Charting The Course: Improving Psychotropic Medication Documentation Through Staff Education To Promote Patient Safety And Cms Compliance, Anne J. Bertram Rn

Master's Projects and Capstones

The University of San Francisco master’s level nursing program culminates with a clinical nurse leader (CNL) quality improvement project. The objective of this project is to reinforce the program’s didactic CNL classes by allowing students the opportunity to design, implement, and analyze a quality improvement project in a microsystem. SETTING: Skilled nursing facilities often prescribe psychotropic medications to help manage residents’ behavioral and psychological symptoms. Due to the possibility of side effects and increased sedation, there are concerns for patient safety and quality of life. Inadequate management of these patients and symptoms compromises patient safety and breaches state and federal …

Improving Chemotherapy Patients' Confidence And Preparedness Through Dual-Format Teaching, Jasmine Esther Aminpour, Harshpreet Kaur, Ana Ruvalcaba, Sarah Muwanas

Master's Projects and Capstones

Section I: Abstract

Objective

Chemotherapy initiation is widely recognized as a period of heightened anxiety and cognitive overload for oncology patients, often limiting their ability to retain essential information during traditional one-time, nurse-led education sessions (Gucuyener & Karabacak, 2025; Howell et al., 2020). This quality improvement (QI) project sought to address gaps in comprehension, preparedness, and digital engagement within an outpatient oncology infusion microsystem by integrating evidence-based digital chemotherapy education with structured follow-up support.

Aim

The project aimed to determine whether a nurse-guided walkthrough of a digital chemotherapy education platform, paired with standardized follow-up calls, would improve patient comprehension, confidence …

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 …

Improving Doula Visibility And Integration In The Labor & Delivery Unit Through The Implementation Of Creative Standardized Visual Strategies, Ninna Alessandra Arcena Acebedo

Master's Projects and Capstones

Objective: The 22-bed, Labor and Delivery (L&D) unit lacks a standardized model to introduce doulas, clarify their scope of practice, or communicate the value of the services they provide. To address this gap, the team implemented a standardized doula awareness poster that included each doula’s name, photo, years of experience, and personal interests. Aim: The goal is to enhance visibility and promote integration of doula support to strengthen team collaboration and patient engagement. Methods: A pre- and post- implementation survey was distributed exclusively to the volunteer doulas. After the doula awareness poster was displayed for four weeks, …

Increasing Nursing Staff Confidence And Documentation Compliance For Psychotropic Medication Use, Ei Chit Paing

Master's Projects and Capstones

Objective: Psychotropic medications place a high risk for side effects such as confusion, dizziness, falls, and death in older adults above age 65 (Seifert et al., 2024). Educational training on appropriate psychotropic drug use to nursing staff is linked to a decrease in penalties (Jung et al., 2021), side effects, and an increase in staff knowledge in caring for patients with behavioral and psychological symptoms (Pinazo-Clapés et al, 2020). Aim: Facility A in Northern California is currently non-compliant with the Centers for Medicare and Medicaid Services (CMS) guidelines for appropriate psychotropic use due to limited staff understanding of regulations and …

An Axe To The Funny Bone: Curated Instability And Horror-Comedy Intersections In American Storytelling, Samantha Box

Masters Theses

Funny. Terrifying. Subversive.

Horror-Comedy twists and bites at the intersection of two incredibly reactive genres— with both Horror and Comedy being well known for the political and social discourses they embody and reinvent through story. While prevalent in American popular culture, scholarly analysis of this hybrid space barely exists beyond a small number of Film Studies investigations. Despite this lack, Horror-Comedy works continue to be successfully produced. This thesis unpacks the vibrant relationship between fear and laughter in contemporary American storytelling through Horror-Comedy, maintaining a focus on structural dynamics and the audience-disarming results of simultaneously applying horror and humor to …

Program Outcome Evaluation Of A Flexibly Structured Individual Outpatient Program For Severe Obsessive Compulsive Disorder In A Private Practice Setting, Jason R. David

Doctoral Dissertations

The current study is a quantitative program evaluation of the effectiveness private practice for treating obsessive compulsive disorder while incorporating multiple validated components to reduce common barriers of treatment access. There were three outcomes used to evaluate the first being the reduction in symptom severity across treatment, the second being the length of time in treatment before reduction can be seen, and the third being the rates completing treatment as agreed by therapist and participant. The current study was able to complete analysis for the first and third research question, and unable to answer the second. The first and primary …

Fayetteville State University Winter Commencement December 12, 2025, Fayetteville State University

Graduation Exhibit

Program for Fayetteville State University Winter Commencement December 12, 2025

Keynote Speaker: Dr. Monica Terrell Leach, Provost and Senior Vice Chancellor for Academic Affairs, Fayetteville State University

Trauma-Informed Advisement: An Examination Of Advisors’ Trauma-Informed Competencies And Responses, Alexis Jackson

Theses and Dissertations

Mental health issues are a problem among the college student population (Abrams, 2022; Andersen et al., 2021; Lipson et al., 2022; Liu et al., 2022), and trauma-informed care (TIC) strategies are being applied within higher education advising as a way to tackle student mental health problems (Bowie State University, 2025a; Meadows Mental Health Policy Institute & Hope Center for Student Basic Needs at Temple University, 2025; Olson & Sterk, 2024; Williams, 2025). However, few studies have examined TIC in the context of academic advising, particularly in the context of higher education. This dissertation aims to address this gap using a …

The Effects Of Bullying Victimization And Bullying Perpetration On Academic, Social, And Emotional Self-Efficacy Among Adolescents, Amber Crenshaw

Theses and Dissertations

Bullying remains a persistent challenge in schools and has been linked to diminished perceptions of capability across multiple domains. This quantitative, cross-sectional study examined how bullying victimization and bullying perpetration relate to domain-specific self-efficacy, academic, social, and emotional, among students in grades 4-12 in the southern United States. Students (N = 81) completed the Adolescent Peer Relations Instrument (APRI-BT) measuring victimization and perpetration across verbal, social, and physical behaviors. Students also completed the Self-Efficacy Questionnaire for Children (SEQ-C) measuring domain-specific self-efficacy. Analyses included descriptive statistics, internal consistency estimates, bivariate correlations, and hierarchical multiple regressions. Moderation by parental education and socioeconomic …

What Makes A Good Leader? Ms Lili: Mississippi Library Leadership Institute, Anita L. Winger

Theses and Dissertations

What is leadership? The goal of this research is to develop leaders, but what does that mean? It is true that leadership is needed at every level in an organization, and a leader does not need to be at the administrative level of the organization but can lead from any role and any level in the organization. Everyone has their own style of leadership that needs to be developed. The research explored different styles and theories of leadership and focused on implementing a Character Strength-based framework of leadership. Through this research, identified topics will be presented to participants in the …

Anxiety, Stress, And Depression As A Predictor Of Established Vaping Among High School Students, Autumn Schneider

Theses and Dissertations

Previous research has linked initiation of e-cigarette use with mental health but has not identified how mental health factors impact patterns of use of these products in adolescents. I tested the hypothesis that adolescents who report vaping to cope with stress, depression, and anxiety have more established patterns of use with data from the National Youth Tobacco Survey. Crosstabulations and logistic regression outcome measures included current use, intensity of use, and cumulative lifetime use. Reasons for initial and current use related to mental health were associated with current e-cigarette use, more intense use, and higher cumulative use. Mental health plays …

Understanding Acceptance Capacity And Intentions Of Mississippians To Participate In The Conservation And Management Of Black Bears In Mississippi, Basant Pant

Theses and Dissertations

This dissertation explores the acceptance capacity of Mississippians towards black bears (Ursus Americanus), and their intentions to participate in their conservation and management. It intends to bridge the theory and application of wildlife acceptance capacity among three main objectives. First, a systematic literature review of journal articles employing the Search, Appraisal, Synthesis and Analysis (SALSA) method revealed the development phase of Wildlife Acceptance Capacity (WAC)-conceptual phase (1988 -2000) and applied phase (post 2000), highlighting the strong scholarly collaboration among high human development index (HDI) countries with limited collaboration with the low HDI countries. Second, a mail survey of 4,080 Mississippi …

Effects Of Parenting And Differentiation Of Self On Career Identity Development In Emerging Adults, Benjamin Alexander

Theses and Dissertations

This work investigates how parenting styles relate to the development of career identity in emerging adults and whether differentiation of self helps explain those links. Using a two?manuscript format with a shared dataset of U.S. undergraduates (n =148), parenting behavior (i.e., warmth and control) was assessed alongside career identity constructs (career exploration and commitment); a second study added differentiation of self as a possible mediator of these relationships. Manuscript 1 examined whether parenting styles are associated with Marcia-based career identity outcomes. After deriving identity groupings consistent with achievement, foreclosure, moratorium, and diffusion, multinomial models indicated that more autonomy?supportive, high-warmth parenting …

Netflix And Kill: The Role Of True Crime Consumption In The Development Of Acquired Capability For Suicide, Chandler Jayne Mcdaniel

Theses and Dissertations

The Interpersonal-Psychological Theory of Suicide (IPTS) identifies acquired capability as a key factor contributing to suicidal behavior. Previous research has shown that violent media exposure can increase suicidal risk through desensitization, imitation, and trauma activation. However, little is known about the role of true crime consumption (TCC), a popular form of violent media engagement, in relation to IPTS constructs. This study examined whether TCC predicts acquired capability for suicide, perceived burdensomeness, and thwarted belongingness. A total of 215 participants were retained after data cleaning. Hypotheses predicted that higher TCC would be associated with higher acquired capability (H1), that TCC would …

Enhancing Leadership Development For Faculty And Staff At Community Colleges, Christopher L. Haralson

Theses and Dissertations

Community colleges serve as critical gateways to higher education and workforce advancement, yet many lack formal leadership development programs tailored to their unique missions and operational challenges. This capstone project explores the need for and proposes the design of a comprehensive leadership program for community colleges, addressing three guiding questions: (1) How can community colleges build institutional support for leadership development programs? (2) In what ways can leadership programs increase faculty and staff engagement to improve student success? (3) How can structured leadership programs serve as foundations for succession planning within college administration? A desk-based research methodology was employed, anchored …

‘Cog In The Machine’ Or Social Being? How Digital Communications Affect Social Capital Development In Higher Education Institution Workplaces., Daphne Abigail Knox

Theses and Dissertations

The purpose of this research is to investigate the impact of digital communications on social capital development within the workplace in public institutions of higher education. While previous literature recognizes the potential implications of the internet on areas like social capital (Putnam, 2000; 2020) and formal and informal communications in organizations (Simon, 1997), an in-depth understanding of how modern digital communications impact social capital development is still necessary to address the gap in literature and to analyze the impact of digital communications on the development of organizational social capital. The potential implications of this work on scholarly research include expanding …

Bridging The Gap: Enhancing Novice Teacher Retention Through Logistical And Administrative Support, Denise Fleurette Harrel

Theses and Dissertations

This project examines the challenges novice teachers encounter and how structured support systems impact their job satisfaction, effectiveness, and retention. The review focuses on administrative and logistical support, highlighting gaps between teacher preparation and classroom realities that contribute to high attrition (Falk, 2017; Koca, 2016). Key challenges include insufficient time management training, inconsistent expectations, and limited district or school-level support (Fantilli & McDougall, 2009), all of which are intensified by the demands of navigating modern classroom technologies (Philipsen et al., 2019). The literature review centers on teacher perceptions to clarify what constitutes effective logistical and administrative support (Banerjee et al., …

The Need For Policy Pathways To Phone-Free Schools: A Desk-Based Analysis For A Rural K-12 District, Kelsey Upton

Theses and Dissertations

This capstone project addresses the growing concern over mobile device use in secondary schools by analyzing the implications of implementing a comprehensive mobile device restriction policy. While many schools maintain cell phone policies, inconsistent enforcement reduces their effectiveness, leading to ongoing challenges such as decreased student attention, diminished face-to-face interactions, and increased mental health concerns. Guided by the Adapted Policy Analysis Triangle Framework, this study uses a qualitative, desk-based policy analysis approach to examine existing literature, district policy documents, and publicly available case studies of schools that enact mobile device restriction measures. The analysis evaluates how such policies are designed, …

Equity By Design: A North Glenn High School Equitable Practices Policy Guide, Kelli Andrews Jarrett

Theses and Dissertations

This capstone project addresses equity gaps in dual enrollment programs in Mississippi, with a focus on North Glenn High School, a pseudonym for a high-poverty rural school. While dual credit opportunities have expanded statewide, disparities remain for first-generation, low-income, and minority students. A significant barrier is Mississippi’s reliance on ACT benchmarks for eligibility, which disproportionately excludes marginalized groups. The study examines the potential of the Pre-ACT in grades 9 and 10 as an early diagnostic tool to identify readiness gaps and inform targeted interventions before students take the ACT. Grounded in Bronfenbrenner’s Ecological Systems Theory and the Dual Enrollment Equity …

Examining Relationships Among Teachers’ Perceptions Of School Climate And Culture And Their Sense Of School Belonging, Kimberly D. Lathan

Theses and Dissertations

The purpose of the study was to examine the relationships among teachers’ views of school climate and culture and their sense of belonging within a Mississippi school district. Using a quantitative survey research design, data were collected from 99 teachers during the 2024–2025 school year through the School Climate Survey and the School Belonging Scale Survey. The researcher sought to determine whether differences in the teachers' perceptions of their schools’ climate and culture and their sense of belonging existed by gender and grade span, as well as whether significant relationships existed among the constructs of their schools’ climate and culture …

Advancing Equity In Adolescent Mental Health: A Literature Review And Telehealth Program Design For School-Based Access, Renatta Lindsey

Theses and Dissertations

Adolescents in the United States (U.S.) are experiencing a mental health crisis, with disproportionately high prevalence rates among marginalized youth. Approximately 1 in 5 adolescents are diagnosed with a mental, emotional, or behavioral condition (Panchal, 2024; Sappenfield et al., 2024). Yet, an estimated 40% (1.8 million) of adolescents aged 12-17 who experience a major depressive episode did not receive treatment (Substance Abuse and Mental Health Service Administration, 2024). This project examines existing barriers that hinder access to care for this population. While schools are the most common settings for adolescent mental health supports, more than half report difficulties with meeting …

The Social In The Spiritual: Non-Theistic Spirituality In 12-Step Addiction Recovery, Steph Jacobs

Theses and Dissertations

To investigate whether Western-raised Narcotics Anonymous (NA) members engage in non-theistic spirituality and non-humanist modes of sociality with non-human beings, I conducted six qualitative interviews and a small-scale survey within a Vancouver NA community. The majority of participants practice non-theist spirituality, and three interviewees relate to non-humans in ways not accounted for by Western humanism. Findings suggest that connection and sociality are intrinsically woven into recovery and well-being. This research opens conversations about non-theistic spirituality in NA recovery, non-human sociality and healing, processes of ontological negotiation, and the entanglement of spirituality, sociality, and well-being. Through daily practices of exploration and …

A Case Study On Redesigning Classroom Activities And Assessments For Generation Z Students, Sushma Shrinivasan

Theses and Dissertations

This dissertation investigates the dynamic interplay between pedagogical strategies, learner diversity, and emerging educational technologies through three interconnected studies. Study 1 compares Traditional instruction, Problem-Based Learning (PBL), and Simulation-Based Learning (SBL), revealing that while PBL and SBL enhance student performance—particularly PBL—their impact on perceived learning varies. Notably, SBL reduced perceived learning despite strong outcomes, underscoring the affective and metacognitive complexities of active learning. Study 2 examines the role of demographic factors such as gender, ethnicity, employment, and first-generation status, finding no significant main effects but identifying a key two-way and three-way interactions, suggesting that instructional effectiveness is influenced by the …

A Tale Of Four Cities: The Effect Of Job Specialization On Employee Turnover Within Mississippi’S Local Police Departments, Wesley Bunch

Theses and Dissertations

Unusually high employee turnover among local law enforcement officers in the United States has been well documented. This exploratory case study examines employee turnover from a bilateral perspective of both generalists and specialists within local police departments. The purpose of this study is to determine if working in a specialized unit has any effect on employee turnover amongst local police officers in Mississippi. This study used qualitative methods to conduct interviews with thirty-four officers from four different police departments encompassing Mississippi’s northern, southern, eastern, and western regions. The interviews were conducted with individuals at the rank of officer and having …

Stakeholder Criteria For Trust In Artificial Intelligence-Based Computer Perception Tools In Health Care: Qualitative Interview Study, Ansh Rai, Meghan E Hurley, John Herrington, Eric A Storch, Casey J Zampella, Julia Parrish-Morris, Anika Sonig, Gabriel Lázaro-Muñoz, Kristin Kostick-Quenet

Faculty, Staff and Students Publications

Background: Computer perception (CP) technologies hold significant promise for advancing precision mental health care systems, given their ability to leverage algorithmic analysis of continuous, passive sensing data from wearables and smartphones (eg, behavioral activity, geolocation, vocal features, and ambient environmental data) to infer clinically meaningful behavioral and physiological states. However, successful implementation critically depends on cultivating well-founded stakeholder trust.

Objective: This study aims to investigate, across adolescents, caregivers, clinicians, and developers, the contingencies under which CP technologies are deemed trustworthy in health care.

Methods: We conducted 80 semistructured interviews with a purposive sample of adolescents (n=20) diagnosed with autism, Tourette …

Relationship Between Working Memory And Reading Comprehension: A Secondary Meta-Analysis, Gennadi Mikhailik

Doctoral Dissertations

Although working memory (WM) capacity has been highlighted in many theories of first-language (L1) and second-language (L2) reading comprehension, some scholars argue that its importance may be overstated and that existing findings are still inconclusive. Even with extensive research since 1995, the literature has lacked a thorough quantitative review of these results. This study shows that WM capacity is positively related to reading comprehension. The current secondary meta-analysis examined the relationship between WM capacity and reading comprehension in both L1 and L2, using two authoritative meta-analytic datasets: Daneman and Merikle’s (1996) for L1 and Jeon and Yamashita’s (2022) for L2. …

Modern Technology Addiction: Developer Duty Of Care, Jonah Hampton

Honors College Theses

Technology addiction includes any frequent use of technology which interferes in the user’s life. The subject continues growth as an epidemic and research field, yet prior literature does not often analyze the role of technology developers. This study performs a literature and legal synthesis to evaluate user and company responsibility, implications of responsibility, and promising solutions. Post 2020 literature was selected for coverage on context, addictive features, effects, solutions, or perspectives on law. Legal examples from different addiction industries were also selected for analysis to understand previous precedents. The study found a pattern of addictive traits, persuasive design, and recurring …

More Than Just A Criminal: Talking Back As A Critical Autoethnographic Journey, Anakin Rivera Ramirez

Psychology Faculty Publications and Presentations

This article explores the experiences of doctoral students with criminal records navigating higher education, using a critical theoretical framework to highlight the unique challenges and triumphs I faced. Drawing upon decoloniality and critical race theory perspectives and activism, I define my critical scholarship as challenging the dominant oppression through thoughts and actions. Through autoethnographic and self-reflective narratives, I reflect on how my lived experiences as a Latino who has experienced criminalization. I have shaped my academic pursuits and critical consciousness. The autoethnography discusses systemic barriers such as stigma, discrimination, and institutional biases, showing how these obstacles have informed the author’s …