Digital Commons Network^™

The Healing Huddle: Preventing Nurse Second Victimization Through Post-Event Debriefing, Sidia Scott

Creating Healthy Work Environments (CHWE)

Background: Nurses regularly encounter traumatic situations that can leave enduring scars, and without a formalized opportunity to reflect on these experiences, the repercussions can be severe, affecting personal health, team unity, and the standard of patient care. Healthcare workers who suffer from traumatic events are dubbed “second victims”. The patients and their families are the first casualties. Nurse leaders may lack insight into how debriefing impacts their teams’ quality of life at work and would benefit from additional clarity of how to incorporate consistent debriefing into their culture and workflows.

Purpose: This integrative review aims to explore the evidence regarding …

Interventions Targeting Nurse Burnout: A Review Of Current Strategies With Future Recommendations, Hannah Grace Shipp, Katherine Christine Hall

Creating Healthy Work Environments (CHWE)

Intro: Patient care delivery is at risk when nurses experience unmanaged burnout (World Health Organization, 2019). Burnout affects approximately 30% of nurses worldwide (Ge et al., 2023) and 65% in the United States (Cross Country Healthcare, 2025). Researchers posit that burnout is primarily driven by systemic issues rather than individual deficiencies (Cao et al., 2025; O’Hara et al., 2024). Research on interventions to treat nurse burnout is abundant yet there is a gap regarding the translation of current evidence to practical recommendations.

Purpose: To (1) summarize existing systematic reviews on interventions addressing nurse burnout, and (2) translate this evidence into …

Bring The Heat, Bring The Savings: Supporting Strategic Growth For A Minnesota-Based Energy Efficiency Nonprofit, Abigail P. Oldenberg

Strategic Communication Master of Arts Thesis Projects

The Minnesota-based nonprofit organization Center for Energy and Environment (CEE) exists to deliver effective energy solutions to cold-climate states. Its primary mission is to make energy more affordable for residents and businesses, promote environmental equity, and lower carbon footprints. This project considers the social and political landscape in the United States and its impact on environmental nonprofits. Given the status of grants allocated for energy efficiency programs, while prioritizing the organization’s business development goals, Center for Energy and Environment must diversify its revenue streams. Primary and secondary research conducted for this project includes annual impact reports, social media and website …

Understanding And Measuring Functional Communication In Adults Living With Alzheimer's Disease And Related Dementias, Sarah Toledo

Honors Capstones

Functional communication declines across all stages of dementia and directly affects quality of life, yet traditional standardized assessments may not fully capture everyday communication abilities. This capstone examines how functional communication in older adults living with dementia can be conceptualized and measured beyond standard tools. The study analyzes previously recorded video conversations between adults with dementia and student partners. Conversations are transcribed and coded using two observational measures: the Verbal and Nonverbal Interaction Scale–Care Recipient (VNVIS-CR) and the Adapted Measure of Participation in Conversation for Dementia (MPC-D). Gestures, facial expressions, responsiveness, and engagement are included in the analysis, and double …

The Expansion And Push For Competitive Gaming, Theresa T. Hoang

Honors Capstones

Competitive gaming, also known as eSports, is a rapidly growing industry that brings millions of views and streams every day. New games are constantly being created as well. This paper serves to discuss and go over how s Esports got so big and spread so rapidly. It will touch upon the current status of Esports. Namely, it will touch on the status of esports on the collegiate level. Then, it will go over how everything started: the idea of Esports sprouting and the start of its spread. It will go over Esports on the national and international stage(s). Lastly, this …

Two Sides Of The Same Cycle: Understanding The Experiences Of Domestic Violence Survivors And Perpetrators, Avery M. Blevins

Honors Theses

Domestic violence has been a prevalent concern throughout society for many years but has recently begun to cumulate awareness from policymakers, people in the community, and individuals in service professions. There have been various changes made to the way that we define and understand domestic violence which has further led to the need to explore and educate on this concern. This paper aims to understand the experiences of both survivors and perpetrators that led to such violent circumstances. This creates a more multifaceted understanding of domestic violence and aids in implementing effective resources to both prevent and intervene in violent …

Unlocking Access: Investigating The Implementation Of European Accessibility Standards In European Museums, Katie Hendrix

Honors Theses

Individuals with mobility limitations are limited to utilizing facilities that provide mobility adaptations, such as: elevators/lifts, automatic/easy to open doors, ramps, sufficient maneuverable space, benches, etc. To address this equity need in Europe, the European Committee for Standardization published and implemented the European Standard for accessibility and usability of the built environment (EN 17210) in 2021 which outlines accessibility features that all European Union (EU) countries are recommended to follow. The goal of this research is to investigate how the European Standard regulates the EU infrastructure and analyze its impact on infrastructures for those with mobility impairments. This project presents …

Beyond The Game: The Real Impact Of Cte, Leah R. Rennels Ms

Honors Theses

Chronic Traumatic Encephalopathy (CTE) is very new in the world of sports medicine and the clinical features and symptoms of CTE are wide ranging. Some of these features include: executive function decline, memory problems, depressive episodes, behavioral changes, and mood swings. The affected populations include contact sport athletes, military veterans, and physical abuse victims. Continued research in the field has also broadened the scope of its effect. CTE research can affect sports administration, medicine, and even legal fields. Sports administration and medicine can both make advancements to protect our contact sport athletes and medicine can even help people with similarly …

Evaluating The Impact Of Glp-1 Receptor Agonists On Perioperative Aspiration Risk: The Role Of Preoperative Fasting Duration, Caitlin Maureen Carter Bsn, Rn, Adam Wade Johnson Bsn, Rn, Allison Whitney Jones Bsn, Rn, Joseph Kaesberg Bsn, Rn, Kelly Maura Watson Bsn, Rn, Bobby Bellflower Dnsc, Nnp-Bc, Faan, Faanp, Fnap

Doctor of Nursing Practice Projects

Purpose/Background

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are increasingly prescribed for diabetes and obesity due to their metabolic benefits; however, these medications delay gastric emptying, raising concern for increased residual content (RGC) and aspiration risk during anesthesia. Current perioperative fasting and medication management guidelines for patients taking GLP-1 RAs remain inconsistent, creating uncertainty for anesthesia providers. This scoping review aimed to synthesize current evidence on the relationship between GLP-1 RA use and perioperative gastric safety, with particular focus on fasting duration and aspiration risk.

Methods

A scoping review was conducted in accordance with PRISMA-ScR guidelines. Searches were performed using the …

Soma: Exploring Touch As Performance And Performance As Therapy, Erica Pamson

Expressive Therapies Theses

This project investigated the role of touch within a performative context and its potential as a creative intervention within Expressive Arts Therapy. Grounded in phenomenology and intersubjectivity, the study draws on Expressive Arts Therapy (EXAT) and Performance Art frameworks that position meaning as emerging through embodied, co-created experience. Existing literature identifies touch as a primary mode of perception and communication, essential to both physical and emotional well-being, while also noting its increasing absence and regulation within contemporary Western culture. Performance art literature further highlights the body as both medium and site of relational exchange, often dissolving boundaries between performer and …

Boosting Nursing Engagement At An Fqhc Through Extended Onboarding And Standardized Preceptorship, Vivian Thuy Vi Min Nguyen, David Tilford, Laura Shouse, Harold Giron, Marvin Alexis Ayala, Olive Mae Zacarias, Lorraine Flores

Creating Healthy Work Environments (CHWE)

AltaMed is one of the largest Federally Qualified Health Centers (FQHC) serving Los Angeles and Orange County areas with over half a million patients primarily from underserved and minoritized communities. AltaMed's mission is to eliminate disparities in health care access by providing quality health and human services through an integrated delivery system for communities in Southern California. The organization has identified concerns related to readiness, confidence, and retention among newly hired nursing staff.

New hires reported that the onboarding process did not adequately prepare them for clinical practice, resulting in low confidence and increased turnover. Many shared that they needed …

Prevalence, Determinants, And Objective Risk Of Unintentional Therapeutic Duplication Among Adults In Saudi Arabia, Yosra Alhindi

Saudi Toxicology Journal

Background: Unintentional therapeutic duplication represents an underrecognized yet preventable contributor to medication-related harm, particularly in settings characterized by widespread over-the-counter (OTC) medicine use and self-medication practices. Objective: To estimate the prevalence of unintentional therapeutic duplication among adults in Saudi Arabia and identify sociodemographic and behavioral predictors associated with increased therapeutic duplication risk. Methods: A national crosssectional study was conducted between February 10 and April 28, 2025, using a structured, self-administered online questionnaire distributed via social media platforms. The survey assessed sociodemographic characteristics, medication-use behaviors, active-ingredient literacy, and duplication risk using both self-reported measures and scenario-based assessments. Multivariable logistic regression was …

Teaching Future Clinicians: Curriculum Development Emphasizing The Inclusion Of Trans Individuals And Families In Marriage And Family Therapy (Mft) Education, Eli J. Huffman

Honors Capstones

The field of marriage and family therapy (MFT) is deeply flawed when it comes to the inclusion, representation, and treatment of trans individuals and families. This is despite the fact that MFT could be of unique benefit to the trans community, as they are a community who experience high rates of both familial issues and mental health issues (Katz-Wise, 2021). However, due to education that is often incomplete or inadequate, many mental health providers—including, but not limited to MFT’s—feel they lack the competencies necessary for working with trans individuals and families in practice (Dalton, et al., 2021). This research project …

Fiber Consumption Of Three Lemur Species With Varying Dietary Specializations, Dylan Daniels

Honors Capstones

Fiber is an important macronutrient as a source of energy for maintaining animal health. My research question is what is the fiber content of foods consumed by lemur species with different dietary specializations (Propithecus diadema, Eulemur fuvlus, and Hapalemur griseus) and are there seasonal changes? 172 plant foods were collected in Tsinjoarivo, Madagascar during the resource-abundant and lean season. I analyzed these samples using the neutral detergent fiber method, which simulates digestion and measures insoluble fiber. Knowing how much fiber lemurs consume and how they adapt to seasonal variation in the food supply will allow for restorative actions to be …

Taoism As Applied To The Individual In Western Business, Alfie T. Chadwick

Honors Capstones

When making the comparisons between Eastern and Western approaches, the primary focus of juxtaposition is the “this or that” attitude of Western thought against the “this into that” focus of Eastern thought. For instance, a Western company may view change as the opposite of stability whereas Taoist belief through Yin-Yang theory suggests change actually is stability (Chen, 2002).

The inherent paradoxical nature of this approach counters most Western schools of thought and, therefore, might prove difficult to implement in a Western workplace. This study aims to explore the potential for applying the principle of Wu-Wei (also known as “effortless action”) …

A Retrospective Look At Self-Reported Mental Health Prevalence In Division Iii Student-Athletes, Jacob F. Neri

Masters Theses/Capstone Projects

Mental health concerns among collegiate athletes have gained increased attention, but there has been limited research focus on Division III student-athletes. This study aimed to examine the self-reported prevalence of anxiety, depression, anger, stalking/harassment, abuse/assault, alcohol/substance abuse, self-harm, suicide ideation, and suicide attempt to identify contributing factors amongst this population. A retrospective, cross-sectional study was conducted looking at data collected from the student-athlete mental health history & well-being questionnaire that was administered as part of their pre-participation exam (PPE) prior to the beginning of each academic year. A total of 554 Division III student-athletes were included in the study. Results …

Enhancing The Diversity And Number Of Certified Registered Nurse Anesthetists: A Proposed Pipeline Program For Underrepresented Students, Alexis Lamoreaux

Doctor of Nursing Practice Scholarly Projects

The underrepresentation of minority groups in the Certified Registered Nurse Anesthetist (CRNA) profession impacts healthcare providers’ diversity and cultural competence. This Final Scholarly Project (FSP) proposes a pipeline program to increase diversity within the CRNA field by providing academic support, mentorship, and clinical exposure to students from underrepresented backgrounds. Given the shortage of anesthesia providers, especially in underserved areas, improving access to the CRNA profession for minority students is critical for enhancing patient outcomes. This FSP suggests establishing mentorship and skill development concepts through a 12-month structured program that targets minorities, first-generation college students, or those from rural backgrounds. The …

A Case Comparison Of Vo₂Max And Lower Extremity Injury In Collegiate Wrestlers, Kole J. Kendall

Masters Theses/Capstone Projects

ABSTRACT

A CASE COMPARISON OF VO₂MAX AND LOWER EXTREMITY INJURY IN COLLEGIATE WRESTLERS

Kole Jacob Kendall

Otterbein University

Westerville, OH

The purpose of this study was to examine the relationship between preseason aerobic capacity (VO₂max) and lower extremity injury prevalence in Division III collegiate wrestlers. In this two-participant case comparison, Participant 2 sustained a lower extremity injury and demonstrated the lower VO₂max value (37.5 mL·kg⁻¹·min⁻¹), whereas Participant 1 remained uninjured and demonstrated the higher VO₂max value (40.8 mL·kg⁻¹·min⁻¹). Although statistical analysis was not feasible because of the limited sample size, this pattern suggests a possible association between lower aerobic capacity …

Assessing The Risk Of Low Energy Availability In Ncaa Division Iii Female Soccer Players, Emma C. Sturts

Masters Theses/Capstone Projects

Low Energy Availability (LEA) can occur when an athlete’s energy intake is insufficient to meet the physiological demands of training as well as normal physiological functions. Female soccer players may be at an increased risk of developing LEA due to the high exercise energy expenditure paired with decreased energy intake. The purpose of this study is to assess the prevalence of LEA among Division III female soccer players. Division III female soccer players (n = 11) completed the Low Energy Availability in Females Questionnaire (LEAF-Q). 45.5% (n = 5) of the participants were classified as “At Risk” for LEA. Of …

Prevalence, Perceptions, And Risk Of Nsaid Use Among Division Iii College Athletes, Alyssa C. Lewis

Masters Theses/Capstone Projects

A preliminary study utilizing a Division III Midwestern athletic conference to determine the perceptions, prevalence, and risk of non-steroidal anti-inflammatory drugs (NSAIDs) was conducted. The study includes athletes that were 18 years of age or older and those who hold an active roster spot. The study utilized a non-standardized survey previously used in Christopher et al. (2020) to examine NSAID use and behaviors across multiple demographics (e.g., gender, academic year, sport, and ethnicity). The survey did not require any identifying information to allow participants to remain anonymous.  Data collection occurred over two waves through emailing both coaches and athletic directors. …

Investigating The Prevalence Of Eating Disorder Risk And Body Image Dissatisfaction Among Division Iii Track And Field Athletes, Ravyn S. Goodson

Masters Theses/Capstone Projects

Context: Eating disorder (ED) risk, and body image dissatisfaction (BID) are increasingly recognized concerns in collegiate athletes due to sport-specific and sociocultural pressures. However, limited research has looked at these factors within NCAA Division III track and field athletes.

Objective: To examine the prevalence of eating disorder risk and body image dissatisfaction among division III track and field athletes and explore differences based on gender and event group Design A quantitative, cross-sectional survey design

Setting: NCAA division III athletic program within the Ohio Athletic Conference (OAC), during the 2025-2026 competitive season.

Participants: A total of 32 NCAA Division III track …

Neurodiversity In The Workplace: Organizational Approaches To Supporting Neurodiverse Employees, Madison Vasquez

M.S. in Leadership

Despite growing conversation around neurodiversity in the workplace, many organizations lack clear understanding and structured strategies to support neurodivergent employees. This study examines existing research on how organizations can more effectively support neurodiverse employees across the employee lifecycle. Using a qualitative literature review, this study addresses the research question by examining literature on neurodiversity within workplace contexts. This includes investigating common representations of neurodiversity and reviewing the strengths and challenges of neurodiverse individuals, including those who have autism, ADHD, and other forms of neurodivergence. The study also reviews workplace barriers, support strategies, and organizational outcomes identified across the literature. Key …

Effect Of Exergaming Duration On Heart Rat And Caloric Expenditure In Healthy Older Adults, Kathryn Jade Johnson

Honors Capstone Projects and Theses

No abstract provided.

Self-Guided Stress Reduction Program Among New Graduate Nurse Residents, Allison A. Norful, Yilei Yang, Simon Paul P. Navarro, Marin Skariah

Creating Healthy Work Environments (CHWE)

Background: Evidence suggests that younger, less experienced nurses have higher burnout risk, thus yielding higher turnover rates, poorer psychological health, and decreased resilience or job satisfaction. To address this, it is critical to support new nurses by providing training aimed at building resilience and stress management. However, formal curricula designed to help nurses adapt to high-stress environments and unexpected changes are limited. Thus, the purpose of this study was to assess the acceptability, feasibility, and preliminary efficacy of an online self-guided resiliency training curriculum.

Methods: Using a pragmatic trial design, we recruited a pilot sample of 26 nurse residents (with …

The Effect Of Stress Hormones On Memory Formation And Academic Performance, Emma L. Hooks

Senior Honors Theses

With chronic stress becoming increasingly prevalent in academic settings, researchers have identified significant effects on learning and academic performance. Cortisol, a glucocorticoid hormone, is released following the activation of the hypothalamic-pituitary-adrenal (HPA) axis and plays a vital role in the stress response. Although acute increases in cortisol can improve attention and memory, sustained activation of the stress response can impair memory, executive functioning, and academic performance. This thesis draws on neuroscience, psychology, and education research to examine how chronic cortisol exposure affects the hippocampus and prefrontal cortex, and how the effects manifest in learning and academic performance, particularly in developmental …

Burnout & Moral Injury Metrics Inform Evidence-Based Nursing Workplace Solutions, Sarrah Spohnholtz, Brian Douthit, Carolyn Audit

Creating Healthy Work Environments (CHWE)

Purpose: To implement real time burnout data that enables nurse leaders to identify and respond based on environmental risk factors.

Background: Burnout and moral injury among nurses are driven by increased demands and emotional toll of care delivery. These conditions compromise nurse well-being and affect patient outcomes and safety.⁴ Many contributing factors stem from under-resourced environments where nurses cannot provide the care they believe patients need. Resilience training can help mitigate stress, but systemic reform is needed to prevent burnout and moral injury before they occur.²

Methods: In September 2025, the WellNurse Program implemented environmental risk metrics into …

From Central To Refinery: Labor And Hierarchy In The American Sugar Empire (1919-1962), Ben Woloch

History Honors Projects

From 1919 until 1962, the American Sugar Refining Company (ASRC) oversaw an empire, stretching from two Cuban sugar estates (centrales) to its Brooklyn refinery. The relationship between workers at both poles of the ASRC’s empire constituted a transnational labor hierarchy. Divergent management programs at the Brooklyn refinery and the centrales Jaronú and Cunagua confined the workers to distinct social positions. Brooklyn workers pursued labor-management collaboration in support of the sugar industry’s exploitative system, while workers in Cuba reimagined the sugar empire's power structure. The transnational workforce of the ASRC maintained a disunified relationship, which fractured the possibilities of working-class solidarity.

Tropomyosin-Related Kinase Receptor Type B Agonism In Geographic Atrophy-The Translational Challenges From Preclinical Data To A First-In-Human Trial, David Brown, Oliver Zeitz, Clare Bailey, Sunir J. Garg, Karl Csaky, James Talks, Sobha Sivaprasad, Peter M. Benz, Rolf Herrmann, Remko A. Bakker, Sebastian Bandholtz, Ankit Mittal, Qihong Huang, Serge Kosobokovs, Gudrun Simons, Andrea Giani, Jochen Huber, Martin Gliem

Wills Eye Hospital Papers

OBJECTIVE: To report results of the first-in-human trial of intravitreal tropomyosin-related kinase receptor type B (TrkB) agonist BI 754132 in participants with geographic atrophy (GA). To discuss BI 754132 clinical data in the context of the preclinical findings and their translation into human data.

DESIGN: An open-label, uncontrolled, nonrandomized phase I trial (NCT04002310) assessing the safety, tolerability, and pharmacokinetics of BI 754132 in participants with GA supported by preclinical data.

PARTICIPANTS: Participants with GA recruited between July 2019 and August 2022 in the United States and UK.

METHODS: Clinical trial comprising a single rising dose (SRD) part (n = 15) …

Molybdenum-Doped Zinc Oxide Nanocomposite For Sustainable Photoelectrocatalytic Degradation Of Dyes And Antimicrobial Activity, Samar A. Salim

Nanotechnology Research Centre

Mo-doped ZnO nanocomposite was synthesized by using auto-combustion method. X-ray diffraction patterns of prepared nanocomposite indicated effective construction of crystalline Mo/ZnO NCs with co-existence of MoO2 and ZnO in required weight ratio. XRD results revealed also that ZnO crystallite size decreased as Mo-doping concentration increased. The direct band gap reduced from 3.309 eV of (MZ-0) to 3.258 eV of (MZ-5), demonstrating a negative correlation with Mo-doping levels. The electrocatalytic activity of Mo/ZnO NCs was assessed by their capability to degrade Indigo Carmine (IC) and Murexide (ME) dyes, and their antibacterial properties were also evaluated. The electrocatalytic (EC) degradation efficiencies for …

From Achievement To Adaptation: Women’S Career Narratives Across The Midlife Transition, Michelle M. Ness

Creating Healthy Work Environments (CHWE)

Midlife represents a significant transition for women characterized by the onset of menopause, shifting family dynamics, and evolving professional roles that affect physical and emotional well-being, relationships, and overall quality of life (QoL). This study examines how women in midlife navigate career considerations and future aspirations, emphasizing the interplay of achievement, transition, and reorientation. Drawing on qualitative interviews with cisgender women aged 39–57, the analysis identified four central themes: (1) established success and aspirations for growth, (2) redirection and pursuit of new opportunities, (3) reevaluation of work and identity, and (4) future planning and sustainability. For some, midlife represented the …