Digital Commons Network^™

Tracking Towards Zero: Implementing A Picc Team Tracker To Prevent Clabsis, Carolina Maria Gerodias Cayetano

Master's Projects and Capstones

Background: Central line-associated bloodstream infections (CLABSIs) remain among the most serious and costly healthcare-associated infections in acute care settings, with each event associated with significant excess mortality, prolonged hospital stays, and avoidable healthcare costs. At Hospital A, a 239-bed acute care facility, two of six total CLABSI events over a 12-month period were associated with peripherally inserted central catheters (PICCs), representing 33% of all facility CLABSIs and exposing a critical gap in standardized PICC line surveillance and maintenance bundle monitoring.

Problem: The PICC team lacked a systematic, real-time tracking mechanism to monitor central line maintenance bundle adherence across seven adult …

A Discrepancy Evaluation Of Workforce Capacity And Emerging Skills: A Utah Case Study, Lendel K. Narine, Paul A. Hill, Andreé Walker-Bravo

Extension Research

This study examined employer-perceived competency discrepancies, anticipated competency requirements, hiring barriers, and valued educational experiences in Utah. Survey data were collected between September and October 2025 from 226 individuals with hiring responsibility in Utah-based organizations. The Ranked Discrepancy Model (RDM) quantified discrepancies between respondents’ ratings of competency importance and their satisfaction with demonstrated employee proficiency. Respondents reported the largest discrepancies for time management, critical thinking, conflict resolution, ethical judgment, and verbal communication of ideas. Respondents rated communication, collaboration, analytical thinking, and lifelong learning highest among competencies anticipated to matter most over the next five to ten years. Most employers identified …

Introduction To Film, Teresa A. Fisher

Open Educational Resources

An introduction to the filmmaking process including film history, narrative, mise-en-scene, editing, cinematography, sound, and acting. Includes a chapter on documentary film, experimental film, and animation.

Comm 11 Fundamentals Of Interpersonal Communication Textbook, Teresa A. Fisher

Open Educational Resources

A survey of interpersonal communication.

Autoethnography: Understandings, Evolution, And The Influence Of Genai, Prokopis Christou

The Qualitative Report

Autoethnography occupies a central place within qualitative research because of its focus on lived experience, reflexivity, and meaning-making. In this paper, I critically examine the implications of generative artificial intelligence (GenAI) for autoethnographic inquiry through a reflexive and theoretically informed discussion situated within the contemporary AI-mediated era. By revisiting key understandings and developments of autoethnography while drawing on technological mediation theory, I explore how GenAI extends beyond a mere tool to become a mediating mechanism capable of profoundly shaping autoethnographic practice. Attention is given to how seemingly minor AI-generated alterations may transform lived experience into more polished, coherent, and emotionally …

Nihilistic Violence Aesthetics In Public Online Communication, Heath Nicholas Landress

Journal of Social, Behavioral, and Health Sciences

Public online communication has increasingly included violence-related content that is meme-based, ironic, visually stylized, multimodal, and only partially ideological. This comprehensive literature review synthesized research on online extremism, extremist memes, toxic multimodal content, dehumanizing digital communication, nihilistic violent extremism, warning behaviors, platform affordances, and youth-facing online environments. The purpose was to clarify what the literature had established; identify where the scholarship remained fragmented; and map research domains relevant to social, behavioral, public safety, and human services scholarship. The review used a structured, comprehensive literature review strategy supported by integrative synthesis procedures. The final corpus contained 34 scholarly sources, including 32 …

Implementation Of Medical Documentation Sign-In Sheets For Patient Evaluations And Treatments: A Quality Improvement Project, Madicyn Barnes, Beth Davis, Kaitlyn L. Holland, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Context: Medical documentation of athletic training services at a large, public secondary school was limited to clinically significant or legally sensitive information entered into the electronic medical record (EMR) system. There are only 2 full-time athletic trainers (ATs) providing medical services to over 800 student-athletes across 45 different teams throughout the school year. Due to the large patient load, documentation is difficult to complete and, therefore, limited to the most “significant” information. The purpose of this quality improvement project was to improve medical documentation at this secondary school by implementing physical sign-in sheets in the athletic training facility (ATF) to …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Association Between Athletic Trainers And Frequency Of Pediatric Orthopedic Visits, Abaigeal Field, James M. Mensch, Courtney Meyer, Susan W. Yeargin

Clinical Practice in Athletic Training

Context: There is sparse research on the relationship between athletic trainer (AT) employment and the number of athletes presenting to orthopedic clinics with sports-related injuries. The purpose of this study is to determine if athletic training services are associated with the frequency of first-time orthopedic office visits for sports-related injuries.

Methods: A retrospective chart review collected injuries between January 1, 2018 and December 31, 2020 from the electronic health records system for a hospital network in the Southeast United States with 6 orthopedic clinics and included 48 high schools hosting 20 sports with at least 1 AT per school. Patients …

Building On A Strong Foundation: Celebrating Our Past And Looking Toward The Future, Zachary K. Winkelmann

Clinical Practice in Athletic Training

No abstract

Optimal Procedure For Measuring The Parameters Of Optical Signals Considering Noise, Yuriy Gennadyevich Shipulin, Azimjon Mamadaliyevich Xusanov

Chemical Technology, Control and Management

It has been shown that to achieve the required level of measurement accuracy and reliability, it is necessary to transition from quality control of finished products to quality management based on cost-effective methods during the stages when product properties are formed. It is shown that the complexity of measuring optical signal parameters during analysis or synthesis requires them to be considered as part of a general information processing system. Based on the nonlinear filtration method, an optimal procedure for measuring a variable position in time against a background of spatial noise was obtained. Structural diagrams of optimal measuring instruments for …

Nonlinear System Identification Based On Fuzzy Radial Basis Neural Network With Multi-Connected Weight Connections, Kabul Khudaybergenov

Chemical Technology, Control and Management

This paper builds on our earlier radial basis function network with multiple connections (RBFMC) by placing it within a fuzzy inference framework for nonlinear system identification. The idea is inspired by the diversity of neurotransmitters found in biological neurons: instead of a single hidden-to-output weight, RBFMC gives each hidden unit a multi-dimensional connection whose components act as independent filters. Once fuzzy logic is added, each hidden neuron becomes a fuzzy rule, and its antecedent is built from several Gaussian membership functions, one per connection. The resulting Fuzzy RBFMC produces an interpretable, multi-filter description of local regions of the input space …

Performance Evaluation Of Controllers Using Fuzzy Delphi And Ahp Techniques, Kamala. R. Aliyeva, Nihad Mehdiyev, Shamil Mehdi

Chemical Technology, Control and Management

This study introduces an enhanced decision-support framework that integrates the Fuzzy Delphi method with the Analytic Hierarchy Process (AHP) to improve controller tuning and performance evaluation in uncertain environments. Traditional tuning techniques typically depend on crisp expert judgments and deterministic performance indices; however, industrial control systems are characterized by nonlinear behaviors, uncertain parameter variations, and subjective expert evaluations that are often vague or inconsistent. The Fuzzy Delphi procedure is applied to systematically gather, filter, and consolidate expert insights, enabling a refined set of performance criteria such as stability margins, robustness to disturbances, settling time, overshoot, control effort, and energy consumption …

Documentation And Project Change Management System – Honeywell Trace, Farukh Adilov, N.R Yusupbekov, Maksim Fedorovich Astafurov, Kamola Rustamovna Abdullayeva

Chemical Technology, Control and Management

The article examines modern approaches to organizing documentation and managing changes in industrial automation projects using the Honeywell Trace software platform. The evolution of documentation tools from the Documentation Tool utility within the TDC 2000/3000 system to modern intelligent solutions is described. The architecture, functional capabilities, and supported interfaces of Honeywell Trace are analyzed. Particular attention is paid to automated configuration change tracking, comprehensive search by process tags, and the detection of potential errors. The possibilities of integrating the system with industrial process control systems, controllers, auxiliary systems, and industrial communication protocols are considered. The application of Honeywell Trace during …

Re: Comment Letter For Butte Priority Soils Operable Unit (Bpsou) Draft Diggings East Dewatering Treatability Study Pre-Design Investigation Work Plan (Pdiwp) (Dated August 24, 2026) And The 2026 Draft Diggings East Dewatering Treatability Study Quality Assurance Project Plan (Qapp) (Dated August 24, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

The Experience Of Bipoc Participants In Wilderness Therapy, Rachel Esrig

Doctoral Dissertations

Wilderness therapy is an alternative to residential treatment for adolescents and young adults. Although these programs predominantly serve White-identifying individuals, a proportion of participants identify as Black, Indigenous, and/or People of Color (BIPOC). Research has shown that race and ethnicity shape individuals’ experiences with mental health treatment; however, no studies to date have specifically explored the experiences of BIPOC individuals in wilderness therapy programs. This qualitative study addresses that gap by examining the experiences of BIPOC individuals who participated in wilderness therapy during adolescence. Using an interpretive phenomenological approach, nine themes emerged from the data. Findings suggest that participants’ levels …

Using Clustering Techniques And Mitre Att&Ck Threat Interpretation To Detect Anomalies In Modbus/Tcp For Industrial Control Systems, Shivanjali Khare, Tirthankar Ghosh, Jhansi Sreya Jagarapu, Atharva Haridas Sagare

Journal of Cybersecurity Education, Research and Practice

Recent attacks on America's critical infrastructure have drawn increased attention on securing industrial control systems and operational technology in power plants, utility companies, and other sectors providing public services. Attack detection and mitigation strategies on these systems have shown promising results using machine learning and other statistical baselining techniques, mostly using supervised learning and classification. Unsupervised learning using cluster analysis and other techniques remain mostly unexplored. In this paper, we propose multi-layered feature extraction and hybrid clustering framework to detect fine-grained nested attack patterns in Modbus-over-TCP traffic. Operating under the assumption of known number of distinct network categories, our approach …

Between Digital Transformation And Regulatory Vacuum: Cybersecurity Of Public Services In Mozambique, Faztudo Languisse Eng.

Journal of Cybersecurity Education, Research and Practice

The rapid expansion of digital public services in Mozambique—including e-government platforms, digital health systems, and electronic tax administration—has outpaced the development of a coherent legal framework for cybersecurity. While Law No. 3/2017 (Electronic Transactions Law) of 9 January 2017 introduced foundational data-protection principles, Mozambique long lacked a dedicated cybersecurity regulatory authority, mandatory security standards, and formal incident-notification mechanisms. This regulatory vacuum exposed critical public services to escalating cyber risks as digital transformation was actively promoted as a development priority. This article examines the legal and institutional gaps in Mozambique's cybersecurity governance framework prior to the 2026 Cybersecurity and Cybercrime Laws, …

Understanding Oral Habits And Malocclusion In School-Aged Children: Insights From Parental And Child Knowledge, Attitudes, And Practices, Maria Laurentia Sanjaya, Evan Raditya Pratomo, Markus Santoso, Agrippine Putricia Asaeli, Eveline Yulia Darmadi, Joy Janny Thenarianto, Jennifer Regina Putri Purwono, Eunike Jacquelyn Widarto

Kesmas

Malocclusion is a prevalent oral health problem in children associated with oral bad habits, yet the extent to which parental and child knowledge, attitudes, and practices (KAP) influence orthodontic status remains insufficiently understood. This cross-sectional study investigated relationships between parental and child KAP, oral habits, and malocclusion in school-aged children, involving 67 child–parent pairs from an elementary school in Surabaya, Indonesia. Parental and child KAP as well as child-reported oral habits were assessed using a validated questionnaire. Children subsequently underwent standardized clinical orthodontic examinations, including alginate jaw impressions to produce dental study models, which were evaluated using the Index of …

Determinants Of Multimorbidity Among Stroke Patients For Epidemiological Management In Indonesia's Agro-Coastal Communities, Krish Naufal Anugrah Robby, Isa Ma'rufi, Farida Wahyu Ningtyias, Latifatul Izzah, Nurjazuli Nurjazuli, Suhartono Suhartono, Muchlis Achsan Udji Sofro, Ida Srisurani Wiji Astuti, Olivia Listiowati Prawoto, Dedek Sutinbuk, Taufik Kurrohman, Elhoussin Ouassou

Kesmas

Multimorbidity remains a major public health challenge among stroke patients, particularly in agro-coastal communities characterized by socioeconomic vulnerability, limited healthcare access, and lifestyle changes. This study aimed to analyze the determinants of multimorbidity among stroke patients in agro-coastal communities. A quantitative observational analytical design was employed, involving 45 stroke patients selected through total sampling in Jember District, Indonesia. Data were collected through structured interviews, anthropometric measurements, and secondary health records. The model included biological, socioeconomic, healthcare access, and lifestyle as exogenous variables, with multimorbidity as the endogenous variable. Data were analyzed using PLS-SEM, including evaluation of measurement and structural models …

Provincial Disparities In Adolescent Fertility In Indonesia: An Ecological Analysis Of Child Marriage, Median Age At First Marriage, And Family Development Index, Andi Nisa Fathimiyah Afidah, Milla Herdayati

Kesmas

Adolescent fertility remains a public health concern in Indonesia, with substantial variations across provinces. However, the evidence explaining provincial disparities using population-level indicators remains limited. This study aimed to examine provincial disparities in adolescent fertility and assess the association of child marriage, median age at first marriage among women, and the Family Development Index called iBangga with adolescent fertility across Indonesia. This ecological, cross-sectional study used aggregated data from 34 Indonesian provinces. Descriptive statistics, spatial visualization, Pearson’s correlation, and multiple linear regression analyses were performed. The mean adolescent fertility rate was 25.0 births per 1,000 female adolescents aged 15–19 years, …

The Association Between Rapid Growth In Children Under The Age Of Five And Adolescent Obesity, Ratu Ayu Dewi Sartika, Fadila Wirawan, Iche Andriyani Liberty, Nurul Husna Mohd Shukri, Siti Arifah Pujonarti, Edy Purwanto, Munaya Fauziah

Kesmas

Early-life nutrition is a critical predictor of long-term health, yet the association between rapid early-childhood growth and adolescent obesity, particularly in relation to the “double burden of malnutrition,” remains under-researched in Indonesia. This study aimed to analyze the association between rapid growth and adolescent obesity. Data were obtained from the 1997, 2000, and 2014 waves of the Indonesian Family Life Survey (IFLS). This study included 641 children (aged 0–23 months at baseline) with complete anthropometric measurements across all three waves. Rapid growth was defined as an increase in z-scores of >0.67 in weight-for-age (WAZ), height-for-age (HAZ), or weight-for-height (WHZ) between …

Self-Management Interventions For Adults With Type 2 Diabetes Mellitus In Thai Primary Care And Community Settings: A Scoping Review, Sansanee Seetangkham, Supaluk Seetunya, Subhawan Yodprong

Kesmas

Diabetes mellitus is a leading cause of mortality and economic burden, with significant impacts on health outcomes and quality of life. Effective self-management is crucial for controlling Type 2 Diabetes Mellitus (T2DM). Thailand has implemented diverse self-management interventions for adults with T2DM in primary care and community settings, but the components, delivery, duration, and outcomes of these interventions have not been synthesized. Following the Arksey and O’Malley framework, Joanna Briggs Institute guidance, and PRISMA-ScR, five databases were searched from inception to June 2025. Eligible English-language intervention studies involved Thai adults with T2DM in primary care or community settings. Study characteristics …

Nutrition Labeling And Food Choice Behavior In A Cross-Border Context: Evidence From The Rio Grande Valley, Edith Galy

International Business and Entrepreneurship Faculty Publications

Unhealthy dietary habits have been linked to chronic conditions such as obesity, diabetes, and cardiovascular disease. As a result, governments have implemented nutritional labeling policies intended to assist consumers in making informed food choices. While the United States relies primarily on Nutrition Facts panels, Mexico recently adopted a front-of-package warning label system that uses highly visible warning symbols. This study examines how nutritional labels influence food choices among university students in the Rio Grande Valley, a unique border region where consumers are exposed to both U.S. and Mexican food-labeling systems. Data was collected through an online Qualtrics survey administered to …

The Influence Of Budgeting And Financial Reporting On Financial Accountability In Religious Organisations: Evidence From Selected Churches In Tanzania, Plasidi Marcel Bayno, Helena Thomas Haule

Business Management Review

Budgeting processes and financial reporting are widely recognised mechanisms for enhancing financial accountability, yet empirical evidence on how these mechanisms influence financial accountability within faith-based non-profit organisations remains limited. Guided by Stewardship Theory and Stakeholder Theory, this study examines the influence of budgeting processes and financial reporting on financial accountability in religious organisations. Using a deductive approach, empirical data were collected from 173 Catholic and Lutheran parishes in Dar es Salaam, Tanzania, yielding a total of 471 valid responses aggregated at the parish level for analysis using Partial Least Square Equation Modeling (PLS-SEM). The findings reveal that both budgeting processes …

Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson

Walden Dissertations and Doctoral Studies

Effective policy implementation is crucial for improving educational outcomes and ensuring equitable learning environments. While existing literature has shown that policy implementation is influenced by factors such as leadership capacity, stakeholder engagement, communication, resource availability, organization context, and accountability, there is little known about how K-12 urban principals narrate, interpret, and make meaning of their experiences to implementing board-mandated policies. This study addressed this gap by exploring how principals in an urban school district in Ohio navigated the complexities of implementing school board policies amid resource limitations, stakeholder resistance, and accountability pressures. The purpose of this qualitative narrative inquiry study …

Implementing A Routine Fall Risk Assessment In Older Adults In An Inpatient Psychiatric Setting, Amaka Obi

Walden Dissertations and Doctoral Studies

The purpose of the project was to implement and evaluate a structured fall risk assessment process that promoted the early identification of patients at increased risk for falls and supported interventions designed to prevent fall-related events. A pre- and post-implementation evaluation design was used to assess the intervention's effectiveness by comparing fall rates before and after implementation of the standardized assessment protocol. De-identified data obtained from the electronic health record (EHR) were analyzed using descriptive statistics to evaluate changes in fall incidence and protocol adherence. The project findings demonstrated that provider-led, standardized fall-risk assessments improved screening compliance, provider adherence, and …

Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs

Walden Dissertations and Doctoral Studies

Sexual assault is a heinous crime that remains one of the most underreported crimes. Victims of sexual assault face scrutiny for reporting and may be revictimized by the process. The intent of this study was to examine how cross-examination has the potential to revictimize female sexual assault survivors from the perspective of criminal prosecutors. This study may provide insight on whether defense attorneys intentionally cause harm to victims or if there is an automatic level of trauma in testifying. Ten interviews were conducted with criminal prosecutors across the United States. After the interviews, the transcripts were manually analyzed to identify …

Staff Education To Increase Knowledge And Awareness Of Sexually Transmitted Diseases, Alie Sholola Sahid

Walden Dissertations and Doctoral Studies

Background STIs or sexually transmitted diseases (STDs) are consequential public health emergencies that affect millions of people globally and have long-term health implications (Garcia et al., 2024). STIs are infections that are passed from one person to another through sexual contact with the most common types of STIs include chlamydia, trichomoniasis, general herpes, and human papillomavirus (HPV). It is estimated that each year, more than 20% of the U.S. population has had an STI, with around 26.2 million cases per year (Centers for Disease Control and Prevention [CDC], 2024a). The common types of STIs include chlamydia, trichomoniasis, general herpes, and …

Staff Education On Standardized Suicide Risk Assessment In An Outpatient Clinic For Behavioral Health, Fanta Haja Cabah

Walden Dissertations and Doctoral Studies

Suicide risk assessment is a high-priority nursing safety responsibility in outpatient behavioral health. The practice gap was a variation in nurses’ knowledge of validated suicide screening, direct inquiry, risk escalation, referral, and related documentation expectations working in an outpatient behavioral health clinic located on the Eastern Atlantic Coast. To address this problem, I developed, implemented, and evaluated a staff education program on a standardized suicide risk assessment. The practice question focused on whether staff knowledge increased following participation in the education program. Ten nursing staff members participated in a 60-minute education program. Pretest and posttest questionnaires included 20 multiple-choice questions. …