Digital Commons Network^™

Structure-Conduct-Performance Analysis Of The Sports Industry In The United States, Luisa Hoffmann Araujo

Theses & ETDs

This study examines the U.S. professional sports industry through the Structure-Conduct-Performance (SCP) framework, which is a model commonly used to analyze how a market organization (structure) affects a firm’s behavior and its economic performance. When applying this analytical framework to the sports sector in the United States, it is possible to see with more clarity how the competition develops, the firm’s strategic decisions, and how they perform in the market. The data and research from this study were retrieved from secondary data sources, where it was possible to analyze academic literature, industry performance reports, and financial publications to deepen the …

Empowering Paraeducators: A Mixed Methods Study Of Targeted Paraeducator Training In Trauma-Informed And Restorative Practices, Amy K. Stevenson

Doctor of Education (Ed.D.)

This mixed-methods study, grounded in Improvement Science, examines behavioral support provided by paraeducators, sometimes referred to as paraprofessionals, to students who receive special education services. Districts employ paraeducators to implement Individualized Education Programs (IEPs) for students with a range of disabilities. Often, paraeducators possess limited skills and receive little training to provide effective support to students. Additionally, paraeducators remain among the lowest-paid employees in school districts. Research suggests that targeted professional development, particularly whole-group instruction, followed by coaching, modeling, and feedback, can improve both paraeducator implementation fidelity and student outcomes. Five paraeducators working in a program serving elementary students with …

U.S. Insurance Industry: Strategic Analysis On Auto And Property Insurance, Luan De Mendonca Marques

Theses & ETDs

This paper develops a comprehensive industry analysis of the U.S. insurance market, integrating market definition, value-chain mapping, industry dynamics, competitive forces, benchmarking, and company applications. It concludes with a focused assessment of how artificial intelligence (AI) is reshaping underwriting, claims, fraud detection, customer interaction, and product innovation. Drawing on regulatory and industry sources (NAIC, Insurance Information Institute, U.S. Treasury’s Federal Insurance Office), and management/consulting research (McKinsey, Deloitte, EY, IBM), the analysis finds a large, mature sector under structural transformation via data and AI. Premiums exceed $1.7 trillion, with Property & Casualty (P/C) representing ~53% and Life/Annuity ~47%. Key risks include …

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 …

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 …

Enhancing Psychiatric Education And Training For Family Nurse Practitioners In Rural Health Settings, Jared Sanders

DNP Scholarly Projects

Abstract

Title: Enhancing Psychiatric Education and Training for Family Nurse Practitioners in Rural Health Settings

Background: Mental health conditions represent a significant and growing proportion of primary care encounters, particularly in rural and underserved regions where psychiatric specialist access remains critically limited. In these settings, Family Nurse Practitioners (FNPs) frequently serve as the sole point of contact for patients presenting with mental health concerns, often without the benefit of embedded behavioral health support or readily available consultation. Despite carrying this clinical responsibility, many FNPs report gaps in formal psychiatric training, particularly in psychopharmacology and diagnostic differentiation, that contribute to variability …

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 …

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 …

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 …

Climate Change As A Security Interest: A Novel Defense In Fossil Fuel Investment Arbitration, Nabil Kapasi

Chicago Journal of International Law

Thousands of international investment and trade agreements contain provisions protecting investments made by parties from the signatory states. One such provision is Investor-State Dispute Settlement (ISDS), a mechanism allowing foreign investors to sue host states in arbitration for treaty violations. Fossil fuel investors are increasingly utilizing ISDS successfully to hold states liable for climate action; arbitral tribunals are awarding large compensations to these investors when states deny them permits for upstream activities or enact phase-out policies attempting to ban fossil fuel consumption. These awards impose heavy burdens on states while simultaneously deterring climate action by creating fears of liability. This …

January 2026 Library & Learning Newsletter, Minnesota State University, Mankato. Library & Learning Dean’S Office Communications Team

Library & Learning Newsletters

PDF version of the January (Volume 4, Issue 6) Library & Learning Newsletter.

Enhancing Classroom Outcomes For Students With Adhd: A Small Group Intervention Coupled With Adhd Psychoeducation For Teachers, Britney Wischer

Morehead State Theses and Dissertations

An applied project submitted in partial fulfillment of the requirements for the degree of Education Specialist at Morehead State University by Britney Wischer in 2026.

“Eres Mujer Y Te Tienes Que Aguantar”: Hispanic Maternal Wellbeing, Stephanie Reyes Bravo

CISLA Senior Integrative Projects

No abstract provided.

Does Dexmedetomidine Affect Opioid Consumption Following Orthognathic Surgery?, Allen F. Champion, Jung-Me Lee, Daniel Taub, Yu Jin Lee

Department of Oral and Maxillofacial Surgery Faculty Papers

BACKGROUND: Despite its purported analgesic effects, controversy exists regarding dexmedetomidine's efficacy as an opioid-sparing anesthetic adjunct.

PURPOSE: The purpose of this study is to measure the association between dexmedetomidine (DEX) administration during orthognathic surgery and postoperative opioid consumption.

STUDY DESIGN, SAMPLE, AND SETTING: A single-blind randomized prospective cohort study was implemented. Patients consenting for orthognathic surgery at Thomas Jefferson University from January 2022 to October 2024 were screened. American Society of Anesthesiologists physical status I to III individuals aged ≥14 years were included. Exclusion criteria were revision surgery, recreational drug use, opioid prescription within 2 years, and chronic pain.

PREDICTOR …

Representation Of Mental Illness And Disorders In Iberoamerica Digital Media, Luis M. Romero-Rodríguez, Santiago Tejedor, David Rull Ribó, Jesús Martínez-Fernandez, Bárbara Mercedes Castillo-Abdul Hadi

Artículos científicos

A recent bibliometric analysis of 130 research studies on media coverage of mental disorders between 2002 and 2022 found that, in most cases, research insists that media coverage of mental disorders is generally negative. The objective of this research is to examine the tone and content of articles on mental health in the main digital media in Ibero-America in 2023. Likewise, we sought to identify the most common types of disorders or emerging disorders and whether the news items establish very simplistic links of mental health with topics such as video games and social, financial, or gender issues. In this …

Esg-Driven Traceability Adoption: An Impact Thinking Multi-Dimensional Framework For The Fashion And Textile Industry, María Tamames Sobrino, David Antonio Rosas Espín, Jaime Gisbert-Payá

Artículos científicos

This study introduces an Impact Thinking Approach (ITA) as a strategic framework to strengthen traceability implementation in the fashion and textile industry. The research examines how ESG impact dimensions shape sustainable strategy definition and how traceability can act as a strategic enabler rather than a mere compliance tool. A mixed-method design combining a narrative literature review, content analysis of 69 sustainability sources, and a two-round Delphi study with 19 experts was employed to identify, evaluate, and prioritize impact drivers related to traceability adoption. The resulting ITA framework connects regulatory requirements, impact materiality, and traceability demands into a unified structure that …

Annual Report Of Undergraduate Research Fellows From August 2025 To May 2026, Office Of Research And Sponsored Programs. Morehead State University.

Office of Research and Sponsored Programs Reports and Publications

Annual Report of Undergraduate Research Fellows from August 2025 to May 2026.

A Word From The Writing Team (January 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

Retention Time Of Microplastics In The Purple Sea Urchin (Arbacia Punctulata), Alexandra Shore

Honors Theses and Capstones

Marine ecosystems around the world are facing the problem of plastic pollution. Large pieces of plastic eventually degrade into smaller microplastics that are suspended in the water column and sink to the seabed. Sea urchins are exposed to microplastics as they graze on the sea floor and can accidentally consume these pollutants. Sea urchins are ecologically important animals because they physically alter their ecosystem via grazing and are integral part of marine food webs. To better understand how sea urchins interact with microplastics, purple sea urchins were exposed to microfibers and microspheres in a laboratory setting, and the retention time …

More Than A Meal: What Death Row Last Meals Reveal About Identity, Power, And Humanity, Mackenzie Helbig

Honors Theses - Providence Campus

Last meals on death row may appear to be a small or insignificant part of the execution process, but they can reveal deeper meaning about the individuals who choose them and the system that allows them. Before execution, inmates are often given the opportunity to request a final meal. While this moment is brief, it can carry emotional, cultural, and symbolic meaning. This study explores what last meals reveal about identity, mental state, and personal control in a highly controlled environment.

Using a descriptive qualitative approach, this research analyzes last meal records, academic studies, and inmate reports to identify recurring …

Stephen Ellmann Clinical Theory Workshop Bibliography (1985-2025), New York Law School

Clinical Theory Workshop

No abstract provided.

From Sacred Practice To Social Identity: The Historical Evolution Of Vegetarianism Through Religion, Psychology, And Social Norms, Makenna Mae Seymour

Honors Theses – Charlotte Campus

This research paper aims to explore how the vegetarian diet has evolved throughout history through lenses of religion and social psychology. Using primary and secondary academic resources, over thirty resources were evaluated, including books and journal articles,  using key words, such as “vegetarian,” “attitudes,” and “social norms.” The beginnings of vegetarianism were established through religious practices, but social norms from families and friends, as well as personal gain reasons, are the driving factors that have maintained the vegetarian diet over time. Vegetarianism began from Pythagoras and his cult in the 600s BC, but it grew once Hinduism and Jainism adopted …

Striving To Thrive: Balancing Digital Health Innovation And Patient Protection Under Thailand’S Legal Framework, Thidarat Liamsomboon

Theses and Dissertations

The digitalization of health care has fundamentally transformed how health care services are accessed, delivered, and experienced worldwide. Telemedicine, artificial intelligence–assisted diagnostics, electronic health records, wearables, and mobile health applications are no longer novelties, but have become a substantial part of a modern clinical practice. Although these technologies offer great prospects for making health care more accessible, reducing administrative burden, and improving the quality of care, they also pose significant legal and regulatory challenges. The rate of technological development has far outpaced Thailand’s existing legal frameworks for regulating medical practice, professional accountability, and patient protection. This regulatory “lag” has generated …

Five Tensions Of Artificial Intelligence Adoption For Organ Allocation: Applying The Technology–Organization–Environment Framework, Amaneh Babaee, Daniel Burton Shank, Casey I. Canfield, Joely Grace Hall, Krista L. Lentine, Henry Randall, Mark Schnitzler

Psychological Science Faculty Research & Creative Works

Background: The US organ transplantation system is pursuing modernization of the allocation process through the integration of new technologies such as artificial intelligence (AI). However, the legal and ethical issues within the transplantation industry are still of concern. Objective: We explore the opportunities and challenges for Organ Procurement Organizations (OPOs) to adopt AI. The US organ transplant system is a highly regulated industry yet open to innovation. Methods: Ten structured interviews were conducted with OPO representatives using the Extended Technology, Organization, Environment (TOE) framework. Results: Overall, we identified five core tensions in AI adoption: (1) misconceptions, (2) approach to training, …

Understanding The Underutilization Of The Campus Recreation Facility: A Mixed-Methods Examination Of Basic Psychological Need Satisfaction, Social Physique Anxiety, Sense Of Community, And Physical Environment Barriers, Caden M. Pfingsten

Master's Theses or Doctor of Nursing Practice

Campus recreation facilities have been identified as important contributors to student well-being, academic persistence, and institutional belonging. Despite these documented benefits, a persistent gap exists between available services and actual student utilization at many institutions. This study examined the psychological, social, and environmental factors associated with students' underutilization of the Campus Recreation Facility (CRF) at a mid-sized Midwestern public university in favor of paid off-campus commercial gym memberships.

Using a cross-sectional survey design, 169 students completed a battery of validated and researcher-adapted instruments assessing basic psychological need satisfaction (autonomy, competence, and relatedness), Sense of Community, and social physique anxiety across …

Implementing An Electronic Referral System In A Community Mental Health Clinic To Streamline Patient Care: An Evidence-Based Quality Improvement Project, Judith Ngante

Master's Theses or Doctor of Nursing Practice

Inefficient referral processes in community mental health clinics contribute to delayed access to care, fragmented communication, and increased administrative burden. Traditional referral methods, including phone, fax, and paper-based systems, often result in prolonged wait times and documentation errors, negatively impacting patient outcomes. Evidence supports electronic referral (e-referral) systems as effective tools for improving care coordination, reducing delays, and enhancing provider satisfaction. This Doctor of Nursing Practice (DNP) quality improvement project aimed to implement an e-referral system in a community mental health clinic in metropolitan Texas to streamline patient care and reduce referral wait times by at least 30% over a …

Digital Gender Based Violence: A Comparative Study Between Bangladesh & The United States, Ireen Parvin

Graduate Research Papers

No abstract provided.

Clinical And Community-Based Recovery Models: The Focus On How They Can Be Better Together, Alicia Wilder

Graduate Research Papers

Two of the main pathways for individuals to access recovery services are clinical and community-based. The clinical model focuses on medical stabilization and treatment, followed by community-based care that provides peer-driven support and sustainability through connection. The purpose is to examine how recovery models aim to support those in recovery and pinpoint the ways they can integrate medical and social systems to meet client needs. Comparing the two will allow us to understand how each model supports sustained recovery and overall well-being. The question that will be researched in this study is: How do acute clinical treatment and community- based …

Social Media Usage And Its Effects On Adolescent Mental Health, Kloey K. Thill

Graduate Research Papers

As social media increasingly becomes incorporated in many daily routines of adolescents, there is a growing concern about the psychological impacts associated with problematic social media use. This research study explores the relationship between social media habits and mental health outcomes among adolescents. The research found by conducting a comprehensive literature review indicates associations between problematic social media use and mental health outcomes including anxiety, depression, low self-esteem, and poor sleep quality. Further research raises the question of whether there are different vulnerabilities and outcomes across different demographics of adolescents. Findings from this research study can be used when creating …

Employment Preferences Of Favela Residents, Mayara Felix, Beatriz Marcoje, Ieda Matavelli, Maria Clara Rodrigues

Cowles Foundation Discussion Papers

We document employment preferences of workers at the margin of informality using open-ended questions and discrete choice experiments in Brazil’s largest favela complex. Stated preferences emphasize pay and tangible job benefits rather than meaning or purpose, while primary complaints center on poor management, customers, and inflexible schedules. Workers exhibit high valuations for all formal sector amenities on average—unemployment insurance, parental leave, and termination notice—as well as for learning opportunities, but lower for non-formal sector amenities such as shorter commutes. Valuations vary systematically by employment sector in ways consistent with sorting: formal workers value formal amenities most, the self-employed value them …