Digital Commons Network^™

Lessons Learned From The Implementation Of A Pragmatic Trial Evaluating Non-Pharmacological Approaches To Dementia Care In Us Nursing Homes, Carin Wong, Catherine V. Piersol, Felicia Chew, Cara Lekovitch, Victoria Shier, Mike Morris, Jenny Martínez, Julie Britton, Natalie E. Leland

Department of Occupational Therapy Faculty Papers

RATIONALE: The consistent delivery of effective evidence into nursing home practice has been shown to enhance quality of care and residents' outcomes. Pragmatic trials enable the evaluation of efficacious interventions in a real-world context, including care of residents living with Alzheimer's Disease and Related Dementias (ADRD). Yet, there are limited pragmatic trials conducted in nursing homes and even less evidence on the strategies to successfully conduct such research in this setting.

OBJECTIVE: To identify the lessons learned from a pragmatic trial and provide recommendations for future successful studies in United States (US) nursing homes.

METHODS: Drawing on a case example …

Trends In Meningioma-Related Mortality Among U.S. Adults: A Cdc Wonder Analysis From 2000 To 2023, Tirath Patel, Rai Muhammad Umar Khan, Fatima Hussain, Meer Murtaza, Muhammad Shayan Tariq, Abuzar Khan, Sara Aleem, Maryam Athar, Sharoz Shahid, Nikhilesh Anand

School of Medicine Publications

Background: Meningiomas are the most common primary intracranial tumors in the United States, comprising nearly 41% of central nervous system tumors. While the majority are benign, atypical (World Health Organization Grade II) and malignant (Grade III) subtypes are clinically significant due to their aggressive biology, higher recurrence, and increased mortality risk. Despite their burden, national mortality trends and demographic disparities in meningioma-related deaths remain underexplored.

Methods: We conducted a population-based analysis of meningioma-related mortality among U.S. adults aged ≥65 years from 1999 to 2023 using the centers for disease control and prevention (CDC) wide-ranging online data for epidemiologic research (WONDER) …

Comparison Of Three Coordination Methods To Increase Outpatient Follow Up Among Older Adults Discharged From The Emergency Department: A Pilot Study, Michelle Simpson, Suzanne Ryer, Christopher Rubach, Joseph Chase

Journal of Patient-Centered Research and Reviews

Purpose: Older adults are among the highest users of the emergency department (ED), comprising over 50% of those discharged home from the ED. The Geriatric Emergency Department (GED) guidelines recommend addressing transitions of care that connect older adults with timely outpatient services to decrease adverse events. The purpose of outpatient follow up is to evaluate and adjust patient treatment, if necessary, following an ED visit to prevent adverse events.

Methods: A prospective, descriptive pilot study was conducted to gather preliminary data on the potential impact of follow-up outpatient appointment coordination types (standard care, point-of-care scheduling, and portal reminder message). Older …

Nbc Peacock North Spring 2026 Newsletter, Peacock North Staff

NBC Peacock North Newsletter

Highlights include: NBC Through the Years -- A Year-Long Celebration as NBC Turns 100 -- SNL’s U.K. News -- Peter Alexander Joins MS NOW -- Mike Noseworthy Salutes Danny Miller’s Retirement -- Legendary Late-Night TV Director Hal Gurnee Turns 101 -- Silent Microphones

Advancing The Understanding Of Palliative Care In Singapore: Knowledge, Attitudes, Receptiveness, And The Moderating Role Of Media Information-Seeking Preferences, Su Lin Yeo, Angel Lee, Raymond Han Lip Ng, May O. Lwin, Yumin Lin

Research Collection Lee Kong Chian School Of Business

Introduction: Despite the growing demand for palliative care, this specialized medical care remains severely underutilized, with almost 50% of countries worldwide lacking access. Given that misperceptions and stigma continue to hinder progress in healthcare policy, this study aims to examine the relationships between palliative care knowledge, attitudes, and receptiveness to better understand how public health communication can enhance awareness and understanding of the topic in Singapore. Applying the adapted knowledge-attitude-practice (KAP) model, it further extends theory by examining the moderating role of media information-seeking between knowledge and receptiveness.Methods: Mixed-mode surveys involving 1,226 participants (926 online and 300 in-person respondents), representing …

Forget-Them-Nots: Ageism, Autonomy, And Dementia In Speech-Language Pathology, Grace Bailey

Graduate Publications

The following qualitative single-case design study investigates the manner in which autonomy is negotiated and supported in dementia care with particular emphasis on communication. Observational data and semi-structured interviews provided raw data that was coded, themed, and interpreted to better understand how decisions were made among the patient with dementia, the caregiver, and her healthcare team. Results fell into two themes where autonomy was limited or autonomy was active, illustrating the continuous negotiation process. Findings indicate that autonomy is relational, directly affected by the individual, their care team, and their corresponding prejudices. Findings also indicate that the removal of autonomy …

R-Ai-Sing Questions: Exploring The Ethical And Legal Landscape Of Artificial Intelligence-Generated Media Of Medicalized Children, Kristen Thomasen, Gregorio Zuniga-Villaneuva, Muhammed Mukadam, David Lysecki

Canadian Journal of Law and Technology

When it comes to complex medical care for children, even in a country like Canada with many publicly funded healthcare services, much of the necessary research and holistic support for children and families is financed through private donations. Fundraising campaigns for children’s hospitals and services are common, often featuring movie stars, professional athletes, and many child patients. A range of important charitable activities, providing comfort, services, and necessities such as food and accommodation to children and families, are carried out through fundraising and donations. Fundraising for children’s services is a multibillion-dollar global undertaking. What’s more, it is largely dependent on …

Bcaas Newsletter Spring 2026, Bcaas

BCAAS Newsletter

No abstract provided.

Evolving Humanity: Educational Leadership And Research In A Technological Age, Winona State University, Matthew G. Howard, Kari J. Johns, Peter Johnson, Kateri J. Johnson, Kelly Muller, Kate Glogowski, Niesha Conley, Sara Welch, Kristin E. Brendt, Cody B. Henrichs, Lance Davis, Kate Macdonald, Jody Shong, Oscar Uribe Mardones, Stacy L. Schilling, Allison R. Grainger, Kristen Fenlason, David E. Kline, Rachel Nihart, Rebecca R. Simataa, Steven M. Baule

Education Doctorate Books

The essays in this book are selected from Winona State University (WSU) doctoral students as part of the 2025 summer  WSU Doctoral Residency course. The residency course is a core portion of the WSU Education Doctorate Program.

Quote from the back of the book:

Our Doctoral students and doctoral graduate faculty are community members sharing experiences, asking questions, exploring our world, celebrating successes, and learning from missteps. We build and reconstruct our community as we learn, but never forgetting the end goal. We are together on this journey. This is the exciting part of learning. - Rhea Walker, Professor, WSU …

Evaluation Of The Prevention And Management Of Assaultive Behaviors (Pmab) Training For Outpatient Ambulatory Care Staff, Michaela Bowles

Doctor of Nursing Practice

Background: Workplace violence (WPV) disproportionately affects healthcare workers and harms both staff well-being and the healthcare organization. Despite growing attention to WPV prevention, effective solutions remain limited. The purpose of this project was to evaluate the Prevention and Management of Assaultive Behaviors (PMAB) training in an outpatient ambulatory care setting and to assess staff’s confidence and ability to respond to escalating situations. Methods: A pre/post observational survey using Likert-scale, multiple choice, yes/no questions and narrative responses measured confidence before, immediately after, and 3 to 12 months following PMAB training. A retrospective review of WPV incident reports three months before and …

The Impact Of Mortality Awareness On Task And Relationship Leadership Styles, Sang Yeol Lee

Dissertations and Theses Collection (Open Access)

In current organizational management practice, the question of how leaders can transform the universal awareness of human finitude into constructive leadership is an issue that embodies both profound humanistic concern and significant managerial implications. Based on transcendence management theory and leadership style theory, this study explores how mortality awareness affects leaders’ task orientation and relationship orientation styles, revealing its underlying mechanisms and boundary conditions. By conducting a three-wave, matched-pair questionnaire survey involving 203 enterprise managers and their subordinates, the theoretical hypotheses were tested. The findings are as follows: First, mortality awareness has a significant direct positive effect on both task-oriented …

Exploring Nurses' Documentation Prioritization Strategies To Alleviate Ehr Documentation Burden: A Phenomenological Study, Rosemary Mugoya, Jennifer Thate, Fan Hao, Sarah C Rossetti, Po-Yin Yen

2020-Current year OA Pubs

OBJECTIVE: This study aims to understand how inpatient nurses determine and prioritize necessary documentation within the context of the Excessive Documentation Burden (ExDocBurden) in Electronic Health Records (EHRs).

METHODOLOGY: A phenomenological approach was used to explore inpatient nurses' lived experiences of prioritizing EHR documentation. Interpretive phenomenology guided the study design, focusing on how nurses prioritize documentation. Purposive sampling recruited 14 registered nurses (RNs) from acute and critical care settings. Data was collected through semi-structured interviews and analyzed using Colaizzi's 7-step and Smith's Interpretive Phenomenology Analysis.

RESULTS: Five themes emerged: (1) Advocating for Quality Patient Care Environment and Patient Needs, (2) …

Machine Learning Prediction Of Discharge Destination In Patients With Parkinson’S Disease; A Nationwide Cohort Study, Hikaru Kamo, Tejas R. Mehta, Matthew Remz, Rachael M. Burke, Anne Brooks, Adrianne Smiley, Michael S. Okun, Christopher W. Hess

Department of Neurology Faculty Papers

Risk stratification during hospitalization may support real-world discharge planning. We developed and validated machine learning models and an interpretable risk score to predict discharge destination among patients hospitalized with Parkinson's disease using a nationwide administrative claims database. Adults aged ≥50 years hospitalized between November 2017 and June 2023 were included, and the first hospitalization was defined as the index admission. Discharge destination was categorized as home, facility, or in-hospital death. The dataset was randomly divided into training (80%) and testing (20%) cohorts. Random forest models were constructed for all discharge outcomes, and an elastic net logistic regression model was developed …

Qualitative Analysis Of Emotion Schemes Theory Of Compassion Satisfaction In Emotion - Focused Therapy, Bronislava Šoková, Lenka Janík Blašková, Katarína Greškovičová, Júlia Halamová

The Qualitative Report

There is little to no research focused on the qualitative understanding of compassion satisfaction among helping professionals, despite the demanding nature of the profession. Our aim was to examine how helping professionals experience compassion satisfaction through the lens of emotion scheme theory applied in emotion-focused therapy. Eight helping professionals were randomly selected from the pool of 29 participants representing a convenience sample, with the age range from 20 to 44 years. Data were collected via online in-depth interviews with open-ended questions concerning emotion scheme of their intense experience of compassion satisfaction. To analyze the data, phenomenology and consensual qualitative analysis …

Implementing Evidence-Based Fall Risk Assessment To Improve Identifying Home Fall Risks, Jade M. Oakley, Ellie Youngblood

Scholars Week

This evidence-based practice project addresses the significant risk of falls among home hospice patients by proposing the implementation of a standardized, multifactorial assessment tool. The project advocates for replacing subjective nursing judgment and the inadequate Morse Fall Risk Assessment with the validated Missouri Alliance for Home Care (MAHC-10) tool, accompanied by a new Fall Prevention Protocol and comprehensive staff education. Utilizing the MAHC-10 will ensure consistent, evidence-based assessment, allowing nurses to proactively implement fall prevention interventions and thereby improve patient safety and quality of life at home.

Nerandomilast In Progressive Pulmonary Fibrosis: Data From The Whole Follow-Up Period Of The Fibroneer-Ild Trial, Marlies S Wijsenbeek, Shervin Assassi, Arata Azuma, Vincent Cottin, Anna-Maria Hoffmann-Vold, Toby M Maher, Fernando J Martinez, Justin M Oldham, Luca Richeldi, Claudia Valenzuela, Hui Gu, Ivana Ritter, Susanne Stowasser, Michael Kreuter

Faculty, Staff and Student Publications

Background: In the FIBRONEER-ILD trial in patients with progressive pulmonary fibrosis (PPF), nerandomilast 9 mg bid and 18 mg bid reduced the decline in forced vital capacity at week 52 compared with placebo (the primary endpoint). We assessed the effects of nerandomilast up to the final database lock.

Methods: Time to first acute exacerbation of ILD, hospitalisation for respiratory cause, or death (key secondary endpoint) and other time-to-event endpoints were assessed.

Results: 1176 patients, of whom 512 were taking background nintedanib, received nerandomilast or placebo. At final database lock, mean (sd) exposure to trial medication was 15.1 (5.7) months and …

The Development Of A Framework To Classify Medication Deprescribing Among Patients With Type 2 Diabetes In Primary Care Practices, Puja B Gandhi, Yoav Jacob, Joeita F Macfield, Gia Merlo, Stefanie M Meyer, Shivani S Patel, Caroline Rhéaume, Kara L Staffier, Madeline Watson, Micaela C Karlsen

Faculty, Staff and Student Publications

No abstract provided.

Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …

Extracorporeal Membrane Oxygenation In Trauma Before And After Covid-19: Associations Of Utilization, Timing, And Outcomes, Ryan Mancoll, William Rice, Theodore Chin, Grayson Mast M.D, Samantha Olafson M.D.

Knowledge and Creativity Expo

Objectives:

The COVID-19 pandemic expanded and altered general ECMO utilization and provider experience; however, any impact on trauma-specific ECMO practice following this shift remains unclear. We hypothesize that trauma ECMO utilization patterns, timing of initiation, and outcomes have differed following COVID-19.

Methods:

We conducted a retrospective cohort study of trauma patients receiving ECMO (2017-2024) using the American College of Surgeons Trauma Quality Improvement Program (TQIP) Participant Use Files. The primary exposure was the COVID era (2017-2019 vs. 2021-2024). Primary outcomes included ECMO utilization, time to initiation, and in-hospital mortality; secondary outcomes included discharge disposition, major complications, and length of stay …

Protecting Older Adults In Hospice Care: Digital Risks And Vulnerabilities, Monalisa Gonzalez

Staying Safe, Smart, and Well Online: Empowering Older Adults in the Digital Age

No abstract provided.

The Impact Of Housing Instability And Transportation Insecurity On Copd Hospital Readmissions In Vulnerable Populations, Sophia Reid

Knowledge and Creativity Expo

Problem Statement Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of morbidity and healthcare utilization in the United States, accounting for approximately $50 billion in annual healthcare costs, with $13.2 billion linked specifically to readmissions. Despite the Hospital Readmissions Reduction Program (HRRP) targeting COPD as a key quality metric, 30-day readmission rates remain high at 22.6%. African Americans disproportionately experience worse COPD outcomes, including higher hospitalization rates and a slower decline in mortality. While social determinants of health (SDOH) are known to influence health outcomes, there is limited research analyzing the dual impact of housing instability and transportation …

The Use And Misuse Of The False Claims Act: Motive And Implications For Public Health Policy, Christopher Ogolla

Tulsa Law Review

No abstract provided.

The Experience Of Using Ai In An Undergraduate Evidence-Based Practice And Nursing Research Course, Christa E. Hartch

General Submissions: Academic Settings and Education-based Materials

As part of a university-wide, interdisciplinary initiative, faculty in our small, private liberal arts university have been engaged in a months-long Faculty Learning Community (FLC) exploring the use of artificial intelligence (AI) tools. Attending weekly online seminars throughout the Fall 2025 and Spring 2026 semesters presented by the Council of Independent Colleges, participating faculty, from undergraduate, masters, and doctoral programs across disciplines were asked to implement the use of generative artificial intelligence (GAI) into course assignments. GAI is defined as any type of AI that uses deep learning models to generate or create new content (Bowen & Watson, 2024). A …

Circulating Levels Of Insulin-Like Growth Factor I (Igf-I) And Risk Of Multiple Myeloma: An Observational And Mendelian Randomisation Study, Yolanda Benavente, Sara Hermosa, Nikos Papadimitriou, Alyssa I. Clay-Gilmour Ph.D., Elizabeth E. Brown, Jonathan N. Hofmann, Nathaniel Rothman, Qin Lan, Sonja I. Berndt, Demetrius Albanes, Mark Purdue, Mitchell J. Machiela, Stephen J. Chanock, Parveen Bhatti, Wendy Cozen, Aaron Norman, Susan L. Slager, James R. Cerhan, Vincent Rajkumar, Et. Al.

Faculty Publications

No abstract provided.

Christine Polk Moore

African American Funeral Programs

Program for the funeral of Christine Polk Moore, held at Old Bethel Primitive Baptist Church on March 21, 2026.

Healthcare Decision-Making In An Ageing Society: Legal, Policy, And Ethical Challenges In Japan, Yukio Sakurai

Japanese Society and Culture

This paper examines the evolving landscape of healthcare decision-making in Japan’s rapidly ageing society, with a focus on the legal, policy, and ethical challenges it entails. It analyzes the limitations of the adult guardianship system, the risks associated with family-dependent decision-making, and the underutilization of advance care planning (ACP). The study further considers how demographic shifts, advances in medical technology, and socio-legal inertia affect end-of-life care, particularly for individuals with diminished capacity. A central theme is the inherent ethical dilemma in balancing individual autonomy with Japan's cultural context, where explicit self-assertion can be challenging, especially for older adults. Cultural dimensions …

Comprehensive, Multidisciplinary Care For Fragile X-Associated Tremor/Ataxia Syndrome, James A. Bourgeois, Andrea Schneider, Jessica Klusek Ph.D., Ccc-Slp, Thomas R. Christensen, Ellie Levin, Kendall Gardner, Ariel A. Jacobi, Randy J. Hagerman

Faculty Publications

Objective: 

The authors reviewed the pathophysiology, clinical genetics, phenotype, and comprehensive clinical management of Fragile X-associated Tremor/Ataxia Syndrome (FXTAS), a neurodegenerative disorder affecting FMR1 premutation carriers (55–200 CCG repeats).

Participants: 

A multispecialty and multidisciplinary team of authors with backgrounds in psychiatry, pediatrics, clinical psychology, speech and language pathology, and neurosciences.

Evidence: 

Review of English language sources on the clinical phenomenology, genetics, pathophysiology, and clinical management of FXTAS from 2001 (the original report) through 2025, with emphasis on the general medical, psychiatric, and neurological features of FXTAS and its multispecialty and multidisciplinary clinical management.

Consensus process:

All authors contributed to the …

Changing Mercy In Aotearoa New Zealand, Anna Nicholls Victoria University Of Wellington

Journal of Global Catholicism

This paper examines the evolving expression of Catholicity within the Mercy organization in Aotearoa New Zealand. It explores the impact of Vatican II, demographic shifts, and societal changes. Through interviews with lay leaders in Whānau Mercy Ministries, the religiosity, inclusive approach, and the tension between traditional Catholic identity and pluralism in the organization are explored. A pertinent discussion concerns how the organization uses a more secular portrayal of Catherine McAuley as a unifying figure for the religiously diverse audience. The author argues that while secularization influences the organization, it fosters human flourishing and community engagement, offering opportunities for growth rather …

The Transformative Essence Of Liminality: Pilgrimage And The Example Of St. Francis Of Assisi, John Kruse

International Journal of Religious Tourism and Pilgrimage

Looking at the life of St. Francis of Assisi (1181/2–1226) through the lens of liminality can help to understand this complex figure. Anthropologist Victor Turner, for example, has explored Francis’s embrace of poverty as a means of experiencing liminality and the communitas that accompanies it. Three episodes in the life of Francis in particular constitute liminal experiences in that Francis left behind old ways of being, crossed thresholds, and experienced transformation: his encounter with lepers, his renunciation of possessions and coinciding embrace of poverty, and his encounter with Sultan Malik al-Kamil. Understanding these episodes as liminal experiences not only helps …

Using Zines To Explore Oppression And Musical Gatekeeping In Music Therapy, Kendall Joplin

Expressive Therapies Dissertations

The purpose of this arts-based study was to investigate music therapists’ personal experiences and thoughts on whether the music therapy profession is engaging in oppressive practices and musical gatekeeping in education, training, and clinical practice. Seven participants engaged in either a focus group or individual interviews to discuss their experiences related to the topic, then created a zine article to artistically explore the topic. All participants’ articles were put together to form one full zine, which was sent to everyone for final comments and feedback. Transcripts from the focus group and interviews, the zine articles, and any comments provided about …