Digital Commons Network^™

Updating Order Set Review Policy To Improve Adherence To Evidence-Based Practice In A Multi-Hospital System, Corynne Lurie

West Chester University Graduate Theses, Dissertations, and Final Projects

Ensuring that clinical order sets reflect current evidence-based practice is essential to delivering safe, high-quality, and consistent patient care across health systems. In multi-hospital organizations, maintaining alignment across facilities presents additional challenges, including variability in workflow, stakeholder involvement, and policy adherence. This quality improvement project evaluated the existing order set review process within a three-hospital health system to determine whether current policies effectively support system-wide needs and promote best practices. Guided by Lewin’s Change Theory, a qualitative descriptive design was used to assess current workflows and gather feedback from stakeholders involved in order set development and review. Survey data, with …

Social Dirt Or Fertile Soil: A Phenomenological Study Of Contingent Faculty, Ann M. Hiloski-Fowler

West Chester University Graduate Theses, Dissertations, and Final Projects

The experiences of contingent or adjunct faculty affect their professional identity development. Contingent faculty use has increased since the 1970s. By 2013, two-thirds of U.S. higher education faculty were contingent (Finkelstein et al., 2016). While institutions use contingent faculty to fulfill their educational missions (Haviland et al., 2017; Kezar & Sam, 2011; Kimmel & Fairchild, 2017), their status as academic laborers stigmatizes them in academia, developing what Levin and Shaker (2011) term a “hybrid identity” (p. 1479), as both professionals and laborers, professors and temporary employees. Historically, the professional status of the professoriate has been defined on the tenure track …

Fit Ideal Internalization And Muscularity-Oriented Disordered Eating Among College Women: Examining Social Comparisons And Body Dissatisfaction As Serial Mediators, Nicole Graumann

West Chester University Graduate Theses, Dissertations, and Final Projects

Muscularity-oriented disordered eating (MODE) comprises rigid eating behaviors driven by a desire to be toned and muscular (Cunningham et al., 2021; Murray et al., 2019). While MODE has been widely studied among men, it is increasingly prevalent among women, and it is vital to explore its associated risk factors. In particular, the fit ideal (thin but also toned) is an emerging issue among women’s body image and could be a factor for women engaging in MODE; however, there is limited research exploring this relationship. The present study examined the relationship between the fit ideal internalization and MODE among college women …

Educators’ Perceptions Of Artificial Intelligence Enabled Wearable Technology To Support The Social, Emotional, And Behavioral Functioning Of Neurodiverse Students, Jessica Taraborrelli

West Chester University Graduate Theses, Dissertations, and Final Projects

The integration of technology in education has largely focused on academic outcomes, with limited attention to students’ social, emotional, and behavioral needs, particularly for neurodiverse students. Artificial Intelligence enabled wearable technologies present promising opportunities to address this gap by providing real time data and interventions. The purpose of this quantitative study was to examine educators’ perceptions of AI-enabled wearable technology and its potential to support the social, emotional, and behavioral functioning of neurodiverse students. Grounded in the Technology Acceptance Model (TAM3) and the Collaborative for Academic, Social, and Emotional Learning (CASEL) frameworks, this study explored how perceived usefulness and its …

Retrospective Analysis Of Calcium Administration In Patients Undergoing Massive Transfusion Protocol (Mtp), Chrissy Unton

West Chester University Graduate Theses, Dissertations, and Final Projects

Unintentional injuries have remained the third leading cause of death in the United States since 2015, with the exception of 2020. Of those deaths resulting from traumatic injury, 40% result from hemorrhage and uncontrolled blood loss. Current treatment efforts focus on early, balanced transfusion of blood products and aim to correct metabolic derangements/coagulopathies, while minimizing crystalloid administration. As such, the role hypocalcemia plays in the injury process and the importance of calcium administration in resuscitation efforts has gained traction over recent years. The aim of this retrospective analysis was to assess calcium supplementation in relation to current facility protocol for …

A Community Cultural Wealth Approach In Exploring The Lived Experiences Of Second-Generation Black Caribbean American Undergraduate Women Attending U.S. Predominantly White Higher Education Institutions, Arielle Phillips-Law

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative phenomenological study explores the lived experiences of second-generation Black Caribbean American women undergraduate students who attend U.S. predominantly white institutions. Black women students from ethnic minorities encounter racism, sexism, and ethnocentrism, all factors that can influence their persistence and completion within U.S. higher education and the economic outcomes post-graduation. Using Community Cultural Wealth as the guiding theoretical framework for this study, I focused on centering the strengths and skills of Black Caribbean women in their navigation of higher education. I used an interpretive phenomenological analysis as the study methodology. Participants included ten second-generation Black Caribbean cisgender women who …

Framing The Gray: A Photovoice Study Of Parents’ Experiences Supporting Elementary Mathematics Learning At Home, Rebekah Ulmer

West Chester University Graduate Theses, Dissertations, and Final Projects

This narrative photovoice study explored how elementary parents understand their role in supporting mathematics at home. The research asked three foundational questions: How do parents of elementary students describe their personal experiences with learning mathematics? How do parents of elementary students describe their experiences with supporting mathematics at home with their children? What factors influence parents' experiences with mathematics? Fourteen parents, eight with experience as educators and six without, participated by sharing photographs in response to five prompts and discussing what those images meant to them. Their stories revealed that, for these families, mathematics isn't neatly divided into “school math” …

Assessing The Mentorship Role In Neonatal Outcomes, Patricia Juhline Brunner

West Chester University Graduate Theses, Dissertations, and Final Projects

The complex environment of neonatal intensive care requires a skilled, engaged nursing workforce to maintain high‑quality outcomes. Structured mentorship is an evidence‑based strategy shown to enhance professional engagement and support improved clinical outcomes. This Doctor of Nursing Practice quality improvement project aimed to evaluate the impact of a structured clinical mentorship program on evidence‑based practice beliefs, nurse engagement, and selected neonatal outcomes in a Level III academic intensive care nursery.

Guided by the Donabedian model, the project evaluated structure through mentorship design and preparation, process through mentor–mentee interactions and workflow integration, and outcomes through nursing and patient metrics. Lewin’s change …

Where Joy Lives: Black Students, Faculty, And Staff At Pwis, Chyna Hart

West Chester University Graduate Theses, Dissertations, and Final Projects

Matriculating into Predominately White Institutions (PWIs) can be challenging for Black students due to racism. However, Black faculty and staff play an important role in combating these challenges and creating supportive and joyful spaces for these students. Using Narrative Inquiry, this study examined the role that Black faculty and staff played in fostering Black Joy for Black students at Predominately White Institutions (PWIs). Participants were self-identified Black students, faculty, and staff who are 18 years or older and were affiliated with a mid-size four-year PWI in the northeastern region of the United States. The study utilized two data collecting instruments …

Say Gay: Increasing Preservice Teacher Confidence Using Participatory Theatre, Sarah Maxime Hyson

West Chester University Graduate Theses, Dissertations, and Final Projects

Research Design: Research shows a lack of LGBTQ+ instruction in teacher preparation programs. This social justice mixed methods study evaluates effectiveness of participatory theatre for increasing confidence in preservice teachers. Research Questions: RQ 1: How does student self-rating of confidence change after participatory theatre experiences that examine issues concerning LGBTQ+ individuals and materials? RQ 2: What do preservice teachers’ writing, sketching, and discussion about their participatory theatre experience reveal about their evolving confidence regarding LGBTQ+ individuals and issues? RQ 3: What do the instructor’s experiences and reflections reveal about the effectiveness ofparticipatory theatre pedagogy to increase confidence in preservice teachers …

Examining The Stories Of Early-Career Student Affairs Professionals And Free Speech Issues On College Campuses, Kimberly C. Farrer

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative research study explored the stories of early-career student affairs professionals on their experiences responding to free speech issues on college campuses. Additionally, this studied explored how they were prepared for those responses. This study was important because early-career student affairs professionals are managing free speech issues on college campuses but lack the training and preparation to do this (Duran Leftin & Duran, 2021; Harris & Ray, 2014). This study utilized both authentic leadership theory (Avolio & Gardner, 2005; Gardner et al., 2005; Luthans & Avolio, 2003; May et al., 2003; Northouse, 2025) and Kohlberg’s (1976) theory of moral …

Modeling The Effects Of Subsurface Tile Drainage On Atrazine And Nitrate Transport In Till Soils Of Iowa, Madison Hobbs

West Chester University Graduate Theses, Dissertations, and Final Projects

Tile drainage design influences groundwater flow pathways, residence time, and agrochemical transport in agricultural soils. This study evaluates how differences in drainage design affect subsurface flow behavior and contaminant transport in glacial till soils. A groundwater model was developed to compare conventional and controlled drainage systems with a shallow drainage system, and particle tracking was used to examine flow paths and residence times.

The results show that tile drainage creates distinct shallow and deeper flow pathways. In the conventional and controlled model, 88% of particles were captured by drains, while 12% reached the general head boundary. The shallow system drains …

Beyond The Bedtime Story Beginnings: A Qualitative Study Exploring The Phenomenon Of Family Shared Reading With Middle-Grade Children, Kelly Rorvik

West Chester University Graduate Theses, Dissertations, and Final Projects

Literacy can serve as a critical outlet for children to develop empathy and academic success. However, substantial evidence suggests that by middle school, many students develop less positive attitudes and motivations for recreational and academic reading. The purpose of this asset-based phenomenological qualitative study, framed by Attachment and Socio-Critical Literacy theory, is to examine the parental experiences of shared reading with children between the ages of 10 and 15 to understand the perceived purpose and emotional impact it has on families. The 14 participants in this study were selected through a purposive interest survey. This asset-based phenomenological study seeks to …

Wellness Participation Of Student-Serving Staff: The Impact On Well-Being And Student Support, Ashley L. Oostveen

West Chester University Graduate Theses, Dissertations, and Final Projects

This study examines the relationship between student-serving staff’s wellness engagement and overall well-being, their job satisfaction, and their perceived support for students. A convergent mixed-methods approach was applied while maintaining a theoretical framework rooted in Self-Determination Theory (Deci & Ryan, 1985), integrating the concepts of Hettler’s Six Dimensions of Wellness (1976). Forty-one student-serving staff across universities in a public university system in Pennsylvania participated in this study. A quantitative survey was used to measure overall well-being, wellness engagement, and support to students, while concurrent focus groups were conducted to gather insight on work-life well-being and staff’s perceived support to their …

"They Just Gave Me The Syllabus": A Mixed Methods Study Of Music Therapy Educators' Preferred Pedagogies, Christina Danielle O'Brien

West Chester University Graduate Theses, Dissertations, and Final Projects

In 2022, the workforce analysis of music therapists, the American Music Therapy Association reported that approximately 80% of all board-certified music therapists are white/Caucasian-European (Iwamasa, 2025). However, the AMTA does not determine the origins of race or ethnicity among postsecondary music therapy faculty in the U.S., nor does it assess their potential impact on the expansion of multicultural curricula for preservice professionals. The purpose of this convergent mixed-methods dissertation is to examine the perception of lived experiences as a pedagogical tool to enhance effective teaching practices. Twenty-six postsecondary faculty from the U.S. were recruited. Quantitative data were collected via Qualtrics …

The Role Of Home Visiting In Addressing Postpartum Care Gaps: Evidence From A Large Community Sample, Aishwarya Vijay, Allison Kemner, Karen Hoerchler, Abigail Edwards, Jeannie C Kelly, Rachel G Tabak, Mark D Huffman, Zainab Mahmoud

2020-Current year OA Pubs

BackgroundMaternal mortality in the United States has doubled over the last two decades, primarily due to cardiovascular disease, with more than half of deaths occurring postpartum. Despite national calls to action, attendance at postpartum clinic visits remains low. The role of alternative care delivery strategies, such as home visiting, remains insufficiently studied.ObjectiveTo describe postpartum clinic visit attendance among participants in a large national home visiting program, identify sociodemographic and clinical factors associated with attendance, and examine how timing and duration of enrollment relate to postpartum follow-up.DesignWe conducted a retrospective cohort study of pregnancy episodes among mothers enrolled in the Parents …

Rationale And Trial Design Of Ribolaris: A Phase Ii Trial Of Neoadjuvant And Adjuvant Ribociclib Plus Endocrine Therapy For Clinically High-Risk Hr+/Her2-Negative Breast Cancer, Paul Cottu, Cynthia X Ma, Et Al.

2020-Current year OA Pubs

BACKGROUND: Despite advances in endocrine therapy, patients with hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) early breast cancer (eBC) remain at risk of recurrence (ROR). Chemotherapy is often used in high-risk cases, but not all patients benefit.

OBJECTIVES: To evaluate whether chemotherapy can be safely omitted in patients with stage II, grade 2/3 HR+/HER2- eBC who convert to low genomic risk (ROR-low) following neoadjuvant ribociclib plus letrozole.

METHODS: RIBOLARIS (NCT05296746) is an open-label, multicenter phase II trial in patients with stage II, grade 2 or 3, HR+/HER2- eBC defined as high risk based on a Ki-67 index ⩾20% …

Centering Community Concerns And Recommendations Amid Rapid Policy Changes: Impacts On Social Protection, Well-Being, And Health Access, Kriti Vashisht

School of Social Work Faculty Publications

Rapidly evolving policies on gender identity and expression have highlighted a wide range of public and political perspectives on whether to limit or support demands for gender identification and healthcare services for the LGBTQ+ community. Due to the rise in these pro and against narratives and incidents, there were increased protection risks for this group. Scholars and practitioners working closely with LGBTQ+ members are witnessing increased distress and concerns among them, creating further barriers to care and heightened stigma. This is why community-based scholars and educators initiated an open consultation to create a non-partisan space for dialogue, reflection, and learning …

Convergence Of Social Justice, Human Rights, And Artificial Intelligence (Ai), Sudershan Pasupuleti, Urmila Yadav, Susheelabai R. Srinivasa

School of Social Work Faculty Publications

Artificial Intelligence and large data machine learning are transforming many areas, including healthcare, economic, political, and educational social institutions, at their best. Artificial intelligence can also be offered the moral and legal potential to safeguard human rights and social justice in society. For instance, human rights organizations scan public domain images for evidence of abuse, or software uses adversarial techniques to reduce bias in training data. At best, some organizations and businesses are tackling these challenges in a proactive manner, looking for methods to make sure they avoid or identify concerns before they arise; for others, this may be a …

“Full And Equal Access”: A Socio-Ecological Model Of Healthcare Ableism Experienced By The Blind And The Low Vision Community, Rebecca Fischbein, Rachel Conrad Bracken, Allyson S. Hughes, Rayyan Bhutta, Nazanin M. Heydarian

School of Social Work Faculty Publications

In 2023, the National Institutes of Health (NIH) designated people with disabilities as a population experiencing health disparities, citing “a wide and varying range of health conditions leading to poorer health and shorter lifespan” and “discrimination, inequality and exclusionary structural practices” contributing to pervasive health inequities. As blindness and low vision (BLV) become increasingly common due to an aging population coupled with higher rates of type 2 diabetes, more people who are BLV will require quality care. Yet, people who are BLV face many barriers to care, including healthcare provider and staff (HCP) ableism. In this chapter, we propose a …

A Call To Action: Engaging With The Intergovernmental Science-Policy Panel On Chemicals, Waste And Pollution, Miriam L. Diamond, Gabriel Sigmund, Marlene Ågerstrand, Michael G. Bertram, Alex T. Ford, Rainer Lohmann, Andreas Schäffer, Maria Clara V.M. Starling, Anna Soehl, Noriyuki Suzuki, Penny Vlahos, Marta Venier, Martin Scheringer

Graduate School of Oceanography Faculty Publications

No abstract provided.

Global Inventory Of Fluoropolymer Production Plants And Their Associated Pfas Environmental Contamination, Anna J. Miller, Kevin Kleemann, Juliane Glüge, Rainer Lohmann, Ian T. Cousins, Dorte Herzke, Mark F. Miller, Amanda Rensmo, Xenia Trier, Zhanyun Wang, Martin Scheringer

Graduate School of Oceanography Faculty Publications

Fluoropolymers are widely used across sectors, but their production is associated with emissions of perfluoroalkyl and polyfluoroalkyl substances (PFASs), which are mobile, persistent, and toxic. In this work, we compiled a global inventory of fluoropolymer production plants (FPPs) and assembled PFAS concentration measurements for various media in their vicinity. We identified 52 currently operating FPPs across 11 countries and 41 cities. For 12 FPPs, in 12 different cities, there are peer-reviewed site-specific PFAS measurements specifically attributed to the FPP. At these 12 sites, at least 236 individual PFASs have been detected across multiple environmental media, including surface water, groundwater, air, …

Senolytic-Resistant Senescent Cells Have A Distinct Sasp Profile And Functional Impact: The Path To Developing Senosensitizers, Utkarsh Tripathi, Masayoshi Suda, Vagisha Kulshreshtha, Bryan T Piatkowski, Allyson K Palmer, Nino Giorgadze, Christina Inman, Nathan Gasek, Ming Xu, Kurt O Johnson, Tamar Pirtskhalava, Selim Chaib, Larissa P G Langhi Prata, Yi Zhu, Renuka Kandhaya-Pillai, Stefan G Tullius, Saranya P Wyles, Rambabu Majji, Hari Krishna Yalamanchili, David B Allison, Tamar Tchkonia, James L Kirkland

Faculty, Staff and Students Publications

The senescent cell (SC) fate is linked to aging, multiple disorders and diseases, and physical dysfunction. Senolytics, agents that selectively eliminate 30%-70% of SCs, act by transiently disabling the senescent cell antiapoptotic pathways (SCAPs), which defend those SCs that are proapoptotic and pro-inflammatory from their own senescence-associated secretory phenotype (SASP). Consistent with this, a JAK/STAT inhibitor, Ruxolitinib, which attenuates the pro-inflammatory SASP of senescent human preadipocytes, caused them to become "senolytic-resistant". Administering senolytics to obese mice selectively decreased the abundance of the subset of SCs that is pro-inflammatory. In cell cultures, the 30%-70% of human senescent preadipocytes or human umbilical …

Editorial: New Insights On Vascular And Metabolic Diabetic Complications, Hua Mao, John D Imig, Ricardo Espinosa-Tanguma

Faculty, Staff and Students Publications

No abstract provided.

Modulation Of Corneal Sensory Processing And Pain Responses By Dry Eye And Corneal Wounding, Ebru Yaman, Yangluowa Qu, Kaylin C Arpaia, Fairouz Elsaeidi, Uma Lakshmi Balakrishnan, Lance He, Henry Skrehot, Jehan Alam, Rui Chen, Mary Ann Stepp, Cintia S De Paiva, Stephen C Pflugfelder

Faculty, Staff and Students Publications

Background: Dry eye disease (DED) is a multifactorial disorder of the ocular surface in which tear film instability, epithelial barrier disruption, and neurosensory dysfunction contribute to symptom generation. Although several contributing factors have been identified, how different forms of ocular surface stress affect sensory pathways and behavioral responses remains unclear.

Purpose: This study aimed to evaluate corneal barrier function, sensory responses, and pain-related behaviors across acute and chronic dry eye and corneal injury models, and to assess stimulus-specific responses associated with TRPV1 and TRPM8 mediated pathways.

Methods: Female C57BL/6 J wild type and Mmp9KO mice were evaluated in acute desiccating …

Mir-302 Regulates Pancreatic Progenitor Pool And Pancreatic Size, Ziyue Z Yang, Caroline G Snider, Ronald J Parchem

Faculty, Staff and Students Publications

Disruptions in pancreatic development can lead to health issues such as pancreatic agenesis and congenital diabetes mellitus. Understanding pancreatic organogenesis is critical for elucidating disease mechanisms and developing regenerative therapies. The pancreas consists of endocrine and exocrine cells, both of which are derived from multipotent progenitor cells (MPCs). MPC proliferation and differentiation are tightly controlled by multiple mechanisms, including post-transcriptional regulation by miRNAs. However, these regulatory factors are not fully understood. Here, we profiled miRNA expression in MPCs and identified that mir-302 was highly enriched during the earliest stages of pancreatic development. Loss of mir-302 resulted in reduced pancreatic size …

Peaks Island Star : January 2026, Vol. 46, Issue 1, Service Agencies Of The Island

Peaks Island Star, 2026

The Peaks Island Star is the newsletter of the island's service agencies and other community news.

The Ideological Work Of Penal Reform: How Reformers Justify Penal-Welfare Hybridization, John Halushka, Brandon Miller

Faculty Research, Scholarly, and Creative Activity

This article uses the Santa Clara County Reentry Resource Center (RRC) as a case study to explore the cultural content of penal reform. Specifically, we explore the discourses that officials use to publicly justify projects of penal-welfare hybridization, or the linking of state systems of punishment and welfare to manage criminalized populations. Our qualitative analysis draws on a dataset consisting of county planning documents, budgets, videos, press releases, and newsletters published online between 2011 and 2023. By examining these materials over time, we are able to chart patterns of consistency and variation in how officials justify hybridization. We find that …

Finding Aid For The Mississippi Politics Collection (Mum00316)

Archives & Special Collections: Finding Aids (alphabetical)

Artificially created collection on individual Mississippi politicians and the state’s politics in general.

Molecular Detection Of Campylobacter Spp. In Filth Flies Associated With Broiler Breeder Facilities In Oklahoma And Arkansas, Allen Szalanski

Entomology and Plant Pathology Faculty Publications and Presentations

Adult filth flies (Diptera: Muscidae) (non-biting flies that develop in decaying organic matter) are abundant in poultry facilities and may contribute to the dissemination of pathogenic Campylobacter spp. among flocks. We sampled adult house flies, Musca domestica L., and black dump flies, Hydrotaea aenescens (Wiedemann), at five broiler-breeder farms in Oklahoma and Arkansas to determine the prevalence of Campylobacter spp. vectored by filth flies and the effects of farm, fly species, and location (inside vs outside houses) on the rates of Campylobacter spp. occurrence. A total of 1,076 house flies and 1,008 black dump flies were collected inside and outside …