Digital Commons Network^™

Quality Improvement Project: Increasing Breast Cancer Screening Rates Among Women Ages 40-74 At A Federally Qualified Health Center By Implementing A Provider Alert Tool, Tiny Stephens

Doctor of Nursing Practice Projects

Breast cancer maintains its position as the leading cause of cancer-related death for women worldwide and remains the second deadliest cancer among female patients in the United States (Centers for Disease Control, 2024). The screening rates at Federally Qualified Health Centers (FQHCs), which serve medically underserved communities, remain lower than national benchmarks, thus putting their patients at risk for receiving late-stage cancer diagnoses. This quality improvement project implemented an evidence-based electronic medical record (EMR) provider alert tool at a Northeast Georgia FQHC to address a baseline mammogram order compliance rate falling below national standards at 45%. The project aimed to …

Quality Improvement Project Nursing Student Retention Strategies: A Focus On Peer Mentoring, Anh Vittoria

Doctor of Nursing Practice Projects

The nursing shortage remains a concern in healthcare. Increasing the number of students who complete nursing programs and enter the profession can help with the demand for nurses in the workforce. Nursing programs face challenges with student retention, which limits the number of nurses entering the profession. The quality improvement project aimed to examine the effects of a peer mentorship program on first-year associate degree nursing students’ perception of support and course completion rates. The purpose is to impact student retention and sense of support in an Associate Degree Nursing Program (ADN) through peer mentorship. The project was guided by …

Quality Improvement Project Enhancing Documentation Practices In Community Mental Health Clinics, Carol Parker

Doctor of Nursing Practice Projects

Accurate and timely documentation are essential for safe, high-quality care in community mental health settings. This quality improvement (QI) project addressed inconsistent documentation practices among licensed, unlicensed, and Qualified Mental Health Specialist (QMHS) staff at an outpatient clinic. The purpose of the QI project was to implement and assess a structured in-service training program using the Accountable Health Communities–Health-Related Social Needs (AHC-HRSN) screening and documentation tool to improve staff knowledge, enhance documentation accuracy, and facilitate care coordination. Guided by the Iowa Model of Evidence-Based Practice and Lewin’s Change Management Model, a pre- and post-intervention design was used. Fifteen staff members …

Enhancing Mental Health Providers' Approach To Medication Adherence In Schizophrenia Patients Using Motivational Interviewing Techniques., Jacinta Madu

Doctor of Nursing Practice Projects

Medication non-adherence among individuals with schizophrenia remains a persistent challenge that undermines symptom management and increases relapse and hospitalization rates. This quality improvement (QI) project aimed to evaluate the effect of Motivational Interviewing (MI) training on provider knowledge and confidence in promoting medication adherence within an outpatient mental health clinic. Guided by Lewin’s Change Theory and the Plan-Do-Study-Act (PDSA) framework, a quasi-experimental pre–post design was used. Six providers, including psychiatric nurse practitioners, therapists, a psychiatrist, and a registered nurse, participated in a structured MI training session incorporating didactic instruction and role-play exercises. Data were collected using pre- and post-intervention surveys …

Quality Improvement Project: Impact Of A Brief Mindfulness-Based Stress Reduction Program For Healthcare Providers Who Evaluate Veterans, Peng Anderson

Doctor of Nursing Practice Projects

Long-term stress can lead to healthcare provider burnout. Mindfulness-based interventions, even when shortened, may provide a promising and innovative method to reduce stress and prevent burnout. Research on mindfulness programs has demonstrated significant benefits for both providers and patients. This quality improvement project aims to evaluate the effect of a brief mindfulness-based stress reduction program (MBSR) for providers who evaluate veterans on the variable of mindfulness awareness compared to current site practice. Lewin’s change management model and Peplau’s Interpersonal Relations Theory were used. Plan-Do-Study-Act was the implementation framework applied. The design was pretest-posttest using the Mindful Attention Awareness Scale (MAAS). …

Current Knowledge And Perspectives Of Relative Energy Deficiency In Sport In An Athletic Environment, Meredith Rebecca Morgan

Electronic Theses and Dissertations

Sport performance personnel are in a unique position to directly impact athletes. While the primary individuals who manage athlete health are physicians, sport dietitians, and certified athletic trainers, sport coaches and strength and conditioning coaches also play an impactful role in an athlete’s performance and well-being. Using an original survey, this study investigated REDs knowledge by certified athletic trainers, strength and conditioning coaches and sport coaches. The survey was employed to assess sport performance professionals’ general knowledge of Relative Energy Deficiency in Sport (REDs) and low energy availability (LEA) and opinions on the role of health professionals in REDs identification, …

Mindreading And Embodiment: Beyond Mirror Neurons., Sanad Al Khatib

College of Arts & Sciences Senior Theses

This paper examines the question: how do we figure out what other people are thinking and why they act as they do, or put differently, how is it that we can read minds in daily life? For decades, the dominant view held that we explain and predict other people’s behavior by attributing to them mental states such as beliefs, desires, and intentions, represented symbolically in the brain. The embodied simulation model challenges this view, proposing that understanding others primarily relies on mirror neurons that activate both when we perform an action and when we observe someone else performing it. This …

Parental Experiences With Financial Toxicity In The Pediatric Intensive Care Unit: A Phenomenological Research, Sohrab Alexander Sardual

Dissertations and Theses (Open Access)

Background: Parents of children admitted to the pediatric intensive care unit (PICU) encounter multiple stressors; however, there is a need to further understand their experiences with financial toxicity. Understanding parents’ experiences and perspectives on how they can be assisted is a critical first step to formulating interventions to help parents deal with financial toxicity.

Aims: The aims of this study are (a) to describe the experiences with financial toxicity of parents with critically ill children admitted to the PICU and (b) to explore parents’ perspectives on how they can be assisted in dealing with financial toxicity.

Methods: A phenomenological qualitative …

University Of Nebraska At Omaha Commencement: December 2025, University Of Nebraska At Omaha

Commencement Programs

No abstract provided.

Developing An Intergroup Dialogue Training Program For Organizational Leadership: A Pilot Partnership With The Greater Omaha Chamber, Manasi Kate

Communications Theses, Dissertations, and Student Creative Activity

This graduate project proposes the development and pilot implementation of a structured Intergroup Dialogue (IGD) training program designed to enhance communication and leadership capabilities within complex organizational environments. In response to the escalating challenge of social polarization, which systematically impedes collaboration and innovation, this initiative created an adaptable curriculum for leaders in all organizational sectors and settings.

The program was divided into six sessions, each of which led participants through themes such as identity, power, storytelling, systems, and authentic social leadership, with the goal of increasing self-awareness and collective understanding. The program development plan includes a rigorous phase of curriculum …

Political Discoveries In A Žižek Substack Project Critical Digital Studies, Edward Sankowski, Betty J. Harris

International Dialogue

This review essay analyzes Slavoj Žižek’s recent turn to Substack as a publishing platform, examining both his motivations and the philosophical and political implications of this medium for contemporary critical theory. Sankowski and Harris argue that Žižek’s Substack writings continue long-standing themes in his work—anti-capitalism, ecological crisis, updated Communism, and the cultural dimensions of ideology—while also revealing notable shifts, including heightened pessimism about historical progress and new reflections on environmental catastrophe. The authors assess the advantages and pitfalls of Substack for intellectual discourse, including its circumvention of traditional editorial “censorship,” its contribution to information glut, and its role in fostering …

Characterizing The Relationship Between Parturition In Beef Cattle And The Lunar Phase And Meteorological Factors., Caroline E. Chambers

Honors College Theses

For beef cattle, parturition is one of the most critical stages in the reproductive process. It is crucial that farmers understand the factors that may influence the timing of parturition. There is a persistent preconception that the onset of parturition is influenced by the lunar phase and weather factors. The objective of this study is to characterize the association between parturition in beef cattle, the lunar phase, and/or different weather factors such as barometric pressure and temperature. Cattle records were obtained from Chambers Family Farm in Cumberland Furnace, TN. Data was collected from 142 calvings from January 2017 to October …

What Does Genius Look Like? Investigating Brilliance Bias In Ai-Generated Images, Juliana Shihadeh, Margareta Ackerman, David Loker

Computer Science and Engineering

Text-to-image models, like Midjourney, DALL-E, and Stable Diffusion, have been shown to reinforce harmful biases, often perpetuating outdated and discriminatory stereotypes. In this study, we delve into a particular bias largely overlooked in generative image research: Brilliance Bias. By age 6, many children begin to internalize the damaging notion that intellectual brilliance is a male trait—a belief that persists into adulthood. Our findings demonstrate that popular image AI models possess this bias, further entrenching the misguided notion that exceptional intelligence is inherently male. This study calls for addressing brilliance bias in AI to ensure a more realistic representation of intellectual …

Prevalence And Characterization Of Post-Acute Sequelae Of Sars-Cov-2 Infection (Pasc) In Rwanda, Fernand Rwamwejo, Vivianne Umuhire Niyonkuru, Gilbert Rukundo, Eric Remera, Edson Rwagasore, Les Sztandera, Ruranga Charles, Elizabeth Krebs

School of Business Faculty Papers

Objectives

Reliable, population-level estimates of post-acute sequelae of SARS-CoV-2 infection (PASC) remain scarce for sub-Saharan Africa. We aimed to quantify PASC prevalence and identify associated factors among adult COVID-19 survivors in Rwanda.

Methods

A nationally representative cross-sectional telephone survey (August-October 2024) sampled 3143 adults from the national COVID-19 registry. PASC was defined as new or persisting symptoms ≥3 months after acute illness and lasting ≥2 months. The prevalence was calculated, and multivariable logistic regression identified factors independently associated with PASC.

Results

Overall, PASC prevalence was 34%. Leading symptoms were back pain, headache, dizziness, fatigue, and reduced sexual desire. Higher odds …

Do Need For Cognition And Need For Affect Moderate The Relationship Between Lecture Style, Learning Strategies, And Retention?, Mary Chapman

Dissertations

Boredom is detrimental to academic achievement. Using shallow learning strategies such as rote memorization is similarly unfavorable for success in academic settings compared to using deep learning strategies such as generating examples. Such is the consensus among scholars, but research conducted in both constructs reveals inconsistencies. The purpose of this study was to experimentally manipulate boredom and learning strategies to determine how boredom and learning strategies impact achievement, as well as to investigate whether certain individual differences, need for cognition and need for affect, change the relationships between boredom, learning strategies, and retention. In an online study, I recruited 131 …

Stayin’ Alive: Examining The Moderating Effect Of Suicide Resilience On The Relationship Between Sexual Minority Stress And Subjective Well-Being, Natalie A. Sachs

Dissertations

Suicidality among sexual minorities is concerning and results from increased social stress, societal stigma, and experiences of discrimination. The effects of sexual minority stress (SMS) lead to negative outcomes for sexual minority college students. The purpose of the current study was to better understand the role of suicide resilience in moderating the adverse effects of SMS among sexual minority college students. The following research questions and hypotheses guided this study: Q1 Does SMS have any effect on subjective well-being among college-student sexual minority individuals (SMIs)? Q2 Does SMS have any effect on suicide resilience among college student SMIs? Q3 To …

Overview Of Huntington's Disease And Emerging Treatment Strategies: A Narrative Review, Alexis J. Vega, Gabriel V. Hernandez, Pearse A. O'Malley, Connor J. Robin, Amanda N. Parra, Giustino Varrassi, Sahar Shekoohi, Alan D. Kaye

School of Medicine Faculty Publications

Huntington's disease (HD) is an autosomal dominant, progressive neurodegenerative disorder caused by a cytosine-adenine-guanine trinucleotide repeat expansion in the huntingtin (HTT) gene. The symptoms of HD include severe motor dysfunction, cognitive issues, and emotional dysregulation. These combined issues are not only debilitating but also lead to depression/anxiety, increased suicide rates, and caregiver burnout. Our narrative review summarizes several recent studies examining the efficacy and differences among emerging treatment strategies for HD. A systematic search of peer-reviewed literature was conducted, focusing on recent studies that describe molecular genetic manipulation of the HTT gene/huntingtin protein. The results of our narrative review reveal …

Aku Research 2025, Office Of Research And Graduate Studies

Office of Research and Graduate Studies

• With dementia surging, BMI seeks tools for prevention
• The past, present and future of teaching in Pakistan
• Transforming educations with evidence
• Research influences national teacher development programme
• Redefining the migrant experience
• Study finds women are underrepresented in East Africa’s media
• Study identifies targets for treating drug-resistant tuberculosis
• Addressing extreme heat’s impacts on the vulnerable
• Colorectal cancer detection gets an AI boost
• Addressing the quiet crisis of women’s mental health
• The pandemic was especially hard for female health workers
• Advancing reproductive health in Pakistan
• A push for advanced practice nursing and midwifery
• Major study yields essential data on maternal health
• Saving …

Acculturation, Values, And Acculturative Stress For Autistic Latino Emerging Adults And Spanish-Speaking Parents Participating In The ¡Iniciando! La Adultez Program, Antonio F. Pagán, Miriam Ortiz, Erin Bernal, Katherine A. Loveland, Ana Esparza, Cecilia Montiel-Nava, Ron Acierno

Psychological Science Faculty Publications

Latino families with emerging adults diagnosed with Autism Spectrum Disorder (ASD) face unique challenges during the transition to adulthood, influenced by cultural values, acculturation, and systemic barriers. Acculturation and acculturative stress are particularly relevant in this population, as they navigate cultural adaptation while maintaining traditional values like familismo (family) and respeto (respect). These dynamics are further complicated by disparities in access to resources and culturally responsive interventions. This study explores the interplay of cultural values, acculturation, and acculturative stress among Latino emerging adults with ASD and their Spanish-speaking parents participating in a culturally adapted and translated intervention. Using a cross-sectional …

December 2025 Library & Learning Newsletter, Minnesota State University, Mankato. Library & Learning Dean’S Office Communications Team

Library & Learning Newsletters

PDF version of the December 2025 (Volume 4, Issue 5) Library & Learning Newsletter.

From Familiarity To Loyalty: How Image And Emotion Shape Gastronomic Experience, Qian Chen, Qingchuo Zhang, Rong Huang, Jinhua Zhang

Plymouth Business School

Given the unique characteristics of gastronomic experiences, it is essential to understand how user-generated content (UGC) shapes consumers' perceptions of food-related images and their subsequent behavioural responses. This study adopts a mixed-methods approach to examine consumers’ cognitive and affective perceptions of gastronomy and their impact on loyalty. In the first phase, word frequency and sentiment analyses of UGC reveal that food-related terms appear most frequently and are predominantly associated with positive sentiments. Based on this analysis, three key dimensions of cognitive image are identified: food quality, culinary culture, and dining environment. In the second phase, a questionnaire survey explores the …

Bilingualism Matters: A Critical Discourse Analysis Of California Language Policy, Benjamin V. Roath

Electronic Theses, Projects, and Dissertations

In June 1998, California voters passed Proposition 227, a ballot initiative mandating that all public school instruction be conducted in English, with over 61% approval. This policy imposed additional challenges on students with limited English proficiency (LEP), many of whom are immigrants or children of immigrants. At the margins of these political and educational agendas lies the issue of bilingual education. This study examines the role of bilingual education in multilingual contexts and critiques the continued reliance on monolingual frameworks that marginalize linguistic diversity. Focusing on Proposition 227 (1998) and its repeal through Proposition 58 (2016), the research explores shifting …

Housing Programs And Resources Available For Transitional Age Youth Population: A Scoping Review, Amanda N. Esquivel

Electronic Theses, Projects, and Dissertations

Transitional Age Youth (TAY), are defined as individuals aged 16 to 24 transitioning from adolescence to adulthood. TAY face unique challenges in securing stable housing and developing the life skills necessary for independent living. This population often encounters significant barriers such as a lack of affordable housing, limited access to supportive services, and the residual effects of childhood trauma, systemic inequities, or time spent in foster care or juvenile justice systems. Without adequate support, TAY are at a heightened risk of homelessness, unemployment, poor mental health outcomes, and continued cycles of instability. This research paper explores and identifies effective housing …

Potential Adverse Effects On Lifestyle And Food Intake Pattern In Night Shift Workers, Stacie L. Coleman

Electronic Theses, Projects, and Dissertations

Abstract

Night shift work is prevalent in healthcare and other industries, yet its effects on lifestyle factors such as food intake, sleep quality, and mental health remain underexplored. This study investigates the impact of night shift schedules on nurses’ wellness, focusing on eating patterns, sleep, physical activity, and mood. A sample of 13 nurses were divided into two shift groups: day (n=5) and night (n=8); and they completed a questionnaire to assess the variables related to their behavior, food choices, eating habits, sleep patterns.

The results of previous research studies indicate that night shift nurses are more likely to adopt …

A Narrative Review Of Dual Loyalty Conflicts In Custodial Settings And Implications For Community Practice, Michelle Suh, Marc David Robinson, Holland Kaplan

Center for Medical Ethics and Health Policy Staff Publications

Dual loyalty dilemmas are conflicts between health care professionals' obligations toward their patients and third-party interests. These conflicts are more common and starker in custodial settings, such as jails and prisons, military detention facilities, immigration detention centers, and involuntary psychiatric institutions. Despite encountering patients in custody, health care professionals (HCPs) in community settings have limited knowledge and training. In this narrative review, we examined dual loyalty conflicts faced by HCPs working in custodial settings and then applied the identified themes to community-based hospitals where HCPs care for patients in custody. We searched databases for original papers relating to patients in …

Perfectionism And Compulsive Exercise: A Systematic Review And Preliminary Meta-Analysis, Elizabeth Bills, Shannon R. Muir, Rose Stackpole, Sarah J. Egan

Research outputs 2022 to 2026

Purpose: There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise. Methods: Published, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female). Results: Total perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations …

A Thematic Analysis Of What Australians State Would Change Their Minds On Climate Change, Amy S.G. Lee, Kelly Kirkland, Samantha K. Stanley, Abby Robinson, Zoe Leviston, Iain Walker

Research outputs 2022 to 2026

What do Australians believe would change their current opinions about climate change? In this study, we used audience segmentation analysis through the Six Americas Short Survey to identify groups of climate opinion holders within a representative sample of Australians. We had 4857 participants tell us what it would take to change their current opinions about climate change and leveraged OpenAI’s Generative Pre-Trained Transformer (GPT) to identify the presence or absence of themes (Nothing, Evidence and Information, Trusted Sources, Action, and Unsure) and subthemes in their responses. GPT performed at near-human levels, proving to be a highly useful tool for thematic …

Key Factors And Experiences That Influence The Career Trajectory Of Black Women In Charter School Senior Leadership, Oscia A. Miles

Education Doctoral

This interpretive phenomenological analysis examined the career trajectories of four Black women in senior leadership roles within charter schools in the Northeastern Region of the United States. It explored how personal, professional, and cultural factors shaped their leadership experiences. Findings revealed that the participants faced systemic and cultural barriers impacting both access to leadership and their ability to sustain those roles. They navigated intersecting challenges of race, gender, and institutional expectations while balancing personal and community commitments. This study underscores the need for equity-centered strategies to address structural barriers and foster inclusive leadership pathways. Three recommendations emerged: targeted mentorship, equity-driven …

Weathering Of Black Doulas In Hospitals: Challenges And Opportunities, Denise Elaine Bolds

Education Doctoral

Black maternal health continues to face significant disparities in the United States, highlighting the crucial role of Black Doulas in promoting birth equity (Declercq & Zephyrin, 2020; K. Taylor et al., 2023). This qualitative, phenomenological study explored the lived experiences of 10 certified Black Doulas working in hospital settings nationwide. Guided by the weathering hypothesis (Geronimus, 1992, /2023), critical race feminist theory (Wing, 2020), Black feminist theory (Collins, 2000), Sojourner syndrome (Bailey, 2017), and the looking-glass self (Cooley, 1902), the study examined how systemic racism, occupational challenges, and advocacy fatigue intersect to shape their professional experiences.

Using semi-structured interviews, participants …

Exploring The Relationship Between Job Satisfaction And Servant Leadership In Community Corrections: A Probation Officer’S Perspective, Shamira B. Gambrell

Education Doctoral

Probation officers work in demanding environments marked by high caseloads, role conflict, and organizational pressures that can negatively affect job satisfaction and workforce stability. Leadership practices at the frontline supervisory level play a critical role in shaping these experiences, yet limited empirical research has examined servant leadership within community corrections. The purpose of this quantitative correlational study was to examine the relationship between probation officers’ perceptions of servant leadership demonstrated by their direct supervisors and their level of job satisfaction.

Data were collected from probation officers affiliated with departments connected to the American Probation and Parole Association using an anonymous …