Digital Commons Network^™

Standardizing Sepsis Care Across A Lifespan: A Multidisciplinary Approach To Reduce Variation, Vijayakrishnan Poondi Srinivasan, Jillian Gregory, Sarah Chang

MaineHealth Maine Medical Center

Sepsis is a life-threatening condition affecting patients of all ages and remains a leading cause of mortality, hospitalizations, and healthcare costs worldwide. In pediatrics, severe sepsis accounts for millions of deaths annually, with approximately 176,000 hospitalizations and an 8% mortality rate each year in the U.S. In adults, it contributes to 35% of in-hospital deaths and is the leading cause of readmissions. These data underscore the urgent need for timely recognition, standardized interventions, and consistent, evidence-based care across populations.

Rewriting The Narrative: Empowering Healthcare Workers Through Storytelling And Posttraumatic Growth, Jeannine Acantilado, Emily Calabro, Hollybeth Hill, Julie Wild Rose

Biennial Convention (CONV)

Background: Recognizing the impact of trauma on healthcare professionals, the Echoes of Nursing storytelling initiative fosters a culture of healing and resilience within the workplace. By providing a safe space for self-expression and narrative medicine techniques, this program empowers individuals to process challenging experiences and rediscover purpose in their work.

Methods: This mixed-methods pilot study, implemented across a 12-hospital system, utilized journaling workshops, story drafting, and coaching to facilitate self-expression and exploration. Coaches employed narrative medicine techniques like externalizing the problem, mapping, and re-authoring to empower individuals. Outcomes were measured using the Posttraumatic Growth Inventory (PTGI). Over two years, three …

From Communication To Action: The Impact Of Tiered Safety Huddles, Rachel Ann Moody, Tami Omdahl, Pauline Byom

Biennial Convention (CONV)

The purpose of this presentation is to share our journey of tiered safety huddles in a large academic medical center. This structure enhances staff perception of commitment to safety, promotes open communication, facilitates learning from errors and reinforces leadership support of a safety-focused environment. The nursing implications include improved teamwork, transparency, bidirectional communication, and supporting a culture of safety that engages our frontline staff and leadership.

This initiative, informed by feedback staff surveys and listening sessions, aimed to improve effective communication between staff and leadership. Tiered safety huddles are daily, brief meetings designed to quickly respond to and escalate issues, …

A Mobile Medical Unit Program To Improve Access To Care For Veterans Experiencing Homelessness, Jillian Weber, Rebecca Kinney

Biennial Convention (CONV)

Background: Veterans experiencing homelessness often have unmet medical needs and experience barriers to accessing and/or engaging in traditional clinic-based care.^1,2 The Veterans Affairs (VA) Homeless Patient Aligned Care Team (HPACT) model provides primary care, mental health, housing services, case management, and key wrap-around services in a multi-disciplinary, population-tailored approach that is designed to address these unique needs and distinct challenges homeless veterans face. Combing these elements with a mobile medical unit (MMU) provides the HPACT team with the necessary infrastructure to provide care in community-based settings in a safe and confidential space with medical supplies and equipment readily available. …

Bridging The Gap: A Scoping Review Of Simulation Use In Np Programs With Inacsl Standards And Cbe, Alanna Elizabeth Kavanaugh, Stephanie Bork, Carla Nye

Biennial Convention (CONV)

Simulation-based education (SBE) has become an integral component of nursing education, particularly in Nurse Practitioner (NP) programs, where it is increasingly used to bridge the gap between classroom learning and clinical practice. This scoping review examines the implementation of simulation in NP programs, with a focus on its alignment with International Nursing Association for Clinical Simulation and Learning (INACSL) standards and the principles of competency-based education (CBE). The review aims to explore the current evidence, identify best practices, and highlight gaps in research regarding the integration of simulation to enhance NP competencies.

A systematic search was conducted across multiple databases, …

The Impact Of Teamstepps Debriefing On Teamwork Perceptions: Reflections From A Family Birth Center, Jamie M. Emery

Biennial Convention (CONV)

Purpose: This quality improvement (QI) project assessed baseline teamwork perceptions among labor and delivery nurses, implemented a unit-specific debriefing tool to guide nurse-led debriefing sessions after every birth, and re-evaluated teamwork perceptions following the intervention.

Background/Problem: Patient harm events are a persistent global healthcare issue with significant implications for patients, families, and healthcare providers. These events often stem from preventable factors, including communication breakdowns, leadership issues, and inadequate situation monitoring within healthcare teams. To address this, a team implemented a QI project at a Pacific Northwest community hospital's family birth center with nurse-led debriefing sessions after every birth. Debriefing, a …

Developing Nurse Scholars: An Innovative Strategy To Introduce Ebp Competencies In A Dnp Program, Karen J. Whitt, Karen Kesten

Biennial Convention (CONV)

Background: Doctor of Nursing Practice (DNP) nurse scholars represent professionals prepared with evidence-based practice (EBP) competencies that are essential to respond to challenges and address opportunities to transform healthcare. However, evidence suggests there is a need to improve EBP skills among practicing nurses (Melnyk, et al., 2021). Innovative ways are needed to integrate EBP content in curriculum to optimize DNP students’ attainment of these competencies.

Purpose: This longitudinal study evaluates how implementing an innovative competency-based education (CBE) approach to incrementally introduce learning opportunities in courses offered throughout a DNP program demonstrates students’ progress towards achieving EBP competencies.

Methods: Four courses …

Side Effects Of Antipsychotics Impacting The Revolving Door Of Admissions At The Bellevue Hospital, Sandra Lorraine Chisholm-Ford

Biennial Convention (CONV)

Background: Antipsychotic medications are very effective in mitigating the symptoms associated with schizophrenia. However, patients receiving these medications often develop side effects with therapy. Side effects to antipsychotic medications is a global problem resulting in non-compliance, relapse, and re-hospitalizations.

Objectives: The study aimed to identify the prevalence of adverse reactions and side effects experienced by patients with schizophrenia taking antipsychotic medication, as well as the prevalence of readmissions to the Bellevue Hospital due to medication noncompliance.

Methods: A descriptive cross-sectional survey was done among forty-four patients diagnosed with schizophrenia admitted to acute and sub-acute care wards at the Bellevue Hospital. …

Turning Setbacks Into Strength: Developing The Emerging Concept Of Reclaiming Power, Nadine Cesaire

Biennial Convention (CONV)

Reclaiming power represents a transformative journey where individuals restore autonomy, resilience, and intentional participation in life. This concept emphasizes a shift from disconnection and diminished engagement to active involvement in personal growth and change. It redefines setbacks as opportunities for self-discovery, fostering openness to life’s unpredictability and challenges.

Substance Use Disorder (SUD) affects 14.5% of individuals aged 12 and older in the United States, equating to 48.7 million people (SAMHSA, 2023). This chronic condition, characterized by compulsive substance use, often leads to cycles of recovery and relapse. Overdose deaths rose by 50.9% between 2019 and 2022 (CDC, 2023), with relapse …

A Global Interprofessional Approach To Nursing Education, Andrea Grace Renwanz Boyle, Olivia Catolico

Biennial Convention (CONV)

Education for tomorrow’s nurses requires approaches that are forward- thinking, innovative, culturally relevant, and designed to address current and future health issues and challenges. Nursing education also must focus on global interprofessional collaboration between educators, students, and clinicians. The purpose of this presentation is to describe the development of a global undergraduate nursing course for implementation with student groups from both USA and rural Uganda nursing programs.

The proposed course builds on existing relationships between nursing faculty working in a small US university and faculty working in a small nursing program in rural Uganda. The course is designed to address …

Cv: Erica Kwiatkowski-Egizio (Educational Studies, Secondary Education)), Erica Kwiatkowski-Egizio

Education Department Faculty Curricula Vitae

No abstract provided.

Exploring Mediated Psychosocial Effects On Dating Violence Perpetration And Victimization In The Me & You Building Healthy Relationships Program For Middle School Students, Mike Henson-Garcia, Elizabeth R Baumler, Christine M Markham, Robert C Addy, Ross Shegog, Belinda Hernandez, Paula Cuccaro, Jeffery Temple, Susan Tortolero Emery, Melissa F Peskin

Faculty, Staff and Student Publications

Teen dating violence (TDV) is a prevalent and injurious public health threat affecting adolescent populations across the globe. In response, a plethora of interventions have been developed and implemented with various effects emerging from evaluation studies of these prevention initiatives. The purpose of this study was to investigate whether attitudes toward sexting, gender-based norms toward violence, and constructive conflict resolution skills mediate the main effects of a TDV intervention. Specifically, this study leverages data from the original efficacy trial of the

Grayscale Image Encryption Using Generalized Lucas Matrices And Hillcipher, Putri Zalia Megat Johar, Faridah Yunos, Ji-Jian Chin, Muhammad Asyraf Asbullah

School of Engineering, Computing and Mathematics

Secure and effective methods of image encryption are increasingly important in protecting sensitivedigital content from being attacked by today's increasingly knowledgeable and aggressive adversaries.This is no exception to attacks carried out on the secret content generated by grayscale images.Stemming from this problem, this research introduces a new approach to encrypt grayscale images usinga combination of the Generalized Lucas Matrix and Hill Cipher (GLMHC) with a self-invertibleencryption key. This type of encryption key eliminates the need to find the inversion key during thedecryption process and reduces the computational burden. Encrypted image quality is measured usingentropy, Mean Two-Dimensional Error (MSE), Signal to …

Polycystin-2 Is Cardioprotective Against Myocardial Infarction By Regulating The Calcium-Mediated Er-Stress Response, Virdjinija Vuchkovska

Dissertations

Patients with autosomal polycystic kidney disease (ADPKD) have an increased risk and worse outcomes after acute myocardial infarction, but the mechanism for this is unknown. Polycystin 2 (PC2), one of the two main proteins mutated in ADPKD, is a calcium permeant channel that localizes to the ER/SR. In non-cardiac cells, PC2 regulates the unfolded protein response (UPR) pathway under ER stress. However, whether PC2 is cardioprotective against ER stress is unknown. We found that PC2 expression increased in cardiomyocytes from human ischemic hearts and infarcted murine hearts. Cardiomyocyte-specific PC2 KO (PC2 KO) mice had worsened cardiac function after myocardial infarction …

Precise Diagnosis Of Small Invasive Pulmonary Nodules Driven By Single-Cell Immune Signatures In Peripheral Blood, Yang Xia, Yin Zhu, Sai Zhang, Mo Zhou, Jiaqi Zhou, Guanxin Xu, Baiqin Zhao, Guofei Zhang, Qiyuan Wang, Bin Wang, Zexin Chen, Hongyu Shi, Xiuning Le, Tony Mok, Wei Chen, Junqiang Fan, Weiwei Yin, Wen Li

Faculty, Staff and Student Publications

Early detection of lung cancer is crucial for improving patient outcomes. However, accurately diagnosing invasive pulmonary nodules and predicting tumor invasiveness remain major clinical challenges. Given the established role of immune dysfunction in cancer development, we hypothesize that peripheral immune profiling could provide a strategy for managing pulmonary nodules. In this multi-center, prospective study, we combine peripheral immune profiling via mass cytometry with machine learning algorithms to develop an integrated pulmonary nodule management platform. This platform accurately distinguishes invasive from non-invasive pulmonary nodules (AUC = 0.952), outperforming established clinical and radiomics-based models. Furthermore, it effectively predicts tumor invasiveness, differentiating minimally …

Nsf Engineering Research Center For Advancing Sustainability Through Powered Infrastructure For Roadway Electrification (Aspire), Regan Zane, Christopher Fawson, Antje Graul, Marvin W. Halling

Funded Research Records

No abstract provided.

Nsf Convergence Accelerator Track (H): Automating Transportation Affordances For People Living With Disabilities Using A Machine Learning Approach, Brent Chamberlain

Funded Research Records

No abstract provided.

A Framework For Improving Analysis And Modeling Of Earth System And Intersectoral Dynamics At Regional Scales, Shih-Yu Wang

Funded Research Records

No abstract provided.

Collaborative Research: Seed-Fungal Interactions: Uncovering Functional Specificity And Primary Symbionts As Key Drivers Of Tropical Tree Recruitment, Noelle Beckman

Funded Research Records

No abstract provided.

Career: Novel Direct Current Power Distribution For Large-Scale Electrified Transportation Charging, Hongjie Wang

Funded Research Records

No abstract provided.

Exploration Of The Microbiome Of Native Plants For Plant Growth-Promoting Microbes To Mitigate Effects Of Abiotic Stresses In Crop Plants, Amita Kaundal

Funded Research Records

No abstract provided.

Exploring The Impact Of Negative Ewom On Hotel Booking Intention Through The Lens Of Attribution Theory And The Moderating Role Of Recovery Justice, Antonio Jose Ogaz-Muñoz

Electronic Theses and Dissertations 2020 - Present

Negative electronic word-of-mouth (EWOM) has emerged as a critical factor influencing customer behavior, particularly in the hospitality industry. Despite extensive research grounded in failure attributions and service recovery theories, few studies examine the combined impact of failure attribution and recovery justice on hotel booking intentions. Using a 2x2x2x2 between-subjects experimental design with 373 responses, this research investigates how customers' perceptions of failure attribution influence their booking intention after exposure to negative EWOM, and if perceived recovery justice can mitigate the negative effects of these attributions. Results show that booking intention declined most when reviews framed the failure as hotel-caused and …

Ai And A Possible Renaissance For Christian Higher Education, Derek Schuurman

University Faculty Publications and Creative Works

The early Greeks saw the essence of education as Paideia: the process of forming a whole person into an ideal citizen. They emphasized the formation of virtues like prudence, justice, fortitude, and temperance in preparation for active citizenship. In Plato’s Republic, we read that “The object of education is to teach us to love what is beautiful,” which involves the shaping of desire.¹ For the Greeks, the purpose of education was training in virtue.

There’S No Magic Pill: A Multimethods Qualitative Study Exploring Routine Fatigue Care In People With Multiple Sclerosis, Emma O’Connor, Sophie Fawson, Tom Sanders, Tracy Finch, Nicole Dodsworth, Harriet Waine, Olivia Tamburro, Jennifer A. Freeman, Pam Bostock, Wendy Hendrie, Rona Moss-Morris

School of Health Professions

BACKGROUND: Fatigue is a common and debilitating symptom for people with multiple sclerosis (MS). Evidence suggests that behavioral treatments, particularly cognitive behavioral therapy and some exercise therapies, are effective in reducing MS fatigue. However, few people are offered these treatments in routine care, and little is known about the reasons for this research-to-practice gap. The aim of this study was to explore how routine care is currently delivered for MS fatigue. METHODS: Health care professionals (n = 28) took part in 6 focus groups and 6 one-to-one interviews exploring experiences with assessing, managing, and treating fatigue. How health care professionals …

Experiences And Perceptions Of Patients, Caregivers, And Healthcare Professionals With Long-Acting Injectable Antipsychotics For The Treatment Of Schizophrenia: Qualitative Results From The Multinational Advance Study, Martha Sajatovic

Faculty Scholarship

Introduction: Schizophrenia imposes a substantial burden on individuals and society. Long-acting injectable antipsychotics (LAIs) improve adherence and reduce relapse and hospitalization rates compared with oral treatments for schizophrenia, yet LAI use varies globally. The qualitative interview portion of the global Attitudes DriVing regional differences in long-acting injectable ANtipsychotic utilization for schizophrenia among healthcare professionals (HCPs), patients, and CaregivErs (ADVANCE) study explored the patient journey from schizophrenia diagnosis to treatment, treatment goals, and experiences and perspectives on LAIs that may influence their use. Methods: ADVANCE included HCPs, patients, and caregivers from Australia, Canada, China, Germany, Israel, Spain, South Korea, and the …

University Band & Wind Symphony Present: “Of Song And Dance”

Bailey School of Music Concert Programs

David Roush, Conductor

Improving Patient Outcomes Through Implementation Of The Kdoqi Guidelines For Tunneled Dialysis Catheter Placement, Gabriela Echagaray

Electronic Theses and Dissertations 2020 - Present

This quality improvement (QI) project aimed to enhance adherence to the Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines for placement of tunneled dialysis catheters (TDCs) in intensive care unit (ICU) patients. The project addressed inconsistent application of best practices related to TDC placement, improved documentation, improved communication using TigerConnect, a reduction in inappropriate catheter placements, and maintenance of a zero hospital-acquired tunneled dialysis catheter-related bloodstream infection (CRBSI) rate. Notably, some patients continued to be admitted with pre-existing community-acquired tunneled catheter-related infections, underscoring the effectiveness of the hospital’s internal infection prevention strategies while highlighting the need for enhanced collaboration with outpatient …

Increasing Colon Cancer Screening Completion Rates Utilizing Patient Navigation In Primary Care: A Quality Improvement Project, Anya C. Pennycooke

Electronic Theses and Dissertations 2020 - Present

Colorectal cancer is the second leading cause of cancer-related deaths in the United States. It is highly preventable through routine screening and early detection, yet national data indicate that one in three eligible adults remains unscreened. The purpose of this Quality Improvement (QI) project was to increase colon cancer screening completion rates by implementing a patient navigation program. Kristen Swanson’s Theory of Caring guided the intervention by promoting patient-centered communication. W. Edwards Deming’s Plan-Do-Study-Act (PDSA) model provided the framework for this approach. Patients aged 45-75 years due for colon cancer screening were identified using the electronic health record (EHR) in …

Healthy Living As A Critical Part Of Emergency Preparedness, Callahan K. Ward, April Litchford

All Current Publications

This resource presents practical, health-focused actions that individuals and caregivers can take to strengthen resilience before, during, and after emergencies. By integrating long-term wellness habits and short-term readiness strategies, it supports a more comprehensive and inclusive approach to disaster preparedness, enhancing not only personal outcomes but also community-wide response capacity.

Thriving Hives: The Apiary - Beekeeping Essentials, Joseph Okoh, Andree' Walker Bravo

All Current Publications

This fact sheet is designed to help honey bee producers optimize their beekeeping practices and improve management systems. It offers essential guidance on selecting an ideal apiary location, choosing the right beehive, and ensuring efficient colony management. Additionally, this document serves as a valuable training resource for aspiring beekeepers.