Digital Commons Network^™

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Implementation Of A Ventilator-Associated Pneumonia Bundle To Reduce The Incidence Of Ventilator-Associated-Pneumonia And Improve Patient Care, Taylor Ryan Rice

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Ventilator-associated pneumonia (VAP) is a concerning complication that can

develop from complications when a patient is placed on a mechanical ventilator. Endotracheal

intubation puts patients at risk for micro aspiration, which can lead to VAP.

Evidence Review: Nine articles were selected for review; after critical appraisal, seven were

kept for further review. Evidence in these articles shows that using evidence-based methods in a

VAP bundle can decrease the length of stay, mechanical ventilator days, and the incidence of

VAP.

Purpose: The purpose of this project was to improve oral care for intubated patients and keep

the incidence of VAP …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Development Of A Protocol To Improve The Use Of Diabetes-Specific Formula, Lauren Nicole Sanetrik

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Enteral nutrition (EN) is often necessary for hospitalized patients who are unable to meet their nutritional needs orally. Patients with diabetes mellitus (DM) receiving EN are at risk of hyperglycemia, which contributes to poor wound healing, infection, and prolonged hospitalization. Diabetes-specific formulas (DSFs) are designed to optimize glycemic control compared with standard formulas (SFs); however, their use is inconsistent due to the absence of standardized protocols.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a protocol to increase DSF utilization among patients with DM receiving EN, with the goal …

Examining Drivers Of Brook Trout (Salvelinus Fontinalis) Fecundity And Recruitment In Central Appalachian Headwater Streams, Emilee Esther Briggs

Graduate Theses, Dissertations, and Problem Reports (ETD)

The persistence of fish populations depends on the repeated production and survival of new year classes, also referred to as recruitment. Recruitment is broadly defined as the number of individuals in a fish population or stock that survive to a specific stage. However, the broader recruitment process reflects the cumulative outcome of many earlier life stages, including egg survival, fry emergence, and survival through the recruitment period. As a result, recruitment can vary substantially among years and populations, producing strong or weak year classes that influence population abundance and persistence. Understanding why recruitment varies is therefore central to fisheries ecology …

Romantic Narrative In Three Early Piano Cycles By Robert Schumann: Papillons, Op. 2; Fantasiestücke, Op. 12; And Kinderszenen, Op. 15, Lingqing Huang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research project compares Romantic instrumental narrative in Robert Schumann’s Papillons, Op. 2; Fantasiestücke, Op. 12; and Kinderszenen, Op. 15, with particular attention to how pianists communicate cyclic continuity in performance. In this study, narrative continuity refers to relationships formed across ordered short pieces through contrast, interruption, return, literary association, fantasy, memory, tonal and motivic recall, and the shaping of sound and time. Comparative score analysis shows that Schumann creates a distinct form of continuity in each cycle. In Papillons, he creates a public, ballroom-based form through masquerade, waltz-like dance, abrupt entrances, interruption, and the gradual dissolution of the social …

An Evidence-Based Practice Initiative To Expedite Pediatric Recovery And Discharge Following Myringotomy Tube Placement, Nicole Marie Rillera

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The use of multiple sedatives, anxiolytics, and analgesics to prevent emergence agitation (EA)in pediatric patients undergoing myringotomy (MT) placement at West Virginia University Medicine Children's is leading to prolonged lengths of stay in the post-anesthesia care unit (PACU). These extended stays are causing delays in subsequent procedures and raising concerns for staff, patients, and their families.

Evidence Review: The combination of intranasal dexmedetomidine given preoperatively and intramuscular ketorolac given intraoperatively for pediatric patients reduces the incidence of EA more effectively than oral midazolam and acetaminophen.

Purpose: This evidence-based practice project aims to establish a standardized, evidence-based anesthesia plan to …

Increasing Documentation Of Endotracheal Tube Cuff Pressures: A Quality Improvement Initiative For Flight Crew Providers, Matthew D. Noss

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Background: There was a lack of documentation of endotracheal tube (ETT) cuff pressures (CPs) by flight crew providers at Base 1 of HealthNet Aeromedical Services. A three-month pre-intervention data collection showed 1.8% of patients had initial CPs documented. Inadequate documentation and monitoring of ETT CPs can lead to patient complications such as tracheal injury and aspiration making this an important area for quality improvement.

Purpose: To increase documentation of ETT CPs through education and evidence-based interventions.

Intervention: This project implemented an educational in-service on ETT cuff syringe manometry for flight crew providers. The educational intervention consisted of …

A Mixed Methods Study Of The Transition To Adult Health Care For Sexual Minority Young Adults With Chronic Pain: Understanding The Impact Of Stigma, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minorities with chronic pain are likely to experience stigma stemming from their sexual identity and chronic pain. Pain stigma and sexual minority stigma are associated with increased health disparities and differences in health care utilization, particularly for adults. The transition to the adult health care system appears to be a critical point to understand the impact of stigma on health care utilization to then improve outcomes. With a sample of 48 sexual minority young adults with chronic pain, the current study investigated transition experiences using an explanatory, sequential mixed-methods design that was both observational and cross-sectional. Participants completed quantitative …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

‘She Dared Not’: Authority In The Monasteries Of The Diocese Of Lincoln, 1400-1540, Morgan Mcminn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Within monastic life, the Benedictine Rule prioritized the role of the abbot, and much of the everyday running of the house was left to his discretion. He was the elected father of the community, the pastor of the flock, the educator who instructed by word and example. He should discipline firmly but be loved and not feared, and he should play no favorite but rather adapt to the situation at hand. His brethren should obey him without question as the representative of Christ in the monastery, their self-will and earthly possessions submitted to him. These elements are also present in …

The Hidden Costs Of Consumption: A Multi-Context Investigation On Stigma And Social Judgment, Siti Nuraisyah Suwanda

Graduate Theses, Dissertations, and Problem Reports (ETD)

Consumption is not always as simple as an exchange of value between a buyer and a seller. In many contexts, what individuals choose to consume or not consume can carry social meaning, leading to judgment and devaluation. While prior research has explored stigma broadly in marketing and consumer behavior, less attention has been given to stigma that caused specifically by consumption choices. This dissertation addresses this gap by examining how consumption becomes socially evaluated and judged across different contexts, with the goal of advancing both theoretical understanding and practical insights into socially sensitive consumption.

Essay One develops the foundation by …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Reclaiming Agency: Ai Hallucinations And Translingual Interrogations In The City Tech Writing Center,, Joseph Franklin, Anna Laura Falvey

Publications and Research

No abstract provided.

Revival Through Resilience In The Post-Mined Landscape: Demonstrating The Socio-Economic Context Of Appalachia And Exploring How Community Infrastructure And Cultural Tourism Can Be Catalysts For Economic Regeneration In Appalachian Communities, Azita Tasnim Ritu

Graduate Theses, Dissertations, and Problem Reports (ETD)

Post-industrial communities across Appalachia continue to experience economic and environmental challenges following the decline of coal mining and related industries. Towns such as Smithers and Montgomery, West Virginia, reflect these conditions through economic stagnation, population loss, aging infrastructure, and degraded landscapes, creating an urgent need for sustainable redevelopment strategies.

The Appalachian Regional Commission emphasizes economic diversification, infrastructure investment, and community revitalization as critical components for improving regional quality of life. However, many former mining communities continue to struggle with underutilized heritage assets, degraded landscapes, and limited economic alternatives. Cultural landscapes and local identity remain significant but often overlooked resources that …

The Rise And (Sudden) Fall Of The New York Magdalen Society: How A Methodist Doctor Upset The Entire City Of New York, Philip Hardt

The Asbury Journal

In the 1820s, several new interdenominational societies distributed Bibles and tracts, formed Sunday Schools, and launched missions in areas of the city that lacked a religious presence. Another society called the New York Magdalen Society (hereafter, NYMS) was formed on January 1, 1830, to rescue women from prostitution. To be sure, this society was greatly needed as this activity had been steadily increasing. Their primary focus was a dilapidated area known as the “Five Points.” Purchasing an asylum (i.e., a large house), they started to accept women who sincerely wanted to change. Yet, their first annual report, issued in July …

Eldad And Medad’S Effusive And Momentous Worlds: A Diachronic View, David J. Zucker

The Asbury Journal

In Numbers 11, Eldad and Medad, two of the seventy chosen elders of the people of Israel remain in camp, while their counterparts join Moses at the Tent of Meeting. At the Tent, God takes some of the divine spirit that is on Moses and puts it on the elders, who then speak in ecstasy (others: prophesy, have a vision). Suddenly and simultaneously Eldad and Medad also speak in ecstasy (others: prophesy, have a vision). This article addresses how the text has been received and interpreted in the postbiblical world, largely in rabbinic writings, but also in religiously based homilies …

The Christ Of The Asbury Road, E. Stanley Jones

The Asbury Journal

This is an unpublished sermon, given by E. Stanley Jones on May 8, 1942, at 11:00 am at a special assembly at Asbury College. The day was named E. Stanley Jones day by the administration, and the 1942 yearbook was dedicated to Dr. Jones, who was also a member of the Board of Trustees. Jones had been asked to adapt the idea of his most well-known book, The Christ of the Indian Road, to his experience and knowledge of Asbury in Wilmore, Kentucky. He provided several interesting points to help ground Asbury’s theological position of holiness and build on that …

Influence Of Culture On The Practice Of Christianity Among Yoruba In Nigeria And Its Implications For Christian Missions, Olayinka John Akinola

The Asbury Journal

This study investigates the profound influence of Yoruba culture on the practice of Christianity among the Yoruba people in Nigeria. The Yoruba people group is in the western part of Africa with a larger percentage found in Nigeria. The Yoruba people of Nigeria have a rich cultural heritage that significantly influences the practice of Christianity among them. By employing a qualitative research approach, using descriptive research method, this study delves into the intricate relationships between Yoruba cultural values, beliefs, and practices and Christian teachings and practices.

The findings of this study reveal that Yoruba culture has significantly shaped the practice …

A Brief History Of Women At Asbury Theological Seminary, Robert A. Danielson

The Asbury Journal

Understanding the past roles of women within the 100-year lifespan of Asbury Theological Seminary is an important exercise in institutional history. Educational institutions frequently experience turnover in students, faculty, and administration at high rates. Institutional memory frequently is held by a few older members of the faculty and staff and more importantly by the archives of the institution. Institutional memory provides the foundation for changing policy decisions, understanding the institutional mission, and following how previous administrations dealt with a constantly changing cultural and social context. In the case of Asbury Theological Seminary, this paper explores an institution rooted in the …

Announcing The Vennard College Collection, Robert Danielson Ph.D.

The Asbury Journal

No abstract provided.

The Role Of Christian Hospitality In Mission To The Diaspora Community, Angela Kalim

The Asbury Journal

Immigration enriches a country’s cultural landscape but also brings change to existing norms. Some people see immigration as a threat, but many missiologists see it as an opportunity from God for God’s church to engage the nations. In this paper, I will explore the role of Christian hospitality in mission to the diaspora community. I will first explore what Christian hospitality is, and how it is different from conventional hospitality by looking at how Christian hospitality was practiced in the Bible as well as in Christian tradition, specifically in the Benedictine community. Second, I will discuss the role of Christian …

John Wesley And The Jews, Nicholas Railton

The Asbury Journal

This article focuses on John Wesley’s attitude to Jews and his understanding of their place in the divine plan of salvation. Wesley attended some synagogue services and got to know Jews personally. His understanding of biblical prophecy was expressed most clearly in the explanatory notes on the Bible that were once the standard guide for Methodists. Wesley’s eschatology encompasses a belief in the future conversion and restoration of the Jewish nation in the Holy Land. British Methodism has drifted from these moorings, and this is reflected in the resolutions it passes on the State of Israel.

From The Archives: Barbed-Wire Christians: Asbury, E. Stanley Jones, And Japanese American Internment Camps, Robert A. Danielson

The Asbury Journal

No abstract provided.

The Discrimination Of Methodist Students At Oxford University, 1768, Nicholas M. Railton

The Asbury Journal

Discrimination and persecution are perennial features of church history. This paper deals with six Oxford students who were expelled from the university for what were called ‘Methodist’ practices and beliefs. Their university trial is analysed as are the support structures within the evangelical network in the eighteenth century. The paper sheds light upon the lives of the students post-exmatriculation.

Encountering Angels In The Hebrew Scriptures, The Christian Scriptures, And The Qur’An, David J. Zucker

The Asbury Journal

Angels appear in the Hebrew scriptures, the Christian scriptures, and the Qur’an. They are very different from the contemporary “popular” view of angels. Sometimes in these three scriptures angels are acknowledged as simply being, other times they appear with, or interact with people. They generally have benevolent roles. At times, in the Hebrew and Christian scriptures they are recognized by humans, at other occasions they appear to be in human form and are not, at least immediately understood to be angels. In Hebrew, the most common word for angel is mal’akh, but a mal’akh can also be a human messenger. …

Positive Cosmology: On The Good Creation Into Which Christ Incarnated, Jason Horstman

The Asbury Journal

This article argues that a positive cosmology has been the majority report in the Christian tradition, which is to say that creation is good. Evidence of this report is highlighted from scripture, from the contemplative tradition, and from the hospitality tradition. Sin as a complicating factor in understanding creation as good is engaged, and a solution to this complication from the Christian monastic tradition is considered.

Book Review: "Love Divine: A Wesleyan Systematic Theology", Colton Castle

The Asbury Journal

No abstract provided.