Digital Commons Network^™

Improving Knowledge To Improve Care: Strengthening Nurse Expertise In The Emergency Management Of Diabetic Ketoacidosis, Minda Murphy

Master's Projects and Capstones

Abstract

Setting: A high acuity emergency department within a large hospital system. Problem: Nurses in the emergency department reported inconsistent understanding and utilization of the existing Diabetic Ketoacidosis (DKA) protocol. Pre-intervention survey results showed that 84% of nurses identified the DKA order set as confusing, and only 15% reported feeling “very comfortable” with the protocol. These knowledge gaps contributed to delays in glucose monitoring, inconsistent insulin administration, uncertainty about order-set responsibilities, and variable adherence to evidence-based management. Context: DKA is a time-sensitive, high-risk emergency that requires precise, protocol-driven actions to prevent complications such as electrolyte imbalance, cerebral edema, prolonged hospitalization, …

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

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 …

2023u_Approved_Nhp28_Pm_Homeland-Security-And-Disaster-Preparedness-Minor-Rev1, Undergraduate Curriculum Council

All Approved Curriculum

No abstract provided.

2022u_Nhp80_Approved_Cd_Sw-3313-Introduction-To-Child-Welfare-Rev1, Undergraduate Curriculum Council

All Approved Curriculum

No abstract provided.

2022u_Nhp74_Approved_Pm_Bsn-Program-Readmission-Requirements, Undergraduate Curriculum Council

All Approved Curriculum

No abstract provided.

2023u_Approved_Bu28_Pm_Financial-Wealth-Management-Minor-Curricular-Updates, Undergraduate Curriculum Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp051_Pm_Admission_Requirement_Change, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp039_Cm_Sw5722_Fou_Field_Iii, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp038_Cm_Sw_6722_Adv_Field_Iii, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp037_Cm_Sw_5803_Fou_Field_I, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp036_Cm_Sw5813_Fou_Field_Ii, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp035_Cm_Sw6813_Adv_Field_Ii, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp034_Cm_Sw6803_Adv_Field_I, Graduate Council

All Approved Curriculum

No abstract provided.

2023g_Approved_Nhp033_Pm_Six_Year_Rule_Illimination, Graduate Council

All Approved Curriculum

No abstract provided.

Where The Shadows Mark Me, Jan A. Wozniak

Ought: The Journal of Autistic Culture

No abstract provided.

Midday Rehearsals—Philosopher’S Walk, Early Term, Jan A. Wozniak

Ought: The Journal of Autistic Culture

No abstract provided.

Matrescence: An Emerging Concept For Birth Worker Practice, Kelsey B. Green

DNP Qualifying Manuscripts

The maternal mental health (MMH) crisis, affecting up to 25% of birthing individuals, is exacerbated by significant gaps in perinatal support. While birth workers are uniquely positioned to provide care, they often lack specialized training beyond basic screening checklists to address the complex transition to motherhood, defined as matrescence. This clinical innovation proposal outlines a matrescence-informed educational curriculum, guided by the Comprehensive Model of Mental Health during the Perinatal Period. The intervention is designed to build tangible, implementable skills, training birth workers to: (1) operationalize matrescence as a psychoeducational tool to normalize distress; (2) use clinical differentiation to distinguish the …

[Wisdom Leadership Strategies To] Represent, Reflect, Respect, And Respond: Reflective Practices In Recreating Nursing’S Global Future, Gwen Sherwood

Biennial Convention (CONV)

Applying wisdom leadership integrates principles of legacy leadership for looking forward, not backward, to influence others in developing change by catalyzing individual best while inspiring others/teams to collectively influence organizational culture (1). Wisdom leadership fulfills legacy leadership by focusing outward on others; herein lies the intersection with caring science in embodying the utmost of being human through knowing, being, and doing by serving others. Emerging from reflective practice skills reflecting on one’s purpose, values, and meaning respect both personal and professional lenses. Wisdom leaders build their legacy of what they want to be known for through awareness of intra and …

Cv: Tammy Thurman (Criminal Justice), Tammy Thurman

Justice, Law, and Public Safety Studies Department Faculty Curricula Vitae

No abstract provided.

Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to investigate the relationship between job demands and resources and job satisfaction among school social workers in North Carolina. School social workers are vital members of the school ecosystem, supporting the development and well-being of students, families, and communities. Grounded in the Job Demands-Resources (JD-R) theoretical framework, the impact of years of experience, caseload size, role ambiguity, burnout, and job autonomy on job satisfaction among school social workers was examined. The current study included 92 school social workers from twelve counties in the Sandhills and Research Triangle regions of North Carolina who completed …

Living The Balance Theory Of Wisdom With Leadership Values In Mind, Daniel J. Pesut

Biennial Convention (CONV)

In creating the Balance Theory of Wisdom, Sternberg (1) defined wisdom as the application of intelligence, creativity, and knowledge to the common good by balancing and mediating the values of self (intrapersonal), others (interpersonal), and institutional (extra-personal) interests over the long and short terms in service of adapting, shaping, and selecting environments, that is, to represent, respect, reflect, and respond in shaping the future. The functional consequences of this definition suggest that wise people have exceptional insight into human development and life matters, look for deeper meaning, tolerate ambiguity, have compassion, are other- and purpose-focused, and recognize the limits of …

Caring Science As Embodied Wisdom: Balancing Intrapersonal, Interpersonal, And Extrapersonal Factors, Sara Horton-Deutsch

Biennial Convention (CONV)

The intersection of caring science and the balance theory of wisdom reveals profound connections between therapeutic practice and theoretical frameworks of human understanding. We examine how caring science inherently encompasses explicit knowledge—systematic, teachable aspects of healthcare—and tacit knowledge—intuitive, experience-based understanding practitioners develop over time. Exploring these knowledge domains with the lens of the balance theory of wisdom aligns caring science with the theory's core principles of balancing multiple interests, adapting to environmental contexts, and pursuing the common good (1).
Practicing through the lens of caring science implicitly aligns with wisdom-based decision-making by balancing intrapersonal (self), interpersonal (others), and extrapersonal (institutional) …

The Lumberjack, December 10, 2025

Cal Poly Humboldt's Student Newspaper

The student newspaper of Humboldt State University.

Bridging The Rural Justice Gap: A Scalable Solution Rooted In Clinical Legal Education, Michelle Paxton

Northwestern Journal of Law & Social Policy

The rural justice gap significantly impacts child welfare legal representation, exacerbating the challenges families face when navigating juvenile courts in rural America. Attorneys in these communities frequently encounter geographic isolation, limited access to specialized training, professional burnout, and inadequate resources, all of which hinder effective advocacy for vulnerable children and families.

This article argues that clinical legal education, when paired with structured post-graduate training and multidisciplinary consultation, offers a replicable model for addressing the rural attorney shortages in juvenile court advocacy. The Nebraska Children’s Justice and Legal Advocacy Center (NCJC) illustrates how this model can be designed and scaled to …

The Relationship Between Agency Understaffing And Administrative Burdens In Snap And Medicaid, Guangli Zhang, Stephen Roll, Mathieu Despard

Center for Social Development Research

For families trying to enroll in public programs to meet essential needs like food and health care, speed and timeliness can be critical. But people face numerous barriers in enrolling in these programs and in maintaining eligibility once enrolled. This research brief uses a new measure of staff workloads in public benefit agencies for every U.S. state and examines the link between these workloads and the experience of administrative burdens among low-wage workers. The analyses draw upon data from the Workforce Economic Inclusion and Mobility Survey.

Moral Injury In Helping Professions Psychoeducation Group, Website, & Outreach Campaign, Garrett Schwanke, Liz Greene, Natalie Brown

Biennial Convention (CONV)

Abstract Text: Moral injury is a chronic emotional and psychological syndrome from actions or experiences that transgress deeply held moral beliefs (Rosen et al., 2022). Potentially morally injurious events (PMIEs) are abundant in the helping professions (e.g., teaching, healthcare, and social work) and include dilemmas such as difficult decisions to ration or withdraw medical care and harmful clinical and administrative practices.

Symptoms of moral injury include guilt, shame, anger, disgust, and moderate to severe social and occupational impairment (Rosen et al., 2022). This syndrome imparts a high risk for depression, anxiety, and other mental health disorders. Moral injury erodes care …

Mapping Neighborhood Socioeconomics Across The Cellular Therapy Continuum: A Scoping Review, Danica Jhoelle Dorlette, Olivia Mead, Lawrence Bossong, Sanghee Hong, Jingjing Shang, Arlene Smaldone

Biennial Convention (CONV)

Background: Despite advancements in cellular therapy, disparities in access and outcomes persist, influenced by race, income, and insurance status. Neighborhood socioeconomic status (nSES)—encompassing factors like area-level income, healthcare access, and collective social resources—may further exacerbate these inequities. However, its influence across the full trajectory of care remains unclear.

Objective: This scoping review synthesizes literature on nSES and its impact on referral, treatment receipt, long-term follow-up care, and survival among patients undergoing cellular therapy.

Study Design: Following Joanna Briggs Institute guidelines, PRISMA-ScR standards, and an a priori protocol, five databases were searched in July 2024. U.S.-based studies linking nSES with cell …

The Phenomenon Of Prophecy And Role Of Prophets In The Old Testament Compared With The Ministry Of Ellen G. White, Jiří Moskala

Ellen White and Current Issues Symposium

No abstract provided.

Documenting Hiv/Aids Through Rural Voices: Oral Histories As Sites Of Mutual Aid, Siena Kuehn

Feminist & Queer Praxis

This essay is part of the WGSS Capstone class and focuses on utilizing oral histories of HIV/AIDS in Winona as a method of mutual aid. This work includes two contributions to the HIV/AIDS Winona Oral History Project, the interviews with Joan Schwinghammer and Dr. Anne Vande Berg. This research was done in conjunction with Dr. Mary Jo Klinker.