Digital Commons Network^™

How Does Cognitive Behavioral Therapy (Cbt) And Antipsychotics Compare To Antipsychotics Alone Impact Inpatient Length Of Stay: A Scoping Review, Morgan E. Johnson, Hailey M. Wade, Y'Esha V. Williams-Click, Rocquell Duncan, Laura Reed Dnp, Aprn, Fnp-Bc, Cne, Fnap

Doctor of Nursing Practice Projects

Background

Psychosis in adults is a serious psychiatric condition that often necessitates inpatient hospitalization for stabilization and the initiation of medication. Untreated psychosis can lead to poor outcomes, including longer hospital stays, loss of occupational functioning, and a decreased quality of life. While antipsychotic medications are typically the first line of treatment, they can have severe side effects, which may lead to patients discontinuing their use. Cognitive Behavioral Therapy (CBT) for psychosis is an evidence-based intervention that targets maladaptive behaviors associated with the condition. CBT may improve treatment responses when used alongside antipsychotic medication. However, there is limited research on …

Neurological Phenotypes Of Myotonic Dystrophy Type 1 In Drosophila Melanogaster, Carleigh M. Wood

Departmental Honors & Graduate Capstone Projects

This research investigated Drosophila melanogaster’s ability to serve as a model organism for the neurological phenotypes of Myotonic Dystrophy Type I (DM1). DM1 is caused by a CTG repeat expansion in the DMPK gene. DM1 leads to symptoms of muscle weakness and wasting, as well as decreased cerebral volume. This study aimed to determine whether DM1-affected Drosophila exhibit neurological changes, as has been observed in humans. Healthy control (CUG20) and DM1-affected Drosophila (CUG250) were generated using classical genetics. Both groups were aged three weeks prior to dissection and imaged through fluorescent microscopy. It was predicted that Drosophila melanogaster affected by …

Student Perspectives On Title Ix Policy Across North Texas College Campuses, Felicia Chism

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study examined how North Texas higher education students’ lived experiences with Title IX (TIX) shaped their perceptions of the policy’s fairness, accessibility, and implementation. The study addressed the problem that experiential perspectives of TIX remain underexplored, despite their importance for understanding institutional accountability and student trust. Guided by the social ecological model and organizational justice theory, the research investigated how individual, relational, institutional, and societal factors influenced students’ interpretations of TIX processes. Eight students from North Texas public universities who had direct involvement in a closed TIX case participated in semi‑structured interviews. Data were analyzed using Moustakas’s …

Methionine Restriction Enhances Platinum-Based Chemotherapy-Induced Immunogenic Cell Death In Triple Negative Breast Cancer Cells, Mallory Thompson, Laura Sipe Ph.D.

Departmental Honors & Graduate Capstone Projects

When cancer cells are treated with chemotherapy, they can release Damage-Associated Molecular Patterns (DAMPs) as they die that can alert and engage the immune system, a process known as an immunogenic cell death (ICD). The dying cancer cell can release certain molecules, including ATP or calreticulin, that immune cells first recognize as abnormal before initiating an anti-tumor response. However, not all chemotherapies cause the release of these beneficial signals as they kill the cell. This study aims to determine whether a specific deprivation technique, called methionine restriction, enhances the ICD process and DAMP expression when used in conjunction with chemotherapy …

Material Innovations, Mia Rouse

SPARK Symposium Presentations

Showroom style vignettes featuring 24 curated materials with an innovative focus and renewed development to inspire and stimulate new design ideas.

As-1009-26 Resolution On New Bachelor Of Science Degree Program In Data Science, Data Science Curriculum Committee

Academic Senate Resolutions

Resolves that the Academic Senate of California Polytechnic State University, San Luis Obispo, approve the establishment of a Bachelor of Science in Data Science; and be it further resolved that the program be implemented contingent upon final approval by the Chancellor’s Office and availability of appropriate resources.

Project Management Practices In Manufacturing: An Analytical Case Study, Margaret Randle, Robert Reynolds

Honors Capstones

Global industries are undergoing significant transitions in organizational models, technological innovation, and non-economic indicators of product quality, including sustainability and operational efficiency. The current workforce needs to not only develop competency of these technical skills, but also an adaptive, system-oriented approach to problem-solving as well. This case study, which highlights a manufacturing company’s project of increasing production efficiency, presents concepts learned through the textbook Project Management: Achieving Competitive Advantage by Jeffrey K. Pinto. The study thoroughly breaks down the full project lifecycle and the integration of systems of people, data, and initiatives in a framework that can be used to …

Impact Of Provider Confidence And Psychiatric Referrals Through Education And Implementation Of The Gad-7 Anxiety Screening Tool In An Outpatient Family Clinic, Maceline E. Check

Doctor of Nursing Practice Projects

Gaps in provider and nurse confidence in identifying and managing anxiety disorders in outpatient family clinic settings contribute to underdiagnosis, delayed intervention, and reduced psychiatric referrals. This quality improvement project evaluated the impact of provider education and implementation of the Generalized Anxiety Disorder-7 (GAD-7) screening tool on provider and nurse confidence and appropriate psychiatric referral rates, with the goal of improving clinical decision-making and standardizing anxiety screening practices. The project was guided by Lewin’s Change Theory and the Iowa Model of Evidence-Based Practice. Using a quasi-experimental pre- and post-intervention design, providers and nurses in an outpatient family clinic received structured, …

Livestock Poultry Health Committee Minutes, Clemson University Board Of Trustees, 2026 April 28, Clemson University Board Of Trustees, Clemson University Board Of Trustees

Minutes

No abstract provided.

Jtc 26: Listening As A Way Of Leading, Staff Report

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.

April 28, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Who's Got The Floor? Successful Interruptions In Dyadic Conversation In The Candor Corpus, Josie Steen

Electronic Theses and Dissertations Archive

Conversational exchanges are frequently marked by overlap. Some forms include backchanneling and both unsuccessful and successful attempts to take the floor. To further understand their role in discourse, 81 half-hour virtual conversations between strangers from the CANDOR corpus (Reece et al., 2023) were analyzed for instances of successful interruptions, whereby one member of a dyad takes the floor away from the other. Nearly six hundred such episodes were identified and analyzed for underlying systematicity. Regarding demographic characteristics of the speakers, gender was not related to successful interruptions. However, older speakers were more likely to successfully interrupt, suggesting that a speaker’s …

The Wager Of Speech, And The Maneuver Of The Dream In The Clinic Of Psychosis, Christopher Meyer

Middle Voices

Psychoanalysis, especially in the clinic of psychosis and extreme states, requires a wager on the part of the analyst. This wager welcomes the speech of the analysand regarding a censored unconscious. In the clinic of psychosis, the analyst’s reference to the dream in the establishment of the frame of the treatment is a maneuver that creates a working space that reveals the subjective history of the analysand. This history concerns key moments of trauma in which the speaking being found themselves without resort or resource to speech or language to represent their experience. The discourse of the delusion arises in …

Psycho-Pathology And Links Between Neurosis And Psychosis, B. Mason Judy, John Dall'aglio

Middle Voices

Commentary

The Secretary Of Alienation: Metaphor And Metapsychology, Anna Kreienberg

Middle Voices

Commentary

An Interview With Stijn Vanheule, Phd Following His Talk: “The Clinic Of Psychoanalysis In Times Of Capitalism”, Stijn Vanheule

Middle Voices

An interview with Stijn Vanheule

Your Money, Your Message, Ella Rosebrook

Honors Projects

The Your Money, Your Message pamphlet offers a basic overview of personal finance and personal branding to act as a guide for young adults looking to further their knowledge in these areas. It gives beginner-level guidance in budgeting, tracking spending and saving habits, filing taxes with a CPA, a brief description of common payroll taxes, and personal branding. It is important for individuals entering the workforce to be knowledgeable in these areas no matter what their major is, as these skills will bring about a positive impact for anyone. Developing healthy personal finance habits and a strong personal brand is …

Moving Toward Standardization Of Breast Cancer Screening: A Scoping Review Comparing Uspstf And Acs Recommendations For Women Aged 40–74, Gerita F. Perry, Krystal D. Hester-Smith, Bobby Bellflower Dnsc, Nnp-Bc, Faan, Faanp, Fnap

Doctor of Nursing Practice Projects

Purpose 

To compare U.S. Preventive Services Task Force (USPSTF) and American Cancer Society (ACS) breast cancer screening guidelines for women aged 40–74, and to recommend adopting one consistent, standardized guideline in practice. Standardization can improve care continuity, patient adherence, reduce anxiety, support early detection, and lower mortality.

Background 

Breast cancer is the second leading cause of cancer-related death amongst women. The USPSTF recommends biennial screening mammography for women aged 40 to 74 years. The ACS recommends an annual mammogram. Differences between the two organizations for screening emphasize the need for a common alignment to reduce breast cancer mortality. As breast …

Staff Educational Impact On School-Based Mental Health Services: A Scoping Review, Daniel J. Kim, Di'yana Fisher, Laura Reed Dnp, Aprn, Fnp-Bc, Cne, Fnap

Doctor of Nursing Practice Projects

Purpose/Background

            Trends are consistently increasing among adolescents in regard to mental health diagnoses and suicide risks, which emphasizes the necessity for early identification via school-based psychiatric screenings. The Patient Health Questionnaire-9 (PHQ-9) has proven effective in uncovering symptoms of depression; variable application and limited staff knowledge continue to be substantial hurdles. This scoping review examined the influence of staff education and training on the efficacy of school-based psychiatric screening.

Methods

            PubMed, CINAHL, Medline, Elsevier, Google Scholar, and JAMA were utilized to conduct this scoping review. Peer-reviewed studies published between 2020 and 2025 were included if they involved adolescents aged 13-18, …

The Integration Of Mental Health Services Within The Black Church: A Literature Review Of Systematic Inequalities, Stigma, And Culturally Responsive Approaches, Grace N. Wingate

Honors College Theses

Black American Christians in predominantly Black churches often face limited access to adequate mental health resources due to historical mistrust, systemic inequalities, and cultural stigma. These barriers are rooted in longstanding distrust of psychological services, the underrepresentation of Black mental health care professionals, and the high cost and inaccessibility of care. Additionally, stigma within Black Christian communities may discourage individuals from seeking help from mental health professionals, particularly when such care is perceived as conflicting with religious beliefs. Despite these challenges, Black churches remain central and trusted institutions within their communities, positioning them as crucial sites for mental health support. …

Covid Minds: A Thematic Review Of The Pandemic On Neural Mechanisms And Political Polarization, Madison Jeffries

Honors Projects

This paper analyzes how the COVID-19 pandemic influenced political polarization in the United States by examining the interactions between social system disruption, psychological stress, and underlying neurological behaviors. While previous research has extensively discussed pandemic's influence on public health and societal breakdowns, studies fail to examine how these disruptions shaped political divisions. This study synthesizes interdisciplinary literature on pandemic-induced stressors and analyzes factors, including institutional mistrust and social isolation, and how these experiences shape political behavior and perspectives. Applying research from psychology and neuroscience, the paper argues that prolonged exposure to pandemic-related stressors changed neurological and behavioral patterns in response …

Cultivating The Dream In African American Men Through Black Excellence And Success, Sylvia Lawan Branch

LMU Theses and Dissertations

Achieving Black Excellence has been a goal for African American men for several decades; yet this movement has been hindered by social, emotional, and discriminatory life experiences from early childhood through adulthood. Black Excellence has been a phrase used in recent years to highlight achievements for African American men in wealth, mental health, well-being, fatherhood, and academic achievement. The main objective of this dissertation was to define and examine dimensions of Black Excellence among African American men, including elements that contributed to personal fulfillment and broader social impact. To determine recommendations to achieve Black Excellence (Scott, 2017), 10 semistructured interviews …

Score Data 2026, M. Barnard, T. Johnson, A. Ford-Wade, M. Godfrey, C. Compretta, E. Dehon, B. Wade

Faculty and Student Publications

This data file includes data for four years of Project SCORE implementation.

Transesophageal Echocardiogram Training For Student Registered Nurse Anesthetists, Sophie Hesse, Annie Krippene, Christian Shelton

Doctor of Nursing Practice (DNP) Student Projects

Background and Significance: Transesophageal echocardiography (TEE) is a vital diagnostic tool in perioperative care. At Barnes-Jewish College Goldfarb School of Nursing (GSON), Student Registered Nurse Anesthetists (SRNAs) formerly received limited TEE instruction, consisting primarily of didactic content. This quality improvement project aimed to enhance SRNA proficiency in TEE by integrating online and simulation-based training.

Review of Literature Findings: Simulation-based education has been shown to improve knowledge, skill, and confidence compared to lecture-only methods (Bloch et al., 2017; Chenkin et al., 2023; Pezel et al., 2023; Weber et al., 2019; Zhao et al., 2021).

Methods: Guided by the Iowa Model and …

Preventing Information Loss During Icu To Or Handoff, Jenna Alfeldt, Kristen Hoffer, Ashley Miles, Amanda Schwarztrauber

Doctor of Nursing Practice (DNP) Student Projects

Background and Significance: Inconsistent ICU to OR handoff practices create conditions for information loss, threatening patient safety and continuity of care. Communication errors contribute to an estimated 250,000 fatalities and $20 billion in annual U.S. healthcare costs.

Review of Literature Findings: A thorough literature review revealed that standardized handoff procedures are shown to improve communication and team dynamics.

Methods: This quality improvement (QI) project implemented a standardized handoff process using the Handoff Reference Tool when transferring patients from the Intensive Care Unit (ICU) to the Operating Room (OR) in a large academic medical center. Pre- and post-implementation …

Do-Not-Resuscitate Orders In The Perioperative Period: A Quality Improvement Project, Brooke Popejoy, Connor Lebsack, Rena Bish

Doctor of Nursing Practice (DNP) Student Projects

Background & Significance: Management of do-not-resuscitate (DNR) orders during the perioperative period presents ongoing ethical and clinical challenges. Variability in provider knowledge and documentation can compromise patient autonomy and safety. Despite institutional policies, such as Barnes-Jewish Hospital’s “Goals of Care Directive,” inconsistent adherence remains common.

Review of Literature Findings: Evidence reveals that limited provider education contributes to uncertainty in managing perioperative DNRs. Studies by Baumann et al. (2017), Chappell et al. (2023), and Crowe and Marsh (2023) support targeted educational interventions to improve provider competence and consistency with national guidelines regarding required reconsideration.

Methods: Preintervention and postintervention surveys will be …

Riding The End-Tidal Wave: Enhancing Nurse Confidence And Clinical Competence On Capnography Waveform Interpretation, Megan Monda, Kirk Wallis, Rachel Zehner

Doctor of Nursing Practice (DNP) Student Projects

This quality improvement project addressed inconsistent use of end-tidal carbon dioxide (ETCO2) monitoring among nurses in the Cardiac Procedure Center (CPC) at Barnes-Jewish Hospital. Although capnography detects respiratory compromise earlier than pulse oximetry, limited staff education contributed to variability in waveform interpretation and clinical response. Guided by Kurt Lewin’s Change Model and the Plan-Do-Study-Act cycle, four structured one-hour educational sessions were delivered to CPC nurses and supplemented with hands-on practice and visual cognitive aids. Pre-, immediate post-, and two-week post-education surveys evaluated changes in knowledge, confidence, and clinical skill. Mean knowledge scores improved from 65% at baseline to 75% immediately …

Enhancing Anesthesia Clinicians’ Knowledge And Confidence In Prophylactic Antibiotic Selection For Patients Receiving Concomitant Therapeutic Antimicrobials, Nicholas Rangel, Michela Williams, Amber Theisen

Doctor of Nursing Practice (DNP) Student Projects

: Background and Review of Literature: Antibiotics are essential for preventing surgical site infections (SSIs), but improper selection can contribute to antimicrobial resistance, increased costs, and patient harm. Studies show that clinical decision support (CDS) tools can improve antibiotic prescribing practices using evidence-based guidelines.  Purpose: This project aimed to integrate a revised CDS tool into the workflow of a anesthesia clinicians at a midwestern academic medical center, incorporating allergy-specific guidelines and antimicrobial substitution recommendations for patients on concomitant therapeutic antimicrobials (CTA) to improve decision-making. Methods: This project used pre- and post-surveys to assess clinicians’ knowledge, confidence, and satisfaction in selecting …

Quality Improvement Project: Evaluating The Effectiveness Of Chlorhexidine Gluconate Bathing Education On Staff Perceived Knowledge, Kaonta Spencer

Doctor of Nursing Practice Projects

A community hospital set strategic goals to achieve Vizient top-decile performance and drive continuous improvement by reducing surgical site infection (SSI) rates. The purpose of this quality improvement project was to support this goal by implementing an evidence-based educational intervention to improve nurses' perceived knowledge and self-reported ability with the chlorhexidine gluconate (CHG) bathing protocol for hysterectomy patients. Guided by Lewin's Change Theory, the Iowa Model Revised, and the Iowa Implementation Framework, the educational intervention applied a structured approach to address behavioral and organizational barriers contributing to protocol noncompliance. A quantitative, quasi-experimental pre- and post-intervention design was used to evaluate …

Quality Improvement Project: Improving Interdisciplinary Care In Nursing Education Through Simulation, Anna Williams

Doctor of Nursing Practice Projects

Interprofessional education (IPE) is essential in preparing nursing students for effective teamwork and communication in clinical practice and is supported by the literature as improving these outcomes. However, limited faculty training in interprofessional simulation design contributes to reduced IPE opportunities within nursing curricula. A needs assessment at the project site identified a lack of structured, hands-on training for simulation faculty, resulting in decreased faculty confidence and limited implementation of IPE simulations. The purpose of this quality improvement project was to evaluate whether a structured training intervention improved simulation faculty self-efficacy in developing and implementing IPE simulations. Bandura’s Self-Efficacy Theory guided …