Digital Commons Network^™

Business Educational Skills For Successful Aviation Fire Officers, Leo Sedlmeyer

All Faculty and Staff Scholarship

Purpose: This paper explored the business educational skills aviation fire officers use to manage airport fire departments.

Design/Methodology/Approach: The methodology was a qualitative phenomenological study design. The participants began with 10 aviation fire officers from airports throughout the USA who were at least 28 years old, in a leadership role, and had at least 10 years of experience as aviation fire officers (Buttenschon, 2016). Saturation was reached at seven during the interview phase. The limitations of this study were gaining participants' trust and obtaining comprehensive information from them.

Findings: Six themes emerged from this study, with the top three identified: …

The Experience Of Wellness And Self-Care For Graduating Bsn Students, Jenny Pappas, Terri A. Clark, Tasha Ruffin, Deborah Ellison, Adrienne Wilk, Debra Rose Wilson

Journal of Social, Behavioral, and Health Sciences

The aim of this study was to explore how graduating prelicensure bachelor of science in nursing (BSN) students experience self-care and wellness, with the goal of informing future curriculum development. Nursing students face significant academic, emotional, and sociocultural pressures that heighten vulnerability to burnout. Despite widespread agreement that self-care is a professional expectation, little is known about the students’ experience within demanding programs. Guided by Orem et al.’s (2001) self-care deficit theory, a qualitative study using interpretive hermeneutic phenomenology was used to examine lived experiences of self-care and wellness. Sixteen graduating BSN students participated in in-depth, semistructured interviews. Interviews were …

Redo-Transcatheter Aortic Valve Replacement With Self-Expanding Valves: A U.S. Registry Analysis., Toby Rogers, Vinayak N Bapat, Stanley J Chetcuti, Harold L Dauerman, John K Forrest, Sachin S Goel, Kendra J Grubb, Wah Wah Htun, Rishi Puri, Michael J Reardon, Gilbert H L Tang, Amit N Vora, Steven J Yakubov, Ruth Eisenberg, Guilherme F Attizzani

Heart and Vascular Articles

BACKGROUND: Redo-transcatheter aortic valve replacement (TAVR) for failed transcatheter heart valves is expected to increase, but data on outcomes with self-expanding valves remain limited.

OBJECTIVES: The aims of this study were to evaluate procedural, clinical, and quality-of-life outcomes following redo-TAVR using self-expanding Evolut valves and to compare these outcomes with those among a contemporary native TAVR cohort.

METHODS: Outcomes after redo-TAVR with Evolut R, Evolut PRO, and Evolut PRO+ valves in the Society of Thoracic Surgeons/American College of Cardiology TVT (Transcatheter Valve Therapy) Registry were analyzed and compared with outcomes after native-valve TAVR using the same valve platform during the …

Wildfires And Adolescent Mental Health: A Call To Action, Troy Allan

All Current Publications

Although wildfires affect people across the lifespan, adolescents warrant focused attention because wildfires can disrupt several systems that are especially important during this developmental period, including family relationships, peer networks, schools, routines, housing stability, and a developing sense of safety and identity. This fact sheet provides an overview of current research and a practical response pathway for professionals and families.

New Frontiers In Diagnosing Equine Lameness, Hyrum Hoopes, Karl Hoopes

All Current Publications

Lameness is one of the most common and expensive health problems seen in horses. Modern technology allows veterinarians to look beneath the surface. Tools such as artificial intelligence (AI), computed tomography (CT), magnetic resonance imaging (MRI), digital radiography (X-rays), nuclear scintigraphy, ultrasound, and positron emission tomography (PET) give clearer, more detailed pictures of what’s happening inside the horse’s leg. Each technology offers different advantages, from identifying uneven movement to revealing hidden damage within bones, joints, or soft tissues. When combined with veterinary visual evaluation, they help pinpoint the cause of lameness faster and more accurately than ever before.

Compbio And Miras-A Multi-Omic Analysis Platform Built On A Memory-Based Intelligence Engine, Ruteja A Barve, Chad E Storer, Wayne D Hoxsie, Curtis Marcum, Joshua F Mcmichael, Jared M Lalmansingh, Brittany K Smith, Mark R Johnson, Daniel J Kuster, Richard D Head

2020-Current year OA Pubs

As molecular and cellular technologies have advanced, the need to analyze and interpret the resulting vast and multi-modal data into actionable intelligence has become a rate-limiting factor in scientific advancement. While traditional knowledgebase-pathway tools and LLM-based AI tools provide a degree of support in data interpretation, both exhibit known limitations. Presented here is the CompBio multi-omic analysis platform built upon Memory-based Intelligent Reasoning System (MIRaS), an associative reasoning engine grounded in episodic and semantic memory, capable of inferring biological relationships directly from stored knowledge rather than from model training. The MIRaS system is not dependent on human-curated pathway knowledgebases, provides …

Predictive Validity Of Basc-3 Anxiety And Working Memory Scores For Clinically Significant Test Anxiety: Including Case-Level Examination Of Misclassified Profiles, Des'tiana Williams, Luis E. Aguerrevere, Nina Harness

Archives of Assessment Psychology

High school and college students can struggle with test anxiety, which may result in test scores below the capacity of the student. Previous literature suggests that test anxiety is related to general anxiety and limited working memory (WM), yet the extent to which these factors predict test anxiety in commonly used clinical psychoeducational assessments has not been thoroughly examined. In this study, we examined how well scores on the Behavior Assessment System for Children- 3rd edition (BASC-3) Self-Report Anxiety scale and Working Memory Index (WMI) on the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV), Wechsler Intelligence Scale for Children …

Analysis Of Satellite Drag, Orbit Tracking, And Associated Operational Impacts In Very Low Earth Orbit (Vleo), Angela Crews, Adrian Bryant, Nicholas Ratajczyk, Alec Yenawine, Conor Benson, Chris Roseman, Sara Swenson, Greg Furlich, Rick Marcusen, Sierra Flynn, Chris Pankratz, Scott Palo, Iain Boyd, Marcin Pilinski

Small Satellite Conference

Large constellations of SmallSats in Low Earth Orbit (LEO) are now delivering critical capabilities for missions in Earth observation, navigation, and communications. Very Low Earth Orbit (VLEO), defined here as below 400 km altitude, is emerging as a new frontier for SmallSat constellations due to its unique advantages. VLEO offers improved spatial resolution for Earth observations, reduced latency, increased signal power, and a naturally self-cleaning orbital environment. However, operating spacecraft in VLEO is non-trivial as the spacecraft must overcome the residual atmosphere at these altitudes and the resulting increase in aerodynamic drag and atomic oxygen fluence. As interest grows in …

Operating The Sparcs Space Telescope, Kaitlyn Ashcroft, Daniel Jacobs, Evgenya Shkolnik, Judd Bowman, Matthew Kolopanis, Tahina Ramiaramanantsoa, Joe Dubois, Titu Samson, Maria C. Ladwig, Joshua Sink, Ella Greetis, Paulo Gonzalez Soto, Ysabella Mcauliffe, Lilian Prigge, Aaron Boumias, Ishi Shah, Hetvi Patel, Joseph Dukowitz, David R. Ardila, April Jewell, Mark Swain, Shouleh Nikzad, Christophe Basset, Joe Llama, Paul Scowen, Sarah Peacock, Dawn Gregory, Nathaniel Streubel, Logan Jensen, Johnathan Gamaunt, Travis Barman, Victoria Meadows

Small Satellite Conference

Star-Planet Research CubeSat (SPARCS) is a 6U space telescope dedicated to monitoring flares from low-mass stars in the ultraviolet (UV). SPARCS observations of flares across 20 solar systems will be used to better understand the atmospheric evolution, chemistry, and potential habitability of the most common type of exoplanets. SPARCS’ camera uses delta-doped CCD detectors, which are several times more sensitive in the UV than previous detectors. This is technology necessary for future studies of habitable-worlds and star–planet interactions by future missions, such as NASA’s flagship mission, the Habitable Worlds Observatory. SPARCS orbits in the “6am terminator” orbit, which provides a …

Neutron-2: A Dual Cubesat Mission For Three-Dimensional Mapping Of Neutron Radiation In Low Earth Orbit, Miguel Nunes, Piper Kline, Kenoi Salvador, Peter Englert, William Edmonson, Craig Hardgrove, Erik B. Johnson

Small Satellite Conference

Neutron interactions in Low Earth Orbit (LEO) remain a poorly characterized component of the space radiation environment, despite their potential to significantly impact spacecraft electronics, materials, and crew health. Unlike primary charged particles, most neutrons in LEO are secondary products generated when high-energy protons and heavy ions from galactic cosmic rays or solar energetic particle events interact with atoms and molecules in Earth’s atmosphere. The production rate of these secondary neutrons is strongly dependent on atmospheric density, which varies with altitude, geomagnetic position, and solar activity, leading to spatial and temporal variability that is not well captured by current radiation …

Flight Model Development And Initial Operational Results Of The Rapid Alert Demonstration Satellite Arica-2, Hayato Mabuchi, Takanori Sakamoto, Motoko Serino, Shuntaro Morikawa, Shion Nojima, Rento Okita, Satoshi Moriyama, Seiya Shigeoka, Teruaki Enoto

Small Satellite Conference

AGU Remote Innovative CubeSat Alert System-2 (ARICA-2) is a 2U CubeSat designed to demonstrate rapid alerts for transient astrophysical events such as gamma-ray bursts (GRBs) by utilizing commercial satellite communications. Because GRBs are difficult to predict and have very short durations, immediate detection and rapid alert dissemination to enable follow-up observations by other instruments are critically important for understanding these phenomena. This satellite aims to address this challenge by adopting commercial satellite communication systems as its alert transmission method. The spacecraft is equipped with commercial satellite communication terminals, including Iridium SBD and Globalstar STX-3. The onboard computer (OBC) is Sony's …

Results From Nasa’S Distributed Spacecraft Autonomy Project’S Extended Mission On Starling, Caleb Adams, Michael Iatauro, Brian Kempa, K. Michael Dalal, Sergei Gridnev, Michael Ho, Caroline Lassiter

Small Satellite Conference

The Distributed Spacecraft Autonomy (DSA) experiments on Starling 1.0 marked a significant milestone as the first demonstration of fully autonomous distributed operations on multiple spacecraft. DSA demonstrated the ability to adapt to measurements of Total Electron Content (TEC) and visibility of GPS satellites in a fully distributed autonomous manner. In subsequent experiments, DSA 1.5 focused on improving its science proxy towards a higher fidelity data product computed at the edge, as well as addressing emergent autonomy needs from Starling 1.0, particularly local autonomy and robust crosslink data transfer.

The purpose of improving the TEC measurement was to demonstrate that high-quality …

Successful Deployment Of The First Free-Flying Light Sail: Results From The Cornell University Alpha Cubesat Mission, Joshua Umansky-Castro, Jonathan Ma, Duncan Mcdonald, Damian Hackett, Zach Garcia, Lauren Greenhill, Eric Zhang, Cameron Goddard, Y. Deemo Chen, Matthew Hurford, Apurva Hanwadikar, Grace Tang, Gillis Lowry, Mason Peck, Andrew Filo, Alex Burke

Small Satellite Conference

Alpha CubeSat is a mission led by students of the Cornell University Space Systems Design Studio to deploy a ChipSat-equipped free-flying retroreflective light sail in LEO. The spacecraft launched with NASA CSLI on the NG-23 ISS cargo resupply mission on September 14th, 2025 and deployed from the space station as part of NRCSD-29 on December 2nd, 2025. The mission was a success, with all primary mission objectives accomplished. This paper presents the mission results, with insights into the critical decision-making made within the first 48hrs of the mission to deploy and establish contact with the light sail payload. From conception …

Arcstone: Calibration Of Lunar Spectral Reflectance From Space - One Year On-Orbit Performance, Michael Cooney, Cindy Young, Mark Banchy, Noah Ryan

Small Satellite Conference

Arcstone is a 6U CubeSat launched June 2025 to demonstrate in-space validation of an approach for measuring the lunar disk reflectance to a high degree of accuracy, which will be used to create a new lunar model for calibration of reflected solar instruments. The mission was funded via NASA's InVEST program and had design input, analysis, management and operation from NASA Langley Research Center with multiple collaborators doing additional design work, calibration, and analysis. The Arcstone instrument is a hyperspectral instrument spanning the spectral range from 350 nm to 2300 nm. Arcstone views the Moon and the Sun controlling detector …

I Think I'M Falling For You: Xvi Mission's Final Days In Orbit, Lee Jasper, Erika A. Chavez, Andrew A. Knuth, Adam T. Reinelt, Cameron Shideler, Jayce Thedford, Declan Byrne, Michael Dompke

Small Satellite Conference

The Air Force Research Lab’s (AFRL) Small Satellite Portfolio (SSP) created the XVI CubeSat which was launched on SpaceX’s Transporter 8 in June of 2023. 

XVI remained operational from June 2023 until its deorbit on January 7, 2026. Throughout its lifetime, the team maintained the vehicle and used XVI for experimentation and training purposes. However, due to the sun's low activity around this time frame, and intentionally lowering the drag/cross sectional area of XVI on orbit, the spacecraft was able to stay in orbit for months beyond its initial predicted re-entry. 

Between January 4th and January 7th, XVI was tracked …

Passive Thermal Imaging And Failure Detection Of Large-Area Space Structures Using Spin Crossover Composite Skins, Edward Pomianek, Codrin Tugui, Denise Maria De Andrade, Mihai Duduta

Small Satellite Conference

Deployable solar arrays are among the most failure-prone structures on spacecraft, and on small satellites their large area, low mass, and mechanical complexity make faults both more likely and harder to observe. Electrostatic discharge, string arcing, and localized hot spots can degrade or disable an array, yet the mass and harness penalties of distributed point sensors are difficult to accommodate within CubeSat resource budgets. This paper presents a passive, camera-readable sensing skin based on spin crossover (SCO) composite films that converts thermal events on a large-area structure into persistent optical information. The active material, [Fe(NH₂trz)₃]Br_{2 …}

Itasat2 Conceptual Architectural Design Of A Multi-Band Communication Framework For Distributed Cubesat Formation Operations, Renan Guilherme Soares Menezes, Edson Wander Do Rego Pereira, Bruno Leonardo Schuster, Pedro Casarin, Pedro Henrique Antero Lira, Luiz Fernando Da Cunha Silva, Matheus Esteves, Lidia Shibuya Sato, Ana Di Iorio, Luis Eduardo Vergueiro Loures Da Costa

Small Satellite Conference

The growing operational complexity of distributed CubeSat missions in Low Earth Orbit (LEO) demands communication architectures that provide robustness, responsiveness, and mission-level adaptability. The ITASAT2 mission, composed of three coordinated CubeSats operating in controlled relative motion, serves as a representative case to investigate how a multi-layer communication architecture can support formation flying, responsive maneuver planning, space situational awareness (SSA), distributed payload operations, and increasing levels of onboard autonomy within strict SWaP constraints. This paper proposes and analyzes a multi-band communication architecture designed to improve both operational resilience and communication responsiveness. The architecture combines a primary telemetry, tracking, and command (TT&C) …

Synthesis, Thermal Stability, And Ionic Conductivity Of Phenyl-Extended Viologen Ditriflate Salts: Tailoring Properties Via Oxyethylene Chain Length, Seonghyeok L. Cox, Emily Moon, Si L. Chen, David King, Haesook Han, Pradip K. Bhowmik, Calvin Ng Yi Bin, Thamil Selvi Velayutham, Alfonso Martinez-Felipe

Chemistry and Biochemistry Faculty Research

Six new phenyl-extended viologen salts with oxyethylene groups paired with triflate anions (OTF) have been synthesized using anionic ring-opening and ring-closing reactions (ANRORC) and metathesis reactions with LiOTf salts. The salts, which contain terminal oxyethylene chains of varying lengths ((CH₂CH₂O)_n, n = 1, 2, 3, 4, 5, and 7), are named PEOn-OTF. These materials exhibit a fluorescence response and possess high thermal stability, with processing windows up to approximately 300 °C, as confirmed by thermogravimetric analysis. While samples with short chain lengths (n = 1, 2, and 3) undergo crystallization observed …

Expanding Treatment Frontiers In Hidradenitis Suppurativa: Double Immunomodulator Therapy In Severe Refractory Cases, Christina Tolete, Adam Friedman, Teresa Duong, Leonardo Tjahjono

Student Papers, Posters & Projects

No abstract provided.

Effect Of Personal, Organizational, And Work Attributes On Long-Term Care Nurses’ Intent To Stay, Marilyn J. Hodgins, Caitlin Mcarthur, Janice M. Keefe, Rick Audas, Carole Estabrooks, Rose Mccloskey, Gail Tomblin Murphy

International Nursing Research Congress (INRC)

A stable workforce is key to creating and maintaining a positive work environment, enhancing productivity, reducing adverse events, and lowering recruitment and orientation costs (De Vries et al., 2023). Stability in staffing of long-term care (LTC) facilities is particularly important given the vulnerability of the residents and increasing complexity of their physical and psychosocial care needs (Calver et al., 2025; Virdo & Daly, 2025). However, before action can be taken to address high turnover rates among LTC staff (Gandhi et al., 2021), factors influencing such decisions need to be understood.

PURPOSE: To examine extent that LTC nurses’ intent to stay …

Advancing Quality In Online Nursing Education: A Global Perspective, Kaneez R. Odgers, Shantha Franks

International Nursing Research Congress (INRC)

The global shift toward online and hybrid nursing education has transformed how nurses learn, offering flexible pathways for students across diverse geographic and socioeconomic contexts. As nations continue to face nursing shortages, digital and distance education models have expanded access, yet ensuring high-quality, competency-based preparation in virtual environments remains a major challenge. Concerns include the adequacy of virtual learning for developing clinical reasoning, variability in clinical training standards across countries, and disparities in technological access that directly affect learning outcomes. These issues reflect findings in current literature, showing the need for evidence-based strategies to ensure that digitally educated nurses are …

Postpartum Depression Screening By Pediatric Clinicians In North-Central Florida, Jessica S. Bahorski, Sionika Thayagabalu, Stacy Wright, Dominick Lemas

International Nursing Research Congress (INRC)

Background: Perinatal depression is defined as an episode of depression during pregnancy or within the first year after birth (National Institute of Mental Health, nd; World Health Organization, 2022). Perinatal mental health disorders in women are underrecognized with screening recommended during pregnancy and the postpartum period (American College of Obstetricians and Gynecologists, 2023; Earls et al., 2019; World Health Organization, 2022). The American Academy of Pediatrics (AAP) recommends screening for postpartum depression (PPD) at well child checks/visits (WCC) in the 6 months after birth (Earls et al., 2019). To determine if pediatric clinics incorporate this practice, this study aimed to …

Harnessing Expert Insights To Strengthen Hiv Care Through Innovative Programme Development, Mebelo Medupe, Deliwe Rene Phetlhu

International Nursing Research Congress (INRC)

Purpose: The aim of this study was to develop and validate an education programme designed to improve the quality of life (QoL) of people living with HIV (PLHIV) on antiretroviral therapy (ART) in the Johannesburg Metropole. The Delphi technique was employed to gather expert consensus on the content, scope, and relevance of the program to ensure its appropriateness and effectiveness.

Methods: A three-round Delphi process was conducted with ten purposively selected experts, including HIV/AIDS specialists, practitioners, nurses, and PhD students with relevant experience. Round one involved the development of an initial questionnaire based on literature review and previous research, which …

Usa-Kenyan Primary Care Teams Offer Phq-9 And Gad-7 Screening For Hiv+ Women In Kenya, Janet Meda, Laura L. Van Auker, Stephen J. Cavanagh, Miriam Carole Atieno Wagoro, Mariana Omenda

International Nursing Research Congress (INRC)

Background: As HIV treatment advances in sub-Saharan Africa, care for women living with HIV (WLWH) shifted from acute AIDS management to chronic disease care, with need to integrate mental health and HIV services. In low-resource settings comorbidities and antiretroviral (ARV) side effects can heighten anxiety and depression. Anemia, diabetes, hypertension, malaria, and ARV-related fatigue, pain, and neuropathy complicate diagnosis and treatment. Mental health screening in primary care improves identification and supports better outcomes. Rural and urban WLWH face different barriers and resources, emphasizing context-specific approaches. Expanding nursing education and advanced nursing roles may help reduce gaps in integrated care.

Objectives: …

Individual Factors Associated With Self-Management In People With Coronary Heart Disease In Colombia, Jennifer Rojas Reyes, Edith Arredondo Holguín, Maria Paulina Florez Gonzalez

International Nursing Research Congress (INRC)

Introduction: The rise in mortality from ischemic heart diseases such as acute myocardial infarction in Colombia—14,964 deaths by 2024 (1)—shows the need to identify factors that support self-management, an issue scarcely studied in Latin America, where most research focuses on cardiovascular risk (2–4) or other chronic diseases (4,5).

Objective: To examine correlations between individual factors and self-management in people with acute myocardial infarction in a quaternary hospital in Medellín, Colombia.

Method: A cross-sectional study with 177 participants with confirmed AMI who were close to hospital discharge. After ethical approval and informed consent, the adapted “Partners in Health Scale” (6) and …

Analyzing Proposed Federal Policy For Nurse-To-Patient Staffing Ratios: Insights From State Data, Brayton Amidon

International Nursing Research Congress (INRC)

Background: Approaches to nurse staffing in the United States is a highly debated topic. Nurses, policymakers, and hospital administrators are interested in improving patient outcomes and many researchers have looked to safe staffing as a way to improve these outcomes (Costa & Yakusheva, 2016). Mandated nurse-to-patient staffing ratios have been implemented at the state level and have been proposed at the federal level (Bartmess et al., 2021). Many state hospital associations oppose mandated staffing ratios as they claim these ratios could exacerbate the nursing shortage, deny nurses the flexibility to determine staffing needs, limit access to healthcare, and increase hospital …

Decisions Under Fire: Healthcare Students Reactions To An Active Shooter Simulation, Linda S. James, Sarah Hirsch

International Nursing Research Congress (INRC)

The Joint Commission (2021) recommended that hospitals train their employees on how to act and respond during an AS event. Students are required to complete agency trainings (i.e. fire, HAZMAT etc.) prior to attending practicum but are not required to complete AS response, sending them into clinical settings ill prepared.

The purpose of this study was to examine healthcare professional students’ moral and ethical challenges experienced from an interprofessional active shooter (AS) simulation. This simulation also explored ethical decision-making and provided students an opportunity to practice critical thinking in high-stress situation and had a secondary impact on their development of …

Pulse-Q: Space-To-Ground Quantum Key Distribution At The Cubesat Form Factor, Logan Hanssler, Stewart Kristiansen, Ellisian King, Neha Chandran, Unnathi Venkatesh, Selina Gao, Nelson Chan, Mika Sadikario, Joseph Sorel, Lexi Liu, Eleanor Gentry, Rohan Gupta, Juan Ignacio Prieto Asbun, Lauren Ayala, Vincent Redwine, Tian Zhong

Small Satellite Conference

Motivation 

• Quantum key distribution (QKD) offers provably secure communication regardless of the technology available to potential eavesdroppers.
• Space-to-ground QKD facilitates long-distance key distribution without costly terrestrial infrastructure.
• The Polarization-modUlated Laser Satellite Experiment – Quantum (PULSE-Q) is a 12U CubeSat mission to leverage recent innovations in compact quantum sources and optical communication to achieve space-to-ground QKD.

The Base Got Hit: Interpersonal Communication Strategies In High-Stress Space Projects, Allison E. Barnes, Avery G. Barriga, John F. Connolly

Small Satellite Conference

The AggieSat Laboratory (AGSL) is a student-driven laboratory with 17 years of space systems experience and flight heritage. As AGSL prepares to launch several space systems over the next three years, reflecting on lessons learned from past projects is critical to improving future reliability and execution. This survey analyzes communication dynamics in past CubeSat and ISS payload projects, specifically within the high-stress phases of Assembly, Integration, and Test (AI&T) and Mission Operations, where a combination of young engineers and high-stakes decision-making can often lead to compounding, avoidable technical anomalies.

This survey identifies specific interpersonal strategies to mitigate human error, including …

Development Of Nurse-Led Ultrasound-Guided Iv Access Using Novel Diva Scoring Too, Kevin Lamonica

International Nursing Research Congress (INRC)

Purpose: To develop and validate a novel Difficult Intravenous Access (DIVA) prediction tool for an urban emergency department (ED) and implement a nurse-led ultrasound-guided peripheral intravenous (USGPIV) access program.

Background: Difficult intravenous access affects 10-24% of ED patients, causing treatment delays and unnecessary central line placement (Egan et al., 2013; Loon et al., 2016). USGPIV demonstrates superior success yet procedures remain physician-restricted. Existing DIVA tools developed in European populations may not accurately predict risk in diverse urban settings. Expanding nursing scope requires validated risk stratification and standardized training.

Methods: This multi-phase quality improvement initiative utilized SQUIRE 2.0 guidelines. Phase I: …