Digital Commons Network^™

Homelessness: An Emergency For Many, Casey Almond

Doctor of Nursing Practice Projects

This DNP project implemented nursing staff education on the importance of recognizing homeless individuals early during the initial triage process within the emergency department. Nursing staff were educated on community resources available for homeless individuals. This DNP project helped to promote the collaboration of care by nursing staff with the case management team to help provide resources, which can result in a safer and more effective discharge of homeless patients within the emergency department. Participation consisted of 125 nursing staff who reviewed the online training module and attended one of the 15-minute in-person poster educational sessions. About 53 nursing staff …

Breastfeeding Education In Peripartum Women, Kristen Chassner

Doctor of Nursing Practice Projects

Breastfeeding is nature’s medicine. Though it is considered a natural experience between a mother and a child, it does not always come easy. Education is imperative for peripartum women to learn more about breastfeeding in general, its benefits to the mother and the child, identifying improper latching, and resources to seek help. The purpose of this project was to provide introductory breastfeeding education to peripartum women at a government-funded public health facility in Cleveland County, North Carolina, to increase breastfeeding knowledge, self-efficacy, and the intention to breastfeed for the baby’s first 6-months of life in 100% of the participants. Though …

Implementing Nurse-Driven Education On Patient’S Inpatient Boarding Status: An Emergency Department Quality Improvement Project, Jack Wallace

Master's Theses and Capstones

BACKGROUND:

Nurse-led education to inpatient boarding patients in the emergency department is essential to improve patient’s understanding with their care and nurse’s satisfaction surrounding communicating with their patients. Inpatient boarding in the emergency department is associated with poor patient outcomes, adverse events, and reduced communication between patient and nurse.

LOCAL PROBLEM:

Within this microsystem there is a gap in patient understanding of their admission status. This includes who the patient’s provider is, which provider to direct questions to, and why the patient is still in the emergency department.

METHODS:

The plan-do-study-act quality improvement framework was utilized to improve nurse-led patient …

A Quality Initiative To Reinforce Nursing Staff Education On Fall Prevention Interventions To Enhance Patient Safety And Outcomes On A Medical-Surgical Unit, Jolena Senesombath

Master's Theses and Capstones

Background:

Patients are at an increased risk for falls on a medical-surgical unit due to a variety of factors such as increased age, medications, altered mobility, and more. Several fall prevention interventions are used to prevent falls, including use of call bells, bed and chair alarms, maintain a clutter free environment, using a fall risk assessment upon admission, and providing patient and staff education. Reinforcing education for nursing staff has been shown to be one of the most effective interventions in preventing and reducing the number of falls as it increases awareness of falls.

Local Problem:

Within the microsystem, patient …

Improving Intensive Care Unit Nurses' Knowledge And Confidence In Performing Effective Spontaneous Awakening Trials: A Quality Improvement Project, Sophia T. Merry-Carreiro

Master's Theses and Capstones

Abstract

BACKGROUND

Mechanically ventilated ICU patents often require sedation for comfort and ventilator compliance. However, oversedation is linked to negative outcomes such as delirium, prolonged ventilation, and increased duration of ICU stay. Current best practices now support the use of daily sedation interruptions such as Spontaneous Awakening Trials (SATs). Despite these recommendations, implementation of SATs remain inconsistent and suboptimal.

LOCAL PROBLEM:

Within the ICU in a northern new England hospital, there was a need to improve nurse confidence and knowledge in SATs practices through staff education.

METHODS:

Using the Plan-Do-Study-Act (PDSA) model, a quality improvement project was developed to improve …

Graduate Outcomes Of Australian Hospitality Educational Institutions And Skills Desired By Employers: A Matrix Model, Alireza Amrollahi, Hana Hadinejad, Brent D. Moyle, Nicholas Thomas

Research outputs 2022 to 2026

Demand for a skilled hospitality workforce has accelerated post-pandemic. However, limited research has explored the core competencies desired by the hospitality sector and their alignment with graduate outcomes from bachelor’s programs. Consequently, this study uses the Australian accommodation sector as an exemplar case to examine the alignment of skill supply and demand in the sector. An analysis of 28,000 Australian job advertisements reveals that employers seek a combination of soft and hard skills. Soft skills prevalent in job advertisements include communication, customer-orientation, teamwork, and adaptability. Hard skills that emerged include quality assurance, property management, culinary expertise, hospitality proficiency, and safety. …

2025 Merc Annual Report, David B. Naff, Jesse Senechal, Paula L. Ogston-Nobile

MERC Publications

This is the annual report of the Metropolitan Educational Research Consortium (MERC) at Virginia Commonwealth University for the 2024-2025 academic year. It includes vignettes depicting MERC activities in the past year that align with each of its five principles: research, relevance, rigor, multiple perspectives, and impact. It concludes with a discussion of MERC's commitment moving forward.

Supporting Students In Transition To And From High School, David Naff, Jamelle Simmons, Meleah Ellison, Shelby Garofalo, Laura Thoene, Kim Dupre, Sooyeon Moon, Karli Johanson, Paul Harris, Martin Darby, William L. Parker, Tracy Booker, Janel Miley, Mysia Perry, Xun Liu, Maggie Szydlowski, Ahmed Abbas

MERC Publications

This report is part of a two-part series focused on supporting students in transition across PK-12 education. Specifically, it explores transitions into and out of high school school. The report includes a synthesis of recent peer-reviewed literature, analysis of publicly available data (with a specific focus on Virginia and the metropolitan Richmond region), and summary of relevant federal, state, and school division-level policies. It answers the following questions:

1. What are key considerations for supporting students in transition to and from high school in the MERC region?

2. How do federal, state, and division policies guide support for student transitions …

Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan

Nursing Faculty Publications

Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women.

Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n …

Role And Evolution Of Islamic Education In Kazakhstan, Yeleukhan Kaliyeva, Albina Duissenbayeva, Aııtmamat Karıev, Bekzhan A. Azhimov

Occasional Papers on Religion in Eastern Europe

This paper examines the evolution of religious education and the professional development of clergy in Kazakhstan, with particular emphasis on the establishment of institutions aimed at enhancing the competencies of imams and religious educators. It traces the evolution of the Islamic educational system throughout various historical periods until the present day. Particular focus is given to blending Islamic teachings with contemporary educational structures. The researchers heuristically analyzed the current state of the field, identified the main problems, and suggested prospects for Islamic education for further development. The research utilizes the historical method, which uses primary and secondary data sources. This …

The Inadequacy Of Perpetuating Vestiges Of Segregation In K-12 Curriculum: The Justiciability Of Reviewing Duties To Adequacy In Florida's Education Clause, Soumya Sreerama

American University Journal of Gender, Social Policy & the Law

Although the Supreme Court declared segregation the most abusive affront to education and ruled to eliminate vestiges of segregation “root and branch,” those same roots have grown unchecked to remain prominent today. One of the undercurrents of state-sponsored discrimination that has escaped desegregation remedies is the skewed, whitewashed curriculum that permeated K-12 classrooms in Jim Crow America. More troubling, is that those vestiges of an inadequately biased curriculum are still slithering in students’ courses today. Although student movements and education reformists have attempted to counter skewed curricula by supplementing them with separate ethnic studies courses, states like Florida recently passed …

Empowered Margins: Women, Work, And Justice In Educational Labor, Erin Woodford

Antioch University Dissertations & Theses

This dissertation examines economic justice and employment precarity faced by educators in both K-12 and post-secondary education systems. While literature explores themes of changing demographics in union membership, collective bargaining, labor activism, and gendered and intersectional inequities in academia, and women in leadership in unions, a critical gap of disabled women’s voices and solutions to the inequities remains. This study highlights how job insecurity, unequal pay, hiring biases, limited recognition of prior learning, and inadequate institutional support exacerbates mental health challenges, professional invisibility, and economic instability. In the K-12 unionized system, systemic barriers such include disregard for substitute teaching as …

Multifactorial Fall Interventions For People Over 65 Years In The Acute Hospital Setting: Pre–Post-Test Design, Allison Wallis, Christina Aggar, Deb Massey

Research outputs 2022 to 2026

Background: Falls are the most reported patient safety incident for patients >65 years in acute hospital settings worldwide. While multifactorial fall interventions reduce the number of falls in subacute and rehabilitation settings, fall interventions in acute hospital settings are unknown. Aim: To evaluate the effectiveness of multifactorial fall interventions on the number of falls using codesigned education targeting staff and the patient and review the environment in acute hospital settings in NSW, Australia for patients over 65 years of age. Method: A pre–post-test design with a non-equivalent group was conducted. All acute hospital inpatient falls occurring both pre- and post-intervention …

Analysing The Behaviour Change Techniques In An Effective Food Literacy Program To Inform Future Program Design, Lucy M. Butcher, Caylah Batt, Sophie Royce, Eamon Barron, Roslyn Giglia, Andrea Begley

Research outputs 2022 to 2026

Aim: Food literacy programs aim to improve food related skills and knowledge and are selected Governments as a strategy to address dietary intakes at a community level. The purpose of this research is to identify behaviour change techniques in a food literacy program, which were assessed by the achievement of participant goals related to food literacy and dietary behaviour changes. Methods: Consensus methods were applied to map behaviour change techniques to an adult food literacy program. A second phase investigation applied content analysis of participant process evaluation data (collected between 2016 and June 2021) to align target behaviours and behaviour …

Assessment Practices For Dietetic Students: An Updated Systematic Review (2017–2024), Janica Jamieson, Claire Palermo, Margaret Hay, Simone Gibson

Research outputs 2022 to 2026

Aim: Evaluate assessment practices and outcomes for dietetic students and compare findings with those from a previous systematic review. Methods: A systematic review was conducted whereby four databases (MEDLINE, Embase, Cumulative Index in Nursing and Allied Health Literature, and Education Resources Information Centre) were searched on 11 October 2023 with terms related to dietetics, students, and assessment. The search was repeated on 8 January 2025 to identify new publications. Eligibility criteria were primary research published after 1 June 2017 reporting at least one assessment method for dietetic students with an assessment-related outcome. Assessment practices and outcomes were evaluated using Miller's …

Implementing A Gerontological Nursing Competencies Programme In Aged Care: Participant Experiences, Victoria Traynor, Nicole Britten, Diane Gibson, Stephanie Munk, Lynn Chenoweth, Jolan Stokes, Tracey Moroney, Karen Strickland, Toni Donaghy, Kasia Bail

Research outputs 2022 to 2026

Aims: To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development. Background: The global population is ageing and needs a reliable aged-care nursing workforce. Introduction: Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation. Methods: Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria. Results: …

Performance Health For Saxophonists: Saxophonists Perspectives And Experiences With Playing-Related Health, Wellbeing, Injuries And Education (Cohort Study), Nicola Demandolx, Joanna Nicholas, Luke Hopper, Matt Styles

Research outputs 2022 to 2026

Saxophonists experience a high rate of performance-related injuries and wellbeing concerns, with limited research on player perspectives and lived experience to inform preventive or interventional methods. To address this gap, a cohort study was conducted with 14 saxophonists from around Australia, to gather perspectives and experiences on playing-related pain, injury, health, and wellbeing. A baseline survey and semi-structured interviews were used to gather a range of qualitative and quantitative data to provide a holistic overview of the cohort and their lived experience. Results indicated that the lifetime prevalence of a performance-related musculoskeletal disorder (PRMD) for saxophonists in this cohort was …

Evaluating The Efficacy Of A Serious Game To Deliver Health Education About Invasive Meningococcal Disease: Clustered Randomized Controlled Equivalence Trial, Lauren Bloomfield, Julie Boston, Martin Masek, Lesley Andrew, Donna Barwood, Amanda Devine

Research outputs 2022 to 2026

Background: Invasive meningococcal disease (IMD) is a serious, vaccine-preventable infectious disease that can be life-threatening. Teaching adolescents about the early detection and prevention of IMD can be challenging in a school environment, with educators reporting they lack confidence or expertise to cover this in the classroom environment. Professional guest educators are an alternative to cover specialist topics such as IMD; however, time and resourcing constraints can mean that these educators are not always available. Serious games may be an alternative to face-to-face education, where complex health information may be delivered via self-directed gameplay. Objective: This study aims to develop a …

Large‐Vessel Occlusion Stroke Knowledge And Training For Stroke Severity Assessment Among Emergency Medical Services Personnel In The United States, Kaiz S. Asif, Robin Novakovic, Thanh N. Nguyen, Santiago Ortega‐Gutierrez, Youngran Kim, Amanda Jagolino‐Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ameer E. Hassan

School of Medicine Publications

Background

Prehospital identification of large‐vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. This requires stroke education of emergency medical services (EMS) personnel to improve stroke recognition, severity assessment, and prenotification. However, the current state of EMS personnel's knowledge of LVO stroke, their training for stroke severity assessment, and their preferences for educational methods are unknown. We conducted a nationwide EMS survey across the United States to glean insights that can inform and customize future EMS educational efforts.

Methods

The Society of Vascular and Interventional Neurology, …

The Role Of Game-Based Learning Simulation To Enhance Leadership In Pandemic Preparedness For Nursing Students, Scott James Andrews

Theses: Doctorates and Masters

During the COVID-19 pandemic, nurses around the world suffered with the impact of resource scarcity on the provision of quality nursing care to patients. Nursing staff were at higher risk of infection than all other healthcare workers, with working conditions during the pandemic resulting in significant staffing pressures. The challenges faced by staff during the pandemic inevitably influenced the quality and delivery of clinical education, highlighting the need for innovative solutions such as digital learning to address emerging training needs. Further, the impact of COVID-19 restrictions on clinical education has highlighted the benefits of digital learning environments as alternatives to …

Twice-Exceptionalism And The Complexity Of Supporting Students Who Are Both Gifted And Disabled, River Johnathon Taylor

Cal Poly Humboldt theses and projects

Drawing on ideas from disabilities studies about compulsory able-bodiedness as well as experiences of disability being fluid and context dependent, this study posits that giftedness, just like disability, is a complex multidimensional form of identity that is both context and temporally dependent. Twice-exceptionalism is defined as an identity in which an individual is gifted in at least one domain of human productivity and manifests at least one disability. Students with unique learning needs (students with disabilities, students with giftedness, and students with twice-exceptionalism) face many complex challenges within Humboldt County, California. Twenty-five educators from Humboldt County working across all grade …

Multi-Grade Classroom Professional Development And Curated Resources, Angie Marshall

Cal Poly Humboldt theses and projects

This project aims to provide educators and administrators with a comprehensive compendium of resources for effectively designing and implementing instruction in multi-grade classrooms. Limited research exists to support teachers who may struggle with the complexities of teaching multiple grade levels within a single classroom setting. Traditionally, educators obtain their teaching credentials, secure employment, and are expected to effectively instruct the students. However, when assigned to a multi-grade classroom, the instructional demands become significantly more intricate and potentially overwhelming.

The objective of this professional development and resource guide is to equip teachers and administrators with a structured resource to enhance the …

The Impact Of An Effective Co-Teaching Model For Elementary Students With Disabilities, Emma Y. Carlson

All Electronic Theses and Dissertations

Co-teaching has become a widely utilized practice between a general education and a special education teacher to make inclusive education possible for students with disabilities. This thesis examines the characteristics and impacts of an effectively implemented co-teaching approach on the academic achievement of elementary-aged students with disabilities. The literature review examines the history of co-teaching, describes the components of co-teaching and its various models, and discusses the positive impacts and barriers of co-teaching when the approach is implemented with fidelity. Peer-reviewed journal articles, case studies, and textbooks were utilized to accomplish the literature review and apply the synthesized research in …

Discriminatory Censorship Laws, Jonathan Feingold, Joshua Weishart

Faculty Scholarship

The summer of 2020 ignited global protests for racial justice. Across the United States, millions marched with a modest plea: that America reckon with its racism. For K-12 schools, this moment pushed local communities and district leaders to create more inclusive classrooms and curricula. Yet before the summer had ended, America's antiracist turn provoked a backlash campaign that has proven far more impactful and enduring.

This campaign has featured the rise and spread of "discriminatory censorship laws"-a term we apply to government action designed to demean inclusionary values and to deny students access to critical knowledge, inquiry, and thinking. As …

Girls First Fund: External Evaluation—Endline Evaluation Report, Brian Medina Carranza, Neelanjana Pandey, Angel Del Valle, Fatima Zahra

Adolescents and Young People

The Population Council is leading an evaluation of programs funded by the Girls First Fund (GFF) in the Dominican Republic (DR), India, and Niger. These three countries were chosen to maximize geographic, social, cultural, and economic diversity across contexts, but common to all three is the continued persistence of child marriage and the presence of collective efforts to eliminate it. The broader goal of this evaluation is to: 1) demonstrate proof of concept for the impact of  GFF-supported programs; 2) examine key outcomes of interest to the GFF and the community-based organizations that it funds, including education, child marriage, and …

Developing A 4d Logistics Educational Module With Cmbuilder, Misael Gonzalez Ramirez

Construction Management

The increasing adoption of Building Information Modeling (BIM) in the construction industry has led to a need for its increasing integration into construction management education. While existing curriculum covers various BIM applications, there is often a gap in in-depth instruction on BIM-based site logistics planning. This paper details the development of an educational module designed to address this gap, focusing on 4D site logistics and phasing using cmBuilder. The module aims not only to provide students with technical software skills but also to equip them with practical skills in visualizing, planning, and communicating complex construction site logistics. Through a series …

Grand Challenges For Human Factors And Ergonomics, Waldemar Karwowski, Gavriel Salvendy, Mica Endsley, William Rouse, Paul Salmon, Kay Stanney, Andrew Thatcher, Tony Andre, Jessie Yang, Hasan Ayaz, Ahmet Cakir, Vince Duffy, Colin Drury, Qin Gao, Yinni Guo, Peter Hancock, William S. Marras, Patrick Rau

Faculty Research, Scholarly, and Creative Activity

Contemporary society faces a growing set of complex global issues representing significant human health, well-being, and sustainability threats. Human Factors and Ergonomics (HFE) has a critical role to play in responding to these issues; however, there remain a set of grand challenges that require resolution. This paper presents and discusses six grand challenges for HFE and related key research thrust areas for each of the challenges. The grand challenges are (1) Evolution in Societal Thinking; (2) Future of Human Work in Industry 5.0; (3) Climate Change and Sustainability; (4) Future of Education and Training; (5) Future of Personalized Health, and …

Dentistry’S Best Advocate—You, Michaela Mishoe

Virginia Dental Journal

The document discusses strategies to address the shortage of dental hygienists in Virginia by promoting dentistry as a career. It suggests partnering with educational institutions, hosting career fairs, empowering staff to mentor, leveraging social media, and using patient interactions to inform about dental careers. It highlights the importance of community involvement and provides resources like the G3 tuition assistance program for aspiring dental professionals. The document also outlines various dental career roles, including dental assistants, hygienists, office managers, and administrators.

Va Dent J April, May And June 2024

Virginia Dental Journal

The April-June 2024 issue of the Virginia Dental Journal (VDJ) explores significant themes affecting the dental profession in Virginia. Key highlights include a feature on the dental workforce crisis, addressing shortages and its impact on patient care and practice expansion. The Virginia Dental Workforce Council provides a comprehensive report with recommendations to enhance workforce capacity through educational investments, policy changes, and collaborative efforts. Other topics include scientific studies, such as a pilot investigation on non-invasive treatments for xerostomia, advocacy updates on legislative successes like the SafeHaven™ program for mental health support, and industry insights on sustainability and cybersecurity in dental …

Addressing Unprofessional Behaviors In The Clinical Learning Environment: Lessons From A Multi-Year Virtual, Intergenerational, Interdisciplinary Workshop, Stacey Rose, Anita Kusnoor, Phuong Huynh, Jocelyn Greely, Yesenia Rojas-Khalil, Doris Kung, Anne Gill, Nadia Ismail, Nital Appelbaum

Faculty, Staff and Students Publications

INTRODUCTION: Optimizing the clinical learning environment (CLE) is a medical education priority nationwide.

MATERIALS AND METHODS: We developed a virtual, one-hour workshop engaging students, housestaff and faculty in small-group discussions of five case scenarios adapted from reported unprofessional behaviors in the CLE, plus didactics regarding mistreatment, microaggressions and bystander interventions.

RESULTS: Over two sessions (2021-2022), we engaged 340 students and 73 faculty/housestaff facilitators. Post-session surveys showed significant improvement in participants' ability to recognize and respond to challenges in the CLE.

DISCUSSION: Our innovative workshop, including scenarios derived from institutional reports of unprofessional behaviors, advanced participants' knowledge and commitment to improve …