Digital Commons Network^™

Quality Improvement Project: Improve Patient Show Rate For Appointments At The Outpatient Diabetic Clinic, Smitha Mathew

Doctor of Nursing Practice Projects

Missed appointments disrupt diabetes management, delay treatment, and waste healthcare resources. This quality improvement project evaluated whether patient-centered scheduling, staff education, and multimodal communication reduced no-show rates among adults with diabetes. The Plan-Do-Study-Act model provided the theoretical and implementation framework, while Kotter’s Eight-Step Change Model guided practice change. The uncontrolled preintervention-postintervention project occurred from January through July 2026 in a hospital-based outpatient diabetes clinic. The evidence-based intervention included 45-minute staff education, scheduling based on patients’ preferred days and times, verifying contact information and communication preferences, sending telephone and text reminders, and re-engaging patients the same day after missed appointments. Appointment …

The Impact Of Provider Education On Medication Adherence In An Outpatient Psychiatric Clinic: A Quality Improvement Project, Tina Ezeh

Doctor of Nursing Practice Projects

Medication adherence is important in psychiatric care, as nonadherence can contribute to poor health outcomes and increased use of healthcare services. A needs assessment at an outpatient psychiatric clinic identified inconsistent medication adherence education, with only 30% of providers routinely providing education and 20% using a structured approach. The purpose of this quality improvement project was to evaluate structured provider education, with the aim of assessing changes in provider confidence and the frequency of medication adherence education over eight weeks. Kotter’s 8-Step Change Model guided project implementation, while the Donabedian Model was used for project evaluation. A quantitative, one-group pretest-posttest …

Quality Improvement Project: Evaluating The Impact Of An Emotional Support Program For Nurses In A Rural Outpatient Clinic, Tosheta Brown Greenfield

Doctor of Nursing Practice Projects

Nurse burnout is a persistent, well-documented threat to workforce sustainability and patient safety, with rural nurses at heightened risk due to chronic understaffing, geographic isolation, and limited access to organizational support. The purpose of this quality improvement project was to implement and evaluate an eight-week Emotional Well-Being Support Program (EWSP), with the aim of reducing burnout and perceived stress among nurses working in a small rural primary care clinic. Guided by Lewin's Change Model and the Iowa Model of Evidence-Based Practice, the project used a quasi-experimental pre-test/post-test single-group design with four participating nurses. Burnout was measured using the Maslach Burnout …

Quality Improvement Project: Providing Evidence-Based Practice Education On Administering The Edinburgh Postnatal Depression Screening During Visits Once Per Trimester And Postpartum, Megan Keeney

Doctor of Nursing Practice Projects

Perinatal depression (PND) is prevalent worldwide and frequently remains undetected and untreated due to inconsistent screening. At the project site, the Edinburgh Postnatal Depression Scale (EPDS) was administered postpartum only, without standardization. This quality improvement project implemented evidence-based provider education and a revised EPDS protocol, screening once per trimester and postpartum, to increase PND identification, provider self-confidence, self-efficacy, and behavioral health referral rates. This project was guided by Lewin’s Change Theory and the Donabedian framework. A quantitative pre-post design was used with nine providers in an outpatient women’s health clinic, alongside a retrospective and post-implementation electronic health record (EHR) review. …

Quality Improvement Project: Enhancing Suicide Recognition Protocols With The Use Of Columbia-Suicide Severity Rating Scale In An Outpatient Mental Health Practice, Pamela Oxley

Doctor of Nursing Practice Projects

Suicide prevention in outpatient mental health settings requires prompt recognition of and an appropriate response to suicide-related concerns, including those initially communicated to administrative staff. Frontline administrative phone staff may first encounter patients expressing suicidal thoughts; however, evidence supports education and standardized processes to facilitate effective recognition and response. At the project site, a practice gap existed in administrative staff preparation and confidence in responding to suicide-related concerns. The quality improvement project addressed this gap through structured, standardized Columbia-Suicide Severity Rating Scale (C-SSRS) education paired with a standardized suicide-risk stratification and escalation protocol. The project aimed to improve administrative staff …

Quality Improvement Project: Assessing Healthcare Providers’ Confidence, Familiarity, And Implementation Of The Audit-C Screening Tool For Alcohol Use Disorder In Adults With Depression In Primary Care, Babatunde Thanni Shittu

Doctor of Nursing Practice Projects

In depressed adults, alcohol use disorder (AUD) is a clinically meaningful comorbidity whose existence may go unnoticed unless a systematically introduced practice of conducting standardized alcohol-use screening is implemented. The current quality improvement (QI) project evaluated the use of the Alcohol Use Disorders Identification Test-Consumption (AUDI-C) in order to improve the capacity of healthcare providers to diagnose co-occurring AUD and integrate standardized screening into healthcare. Guided by the Knowledge-to-Action (KTA) framework and Kotter’s Change Model, the project aimed to improve provider familiarity, confidence, self-efficacy, screening, documentation, and referral practices. A pretest–posttest design was implemented with 13 licensed healthcare providers in …

The Cognitive Construction Of Sustainable Environmental Awareness Through Green Language Pedagogy In Second Language Acquisition, Meral Yavuz Kartal, Osman Yılmaz Kartal

Journal of Environmental Science and Sustainable Development

The escalating global ecological crisis highlights the need for new approaches to sustainability education, while the cognitive role of Second Language Acquisition (SLA) remains underexplored. This study employs a critical literature review with a systematic search and qualitative thematic synthesis to develop a proposed Green Language Pedagogy (GLP) model. The review followed a four-stage screening protocol (identification, screening, eligibility, and inclusion) and analyzed 50 theoretical and empirical sources published between 2014 and 2025. This analysis of the selected literature reveals a stark disparity: an estimated 85% of the reviewed environmental education research focuses on factual knowledge transfer, whereas only 15% …

Mental Health, Personality, Identity, And Adjusting To Life After Sports, Jovana Babic

Master's Theses

This study looked at how athletes adapt to life after competitive sports in relation to psychological issues. In publicly accessible podcast interviews, 95 former athletes, most competing at the collegiate or professional level, were examined using their own words. Claude and Gemini, two large multimodal models, independently coded each interview for four mental health outcomes: depression, anxiety, dependency, and identity confusion, as well as for a set of predictor variables, such as neuroticism, emotion regulation, athletic identity, identity foreclosure, intrinsic motivation, grit, social support, and retirement planning. A binary present or absence coding system was employed, and Gwet's AC1 was …

Age Differences In Perceived Individual And Community Recovery After Tornadoes: Implications For Community-Centered Recovery Policy In An Aging Society, Sizhuo Chen, Zhen Cong

Health Sciences and Kinesiology Faculty Articles

"This study examines perceived individual recovery and perceived community recovery among tornado survivors across three waves spanning four years. Using three-wave longitudinal survey data from survivors in Dallas, Texas; Nashville, Tennessee; and Birmingham, Alabama collected in 2021, 2022, and 2025, we estimate recovery trajectories using linear mixed-effects growth models. We link respondents to tract-level SVI 2020 component measures to examine whether tract-level social vulnerability contextualizes age differences in recovery perceptions. We ask: (1) How do perceived individual recovery and perceived community recovery change over time? (2) Do these trajectories differ by age group? (3) Do community social vulnerability measures contextualize …

Individual Host Variation In Single-Cell Responses To Enteroaggregative Escherichia Coli Infection Modeled With Human Colon Organoids, Ling Qiu, Tajhal D Patel, Hannah E Jones, Cristian Coarfa, Anthony W Maresso

Faculty, Staff and Students Publications

Enteroaggregative Escherichia coli (EAEC) is a leading cause of diarrhea worldwide. Interestingly, EAEC disease outcomes vary dramatically among infected individuals, ranging from asymptomatic colonization to acute and chronic diarrhea. While previous research has focused on EAEC virulence factors, emerging evidence suggests that host genetic and cellular background may be equally important in determining disease susceptibility. To understand host-driven disease heterogeneity, we performed single-cell RNA sequencing on human colon organoids (HCOs) derived from three healthy adult donors following EAEC 042 infection. Surprisingly, despite comparable EAEC adherence across donors, we observed striking donor-specific responses to infection at multiple levels. A total of …

Nontarget Analysis Of The Volatile And Semivolatile Chemical Profile Of Wildland Firefighter Gear: Insight Into Occupational Exposure And Health Implications, Patrica Ivy Agorsor, Husam Kafeenah, Margaret D. Taiwo, Robin M. Verble, Michael O. Eze

Biological Sciences Faculty Research & Creative Works

Prescribed fire releases a complex mixture of volatile and semivolatile organic compounds to the environment. Firefighters are directly exposed to these hazardous mixtures through occupational activities. This study investigated the volatile and semivolatile chemical contamination profile of firefighter protective gear and the effectiveness of laundering as a decontamination strategy. Our results revealed that firefighter gear accumulated a broad spectrum of combustion-derived contaminants, predominantly composed of polycyclic aromatic hydrocarbons and derivatives, phenolic compounds, and aromatic hydrocarbons. Representative compounds identified included toluene, biphenyl, naphthalene, 1-methynaphthalene, 2-methylnaphthalene, acenaphthene, phenol, alkylated phenols, and chlorinated phenols. Quantitative analysis revealed representative combustion-derived compounds at concentrations (mean …

Kierkegaard, Walter Lowrie

Hannah Arendt Marginalia - All

New York : Harper & Brothers, [1962]

Call #: B4377 .L6 1962

Contains underlining and marginal lining

PDF information: 72 pages - 33.7 MB

Words Words Words, University Of North Florida

William J. Roach Textual Materials

Pamphlet: Programs and faculty offered by the Department of Language and Literature, University of North Florida  Date: 1982

Construction And Use Of Strawberry Planting Tools For Transplanting Bare Root Strawberry Transplants, Justin Ballew, Zachary Snipes, Christiana Paige Huss, Brittney King

Horticulture

Planting strawberries requires a degree of attention and skill to ensure that transplants are set at the correct depth and that their roots are not folded or bunched in the planting holes. This article describes how to construct and use a simple, cost-effective planting tool that makes proper planting easier for workers. Plans for constructing the tools are included, as are links to English and Spanish training videos.

The Lesbian Dyke-Otomy: Does “Dyke” Demonize Or Defend?, Arabela Damarillo

Fresh Voices: Composition at Cal Poly

No abstract provided.

The Price Of Perfection: Analyzing The Causes Of Korean Beauty Standards, Sofia Joyner

Fresh Voices: Composition at Cal Poly

No abstract provided.

Dumb Blonde, Rachel Moglia

Fresh Voices: Composition at Cal Poly

No abstract provided.

The Pervasiveness Of English In Northern And Western Europe: Education, Work, Policy, And The Surrounding Debate, Ava Dodge

Fresh Voices: Composition at Cal Poly

No abstract provided.

Trash-Talking Trash Tv: A Rhetorical Analysis, Amelia Flint

Fresh Voices: Composition at Cal Poly

No abstract provided.

Spreading Aloha One Musubi At A Time, Arjunan Easwarachandran

Fresh Voices: Composition at Cal Poly

No abstract provided.

A Mother’S Native Tongue, Emma De La Torre

Fresh Voices: Composition at Cal Poly

No abstract provided.

Adventures In Handwriting, Joseph Burke

Fresh Voices: Composition at Cal Poly

No abstract provided.

Remember, Remember…, Emily Esqueda

Fresh Voices: Composition at Cal Poly

No abstract provided.

Mother Earth, Ainsley Gavin

Fresh Voices: Composition at Cal Poly

No abstract provided.

Kosovo’S Strategic Missteps With International Law, Parker W. Remick, Robert Muharremi

Journal of Peace, Conflict, and Security Studies

This paper interrogates the principle of selective engagement with international law in the foreign policy of Kosovo, arguing that international law functions less as a neutral arbiter between states and more as a pliable instrument wielded in the pursuit of national objectives. Through a meticulous analysis of Kosovo’s post-2008 trajectory, the study unveils a pattern of selective engagement with international legal mechanisms highlighting both moments of strategic acumen and critical miscalculations. Despite possessing the legal attributes of statehood, Kosovo’s struggle for international legitimacy is hampered by a failure to fully exploit legal avenues, from multilateral treaty accession to litigation and …

Grief As A Constitutive Shadow Of Queer Joy: Reclaiming Negativity And The Ethics Of Staying For Education Research, Akira Sawata

Journal of Queer and Trans Studies in Education

In education scholarship, authors have increasingly called to center queer joy to disrupt the conventional deficit model that normally accompanies queer communities. However, in this paper, I argue that an exclusive emphasis on joy may risk instituting and normalizing a happiness duty that marginalizes negative affects and subjects. I propose queer grief not as an opposite, but as a constitutive shadow of joy. Drawing on theories of queer, trans, and crip negativity and the studies on loss, grief, and mourning, I critique the imperative to mobilize affect solely for future utility and teleological meaning. I contend that such mobilization-driven …

Emotional Intelligence And Engagement In English Language Classrooms: An Ability-Based Study, Saeed Abdullah Alzahrani

Scientific Journal of King Faisal University: Humanities and Management Sciences

The internationalization of higher education has intensified linguistic and cultural diversity in English-language classrooms across the Gulf region, particularly within Foundation Year Programs. In such contexts, teachers' emotional intelligence appears to be an important factor associated with student engagement, teacher empathy, and classroom stress resilience, yet empirical evidence from multicultural English-language programs in the Gulf remains limited. This study examined the relationship between teachers' emotional intelligence and three dimensions of classroom functioning: student engagement, teacher empathy, and stress resilience. The sample comprised 83 English language teachers from Saudi Arabia, Qatar, and the United Arab Emirates who completed the Mayer-Salovey-Caruso Emotional …

Effectiveness Of Intelligent Adaptive Learning Environment In Developing Electronic Systems Skills And Information Security Awareness, Ahmad Almufarreh

Scientific Journal of King Faisal University: Humanities and Management Sciences

This study aimed to design an intelligent adaptive learning environment and examine its effectiveness in developing electronic systems skills and information security awareness among faculty members at Jazan University. A quasi-experimental one-group pretest-posttest design was employed with 30 faculty members from the Colleges of Arts and Humanities and Applied Medical Sciences, selected by simple random sampling. Two researcher-developed instruments were used: a Skill Performance Observation Card (40 items, alpha = 0.771) and an Information Security Awareness Scale (40 items, alpha = 0.901). Results revealed statistically significant differences at the 0.01 level between pretest and posttest means on the observation card …

Generalized Apostol-Bernoulli Functions And The Evaluation Of Character Sums, Brad Isaacson

Publications and Research

We introduce two types of generalized Apostol–Bernoulli functions attached to Dirichlet characters and express them by generalized Apostol–Bernoulli numbers. As a corollary, we obtain formulas expressing two families of character sums by generalized Apostol–Bernoulli numbers. These sums are twisted generalizations of sums introduced and studied by Arakawa, Berndt, Ibukiyama, Kaneko, Kim, Ramanujan, and Zaharescu in the context of modular forms and theta function identities.

Radical Right Ideologues In The Age Of Trump: Heralds Of Nihilism, By Ronald Beiner. Routledge, 2026. 160 Pages. $57.99. Isbn 978-1041126812, Joan Braune

Journal of Hate Studies

Philosopher Joan Braune reviews Ronald Beiner’s Radical Right Ideologues in the Age of Trump: Heralds of Nihilism, which examines how fascist ideologues such as Steve Bannon, Aleksandr Dugin, Jason Jorjani, and Costin Alamariu (known online as “Bronze Age Pervert”), invoke philosophers, including Plato, Nietzsche, and Heidegger, in their arguments. It also considers why traditional philosophy departments have hesitated to acknowledge the use of philosophers in right-wing movements and how Beiner manages the risk of validating fascism as intellectual by studying the topic.