Digital Commons Network^™

You Haven't Been Forgotten: A Patient-Centered Initiative Restoring Trust Through Intentional Staff Communication In The Emergency Department, Daniel A. Aliakseyeu

Master's Projects and Capstones

Objective: Approximately 70% of patients in this 36-bed emergency department (ED) in Hospital X are not roomed and spend the majority of their visit in the waiting room, where they are susceptible to gaps in communication about their care and wait times. Baseline Press Ganey Scores from May 2026 showed that only 61.4% of patients felt informed about delays. Baseline observation data of 50 nurse-patient communication interactions confirmed these gaps: 24.5% of nurses introduced themselves, 13% provided a timeline of care, and 0% addressed potential delays. Aim: Improve communication-related patient satisfaction scores regarding delays among non-roomed patients in the ED …

Governing Conservation Beyond The Rules: Bureaucratic Discretion In Indonesia, Dedy Asriady, Muh. Ilham Nasir, Emban Ibnurusyd Mas'ud, Supratman Supratman, Syamsu Alam, Muhammad Alif K. Sahide

Hasanuddin Law Review

Conservation governance is frequently characterized as a rule-based system in which bureaucratic actors enforce standardized regulations to protect biodiversity. In practice, however, conservation policies are implemented within socially contested landscapes. Strict regulatory enforcement may generate conflict and undermine governance objectives. Although public administration research underscores the importance of bureaucratic discretion in policy implementation, limited attention has been paid to its influence on environmental governance in developing countries. This article investigates discretionary practices in Indonesian conservation area management using an ethnographic approach that incorporates interviews, field observations, and case studies across multiple sites. The findings demonstrate that discretion occupies a central, …

Staff Education To Improve Diabetic Care In A Primary Care Setting, Sally Uyen Nguyen

Walden Dissertations and Doctoral Studies

Inadequate patient education, inconsistent screening, missed referrals, and follow up with diabetes patients are challenges primary care managers and staff must overcome. Patients may experience negative effects that lead to poor health outcomes, delayed diagnosis, and undertreatment when provider and staff members are not educated about diabetes. The practice-focused question guiding the Doctor of Nursing Practice (DNP) staff education project involved exploring whether a staff education intervention on standardized diabetes care and screening protocols could improve physicians, managers, and medical assistants’ (MAs) knowledge of diabetes care in primary care clinics. The purpose of this project was to enhance staff knowledge …

Staff Education On An Electronic Health Record-Based Tracking And Reminder System For Long-Acting Injectable Antipsychotics, Osereme Nora Agboifo

Walden Dissertations and Doctoral Studies

Missed or delayed administration of long-acting injectable (LAI) antipsychotic medications remains a practice concern in outpatient mental health care because treatment gaps can interrupt continuity, increase relapse risk, and contribute to avoidable hospitalization. The practice problem addressed in this staff education project was inconsistent use of a standardized electronic health record (EHR)-based LAI tracking and reminder workflow. The project purpose was to improve staff knowledge, documentation consistency, reminder use, and follow-up practices for adults receiving LAI antipsychotic medications. The practice-focused question asked whether staff education on an EHR-based LAI tracking and reminder system would improve adherence monitoring and follow-up processes …

Staff Education To Improve Staff Knowledge Of Evidence-Based Strategies That Support Medication Adherence Among Patients Diagnosed With Depression In The Outpatient Clinic Setting, Comfort Aziwung Awungafac

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an evidence-based practice staff education initiative designed to improve staff knowledge of evidence-based strategies that support medication adherence among patients diagnosed with depression in an outpatient clinic. Medication nonadherence is associated with poor treatment outcomes, symptom relapse, and reduced quality of life, highlighting the need for staff education on adherence-promoting interventions. The practice-focused question examined whether a structured educational intervention would improve staff knowledge of evidence-based medication adherence strategies over an 8-week period.

Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell

Walden Dissertations and Doctoral Studies

Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …

Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils

Walden Dissertations and Doctoral Studies

Cervical cancer remains a significant public health concern, with African American and Hispanic women experiencing disproportionately higher incidence and mortality rates in the United States. Socioeconomic factors, including income, education, employment status, and place of residence, may contribute to these disparities by affecting access to preventive services, timely diagnosis, and follow-up care. This quantitative cross-sectional study examined associations between these factors and cervical cancer incidence among African American and Hispanic women while controlling for age and health insurance status. Guided by the socio-ecological model, the study used 2022 Behavioral Risk Factor Surveillance System data from N = 33,886 African American …

Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang

Walden Dissertations and Doctoral Studies

Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …

Creating Consistency: Standardizing Gestational Diabetes Group Visit Framework In High-Risk Obstetric Care, Danielle Pack

Master's Projects and Capstones

Objective: Gestational diabetes mellitus (GDM) requires timely and consistent education to promote effective self-management and improve maternal and fetal outcomes. Baseline observations at a Santa Clara County high-risk obstetric clinic identified variation in educational materials, educator delivery, referral processes, and workflows between English- and Spanish-language GDM group visits. A review of the literature supported standardized diabetes education and group prenatal care as strategies to improve consistency, efficiency, and patient access. Aim: This quality improvement project aimed to develop and implement a standardized GDM group visit framework for nurse practitioners, registered dietitians, and scheduling staff, with the goal of increasing compliance …

You Haven’T Been Forgotten: Driving Improvements In Trust, Transparency, And Accountability Through A Patient-Centered Communication Initiative In The Emergency Department, Ellie Mead

Master's Projects and Capstones

Objective: In Spring 2026, the Emergency Department (ED) at Hospital X identified difficulties securing high levels of patient satisfaction. Over one third of patients did not feel adequately “informed about delays,” and observation of nurse-patient interactions in front-end care areas confirmed these communication gaps: in 87% of interactions, nurses did not explain next steps to the patient, and in none of the 51 interactions observed did nurses proactively inform patients about possible delays. Aim: This quality improvement initiative sought to improve the patient experience in the ED and drive a 10% increase in Press Ganey patient satisfaction survey results relating …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Trace Elements In Complete Feeds Used In Intensive Rearing Of Cattle, Poultry, And Pigs: Occurrence And Predicted Transferred Concentrations In Animal-Derived Food, Elizabeta Dimitrieska Stojkovikj, Vangelica Enimiteva, Aleksandra Angjeleska, Risto Uzunov

Turkish Journal of Veterinary & Animal Sciences

This study investigated the concentrations of essential (Zn, Cu, Mn, Co, and Mo) and toxic (Pb, Cd, As, and Hg) trace elements in complete feeds used for the intensive rearing of cattle, poultry, and pigs in North Macedonia and predicted their transfer into animal-derived foods. A total of 107 feed samples were collected from 40 farms between May 2023 and April 2024 and analyzed using inductively coupled plasma mass spectrometry. The results revealed that while most essential elements were within the regulatory limits, Co exceeded the maximum level in two cattle feed samples. Zn, Cu, and Mn levels were generally …

Increasing Internal Teacher Capacity Through Instructional Support And Professional Growth, Kelly Compher

Masters Projects

The state of Michigan has long invested in early literacy by supporting K-2 teachers in professional learning and early literacy coaching. This project focuses on the need to develop upper elementary teachers in grades three through five on their knowledge of the science of reading and foundational skills. Providing professional learning on the science of reading will increase knowledge and self-efficacy, which upper elementary teachers need in order to implement a Tier 1 curriculum as mandated by PA 146 of 2024. This project outlines a series of three professional development sessions that help build content knowledge around the science of …

Molecular Characterization Of Pasteurella Multocida Capsular Type A Strains Isolated From Different Regions Of Anatolia, Türkiye​, Adam Bashir Tawor, Osman Ergani̇ş, Asli Balevi̇, Suliman Mohamed Yousof Sadam

Turkish Journal of Veterinary & Animal Sciences

Pasteurella multocida serotype A is an important pathogen that causes respiratory illness in both farm animals and poultry, leading to severe economic losses worldwide. This study aimed to isolate P. multocida capsular type A (capA) as well as investigate the virulence-associated genes (VAGs) within the isolates. Samples (n = 250) were collected in the Anatolia region from cattle (n = 130), sheep (n = 70), goats (n = 45), and pet birds (n = 5) with clinical respiratory signs. Polymerase chain reaction (PCR) assays were conducted using kmt1 and capA primers for P. multocida species identification and capsular serogroup A …

The Everyday Monument: Architectural And Spatial Transformations Of Rome's Nasoni, 1874–Present, Sandra L. Santos

McNair Summer Research Program

Rome's nasoni are small public drinking fountains that have provided free water throughout the city since 1874. There are approximately 2,500–2,800 nasoni in Rome, actively supplying people with free drinking water. Although they are usually understood as ordinary and mundane hydraulic infrastructure, their persistence across different political periods makes them useful objects for examining the relationship between architecture, public service, and political meaning. This research asks how the forms, materials, and spatial contexts of late-nineteenth-century nasoni differed from fountains constructed or modified during the Fascist era.

Over my three weeks of fieldwork in Rome, I documented seventy-five public drinking fountains …

Promoting Safety And Confidence: Standardizing Intimate Partner Violence Screening And Improving Staff Screening Confidence In A Predominantly Latinx Community Health Center, Jordan Jiang

Master's Projects and Capstones

Objective: Intimate partner violence (IPV) is a prevalent public health problem that is screened far less consistently than comparably common conditions and disproportionately affects vulnerable groups, including low-income, Spanish-speaking, and undocumented individuals. This quality improvement project was conducted in an outpatient community health center serving a primarily Latinx, Spanish-speaking population in San Francisco, where screening across the Adult Health, Women's Health, and Teen Clinics was inconsistent, with a baseline rate of 4.1% in June 2026. Aim: The project aimed to increase overall IPV screening by 10 percentage points, from 4.1% to 14.1%, by July 31, 2026. Methods: Rogers' Diffusion of …

Standardizing Intimate Partner Violence Screening Among Latinx Patients In A Community Clinic Setting, Peyton O'Callaghan

Master's Projects and Capstones

Intimate partner violence (IPV) is a significant public health concern that may go unrecognized when screening practices are inconsistent. Objective: To standardize IPV screening practices and improve staff confidence across the Adult Health, Women’s Health, and Teen/Pediatric clinics of a community health center serving a predominantly Latinx, monolingual Spanish-speaking, and underserved population. Aim: To increase the overall IPV screening rate by 10% during a three-week implementation period. Methods: The project team developed and implemented a standardized four-question printed screening tool, medical assistant scripts in English and Spanish, and a staff educational in-service. These interventions addressed low screening rates, limited staff …

Reducing Variation, Improving Outcomes: Standardizing Gestational Diabetes Mellitus Education In A Clinical Microsystem, Thanh Le

Master's Projects and Capstones

Objective: Variations in referral, scheduling, delivery of educational information, patient materials, and documentation hampered the quality of gestational diabetes mellitus (GDM) education in the outpatient maternal-fetal medicine clinic. Purpose: The aim of the quality improvement project was to boost adherence to a standardized GDM group education framework from 0 to 50% in the course of 12 weeks and assess attendance at group visits. Methods: The microsystem analysis was conducted based on observations of group visits conducted in Spanish and English, examination of current processes and resources in use, educator pre-survey, SWOT analysis, and cause and effect analysis. The implementation of …

Standardizing Group Visits For Gestational Diabetes Education: A Quality Improvement Initiative In An Outpatient Maternal-Fetal Medicine Clinic, Nha Nguyen

Master's Projects and Capstones

Objective: At an outpatient maternal-fetal medicine clinic in Northern California, gestational diabetes mellitus (GDM) education is delivered inconsistently across nurse practitioners (NPs) and registered dietitians (RDs), with no standardized curriculum, referral criteria, or educational materials. Aim: By August 12, 2026, this project aimed to develop and implement a standardized GDM group visit framework for NPs, RDs, and scheduling staff in maternal-fetal medicine clinic, increasing compliance with standardized referral, enrollment, and educational processes from a baseline of 0% to 50%. Methods: Using baseline observations, workflow assessment, stakeholder input, and a literature review, the QI team developed standardized bilingual slide …

Documenting The Language Documentation Process In Dardosipcat, Part I, Enrique Rodríguez Sánchez, Robert Vann

DARDOSIPCAT Documentation

No abstract provided.

Documenting The Language Documentation Process In Dardosipcat, Part Ii, Diana S. Ovalle Martinez, Robert E. Vann

DARDOSIPCAT Documentation

No abstract provided.

Excelling In An Entry-Level Job, Paul Hill, Osei Vega-Sandoval

All Current Publications

Experience in an entry-level job becomes more valuable over time, especially when performance is exceptional. Managers conduct periodic performance reviews to provide feedback that entry-level employees can use to improve. Performance reviews are an opportunity for employees to learn, share career goals, and seek tailored guidance for their career development. This fact sheet provides insights into the character and qualities an employee should demonstrate to become a high performer, and what organizations can do to retain such employees.

Obtaining An Entry-Level Job, Paul Hill, Osei Vega-Sandoval

All Current Publications

Entry-level jobs are designed for people with little to no work experience. These jobs do not require previous education or training. Entry-level roles range from labor-intensive jobs (e.g., stocking shelves, preparing food, cleaning equipment) to customer service jobs (e.g., cashier, bank teller, retail associate). Entry-level jobs are the most common gateway into an organization. This fact sheet explains how to find entry-level jobs and outlines the fundamentals to improve one’s prospects of gaining employment.

Ruslan-M: Longitudinal Multimedia Corpus Of Early Child Speech In Russian, Mariia Diachkova, Valeriya Lelik, Svetlana V. Dorofeeva, Anastasiya Lopukhina, Olga Dragoy, Irina A. Sekerina

Publications and Research

This article presents the Russian Language-Monolingual corpus (RusLan-M, v.1.0), a longitudinal multimedia collection of early child speech from two Russian-speaking monolingual children: Tosya (ages 0;10–3;10, 246 recordings) and Yasha (ages 1;04–3;00, 42 recordings). The corpus consists of approximately 41 h (2,454 min.) of video recordings and 35,386 child utterances, available with transcriptions in the CHAT format on TalkBank. The corpus adheres to strict ethics requirements for data sharing with anonymization. We also conducted two exploratory investigations of the acquisition of Russian morphology using the mean length of utterance (MLU) and the newly developed Index of Productive Syntax for evaluating grammatical …

Digital Markers For Passive Remote Monitoring Of Bipolar Disorder: Systematic Review, Thomas P Kutcher, Isha Chakraborty, Kristin Kostick-Quenet, Akane Sano, Nidal Moukaddam, Jeffrey A Herron, Wayne K Goodman, Sameer A Sheth, Ashutosh Sabharwal, Nicole R Provenza

Duncan NRI Faculty and Staff Publications

Background: Bipolar disorder (BD) features episodic shifts among mania, hypomania, depression, mixed states, and euthymia. Timely detection of mood transitions is difficult due to infrequent clinical touchpoints. Digital health technologies, including wearables and smartphones, offer a unique opportunity to passively and continuously monitor behavior and physiology that could reflect underlying mood dynamics in real-world settings.

Objective: This study aimed to systematically review passively collected digital markers for BD mood states, characterize devices/modalities and analytic approaches, appraise risk of bias, and identify design gaps and priorities for clinical translation.

Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) …

The Freedom Myth: How Ski Culture's Hidden Conformity Reveals The Unconscious Power Of Brand Belonging, Isabel R. Phillips

University Honors Theses

Purpose: Ski culture sells freedom and enforces conformity. This review asks what unconscious behavioral patterns hold that contradiction in place, and how brands capitalize on it to manufacture belonging.

Design/Methodology/Approach: A narrative literature review across consumer psychology, behavioral neuroscience, sociology, and ski industry research. No primary data were collected. Four accounts of consistency-seeking are synthesized into one framework, then applied to three ski industry cases at ascending scales and tested against a comparative case from Spanish football.

Findings: Belonging is a conditioned response, and conditioning requires a stable stimulus. Consistency is therefore the precondition of belonging rather than a constraint …

Fredric Jameson In Asia: Interpreting Korean Gothic Through Haunted Modernity, Eugene Kim

Kritika Kultura

Asian Gothic, particularly in its Korean manifestation, both embodies and unsettles postmodernism as theorized by Fredric Jameson. While sharing postmodern characteristics such as fragmented temporality and commodification, Korean Gothic resists being dismissed as pastiche by demonstrating historical trauma, the grotesque, and forms of the sublime that revise Western-centered accounts of postmodernity. This article engages with Park Chan-kyong’s concept of “Asian Gothic” and uses Goedam as a popular cultural example. It argues that Korean Gothic functions as an aesthetic response to compressed modernity, generating a horizontal sublime through the interplay of terror, spiritual affect, and non-linear temporalities.

Full Issue, Kritika Kultura

Kritika Kultura

No abstract provided.

Non-Violent Re-Articulation Of Masculinities: Art, Youths, And Peace Preservation In Post-Conflict Ambon Island, Wening Udasmoro, Leo Marai, Russell Soaba, Philip Aratiso, Jemmy Talakua

Kritika Kultura

Art as a mechanism for fostering peace in conflict resolution and peace maintenance can be found in different social experiences. The Ambon conflict that occurred in 1999 following the fall of Indonesia’s New Order government ended in 2002, but the potential for inter-religious and inter-ethnic conflicts is still a concern for many members of the Ambon community in Maluku Province. In an effort to maintain peace, various elements of the Ambon society continuously engage themselves in various activities to preserve peace. One consistent element in these peace preservation efforts is the youth of Ambon, who employ art as a means …

Building Ties, Connecting Islands: Api Kartini's Longing For An Affective Community During The Cold War, Asri Saraswati

Kritika Kultura

This article discusses the inter-class and cross-oceanic ties envisioned by socialist women’s organization Gerakan Wanita Indonesia (Indonesian Women Movement or Gerwani) through an analysis of their magazine, Api Kartini (AK). The magazine published fiction and non-fiction writings that reveal their affective impulse to build connection as they shared their observations of the women’s movement and labor in Indonesia and abroad. The magazine addressed middle-class women and wives, connecting them emotionally with women of the working class and women organizations across the oceans in their rejection to colonialism and feudalism and their fight for equal rights. This article aims to understand …