence to clinical guidelines for reducing CAUTIs. This gap resulted in inconsistent catheter care practices and delays in catheter removal. The purpose of this CPG was to enhance surgical nurses’ knowledge and adherence to clinical guidelines for reducing CAUTI rates. The following practice-focused question guided the project: In hospitalized patients in acute care settings, does early removal of the urinary catheter compared to leaving the catheter until discharge reduce the …

Strategies Used By Psychiatric Hospital Directors To Reduce Readmission Rates, Increase Revenue And Improve Patient Outcomes, K'Chinwe Blanche Marie Ezeokoli

Walden Dissertations and Doctoral Studies

High psychiatric hospital readmission rates threaten patient stability, strain hospital finances, and reduce community wellbeing. Psychiatric hospital leaders need effective strategies to lower readmissions. Grounded in complex adaptive systems theory and the balanced scorecard framework, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies used by psychiatric hospital directors to reduce readmission rates, increase revenue, and improve patient outcomes. The participants were seven psychiatric hospital directors who had implemented strategies for reduced readmission rates. Data were collected through semistructured interviews and relevant public documents. Using thematic analysis, five themes were identified: (a) establish a …

Effective Strategies Hawaiian Food Truck Owners Use To Sustain Their Businesses, Eric J. Harring

Walden Dissertations and Doctoral Studies

Food trucks are popular choices for consumers seeking diverse cuisines and unique dining experiences, but running a successful food truck business presents significant challenges, including fluctuating customer preferences, regulatory hurdles, and intense competition. Addressing these obstacles is crucial for food truck owners to ensure the long-term viability of their enterprises. Grounded in contingency theory, the purpose of this qualitative pragmatic inquiry research project was to explore the strategies employed by food truck owners to overcome these challenges and foster sustainable growth. The participants were six business owners of Hawaiian food trucks who sustained their businesses for at least three years. …

Introduction To The Special Issue, “Forgiveness Education Around The World: Considerations, Benefits, And Approaches”, Suzanne Freedman

Faculty Publications

No abstract provided.

155 Linden Llc V. Washington

All Decisions

In this nonpayment proceeding, the tenant moved for leave to amend their answer and for summary judgment on affirmative defenses under Multiple Dwelling Law (MDL) §§ 301 and 302. The court granted leave to amend and then granted summary judgment to the tenant. It was undisputed that the building had sixteen open Department of Building (DOB) violations and partial vacate orders for unauthorized conversion of commercial space into apartments, which contravened the certificate of occupancy. Citing *Chazon, LLC v. Maugeneset*, the court held that these violations precluded the landlord from collecting rent, regardless of whether the tenant's specific unit was …

Educational Policies Committee Minutes December 4, 2025, Utah State University

Educational Policies Committee

• Approval of Minutes - November 6, 2025
• Subcommittee Reports
• Curriculum Subcommittee
• Program Proposals
• Academic Standards Subcommittee
• General Education Subcommittee
• Center for Civic Excellence
• Other Business
• Adjourn: 3:25 pm

Perceptions Of Stress And Coping Strategies Of Generation Z Nursing Students In The Clinical Setting, Elizabeth Hammond-Ritschard

Biennial Convention (CONV)

The clinical learning environment is very stressful for student nurses, especially among undergraduate Generation Z nursing students. Faced with higher expectations, and perfectionism, Generation Z has been labeled the Anxious Generation. There are mounting concerns with nursing students’ ability to cope and handle stressful situations in the clinical setting. Stress negatively impacts student nurses in the clinical environment. Students often experience anxiety, fear, and an inability to effectively appraise and apply effective coping strategies. The inability to cope with stressors in the clinical setting may lead to inadequate problem-solving, resulting in poor student performance and possible harm to the patient. …

A Hospital Based Residency Program For Newly Arrived Internationally Educated Nurses To The Usa, Jaclynn Morgan, Torri Nicole Trojand

Biennial Convention (CONV)

Purpose: The purpose of this abstract and research is to establish the efficacy of a hospital-based nurse residency program for newly arrived internationally educated nurses to the United States.

Background: Healthcare institutions are recruiting Internationally educated nurses (IEN) to fill gaps in staffing (Spetz et al., 2013). Internationally educated nurses are coming from an entirely different country and healthcare system and are then placed into foreign clinical settings amongst a foreign culture and having to find their place within the culture at the same time (Rosenkoetter et al., 2017). Literature delineates that an approach to support IENs is needed to …

Developing A Waste-To-Energy Assessment Framework Integrating Engineering And Policy Dimensions Using A Triple Bottom Line Approach, Izech Brian O. Edwin, King Harold A. Recto

Electronics, Computer, and Communications Engineering Faculty Publications

The management of municipal solid waste (MSW) in swiftly urbanizing Philippine cities has emerged as a critical concern in both energy and governance. Dependence on landfills is approaching critical thresholds as disposal sites near saturation, transportation costs escalate, and host communities increasingly resist garbage transfers. In response, this study proposes a comprehensive Waste-to-Energy (WtE) assessment framework that integrates engineering evaluation with policy and stakeholder analysis to support sustainable decision- making.

Using Baguio City as a case study, the framework applies a Triple Bottom Line (TBL) approach to evaluate three waste management scenarios: (1) current landfill-dominated practices, (2) engineered landfill with …

Montana Kaimin, December 4, 2025, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Lay-Led Crisis Intervention Strategies In The Adult 3 Ministry Of First Baptist Dallas, Jeffrey Adams

Doctoral Dissertations and Projects

This DMIN action research project focused on the care, counsel, and advocacy lay leaders can provide to church members who experience a crisis. Due to the growing member-to-minister ratio at First Baptist Dallas, lay leaders can supplement the work of the ministers by providing frontline support. The problem is that most lay leaders within the church have limited training in crisis management outside their own life experiences. If lay leaders are equipped in biblical crisis management and intervention responses, then they will be able to provide guidance to church members in crisis. The qualitative research for this project was completed …

L.E.A.Ding Change To Prevent Workplace Violence, Rebekah Powers, Nancy Ornelas, Carol Boswell, Christina Ramdeo

Biennial Convention (CONV)

The purpose of this project was to enhance nurses’ knowledge and evaluate parts of the current workplace violence prevention program. Learning objective: participants will gain strategies to engage nurses in workplace violence prevention.

Healthcare workers are 5 times more likely to experience an injury from workplace violence than other professions. According to the Texas Center for Nursing Workforce Studies (TCNWS) 2022 employer Nurse Staffing Study: Workplace Violence Against Nurses survey workplace violence awareness training was the most common training provided. De-escalation training was cited as an effective workplace violence strategy (TCNWS, 2022).

As part of a comprehensive plan to implement …

A Concept Analysis Of Entrenched Toxic Cultures In Nursing Academia, Becky Good, Kristen Kirby, Karen J. Foli

Biennial Convention (CONV)

Introduction: Toxic cultures in nursing academia are environments characterized by incivility, bullying, and harassment, all concepts well defined in the literature (Beckmann et al., 2013; Clark, 2013; Fry & Schmer, 2021). While some toxic cultures can be addressed with targeted interventions, others are more widespread, established, and difficult to dismantle (Beitz & Beckmann, 2023; Clark & Ritter, 2018; Coates, 2024; Goldberg et al., 2013; Olsen et al., 2020). Specific data are scarce; however, as negative behaviors persist and intensify, we believe the unexplored phenomenon of entrenched toxic culture (ETC) emerges.

Purpose: This concept analysis aims to define ETCs in nursing …

Capacity Building For Mental Health Of Older Persons: A Participatory Action Research, Theresa Aragones Guino-O, Zorinna Macahis Luague, Uenavil Anne Empaces Junio, Evalyn Elardo Abalos

Biennial Convention (CONV)

There is a projected increase in the older population worldwide by 2050. This creates disconcerting implications in Philippine society, where a trend of elderly persons living alone and with minimal resources to meet their health maintenance and treatment needs is observed. These important concerns relate to mental health and need to be addressed through research-based interventions that are effective and sustainable. The aim of the study was to assess, implement, and evaluate socially and culturally acceptable interventions for the mental health of older persons together with the participants residing in Barangay Calindagan, Dumaguete City, Philippines. Participatory action research was chosen …

Adult From Heart To Sole: Screening And Early Identification Of Congenital Heart Disease, Tami L. Jakubowski, Simranjot Mann, Emma Cartnick, Sarah Curtis, Carole Kenner, Marina Boykova

Biennial Convention (CONV)

Introduction: This pilot study explores a non-invasive, low cost screening method for identification of congenital heart disease (CHD).

Methods: A survey was distributed via social media platforms(Facebook, LinkedIn, webpages). Study participants were asked if they have a CHD diagnosis, other health problems, and whether they have a specific crease on either or both feet. This study has been approved by the Institutional Review Board at The College of New Jersey and the Medical Advisory Board Research Committee of the Adult Congenital Heart Association.

Results: All study participants(n= 53) were over the age of 18 years, 69.6% were female (n=37), …

Examining The Influence Of Inlow’S Diabetic Foot Screen On Podiatry Referral Rates, Wendy A. Tiburcio Mateo

Biennial Convention (CONV)

Background: Implementing Inlow’s sixty-second-foot screening tool to increase the referral rate to podiatry in diabetic patients.

Methods: Assessing for foot abnormalities on diabetic patients using Inlow's tool

Results: 96% of the diabetic patients were referred to podiatry. Decreased complications in diabetic patients.

Conclusions: Inlow’s tool is reliable and valid. It proved to be effective in identifying foot abnormalities in diabetic patients, increasing the referral rate to podiatry.

Integrating Standardized Nursing Terminologies Into A Nursing Curriculum Conceptual Framework, Ana Choperena, Virginia La Rosa-Salas, Nuria Esandi-Larramendi, Mercedes Pérez-Díez Del Corral, Begoña Errasti-Ibarrondo, Sonsoles Martín-Pérez, Clara Cabrera-Moreno, Dorothy Jones

Biennial Convention (CONV)

Purpose: The aim of this work is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.
Data sources: Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.

Data synthesis: A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in …

Use Of Screening Tool For Pediatric Non-Accidental Trauma In A Rural Emergency Room Setting, Allison Louise Schroering, Ashley N. Carter, Mikel W. Hand

Biennial Convention (CONV)

Significance of problem: The rise in the number of pediatric patients seen for abuse is alarming.¹ More than 7 million reports for maltreatment were made to Child Protective Services in 2021.² Rates of reported abuse were 8.1 per 1000, with 16% of these identified as non-accidental trauma (NAT) and the greater incidence happening to those 1 year or younger.^3,4 One to two deaths per day are attributed to NAT in the US.⁵ System improvements in emergency rooms (ER) and hospitals, such as implementing screening tools or protocols, are crucial for early detection and prevention of NAT. …

Workplace Incivility And Its Impact On Vulnerability And Well-Being Of Nursing Faculty In Japan, Miwako Hoshi, Namiko Kawamura, Takumi Yoshino, Melissa Dyo

Biennial Convention (CONV)

Research Design: This research was a non-experimental descriptive study.

Subjects: A convenience sampling method was employed in this study, resulting in a total of 455 nursing faculty across Japan. The participants consisted of 52 males (10.4%) and 341 females (68.1%) with a mean age of 47.2 years (SD = 9.68). Regarding their academic positions, 94 were professors (18.8%), 68 were associate professors (13.6%), 82 were (senior) assistant professors (16.4%), 113 were (junior) assistant professors (22.6%), and 41 were research associates (8.2%).

Instruments: The survey form with open-ended questions to explore the experiences of workplace incivility such as faculty-to-faculty and …

Challenges And Difficulties Faced By Children With Special Healthcare Needs And Their Caregivers, Julia Dankanich

Biennial Convention (CONV)

Children and youth with special health care needs (CYSHCN) and children with medical complexity (CMC) encompass a broad spectrum of children with varying medical conditions and health care needs. They use a greater number of resources due to their higher level of specialty care visits, greater emergency department use, and higher rate of hospitalizations compared to children without special health care needs. The purpose of this literature review is to identify the caregivers of CYSHCN and CMC experiences and difficulties related to caring for their high-needs children. A literature search was conducted using the keywords children and youth with special …

Historical Review: More Than Two Decades Understanding The Genetic Architecture Of Hemostasis And Thrombosis, Maria Sabater-Lleal, Florian Thibord, Paul S De Vries, Jennifer Huffman, Alisa S Wolberg, Charles J Lowenstein, Alanna C Morrison, Andrew D Johnson, Nicholas L Smith

Faculty, Staff and Student Publications

From the beginning of the millennium and the development of genome-wide analyses, the technical advances and remarkable increase in research sample sizes have led to an escalating number of discoveries revealing genetic determinants of levels of the main factors regulating hemostasis and thrombosis and demonstrating a clear polygenic complex regulation of most coagulation factors. These discoveries have been useful to understand the biology underlying hemostasis regulation and to understand risk of associated thrombotic disease, such as venous thromboembolism, coronary artery disease, and ischemic stroke. In this historical review, we outline the main discoveries in genetic studies of coagulation factors (fibrinogen …

Bagelmania Holdings, Llc V. Rdh Interests, Inc. C/W 87901, 141 Nev. Adv. Op. 62 (Dec. 04, 2025), Miranda Romero

Nevada Supreme Court Summaries

Affidavit-of-merit and expert report requirements under NRS § 11.258 are satisfied under a single set of submissions where the complainants (1) file a joint complaint, (2) assert identical claims, and (3) represented by the same attorney.

First Mammography Screening Participation And Breast Cancer Incidence And Mortality, Forruk Ahmed, Anna Aleksyeyeva, Oman Balan, Ashley Hassang

Publications and Research

This population-based cohort study evaluated the long-term relationship between initial participation in mammography screening and subsequent breast cancer outcomes among approximately 432,000 women in Stockholm, Sweden. Women were invited to their first screening between 1991 and 2020 at ages 40 or 50 and followed for up to 25 years through national health registries. Overall, 32% did not attend their initial screening. Non-attenders were significantly less likely to participate in later screening rounds and were more likely to be diagnosed with advanced disease, showing 1.5-fold higher odds of stage III and more than 3.5-fold higher odds of stage IV breast cancer …

Through The Eyes Of Time, Shaneece Prince, Steven Indelicato

Publications and Research

Frames have been a staple throughout history, however in recent times, a trend of having multiple pairs of glasses opposed to one, life lasting pair, has emerged. As a result, frames have piled up in landfills contributing to the polluting of our environment. Through the analysis of previously recorded studies and statistics, conclusions of the eyewear industry's growing impact on society and the planet were formed.

Millions of frames are in constant circulation, studies show that up to 31% of spectacle wearers out of a group of 375, disposed of their eyewear in the trash. The lifespan of popular eyewear …

Place: Dwelling Within The Built And Natural Environments, Christine Gratia

Publications and Research

This study argues that “place” is not simply physical, it is actualized by the relationship between human beings and the environments they inhabit. This research will spotlight various philosophical theories that pertain to where humans do human activities, the ever evolving containers of socialization and how the external environment informs self-concept. This research narrows in on Edward Relph’s phenomenology of “place” and Martin Heidegger's concept of dwelling. Both concepts are defined as foundational structures of human existence which create an interdependent relationship between humans and the places we inhabit. From that relationship stems a responsibility of caretaking. Through a conceptual …

Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray

Walden Dissertations and Doctoral Studies

Voluntary employee attrition presents ongoing challenges for organizational leaders, particularly among employees whose workplace needs and preferences are unmet. The problem is that many leaders lack effective strategies to mitigate voluntary attrition, which negatively impacts productivity, morale, and overall organizational performance. Grounded in the job demands–resources model and wellness climate theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies leaders used to reduce voluntary employee attrition among employees who have access to workplace wellness programs. The participants were six organizational leaders from mid-sized and public-sector organizations who successfully mitigated voluntary attrition. Data were collected through semistructured …

The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig

Walden Dissertations and Doctoral Studies

Stress in the workplace results in substantial economic losses for U.S. organizations. The effects of perceived stress on reducing the job performance of first responders continue to be a concern for administrators in emergency response management. Grounded in self-efficacy theory, the purpose of this quantitative correlational study was to examine the moderating effects of self efficacy on the relationship between perceived stress and job performance among U.S. first responders. The sample comprised 78 men and 65 women (N = 143) from professional response agencies in the United States. They completed the Perceived Stress Scale, Endicott Work Productivity Scale, and the …

Substance Use Disorders, Trauma, And Women: A Phenomenological Study, Crystal E. H. Stephenson

Doctoral Dissertations and Projects

Substance use disorders (SUDs) do not discriminate who or how they impact individuals, families, or communities. Women impacted by SUDs face challenges such as lack of transportation, minimal family support, some of the women were triggered by co-ed groups, and childcare needs are just a few categories that prevent them from adhering to and engaging in treatment. This qualitative phenomenological study explored the lived experiences of eight women with substance use disorders and trauma. The participants were interviewed using a semi-structured guide that covered areas of their lives impacted by substance use disorders and trauma. Data was analyzed using methods …

A Phenomenology Study Of African American Male’S Perception Of Black Church Leadership, Eric Lewis

Doctoral Dissertations and Projects

Previous research has identified a gender disparity exists within the context of the Black Church. More specifically, the gender disparity focuses on the fact that there are more women than men in the context of the Black Church. The purpose of this phenomenological study was to explore the perceptions and attitudes that African American males have about Black Church leadership. In addition to this, to also identify if there is a congruence between the perceptions that Black males have about Black Church leadership and their level of engagement or non-engagement. The theory guiding this study is hermeneutic phenomenology, also known …

A Critical Comparative Analysis Of The Ecclesiologies Of Carl F. H. Henry And James H. Cone Through The Lens Of Social Consciousness: Towards A Liberative Ecclesiology, Phyllis D. Johnson

Doctoral Dissertations and Projects

The doctrine of the Church has remained a controversial and enigmatic topic for centuries. Since its inception, scholars have debated the doctrine of the Church, challenged its boundaries, and questioned its role in society. As contemporary society evolves, the Church encounters multifaceted challenges, compelling it to adapt while maintaining its spiritual mission. To address this concern, this study analyzes the ecclesiologies of Carl F. H. Henry and James H. Cone through the lens of social consciousness. A critical comparative analysis provides the most dynamic framework for examining these perspectives. By exploring probable theological points of convergence and divergence, this study …