Digital Commons Network^™

The Benefits Of Prenatal Education Via Virtual And Mobile Applications Before, During, And After Pregnancy: A Quality Improvement Project, Lindsay Farland

Master's Theses and Capstones

Background: The advancements of technology has led to a substantial increase in the use of pregnancy applications among expecting parents. Studies indicate that a majority of pregnant individuals utilize virtual education platforms for various purposes, including accessing information on nutrition, exercise, baby development, and pregnancy symptoms. Despite the potential benefits, participation in these platforms remains low, emphasizing a need for enhanced resources and engagement strategies. Research shows that engagement with antenatal education through mobile applications can lead to improved maternal and fetal outcomes, such as reduced rates of caesarean births and fewer complications related to hypertension or preeclampsia.

Methods: …

Wellness In Motion: A Quality Improvement Initiative To Support Resident Mobility And Reduce Falls., San N. Pham

Master's Theses and Capstones

Background: Falls are a significant concern in community living centers for older adult veterans. Promoting physical activity and resident engagement is crucial for reducing fall risk among this population.

Local Problem: A specific microsystem within this setting has a fall rate of 3 falls per month. This discrepancy underscores the need for targeted interventions to effectively address this issue.

Methods: This study measured key metrics related to falls and resident engagement in mobility programs both before and after the implementation of an exercise program within the microsystem.

Intervention: The "GIMME 10" exercise program, grounded in evidence-based practices and emphasizing resident-centric …

Incorporating Educational Interventions To Improve Nursing Adoption Of Electronic Medical Record Technology: A Quality Improvement Project, Andrew Oratovsky

Master's Theses and Capstones

Background: Use of Electronic Medical Records (EMRs) has become the standard for medical information management and exchange amongst acute care hospitals in the United States. The Epic® electronic medical record has been identified as a popular EMR software for adoption by many healthcare organizations. Associated with the adoption of this technology is a large investment in training medical professionals on its specific processes.

Local Problem: In the outpatient, primary care setting of a hospital in New England, the adoption of Epic® has come with much fear and resistance regarding the ability of nursing staff to efficiently learn and …

Implementing A Nurse-Driven Protocol To Reduce Routine Gastric Residual Monitoring: A Quality Improvement Project, Alondra N. Abreu Carlo

Master's Theses and Capstones

The American Society for Enteral and Parenteral Nutrition (ASPEN) and the Society for Critical Care Medicine (SCCM) updated the Adult Patient Enteral Nutrition Guidelines in 2016. These updates included discontinuing routine gastric residual monitoring due to its contribution to poor patient outcomes and mentioning the lack of evidence proving its relevance to gastric motility. Per ASPEN and SCCM, best practice suggests monitoring patients for intolerance symptoms and then checking gastric residual volume (GRV) if symptoms are present. If the GRV is greater than 500ml and intolerance symptoms are present, the recommendation is to perform further assessment, potentially leading to stopping …

Implementing Of An Informative Poster To Improve Nurse Job Satisfaction In A Medical Surgical Microsystem: A Quality Improvement Project, Stephanie E. Mahoney

Master's Theses and Capstones

Background: Nurse job satisfaction is important since the quality of patient care directly depends on the staff and their willingness to continue working. Traditional approaches used in yearly surveys may cover only some aspects that upset nurses, such as workload and training. This project was designed to overcome these limitations by presenting a more extensive and often-used procedure to assess and solve issues regarding the satisfaction level of registered nurses.

Method: In the quality improvement project, data on job satisfaction using the Acute Care Nurses Job Satisfaction Scale (ACNJSS) was collected on job interest, colleague support, recognition, workload, …

Educational Interventions To Improve Icu Nurses’ Knowledge And Confidence Related To Pressure Injuries: A Quality Improvement Initiative, Benjamin R. Maltais

Master's Theses and Capstones

Background: The prevalence of pressure injuries (PI) in critical care is highest amongst inpatient units, and are associated with significant complications, decreased quality of life, increased cost of hospitalization, and poor patient care (Agency for Healthcare Research and Quality, 2019; Cox et al., 2022; Gorecki et al., 2014; Mervis & Phillips, 2019). Similarly, many PI are considered to be avoidable (Pittman et al., 2019). Despite an increase in focus on PI awareness and prevention, there still remains a challenge for patients in critical care units. In addition, research has indicated that nurses’ lack of basic knowledge of PI (risk assessment, …

Perceived Employer Authenticity Effects On Employee Engagement Demonstrated Through Csr/Esg Communications, Nichole P. Klaaren

Doctor of Business Administration Dissertations

Having an engaged workforce is a key competitive advantage in the market today due to the unique benefits that employees create through organizational culture and their relationships with stakeholders. With the increase in organizations participating in and reporting their Corporate Social Responsibility (CSR) and Environmental, Social, and Governance (ESG) activities to their stakeholders, communicating these types of activities becomes another tool for improving employee engagement. This research uses Social Identity Theory (SIT) to explain the important connections that can be built with employees when a corporation acts authentically. The key objective of this study was to explore how corporate authenticity …

Remote Work, Social Exchange Theory, And Firm Performance, Christopher Mise

Doctor of Business Administration Dissertations

Since Covid-19 pushed workers out of traditional offices and into a remote setting, many have encouraged continuation of its practice post-pandemic. Academic literature reports that employees are happier working remotely and that organizations can benefit from their outcomes. This potential mutual benefit has led some researchers to posit that social exchange theory (SET) may be explain the relationship. To determine if SET is situationally descriptive, this research includes two studies. The first study investigates whether remote workers report higher SET traits than their counterparts in traditional offices. The study used a survey from a representative sample and found that remote …

Challenging The Criminalization Of Undocumented Drivers Through A Health-Justice Framework, Jason A. Cade

Scholarly Works

States increasingly use driver’s license laws to further policy objectives unrelated to road safety. This symposium contribution employs a health justice lens to focus on one manifestation of this trend—state schemes that prohibit noncitizen residents from accessing driver’s licenses and then impose criminal sanctions for driving without authorization. Status-based no-license laws not only facilitate legally questionable enforcement of local immigration priorities but also impose structural inequities with long-term health consequences for immigrants and their family members, including US citizen children. Safe, reliable transportation is a significant social determinant of health for individuals, families, and communities. Applying a health justice lens …

Inequity In Equities: Spacs And The Expansion Of The Retail Market, Usha R. Rodrigues, Michael Stegemoller

Scholarly Works

Federal securities law creates a divide between the haves and the have-nots: On one side are the wealthy, who can invest in private companies; on the other side stand the rest of us, noses pressed up against the glass. Ordinary (or retail) investors are on the outside looking in because generally they can only invest in companies after they have gone public. Even the traditional process of going public typically keeps coveted initial public offering (IPO) shares in the hands of the rich. Put differently, even as a private firm debuts on the public markets, the wealthy take their cut …

Crawford And Criminal Justice, William Ortman

Scholarly Works

This essay reflects on whether Crawford v. Washington, now in its third decade of life, matters to criminal justice. For all the talk of Crawford as “revolutionary,” that is, has it made any real difference to the world of crime and punishment? I’ve confronted the question before. In a 2021 essay, I argued that Crawford probably has modest real-world effects. Crawford articulated a right that criminal defendants can exercise only at trial. In an adjudicatory system bereft of trials, trial rights don’t count for much. They impact plea outcomes only when they confer bargaining power sufficient to offset prosecutors’ …

Brokered Abuse, Thomas E. Kadri

Scholarly Works

This chapter examines how data brokers, companies that collect, sell, and trade personal information, enable and intensify interpersonal abuse. The article analyzes the data brokerage industry’s role in undermining personal obscurity, the relative safety that comes from being difficult to find or understand, and explores how current laws not only fail to address these harms but can make them worse. The chapter argues that existing privacy regimes, particularly those requiring victims to request data removal from individual brokers, impose psychological burdens and can retraumatize victims.

The Periphery Of Bankruptcy Law: The Importance Of Non-Bankruptcy Issues In Consumer Bankruptcy, Pamela Foohey

Scholarly Works

One in eleven Americans have filed bankruptcy at some point during their lives. Based on the number of consumer bankruptcy cases initiated during the past several decades, about one million individuals will file every year. This makes bankruptcy courts the leading federal courts with which people have contact. Embedded in people’s cases are a host of legal issues that do not directly implicate bankruptcy law, such as the interpretation of states’ exemptions laws and Article 9 of the Uniform Commercial Code, the avoidance of liens, and defenses to contract claims. Consumer bankruptcy law, via its process, is intertwined with the …

Distinguishing Privacy Law: A Critique Of Privacy As Social Taxonomy, Maria P. Angel, Ryan Calo

Scholarly Works

What distinguishes violations of privacy from other harms? This has proven a surprisingly difficult question to answer. For over a century, privacy law scholars labored to define the illusive concept of privacy. Then they gave up. Efforts at distinguishing privacy came to be superseded at the turn of the millennium by a new approach: a taxonomy of privacy problems grounded in social recognition. Privacy law became the field that simply studies whatever courts or scholars talk about as related to privacy.

And it worked. Decades into privacy as social taxonomy, the field has expanded to encompass a broad range of …

Section 230 Reform, Liberalism, And Their Discontents, Mateusz Blaszczyk

Scholarly Works

The Section 230 debate is a proxy for reevaluating constitutional fundamentals. The modern right and the modern left, both attacking Section 230, have abandoned liberalism, together with free speech, public private divide, and the politics of neutrality. Instead of believing in First Amendment value pluralism, each side of the spectrum wishes to realize their own positive normative vision for the political community which, today, is largely defined in the realm of digital culture. Each side recognizes the political other as an enemy to their own utopia, wishing to control, censor, or simply become sovereign thereover. These existential politics of the …

Trustless Trust And Antitrust: A Synthesis, Mateusz Blaszczyk

Scholarly Works

Authors have written of antitrust law’s demise in the face of blockchain, which, seemingly, achieves the pro-competitive ends of the law through technology and private ordering. Permissionless blockchains in particular are said to offer a vision of radical disintermediation and a break with the platform economy troubling the regulators today. At the same time, blockchain supposedly presents challenges to antitrust doctrine, from the most basic of concepts to the viability of enforcement and remedies. Finally, blockchain community governance is said to allow for private ordering of antitrust, i.e., enforcement of rules attempting to protect competition, which are at the same …

Taxing Dirty Luxuries, Victoria J. Haneman

Scholarly Works

Dirty luxuries are items that are pleasant or nice to have, not necessities, that absolutely bludgeon the environment. From the merely affluent to the ultra-rich, consumers enjoying dirty luxuries, such as luxury clothing, private jets, superyachts, SUVs, and vacation cruises, drive one of the most polluting types of consumption on the planet. This Article explores the climate costs of dirty luxuries, considers the current and proposed international efforts to address the climate impact of these luxuries, and proposes structures by which these luxuries may be taxed to either reduce consumption or compensate for negative externalities.

Indian Country Lawyers: A South Dakota Survey, Bryce Drapeaux, Hannah Haksgaard

South Dakota Law Review

No abstract provided.

The Other Half: Challenges Of The Part-Time Rural Prosecutor, Margaret Raymond

South Dakota Law Review

No abstract provided.

Assessing Learning Outcomes In Electrical Engineering Using Natural Language Processing: A Comparative Analysis Of Student And Employer Evaluations, Toka Khalil

Theses

The Co-op program is a graduation requirement for all majors in RIT Dubai. Just like any course, Co-op has also learning programs that is different from one major to another. The academic departments ensure that those learning programs are being achieved throughout the co-op duration that the student goes for to complete the requirement. By end of each co-op duration, the student completes a student evaluation form which consists of questions that are supposedly related to the learning outcomes of the academic program. At the same time, also the employer evaluation which needs to be filled by the employer, includes …

Counting Is Hard! A Theory Of Doctrinal Expansion, Kip M. Hustace

Lewis & Clark Law Review

We conventionally see pleading as liberalized, with leeway for inconsistent claims and expansive choice among theories of relief, or counts. Yet procedure scholars have shown how heightened pleading post-Twiqbal constricts liberality, turning us back toward 19th century fact-intensive code pleading. This Article theorizes a further constriction: proliferating and ossifying counts. While affording pleading latitude, doctrinal expansion forces hard strategy decisions and represents an inversion of the maxim that procedure shapes substance. Expansion increases system complexity, making localized strategy and discretion more impactful and amplifying opportunities for juridical manipulation. The result: doctrines complexifying toward a tipping point, beyond which we make …

Cultural Loss In The Context Of Indian Residential School Litigation: Exploring The Role Of Tort Law As A Tool For Transformative Reparations, James Plunkett

Lewis & Clark Law Review

The issue of restitution for sexual and physical abuse of survivors of Indian residential schools has gained litigative traction, leaving the issue of reparations for cultural loss in the shadows. This Comment explores the idea of a new tort of cultural loss to more holistically address the systematized harm experienced by Aboriginal children forced into residential schools in Canada. Based on the qualitative experiences of survivors of residential schools, this Comment suggests a taxonomy of cultural loss that may further inform efforts to use tort law as a vehicle for reparative justice. Ultimately, this tort theory demands further inquiry and …

How Licenses Learn, Madiha Zahrah Choski, James Grimmelmann

Lewis & Clark Law Review

Open-source licenses are infrastructure that collaborative communities inhabit. These licenses don’t just define the legal terms under which members (and outsiders) can use and build on the contributions of others. They also reflect a community’s consensus on the reciprocal obligations that define it as a community. A license is a statement of values, in legally executable form, adapted for daily use. As such, a license must be designed, much as the software and hardware that open-source developers create. Sometimes an existing license is fit to purpose and can be adopted without extensive discussion. However, often the technical and social needs …

Repairing The Family Law Attorney, Daniel F. Bousquet

Lewis & Clark Law Review

Professor Clare Huntington’s scholarship advances a theoretical “Reparative Model” of family law that seeks to deemphasize adversarial decision-making and decrease litigation. Building off that scholarship, this Article considers the family law attorney’s role and argues that the current Model Rules of Professional Conduct already support—and should be understood to require—a “reparative” advisory role for the family law attorney. Put simply, the harsh realities of the adversarial court system demand that family law attorneys presumptively provide information on litigation’s harmful impacts on families and children and encourage the possibility of pursuing goals via means less detrimental than litigation. To encourage a …

Value Co-Creation Through Digital Channels Influencing Purchase Intention In Confectionery Food Service Businesses, Maria Mikaela Joyce C. Sava, Marc Immanuel G. Isip, Maria Liezel C. Eusebio

Journal Article

This study introduces the concept of online co-creation as a probable resource-sharing strategy, which recognizes the evolving role of customers in the value chain. These customers provide valuable information that enhances knowledge and capabilities in the organization’s processes. Despite the growing interest in value co-creation in recent years, much remains to be explored on how it manifests in industry-specific and cultural contexts, specifically in the Philippine confectionery industry, which constitutes a significant sector that drives the foodservice industry in the country. The study tests a developed conceptual model that involves value co-creation and its influence on purchase intention; importantly, this …

Panik V. Tmm, Inc., 139 Nev. Adv. Op. 53 (Nov. 30, 2023), Evan Callahan

Nevada Supreme Court Summaries

Anti-SLAPP statutes in Nevada follow a two-pronged analysis. The first prong asks whether the moving party has established, by a preponderance of the evidence, that the claims are based upon a good faith communication in furtherance of the right to free speech in direct connection with an issue of public concern. Similarly, the defendant must establish that the communication is truthful or was made without knowledge of its falsehood. The second prong asks whether the plaintiff has demonstrated with prima facie evidence a probability of prevailing on its claims. Anti-SLAPP statutes are not limited to specific kinds of claims for …

Mccord V. State, 139 Nev. Adv. Op. (Dec. 28, 2023), Evan Sommer

Nevada Supreme Court Summaries

In the case of McCord vs. State, the Nevada Supreme Court clarified the interpretation of NRS 482.275(4) regarding license plates.2 The court ruled that a license plate frame partially covering the plate does not constitute “foreign material” making the plate illegible. Furthermore, it established that such a circumstance does not provide probable cause for a traffic stop. This decision addressed the issue of what constitutes a violation of the license plate visibility law, directly impacting the legitimacy of the traffic stop done by the Washoe County Sheriff’s Office on Mr. McCord and the subsequent evidence obtained, leading to the reversal …

Out-Of-Hospital Birth Training, Experience And Confidence Of Australian Rural Volunteer Ambulance Officers, Michella G. Hill, Belinda Flanagan, Sara Hansen, Luke Hopper, Brennen Mills

Research outputs 2022 to 2026

Introduction: Unplanned out-of-hospital births represent less outs have a high risk of life-threatening complications, which are than 1% of ambulance requests for assistance. However, these call- particularly complex in rural or remote settings with limited accessibility to specialist care support. Many community hospitals Four themes emerged from analysis: (1) Lack of education and no longer provide obstetrics care, so birth parents must travel to exposure to birth resulted in low confidence. Most participants larger regional or metropolitan hospitals for assistance. Increased reported significant anxiety attending obstetric call-outs, and travel time may increase the risk of unplanned out-of-hospital explained under-utilisation of …

Conflicts Of Law And The Abortion War Between The States, Paul S. Berman, Roey Goldstein, Sophie Leff

GW Law Faculty Publications & Other Works

On the subject of abortion, the so-called “United” States of America are becoming more disunited than ever. The U.S. Supreme Court’s precipitous decision in Dobbs v. Jackson Women’s Health Organization overturned the nationwide framework for abortion rights that had uneasily governed the country for fifty years. In the immediate aftermath of that decision, it is becoming increasingly clear that states governed by Republicans and those governed by Democrats are moving quickly and decisively in opposite directions. Since the U.S. Supreme Court agreed to hear the Dobbs case, at least twenty-four states have enacted statutes or state constitutional provisions restricting abortion …

The Centennial Of Meyer And Pierce: Parents’ Rights, Gender-Affirming Care, And Issues In Education, Ira C. Lupu

GW Law Faculty Publications & Other Works

This paper was prepared for a Symposium marking the centennial of the Supreme Court’s decisions in Meyer v. Nebraska (1923) and Pierce v. Society of Sisters (1925). At their inception, Meyer and Pierce reflected constitutional principles of economic freedom and parental control of their children’s education. Part I traces the path of ideas put in motion by Meyer and Pierce. These include the decline of their economic freedom component and the broader grounding of their doctrines of parental authority. Eventually, the chameleon-like legacy of Meyer and Pierce stretched to include First Amendment concerns of religious exercise and knowledge acquisition, as …