Digital Commons Network^™

A Change In Practice: Improving Uti Management In A Long-Term Care Facility By Implementing Rapid Urinary Culture Collection Protocols To Enhance Timely Treatment And Reduce Hospitalizations, Tania Ojeda

Doctor of Nursing Practice

ABSTRACT

Background: Urinary tract infections (UTIs) remain a leading cause of morbidity among elderly residents in long-term care facilities, where diagnosis is frequently delayed due to atypical presentation, cognitive impairment, and inconsistent urine specimen handling. Purpose: This quality improvement (QI) project aimed to improve the timeliness and accuracy of UTI management in a memory care facility through standardized evidence-based protocols. Objectives: The project sought to ensure that: (a) 100% of staff would be educated on the protocol; (b) 100% of residents with suspected UTIs would have urine sent for urinalysis and culture within 8 hours of symptom onset; (c) 100% …

Implementation Of The Modified Severity Assessment Scale (Msas) For Alcohol Withdrawal In An Inpatient Psychiatric Unit, Grace R. Lindsey

Doctor of Nursing Practice

Background: Alcohol withdrawal is a potentially life-threatening condition frequently seen in psychiatric inpatient settings, especially among individuals with co-occurring alcohol use disorder and mental illness. The Clinical Institute Withdrawal Assessment for Alcohol Scale-revised, while widely used, depends on patient self-report, making it less effective for individuals with altered mental status or psychosis.

Purpose: This quality improvement project implemented the Modified Severity Assessment Scale, an objective, observation-based alcohol withdrawal protocol, in an inpatient psychiatric setting to improve safety, treatment accuracy, and care standardization.

Objectives: The project focused on ensuring full staff adoption of the protocol, reducing intensive care unit transfers …

Examining And Addressing Increased Hospital Inpatient Falls Rates At An Urban Community Hospital, Juan Lira

Doctor of Nursing Practice

Abstract

Background: Falls are the leading cause of reported injuries within the hospital setting. Injuries from falls occur in about20-45% of the time and is the leading cause of injury and injury death among the adult population. Inpatient falls are associated with an additional $14,0000 per occurrence and a prolonged hospitalization by 6.3 days. Increased falls rates affect hospitals rating, accreditation and reimbursements. This hospital is experiencing inpatient falls that exceed national average and corporate goals.

Purpose: The purpose of this project is to reduce the hospital falls rate by 10% within 90 days of initiating evidence-based evaluation and facility-wide …

Implementation Of An Information Sheet For Pediatric Patients With Autism Spectrum Disorder In An Inpatient Setting To De-Escalate Aggressive Behaviors And Reduce Seclusion Rates, Megan R. Castro

Doctor of Nursing Practice

Introduction: Research shows that most seclusion events in pediatric psychiatric settings involve pediatric patients with neurodevelopmental disorders, particularly autism spectrum disorder (ASD). A lack of provider expertise contributes to elevated seclusion rates, highlighting the need for evidence-based, ASD-informed care.
Purpose: To reduce seclusion events within a pediatric psychiatric facility in South Texas, by implementing an evidence-based intervention upon admission that could decrease aggressive behaviors and the likelihood of requiring seclusion. Evidence summary: Literature and guidelines underscore the importance of identifying sensory triggers and calming strategies at admission. Collaborative care and personalized interventions, such as a patient information sheet that identifies …

Exploring Speech-Language Pathology In The Age Of Ai, Charis Gray

Communication Studies

Speech-language pathologists (SLPs) constantly strive to find the balance between maintaining efficiency and high-quality therapeutic treatment. Now, with the rapid growth of artificial intelligence (AI), another layer is added into the mix. Many questions and concerns are being voiced about how these technologies will reshape the professional practice. Guided by two research questions, this project interviewed ten practicing SLPs regarding efficiency and the future of AI. Through thematic analysis, five central themes emerged: flexibility with unpredictability, AI’s usefulness for documentation and materials, ethical and professional concerns, commitment to lifelong learning, and the human element. Diffusion of Innovation Theory (DOI) can …

Power, Interests, And Maternal Health Care: A Political Economy Analysis Of Service Delivery Redesign In Kenya, Jacinta Nzinga, Easter Olwanda, Kennedy Opondo, Hillary Kimutai, Jan Cooper, Brian Arwah, Benjamin Tsofa, Edwine Barasa, Kevin Croke

Institute for Human Development, East Africa

The maternal and newborn health (MNH) service delivery redesign (SDR) in Kakamega County, Kenya, represents the country's first system-level reorganization of MNH services. The reform aimed to improve care quality and reduce mortality by centralizing delivery services at designated hubs. Using a political economy lens, we examined how ideology, political dynamics, and institutional structures shaped the agenda-setting, adoption, implementation, and sustainability of SDR. We drew on data from document reviews, stakeholder analysis, semi-structured interviews, and non-participant observation to assess the structural, contextual, and institutional factors influencing the reform. Ambiguity around SDR's purpose contributed to the community's uncertain engagement characterized by …

El Poder Del Bilingüismo Y La Ciencia, Isabella Winslow

World Languages and Cultures

This project is an explanation of the importance of bilingualism, science, and our responsibility as humans within this environment. As living beings on this planet, we have a responsibility to respect and protect it. Over the course of the last several hundred years, we humans have made countless advancements. We have created unimaginable technology and discovered incredible resources produced by the land. However, in the process of doing so, we have damaged and continue to damage our environment. Reefs in the ocean have been bleached by increases in acidity, thousand year old glaciers have melted, forests have been destroyed by …

Leadership With A Counseling Perspective: Exploring The Influence Of Counseling Skills On Elementary Principalship Effectiveness, Julie Thacker

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to determine if there are counseling skills that effective elementary school principals possess and to identify those counseling characteristics. The participants consisted of elementary school principals holding membership in the Indiana Association of School Principals. They were asked about school locale, type, administrator gender and race, building level, pre-service training institution, years as an administrator, length of time in current school, counseling licensure, and presence of a licensed school counselor in the school. A total of 201 participants began the survey, and 143 completed it, resulting in a completion rate of 71%. Through exploratory …

Initiative Fatigue, Courtney Wildoner

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study examined the prevalence of initiative fatigue in K–12 education and its relationship to emotional, mental, and physical work fatigue. The sample included 169 participants who identified as public school educators, school-based leaders, or district office staff. Participants completed the Three-Dimensional Work Fatigue Inventory (Frone & Tidwell, 2015) and the School-Wide Initiative Inventory (O’Quinn, 2018). Findings showed that initiative fatigue is most strongly rooted in concerns about the implementation process rather than the initiatives themselves. The “how” of implementation emerged as a significantly greater challenge than the “what,” functioning as a job demand that depletes emotional, mental, and …

Anatomy Of Authority: Dissecting The Rare Species Of Women Deans, Marlana K. Beck

All-Inclusive List of Electronic Theses and Dissertations

This dissertation explores the lived experiences of women physician medical school deans, aiming to understand the factors that influence their career pathways and the challenges they face in achieving and maintaining leadership roles in academic medicine. Despite the increasing number of women entering the medical profession, there remains a significant gender disparity in leadership positions, particularly in the role of medical school dean. This study addresses the gap between the growing number of women physicians and the disproportionately low number of women in senior academic leadership roles. The research is grounded in feminist and role congruity theories, which provide a …

“I Found My Place:” Exploring The Counterspace Experiences Of Black Alumni On Historically White College Campuses, Jacquelyn Burns Rucker

All-Inclusive List of Electronic Theses and Dissertations

This qualitative study explored the life experiences of Black alumni and their participation in intentional, multicultural programming of cultural facilities to create a sense of counterspace for Black students on historically White college campuses. The study captured the stories of 12 Black alumni who graduated from seven historically White institutions (HWIs), between the years of 2010 and 2016, across four different states. The 12 study participants completed undergraduate and terminal degrees during the years 2009 - 2016 and identified as Black, African, or bi-racial. The interviews, conducted during the Covid-19 pandemic, were conducted on zoom. The theoretical framework of the …

Exploring Online Teaching Self-Efficacy Among University Faculty Members During The Period Of Covid-19 Pandemic, Sarah Alamri

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study is to examine faculty’s perceptions of their self-efficacy regarding online teaching and some variables that may affect online teaching efficacy. A quantitative survey was administered to examine whether three faculty variables (online teaching experience, professional development experience, and COVID-19) predict a significant portion of the variance in faculty self-efficacy in online teaching on four subscales: student engagement, instructional strategies, classroom management, and teachers’ computer use. Faculty participants were recruited from King Khalid University in the Kingdom of Saudi Arabia. Data were collected using a web-based survey adapted from Robinia (2008). The data collected in this …

Implementing Pain Curricula In Prelicensure Physical Therapy Education: Faculty Perspectives And Experiences, John D. Kiesel

All-Inclusive List of Electronic Theses and Dissertations

The impact of pain on society has implications for individuals’ well-being and the overall health of society. Despite the high prevalence of pain, many new healthcare providers often lack the confidence and skills to manage patients with pain effectively. This phenomenological research study aimed to understand the lived experiences of faculty responsible for developing and delivering pain education to prelicensure physical therapy students. A secondary purpose was to examine the barriers that exist from the perspective of faculty members with subject matter expertise in pain education to implementing effective pain education in prelicensure curricula. Prelicensure pain education is essential for …

Onset Of Strong Iceland-Scotland Overflow Water 3.6 Million Years Ago, Matthias Sinnesael, Boris Theofanis Karatsolis, Paul N. Pearson, Anne Briais, Sidney R. Hemming, Leah J. Levay, Tom Dunkley Jones, Ying Cui, Anita Di Chiara, Justin P. Dodd, Deepa Dwyer, Deborah E. Eason, Sarah A. Friedman, Emma Hanson, Katharina Hochmuth, Halima E. Ibrahim, Claire E. Jasper, Saran Lee-Takeda, Danielle E. Leblanc, Melody R. Lindsay, David D. Mcnamara, Sevasti E. Modestou, Margaret A. Morris, Bramley J. Murton, Suzanne Oconnell, Gabriel Pasquet, Sheng Ping Qian, Yair Rosenthal, Sara Satolli, Takuma Suzuki, Thena Thulasi, Bridget S. Wade

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

North Atlantic Deep Water (NADW), the return flow component of the Atlantic Meridional Overturning Circulation (AMOC), is a major inter-hemispheric ocean water mass with strong climate effects but the evolution of its source components on million-year timescales is poorly known. Today, two major NADW components that flow southward over volcanic ridges to the east and west of Iceland are associated with distinct contourite drift systems that are forming off the coast of Greenland and on the eastern flank of the Reykjanes (mid-Atlantic) Ridge. Here we provide direct records of the early history of this drift sedimentation based on cores collected …

School Attendance In Southern Illinois: A Mixed Methods Analysis Of Trends And Implications, Mary Beth Goff

Ed.D. Capstone Reports

The purpose of the study was to examine the demographic data reported on the Illinois School Report Card within the four southernmost Regional Offices of Education to determine the rates of chronic absenteeism. Following the identification of chronic absenteeism numbers, this study sought to analyze the relationships between subgroups to determine correlations within data sets. In order to develop an understanding of potential interventions, interviews were conducted with districts that were both successfully addressing absenteeism and those not experiencing success within each of the Regional Offices of Education. The findings of the study aim to contribute insights for educators and …

Millennial-Timescale Thermogenic Co2 Release Preceding The Paleocene-Eocene Thermal Maximum, Shijun Jiang, Ying Cui, Yasu Wang, Maurizia De Palma, B. David A. Naafs, Jingxin Jiang, Xiumian Hu, Huaichun Wu, Runjian Chu, Yangguang Gu, Jiuyuan Wang, Yizhou Huang, Miquela Ingalls, Timothy J. Bralower, Shiling Yang, James C. Zachos, Andy Ridgwell

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Geologic records support a short-lived carbon release, known as the pre-onset excursion (POE), shortly before the Paleocene-Eocene Thermal Maximum (PETM; ~ 56 Ma). However, the source and pace of the POE carbon release and its relationship to the PETM remain unresolved. Here we show a high-temporal-resolution stratigraphic record spanning the POE and PETM from the eastern Tethys Ocean that documents the evolution of surface ocean carbon cycle, redox and eutrophication, confirming the global nature of the POE. Biomarkers extracted from the sedimentary record indicate a smaller environmental perturbation during the POE than that during the PETM in the eastern Tethys …

Integrated Perspectives: Florida Ems Workforce And Agency Synthesis 2025, Michael Lozano

Florida Center for Emergency Medical Services Research Reports

The Florida Center for Emergency Medical Services (FL-CEMS) integrated findings from the 2024 EMT and Paramedic Renewal Survey (49,200 clinicians), the 2025 EMS Provider Survey (260 agencies), and 2024 NREMT Cognitive & Certification exam outcomes to provide a comprehensive picture of Florida’s EMS workforce and training environment.

Evidence Based Project: Japanese Immigrant Elderly Couples In The Midwest, Isabel Anderson

Student Projects

This paper examined the unique needs and challenges of Japanese immigrant elderly couples living in the rural Midwest of the United States through the lens of systemic family therapy. The focus family consisted of an elderly husband showing early signs of dementia and a wife who recognized the necessity of transitioning to independent living. Their adult daughter and son-in-law’s involvement intensified intergenerational tension, as traditional cultural norms granted the husband decision-making authority. The study provided a statistical overview of Japanese immigrant families in the U.S., highlighting aging trends, linguistic barriers, and geographic dispersion. Common psychosocial and systemic issues such as …

Athletic Participation Among Students And Its Correlation To Increased Outcomes In Academic Performance, Benjamin Carl Anderson

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study investigated the correlation between student participation in athletic-based extracurricular activities and academic performance among high school students in rural Indiana. The research sought to determine whether athletic involvement contributes to academic success indicators such as PSAT and SAT scores, and school attendance. The study looked at how athletics can serve as a lever for improving academic outcomes and supporting students in meeting the criteria for postsecondary readiness. Key research questions explored the influence of gender, ethnicity, grade level, and attendance on academic performance within the subset of students participating in athletics. A review of the literature supported …

Reclaiming Bodily Autonomy Through Gullah Geechee Natural Healing, Tamaray Yvonne White

Electronic Theses and Dissertations

In today’s sociopolitical climate, restrictive reproductive laws continue to disproportionately target Black women, reinforcing historic patterns of racialized and gendered oppression. This thesis argues that Black women will recommence their usage of traditional herbal healing as both a survival strategy and an act of reclaiming bodily autonomy in defiance of hostile legal, financial, and medical systems. The Gullah Geechee community serves as a blueprint for this transition, offering cultural continuity, intergenerational knowledge, and a model for community-based healthcare and resistance. By tracing the historical necessity of herbal medicine among Gullah Geechee women, this study situates ancestral natural healing within contemporary …

Sustainable Cities Report: Healthcare Professions Seminar, Catherine Stemmans Paterson

2025 Fall Reports (Terre Haute)

The primary objective of this project was to ensure that community members understood both the dangers associated with these extreme weather events and the steps they could take to protect themselves and their families. The campaign aimed to reach a broad audience quickly and effectively, particularly during times when timely information is critical. The content emphasized the importance of staying informed through official channels and encouraged proactive measures to reduce vulnerability. This collaborative effort not only enhanced public safety but also strengthened the connection between the city and its residents by promoting trust and transparency. Overall, the project demonstrated the …

Location Design For Ev Charging Stations In Terre Haute, He Wen

2025 Fall Reports (Terre Haute)

This project aims to support the City of Terre Haute in expanding electric vehicle (EV) charging infrastructure using a comprehensive framework that integrates engineering feasibility, system safety analysis, engineering economy, and project risk management. Students evaluated multiple candidate locations across Terre Haute and developed recommendations aligned with the city’s sustainability goals and long-term mobility planning. Drawing on spatial discovery, stakeholder input, and technical analysis, five priority locations emerged from student evaluations: Walmart East (SR-46/I-70), Meijer on Margaret Drive, Honey Creek Mall/Haute City Center, ISU Lots 5 & 14, and Plaza North. These results are based on the aggregated student ranking …

Inflammatory And Metabolic Markers In Postpartum Dairy Cows Developing Chronic Reproductive Tract Disease: A Case-Control Study, T.C. Bruinjé, O. Bogado Pascottini, S.J. Leblanc

Dairy Science and Food Science Faculty Publications: 2022 to Present

We investigated associations of early postpartum sys- temic inflammatory and metabolic markers with different manifestations of chronic reproductive tract inflamma- tory disease (RTID) in Holstein cows. A retrospective case-control study was conducted using data from 1,509 cows in 2 commercial dairy herds in Ontario, Canada. Herds were visited twice weekly, and cows were sampled at 2 and 6 ± 2 DIM to measure serum haptoglobin (Hp), total Ca, and nonesterified fatty acids; at 5, 8, 11, and 15 ± 2 DIM for blood BHB; and at 21 and 35 ± 3 DIM for serum Hp. Cows with a calving-related or …

First-Hand Perspectives Of Autistic And Neurodiverse Individuals In Social And Extracurricular Settings, Stephen M. Hinkle

Education (PhD) Dissertations

This dissertation explores the firsthand experiences of autistic and neurodiverse individuals in social and extracurricular settings. Grounded in symbolic interactionism and disability studies, this study leveraged qualitative interviews to provide greater insight into the extracurricular lives of autistic persons and the quality of preparation and education provided to said participants to successfully navigate those experiences. Due to the limited number of studies on this topic, and the tendency of programs to focus on general skill development for this population, significant attention was also given to investigating the activity-specific skills needed for various social and extracurricular activities.

Understanding the intricacies in …

Occupation Based Program Development For Indigenous American Populations, Abby P. Glenn

Occupational Therapy Doctoral Capstones

Indigenous peoples in the United States face environmental, socioeconomic, and educational disparities that contribute to the high prevalence and disproportionately higher risks of chronic diseases compared to the average American. Recent literature recognizes knowledge gaps among providers in delivering culturally competent care, and occupational therapy’s (OT) emerging role in primary care shows promising potential for addressing barriers in chronic disease management. However, existing studies have not established a clear framework for how therapists can use OT’s client-centered philosophy to help Indigenous populations address health management in primary care. This project addressed the limited literature by piloting a culturally relevant health …

Characterization Of Free Oxylipins In Extracellular Vesicles From Bovine Milk, Kai Filio

Food Science (MS) Theses

Background. Extracellular vesicles (EVs) are membrane-bound nanostructures released by human and bovine mammary epithelial cells that carry bioactive lipids and oxidized lipid metabolites. Found in bovine milk, EVs contribute to immune modulation, gut health, and cellular signaling. However, gaps remain in understanding the full composition of milk-derived EVs and how processing alters EV content. This research aimed to characterize the free oxylipin content of EVs from bovine milk treated by pasteurization and homogenization. The hypothesis was that EVs from raw bovine milk would retain higher oxylipin levels than processed milk. Methods. Raw milk was treated by high-temperature short time (HTST), …

Pathways To Progress: Understanding Gender Gaps Across Life Stages In The Asean Region, Debbie Wong, Jacqueline Cheng, Elizabeth Cassity, Jeaniene Spink, Payal Goundar, Jeffery H. Marshall

International Education Research

The ASEAN region continues to grapple with some of the world’s most pronounced disparities in educational outcomes. Addressing foundational learning gaps and promoting equity and inclusion for girls, women and marginalised groups remains a central priority in both educational improvement and labour market reform agendas regionally and internationally. This report presents new insights into the factors shaping human development outcomes for girls, women and marginalised groups in the ASEAN region. It supports the priorities under the Initiative for ASEAN Integration (IAI), which aims to reduce development disparities among ASEAN member states. Grounded in case studies from the newer ASEAN member …

Keeping The Beat: A Case On The Effects Of Communication In Musical Teams During Performances, Shane Christie

Theses/Capstones/Creative Projects

This case study examined whether the effects of positive team affect and team communication quality on the performance quality, or taskwork quality, of teams comprised of musicians, and if team communication quality could further improve the taskwork quality of a group of musicians. It was believed that participants with higher positive team affect scores would perform at a higher taskwork quality than those with lower positive team affect scores. In addition, it was believed that participants that engaged in higher-quality team communication during performances would strengthen this relationship, further increasing taskwork quality. The participants were divided into teams, and the …

The High Cost Of Law School Casebooks, Jeffrey Bellin

William & Mary Bill of Rights Journal

Commentators have forecasted the demise of high-priced commercial casebooks for two decades. Yet little has changed. This Symposium Essay explores the headwinds facing free and low-cost books in the law school casebook market. It suggests that the biggest problem is “casebook selection inertia.” Given the centrality of the assigned casebook to a typical law school course, professors face strong incentives to make a safe choice from among the leading casebooks—typically those published by the handful of established academic presses who set the highest prices. These choices stick, not only determining the book that will be used for that professor’s future …

Expanding The Foreign National Prohibition To Combat Russian Interference In U.S. Elections, Hailey Arnett

William & Mary Bill of Rights Journal

In 2016, the Russian government purchased political advertisements from U.S. social media companies like Facebook to sway the U.S. presidential election. These purchases violated the foreign national prohibition (“the Prohibition”), which Congress codified as part of the Federal Election Campaign Act Amendments of 1974 (FECA). This Note explains why Congress should expand the Prohibition to capture the recipients of independent expenditures that violate the Prohibition and fine people who run online platforms that receive independent expenditures or contributions made by foreign nationals in violation of the Prohibition.

Part I describes current U.S. case law on domestic and foreign campaign finance …