Digital Commons Network^™

Patient Reported Outcome Measure Use In Heart Transplant Care, Nichole Côté

Doctoral Projects

Despite growing evidence supporting Patient-Reported Outcome Measures (PROMs) in chronic disease management, no consistent application exists within the international heart transplant community. This Doctor of Nursing Practice project implemented the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) as a PROM within the a large volume heart transplant clinic, evaluating workflow feasibility, the association between Overall Summary Scores (OSS) and visit length, and clinician perceptions of PROM use. The KCCQ-12 was administered via a mobile health application with automated distribution. Workflow integration was assessed by calculating the percentage of scheduled visits with completed PROM documentation. Visit length was measured using electronic medical record …

Danger! Ai Art Directors Ahead: An Analysis Of Text-To-Image And Text-To-Video Ai Integrations In Production Design For Film And Television, Katherine Gaylord, Charles Howard, Richard Rohrer

Honors Thesis

The Artificial Intelligence (AI) boom in the last decade has sparked exponential excitement, especially in white collar industries, for the possibilities of cost-cutting and streamlining tasks across industries. However, creative industries which were historically driven by human artistry report majority fear regarding copyright/fair-use, legal protections, and job security.

Production Designs and Art Departments in particular question how, or even if, their talent and creativity will fit into an AI powered entertainment industry. Since the inception of filmmaking, Art Departments have brought fantastical visions to life through set design, props, art, costumes, and beyond. Yet, in the age of AI, Text-to-Image …

Copyright Statement, Cleveland State Journal Of Law And Health

Journal of Law and Health

No abstract provided.

Task-Based Language Teaching For Afghans Resettled In The United States Since 2021: Meeting Integration And Employment Needs, Madison E. Wilhelm

Senior Honors Theses

In the aftermath of the 2021 Taliban takeover of Afghanistan, the United States military evacuated tens of thousands of Afghans, many of whom were resettled in the United States. This population has faced many challenges in their resettlement, including barriers to language learning and difficulty finding skilled employment. There is great diversity within this population, including individuals with limited schooling and those with valuable employment skills.

This integrative literature review explores how Task-Based Language Teaching (TBLT) can be used as a strategy for Teaching English as a Second Language (TESL) with the post-2021 Afghan population in the United States. It …

From Vision To Venture: Strategies Of Ethiopian Diaspora Entrepreneurs In Ethiopia’S Emerging Economy, Solomon Seyoum

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploration Of Ai-Based Method Feedback For Clinical Psychology Skill Development With An Emphasis On Deliberate Practice, Beckham G. Mccord

Honors Theses

Training competent psychotherapists requires substantial time, supervision, and performance-based feedback. However, traditional methods of providing feedback are resource-intensive and difficult to sustain outside of university and research settings. Recent advances in artificial intelligence (AI) have created new opportunities to automate aspects of psychotherapy fidelity assessment and provide trainees with more frequent feedback. The present study examines the implementation of Lyssn, an AI-based psychotherapy platform that provides clinical feedback to therapists, in a graduate-level course on Evidence-Based Services. Multiple years of course data were reviewed to evaluate therapist competence, therapist behaviors, and student engagement with AI-generated feedback. Particular emphasis was placed …

From Amateur To Influencer: The Nil Era Takes Over, Olivia J. Matulich

Honors Theses

This thesis examines the change of amateur athletics with the rise of Name, Image, and Likeness (NIL) rights. For many years, the NCAA followed an amateurism model that prevented student-athletes from earning money, even though their efforts generated major profits through media contracts, sponsorships, and branding. The arrival of NIL in 2021 marked a major shift, allowing athletes the chance to earn money from their personal brand, which redefined the role they play within the collegiate athletic system.

This study looks at NIL from several angles, including its legal background, financial impact, and cultural significance. By reviewing key legal cases …

Bridging Theory And Application: Case Studies In Financial Reporting, Regulation, And Ethics, Keili Cm Ikemori

Honors Theses

This thesis explores the intersection of financial reporting, regulation, and ethics through a series of applied case studies designed to bridge theoretical accounting concepts with real world application. The case studies focus on how accounting principles are implemented in corporate environments, how regulatory frameworks influence business operations, and how ethical considerations shape financial decision making. During the fall semester of Accy 420, we were tasked with case studies that increased our knowledge in financial statement literacy, accounting concepts, relevant accounting regulations, and ethics. During the spring semester of Accy 420, we used the knowledge gained from the prior semester in …

Examining The Rural Workforce: Comparing Admissions Strategies And Training Pathways In U.S. Medical And Dental Education, Charolyn A. Harris

Honors Theses

Access to healthcare in rural and underserved communities remains a significant challenge in the United States, particularly in dental care, where workforce shortages are more pronounced. This study examines how medical and dental education programs develop rural healthcare providers, focusing on admissions strategies and training pathways. Using a structured scoping review and secondary data analysis, this research compares how each field incorporates known predictors of rural practice, such as rural background and training experiences, into workforce pipeline development. Findings indicate that while both medical and dental education recognize rural background as a strong predictor of rural practice, medical education more …

The Practice Book: An Interactive Website For Figure Skating Training Plan Development, Lydia J. Popple

Honors Theses

Figure skating training relies on structured practice plans developed by coaches to guide athlete progression. However, many coaches and skaters continue to use paper-based or fragmented digital systems, limiting organization, accessibility, and visibility into athlete progress. This project introduces The Practice Book, a web-based application designed to digitize and centralize the creation, assignment, and tracking of figure skating practice plans.

The system is implemented using a three-tier architecture with a PHP-based application layer, a MySQL (MariaDB) relational database, and a user interface built with HTML, CSS, and Bootstrap. The database models standardized figure skating elements defined by the United …

Pop Prophets: How Celebrity Culture Shapes Gen Z'S Worldview, Olivia G. Usie

Honors Theses

Generation Z has grown up in a social environment shaped by constant connectivity, digital communication, and immediate access to the lives of others. Because of this, celebrity culture and pop culture may play a larger role in shaping attitudes, behaviors, and identity than they did for previous generations. This study explores how celebrity culture shapes Gen Z’s worldview through four areas: pop culture, celebrity, herd mentality, and cancel culture.

A mixed-method approach was used. Quantitative data was collected through a 28-question survey of 202 participants ages 18–25. Qualitative data was gathered through one focus group of eight participants and three …

Financial Reporting, Strategy, And Legislation: A Study Of Post Holdings And Relevant Accounting Topics, Noah Harkins

Honors Theses

This thesis examines multiple areas of financial reporting, business strategy, and legislation. This was performed through a series of case studies completed in Accounting 420, where the purpose of the class was to apply accounting concepts to real-world business situations. The cases cover multiple areas of financial reporting, including asset theory, 10-K analysis, audit risk assessment, corporate legislation, business strategy, data analytics, economic policy, and professional leadership. The main analysis focuses on Post Holdings, with supporting cases involving Tyson Foods, the Corporate Transparency Act, Thomas Sowell, Ronald Reagan, and broader accounting theory.

The research process used throughout the thesis consisted …

The Rise Of Realism And The Search For Justice In 19th Century Literature, Isabella R. Clark

Honors Theses

This thesis follows parallel legal and literary arcs towards “Realism.” While these two movements do not have the exact same timeline, they both characterized the 19th century. This thesis intertwines the literary shift towards writing that more closely resembles reality with the legal realist aim at a justice that more closely relates to its society. As we look at three novels from the 19th century, we will see how the change in literary form relates to a change in legal philosophy as the popular literary style and goal was later formalized by the law. In our study of each novel, …

A Transgenerational Analysis Of Factors Influencing Fertility Among Jamaican Men, Shanique Deniellia Essuman

Walden Dissertations and Doctoral Studies

No abstract provided.

Automated Evaluation Of Web Accessibility In Cybersecurity Tools, William Robert Cox

Theses and Dissertations

Screen reader users face significant barriers when using web-based cybersecurity tools, however, the accessibility of these interfaces has received minimal systematic research attention. Existing automated evaluation tools assess Web Content Accessibility Guidelines (WCAG) conformance but do not measure the practical operability of complex and domain-specific interfaces for users of assistive technology. This dissertation presents the Deciphering Interfaces for Your Accessibility (DIYA) framework, an open-source automated auditing framework that evaluates cybersecurity tool web interfaces across eight normalized dimensions: WCAG conformance, Accessible Rich Internet Applications (ARIA) usage, semantic structure, keyboard operability, form accessibility, dynamic content accessibility, interaction cost, and screen reader readiness. …

Know But Not Recognized? Québec, The United States And The Thresholds For Diplomatic Recognition, Thomas Forget

Student Theses

This thesis examines the conditions under which the United States would recognize an independent Québec diplomatically and how it would maintain stable institutional relations with it. It also examines the extent of Québec’s paradiplomatic network’s reach in the United States, and how it influences the relationship and the probability of recognition. Based on a qualitative case study using process tracing and conceptual analysis, the thesis proposes that the institutional density of the Québec-US relationship increases the probability of functional continuity and, potentially, of programmatic cooperation after independence. However, this would not lower the significant political, legal, and strategic US thresholds …

The Intersection Of Faculty Perceptions Of Student Evaluations Of Teaching And Nursing Retention: The Challenges Of Undergraduate Nursing Programs In Higher Education Institutions, Melissa Wolff

Dissertations, Theses, and Projects

For over 100 years, higher education institutions in the United States of America have been using student evaluations of teaching (SET) to evaluate course effectiveness and teaching quality. SETs are used to inform faculty about areas where course improvements are needed, if course objectives have been met, and the strength of their teaching ability. Even with the longstanding integration of SETs in higher education their reliability and validity have been questioned. Various factors negatively influence student ranking of faculty including class size, faculty appearance, ethnicity, and gender. SETs also impact faculty’s ability to earn tenure and promotion, which raises concerns …

Exploring The Skills Gap And Implications Of Science Technology Engineering And Mathematics Graduates And Professional Laboratory Staff, Indrajee Wewaliyadda

Dissertations, Theses, and Projects

The noticeable expansion of the biotech and research industries, fueled by increased funding due to the 2019 pandemic (Wallace et al., 2022), which increased the existing skills gap among fresh STEM graduates entering professional laboratories. This study aims to evaluate whether bachelor’s degree holders in biological sciences possess the necessary laboratory competencies to meet professional demands. Utilizing survey methods and Kolb’s experiential learning model (Kolb, 1984), the research examines the extent and implications of the skill deficiencies observed. The study helps to understand the gap in practical laboratory skills among new graduates. Further, results from this work will show the …

My Journey Into Discovering How My Experiences Shape Who I Am Today, Sabrina K. Forde-Kerbaugh

Dissertations, Theses, and Projects

This is an ‘Analysis of Self’ portfolio that goes through many key points and people that have shaped the person I am today. This paper will start with going through my background information, which will range from my close relationships, to my favorite activities and hobbies. The second section will go through two different self-assessments and what I learned from completing each of them. The third section of this paper will go through the results of the interviews I completed with a handful of my close family members and friends. After going through the themes from conducting my interviews, I …

Exploring The Impact Of Ungrading On Student Engagement And Motivation In A First-Year Composition Class, Mary B. Gruis

Dissertations, Theses, and Projects

This study investigated the association between student engagement, motivation, and self-efficacy in college-level writing-intensive courses using an ungraded approach. Motivated by disillusionment with traditional grading methods and inspired by texts on equitable grading and culturally responsive teaching, the researcher explored how ungrading could foster deeper learning and equitable educational practices. Grounded in Bandura’s (1997) self-efficacy framework, this qualitative case study examined the lived experiences of first-year composition students at a two-year institution. Data collection included student interviews, student reflections, and an instructor interview. The analysis revealed themes aligned with self-efficacy, engagement, and motivation, suggesting that ungrading positively impacted students' perceptions …

Comprehensive Review Of Writing Instruction And Writing Curriculum, Brooklyn E. Vonbank

Dissertations, Theses, and Projects

This capstone project provides a comprehensive review of writing instruction and writing curriculum, with focus on improving outcomes for students, particularly those with learning disabilities. Chapter 1 examines how students learn to write through the cognitive process model (Flower & Hayes, 1981), emphasizing the recursive nature of planning, translating, and reviewing, as well as the interconnected relationship between reading and writing. It also explores why students with learning disabilities often experience difficulty with writing due to challenges with foundational skills and increased cognitive load. Chapter 2 identifies key gaps in writing instruction, including limited instructional time, inconsistent implementation of evidence-based …

Building Preschool Teacher Confidence In Understanding Student Accommodations By Implementing The Multi-Tiered Systems Of Support (Mtss) Framework, Heather Briese

Dissertations, Theses, and Projects

Abstract

The overall goal of this paper is to highlight the crucial role that educators have with student development. Educators' knowledge and the ability to implement High-Leverage Practices (HLPs), Evidence-Based Practices (EBPs), and providing the Mutli-Tiered Systems of Support  (MTSS) are essential for student growth through effective student accommodations. This paper will examine how these practices can be implemented to support students in both academics and socially-emotionally. In order for early childhood educators to be successful in providing student support they need to have a comprehensive understanding of High-Leverage Practices (HLPs), Evidence-Based Practices (EBPs), Mutli-Tiered Systems of Support (MTSS) and …

A Study On Community And Technical College Students' Identification Of Culturally Responsive Pedagogy, Cynthia J. Carow Schiebe

Dissertations, Theses, and Projects

The purpose of this study was to investigate whether students could identify culturally responsive pedagogy (CRP) and, to what extent, in a community or technical college classroom where a set of goals and strategies had been established to guide methodology. Previous research on CRP traditionally focused on the educators’ or administrators’ interpretation of what students had learned when CRP was used as a methodology to reduce the opportunity gap. Students in classrooms where CRP was used were able to identify content that was aligned with their needs and wants, bring their own lives into the class without fear, balance their …

Zoo U: An Emotional Wellness Intervention Case Study, Georgia B. Reemts

Dissertations, Theses, and Projects

The purpose of this project was to evaluate the effects of Zoo U, a digital game-based social-emotional learning (SEL) intervention, on a third-grade student's self-control and peer relationship skills. Zoo U focuses on teaching social skills by providing practice opportunities through a virtual simulation that mimics realistic school scenarios, targeting 6 core skill areas: communication, cooperation, emotion regulation, empathy, impulse control, and social initiation. The student participant received the intervention service once each week for nine sessions. Progress monitoring measures included student self-report direct behavior ratings (DBR), observational DBR reporting from the student’s classroom teacher, and Zoo U activity reports. …

Investigating The Relationship Between Student Nurse Perceptions Of Faculty Caring Interactions And Their Reported Professional Quality Of Life, Lynette A. How

Dissertations, Theses, and Projects

Abstract

Burnout and compassion satisfaction in academic clinical contexts are critical dimensions of professional quality of life (ProQOL) in nursing education, yet their influence on student perceptions of faculty caring remains underexplored. Guided by Watson’s Theory of Human Caring and a social constructivist lens, this quantitative, cross-sectional correlational study examined relationships between nursing students’ self-reported professional quality of life and perceptions of faculty caring interactions. Data were collected from 207 prelicensure nursing students enrolled in practical, associate, and baccalaureate programs at two Midwestern institutions. Two validated instruments were employed: the Professional Quality of Life Scale – Short Version (Short ProQOL) …

Cloud-Deployed Rna-Seq Analytics For Identifying Imaging And Therapeutic Targets In Chemotherapy-Induced Toxicities, Zhimu Wang

McKelvey School of Engineering Graduate Student Theses & Dissertations

Chemotherapy has significantly improved cancer survival rates; however, many anticancer agents induce severe acute and chronic side effects that substantially reduce patient quality of life and limit therapeutic efficacy. Despite their clinical importance, the molecular mechanisms underlying chemotherapy-induced toxicities across different organs remain incompletely understood, in part due to the lack of integrated, scalable, and accessible analytical platforms capable of synthesizing large transcriptomic datasets across tissues and experimental models.

This thesis describes the development of a cloud-deployed RNA-seq analytics platform designed to identify candidate imaging biomarkers and therapeutic targets associated with chemotherapy induced toxicities. The platform integrates large-scale transcriptomic datasets …

Re: Conditional Approval Letter For Draft Final 2026 Interim Site-Wide Groundwater Monitoring Quality Assurance Project Plan (Dated May 6, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Reducing Emergency Department Overuse Through Patient Education, Maddie Pieper, Joshua Heuertz

Doctor of Nursing Practice Projects: College of Nursing

Background/Introduction

Emergency departments (EDs) are designed to provide rapid evaluation and management of acute, life-threatening, and time-sensitive conditions. However, EDs are frequently used for nonemergent or low-acuity concerns that could be managed in primary care or urgent care settings. This overuse contributes to rising healthcare costs, resource strain, longer wait times, and overcrowding. Underserved populations may rely more heavily on ED services because of barriers such as limited primary care access, language differences, low health literacy, restrictive work schedules, transportation challenges, and difficulty navigating the healthcare system. These factors can make the ED seem the most accessible source of care. …

The Ethical Imperative Of Public Health Institutions To Protect The Reproductive Autonomy Of Vulnerable Populations, Kennethea Wilson

Electronic Theses and Dissertations

This dissertation establishes the ethical responsibility of public health institutions to safeguard reproductive autonomy, especially among vulnerable populations. While reproductive decision-making is traditionally framed within individual clinical encounters, this work contends that reproductive autonomy is fundamentally a matter of public health ethics. Socioecological determinants, including social, legal, environmental, and structural factors, often constrain individuals’ ability to make meaningful reproductive choices, leading to preventable harm.

Reproductive autonomy is defined as the capacity to make informed decisions about whether and when to conceive, as well as how to parent. The dissertation critiques the sufficiency of clinical ethics frameworks, such as informed consent …

Expertise First: Reflections On Informal Artificial Intelligence Mentoring In An Asynchronous Nursing Faculty Community, Anna Liza D. Villena Phd, Rn, Fnp-Bc

Journal of Online Mentoring

The integration of generative artificial intelligence (AI) into higher education has arrived faster than the support structures designed to help faculty navigate it. This article reflects on one faculty member’s experience providing informal AI integration mentoring to nursing colleagues at Walden University, a fully asynchronous online graduate nursing program, where clinician-educators with deep disciplinary expertise often struggled to recognize that expertise as an asset in their interactions with AI tools.

Drawing on Rogers’ (2003) diffusion of innovations theory, the article describes the mentoring approach that emerged from practice, the central insight that faculty are not failing to integrate AI because …