Digital Commons Network^™

Utilizing Artificial Intelligence As A Strategic Risk Management Tool For Public Sector Operations And Auditing Processes, Oğuz Ümit Tamer, Bruce D. Mcdonald Iii, Farouk Hemici, Georgia Kontogeorga

School of Public Service Faculty Publications

Symbolizing a significant turning point in the historical landscape, AI is becoming an effective tool in today's public administration, not only for increasing capacity, quality, and speed in services, but also for strategic risk management. Regulators and algorithmic auditing play a central role in implementing fairness, transparency, and persistent controls against risks in AI systems. Discussing modern applications of AI, such as anomaly-based fraud detection, resource estimation, and continuous auditing, and their respective strengths and weaknesses, this study concludes that AI significantly enhances efficiency and oversight but also poses the risk of enshrining bias, opacity, and accountability gaps. By considering …

Impact Of High School Racial Composition On Intercultural Competence Of Undergraduate Students, Ryuto Hashimoto

All Graduate Theses, Dissertations, and Other Capstone Projects

Since the US population continues to become more diverse, it is important to foster students' intercultural competence (ICC) so that they can work collaboratively with people from different backgrounds. The existing studies have examined the impact of socialization at school on youths' development in their attitudes and behaviors in the context of classroom. However, we know little about whether or not the organizational and individual characteristics have an impact on students' ICC development. This study explored the impact of high school racial composition and individual factors such as gender on the ICC of undergraduate students. The study used the course …

Cultivating The Competitor: Advocacy, Competition And Education, Vanessa Fowler

All Graduate Theses, Dissertations, and Other Capstone Projects

This thesis explores the intricate balance between advocacy, competition, and education within collegiate forensics, aiming to understand how these elements coexist and influence the experiences of students and coaches. The literature review highlights the multifaceted nature of student success, emphasizing the importance of a holistic approach that includes personal development, emotional well-being, and societal contributions. The research examines the critical role of self-efficacy and motivation, both intrinsic and extrinsic, in driving student achievement. It also addresses the tension between competition and education, advocating for a balanced approach that supports holistic student development. Through semi-structured interviews with current competitors, coaches, and …

Exploring Front-Line Implementers Perceptions To Inform Tier 1 Pbis Implementation Coaching, Sammi Cowger

All Graduate Theses, Dissertations, and Other Capstone Projects

The successful implementation of universal practices within Positive Behavior Interventions and Support systems (Tier 1 PBIS) relies on front-line implementers to deliver services through student-facing practice elements. However, schools are often limited in the implementation support they can provide (Fixsen et al., 2005). Therefore, there is a growing emphasis in educational research on the systems and resources necessary to support the individuals tasked with implementing the programming (Forman et al., 2013). One form of support commonly used to support implementers of other school-based practices is implementation coaching. While this term is not universally used within the literature, it can be …

Racial Diversity Matters: Experiences Of Dental Hygienists Of Color In Education And Practice, Sonika Masih

All Graduate Theses, Dissertations, and Other Capstone Projects

Oral health is important to overall health. Poor oral health can affect a person’s ability to smile and chew, and can negatively affect their self-esteem. Poor oral health can lead to systemic diseases and even death. Therefore, access to dental care is vital for maintaining a quality of life, but people of color often lack access to this essential care. Negative stereotyping, color blind attitudes, and providers' biases are barriers for people of color to access dental care. Dental hygienists play a crucial role in removing barriers to oral healthcare for underserved populations. However, the dental hygiene profession does not …

Community Perceptions Of Police Capacity And Police Legitimacy In Seattle: Are They Connected?, Rafail Markodimitrakis

Master of Arts in Criminal Justice Theses

Police legitimacy is of ongoing concern for police agencies in their interactions with the public. Police legitimacy is impacted by a range of factors. After the murder of George Floyd and the subsequent protests calling for systemic changes in policing, police legitimacy ratings declined in the United States. In the city of Seattle, police legitimacy ratings declined dramatically coinciding with an historical decrease in police staffing leading to a staffing crisis. The current study aims to investigate how community perceptions of police capacity in Seattle impact community perceptions of police legitimacy at citywide, precinct and neighborhood levels. Quantitative and qualitative …

Self-Reported Prevalence Of Traumatic Brain Injury Among Law Enforcement Officers, Jennifer Lee Matheson

Master of Arts in Criminal Justice Theses

Traumatic brain injuries (TBIs) have been extensively studied in sports, military, and criminal contexts, revealing significant prevalence rates and impacts on cognitive function, emotional regulation, and behavioral outcomes. However, the prevalence, patterns, and implications of TBI within law enforcement populations remain unexplored, presenting a gap in occupational health research. This gap is notable given that law enforcement officers face unique occupational hazards including physical confrontations, vehicle pursuits, and training-related exposures that may elevate their risk for neurological injury. While extensive research documents the impact of TBI on decision-making, executive function, and emotional processing, all critical competencies for effective policing, limited …

Utilitzing A Nurse Triage Model To Decrease The Administrative Burden Of Emr Messaging, Pamela B. Schneider

DNP Projects

Abstract

Background: The volume of Electronic Medical Records (EMR) messages from patients to providers continues to rise, yet clinic workflows have not been adequately restructured to accommodate. Increased EMR, especially the inbasket, is associated with provider burnout and decreased job satisfaction, contributing to provider turnover.

Purpose: To improve the triage and distribution of the EMR messaging workload

Method: A Nurse Triage Flowchart was implemented in the Gastroenterology Clinic at the University of Kentucky to help RNs/MAs triage patient messages for improved workflow. Surveys were completed by RNs/MAs and providers before and three months post-implementation. Data from EPIC over six …

“What We Say Matters”: Reducing Drug Use Stigmatization By Healthcare Professionals Through A Narrative-Based Awareness Campaign, Adam M. Traugott

DNP Projects

Background: Stigma towards substance use has been identified as a contributor to poor care and health outcomes amongst people who use drugs (PWUD), a vulnerable population. Healthcare worker stigma negatively affects the outcomes of individual patients and may have greater public health implications. Methods of addressing drug-use stigma have previously been implemented in a variety of clinical settings. Presenting the lived experience of PWUD to healthcare workers via emotionally compelling narratives has been found to be an effective means of stigma reduction.

Purpose: This study utilized two psychometrically validated tools to measure (1) the baseline prevalence of drug use stigma …

Evaluating A Public Health Program Using The Cdc Framework: A Case Study Approach, Brooke A. Poe

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

In Bourbon County, Kentucky, where rural health challenges and chronic disease burdens persist, a coalition of public health partners set out to improve population-level physical activity through an innovative, community-centered initiative. The Bourbon County Physical Activity Program emerged through collaboration between the Bourbon County Health Department, the University of Kentucky College of Public Health, and UK HealthCare. Together, these partners designed a six-month intervention that combined discounted YMCA memberships, partnerships with employers, a physical activity tracking app with behavioral incentives, and community-wide events to promote accessible and sustained engagement.

Guided by the CDC’s framework for program evaluation in public health, …

The Expressive Effects Of Bilateral Labor Agreements, Ian G. Peacock

Chicago Journal of International Law

Bilateral labor agreements (BLAs) aim to facilitate the movement of temporary migrant workers between countries. So far, studies of BLAs have focused on whether they have effects on migration flows. Despite countries entering hundreds of BLAs, evidence for their effects on migration flows remains limited. Yet, even if BLAs have limited material effects, they may still have important symbolic effects. On this topic, this Comment highlights BLAs’ potential to change rhetoric about international migration among heads of state. Drawing on an original empirical analysis focused on BLAs with the Philippines, the Comment analyzes how BLAs may influence leaders’ expressed attitudes …

Influence Of Perceived Health Provider Communication, Diabetes Duration And Age At Diagnosis With Confidence In Diabetes Self-Care, Courtney L. Ortz, Meredith S. Duncan, Oluwatosin Leshi, William B. Burrows, Brittany L. Smalls

Family and Community Medicine Faculty Publications

Introduction: Several factors influence individuals’ confidence to perform diabetes-related self-care activities, including perceived patient-provider communication, diabetes duration and age at diagnosis. It has been well-documented that patient-provider communication is essential when managing chronic diseases such as diabetes; however, the impact of this communication with diabetes duration and age at diabetes diagnosis on confidence in performing self-care behaviors is obscure.

Research design and methods: We utilized data from the 2021 Household Component of the Medical Expenditure Survey among participants 18 years or older who had completed the Diabetes Care Survey. Ordinal logistic regression models were utilized to assess the association between …

Distribution Of Supplemental Educational On Pharmacology To Assist Mental Health Technicians On The Behavioral Health Unit In Leading Group Therapy Sessions: A Quality Improvement Project, Bree T. Mastromarino

Master's Theses and Capstones

Background

Staff within the microsystem strive to provide quality care to patients experiencing acute mental health crises in hopes of stabilizing their condition, allowing them to function safely and appropriately among others. This will hopefully lead to eventual rehabilitation back into society. The main technique used in this microsystem for the rehabilitation of patients is providing group therapy (GT) sessions. These sessions teach healthy coping mechanisms and encourage internal reflection on triggers that could be contributing to emotional instability.

Local Problem

Recently, the leadership team has made the decision that Mental Health Technicians (MHTs) and social workers will lead the …

Theatre Education At The University Of Montana: Providing Innovative Solutions To A Complex Problem, Natalie Renk

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This paper is part of a larger project that aims to provide solutions to assimilate the University of Montana’s theatre education program with those across the United States by providing budget conscious innovations. The focus of this paper will be the creation of two methods courses: THTR 438: Content for Secondary Theatre Education and THTR 439: Skills for Theatre Education, this paper discussing the former. The latter was designed by my research partner, Ren Shepherd. This course would offer comprehensive coverage of theatre practitioners, both historical and modern theatrical texts, hands on design and budgeting experience, as well as teaching …

Bridging The Digital Divide In Biomedical Healthcare: Policy Solutions For Equity In Access, Literacy, And Infrastructure, Brooke E. Turner, Emmy L. Colon Alamo

Undergraduate Scholarship and Creative Works

This paper explores the intersection of digital inequity and biomedical healthcare access in the United States, positioning the digital divide as a structural determinant of health. As telehealth and digital platforms become central to care delivery, communities lacking broadband infrastructure, digital literacy, and affordable internet access face compounded barriers to equitable healthcare. The study introduces five critical dimensions—access, availability, adequacy, acceptability, and affordability—as a framework for addressing these disparities. It proposes the Rhizomatic Digital Ecosystem Framework to guide national and local interventions, emphasizing the need for public investment in broadband expansion, digital education, and affordability programs. By treating digital access …

Recognizing And Responding To Moral Distress: Using Transformational Leadership To Increase Nurse Leader Thriving, Miriam Dowling-Schmitt

DNP Scholarly Projects

Background: Moral distress, burnout, and compassion fatigue in acute care nurses has increased significantly since the Covid-19 pandemic and has been associated with high levels of nursing turnover and increased costs to healthcare systems. Nurse leaders at the study organization had never received education on recognizing and responding to moral distress. Nursing engagement scores were low at the study organization in the areas of leadership support and well-being investment in nurses.

Problem Description: Between 2017 and 2021 job satisfaction for nurses with direct patient care responsibilities decreased in 20 of 21 categories according to the Bureau of Health Workforce. High …

A Care Expansion Initiative: Providing Awareness And Access To Resources For Patients With Celiac Disease: A Quality Improvement Project, Jennifer Kumin

DNP Scholarly Projects

Background: Celiac disease (CD) is projected to be the most common genetic autoimmune disease in the world with 1% or 3 million people effected in the United States. It is estimated that as many as 70% of those effected are not aware. Diagnosis routinely takes 10-12 years from the initial onset of symptoms, exposing patients and the healthcare system to significant cost and stress through excess testing and misdiagnosis. One area that is often referenced in barriers around celiac disease is the lack of awareness and education specifically with patients, healthcare providers, and the community at large.

Methods: In this …

Critical Incident Debriefing: Impact On Oncology Nurses And The Infusion-Related Reaction Care Bundle, Megan A. Corbett

DNP Scholarly Projects

Background: A critical incident is a sudden, unexpected, emotionally distressing event commonly experienced by oncology nurses. Debriefing is an evidence-based best practice that facilitates communication, reflection, and learning to identify quality improvement opportunities to enhance clinical practice, patient safety, and quality of care. However, debriefing within oncology care settings is inconsistent despite the demonstrated benefit and availability of frameworks. Infusion-related reaction management follows an algorithm that directs care delivery, aligning with a care bundle approach. Care bundles, when consistently and reliably applied, help identify connections between the critical incident (i.e., infusion-related reaction) and opportunities for improvement to ensure clinicians follow …

Design And Implementation Of A Nursing Peer Practice Case Review Program In An Academic Surgical/Trauma Icu, Natalie Tredway

DNP Scholarly Projects

Background: Peer review has been in use in healthcare for many years, primary by physicians. Recently, however, nursing has adopted a framework for peer review within the profession. According to the American Nurses Association (admin, 2011), organizations are required to maintain a systematic peer review process aimed at evaluating nursing care and nursing care providers to obtain/maintain Magnet designation. According to Foster (2015) nursing peer review (NPR) is “process by which practicing registered nurses systematically assess, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice”. The focus is on …

Implementation Of A Standardized Educational Training Series For Anaphylaxis Recognition And Epi-Pen Administration To Non-Licensed Personnel In A School Setting, Katherine T. Darak

DNP Scholarly Projects

Background: Anaphylaxis is a life-threatening allergic reaction that requires early recognition and administration of intramuscular epinephrine. In the elementary school setting, non-licensed personnel are often the first staff to identify this, making training and preparedness essential. This quality improvement project aims to enhance school personnel knowledge, confidence, and competence in recognizing and managing anaphylaxis through a standardized educational training series.

Purpose: The purpose of this quality improvement project aimed to increase the knowledge, confidence, and competence of non-licensed personnel in managing and responding to anaphylaxis in the school setting. Participants accessed the educational module and hands-on training interventions …

Promoting Rapid Identification Of Oncological Emergencies In The Emergency Department : A Quality Improvement Project, Christine Hart Brown

DNP Scholarly Projects

BACKGROUND: The American Cancer Society estimates 2,041.90 new cases of cancer in the U.S. (1 in 18 Americans) with a global projection of thirty-five million new cases annually by 2050. With this alarming increase, early recognition of oncological emergencies in the Emergency Departments is essential. Life-threatening conditions require rapid assessment, accurate diagnosis, and immediate interventions. Qualified emergency nurses must understand the effects that cancer and treatment have on the immune, metabolic, and hematologic systems. This quality improvement (QI) project focuses on assessing emergency nurses’ oncological knowledge of acute emergencies and providing a resource for rapid identification.

PROBLEM STATEMENT: …

Chronically Online: Apportioning Liability In Social Media Litigation Based On User Engagement, Rebecca Vangelos

Fordham Law Review

The average American teenager spends nearly five hours on social media every day. This result is by design: social media platforms like Instagram, Snapchat, and TikTok deploy persuasive technologies—including infinite scroll, personalized content recommendation feeds, and dark patterns—to capture and retain teen attention. These intentional design features exploit adolescent vulnerabilities to foster social media dependency. Accordingly, a growing body of scientific evidence links the extensive use of social media to the teen mental health crisis in the United States.

Despite these negative effects, social media companies have largely evaded accountability for the harm they have caused to teens. Recent lawsuits …

Empowering Reproductive Health & Access To Enhance College Student Well-Being: A Mixed Methods Community Engaged Proposal, Allison Maladore

CGU Theses & Dissertations

This study is a proposal developed in response to the need for the expansion of reproductive health services in institutions of higher education. College-age young adults in the age group of 18 to 24 are particularly vulnerable to unintended pregnancies, sexually transmitted infections, and participate in risky behaviors such as alcohol usage and illicit drug consumption which can increase the likelihood of unsafe sexual behaviors. Reproductive healthcare access is linked to academic success, improved health outcomes, and holistic well-being. The proposal utilizes a community-engaged socioecological approach to create a roadmap and implementation plan to expand reproductive services and access to …

(Re)Imagining Linguistic Justice Through Pláticas: Dual Language Educators’ Perspectives On Restorative Practices, Lysandra Pérez

CGU Theses & Dissertations

This dissertation examines the pervasive impacts of linguistic imperialism in U.S. dual language classrooms, focusing on restorative language justice practices designed to address the harm caused by manifestations of linguistic oppression, including language policing, linguistic surveillance, and language discrimination (Cameron, 2014; Tuck & Yang, 2012). Grounded in LangCrit (Crump, 2014) and Raciolinguistics (Flores & Rosa, 2015), this study centers the voices and lived experiences of minoritized bilingual educators in Central Washington and Southern California, highlighting their insights and calls for transformation within bilingual education. Through pláticas en grupo (Fierros & Delgado Bernal, 2016), dual language educators co-created restorative practices that …

The Migration Of Abolition Theory, Matthew Boaz

North Carolina Law Review

No abstract provided.

Unintended Consequences: North Carolina Victim Notification Laws After Dobbs, Catherine Dunham, Morgan Woodward

North Carolina Law Review

No abstract provided.

The Mathematical Struggle: A Peer’S Review Of Mathematics Education, Joshua Brobst

All Student Scholarship

This paper explores the perceived bias against the mathematics (math) discipline. Specifically, it will explore the concept of math anxiety (MA) and why the broad idea of the apparent negativity towards math is so pervasive. The paper does so through two different avenues; the first approach being a literature review of the data and arguments from psychology and math education journals that have been previously published. The second method provided is one performed specifically for this thesis in which data from a University of Southern Maine (USM) MAT 100 course was collected from student responses submitted at the end of …

Vacuuming Outer Space: Incentivizing Active Space Debris Removal Through A Licensing Model, Alex S. Li

Buffalo Law Review

The increasing proliferation of space debris is jeopardizing satellites, space stations, and other ambitious activities in Earth’s orbits. This Article explores this growing concern and proposes an innovative licensing regime as a solution. It begins by surveying the space debris problem and examining the legal frameworks—both binding treaties and non-binding guidelines—that influence its management and mitigation. The paper then critically assesses several proposals advanced by legal scholars to bridge the gaps between these binding and non-binding measures, highlighting the issues these solutions face. In order to address these challenges, the Article advances a more collaborative and flexible approach: a licensing …

Immature (Data) Privacy, Yutang Hsiao

Buffalo Law Review

Sharenting, a combination of the words “sharing” and “parenting,” is a double-edged sword. It can cut both ways because even though it benefits parents by being a source of support and fostering community, it harms children in various significant and nuanced ways. While the world blames parents for sharing too much of their children’s data on social media, other actors also play a role and should share the blame. In this Article, I argue that the most fundamental question sharenting raises is in what ways children’s privacy is violated, and who commits the violation. Social media, as one of the …

Remote Infant Studies Of Early Learning (Rise): Scalable Online Replications Of Key Findings In Infant Cognitive Development, Rhiannon Luyster, Elena Tenenbaum1, Caitlin Stone, My H. Vu, Madeleine Hare, Kristen Gilyard, Sudha Arunachalam, Elika Bergelson, Somer Bishop, Michael Frank, J. Kiley Hamlin, Melissa Kline Struhl, Rebecca J. Landa, Casey Lew-Williams, Melissa E. Libertus, Julie Markant, Maura Sabatos-Devito, Stephen J. Sheinkopf, Jennifer B. Wagner, Kayle Park, Anna I. Soderling, Ashleigh K. Waterman, Jordan N. Grapel, Amit Bermano, Yotam Erle, Shafali Jeste

Emerson Authors, Researchers, & Creators

The current manuscript describes the Remote Infant Studies of Early Learning (RISE), a battery intended to provide robust looking time measures of cognitive development that can be administered remotely to inform our understanding of individual developmental trajectories in typical and atypical populations, particularly infant siblings of autistic children. This battery was developed to inform our understanding of early cognitive and language development in infants who will later receive a diagnosis of autism. Using tasks that have been successfully implemented in lab-based paradigms, we included assessments of attention, memory, prediction, word-recognition, numeracy, multimodal processing, and social evaluation. This study reports results …