Digital Commons Network^™

Volume 7 Complete Issue, James W. Gallagher

The Geographical Bulletin

Volume 7 Complete Issue

Systems Approach In Physical Geography, Hubert B. Stroud

The Geographical Bulletin

The concept of a system is not new and the emergence of systems analysis in academia has caused controversy over the significance of this approach as a viable means of scientific analysis. Some geography scholars feel that the use of systems analysis would definitely put us on the research frontier,1 while others view the term " systems" as nothing more than jargon. Nevertheless, the simplest definition for system is " a set of interrelated elements." The demand for the systems approach arose because scholars in a number of disciplines recognized in their own research that individual components of a problem …

Enhancing Advanced Practice Nursing: Implementing A Simulation-Based Point-Of-Care Ultrasound Training Program, Brandy Younge, John Chovan, Bonnie Fagan, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

Nurse practitioners (NPs) are advanced practice nurses entrusted with diagnosing and treating illnesses, managing acute and chronic diseases, and engaging in continuous education to remain knowledgeable of evidence-based advancements. NPs offer a comprehensive range of healthcare services, catering to patients from wellness check-ups to those requiring complex care, such as individuals hospitalized with sepsis. One technological advancement that can support NPs in delivering optimal patient care is point-of-care ultrasound (POCUS). In the United States, over 385,000 NPs practice in patient care settings that may use POCUS. Numerous medical societies have issued position statements supporting the use of POCUS in the …

A Reading Curriculum Teaching “Text-To-Self" Connections Using Literature With Diverse Characters At The Early Elementary Level, Elise N. Buzza

Masters Theses/Capstone Projects

This research project’s focus was to answer the question of how can texts featuring realistic diverse characters be used to teach “text-to-self” connections at the kindergarten level? With a rapid increase of diverse demographics in the classroom, students’ accessibility to diverse literature becomes crucial. While the need for diverse literature is heightened, students and teachers instead are met with curriculum that’s focus remains on animal characters. Researchers argue that with a lack of diverse visibility in literature, this presents a significant issue pertaining to a reader’s engagement. Thus, “text-to-self” connections become vital. This is when readers use their experience to …

Birds Of A Feather: An Integrated Outdoor-Based Bird Study P-3 Curriculum Guide, Erin A. Buzza

Masters Theses/Capstone Projects

In a post-pandemic world that places technology at the at the forefront, educators are searching for ways to help students connect with the natural world. This project aids teachers in tackling this challenge by using the study of birds as a motivation to engage students with the outdoors and local wildlife. To demonstrate how ornithology topics can be used as an integrated thematic unit, research regarding components of ecological literacy is presented. They include nature-based learning, outdoor learning, environmental education, and wildlife education. In addition to these pedagogies, the benefits of incorporating interdisciplinary learning within the classroom are also provided …

Final Scholarly Project: Development And Initial Validation Of An Evidence-Based Guideline For Presurgical Medication Hold Times, Alyscia Defrancisco

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Presurgical testing is a critical component for preventing surgery delays and postsurgical complications. A major focus of presurgical testing is educating patients on hold times of medications prior to surgery. Medication guidelines vary across ambulatory surgery centers.

Methods: Creating a standardized evidence-based medication guideline could improve some surgical complications. This project is the creation and pilot evaluation of an evidence-based medication guideline. After the development of the guideline participants attended an educational session. The evaluation of the effectiveness of the guideline, used a preintervention and postintervention questionnaire. The participants of the project are presurgical testing practitioners at …

Guidelines For Intraoperative Use Of Quantitative Neuromuscular Monitoring, Alex Thompson

Doctor of Nursing Practice Scholarly Projects

Chemical paralysis with neuromuscular blocking agents is common practice in anesthesia. Adequate reversal of these medications is essential for postoperative recovery and return to physiologic baseline. Inadequate reversal may lead to residual paralysis and respiratory complications such as hypoxemia, upper airway obstruction, atelectasis, and pneumonia. Quantitative neuromuscular monitoring was introduced as an objective measure of adequate recovery from neuromuscular blockade. The American Society of Anesthesiologists recommends utilizing quantitative neuromuscular monitoring before tracheal extubation in their 2023 practice guidelines, as the research involving quantitative neuromuscular monitoring shows a reduction in postoperative residual paralysis rates and adverse respiratory complications postoperatively. In this …

Diabetes Self-Management Education For Older Adults In Primary Care, Makilah Rae Furlan

Doctor of Nursing Practice Scholarly Projects

Type 2 Diabetes (T2DM) is a chronic disease that impacts 27.2 million seniors 65 and older. Evidence-based care for T2DM includes a combination of medication and disease-management behaviors. Access to education to teach patients healthy behaviors to manage their disease is limited and even less accessible to geriatric patients with aging learning needs. The scholarly project addresses this gap in patient education by implementing evidence-based diabetes self-management education for geriatric patients to increase patient knowledge and confidence in implementing self-management behaviors. The scholarly project aims to assess health behaviors in patients aged 65 and older with established type 2 diabetes …

Proposed Final Scholarly Project: Pediatric Provider Attitudes And Clinical Practices For Physical Activity Interventions In The Treatment Of Attention-Deficit/Hyperactivity Disorder, Andrea Zanders

Doctor of Nursing Practice Scholarly Projects

Attention-deficit hyperactivity disorder (ADHD) is one of the most common mental health conditions diagnosed in children and adolescents. First line treatments of psychopharmacology and psychotherapy can be ineffective, come with intolerable side effects, or not be available to all youth. Physical activity is among the most effective adjunctive interventions. However, many mental health providers report insufficient education or training on physical activity interventions as a barrier to implementing them into clinical practice. Using the transtheoretical model of behavior change principle of consciousness-raising, the proposed scholarly project aims to impact provider attitudes and knowledge about the use of evidence-based guidelines for …

Evidence-Based Practice Guidelines For Perioperative Use Of Dexmedetomidine In Pediatric Congenital Cardiac Surgery, Kayla Thomsen

Doctor of Nursing Practice Scholarly Projects

Tachyarrhythmias are common postoperatively in the congenital cardiac surgery population. About 1% of the population is born with congenital heart disease (CHD), with 50% of patients undergoing surgery for CHD experiencing arrhythmias. Complications can arise from postoperative arrhythmias, including hemodynamic instability and myocardial depression, having catastrophic health repercussions. Despite the high prevalence and complications, there is no standard practice for postoperative tachyarrhythmia prevention in the chosen population, and prevention is at the provider's discretion. However, literature exploring the effects of dexmedetomidine notes promising results for using the drug for postoperative tachyarrhythmia prevention. The project aims to address the lack of …

Implementation Of Guidelines For Preprocedural Ultrasound In Neuraxial Placement For Obstetric Patients With Scoliosis, Luther Nyirenda

Doctor of Nursing Practice Scholarly Projects

Neuraxial anesthesia including epidural, spinal, and combined spinal-epidural, is used with 65% of parturients in the United States for the management of pain and discomfort. Conventional landmark palpation has been the mainstay technique for neuraxial anesthesia, but unfamiliar spinal anatomy can lead to incomplete blockade or an increased incidence of complications. Scoliosis causes lateral curvature and rotation of the spine leading to arthritis and soft tissue changes that can present obscure anatomical landmarks, cause difficulty in needle passage, and result in inadequacy of local anesthetic efficacy. The literature illustrates that preprocedural ultrasound is recommended for needle placement in parturients with …

Final Scholarly Project: Enhanced Recovery After Surgery (Eras) Guidelines For Pancreaticoduodenectomies, Rebecca Wheeler

Doctor of Nursing Practice Scholarly Projects

A pancreaticoduodenectomy, or Whipple procedure, is the only curative option for pancreatic cancer. For those eligible for tumor resection, the Whipple procedure is a difficult surgery for both the patient and provider. Complications following pancreaticoduodenectomy are numerous and include infection, delayed gastric emptying, high hospital costs, and pancreatic fistulas. Enhanced Recovery After Surgery (ERAS) protocols exist to provide evidence supporting standardization of practices that lead to the improvement of these patient outcomes. An ERAS protocol for the pancreaticoduodenectomy, first established in 2012, is inconsistently implemented in healthcare facilities. Researchers collected data involving the use of the Whipple procedure ERAS guidelines …

Development Of Evidence-Based Practice Guidelines For Utilizing Erector Spinae Plane Blockade For Patients Undergoing Cardiac Surgery, Gabrielle Metoyer

Doctor of Nursing Practice Scholarly Projects

In the United States, the aging population and high rates of cardiovascular disease leads to increased cardiothoracic surgeries. Analgesia for cardiac surgeries often involves high-dose opioids. However, with an ever-increasing opioid epidemic and adverse effects on the postoperative healing process, recent literature seeks to decrease opioid consumption by utilizing alternative methods of analgesia. The American Association of Nurse Anesthetists recommends the use of regional anesthesia techniques to reduce the incidence of undertreated postoperative pain that can occur from opioid-sparing methods of analgesia. This project aims to create an evidence-based analgesia guideline for adult patients undergoing cardiac surgery. Interventions will include …

Project-Based Learning To Promote Reading And Writing Skills And Student Engagement In Fourth Graders, Anne E. Eichhorn

Masters Theses/Capstone Projects

The purpose of this project was to incorporate project-based learning (PBL) into instruction alongside of a teacher directed curriculum while promoting literacy skills and social studies content. The literature review discusses what PBL is, its history, various frameworks, and benefits and challenges. The frameworks focused on in this project include the Buck Institute for Education’s (n.d.) Gold Standard PBL, High Quality Project Based Learning’s (2018) A Framework for High Quality Project Based Learning (HQPBL Framework), Duke’s structure (2014) along with Battelle for Kids (2024) twenty-first century skills. A new framework was developed to create a PBL curriculum alongside the scripted …

A Proposal: Gap Analysis On Novice Advanced Practice Provider Role Transition Within The Inpatient Setting, Erin Cornelius

Doctor of Nursing Practice Scholarly Projects

Background: Healthcare specialties are an integral part of patient care yet are briefly discussed throughout the academic journey of the advanced practice provider (APP). Hiring departments or facilities must provide further education on complex specialties. Due to a decline in practicing physicians, APPs will provide more patient care within specialties by 2032.

Purpose: To emphasize the importance of a high-quality onboarding program for the success of the APP, the department, and the hiring facility.

Method: Proposed data collection involves a two-part survey using the Novice Nurse Practitioner Role Transition (NNPRT) scale and an onboarding experiences survey.

Results: A literature thematic …

An Educational Intervention: Knowledge Acquisition Of Perimenopausal Mental Health Symptoms And Treatment Options For Women Aged 35 Years Plus, Allison M. Hopps

Doctor of Nursing Practice Scholarly Projects

Perimenopause is a span of four to six years preceding menopause when estrogen levels decline. Up to 40% of women experience depression during the perimenopause transition. Hormone replacement therapy (HRT) can be an effective treatment for depressive symptoms during perimenopause, but many healthcare practitioners prescribe antidepressants instead of HRT for the management of mood-related symptoms. Perimenopausal depression is associated with the progression of chronic conditions such as cardiovascular disease, diabetes, and dyslipidemia. The general population, including women and healthcare providers, lacks the education and awareness surrounding perimenopause symptoms and treatment. This project educated women between ages 35 to 55 on …

Development Of An Evidence Based Orientation Model For The Newly Graduated Nurse, Sandra L. Takach

Doctor of Nursing Practice Scholarly Projects

Healthcare in the acute hospital setting experienced a significant increase in highly acute patients with multiple comorbidities requiring competent, experienced clinicians who can provide high quality, safe care. The nursing shortage paired with the post pandemic hospital environment has altered the landscape of nurses entering the workforce and created a gap in competency of the bedside nurse. A loss of tenured nurses who typically onboard and mentor the novice nurse coupled with less than adequate clinical preparation of those graduating college led to elevated levels of stress and staggering turnover rates for the newly graduated nurse. Research validates efficient orientation …

Impact Of Professional Development On Teacher Perceptions Of Culturally And Ethnically Diverse Students, Stephanie Kirk Mcmillan

Curriculum and Instruction (Ed.D.) Dissertations

Deficit thinking is when we view another as having less potential based on preconceived notions defined by our backgrounds and, oftentimes, society. A predominantly White teaching force is encountering more cultural and ethnic diversity in their classrooms than ever before. Professional development for teachers is historically beneficial and promotes change in teaching and pedagogy. This study utilized a mixed-methods methodology that examined the effects of professional development on teachers’ knowledge and skills as they pertained to culturally responsive teaching. Descriptive statistics and t-tests were used to test the study's questions. This study surveyed teachers before and after a professional development …

Harmonic Healing: Exploring Music As A Therapeutic Resource, Kalilah B. Chears, Mary Lynn Doherty

Honors Capstones

Mental health concerns among college students are increasing, especially in the post-Covid pandemic era. These issues could negatively affect students’ academic, social, and emotional well-being. Additionally, research illustrates that there are accessibility challenges for students who seek traditional counseling resources; campuses are struggling to meet this rising demand. The authors’ background in music ensembles inspired an exploration of music as an informal therapeutic resource. This literature review investigates one main question: How can an alternative mental health resource such as music serve college students experiencing barriers to traditional mental health resources? Findings suggest that music-based resources can alleviate some common …

When You’Re Arrested For A Felony In Seattle, You’Ll Meet Me., Austin Field

Seattle University Law Review

In this Essay, Austin Field, a practicing public defender, uses a first-person perspective to describe what it is like to meet a criminal defendant for the first time. He explains the process from start to finish, detailing everything from the way he introduces himself to how bail works.

"I’ll ask you for your name. Most of the time, you tell me. I check your name against my list. On any given day I’m supposed to interview between five and fifteen people. I have a lot of questions for you. We only have about ten minutes."

An Inquiry-Based Interdisciplinary Social Studies Unit On Libraries Around The World In A Second-Grade Classroom: A Curriculum Development, Emma G. Weinman

Masters Theses/Capstone Projects

This project explores inquiry-based learning and project-based learning. My specific interest in interdisciplinary, inquiry-based instruction stemmed from professional development received, and from an overarching initiative to move towards this type of instruction within the school building that I work. The curriculum developed provides a two-week lesson sequence that can be implemented within a second-grade classroom. The lesson sequence is inquiry-based, and provides opportunities for students to communicate, collaborate, create, and think critically throughout the learning process. This curriculum is interdisciplinary in nature and is designed to meet second-grade Ohio social studies standards, as well as standards in other areas. The …

Enhancing Postoperative Care For Vascular Patients: Pre- And Post-Test Clinical Knowledge Acquisition Of Early Mobilization Education For Interventional Healthcare Providers, Jennifer Wenger

Doctor of Nursing Practice Scholarly Projects

Peripheral vascular disease (PVD) is a chronic, systemic condition that often requires surgical intervention, presenting significant postoperative risks, including complications like thromboembolisms, pneumonia, and delayed functional recovery. Evidence-based practices (EBP), particularly early mobilization guidelines, have proven to improve recovery outcomes but remain inconsistently applied among interventional healthcare providers. The project addresses this critical issue by evaluating the impact of structured educational sessions on interventional healthcare providers’ knowledge and application of mobilization guidelines in postoperative vascular care. Using the John Hopkins Model of Evidence-Based Practice, a quasi-experimental design was adopted to assess the impact of the education. The project includes pre- …

Validating Biomarkers Of Chronic Whiplash-Associated Disorders Through Magnetic Resonance Imaging Techniques, Julia S. Evans, Michael Fishman

SKMC Student Presentations and Publications

No abstract provided.

Early Detection Of Sepsis, Precious Aina

Honors Capstones

Sepsis is a life-threatening condition that occurs because of an infection. Sepsis can lead to shock, SIRS, organ failure, and other emergent conditions. This literature review paper is aimed at determining the early detection of sepsis in patients as well as examining early symptoms of sepsis, the significance of early diagnosis, and the implications for patient safety and treatment. In several studies, they used the early warning scores (EWS) and Machine learning with patients' information, vital signs, prehospital patient data, and physician assessments embedded in it to identify patients at risk for sepsis. One of the studies incorporated a device …

The Multilingual Book Club Model: Engaging Multilingual Learners In Bilingual (Spanish-English) Graphic Novel Book Clubs To Acquire Language And Vocabulary, Maureen L. Flanagan

Masters Theses/Capstone Projects

This project explores the importance of using translanguaging to support multilingual learners in predominantly English speaking classrooms. The main intent is to provide an engaging curriculum that provides culturally responsive material for multilingual students whose home language is Spanish. The project explores seminal research in second language acquisition and the importance of vocabulary instruction. It also acknowledges the importance of the Book Club Model

Pulmonary Embolism Response Team In Acute Care Settings: A Scoping Review Of The Evidence, Tia Glover Bsn, Rn, Leslie Asplund Bsn, Rn, Tracy Mcclinton Dnp, Aprn, Agacnp-Bc, Hget-C, Ebp-C

Doctor of Nursing Practice Projects

Purpose/Background

Pulmonary embolism (PE) is a critical cardiovascular emergency associated with high morbidity and mortality. Despite its prevalence, traditional PE management often lacks cohesion, leading to suboptimal outcomes. Pulmonary Embolism Response Teams (PERTs) offer a multidisciplinary approach aimed at improving patient outcomes by streamlining diagnosis, facilitating timely interventions, and promoting evidence-based treatment. This scoping review evaluates the evidence supporting PERT efficacy across various clinical and resource-related outcomes with the aim to decrease mortality rates, shorten inpatient length of stay, improve cost efficacy, and minimize adverse events from treatment modalities.

Methods

A comprehensive literature search was conducted using PRISMA guidelines across …

Analysis Of Clinical Outcomes And Cost Effectiveness Of Neuromuscular Blocking Drug Reversal In Patients Classified As Obese, Trevor Mack

Doctor of Nursing Practice Scholarly Projects

Obesity predisposes patients to heightened risks of adverse outcomes following surgery, including residual neuromuscular blockade and postoperative complications. The administration of non-depolarizing neuromuscular agents (NMBAs) is fundamental for muscle relaxation and optimal surgical conditions. However, the subsequent reversal of these blockers with agents like sugammadex or neostigmine is crucial to mitigate these risks. While sugammadex is recognized as a clinically superior choice due to its rapid and more complete reversal, its extensive use is often limited by cost, presenting challenges in obese patients who already face increased susceptibility to complications. This project evaluates the cost-effectiveness of sugammadex versus neostigmine in …

Subjective Evaluation Of Place Environmental Quality In Conference And Exhibition Buildings In Small- And Medium-Sized Cities: An Empirical Case Study, Yuchen Xie, Jianhe Luo, Peng Du

College of Architecture and the Built Environment Faculty Papers

The environmental quality of conference and exhibition places in small- and medium-sized cities plays a crucial role in attracting exhibitors, fostering the growth of the conference and exhibition industry and enhancing the market competitiveness of these places. However, past decision makers have often adopted planning models from large cities, neglecting the interaction between conference and exhibition places in smaller cities and local lifestyles as well as urban environments. From an “environment-behavior” per- spective, this study reveals the unique interaction mechanisms between exhibitors and the built environment within such venues. Moving beyond the limitations of traditional research that focused solely on …

Development Of A Clinical Pathway For Acute Pain Management As An Element Of The Prevention Of Delirium In Older Adult Trauma Surgery Patients, Stacey Mermigos

Doctoral Scholarly Projects & Capstones

For hospitalized patients, delirium is prevalent and associated with poor outcomes including increased mortality, morbidity, hospital length of stay, and healthcare costs. Although past studies have identified effective interventions to both prevent and manage delirium in critically ill patients, the most widely used evidence is not easily generalized to non-critically ill patients, specifically trauma patients who experience acute pain, serial surgical procedures, and other notable precipitating and predisposing factors. Clinical pathways are structured plans that are useful for encouraging consistent, evidence-based interventions for various medical conditions and situations. At this time, there is no clinical pathway for the prevention of …

Voice Interaction With Conversational Ai Could Facilitate Thoughtful Reflection And Substantive Revision In Writing, Jiho Kim, Philippe Laban, Xiang 'Anthony' Chen, Kenneth C. Arnold

University Faculty Publications and Creative Works

Writing well requires not only expressing ideas but also refining them through revision, a process facilitated by reflection. Prior research suggests that feedback delivered through dialogues, such as those in writing center tutoring sessions, can help writers reflect more thoughtfully on their work compared to static feedback. Recent advancements in multi-modal large language models (LLMs) now offer new possibilities for supporting interactive and expressive voice-based reflection in writing. In particular, we propose that LLM-generated static feedback can be repurposed as conversation starters, allowing writers to seek clarification, request examples, and ask follow-up questions, thereby fostering deeper reflection on their writing. …