Digital Commons Network^™

Unintentional Medication Discrepancies In Outpatient Cardiac Procedures: Identifying Modifiable Barriers, Julie M. Turner

DNP Projects

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Background: Medication reconciliation (MR) reduces medication errors during care transitions; however, unintentional medication discrepancies (UMDs) remain common due to variable practices and lack of standardization. Patients undergoing elective cardiac procedures are particularly vulnerable given complex medication regimens.

Purpose: This quality improvement project evaluated implementation of a Medication Reconciliation Barrier Identification Checklist (MRBIC) in the cardiac catheterization laboratory to identify patient, staff, and system-level contributors to UMDs.

Methods: A quasi-experimental pre–post design was conducted at a large academic medical center. During a six-week intervention, nurses and providers completed the MRBIC during pre-procedure MR. Barrier scores were compared with …

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Advancing Rural Health Equity Through Systematic Sdoh Screening- A Quality Improvement Initiative, Laura C. Combs

DNP Projects

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Background: Social determinants of health (SDoH) significantly affect health outcomes and healthcare utilization, particularly in rural communities. In 2024, the Centers for Medicare & Medicaid Services mandated SDoH screenings in the inpatient setting, with recommendation to implement in rural clinics without specifying a standardized tool, resulting in inconsistent identification of needs, e.g., food insecurity, housing instability, mental health concerns, financial strain, and transportation barriers.

Purpose: This quality improvement initiative implemented a standardized SDoH screening tool in a rural outpatient clinic to evaluate changes in referral rates to community-based resources pre- and post-implementation and to improve patient reporting of social needs. …

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Building Confidence And Team Communication: Implementation Of A Rapid Response In Situ Simulation Program In The Neonatal Intensive Care Unit, Janell F. Hacker

DNP Projects

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Background: Neonatal code events are high-risk, low-frequency occurrences in the neonatal intensive care unit (NICU). Simulation-based training is used to support skill development, maintain competencies, and enhance team performance.

Purpose: The purpose was to determine if a multidisciplinary, high-fidelity, rapid response in situ simulation program would impact confidence and communication among frontline healthcare providers during neonatal code events.

Methods: A quasi-experimental, pretest-posttest study was conducted in a 90-bed Level IV NICU. A multidisciplinary, high-fidelity in situ rapid response simulation program was implemented over a 3-month period for frontline NICU healthcare providers. Pre- and post-surveys assessed perceptions of role clarity, …

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Implementation Of A Cardiomems Screening Tool To Increase Provider Awareness And Referrals In Eligible Patients, Monica Rios

DNP Projects

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Background: Heart failure affects over 6 million Americans and causes more than one million hospitalizations annually. CardioMEMS, a remote pulmonary artery pressure monitoring device, effectively reduces hospitalizations, yet its use remains limited due to provider and system barriers. The purpose was to increase CardioMEMS referrals for eligible heart failure patients through targeted provider education and a standardized screening tool.

Local Problem: Kentucky experiences higher heart failure hospitalization rates than the national average, contributing to prolonged hospital stays and rising healthcare costs.

Methods: A pre—post quasi-experimental study was conducted at an academic medical center. Baseline chart review of 47 patients evaluated …

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Improving Compliance With Preoperative Antibiotic Protocols For Cardiac Implanted Electronic Devices: A Quality Improvement Project, James Kaup

DNP Projects

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Abstract

Background

Cardiac implantable electronic device infections remain a serious complication of permanent pacemaker implantation despite evidence-based infection prevention guidelines.

Local Problem

An academic electrophysiology laboratory identified inconsistent guideline-concordant antibiotic selection despite consistently high compliance with recommended antibiotic timing.

Methods

A nurse-led, quasi-experimental pre-post quality improvement project evaluated implementation of a standardized preoperative antibiotic prophylaxis protocol. Data from 36 permanent pacemaker implantations (16 pre-intervention, 20 postintervention) were analyzed.

Interventions

The intervention included a standardized antibiotic protocol, multidisciplinary staff education, and performance feedback.

Results

Guideline-concordant antibiotic selection improved from 37.5% to 95.0% (χ² = 11.27, P = .001). Antibiotic timing remained …

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Implementing A Standardized App-Led Multidisciplinary Medication Review And Reconciliation To Improve Medication Safety Before Systemic Cancer Therapy: An Ambulatory Oncology Quality Improvement Initiative, Sarah R. Hines

DNP Projects

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Background

Adult patients initiating systemic cancer therapy frequently present with pre-existing polypharmacy related to chronic comorbidities and cancer-related symptom management. The addition of anticancer therapies and supportive care medications further increases medication burden and the risk of medication-related harm. Although national organizations and institutional policies recommend comprehensive medication review before treatment initiation, implementation remains inconsistent in ambulatory oncology practice.

Purpose

To implement and evaluate a standardized Advanced Practice Provider (APP)-led multidisciplinary medication review and reconciliation process designed to identify medication medication-related safety risks before initiation of systemic cancer therapy in adult oncology patients receiving care in an ambulatory infusion center. …

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The Concrete Picket Fence: Reconnecting Interstate-Straddled Urban Communities, Brian J. Koluch

Pell Scholars and Senior Theses

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Within the ongoing dialogue on substantive equity, the circumstances regarding enduring issues faced by black urban neighborhoods are called into question. Cities across the United States typically have major automotive arteries that tend to cut through or past said neighborhoods. Advocates argue that it is increasingly apparent that these systems of infrastructure especially in regard to these neighborhoods have been constructed in racist manners. Urban Interstates majorly contribute to equity disadvantages, as well as environmental hazards such as increased rates of asthma and respiratory disease. By mixing and matching various forms of equitable infrastructure, such as with cap parks, public …

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The Development And Implementation Of A Music-Based Engagement Toolkit To Support Occupations In Long-Term Care Settings, Clay Rains

Occupational Therapy Doctorate Capstone Posters

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This doctoral capstone project, completed as part of the Occupational Therapy Doctorate program, focused on developing, implementing, and evaluating an evidence-based Music-Based Engagement Toolkit to support occupational therapy practitioners working with older adults in long-term care. The Applied Leadership Experience (ALE) was completed at Morning Pointe Senior Living, serving residents with dementia, Parkinson's disease, mild cognitive impairment, and age-related functional decline. The project emphasized the ACOTE focus areas of clinical practice, program development, leadership, and evidence-based practice.

The primary objectives were to create an evidence-based toolkit, implement individualized music interventions during occupational therapy sessions, and evaluate their impact on occupational …

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Accessibility And Inclusion Within Girl Scouts, Morgan N. Minter

Occupational Therapy Doctorate Capstone Posters

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My 14-week doctoral capstone and Applied Leadership Experience (ALE) was completed with the Girl Scouts of Kentucky’s Wilderness Road Council. Focusing on Program Development and Advocacy, the project aimed to increase accessibility and inclusion through occupational therapy-informed resources and leader education. A literature review and needs assessment identified a need for practical accessibility resources within Girl Scout programming. Drawing on my experience as both a former Girl Scout and occupational therapy student, I recognized opportunities to better support neurodivergent youth and youth with disabilities through evidence-based, inclusive practices. Using evidence review, program observation, and collaboration, I completed an accessibility assessment …

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Factors Influencing Senior Practicum Readiness For Nursing Practice: A Descriptive Correlational Study, Beth Nease Phd, Dnp, Rn, Ne-Bc, Cynthia F. Corbett Phd, Rn, Faan, Stephanie Armstrong Phd, Msn, Rn, Kesheng Wang Phd, Ma, Bs, Kathy Casey, Kong Chen

Faculty Publications

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Background:

This study investigated the influence of belongingness, self-efficacy, and clinical learning support on readiness for nursing practice and explored the role of demographic factors and nursing program differences.

Method:

A quantitative, descriptive approach was used to explore undergraduate prelicensure senior nursing students' perceptions across the United States.

Results:

Descriptive statistics, Pearson correlation, and multiple linear regression demonstrated students in traditional Bachelor of Science in Nursing programs reported significantly higher scores across all domains compared with those in associate degree programs (p < .01). Similarly, students in programs with ≤400 clinical hours and those assigned only one preceptor scored significantly higher on all measures (p < .01 and p < .05, respectively). Regression analysis indicated self-efficacy and learning support explained 47.9% of the variance in practice readiness (p < .05).

Conclusion:

These findings share how clinical experiences shape students' readiness for nursing practice. Recommendations …

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Kentucky Bluegrass (Poa Pratensis L.) As A Perennial Groundcover: Establishment And Weed Management In Corn, Kiera S. Searcy

Theses and Dissertations--Plant and Soil Sciences

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Perennial groundcover (PGC) systems offer a cost-effective alternative to annual cover crops, by providing continuous soil cover, reducing soil erosion, and contributing to integrated weed management (IWM) in corn (Zea mays L.) production systems. Kentucky bluegrass (Poa pratensis L.) has been proposed as a perennial groundcover for corn due to its low growth habit and seasonal dormancy; however, successful adoption is limited by challenges associated with establishment-phase weed competition and compatibility with weed management programs during corn production. The objectives of this research were to (1) evaluate weed management strategies that support Kentucky bluegrass establishment and (2) assess …

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Impact Of Land Use On Soil Properties, Clay Mineralogy, And Behavior Of Ammonium Across A Precipitation Gradient, Isabel Delamater

Theses and Dissertations--Plant and Soil Sciences

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Like soil texture, clay mineralogy is considered a permanent or inherent characteristic of soils reflecting the influence of soil forming factors over long periods of time. Despite the importance of clay mineralogy in providing ecosystem services, much remains unknown about whether land use (native grassland sod versus no-tillage) can modify clay mineralogy under short periods of time. Furthermore, in no-tillage agroecosystems, lower crop yields are often ascribed to immobilization of added N fertilizer where inorganic nitrogen (such as ammonium) is converted to organic nitrogen. The possible role of clay mineralogy in retaining added ammonium has been overlooked in no-tillage systems. …

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Breeding For Fhb Resistance And Post-Harvest Quality In Soft Red Winter Wheat, Margaret E. Gillum

Theses and Dissertations--Plant and Soil Sciences

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Soft red winter wheat (Triticum aestivum L.) is both an economically and nutritionally important crop in the global food supply. Despite its global importance, wheat is continually threatened by fungal diseases. Fusarium head blight (FHB), caused by Fusarium graminearum, is a devastating fungal disease affecting wheat worldwide, resulting in low yields, reduced test weight and mycotoxin production. The mycotoxin deoxynivalenol (DON) is toxic to humans, results in feed rejection in livestock, and is heavily monitored in the food supply. Because of wheat’s importance in the food system, post-harvest quality (milling, baking, and flavor) has been a growing area of …

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Medical Students' Self-Competency Perceptions Providing Patient Grief And Bereavement Support, Ashley Grant

PCOM Psychology Dissertations

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The objective of this study was to identify whether (a) course curriculum on the topic, (b) personal grief and loss experience, (c) extracurricular training or educational experiences on the topic, (d) clinical experiences, and (e) general self-efficacy perceptions predict medical students’ perceived competency conducting grief and bereavement support for patients. Additionally, the study evaluated trends in perceived competency concerning the intended specialty for residency. Lastly, the present study aims to better understand medical students' overall average self-competency perceptions in conducting grief and bereavement care to their patients. Data was collected from social media groups and through direct contact with medical …

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Just A Slip: Cognitive Distortions Associated With Lapse And Relapse In Recovery, Matthew Karr

PCOM Psychology Dissertations

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Substance use rates in the United States continue to rise despite low treatment utilization. Research has indicated the function of distorted patterns of thinking that can influence the relapse process. This study aimed to examine the relationships between relapse patterns, length of abstinence, and endorsed rates of cognitive distortions on the Cognitive Distortions Scale (CDS). This study sought participants 18 years or older with a history of problematic substance use and substance use treatment within the past 2 years. Participants were recruited through social media sites. Proposed statistical analyses included Pearson’s product-moment correlation, analysis of variance (ANOVA), and multivariate analysis …

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The Biology Of Soulmates: Are We Wired For Connection?, Christiane Betfarhad

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Light At The Wrong Time, Alexis Murdock

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Your Brain's Favorite Cheat Code: The Neuroscience Of Self-Affirmation, Maeve Mclaughlin

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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The Silent Architecture Of A Lifetime: How Early Endocrine-Disrupting Chemical Exposure Rewrites The Developing Brain, Becca Gwynne

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Dancing To The Rhythm: How To Coordinate Parkinson's Movement, Denil Joseph

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Think It, Believe It, Receive It, Angelia Nguyen

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Robots Are Watching You Sleep: The Hidden World Of Sleep Trackers, Luke Latterman

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Kenyon College Neuroscience Department Faculty And Staff

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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The Shifting Economics Of Influencer Sponsorship Disclosures, Uri Y. Hacohen

Cardozo Arts & Entertainment Law Journal

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Conventional wisdom holds that disclosing influencer sponsorship diminishes advertising's effectiveness by triggering consumer skepticism. Responding to this perceived transparency gap, regulators have adopted mandatory disclosure regimes to address a perceived market failure: the divergence between private commercial incentives and the public interest in transparency. This Article challenges that assumption. Drawing on a large-scale social media experiment (N=600), it demonstrates that disclosures not only increase consumers' recognition of advertising but also improve their attitudes toward both influencers and brands, while significantly boosting their willingness to share promotional content. These empirical results are further supported by a comprehensive synthesis of the emerging …

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Dancing On The Edge Of Copyright: Why Copyright Law Should Protect Short Dance Routines, Tianai Song

Cardozo Arts & Entertainment Law Journal

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The note argues that the Copyright Act should be amended to extend legal protection to short dance routines, regardless of their complexity or duration. This expansion aims to prevent the unauthorized appropriation of distinctive movements and ensure that creators, particularly those from Black and marginalized communities, are fairly recognized and compensated.

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Beyond The Rings: Housing Inequalities In Olympic Host Cities, Audrey Hansen

Cardozo Arts & Entertainment Law Journal

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The note argues that hosting the Olympic Games consistently leads host cities to violate their citizens' right to adequate housing through displacement, gentrification, and the criminalization of homelessness. By analyzing historical patterns and current preparations for the 2028 Los Angeles Games, the analysis contends that the traditional single-city hosting model is unsustainable and harmful.

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Educators' Uses Of Social Capital In K-12 Book Challenges, Danielle E. Sachdeva, Sue C. Kimmel

STEMPS Faculty Publications

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In this case study, we apply understandings of social capital informed by Pierre Bourdieu and Nan Lin to analyze how seven educators used their capital to navigate book censorship incidents in K-12 public schools. Our findings indicate that participants often used social capital to meet expressive goals, such as seeking support from others, and less often to meet instrumental goals like advocating for policies and legislation in support of students’ intellectual freedom. These findings have implications for practitioners, school administrators, and university faculty, especially now as an unprecedented number of books is being challenged in public institutions throughout the U.S.

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"It Can't Just Be One": Canadian Black Youth Perspectives On Representation And Belongings In Public Libraries, Amber Matthews, Sandie Thomas

STEMPS Faculty Publications

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This study employed narrative inquiry and critical race approaches to explore Black youth's perceptions and experiences of Canadian public library programs and materials. In response to calls in Canada's Anti-Racism Strategy (2024) and Ontario's Anti-Black Racism Strategy (2025) for social service institutions to address anti-Black racism, the research examined Black youth experiences in public libraries and how these experiences relate to anti-Black racism in education and social service settings. The study was conducted in London, Ontario, with Black youth aged 13 to 24 and parents of youth using a community-based participatory research approach in partnership with the Where We Are …

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Improving Nursing Compliance With Pain Reassessment Documentation After Analgesic Administration, Dorcas Okunola

Doctor of Nursing Practice Final Project Abstract

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Improving Nursing Compliance with Pain Reassessment Documentation After Analgesic Administration

PURPOSE: This quality improvement project aimed to increase registered nurse (RN) compliance with documenting pain reassessment within 30–60 minutes after analgesic administration in an adult medical–surgical trauma unit at a large academic medical center.

BACKGROUND: Timely pain reassessment is essential for evaluating treatment effectiveness and ensuring safe, patient-centered care. Baseline audits showed inconsistent documentation and compliance below institutional expectations. Evidence supports the use of electronic health record (EHR) prompts combined with targeted nursing education to improve adherence.

METHODOLOGY: A 12-week quality improvement initiative was conducted to reinforce adherence to the …

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Implementing An Evidence-Based Wound Care Protocol For Inpatient End-Of-Life Residents That Aligns With Hospice Comfort Care Goals, Oge C. Okeke

Doctor of Nursing Practice Final Project Abstract

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Implementing an evidence-based wound care protocol for inpatient end-of-life residents that aligns with hospice comfort care goals.

Purpose

This quality improvement (QI) project aimed to adopt a patient-centered, comfort-focused approach to wound care at the DNP project site and improve patient outcomes by increasing nursing staff's knowledge of evidence-based wound treatment strategies by 20%.

Background

Curative treatments involving aggressive methods do not align with hospice principles. Residents at the project site experience increased suffering at the end of life because of limited nursing knowledge of evidence-based, atraumatic wound care practices for end-of-life patients.

Results

Pre-intervention nursing knowledge survey scores ranged …

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