Digital Commons Network^™

Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy

Walden Dissertations and Doctoral Studies

Students in special education may experience a variety of barriers to gaining cohesive and consistent life skills training programs. A lack of life skills training for special education students may lead to a lack of social-emotional skills, social awareness, and an overall lack of independence once students have graduated. The purpose of this qualitative single case study was to explore the charter school human service professionals’ perceptions of the life skills counseling services needed for K-8 self-contained students in Essex County, NJ. Botvin Lifeskills Training program was used as the framework for the study. Using a qualitative research model, semistructured …

Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson

Walden Dissertations and Doctoral Studies

Somatic symptoms accompany psychological distress and can affect well-being. Hypnosis has demonstrated effectiveness in reducing psychological distress and related somatic symptoms, but limited research has explored hypnotherapists’ perspectives on its clinical application. The purpose of this qualitative phenomenological study was to explore the experiences of licensed hypnotherapists with 3 years of experience using hypnosis to treat adults experiencing somatic symptoms associated with psychological distress. Guided by Engel’s biopsychosocial model and Hilgard’s neodissociation theory, data were collected through semistructured interviews with 10 licensed hypnotherapists and analyzed using phenomenological reduction and thematic analysis. Analysis resulted in four primary themes: (a) mind–body connection …

An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi

Walden Dissertations and Doctoral Studies

This organization change process initiative addressed a critical safety practice gap regarding catheter-associated urinary tract infection (CAUTI) prevention in a 450-bed acute care facility. This gap was recognized based on evidence that the facility’s CAUTI Standardized Infection Ratio (SIR) was above the national benchmark—and daily necessity assessment compliance of only approximately 50%. This gap was attributed to an organizational interprofessional culture, which hindered timely device removal. Prolonged catheter dwell times increase patient morbidity, extend hospital stays, and expose the organization to severe financial penalties. The project aimed to safely reduce device dwell times by structurally empowering bedside nurses. I used …

Exploring The Lived Experiences Of African American Couples: Narcissism, Marital Quality, And Spousal Distress, Lindella Lenise Mcdowell

Walden Dissertations and Doctoral Studies

Narcissism is a global phenomenon that is manifested across cultures. Despite research on narcissism and relationships, there is limited literature focusing on diverse cultural backgrounds, particularly African American couples, where one spouse has been diagnosed as exhibiting narcissistic tendencies or traits. Addressing the research gap may foster cultural understanding and encourage recognition of the effects of narcissism within the African American culture and the significance of social support. The purpose of this study was to increase knowledge and awareness of grandiose and vulnerable narcissism’s impact on African American couples. A qualitative phenomenological research design was used. The hierarchical two-dimensional view …

10-Bed Medical-Surgical Telemetry Unit Expansion To Address Inadequate Inpatient Capacity, Sumitpal Kaur

Walden Dissertations and Doctoral Studies

Inadequate medical-surgical telemetry capacity contributes to emergency department (ED) boarding, patient transfers, decreased patient satisfaction, and operational inefficiencies. This systems-level organizational leadership project evaluated a proposed 10-bed medical-surgical telemetry unit expansion at a medical center in Northern California. The project addressed the question of how a 10-bed expansion would affect ED boarding, patient crossovers to a nearby medical center, patient satisfaction, and financial performance. Trend analysis of occupancy, ED boarding, and crossover data, regional benchmarking, and financial modeling using net present value (NPV) and internal rate of return (IRR) were used to evaluate the proposed expansion. The organization currently operates …

Pdf Full Issue, Rosalind L. Raby

Journal of Comparative & International Higher Education

No abstract provided.

Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson

Walden Dissertations and Doctoral Studies

Retail banking organizations lose billions of dollars annually to nonofficer employee turnover, disrupting operations, degrading customer service, and burdening human resource (HR) leaders with repeated recruitment costs. When retail bank HR leaders experience nonofficer employee turnover among their frontline workforces, it can influence profitability and community trust. Grounded in stakeholder theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies used by retail bank HR leaders to retain nonofficer talent. The participants were 10 HR leaders in U.S. retail banking institutions who had successfully implemented nonofficer retention strategies. Data were collected using semistructured interviews and …

Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso

Walden Dissertations and Doctoral Studies

In this staff education doctor of nursing practice (DNP) project, I addressed a practice gap associated with inadequate staff knowledge of workplace stress-management strategies in an assisted living facility. Workplace stress in nursing practice is a contributing factor to burnout, reduced job satisfaction, poor teamwork, and a decline in the quality of resident care. The practice-focused question for this project was about whether staff knowledge would be enhanced over an 8-week period in comparison to baseline knowledge as a result of their participation in a structured staff education program on workplace stress management. The purpose of the project was to …

Staff Education To Improve Knowledge And Confidence In A1c Screening For Adults With Serious Mental Illness, Veronica Akweley Odoi

Walden Dissertations and Doctoral Studies

This project was conducted to observe the effects of staff education on staff knowledge and confidence regarding metabolic risk and hemoglobin A1c (A1C) monitoring for adults with serious mental illness in a crisis response unit. The lack of a streamlined system in metabolic testing in recent times has led to nuances in metabolic testing for patients with serious mental illness. The practice-focused question asked whether evidence-based staff education on A1C monitoring, and provider roles would improve staff knowledge and confidence. The purpose of the education is to strengthen knowledge of metabolic risk, A1C screening expectations, role clarity, workflow, and staff …

Implementation Of A Nightshift Sleep Promotion Bundle To Support Delirium Prevention In A Neurosurgical Intensive Care Unit, Pamella Simpson

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement project aimed to identify the need for a consistent sleep-promotion protocol in an adult neurosurgical intensive care unit (NSICU). Disrupted sleep is a frequent problem for patients who are seriously ill and can lead to delirium, longer hospital stays, higher health care expenses, diminished cognitive function, and death. While there was evidence supporting nonpharmacological sleep-promotion and delirium-risk-reduction interventions, they were not consistently implemented at the project site, creating a gap between evidence and clinical practice. The purpose of this project was to implement and evaluate an evidence-based night-shift sleep-promotion bundle. The practice-focused …

Effective Strategies To Implement Energy-Efficient Practices In Enterprise Cloud Data Centers: A Qualitative Pragmatic Inquiry, Joshua Tremayne Campbell

Walden Dissertations and Doctoral Studies

Cloud computing has increased electricity use in data centers, leading to higher costs and a larger carbon footprint. Information Technology (IT) leaders need to address this, as such inefficiencies will increase operational costs, undermine sustainability commitments, and leave companies unprepared for future regulatory pressures. Energy-efficient technologies can reduce data center energy consumption by 40-60%, yet few studies examine the qualitative processes behind IT leaders' practices. The specific IT problem is that some IT leaders lack effective strategies to implement energy-efficient practices in enterprise cloud data centers. Grounded in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic inquiry was …

Literacy Hubs: Human-Centered, Coordinated Approach Towards Advancing Adult Literacy In A Community, Alexandria M. Marzolf

Masters Projects

Low adult literacy skills have been a pervasive and persistent challenge in the United States for more than a century. One in five adults (21%) possesses low literacy skills (National Center for Education Statistics, 2026), a finding consistent with statistics reported by the National Literacy Institute (2024). Despite decades of educational reform, many adults continue to experience limited access to coordinated, community-based literacy support. The purpose of this master's project was to develop a community-based Literacy Hub framework designed to increase access to adult literacy learning opportunities through coordinated partnerships and community engagement. An extensive review of educational research, community …

Sustaining Clabsi Prevention Through Central Line Bundle Compliance: A Focus On Iv Tubing Labeling, Visual Cues And Peer Support, See Elizabeth Vang

Master's Projects and Capstones

Abstract  

Problem: Inconsistent IV tubing labeling compliance on a telemetry unit was identified as a gap in central line maintenance practices that could affect adherence to the CLABSI prevention bundle.

Intervention: A quality improvement project reinforced existing IV tubing labeling practices through a visual job aid, staff education, and peer verification during Nursing Knowledge Exchange (NKE) bedside handoff.

Outcome Measure: The primary outcome measure was IV tubing labeling compliance, with a goal of increasing compliance from 86.5% to at least 95% on 24 bed Telemetry unit.

Results: The project did not achieve the desired improvement in compliance. Multiple concurrent quality …

Institute For Global Health And Development : Issue 14 - April-June 2026, Institute For Global Health And Development

IGHD Newsletters

• Honours & Recognition
• Research & Publications
• In the Media
• Events & Convenings
• Training, Projects & Field Work
• People & Milestones
• Research Highlights & Knowledge Contributions
• Publications from IGHD
• Stay Connected

Implementing A Standardized Counting Process, Paula M. Mbye

Master's Projects and Capstones

Abstract

Background: In a Northern California medical center with 11 operating rooms, two retained foreign object (RFO) events occurred following surgical procedures in 2025.

Problem: Surgical teams rely on manual counting processes to prevent retained foreign objects. Variability in counting practices among registered nurses and surgical technologists, combined with workflow interruptions and environmental distractions, can increase the risk of counting discrepancies and missed items. Standardizing the counting process may improve count accuracy and reduce the risk of RFOs.

Interventions: This quality improvement project implemented a standardized surgical counting process based on Association of periOperative Registered Nurses (AORN) guidelines within …

Evaluation And Continuation Of Oncology Nurse Mentorship Program, Gurpreet K. Kang

Master's Projects and Capstones

Problem: Newly hired nurses on a busy inpatient leukemia and lymphoma subspeciality unit experienced challenges after transitioning into specialty oncology practice. This resulted in decreased confidence, increased risk of medication errors, and a 40% unit-based annual turnover rate. The cost of replacing one staff nurse is $61,000.  Exit interviews determined root causes of turnover rates, nurse confidence.

Context: A quality improvement program was envisioned to optimize patient and organizational outcomes on a 25-bed inpatient unit to evaluate and sustain an oncology nurse mentorship program.

Interventions: Over one year, cohort 1 (n=8) and follow up 2^nd cohort (n=7) was implemented …

Enhancing Patient Understanding: Standardizing Cardiac Medication Education Using Teach-Back For Heart Failure, Nicole Valerie Hediger

Master's Projects and Capstones

Problem: The transition from hospital to home places heart failure (HF) patients at risk for medication errors, nonadherence, deterioration, and rehospitalization. In a 28-bed medical-surgical telemetry microsystem, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores indicated an opportunity for improvement: “Communication About Medicines” composite score of 47.9%; 62.5% of patients reported being informed about the medication purpose, and 33.3% reported that staff described potential side effects.

Context: A cohort of HF patients was selected to test teach-back methodology and improve patient understanding. Nurse champions volunteered for a 5-month improvement project.

Interventions: Teach-back methods were implemented. Nurse leader rounding …

Improving Pain Reassessment Within One Hour Of Pain Medication Administration, Geraldine B. Macalma

Master's Projects and Capstones

Abstract

Problem: Timely reassessment of pain is often missed or inconsistently documented, creating a gap between evidence-based standards and actual nursing practice. This inconsistency prevents evaluation of intervention effectiveness and contributes to unmanaged pain, reduced patient satisfaction, and safety concerns.

Context:  Pain reassessment is a critical component of evidence-based pain management, ensuring that nurses evaluate the effectiveness of interventions and adjust care accordingly.  Competing priorities and documentation challenges often lead to inconsistent reassessment, affecting patient comfort, safety, and overall quality of care.

Interventions: Guided by a Plan-Do-Study-Act framework, the intervention included documentation of a safety round, purposeful hourly rounding, …

Closing The Gap In Offshore Wind Environmental Evidence Chains: A Workshop-Derived White Paper, Jiaxin Chen, Lilian Lieber, Matthew Palmer, Dan Lear, Deborah Greaves

School of Biological and Marine Sciences

Offshore wind development is accelerating at a time when environmental assessment is increasingly required to support timely consenting, cumulative-effects understanding, nature recovery, regional planning, floating offshore wind deployment and public trust. The workshop underpinning this White Paper was convened in recognition that the sector's central challenge is no longer simply a lack of data, but the weak connection between data, monitoring approaches, models, uncertainty, governance and decision-making.Environmental monitoring often remains project-specific and receptor-focused, while models remain component-specific or scenario-specific. Data systems are similarly fragmented across owners, repositories, formats, access arrangements and project lifecycle stages. Yet regulators and statutory advisers require …

Th17 Effector Cytokines Induce Shared And Distinct Microglial And Endothelial Cell Responses In A Mouse Model For Post-Streptococcal Encephalitis, Charlotte Wayne, Uğur Akcan, Travis Faust, Violeta Durán-Laforet, Danny Jamoul, Luca Bremner, Nicole Ampatey, Büşra Akcan, Sarah Ho, Bogoljub Ciric, Shannon Delaney, Wendy Vargas, Susan Swedo, Vilas Menon, Dorothy Schafer, Tyler Cutforth, Dritan Agalliu

Department of Neurology Faculty Papers

Group A Streptococcus (GAS) infections cause neuropsychiatric complications in children, but the mechanisms linking peripheral infection to brain dysfunction remain unclear. Using mouse genetics, single-cell RNA sequencing, and spatial transcriptomics, we show that GAS infections induce inflammatory transcriptional programs in microglia and brain endothelial cells (BECs), accompanied by loss of blood-brain barrier (BBB) gene expression in female mice. Spatial transcriptomic analyses reveal that GAS-responsive microglia localize near infiltrating CD4+ T cells. Several microglial chemokines induced in mice are elevated in sera from affected patients. Deletion of GM-CSF in CD4⁺ T cells partially reduces microglial chemokine gene expression, without restoring BBB …

Full Issue

The Thetean: A Student Journal for Scholarly Historical Writing

No abstract provided.

Letters From The Levant: An Astellian Reading, Tanner Stott

The Thetean: A Student Journal for Scholarly Historical Writing

Among the more startling friendships of early 18th-century London’s literary scene is that of Lady Mary Wortley Montagu and Mary Astell. Their commonalities—remarkable self-education, political activism, and prolific writing—are dwarfed by vast differences of class, politics, and character. Astell, a curiously conservative woman nearly twenty-three years Montagu’s senior, spent her unmarried life squarely in the middle class. Montagu, on the other hand, began her life in England’s loftiest social echelons—the daughter of a Duke, she eloped with untitled Edward only to see him become one of England’s wealthiest men. Montagu lived colorfully with “principles,” according to Lady Irwin, “as corrupt …

“Wak[Ing] Up A Sleeping Giant”: Zions Opinion’S Crusade For Independent Governance And Free Speech At Brigham Young University During The 1968–1969 School Year, Joseph Boysen

The Thetean: A Student Journal for Scholarly Historical Writing

In 1968, university and college students across the United States demanded a larger voice in university governance. Sit-ins, rallies, and demonstrations were common, whether for civil rights, free speech, women’s rights, or against the Vietnam war and the draft. For instance, students took over the office of the President of Columbia University to protest the University’s appropriation of land that might have benefited the Black community. In this context, the students at Brigham Young University in Provo, Utah, had the chance to consider how they were going to pursue their own calls for change. Although they did not engage in …

Reshaping Home: Chinese Immigrant Women’S Adaptation And Family Transformation Under Exclusion, Chloe Nicole 零星 Isom

The Thetean: A Student Journal for Scholarly Historical Writing

In 1941, Jew Law Ying arrived at the port of San Francisco with her infant daughter, Bak Heong, seeking admission to join her merchant husband, Yung Hin Sen, in the United States. Upon arrival, immigration officials detained Jew Law Ying and her daughter and required both her and her husband to answer nearly two hundred detailed questions about themselves to prove their identities and relationship. Officials designed these questions to uncover inconsistencies and expose fraudulent relationships, and they were so intricate that, despite their legal and legitimate marriage, Jew Law Ying and Yung Hin Sen had prepared extensively, memorizing answers …

Assessing Non-Thermal Plasma In Cutaneous Regeneration, Arden Rodriguez, Meliah Martin, Graeme Grainger, Arineh Shahbazi

Discovery Day - Daytona Beach

Chronic and acute wounds remain a significant clinical challenge, particularly in austere and resource-limited environments where access to advanced care is restricted. Non-Thermal Plasma (NTP) has emerged as a promising, non-invasive modality with reported antimicrobial and regenerative properties; however, its mechanisms of action and effects on human skin tissue require further characterization. The scope of this project is to engineer and utilize a 3D human skin epithelial model to evaluate the effects of NTP on wound healing. We will first build a 3D epithelial tissue model that will simulate human skin, followed by modeling and evaluation of wound pathology and …

The Osteocyte-Osteoblast Network Requires Dynamic Mechanical Loading For Key Functions, Kevin Kowalski

Discovery Day - Daytona Beach

Spaceflight investigations have demonstrated that reduction in gravity-induced loading regimes is detrimental to maintenance Earth-normal bone and marrow. Mechanistically, however, there are still gaps in knowledge about how the reduction in gravity influences the different niches within the tissue. For example, cortical bone is a stable semi-solid structure that allows for only minor deformations before failure, while marrow is a viscous hydrogel-like material that can resist significant fluidic and compressive forces. We hypothesize that maintenance of different niches within the bone microenvironment are dependent on different loading regimes, and that the collective impact if gravity-induced loading needs to be considered …

Phaëthon System, Brady Roudabush, Lauren Gallo, Emelia Thompson, Jacob Woods

Discovery Day - Daytona Beach

Phaëthon System is the project name for the Search and Rescue Drone Initiative. This initiative will improve the current search and rescue drone industry by introducing new techniques to get through dense forest canopies and other places where an overhead view is not useful. The Phaëthon System uses a swarm of drones that can penetrate under the tree canopy to map and search with the utmost efficiency and safety for rescuers. A command drone is launched to survey the overall search area, and set up a communications and data link. The next component is then released, which is a swarm …

Real-Time Fused Sensor System For Early Onboard Detection Of Weather Phenomena, Sanjana Singh

Discovery Day - Daytona Beach

Weather-related hazards continue to be a major cause of operational interruptions and safety issues in the aviation sector. Atmospheric phenomena, including turbulence, microbursts, convective storms, and rapidly changing boundary-layer conditions, can arise quickly and often occur on spatial scales that are not adequately addressed by regional forecasting systems. These phenomena particularly endanger aircraft flying at low altitudes, such as general aviation planes, unmanned aerial vehicles (UAVs), and those during takeoff and landing Although meteorological forecasting systems and ground-based radar networks offer important regional insights, they may fail to detect localized atmospheric variations encountered along specific flight routes. Consequently, pilots and …

Professionalism And Performance Expectations In The Modern Aviation Industry, Anayah Smith, Spencer Baldock Spencer Baldock

Discovery Day - Daytona Beach

The aviation industry operates as a highly regulated, safety-critical environment in which professionalism and consistent performance are essential to maintaining operational safety and reliability. However, emerging shifts in workforce composition, communication styles, and technology integration have created misalignment between traditional professional standards and evolving employee expectations. Established aviation cultures emphasize structured procedures, formal feedback mechanisms, and communication hierarchy, while newer entrants, shaped by digital communication norms and contemporary academic environments, often expect continuous feedback, collaborative leadership, and adaptive performance evaluation. Prior research on crew resource management, human error frameworks, and generational work values highlights how inconsistencies in communication, feedback expectations, …

Investigating The Spatial Scales Of Ionospheric Irregularities Using Wavelet Analysis, Nash Mcleod

Discovery Day - Daytona Beach

Investigating the Spatial Scales of Ionospheric Irregularities Using Wavelet Analysis:   Ionospheric radio wave scintillation arises from plasma density irregularities in Earth’s ionosphere. Consequently, rapid fluctuations occur in the phase and amplitude of Global Navigation Satellite System (GNSS) signals and can impact communication and navigation systems. These irregularities span from a wide range of spatial and temporal scales and evolve dynamically under the influence of magnetosphere-ionosphere (MI) processes. We investigate phase and amplitude scintillation events using Continuous Wavelet Transform (CWT) to study the spatial evolution of ionospheric irregularities. These irregularities are thought to be formed via different plasma mechanisms such as …