Digital Commons Network^™

Reducing Catheter-Associated Urinary Tract Infections In Progressive Care, Kelli S. Bylsma

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Catheter-associated urinary tract infections (CAUTI) harm patients and increase healthcare costs. In fiscal year 2025, the progressive care unit reported a CAUTI rate 2.5 times the National Healthcare Safety Network benchmark of 1.0 infection per 1,000 catheter days. A gap analysis revealed that the project site lacked a policy mandating chlorhexidine baths for catheterized patients, resulting in suboptimal catheter hygiene and ineffective bactericidal intervention.

Aim of the Project: The aim of the quality improvement project was to reduce CAUTI rates by 50% through daily chlorhexidine baths for catheterized patients in the progressive care unit.

Review of the Evidence: Recent …

Strengthening The Shield: Exploring Post-Traumatic Growth In Law Enforcement, Aaleiyah C. Spaulding

Dissertations

Law enforcement officers are routinely exposed to traumatic incidents that can lead to psychological distress, including posttraumatic stress disorder (PTSD). However, emerging literature highlights the potential for posttraumatic growth (PTG), a positive psychological change following adversity. This study examined the prevalence and predictors of PTG in a sample of 33 police officers from a Midwestern department. Using validated self-report measures, the study assessed the role of trauma exposure, cognitive restructuring of core beliefs, and perceived organizational culture, particularly supervisor support. Results indicated that both internal (core belief reflection) and external (supervisory support) factors significantly predicted PTG. Additionally, involvement in a …

The Effects Of Functional Coaching On Increasing Functional Play Behaviors In Adults, Abby L. Pattengale

Theses and Dissertations

Play is a critical developmental context for children with autism spectrum disorder (ASD), supporting cognitive, social, communication, and adaptive skill development. However, many adults, specifically registered behavior technicians (RBTs), demonstrate limited engagement in developmentally appropriate play behaviors, which can restrict the quality of play-based interventions, which are essential for effective treatment. However, little research has examined interventions designed to improve adult play behaviors. The purpose of this study was to evaluate the effects of functional coaching on increasing adult functional play behaviors during therapy sessions with children diagnosed with ASD. Two RBTs participated in the study, and two children receiving …

Improving Iv Access Outcomes In Obstetric Care Through A-Diva Scale Utilization And Point-Of-Care Ultrasound, Parth S. Patel, Matthew T. Komorowski

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Obstetric (OB) patients frequently present physiological changes, including edema, obesity, and peripheral vasoconstriction, that increase the risk of difficult intravenous access (DIVA). Multiple IV attempts can delay time-sensitive therapies in obstetric emergencies and increase patient discomfort and provider workload. Research studies have supported the use of the Modified Adult Difficult Intravenous Access (A-DIVA) scale to assess patients for DIVA, and the use of point-of-care ultrasound (POCUS) guided peripheral intravenous access (PIVA). In 2025, a preceding Doctor of Nurse Anesthesia Practice (DNAP) project implemented A-DIVA in the Labor & Delivery (L&D) unit of an OB department and found that 35% of …

From Gap To Growth: Academic Librarian Perspectives On Why Collaboration And Curriculum Matter, Stephanie Hallam

Library Faculty Scholarship

Incoming undergraduate students possess information literacy skillsets impacted by several factors, such as prior development of information literacy skills, librarian-faculty collaboration, and GenAI advancements. Academic librarians’ perspectives on undergraduate students’ library use and information literacy skills were examined via a 2025 survey of 337 undergraduate academic librarians. Using the Pearson bivariate method, the authors identified themes pertaining to the challenges students face as well as librarian-proposed solutions. Open responses from librarians provide additional insights. The results showed that librarians desire faculty partnerships and collaborative library instruction to improve information literacy skills and library use.

Empowering Domestic Violence Survivors Through Community-Based Self-Regulation Suppor, Xen Gabrielle O. Advincula

Occupational Therapy Student Capstones

Purpose: Program development of trauma-informed, occupation-based resources and program and incorporating OT-related principles to support occupational balance and engagement of survivors of DV and IPV

Goal: Enhance and support the staff’s capacity and understanding of OT-scope in community settings and incorporation of OT-focused self-regulation strategies

Outcome: Increase the staff’s confidence levels of knowledge on the scope of OT within community-based settings and OT-related strategies to support self-regulation levels

Occupational Therapy Approaches To Mitigating Cancer-Related Fatigue (Crf): A Scoping Review And Practice Framework, Brooke Carson

Occupational Therapy Student Capstones

Goal: Improve knowledge and competence in CRF management through evidence-based education to improve CRF interventions in oncology rehabilitation

Outcome: Increased confident and application of evidence based CRF intervention strategies, leading to improved functional performance and occupational engagement for individuals experiencing CRF

Enhancing New Mother's Mental Health And Confidence After Discharge, Breana De La Cruz

Occupational Therapy Student Capstones

New mothers lack guidance, education and resources for common postpartum complications resulting in a decreased overall wellbeing in the postpartum period.

Healing After Loss: Maternal Wellness Following Perinatal Loss, Farah S. Hakim

Occupational Therapy Student Capstones

Perinatal loss can disrupt women's roles, routines, identity, and emotional well-being.

Postpartum services often focus on medical recovery within healthcare settings.

Limited occupational therapy and culturally responsive resources exist after perinatal loss

Kickin' It Old School: Connecting The Ages, Elyssia Lambert

Occupational Therapy Student Capstones

Problem Statement

Lack of social participation is associated with negative impacts on QoL in individuals with dementia

Lack of awareness and knowledge of OT as a career option

Supporting The Transition: A Summer Camp Model For Students With Adhd Entering Middle School, Anna G. Schene

Occupational Therapy Student Capstones

Students transitioning from elementary school to middle school experience newfound independence, requiring sufficiency in their executive functioning skills. The school-based OT service delivery does not always include or target this population, leaving students without the support needed to develop these skills.

Learn As You Are: Equipping Key Educational Stakeholders With Neuro-Affirming Knowledge To Support Inclusion Of Autistic Students, Jessalyn Sulamo

Occupational Therapy Student Capstones

Students throughout the autism spectrum often experience challenges relating to social and communication difficulties, sensory challenges, and inflexible approaches that hinder their social, emotional, and academic well-being (Black et al., 2024).

Hope College Magazine, Volume 58, Number 1: Summer 2026, Hope College

Hope College Magazine

No abstract provided.

Fy 2024-2025 Annual Report (Lwlc), Lwlc Faculty And Staff

LWLC Publications

No abstract provided.

Dnp Final Report: Implementing The 5-2-1-0 Lifestyle Framework To Address Elevated Bmi In Pediatric Primary Care, Mary K. Williams

DNP Final Reports

Pediatric obesity remains a significant public health concern, particularly in rural areas where access to specialty care is limited. Primary care settings provide an important opportunity for early identification and intervention through family-based lifestyle modification. The purpose of this quality improvement project was to evaluate the feasibility and preliminary impact of implementing the 5-2-1-0 healthy habits framework, developed by researchers at Penn State, in a rural pediatric primary care clinic to promote improved lifestyle behaviors among children with elevated body mass index (BMI).

This project included pediatric patients ages 5–16 years presenting for well-child visits with a BMI at or …

Adaptive Sports Program & Wellness Initiatives For Individuals With Intellectual/Developmental Disabilities Beyond The Service Cliff, Jordan Pare, Erin K. Wells

OTD DEx Reports - College of Pharmacy and Health Sciences

Young adults with Intellectual and Developmental Disability over the age twenty-one face significant barriers to accessing support in mental health, physical activity, and social communication opportunities due to the loss of federal educational entitlement at this age. Individuals with a disability who lose their educational funding at age twenty-one may be forced into underfunded and uncoordinated systems for support, also known as the service cliff. This paper evaluates the benefits of implementing an adaptive sports program for this population, which research suggests can foster social and physical needs while influencing executive functioning in mental health. The benefits of providing education …

Toward Intentional Praxis: A Design Thinking Multi-Case Study Of Cognitive-Constructive Toolkit Implementation In An Elementary Professional Learning Community, Azam Nathaniel

Dissertations

Among several learning theories that were dynamic and constantly evolving with time, cognitive and constructive theories were predominant in the field of education. However, these theories often included overlapping and contrasting concepts, contributing to confusion in terminology among teachers and limited explicit use in instructional practice. Within the context of K-12 education, teachers demonstrated conceptual awareness of cognitive and constructive learning theories; however, the theories were not a part of day-to-day conversations and were minimally identified in practice. Instead, the theories were implicitly applied as teachers balanced competing professional responsibilities, including daily routines, syllabus requirements, district standards, new initiatives, differentiated …

Production Country Origin Impact On Soybean Oil Quality, Huazhen Liu, Micah Pope, Todd Doehring, Pradeep Kachroo, David Hildebrand

Plant and Soil Sciences Faculty Publications

Previous studies have suggested variability in soybean oil quality depending on geographic origin of the soybeans. In this study, 1035 crude degummed soybean oil (raw oil unrefined except for degumming) samples collected from vessels and crushers over five harvest years (2020–2024) were analyzed for 11 key quality attributes. Soybean oil samples were sourced from soybeans that originated from the United States, Brazil, and Argentina. The results indicate that US-grown soybeans consistently produce the highest-quality oil, characterized by the lowest free fatty acid (FFA) levels and lowest neutral oil loss (NOL). Oils from US soybeans also exhibited the highest iodine values. …

Breaking Barriers: Empowering Mothers Through Occupation-Based Education, Jessica J. Valencia, Justine Faghihifar, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

This capstone project evaluated the implementation of an occupational therapy-informed educational program for mothers, with children under the age of 18, who have experienced intimate partner violence at Genesis Women's Shelter & Support. The purpose of the project was to promote occupational engagement through education focused on stress management, sleep and rest, routines and habits, memory and attention, parenting and communication, and leisure participation. A needs assessment informed the development of a six-week bilingual intervention consisting of group and individual sessions. Program outcomes were evaluated using pre- and post-intervention assessments, participant feedback, and clinical observations. The project demonstrated improvements in …

Empowering Independence For Young Adults With Disabilities, Grace Sloan, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

Young adults with disabilities often face challenges in maintaining and finding employment, living independently, and participating socially. The purpose of this capstone project was to develop a program to enhance job readiness, independent living, and social participation skills for young adults with disabilities. This project highlighted the need for occupation-based activities to support the transition from high school to adulthood for young adults with disabilities.

Advocacy For Inclusive Play In South Dallas: Expanding Access For Children In Underserved Areas, Aryanna Fellows, Mary Jan Greer

Summer 2026 OTD Capstone Symposium

This capstone project aimed to advocate for more inclusive and accessible playgrounds for children of all abilities in underserved communities in South Dallas. Guided by the Person-Environment-Occupation-Performance (PEOP) Model, the project evaluated playground accessibility and identified environmental barriers that limit participation for children with disabilities. Methods included a community needs assessment, playground observations using a standardized accessibility assessment tool, surveys, and stakeholder collaboration. Participants included community members, caregivers, organizational stakeholders, and children who utilize local playgrounds. Findings were synthesized to develop evidence-based recommendations and educational resources to support future playground improvements. The expected outcomes included increased awareness of inclusive playground …

Calm, Confident, Capable: An Educational Manual To Support Effective Oral Care For Children With Autism, Jared D. Morgan, Leah I. Stein Duker, Carrie Alvarado, Angela Labrie Blackwell

Summer 2026 OTD Capstone Symposium

Dental health professionals report limited confidence, perceived competence, and preparedness when providing oral health care to autistic children, which can significantly impact patient participation, quality of care, and overall dental experience. Autistic children are more likely to have dental conditions compared to their neurotypical peers. The methods of this project consisted of four phases being development, preview, revision, and dissemination. The purpose of this project was to develop an educational manual that provides dental health professionals with practical knowledge, skills, and abilities to address the needs of autistic children, to ensure effective oral health care. The expected outcomes of this …

Occupational Therapy Education In A Changing Climate, Elizabeth Ballenger, Amy Lyons-Brown, Elizabeth Richardson

Summer 2026 OTD Capstone Symposium

This doctoral capstone explored how occupational therapy can strengthen its response to climate change and planetary health through education, collaboration, and organizational development. In partnership with SOTER and Project PrOTect, the project used literature review, needs assessment, stakeholder engagement, and interdisciplinary learning to develop strategic frameworks, educational resources, and digital dissemination tools. The project emphasized building organizational capacity, expanding occupational therapy’s role in planetary health, and leveraging international collaboration to support sustainable, occupation-centered action.

Beyond The Athlete: An Autoethnographic Exploration Of Occupational Identity, Sofia Paniagua-Bauer, Karen Park

Summer 2026 OTD Capstone Symposium

Adolescent student-athletes experience unique demands as they navigate the expectations of competitive sport alongside academic, social, and developmental responsibilities. These demands may influence mental health, executive functioning, occupational balance, and the development of occupational identity. The purpose of this Doctor of Occupational Therapy (OTD) capstone project was to explore the development of occupational identity through the lived experience of growing up as a competitive athlete and to examine how participation in sport influenced mental health, self-regulation, executive functioning, and engagement in meaningful occupations. An autoethnographic approach was used to reflect on my personal experiences while completing a capstone experience at …

Supporting Firefighter Families: Addressing Occupational Disruptions Through An Occupation-Centered Approach, Tiana M. Gomez, Jazminne Orozco Arteaga, Karen Park

Summer 2026 OTD Capstone Symposium

Firefighting involves long shifts, unpredictable schedules, sleep disruption, and repeated exposure to occupational stressors that may affect not only firefighters but also their families. This doctoral capstone examined how the occupational demands of firefighting influence family roles, routines, habits, participation, and overall well-being. A convergent mixed-methods study included active or retired firefighters (n = 18) and adult firefighter family members (n = 10), with three participants also completing optional semi-structured interviews. Quantitative survey data were analyzed descriptively, while interview transcripts and open-ended responses were analyzed thematically using the Model of Human Occupation as a guiding framework. Findings demonstrated disruptions in …

Ethos: A Computational Framework For Material Culture Research, Chelsea L. Grafe

Department of Textiles, Merchandising and Fashion Design: Dissertations, Theses, and Student Research

Museum catalog records make large collections searchable, but they do not always preserve the reasoning behind the claims they contain. A record may present a quilt's identity as settled while leaving the reasoning behind that claim invisible, making it difficult for later researchers to check, question, or reuse. This project asks whether museum catalog data can be analyzed in a way that keeps each analytical claim connected to the evidence that supports it. To test this question, the project applies a material-first computational framework named Ethos. Ethos formalizes an object-centered inquiry sequence in which material dependencies establish where analysis begins …

The Effect Of The Continuous Care Model On Self-Practices And Quality Of Life Among Preeclamptic Women, Amira Ahmed Altweel, Salma Abd-Elatty Moawed, Amr Mahmoud Riad, Shaimaa Hassan Mohamady

Nursing

No abstract provided.

The Role Of Complexity In Structural Transfer: A Corpus Study From Turkish And Bulgarian, Sarah Joy Russell

Theses and Dissertations

This study the explores the need to examine the increasingly varied methods of quantifying morphological complexity in regards to their ability to influence structural borrowing across languages, with particular attention to the distinction between enumerative complexity (enumeration of all of the morphemes and distinctions in a system) and integrative complexity (entropy-based calculation of the class distinctions of the system). While existing models in contact linguistics often assume that structurally simpler languages are more likely to serve as sources of grammatical transfer, such accounts typically rely on enumerative measures of complexity alone and do not fully account for the role of …

How Much Should A Conversational Recommender System Converse?, Akshit Kumar, Vahideh Manshadi, Akhilesh Tumu

Cowles Foundation Discussion Papers

Conversational recommender systems powered by generative AI can enhance personalization by facilitating information elicitation through follow-up questions. However, engaging in these conversations imposes a communication cost on users. As platforms with different objectives and monetization models deploy these systems, a central question is: how does the platform’s objective and sellers’ strategic response shape the design of these systems in terms of their elicitation strategy? We develop a parsimonious model of conversational elicitation in which interaction generates noisy preference information and imposes a communication cost borne by the user. A user-welfare-maximizing platform elicits more information when accurate niche matching yields large …

Ai Premium, Nicola Borri, Yukun Liu, Aleh Tsyvinski

Cowles Foundation Discussion Papers

Using 380 trillion tokens of realized AI consumption across more than four hundred large language models from the licensed proprietary OpenRouter dataset covering approximately 2 percent of current global monthly AI token consumption, we analyze how AI affects firms, markets, and workers. Leveraging the unprecedented size, scope and granularity data, we construct the AI Factor from growth in tokens, dollars, and users, estimate firm-level AI Betas from stock return comovement, and characterize the AI Premium. First, we build a high-frequency AI factor and decompose it into salient components. Second, we show that firms whose returns covary more positively with the …