Digital Commons Network^™

Implementation Of A Nurse-Led Discharge Protocol To Impact Nurse Confidence And Optimize Transitional Care Management, Jessi-Ann Elrod

Doctor of Nursing Practice Projects

Heart failure (HF) remains a leading cause of hospitalization and readmission, with the transition from hospital to home representing a vulnerable period for patients. Variability in discharge education and follow-up scheduling contributes to poor self-management and adverse outcomes. This quality improvement (QI) project evaluated whether implementing a standardized nurse-led HF discharge protocol impacted nurses' confidence and the rate of 7–14-day transitional care management (TCM) follow-up appointments. Guided by Meleis’ Transitions Theory and Lewin’s Change Theory, a one–group pretest–posttest QI design was implemented on a cardiac step-down unit. Twelve discharge nurses participated. The intervention included a structured education session and the …

Quality Improvement Project Reducing Attrition Rates In Nursing Students: Evaluating The Enhanced Student Success Program, Jason Grigg

Doctor of Nursing Practice Projects

The high attrition rate in the Associate of Applied Science in Nursing (AASN) program created an opportunity to develop the enhanced Student Success Program (eSSP). This is a faculty-based quality improvement project designed to increase support for students at risk of withdrawal from the AASN program. The aim of eSSP is to reduce attrition rates, however, this project evaluated only short-term changes in faculty confidence. Using Lewin's Change Model and the Theory of Planned Behavior as a guide, this QI implemented a one-group pre-post experimental design to determine whether a short eSSP training program, combined with a 5-week implementation period, …

Quality Improvement Project: Gpt Prompts As Tools For Cultural Competence In Undergraduate Nursing Education, Elizabeth K. Hobbs

Doctor of Nursing Practice Projects

In rural nursing programs, student exposure to diverse cultures is limited, which can hinder development of cultural competence. Artificial intelligence (AI) simulation is an evidence-based strategy to improve cultural competence and clinical decision-making, a practice gap exists due to lack of structured, accessible tools. This quality improvement project evaluated whether Generative Pre-trained Transformer (GPT)–based structured prompts would increase culturally inclusive simulation activities and improve faculty perceptions of usefulness and ease of use at a rural community college. The guiding PICOT asked: Among nursing faculty, how does the use of GPT-based structured prompts, compared to an unstructured approach, impact perceived usefulness, …

Quality Improvement Project: Faculty Development For Understanding And Utilization Of Exam Data, Deanne Hutchens

Doctor of Nursing Practice Projects

This quality improvement project focused on inconsistent use and understanding of exam data among Associate Degree in Nursing (ADN) faculty, which can influence teaching decisions and student success. Many nursing faculty enter education with strong clinical backgrounds but limited experience working with exam statistics such as item difficulty, discrimination values, and Kuder-Richardson 20 (KR-20) reliability. Without a consistent approach, exam results may not be fully used to guide remediation or adjust instruction. This Doctor of Nursing Practice (DNP) project examined whether a structured faculty development session could improve faculty confidence and ability to interpret and apply exam data. A pre- …

Quality Improvement Project: Evaluating The Impact Of Provider Education On Sbirt On Screening For Suds, Faith Ogala

Doctor of Nursing Practice Projects

Substance use disorder (SUD) is a serious public health issue in people with psychiatric disorders. However, diagnosis and treatment are often delayed, leading to poor treatment outcomes and increased social and economic costs. The purpose and aim of this Doctor of Nursing Practice (DNP) project was to educate providers on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model to facilitate the timely diagnosis of SUDs in patients with dual diagnoses. The key outcomes were provider knowledge and SBIRT implementation rates. The Donabedian Model of Healthcare Quality assessed the outcomes, whereas Lewin’s Change Model guided implementation. The project employed …

Establishing A Standardized Suicide Risk Screening Policy For Psychiatric Providers: Closing Gaps In Provider Accountability And Clinical Documentation, Fadekemi Olude

Doctor of Nursing Practice Projects

Psychiatric providers in outpatient settings often experience inconsistent confidence and incomplete documentation when conducting suicide risk screening, contributing to missed opportunities for early identification of at-risk patients. This quality improvement project addressed the need for standardized suicide risk screening at an urban outpatient psychiatric clinic. The purpose was to evaluate documentation using the Columbia-Suicide Severity Rating Scale (C-SSRS). Using a pre-post intervention design guided by Lewin's Change Theory and the Donabedian Model of Quality Improvement, a 60-minute training session was delivered to 31 psychiatric providers. Participants completed pre- and post-intervention General Self-Efficacy Scale (GSES) surveys. Chart audits (N = 1,970) …

A Functional Nutrition Literature Review For Brain Fog And Adhd-Like Symptoms In Adults, Natalie Elisani Aldahondo-Matos

Department of Nutrition Student Projects

Attention-deficit/hyperactivity disorder (ADHD) and ADHD-like symptoms, such as difficulty concentrating, mental fatigue, and problems with executive functioning, are increasingly recognized in adults. Although medication is commonly used to manage ADHD, there is growing interest in whether nutrition may also play a role in supporting brain function and attention. Several nutrients involved in brain health including omega-3 fatty acids, vitamin B12, magnesium, iron, and choline  have been suggested as potential contributors to cognitive performance and attention. However, the research examining the connection between diet and ADHD symptoms is still limited and sometimes shows mixed results.

The purpose of this project was …

Quality Improvement Project Ai-Powered Conversations: Enhancing Nursing Students’ Interview Skills, Judy K. Staley

Doctor of Nursing Practice Projects

Professional communication is an essential skill for nursing students, particularly in job interviews. Deficits in professional communication can negatively impact future employment and accreditation outcomes. Current practices in faculty-led mock interviews can be limited by time constraints and the need for consistent feedback, underscoring the need for a more consistent and effective method supported by current evidence-based literature. The purpose of this quality improvement project is to evaluate whether integrating AI-assisted mock interviews into faculty-led practices influences faculty perceptions of student preparedness. Guided by Kotter’s Change Model and supported by the constructivist framework, the project aimed to enhance the effectiveness …

A Case For Mtor Pathway Screening In Early Epilepsy Diagnosis, David Seamons

Student Works

Mutations in the mTOR pathway can give rise to epileptic seizures in patients. While a variety of antiepileptic drugs are available to treat epilepsy, a large proportion of patients will experience refractory seizures (Chen et al., 2018). Additionally, patients with mTOR-related epilepsy may experience reduced efficacy in traditional therapeutic options to treat seizures (French et al., 2016; Hadzsiev et al., 2023; Kato et al., 2022; Moloney et al., 2023). Mutations resulting in mTOR-related epilepsy are genetically inherited; however, some variability in family histories of epilepsy may be due to second-hit somatic mutations in focal areas of the brain (Dawson et …

Teachers’ Attitudes Towards Inclusion In The Uae: A Systematic Review Of Evolution And Influencing Factors, Muna Mohamed Alhammadi, Reem Aldhaheri, Adam Jeffers

All Works

This study presents a systematic review of literature on in-service teachers’ attitudes towards inclusive education in the United Arab Emirates (UAE) from 2006 to 2025. It investigates two main aspects: the evolution of teachers’ attitudes towards teaching students with special educational needs and disabilities (SEND) in the UAE over the selected period and the factors influencing these attitudes. A total of 25 studies were deemed eligible for inclusion. The results indicate that teachers generally maintain positive attitudes towards inclusion as a policy; however, different concerns about implementing the inclusion policy emerged from the literature. Several factors significantly influenced teachers’ attitudes …

Jtc 26: Fostering A Global Community, Mary Stanton Knight

University of Mississippi News

This story is part of the 2026 Journey to Commencement series, which celebrates the pinnacle of the academic year by highlighting University of Mississippi students and their outstanding academic and personal journeys from college student to college graduate.

Musical Affinities Between Ann Southam's Glass Houses And Canadian Fiddle Tunes With Performance Considerations For Glass Houses No. 5, Evangelia Nikolaidou

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Ann Southam stands as one of Canada’s foremost minimalist composers. Her fifteen-piece piano set Glass Houses, composed in 1981 and revised in 2009, reflects the joyful, dance-like energy of Canadian fiddle music that inspired it. While Glass Houses has frequently been discussed within the context of minimalist composition, less attention has been given to the ways in which the work resonates with Canadian fiddle traditions. This document draws on existing scholarship on Métis, French-Canadian, Newfoundland, Anglo-Canadian, and Scottish fiddle traditions to trace and clarify structural, rhythmic, and textural affinities between Canadian fiddle tunes and Glass Houses. Focusing on …

A Conductor’S Focus On The Preparation And Performance Of Timothy Takach’S Helios, Lester Ray Miller

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Multimovement a cappella choral works have been composed and performed since the invention of printed music. When selecting such works, choral conductors often look to masterworks of the Renaissance or to the established works of modern composers. Timothy C. Takach (b. 1978) premiered the 12-movement a cappella choral cycle entitled Helios in 2019. Takach has become a celebrated composer whose works are performed by choirs across the country, yet little academic study has focused on his output. This document serves as a resource for the conductor who wishes to program Helios and as an aid in preparing for rehearsal. It …

Quality Improvement Project: Impacting Staff Confidence In Recognizing Hiv Medication Adherence, Joy Nwansi-Iro

Doctor of Nursing Practice Projects

Medication adherence to antiretroviral therapy is essential for viral suppression and improved outcomes among individuals living with human immunodeficiency virus (HIV). Despite advances in treatment, healthcare providers lack confidence in recognizing medication adherence challenges and implementing appropriate interventions. Evidence suggests that provider education using standardized adherence assessment tools improves adherence monitoring and clinical decision-making. The purpose of this quality improvement project is to evaluate whether an educational intervention and a standardized workflow using the CASE Adherence Index would impact healthcare staff confidence in recognizing HIV medication adherence. Lewin’s Change Theory guided the project through the stages of unfreezing, change, and …

Quality Improvement Project: Enhancing Staff Delivery Of Non-Pharmacological Interventions In Serious Mental Illness Care, Kimberly Vann

Doctor of Nursing Practice Projects

Serious mental illness places a significant burden on global healthcare systems, increasing hospital utilization and critically impairing patients' functional status. Often crippling, these illnesses are mostly treated with medication therapy despite proven research to show effective outcomes with holistic and non-pharmacological therapies. Non-pharmacological interventions (NPIs) are often underutilized in outpatient mental health settings. The purpose of this quality improvement project was to determine whether structured training impacted staff confidence in delivering NPIs and impacted documentation frequency in the electronic health record (EHR). The project was guided by the Iowa Model of Evidence-Based Practice and implemented using the Plan-Do-Study-Act (PDSA) cycle, …

Modifications To Wuads General Aviation Analysis And Hydrogen Configurations, Natasha C. Igic, Mike Kiely, Ramesh K. Agarwal

Electrical and Systems Engineering Undergraduate Student Research

The Washington University Aerospace Design Software (WUADS) is a Python-based conceptual aircraft design software for the analysis of subsonic commercial aircrafts. This study presents modifications to WUADS furthering the design and analysis for general aviation (GA) aircrafts. The updates include user-specified fuselage shapes and wing configurations to account for general aviation drag changes. The Cessna 172 Skyhawk, Piper PA-28-161 Warrior II, Beechcraft Bonanza G36, Cessna-208 Grand Caravan and the Pilatus PC-12 were modeled to validate the new framework. All calculated weights were within a 4% error, and all range estimations were within a 5% error. Given growing concerns over carbon …

Forget-Me-Not: Facilitating Social Vibrancy In Spaces Designed For Alzheimer's Disease, Torilyn Mossner

Honors Theses

The objective of this capstone project is to create a foundation for vibrant community interactions and connections that support those living with Alzheimer’s disease, their loved ones, and the broader members of the community through interior design. This work is relevant because Alzheimer’s disease affects 1 in 9 people over the age of sixty-five worldwide. Without a cure, as people continue to age, there is going to be a constant need for development of care. Additionally, design should go a step further than healthy living and begin to prioritize creating a vibrant life and community integration for those living with …

Weakening Of Social Protection In Vietnam: Labour Legislation, Cicada Capital And Civil Society, Angie Ngọc Trần

SSGS Faculty Publications and Presentations

Using findings from a 2023 case study on Vietnamese workers in the wood-processing industry and critical content analysis of changes in the labour codes, social insurance laws and annual minimum wage increase policy, I demonstrate how the state’s rhetoric of ‘universal social coverage’ for workers has facilitated the recommodification phase, an authoritarian turn, in the ‘cycle of commodification’ ( Lin and Nguyen, 2021 ). I argue that the expansion of informal labour and unchecked prevalence of ‘cicada capitalism’ are enabled by weakening labour legislation, even weaker state enforcement of social protection laws, and suppression of civil society’s labour advocacy …

Outcomes Of Deep Peroneal Neurectomy: A Scoping Review Of Complications, Postoperative Recovery, And Patient-Reported Satisfaction, Krista Elizabeth Samreth, James Hughes, Amayrani Sanchez, Nicholas Obias, Madeleine Mehaffey, Stephanie Campbell Dpm, Aacfas

School of Podiatric Medicine - Student Research

Background: Deep peroneal neurectomy (DPN) evolved as a surgical treatment alternative for patients with painful midfoot arthritis who may not tolerate more invasive surgery such as arthrodesis. This scoping review aims to display current evidence of postoperative recovery complications and patient-reported outcomes specific to alternative surgical treatment of DPN.

Methods: A scoping review was completed using PRISMA-ScR reporting standards. Investigators searched PubMed, Google Scholar, Foot & Ankle Orthopedics, and Journal of Foot and Ankle Surgery for studies from 2002 to 2025 with search terms: “deep peroneal neurectomy,” OR “deep peroneal nerve excision,” OR “peroneal neurectomies” AND “midfoot arthritis”. Exclusion criteria …

Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins

Walden Dissertations and Doctoral Studies

Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …

Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins

Walden Dissertations and Doctoral Studies

Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …

Key Issues For Speed Safety Cameras: Results From A Semi-Structured Interview Of Agencies In The United States, Sophia Semensky, Miguel Figliozzi

Civil and Environmental Engineering Faculty Publications and Presentations

Speed safety cameras (SSCs) are a recognized countermeasure for targeting speeding-related crashes, injuries, and fatalities. SSCs have been introduced in various cities and are steadily expanding in use both in the U.S. and internationally. The extensive literature review of domestic and international documents and research papers reveals that the U.S. has been comparatively slow to adopt SSCs, with some other countries implementing these systems more extensively and earlier. Many local agencies are eager to learn SSC best practices and implementation lessons within the U.S. context. In this research, key issues related to SSC implementation are explored through semi-structured interviews with …

Cognition Is Not Content: A Structural Account Of Processing Conditions, Griselda Poe

Publications and Research

Human cognition has been described in terms of content. This description becomes insufficient once artificial systems make output observable apart from subject attribution, intention, and relational context. Under this contrast condition, what becomes visible is a layered structure in which output, reconstruction, evaluation, and termination do not necessarily coincide. The same input may register as complete under one processing condition while remaining unresolved under another. This separability means that content-based description does not merely omit an additional variable: it can mislocate a processing difference as a difference in meaning, personality, intention, ability, or attitude. This is not a proposal for …

Contests Of Masculinity: The Model Program, Notre Dame, And Collegiate Football, 1945-1972, Brian Michael Burns

Dissertations (1934 -)

This dissertation examines how collegiate football functioned as a contested site for defining masculinity and institutional identity in the United States between 1945 and 1972. Focusing on the leadership and interactions of the National Collegiate Athletic Association (NCAA), the National Football Foundation (NFF), and the University of Notre Dame, the project argues that these institutions promoted competing models of masculinity that reflected broader tensions between moral authority, institutional control, athletic success, and social change in postwar America. This dissertation argues that postwar collegiate football did not express a single dominant masculine ideal but instead became a site of ongoing institutional …

The Role Of Otto In Indecent By Paula Vogel, Ben Turchiarelli

Student Theses

Between December 5th and 9th, 2025, Brooklyn College’s Department of Theater presented Indecent by Paula Vogel, directed by MFA directing candidate Sam Plattus. It was my privilege to play the role of Otto, a member of a troupe of dead actors, tasked with presenting a nearly coextensive play-within-a-play describing the controversial Broadway production of The God of Vengeance, by Sholem Asch. Otto presents several older male characters, including real-life figures; among them author I.L. Peretz, and actor Rudolph Schildkraut. Some of these scenes are depicted in the story as a play-within-a-play-within-a-play, and there are numerous musical interludes throughout wherein Otto …

High Concordance Of Physician-Attestation With Manual Data Abstraction For Sickle Cell Type: An Ash Rc Data Hub Study, Alexis Thompson, Ashima Singh, Donna Neuberg, Amanda Brandow, Allison King, Sophie Lanzkron, Emily Semmel, Sam Walters, Susan Rogers, Kathleen Torres, William Wood

Cardeza Foundation for Hematologic Research

Sickle cell disease (SCD) is the most common inherited blood disorder in the United States. The American Society of Hematology Research Collaborative (ASH RC) has built an SCD Data Hub (DH) to facilitate research and quality improvement using real-world data. To our knowledge, we report here the first analyses from the DH, focusing on cohort demographics and accurate identification of SCD diagnosis type. DH sites have data use agreements with ASH RC to extract and transfer electronic health record (EHR) data at least quarterly. Principal investigators (PI) provided additional attestation of SCD diagnosis based on existing local data sources deemed …

Cross-Sectional Associations Of Metabolically Healthy Obesity, Lifestyle Factors, And Steatotic Liver Disease In Adults From The Fels Longitudinal Study, Ariana L Garza, Audrey C Choh, John Blangero, Cici X Bauer, Stefan A Czerwinski, Miryoung Lee

Faculty, Staff and Student Publications

Objective: To examine the associations of metabolic health and obesity phenotypes with liver fat accumulation and hepatic steatosis in adults.

Methods: We analyzed 676 non-Hispanic white adults (18-95 years; 55.8% female) from the Fels Longitudinal Study using a cross-sectional design. Participants were classified into metabolically healthy normal weight (MHNW), metabolically healthy obesity (MHO), metabolically unhealthy normal weight (MUNW), and metabolically unhealthy obesity (MUO) phenotypes. Metabolically unhealthy status was defined as the presence of ≥1 metabolic dysfunction, consistent with prior epidemiological definitions; secondary analyses using ≥2 were also performed. Obesity was defined using DXA-derived body fat percentage. Liver fat (%) was …

Serum Metabolites Associated With Depression And Anxiety In The Hispanic Community Health Study/Study Of Latinos, Xinye Qiu, Yu Zhang, Yogesh Purushotham, Qibin Qi, Bing Yu, Jan Bressler, Krista M Perreira, Humberto Parada, Martha L Daviglus, Alejandra Cid Vega, Carmen R Isasi, Linda C Gallo, Tamar Sofer

Faculty, Staff and Student Publications

Omics signatures for psychiatric conditions have been under-investigated. In this study, we used data from a representative observational cohort study of Hispanic/Latino adults to identify serum metabolites associated with symptoms of depression or anxiety and to develop and assess metabolite risk scores (MRSs) of these phenotypes. We conducted a metabolome-wide association study of 768 metabolites with depression and anxiety symptoms, using two separate assay batches measured from baseline samples collected between June 2008 and July 2011 for discovery (batch 1: n = 4002 adults) and replication (batch 2: n = 2178 adults). We estimated the associations via survey-based generalized linear …

Sociology 250: Racial And Ethnic Communities In The United States Syllabus, Minglei Zhang

Open Educational Resources

This Open Educational Resources (OER) syllabus for SOC 250: Racial and Ethnic Communities in the United States provides a no-cost, adaptable framework for examining the sociological dimensions of race, ethnicity, and power in American society. The course is organized thematically across four modules, progressing from foundational concepts of race as a social construct through analyses of institutions, inequality, and historical movements for social change. Drawing on diverse theoretical perspectives including intersectionality, critical race theory, and racial formation theory, this OER syllabus emphasizes critical thinking, analytical writing, and evidence-based inquiry. All course materials, including academic readings, documentaries, podcasts, and digital resources, …

Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon

Walden Dissertations and Doctoral Studies

Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …