Digital Commons Network^™

Improving Documentation Of Skin Assessment In The Med-Surg Overflow Microsystem, Min Kim, Mikeal A. Swift

Master's Projects and Capstones

Abstract

Problem

Hospital-acquired pressure injuries (HAPIs) remain a costly patient safety concern with increased morbidity and prolonged hospitalization. Inconsistent admission skin assessment documentation in a 24-bed overflow medical–surgical microsystem led to delayed wound identification and misclassification.

Context

A baseline needs assessment (n = 15) identified key barriers, including low nurse confidence utilizing Rover (mobile software application) and linking photos to the LDA (lines-drains-airway) in the electronic health record.

Intervention

A bundle of 6 components was tested over 12 weeks: standardization of the two-RN skin assessments within 8 hours of admission or transfer; optimization of Rover photo capture and LDA linkage; …

Improving Patient Preparedness Through Implementation Of A Structured Wound Care Discharge Protocol, Kiran N. Gupta

Doctor of Nursing Practice Final Project Abstract

Purpose: The purpose of this quality improvement project was to implement a structured wound care discharge protocol to improve patient preparedness and confidence in wound self-management after hospital discharge.

Background: Patients discharged with active wounds may experience complications, delayed healing, and unplanned health care use when discharge education and follow-up support are inconsistent. Standardized education may strengthen readiness for self-care and improve transitions from hospital to home.

Methodology: A three-month project used the Plan-Do-Study-Act framework in an inpatient medical-surgical setting. Thirty adults discharged with active wounds received standardized wound care education, written instructions, teach-back verification, and a follow-up telephone call …

Stemless Arthroplasty For Avascular Necrosis Of The Humerus: Implant Survival And Outcomes, Alyssa R. Henriquez, Damon V. Briggs, Eoghan T. Hurley, Samuel Lorentz, Christopher S. Klifto, Michael A. Moverman, Oke Anakwenze

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Avascular necrosis (AVN) of the humeral head often affects younger patients and may lead to progressive pain and functional deficits. While stemmed hemiarthroplasty and total shoulder arthroplasty (TSA) are established treatments for advanced-stage AVN, stemless arthroplasty offers potential advantages including bone preservation and facilitation of future revision. However, the impact of bone necrosis on stemless humerus fixation is yet to be elucidated. Therefore, the purpose of this study was to evaluate the outcomes of stemless hemiarthroplasty and TSA in treating humeral head AVN and, further, to determine if stemless humeral fixation is appropriate in this population.

METHODS: This retrospective …

Jameson Rosado V. Joseph Dickson

2026 Decisions

USDC for the District of New Jersey

Usa V. Michael Bragg

2026 Decisions

USDC for the Middle District of Pennsylvania

Runx1+23 Enhancer Marks Erythro-Megakaryocyte Lineages In Early Waves Of Hematopoiesis In Human Esc Differentiation, Chika Nishida, Michihiro Kobayashi, Alina Syed, Philipp Kramer, Haizi Cheng, Pamela L Wenzel, Motomi Osato, Jason David Chobirko, Andrew Grimson, Igor I Slukvin, Brian R Davis, Momoko Yoshimoto

The Brown Foundation: Institute of Molecular Medicine

No abstract provided.

Belonging And Whole Person Formation In Graduate Education: A Conceptual Framework For Student Flourishing, Cynthia Hickman

Papers

Graduate students experience substantial academic, personal, and professional demands that can negatively affect well-being and persistence. For students enrolled in professional programs, belonging may develop within two overlapping communities: the academic institution and the emerging profession. Institutional and professional belonging can provide connection, support, engagement, and opportunities for identity and professional development. This paper synthesizes literature on these two forms of belonging and proposes a conceptual framework describing their potential relationship with whole-person formation and flourishing. Whole-person formation extends graduate education beyond knowledge acquisition and professional competence to include development across interconnected dimensions of the person. Within the proposed framework, …

Predictive Factors For Humeral And Ulnar Stem Loosening After Total Elbow Arthroplasty: A Retrospective Cohort Study, Akash Singh, James Satalich, Miguel Fiandeiro, Harrison S. Fellheimer, Matthew Ramsey, Surena Namdari

Rothman Institute Conference Posters

BACKGROUND: There has been a significant increase in the use of total elbow arthroplasty (TEA) in advanced osteoarthritis, post-traumatic arthritis, and complex distal humerus fractures. The purpose of this study is to determine the incidence of total elbow loosening and association with patient demographics, implant specifications, and cement mantle characteristics.

METHODS: A retrospective cohort study was conducted of patients who underwent primary TEA between 2013 and 2022 at a single institution. Revisions and conversions from prior open reduction and internal fixation were excluded. Pre-operative distal humeral cortical thickness and bone quality were assessed. Variables included anterior humeral flange contact with …

The Ohio Oil And Gas Anti-Indemnification Statute: A Proposal, Reid Edwards

University of Dayton Law Review

No abstract provided.

After A Fire: Considerations Of Personal Safety When Visiting Fire-Damaged Property, Andrew J. Whelton, Todd Thalhamer, Eric Bollens

Resilience to Emergencies and Disasters

No abstract provided.

Through Her Lens: The Card-Based Storytelling, Daisy Elizabeth Morales-Zaragoza

McNair Summer Research Program

Women in male-dominated roles in military environments navigate complex institutional, cultural, and interpersonal barriers throughout their military careers. This qualitative study explores the lived experiences of women serving in the United States Navy. We can accomplish this by examining how institutional culture, power dynamics, and traditional leadership definitions shape their service and career progression. The inquiry is grounded in Eagly’s Role Congruity Theory of Prejudice Towards Female Leaders, Crenshaw’s Intersectionality, and hooks’ ethics of active care and behavior. Utilizing a qualitative design, data were gathered through a novel, interactive card-based interview method designed to transfer agency to participants and cultivate …

Identifying The Brain Circuits Involved In Religious Obsessive-Compulsive Disorder, Kiana Bunnell

Theses and Dissertations

Obsessive-compulsive disorder (OCD) is an often-debilitating psychiatric disorder involving a pattern of obsessive thoughts and compensatory compulsions. Symptoms tend to be chronic, leading to substantial emotional burden and significant impairment across multiple domains of daily functioning. Previous research has identified some consistency in the brain regions implicated in OCD. In particular, cortico-striato-thalamo-cortical (CSTC) circuitry has been linked to behavioral features commonly observed in OCD. Moreover, some studies suggest that distinct patterns of brain activation and functional connectivity may be associated with different OCD symptom dimensions, though findings have not been consistent. One symptom dimension of OCD (scrupulosity) is characterized by …

Is “No Change” Really No Change?: A Qualitative Analysis Of Clients With “No Change” On Routine Outcome Monitoring Who Report Improving In Therapy, Audrey Louise Stewart Parker

Theses and Dissertations

Routine outcome monitoring (ROM), the practice of tracking client progress in therapy by administering regular questionnaires to assess functioning, has demonstrated a significant positive effect on psychotherapy outcomes, especially for clients are who not improving as expected. However, some researchers argue the symptom-based measures and outcome classification criteria commonly used in ROM may not represent a complete picture of client change. A recent body of mixed-methods research has investigated these ROM-determined outcome categories to gain insight into client experiences and whether the category and client perception of therapy outcome align. In this investigation, researchers have found significant variety within outcome …

Comparison Of Training Background And Characteristics Between Osteopathic And Allopathic Team Physicians In Professional Sports Leagues., Brandon D Rust, Ambika Singh, Matthew T Mckinley, Joseph Imler, Mackenzie Elting, Ryan Callahan, Christopher L Rennie, Leighann C Krasney

Orthopedic Surgery Resident Research

CONTEXT: Team physicians (TPs) play a critical role in professional sports, providing medical care for athletes under high-pressure conditions. These positions are highly competitive, influenced by previous affiliations, training pedigree, and institutional connections, with fellowship training increasingly essential. Although the number of osteopathic (Doctor of Osteopathic Medicine [DO]) physicians in the United States has grown substantially, TPs in professional sports remain predominantly filled by allopathic (Doctor of Medicine [MD]) physicians, and the training pathways of DO TPs are not well characterized.

OBJECTIVES: The objective of this study is to compare the training and demographic characteristics of DO and MD TPs …

What Do Children Think About Bouncy Bands: A Mixed Methods Examination Of Bouncy Bands' Influence On Attention And Physical Activity, Ken Murfay, Sarah Collins

International Journal of Physical Activity and Health

Purpose: To examine how bouncy bands put onto elementary students’ classroom desks influenced students’ physical activity and attention/concentration, in addition to exploring students’/teachers’ opinions of the bands. Methods: Students within both experimental and control groups wore pedometers to assess movement during instruction and completed the d2 test for attention. Results: The group with bouncy bands on the desks had significantly more movement compared to the control group. For d2 scores, there was no significant difference between the two groups, nor was there a significant linear relationship between movement and d2 scores. Interviews were conducted with the students in the experimental …

Experiences Of Psychological Recovery From Work In Second-Generation Asian Americans, Laura Yang

Dissertations and Theses

Individuals of Asian descent make up approximately 7.4% of the U.S. population. As one of the fastest-growing minority groups, their population is projected to reach nearly 15% by 2065, with 38% being foreign-born – surpassing all other racial minority groups. Despite their increasing presence in the U.S. workforce, research on Asian workers' nonwork experiences remains limited. One key unexplored area is how Asian workers engage in recovery after work, considering their unique cultural and racialized experiences. Drawing on literature examining psychological recovery from work, this qualitative study employed multiple methods of analysis, both listening guide method and thematic analysis, to …

Dosimetric Comparison Of Hybrid 3d Conformal Radiation Therapy And Volumetric Modulated Arc Therapy Versus Vmat-Only Planning For Accelerated Partial Breast Irradiation, Erjona Jusufi

Masters Projects

Abstract

Purpose: To compare dosimetric outcomes between volumetric modulated arc therapy (VMAT)-only and hybrid VMAT plus three-dimensional conformal radiotherapy (3D-CRT) techniques for accelerated partial breast irradiation (APBI) in patients with early-stage left-sided breast cancer.

Methods and Materials: Thirty patients treated with APBI at a single institution were retrospectively replanned using both VMAT-only and hybrid (VMAT + 3D-CRT) techniques. All plans were prescribed 26 Gy in 5 fractions. Each patient was planned using the same target volumes, optimization objectives, and evaluation criteria for both techniques. Planning target volume (PTV) coverage, conformity index (CI), homogeneity index (HI), hotspot control, organ-at-risk (OAR) doses, …

Music 274 Syllabus (Theory Iv, Harmony, Counterpoint, Keyboard Skills), Gilad Rabinovitch

Open Educational Resources

This is a syllabus for Music 274 relying on open-access / zero-cost materials on Open Music Theory (Gotham et al.) and developed by the instructor. Modules developed by the instructor include Szymanowska-style and Joplin-style model composition projects and an analytical focus on chromatic harmony in Schubert.

The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that persistent reliance on market-oriented affordability strategies continued despite evidence of declining housing affordability in Nashville. Understanding how policy narratives structured accepted solutions may help explain the persistence of existing policy approaches. Research has shown that housing affordability is a significant policy concern in many U.S. cities. Rising housing costs, displacement pressures, and persistent rent burdens have been indicated in studies as contributing factors. However, less attention has been paid to how political and media narratives shape the boundaries of recognized housing policy solutions within local discourse, specifically in Nashville, Tennessee. The purpose …

Contribution Of Indoor Air And Dust To Children’S Per- And Polyfluoroalkyl Substance Exposure In The Faroe Islands, Melissa Woodward, Jitka Becanova, Simon Vojta, Pál Weihe, Philippe Grandjean, Rainer Lohmann

Graduate School of Oceanography Faculty Publications

The people of the Faroe Islands are uniquely exposed to per- and polyfluoroalkyl substances (PFASs); despite no local production of these compounds or manufacturing of consumer products, residents exhibit elevated serum concentrations of PFASs. Consumption of pilot whales, a traditional part of the Faroese diet, contributes to exposure but does not fully account for observed trends in serum, suggesting the importance of additional exposure pathways. This research assessed the significance of indoor exposure pathways through measuring air and dust concentrations of a broad scope of PFAS nonvolatile precursors, volatile neutral precursors, and legacy ionic PFASs, and determining the estimated daily …

20260811: Assorted Materials, 1886-2026, Marshall University

Guides to University Archives

These items include materials from the Office of the President, University Communications, Libraries and Special Collections, Society for Yeager Scholars, TedX, College of Business, School of Library Science, the Women's and Gender Center, and other special groups and organizations. This is not an exhaustive list. Please download the finding aid for a full list of contents.

Cosmopolitan Associates Ii, Llc V. Milan

All Decisions

In this nonpayment proceeding involving a rent-stabilized apartment, Respondent moved to amend his answer to add overcharge defenses and counterclaims and to conduct discovery. The court granted the motion in part, permitting Respondent to add defective registration and overcharge claims dating to 2006 based on a colorable fraud indicia, and granted limited discovery, but denied the claim for discovery predating 2006 and certain other relief.

Early Mobilization In Post Op Care, Jakob Hollenbach, Taylor Grove, Rachael Nembo

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy

Walden Dissertations and Doctoral Studies

Students in special education may experience a variety of barriers to gaining cohesive and consistent life skills training programs. A lack of life skills training for special education students may lead to a lack of social-emotional skills, social awareness, and an overall lack of independence once students have graduated. The purpose of this qualitative single case study was to explore the charter school human service professionals’ perceptions of the life skills counseling services needed for K-8 self-contained students in Essex County, NJ. Botvin Lifeskills Training program was used as the framework for the study. Using a qualitative research model, semistructured …

Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant

Walden Dissertations and Doctoral Studies

Across the globe, divorce is a challenging situation that affects family relationships and disrupts social networks. Divorced women often experience a decline in their health and well-being immediately postdivorce. The problem addressed in this study is that divorcing women tend to experience more negative or undesirable impacts on their mental health (e.g., depression) postdivorce than men and often find involvement in church to be a source of support or added stress. The purpose of this generic qualitative study was to investigate how recently divorced Black women describe how their involvement in church may have supported their mental health and resilience …

Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso

Walden Dissertations and Doctoral Studies

In this staff education doctor of nursing practice (DNP) project, I addressed a practice gap associated with inadequate staff knowledge of workplace stress-management strategies in an assisted living facility. Workplace stress in nursing practice is a contributing factor to burnout, reduced job satisfaction, poor teamwork, and a decline in the quality of resident care. The practice-focused question for this project was about whether staff knowledge would be enhanced over an 8-week period in comparison to baseline knowledge as a result of their participation in a structured staff education program on workplace stress management. The purpose of the project was to …

Staff Education To Enhance Phq-9 Depression Screening Compliance, Chibugo Chukwu

Walden Dissertations and Doctoral Studies

This staff education quality improvement project at Clinic P targeted the clinical problem of depression under-diagnosis, evidenced by less than 60% of patients completing the patient health questionnaire (PHQ-9) before the initiative. Depression under-diagnosis, significantly caused by provider PHQ-9 screening competency deficits that need to be addressed through staff education, is associated with adverse patient health outcomes, in turn generating negative implications for providers and wider society. The problem compromises the quality of nursing care because it limits nurses' ability to intervene and deliver timely and effective care to patients with depression. Thus, at Clinic P, this initiative asked how …

Staff Education To Improve Staff Knowledge, Confidence, And Intent To Consistently Implement Medication-Assisted Treatment, Matilda Boachie

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice staff education project addressed inconsistent medication-assisted treatment (MAT) implementation in a masked crisis stabilization unit. MAT was available, but staff education was informal and inconsistent, contributing to variation in knowledge, confidence, patient education, documentation, and discharge planning. The practice-focused question that was answered through this project was whether structured staff education would improve knowledge, confidence, and intent to consistently implement MAT. The purpose was to develop, implement, and evaluate structured education for interdisciplinary staff. De-identified pre- and post-education surveys were analyzed with descriptive statistics, and aggregate averages were compared because individual surveys were not matched. …

Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara

Walden Dissertations and Doctoral Studies

Inconsistent delivery and documentation of chronic pain patient education may contribute to variations in patient knowledge, treatment expectations, and engagement in self-management. This Doctor of Nursing Practice staff education and quality improvement project was designed to standardize chronic pain patient education in a primary care setting. The practice-focused question examined whether implementing standardized chronic pain education, compared with non-standardized education, would improve patient knowledge and use of self-management strategies over 10 weeks. Guided by the Johns Hopkins Evidence-Based Practice Model, the project included development of evidence-based education materials, staff preparation, workflow integration, and a standardized documentation process. Clinic staff identified …

Reducing Medication Administration Errors Through Implementation Of An Electronic Medication Administration Safety Dashboard, Myrlande Daguindeau

Walden Dissertations and Doctoral Studies

The DNP project was a quality improvement (QI) initiative designed to reduce medication administration errors by integrating an electronic medication administration safety dashboard (BCMA) at Sheppard Pratt Hospital in Elkridge, Maryland. The purpose of the project was to evaluate the effectiveness of a medication safety dashboard in providing automated clinical alerts to improve real-time monitoring and support safer medication administration practices. The project was informed by the prevalence of medication administration errors in the psychiatric unit attributed to factors such as frequent adjustments of medication and interruptions during the medication administration process. Data were collected from the hospital’s records and …