Digital Commons Network^™

Meeting Van Gogh, Yuan Changming

The Sucarnochee Review

No abstract provided.

Encounters Xlv: Solid Ground, Susan Johnson

The Sucarnochee Review

No abstract provided.

Doing Good In A Bad World: A Social Worker’S Memoir, Connie Woodring

The Sucarnochee Review

No abstract provided.

Understanding Factors Associated With 911 And 988 Use In Mental Health Crises Original Paper Open Access, Michiko Ueda, Colleen M. Heflin, Yanhong Liu, Qingyi Yu, Seethalakshmi Ramanathan

The Lender Center for Social Justice

The 988 Suicide and Crisis Lifeline was launched in July 2022 as an alternative to 911 for mental health crises. However, little is known about the factors influencing decisions to use 911 or 988 among individuals most likely to benefit from 988, including those with suicidal ideation. This study analyzes individual characteristics associated with the likelihood of calling 911 during a mental health crisis and examines awareness of, willingness to use, and concerns about 988. An anonymous online survey was conducted in early 2024 with 1,894 U.S. adults aged 18–50, oversampling racial minorities. Logistic regression models were estimated for four …

Investigating The Links Between Iq, Emotion Dysregulation, And Respiratory Sinus Arrhythmia In Childhood Antisocial Behavior, Isley Jean-Pierre

Student Theses

This study examined relationships among cognitive ability, emotion dysregulation, physiological regulation, and antisocial behavior. Participants were 340 children ages 7-10. Caregivers reported on emotion regulation, aggression, and delinquency, and children completed cognitive assessments. Intellectual profiles were classified as even or uneven. No significant differences in aggression or delinquency were found between intellectual profiles. Emotion Regulation Checklist scores mediated relationships between VIQ and both aggression and delinquency. Resting RSA mediated the relationship between VIQ and delinquency, although the indirect effect was small, whereas RSA reactivity did not mediate either outcome. Overall, findings suggest that emotion regulation may be a more consistent …

Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara

Walden Dissertations and Doctoral Studies

Burnout and high turnover intentions among nonacademic nurse educators (NANEs) in academic teaching hospitals pose a critical challenge for healthcare administration, threatening workforce stability, nursing education capacity, and healthcare outcomes. The purpose of the integrative review was to examine evidence-based strategies to reduce burnout and enhance resilience among NANEs, thereby improving retention, well-being, and workforce sustainability. An integrative literature review was conducted using the Johns Hopkins Evidence-Based Practice appraisal tools and 49 sources published between 2020 and 2025 were found to match criteria and quality for thematic analysis. Guided by Herzberg’s two-factor theory, a thematic analysis was used to synthesize …

Staff Education On Improving Medication Adherence, Oneil Dobgima Galega

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a practice gap in an outpatient behavioral health setting involving inconsistent use of structured communication strategies to support medication adherence among psychiatric patients. Although nurses routinely provided medication instructions, approaches such as motivational interviewing and psychoeducation were underutilized, limiting patient engagement, understanding, and adherence, and ultimately affecting care continuity and outcomes. The purpose of the project was to improve psychiatric nurses’ knowledge and intent to use motivational interviewing and psychoeducation to enhance medication adherence. The guiding practice-focused question examined whether a structured educational intervention could strengthen nurses’ competencies in these communication strategies. …

Exploring The Experiences And Support Needs Of African Immigrant Families Raising Children With Autism Spectrum Disorder In Ohio, Linda Nkoumba Eteki

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) presents unique challenges for families; however, African immigrant parents raising children with ASD in Ohio experience additional difficulties related to cultural stigma, systemic inequities, and limited access to culturally responsive services. This social work practice problem is important because it reflects disparities in diagnosis, intervention, service access, and family support that align with social work’s commitment to equity, advocacy, and social justice. The purpose of this qualitative study was to explore the experiences of African immigrant families raising children with ASD in Ohio and to examine how they describe autism-related stigma, caregiving challenges, and interactions with …

Staff Education To Improve Central Line Maintenance Documentation Compliance, Martha Danette Oglesby

Walden Dissertations and Doctoral Studies

This was a staff education quality improvement project aimed at improving compliance with central line maintenance documentation among nurses on a busy transitional care unit (TCU). The practice problem was inconsistent documentation of central line bundle documentation. Documentation is an important part of nursing care and is the most effective way to communicate the care provided. Effective documentation is a pivotal way of identifying evidence-based care to prevent central line-associated bloodstream infections (CLABSIs). The practice-focused question was, In nursing staff working on an inpatient TCU, what is the impact of targeted education on evidence-based central venous catheter bundle care documentation, …

Relationship Between Sociodemographic Factors And Opioid Overdose Mortality In Milwaukee County, 2020-2021, Elizabeth David

Walden Dissertations and Doctoral Studies

Opioid overdose deaths increased significantly from 2020 to 2021, with Milwaukee County experiencing higher rates than the national and state averages. African American and Hispanic residents faced disproportionately high fatal overdose rates. The purpose of this quantitative retrospective cross-sectional study was to examine the associations among socioeconomic status, race, age, access to treatment (measured by emergency medical services [EMS] naloxone administration), and opioid overdose mortality among underserved minority populations in Milwaukee County. Guided by the social-ecological model, the study analyzed data from the Milwaukee Health Department and the Milwaukee County Medical Examiner's Office across 34 ZIP codes. Inclusion criteria for …

Self-Care Behavior And Diabetes Knowledge In African American Women With Type 2 Diabetes, Rena Renee Barron

Walden Dissertations and Doctoral Studies

African American women experience a disproportionate burden of Type 2 diabetes, and limited evidence exists regarding the relationship between diabetes knowledge and self-care behaviors, particularly among African American female veterans. The purpose of this quantitative, cross-sectional study was to examine the relationship between diabetes knowledge and diabetes self-care among African American women with Type 2 diabetes, including a subsample of African American female veterans, and to evaluate whether the COVID-19 pandemic (2017–2019 vs. 2021–2023) moderated this relationship. Additional variables included age, marital status, physical health, and mental health. Guided by the social-ecological model, de-identified data from the Behavioral Risk Factor …

Registered Nurses’ Knowledge, Self-Efficacy, And Willingness To Assess Near-Fatal Strangulation: Development Of The Near-Fatal Strangulation Self-Efficacy Scale, Morgan Kenady Mcmahon

Walden Dissertations and Doctoral Studies

Near-fatal strangulation (NFS) is a time-critical clinical presentation associated with elevated risk of stroke, delayed airway compromise, and future intimate partner homicide, yet no validated instrument existed to assess nurses' NFS-specific knowledge or self-efficacy. The purpose of this cross-sectional study, guided by Bandura's social cognitive theory and Benner's novice to expert theory, was to develop and pilot test the Nurses' Near-Fatal Strangulation Self-Efficacy Scale (NFS-SES) and to examine whether knowledge and self-efficacy predicted nurses' willingness to conduct an NFS assessment. A convenience sample of 150 registered nurses in emergency, labor and delivery, and obstetric emergency departments completed the NFS-SES, a …

Improving Advanced Care Planning Conversations And Documentation Through App Education And Standardized Epic Workflow: A Quality Improvement Initiative, Michelle N. Rutter, Emily Goldstein

Doctor of Nursing Practice (DNP) Student Projects

Background & Significance: Advance care planning (ACP) is essential for ensuring (GOC), particularly in acute care settings, defined in this paper as inpatient hospital environments, including critical and intensive care units (ICU), where a patient’s decision-making capacity could become impaired. ICU patients are often critically ill and may lose the ability to make health care decisions. Family uncertainty regarding patient preferences frequently exacerbates psychological distress regarding GOC. Restricted access to ACP may result in non-concordant medical care, as well as elevated healthcare expenditures driven by the underutilization or inappropriate allocation of critical resources. Despite the recognized importance of ACP and …

Understanding Ourselves And Others: A Social Psychology Approach, Whitney Whitaker Ph.D., Noba Project

All Open Educational Resources

This book is a compilation of Open Education Resources for the use in an undergraduate level social psychology course at Fort Hays State University.

Expressive Arts For Women Experiencing Homelessness, Theresa G. Karman, Susan Macdermott, Amy Lyons-Brown

Summer 2026 OTD Capstone Symposium

Background: Women experiencing homelessness due to domestic violence face significant occupational disruptions, including challenges related to emotional regulation, identity, social participation, and engagement in meaningful occupations. Occupational therapy (OT) can support recovery by addressing these occupational needs through trauma-informed and occupation-centered interventions.

Purpose: This doctoral capstone project developed and implemented Express & Empower Studio, a six-week expressive arts program designed to promote emotional expression, self-efficacy, social participation, and engagement in meaningful occupations among women residing in a domestic violence shelter.

Methods: Program development was guided by the Model of Human Occupation (MOHO) and the Expressive Therapies Continuum (ETC) within …

Risk Assessment And Sentencing Bias: The Role Of Socioeconomic Status And Mental Health, Lily A. Walsh

Student Theses

The current research examined the impact of risk assessment information in the sentencing of defendants of varying socioeconomic statuses (SES), and mental health statuses. A US sample of students studying law (N = 137) was assigned to view one of eight vignettes that manipulated the defendants SES (i.e., low or high), mental health status (i.e., schizophrenia diagnosis or no diagnosis), and the availability of risk data (i.e., present or absent). Participants sentenced the defendant to probation, short-term jail, or prison, and indicated the sentence length in years. An Ordinal Logistic Regression and a Three-way Factorial ANOVA indicated neither the availability …

Lightweight End-To-End Cryptographic Framework With Semantic Qos For Ar-Based Telesurgery, Pavan Kumar Satram

Masters Theses

This thesis presents the design, implementation, and evaluation of a lightweight end-to-end cryptographic framework integrated with a semantic quality-of-service classification system for augmented reality based telesurgery. Telesurgery can deliver expert surgical care to underserved populations, but adoption has been limited by unresolved cybersecurity, network performance, and resilience challenges. The core tension is that strong encryption adds latency that may exceed the clinical safety threshold, while unencrypted systems remain vulnerable to attacks that could endanger patients during live procedures.

The framework addresses this tension through a dual-edge security middlebox that performs per-flow encryption using semantically selected ciphers: AES-128-GCM for latency-critical haptic …

Strategies For Reducing Employee Turnover In Retail Business, Mia Bulger

Walden Dissertations and Doctoral Studies

Strategies for Reducing Employee Turnover in Retail Business by Mia S. Bulger MS, University of Phoenix, 2022 BS, Clark Atlanta University, 2005 Qualitative Pragmatic Inquiry Business Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2026

Orval Filbeck Collection, 1897-2001, James Orval Filbeck

Center for Restoration Studies Archives, Manuscripts and Personal Papers Finding Aids

No abstract provided.

Strategies For Managing Change In Home Health Care Businesses, Halbert Brown

Walden Dissertations and Doctoral Studies

Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …

Staff Education To Improve Nursing Knowledge On Pressure Injury Prevention, Kheeda Kimberly Gopaul

Walden Dissertations and Doctoral Studies

Staff education in this project was focused on improving nursing staff’s knowledge on pressure injury prevention, inspired by the persistent care quality gap. The gap in practice as of 2024 related to hospital-acquired pressure injury (HAPI) at the host health organization was reported to be approximately 0.2 per 1,000 discharges. It was apparent that education could benefit the nursing staff to improve their knowledge in pressure injury prevention. The education in service focused on continuous nursing skin assessments, to ensure over prolonged hospitalization, patients’ skin does not deteriorate with the development of pressure injuries or advancing of pre-existing pressure ulcers. …

Mexican Women Caregivers’ Support For Family Members With Type 2 Diabetes, Andrea Mesa

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2D) is a persistent public health challenge in the United States, disproportionately affecting Hispanic populations. Mexican-origin women often serve as primary caregivers for relatives living with diabetes, yet their voices and lived experiences remain underrepresented in research. This study addressed the limited understanding of how cultural values and caregiving roles influence diabetes management within Hispanic families. The purpose of this qualitative phenomenological study was to explore the lived experiences of Mexican-origin women aged 40 to 60 who care for a family member with T2D. Guided by the theory of planned behavior and social cognitive theory, the study …

Relationship Between Hospital Case Management Leadership Style And Employee Engagement, Malinda Ellis

Walden Dissertations and Doctoral Studies

Employee engagement among hospital-based nurse case managers is important because these nurses support discharge planning, utilization management, care coordination, and safe patient transitions. Although leadership style has been studied in nursing, limited research has examined its relationship to engagement among nurse case managers. The purpose of this quantitative, nonexperimental, correlational study, using House’s path-goal theory, was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and employee engagement among hospital-based nurse case managers. Data were collected from 89 registered nurse case managers in acute care settings in the United States, who completed the Multifactor Leadership Questionnaire, Short Form, …

Spcc: Inferring Spatial Cell-Cell Interaction By Integrating Single-Cell And Spatial Transcriptomics, Tiangang Wang, Yu Zhou, Xi Liu, Sijia Wu, Liyu Huang, Kexin Huang, Xiaobo Zhou

Faculty, Staff and Student Publications

Study of single-cell spatial biology reveals the importance of integrating single-cell and spatial data for capturing spatial structure at individual cell resolution in various fields. With the lack of cellular-level information in most spatial data, it is necessary to integrate single-cell and spatial data. Here, we developed a deep learning computational framework for alignment and mapping of unpaired single-cell and the spatial data by using adversarial joint-variational autoencoder and Random Forest model (SPCC). SPCC will generate a mapping matrix for single-cell and spatial positions that can transfer spatial location to individual cells. SPCC can be used to perform downstream analysis, …

Welcome Back! Start The Academic Year With The Tmc Library, Stefanie Lapka

TMC Library Newsletter (2015-)

Welcome to a new academic year! Whether you're beginning a new semester, continuing your work, or joining the TMC community for the first time, the TMC Library is here to support your learning, teaching, research, and professional work.

Ready to get started? Rediscover what the TMC Library can do for you and explore our services today.

Virtual Lunch And Learn: Refresh Your Library Toolkit, Stefanie Lapka

TMC Library Newsletter (2015-)

You might not need a new lunchbox, but everyone can use a refreshed set of resources! Join us for our August Lunch & Learn, Get into a "Back to School" State of Mind with the TMC Library, and explore how the Library can support you at every stage of your career.

Let's make this your most efficient year yet! Register to attend this virtual session!

From The Archives: Houston's Pharmaceutical Past, Kelsey Koym

TMC Library Newsletter (2015-)

Step back into Houston's early pharmaceutical history with the McGovern Historical Center's newest collection, the Houston Drug Company Records.

Explore the story behind the collection and how these records found their way to the McGovern Historical Center: The Houston Drug Company Records

New Publishing Benefit For Tmc Authors: Mdpi, Joanne Romano

TMC Library Newsletter (2015-)

Publishing with MDPI? TMC-affiliated authors can now take advantage of new benefits through MDPI's Institutional Open Access Program (IOAP), including a discount on article processing charges (APCs) when publishing in MDPI journals.

Planning to publish? Learn more about the MDPI author benefit and how to take advantage of your TMC affiliation: Publishing Support at the TMC Library: MDPI

Heartland Virus Preclinical Research Project, Brian B. Gowen

Funded Research Records

No abstract provided.

Biochemical And Histological Assessment Of Oral Wound Healing Using Zinc Oxide Nanoparticles-Hyaluronic Acid Composite Gel In Rat Models, Shahida Rasoul Husain, Amal Hanna Aziz, Treefa Farouq Ismail

Baghdad Science Journal

Oral wound healing is a complex biological process involving coordinated inflammatory, proliferative, and remodeling phases. Recent advances in nanotechnology and biomaterials have highlighted the potential of composite formulations to enhance tissue repair. This study aimed to evaluate the biochemical and histological effects of zinc oxide nanoparticles (ZnO-NPs) and hyaluronic acid (HA) composite gel on oral wound healing in rat models. Green-synthesized ZnO NPs, prepared using Cinnamomum zeylanicum extract, were gradually incorporated into methylcellulose (MC) and commercially available HA gels. The physicochemical characterization of the composite gel was assessed using Fourier Transform Infrared Spectroscopy (FTIR) and Field Emission Scanning Electron Microscopy …