Digital Commons Network^™

Teachers’ Perceptions Towards The Impact Of Reading Plus On 10th-Grade Intensive Reading Students, Melvia Williams

Theses and Dissertations

The purpose of this generic qualitative study was to explore teachers’ experiences and perceptions regarding the impact of the Reading Plus program on 10th-grade students in intensive reading courses. The research was aimed to understand how teachers perceive the program’s effectiveness in enhancing reading fluency, comprehension, and vocabulary, as well as their reports about student engagement and the challenges and successes encountered during implementation. The data was gathered from semi structured interviews with 8 teachers with at least 2 years of experience teaching with Reading Plus in intensive reading programs. Themes for teachers' experiences were generated by inductive analysis.

Findings …

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee

DNP Scholarly Projects

Abstract 

Background: Colorectal cancer (CRC) is on the rise and is currently the second leading cause of cancer-related death in the United States (Wender, 2022). CRC screening rates are below national goals, particularly among underserved populations. At Lowell Community Health Center (LCHC), only 41.9% of eligible adults were up to date with CRC screening as of 2024.

Purpose: This quality improvement project aimed to increase CRC screening rates among average-risk adults aged 45 to 75 by implementing a multifaceted, low-burden intervention targeting both provider and patient behaviors.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, the intervention included: (1) provider and …

Improving Confidence In Certified Registered Nurse Anesthetists In Providing Care For Patients Undergoing Transcatheter Aortic Valve Replacements, Justin Alley

DNP Scholarly Projects

Abstract

Title: Improving Confidence in Certified Registered Nurse Anesthetists in Providing Care for Patients Undergoing Transcatheter Aortic Valve Replacements (TAVR)

Background: Anesthesia staffing for complex, high-risk procedures like Transcatheter Aortic Valve Replacements (TAVR) is challenging due to a national shortage of anesthesia providers and the company's heavy reliance on non-permanent (locum tenens and 1099) Certified Registered Nurse Anesthetists (CRNAs). At this TAVR procedure location, 70% of the team is comprised of non-permanent staff. A lack of specialized training and experience in TAVR procedures led to a decrease in provider confidence and staffing shortages for these critical cases.

Purpose: The primary …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Integrating Brief Cognitive Behavioral Therapy Into Telepsychiatry: A Professional Development Model For Pmhnps, Catherine A. Roberts

DNP Scholarly Projects

Background: Mental illnesses remain among the most prevalent health conditions in the United States, affecting approximately 23% or nearly one in five adults in 2025 (Centers for Disease Control and Prevention [CDC], 2025); National Institute of Mental Health [NIMH], 2024a). Despite this high prevalence, only 50.6% of adults living with mental health disorders receive treatment (NIMH, 2024a); although the expansion of telepsychiatry has improved access to mental healthcare, medication-management visits are frequently brief and primarily focused on pharmacotherapy thereby limiting opportunities for delivery of psychotherapeutic interventions. This limitation highlights the need for structured, evidence-based psychotherapeutic approaches that can be …

Improving Psychiatric Paraprofessional Preparedness Through Mental Health First Aid Training In An Outpatient Mental Health Clinic, Anisha Hampton

DNP Scholarly Projects

BACKGROUND: Paraprofessional staff in outpatient mental health clinics play a critical role in monitoring clients with serious mental illness (SMI) and supporting continuity of care in community-based settings. However, the absence of standardized training contributes to variability in staff knowledge, confidence, and ability to recognize early signs of mental health deterioration. Mental Health First Aid (MHFA) is an evidence-based training designed to improve mental health literacy and crisis response skills among frontline workers.

METHODS: This quality improvement project utilized a pre-post design within a Plan-DoStudy-Act (PDSA) framework at an outpatient mental health clinic. Paraprofessional staff completed the Mental Health Literacy …

Reducing Healthcare Provider Stigma Toward Opioid Use Disorder: Evaluating An Asynchronous Multimedia Training In Primary Care, Ashley M. Holmes

DNP Scholarly Projects

Background: Stigmatizing attitudes among healthcare providers toward individuals with opioid use disorder (OUD) represent a critical barrier to care, treatment retention, and equitable healthcare utilization.

Local Problem: A primary care practice in Lewiston, Maine, serving a medically underserved region heavily impacted by the opioid crisis. Community Health Needs Assessment identified healthcare provider stigma and treatment access gaps as primary obstacles to OUD in this county.

Methods: Utilizing a Plan-Do-Study-Act (PDSA) quality improvement framework, an asynchronous, multimedia-driven educational curriculum was implemented among primary care clinicians (N = 7 invited; n = 4 completed). A mid-stream pivot from an in-person to asynchronous …

Improving Depression And Anxiety Reassessment In Patients With Type 2 Diabetes In Telehealth Obesity Care, Alyshia M. Casella

DNP Scholarly Projects

Background. Depression and anxiety are common among adults with type 2 diabetes and obesity, yet one-time intake screening may not identify symptoms that emerge or change during treatment. Local Problem. Within a telehealth obesity care program, PHQ-9 and GAD-7 screening occurred at intake, but no standardized reassessment process existed. Methods. A single Plan-Do-Study-Act cycle evaluated electronic PHQ-9 and GAD-7 reassessment among adults with type 2 diabetes and obesity. The primary outcome was reassessment completion, with a prespecified feasibility target of at least 20%. Paired symptom changes, clinical and safety triggers, and follow-up were also evaluated. Intervention. A one-time electronic reassessment …

Distributed Vibration Sensing For Identification Of Loose Connectors In Coaxial Data Transmission Lines, Saidanvar Esanjonovich Valiev, Anthony C. Okafor, Jeremiah J. Rittenhouse, Jie Huang, Daniel S. Stutts

Mechanical and Aerospace Engineering Faculty Research & Creative Works

This study investigates the effect of vibration-induced loose connections on signal reflection (S11) for loose connection identification in aerospace coaxial cables using distributed sensing approach, which is effective in filtering the noise and identifying minor discontinuities. In this approach, a sliding gated window is applied to S11 signal, a fast Fourier transform is performed over the gated windows, cross-correlation is computed between the baseline and vibration-affected signals, and the standard deviation is mapped along the cable length. Sinewave signals from 9 kHz to 5 GHz were swept through cables with vibrating connectors under three conditions: fully tightened, loosened by 180°, …

Anisotropic Second-Harmonic Ince-Gaussian Beam Generation Using Nbobr2 Holograms, Jayanta Deka, Xiaodong Yang, Jie Gao

Mechanical and Aerospace Engineering Faculty Research & Creative Works

Ince-Gaussian (IG) modes are a complete and orthogonal set of solutions to the paraxial wave equation in elliptic coordinates representing a continuous transition between Hermite-Gaussian modes and Laguerre-Gaussian modes. Chip-scale platforms to generate IG beams have great significance for various applications, including optical trapping and micromanipulation of particles, optical communication, and quantum optics. On the other hand, materials with high optical anisotropy are crucial for building polarization-sensitive optical devices. In this context, niobium oxide dihalides are a new class of ferroelectric materials exhibiting strong, tailorable, and highly anisotropic second-harmonic generation responses. Here, we report the generation of highly anisotropic second-harmonic …

Local Lung Delivery Of Ginkgetin For Therapeutic Intervention In Lung Fibrosis, Cimone L. Richardson

Theses and Dissertations

Lung fibrosis (LF) is a progressive, irreversible pathological condition in the lungs that is ultimately fatal. Current drug treatments (nintedanib, pirfenidone, and nerandomilast) slow disease progression but cause significant systemic adverse effects due to oral administration. Transient receptor potential vanilloid 4 (TRPV4), a mechanosensitive ion channel, may play a role in LF progression and represent a novel anti-LF target. Ginkgetin (GKT), a natural biflavonoid, is a potent TRPV4 inhibitor with anti-inflammatory and antioxidative properties. Local lung delivery could achieve high local lung concentrations while minimizing systemic exposure. Accordingly, this project evaluates GKT's therapeutic intervention efficacy in LF via local lung …

Managing Identity, Claiming Expertise, And Emotional Labor: A Constructivist Grounded Theory Of The Experience Of People With Serious Mental Illnesses In Primary Care, Jeffrey Ciak

Theses and Dissertations

People with serious mental illnesses (SMI) die 15 to 20 years before their peers without mental illness primarily due to chronic physical health conditions. Preventative care and treatment for chronic physical health conditions primarily occurs through primary care, but the experience of people with SMI in primary care is understudied. This constructivist grounded theory dissertation explored the experiences of people with SMI in primary care. Theoretical sampling resulted in 19 participants who were adults with SMI and long-term anti-psychotic use. Data was collected through one-to-two-hour long intensive interviews. The analytical process occurred concurrently with data collection. The abductive analytical process …

Examining Bidirectional Associations Between Mothers’ Beliefs About Emotions And Child Social-Emotional Outcomes, Sydney Sumrall

Theses and Dissertations

Social-emotional (SE) skills encompass the ability to recognize and regulate emotions, manage behavior to act on goals, and maintain social relationships (Abrahams et al., 2019). Parents play a crucial role in child SE skill development. According to theories of emotion socialization (ES), the beliefs parents hold about emotions shape parents’ ES behaviors, including teaching children how to understand and express feelings (Eisenberg et al., 1998; Gottman, 1996). Because emotion socialization practices are influenced by cultural values (Raval & Walker, 2019), the parent beliefs and ES strategies that best support children’s SE skill development may vary across families’ racial backgrounds. Although …

Ontological Runtime Monitoring For Mission Engineering, Alexander R. Will

Theses and Dissertations

The advent of the Urban Air Mobility (UAM) concept will bring low-altitude aviation to civilians through passenger and cargo transport. However, the prospective vehicles in UAM studies are predominantly autonomous, raising questions about their efficacy and stability in densely populated urban areas. At the same time, extensive work has been performed to define a new branch of systems engineering that focuses on runtime behavior, synchronization, communication, and task allocation.This field is known as "mission engineering". Mission engineering has been deployed in military scenarios to model human-autonomy cooperation. By applying the concepts from this field to UAM, full systems-of-systems can be …

Empirical Dynamical Modeling Of Cortico-Hippocampal Information Transfer During Memory Encoding, Sam Y. Cole

Theses and Dissertations

Understanding how brain dynamics support successful memory formation remains a central challenge in neuroscience. This dissertation applies tools from empirical dynamical systems theory to investigate the neural mechanisms underlying episodic encoding, with a focus on cortico-hippocampal interactions. Using stereoelectroencephalography (sEEG) data recorded during a delayed free recall of word lists task, this work reveals nonlinear, state-dependent shifts in directed information flow between cortex and hippocampus that distinguish successful from unsuccessful encoding. To further characterize these dynamics, state-space trajectories are reconstructed using time-delay embedding and recurrence-based methods, and features derived from these trajectories are used to classify memory outcomes. By integrating …

Real-Life Health Applications Of Wireless Sensing Using Edge Devices, Md Touhiduzzaman

Theses and Dissertations

Wireless sensing has emerged as a transformative paradigm that leverages ubiquitous radio-frequency signals for environmental perception and human activity recognition beyond their primary role in data communication. Unlike wearable sensors and camera-based systems, wireless sensing offers a non-intrusive, privacy-preserving, and cost-effective alternative that operates seamlessly under low-lighting conditions, through walls, and in non-line-of-sight (NLoS) scenarios. The growing availability of edge computing devices further enables real-time on-device data processing, making wireless sensing solutions highly suitable for in-home health monitoring and smart living applications. This dissertation investigates real-life health applications of wireless sensing through four completed systems, each addressing a distinct challenge …

Positive Body Image In Postpartum Women: A Psychometric Evaluation Of The Body Appreciation Scale-2 And A Phenomenological Exploration, Taylor Vashro

Theses and Dissertations

Postpartum women appear particularly vulnerable to body dissatisfaction due to the rapid physiological, emotional, and environmental changes that occur across the perinatal experience (Baskin et al., 2021; Nippert et al., 2021). Recent studies have demonstrated the experience of both negative and positive body image during postpartum (Rodgers et al., 2024; Watson et al., 2016). However, there is limited research regarding the measurement and exploration of positive body image in postpartum women. The current study aimed to: 1) evaluate the factor structure and psychometric properties of the Body Appreciation Scale-2 (BAS-2), a widely used measure of positive body image in postpartum …

Reflections From A Community Capacity Building Forum To Support People Bereaved By Suicide, Colleen Carlon, Jacquie Tarrant, Marie Eckersley, Priscilla Vindin

Research outputs 2022 to 2026

An estimated half the population may be impacted by suicide loss. The combination of grief and trauma makes the experience particularly complex. Recognised as the most stigmatised of all sudden losses people bereaved by suicide are in sociocultural contexts that disrupt constructive grief processes and create barriers for help seeking and supportive responses. Effecting change in this context poses a significant health promotion challenge. Social workers in the South West Region of Western Australia sought to develop and deliver a unique postvention approach aimed at strengthening the self-support capacity of people bereaved by suicide while building broader community capacity for …

Trust-Aware Algorithms For Stackelberg Ground Vehicle Routing, Doris Evelyn Meredith Brown

Doctoral Dissertations

Despite decades of research focused on reducing ground vehicle traffic congestion, urban traffic networks worldwide continue to experience traffic flows that lead to increased network travel times, largely resulting from the routing decisions of individual vehicles. To address this challenge, this work leverages a Stackelberg game framework to model the interaction between a vehicle agent and a routing authority as a leader–follower game, in which the routing authority proposes routing interventions to which the agent responds. This research contributes to existing traffic mitigation literature by exploring the role of trust in route decision-making and providing trust-aware algorithms that influence vehicle …

Architecting A Complex Adaptive System Model For Selecting Policies To Reduce Kidney Discard, Lirim Ashiku

Doctoral Dissertations

"The kidney allocation system is a complex, evolving system involving multiple heterogeneous agents. Each agent exhibits emergent behavior that may not fully align with the complex system goals. Therefore, there is a need for a transdisciplinary systems approach to visualize the interdependency among agents and understand the dominant patterns that shape the kidney allocation system.

First, this research presented an incremental hierarchical system engineering approach in identifying the agents’ needs and behaviors toward the complex systems’ goal of maximizing deceased donor kidney utilization and reducing kidney discard. The hierarchical systems approach linked with model-based system engineering aided in eliciting agents’ …

Analytical And Empirical Data-Driven Risk-Governance Design Across The Different Phases: Creating Informed Policy Adjustments For The Transportation Project Lifecycle, Mariam A. Elazhary

Doctoral Dissertations

"Transportation infrastructure is a critical foundation for economic productivity, yet agencies still face challenges in translating the expanding transportation datasets into defensible, phase-specific risk-governance tools. This dissertation addresses this gap by developing analytical and empirical, data-driven approaches to support risk governance across the transportation project lifecycle. Module 1 uses a panel model with bid-letting data to examine how out-of-state contractor participation affects pre-award competition and to derive entry-governance rules. Module 2 analyzes nonfatal injury data through iterative multiple linear regression and fatality data through association-rule change mining to identify multi-factor safety-risk configurations and develop adaptive safety-governance provisions. Module 3 develops …

Integrating Stakeholder Priorities Into Resilience Planning And Investment Decision-Making, Victoria Jeaneen Kraemer

Doctoral Dissertations

"Resilience is a system’s ability to bounce back from a disruption. However, resilience needs may vary across different stakeholders. To better integrate stakeholder input into resilience planning and investment decision-making, existing frameworks were combined to develop the Integrated Stakeholder-Centered Resilience Framework. This broad framework is tailorable across contexts and stakeholder types. Research results demonstrate the use of this framework to evaluate the effects of disruptions and represent stakeholder preferences for investments. In the first study, participants were randomly assigned to power outage scenarios, which did not affect their criteria priorities. An exploratory factor analysis revealed two main priorities, (1) Absorption …

The “Green Persuasion Effect” Of Negative Messages: How And When Message Framing Influences Tourists’ Environmentally Responsible Behavior, Xuehuan He, Chengzhi Ye, Songshan Huang, Lujun Su

Research outputs 2022 to 2026

Tourist activities may harm the environment, making tourists’ environmentally responsible behavior particularly important in tourism research. This research investigates the persuasion effect of message framing in environmental protection reminders on environmentally responsible behavior. Through five studies employing both field and controlled experiments and different measures of environmentally responsible behavior across varied tourism scenarios, we demonstrate that negatively (vs. positively) framed messages more effectively increase environmentally responsible behavior. Specifically, negatively framed messages are more effective in enhancing tourists’ environmental awareness, which triggers more environmentally responsible behavior. Furthermore, we identify social class as a moderator of message framing effectiveness, showing that negatively …

Embodying Policy Work: An Exploration Of Contexts, Actions And Meanings Towards New Possibilities For Physical Education Teacher Education (Pete), Victoria Evans, David Aldous, Dawn Penney

Research outputs 2022 to 2026

This theoretical paper presents a heuristic framework that is directed towards transformative thinking and practices in Physical Education Teacher Education (PETE). The research focus and direction, embodying policy work, applies and extends Bernstein’s concepts of the pedagogic and corporeal device to offer new directions for inquiry and explore the considerations these raise for PETE professionals and their practices. The paper affirms the importance of policy work in PETE, while recognising a need for more nuanced and critical understandings of the complex interrelationships between contexts and actions, and the potential meanings generated and ascribed to different forms of policy work and …

Stakeholder Co-Design Of Sustainable Urban Pest Management Strategies, Elizabeth C. Lowe, Nathan J. Butterworth, Alexander Austin, Cameron Webb, Tanya Latty

Research outputs 2022 to 2026

The high levels of broad-spectrum insecticides used to manage invertebrates in many cities around the world has significant environmental and health impacts. Integrated pest management (IPM) is a framework for sustainable pest control practice, but uptake of IPM remains low in most cities. We used participatory action research with pest management industry stakeholders (practitioners, industry representatives, researchers and government employees) to identify key issues in urban pest management in Australia, set priorities for change and discuss collaborative solutions. Via an online survey and a face-to-face workshop, the participants identified the key themes of education and training, public awareness, environmental impacts …

Consumer Responses To Ethical And Privacy Concerns In Ai Chatbots: Evidence From Offensive Language, Gender Bias, And Digital Privacy, Jikhan Jeong

Economics Faculty Research & Creative Works

Due to the rapid innovation of artificial intelligence (AI) and big data, AI chatbots have become increasingly influential computational social systems (CSS) in everyday life. However, the expansion of interactions between AI chatbots and consumers has raised significant ethical and privacy concerns. Using data from an online survey, this study empirically examines how consumer concerns about AI ethics and privacy influence their intention to use AI chatbots. These concerns are categorized into three types: 1) offensive language (generated by AI chatbots or users); 2) gender-biased language (from either source); and 3) digital privacy violations. The findings suggest that prior experience …

‘We Create Units, And Then Residents Are On Their Own’: Power In Evaluation Of Inclusionary Housing, Susan Halverson, Amie Thurber

School of Social Work Faculty Publications and Presentations

Inclusionary housing (IH) programs are a popular strategy for building affordable housing, incentivizing or requiring developers to provide housing at a below-market rate for people with lower incomes. But do we know how residents experience these policies? This paper explores how municipalities and external researchers evaluate inclusionary housing programs in the US, and whose perspectives are included in those evaluations. Employing VeneKlasen & Miller’s (2002) tripart model of power, which includes visible, hidden, and invisible dimensions, we analyze key informant interviews, municipal IH reports, and a systematic review of the literature, we find that few municipalities or researchers consider residents’ …