Digital Commons Network^™

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 …

Fluoride Varnish Application In Primary Care: A Quality Improvement Analysis At A Fqhc In Rural Maine, Patrick Tolosky Md, Christina T. Holt Md, Msc, Facpm, Andrea Truncali Md, William Mcanirlin

Costas T. Lambrew Research Retreat 2026

Scaling high-performer practice norms such as MA led application, huddle reminders, and EMR tool use -offers a high-impact, systems-level opportunity to advance fluoride varnish application in primary care in rural Maine, particularly for Medicaid-enrolled children.

Understanding Individual And Contextual Barriers To Colorectal Cancer (Crc) Screening In Vulnerable Populations, Patrick Tolosky Md, Michael Kohut Phd, Isabel May Ba, Darby Glenn, Christina A. Kapala Do, Kimberly Murray Mpp, Lise Cloutier Md, Daggett John Md

Costas T. Lambrew Research Retreat 2026

No abstract provided.

Computer Vision And Deep Learning-Based Decision Support System Using Eye Motion Tracking For Nystagmus Detection, Kowshik Balasubramanian

Electronic Theses and Dissertations

This thesis presents the design, implementation, and experimental validation of an artificial intelligence (AI)-driven system for detecting and quantifying nystagmus an involuntary, rhythmic oscillation of the eyes intended as a portable, low-cost complement to conventional Videonystagmography (VNG). The complete pipeline integrates six algorithmic stages: face landmark detection, contrast enhancement, background-aware pixel thresholding, grid-based vertical column filtering, connected-component cluster analysis, and centroid computation, operating in real time on standard smartphone video to extract a sub-pixel normalized iris position time-series without any specialized eye-tracking hardware or infrared illumination. The system supports diagnostic decision-making, highlighting its promise for incorporation into telemedicine settings. The …

Thinking With The Feet In The Clinic Of Psychosis, Jed Wilson

Middle Voices

In his later work, Lacan makes occasional reference to the idea of “thinking with the feet.” An equivocal formulation, it first seems to suggest that thought and language can be regarded as physical processes—not occurring in some homunculan disembodied brain or mind, but in the real of the body. Equally, it can call to mind the idea of thinking “on” one’s feet, in the manner of adaptive improvisation. Going further, could we not also say that it points to the possibility of setting something in motion (as in walking, dancing, going somewhere—all the things we do with the feet) as …

Minutes, Faculty Affairs Committee Meeting, Tuesday, April 28, 2026, Faculty Affairs Committee

Faculty Affairs Committee Minutes

No abstract provided.

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 …

Any One & Every One, Sarah V. Dumitrascu

Electronic Theses and Dissertations

With a predictable job, a rent-stabilized apartment, and stellar dental insurance, still, Ever E. Whan does not like her office job any more than she did on day one. Nothing about it suits her—not the work, the hours, the team, not the break-room coffee machine. She thinks of quitting every day, but something she can’t name, but feels overwhelmingly, keeps her there. While she fantasizes about her grand resignation, she isn’t moved to act until a tragedy occurs on the job.

Hoping to do just about anything else, Ever isn’t quite prepared for the offer she’s given: to work as …

Innovator Of The Year’S Technology Is Making Our Bridges And Structures Safer, Beth Potier

UNH Today Archive

No abstract provided.

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 …

Neuroimaging In Nuclear Medicine, Jared Muench, Amitjeet Kalirao

Aurora GME

No abstract provided.

Skull Base Foramina, Daniel Sievert

Aurora GME

No abstract provided.

Qualitative Findings Of A Maternal Health Education Program For Refugee Women, Michelle Lin, Dema Jaber, Maryam Durani, Sheila Badwan, Michelle Buelow

All Other Contributions

No abstract provided.

Social Determinants Of Health In Early Childhood Mental Health Consultation, Monika Pantha, Heather Paradis, Molly Garwood, Leann Vice-Reshel, Theresa Umhoefer Wittry

All Other Contributions

No abstract provided.

When Tremor Tells The Story: Life-Threatening Lithium Toxicity, Jessica Krouse, Ryan Tabor, Travis Hase

Advocate GME

No abstract provided.

Identifying Unexpected Emergency Department Throughput Outcomes Using A Conditions-Adjusted Capacity Model, Fardeen Sayed, Michael Kennedy, Judy Terri, Ed Gutierrez, Cameron Lewis, Ryan Mckillip

Advocate GME

No abstract provided.

Bougie-Assisted Balloon Tamponade Placement In Refractory Variceal Bleeding, Andrew Tacheny, Travis Hase

Advocate GME

No abstract provided.

A Novel Approach To Defining Progression In Mds And Precursor Myeloid Conditions In The Mds Natural History Study, Amy E Dezern, Matthew Walter, Et Al.

2020-Current year OA Pubs

Patients at risk for progression from myeloid precursor states (idiopathic cytopenia of undetermined significance [ICUS] and clonal cytopenia of undetermined significance [CCUS]) to myelodysplastic syndrome (MDS) are not well defined. Epidemiologic risk factors, clonal changes for MDS development, and evolution from one MDS state to another were available in the MDS Natural History Study (NHS), a prospective cohort enrolled at diverse US sites. Extensive clinical data and biospecimens were collected at baseline and follow-up. A total of 1177 (56%) individuals with MDS or MDS-related precursor conditions (ICUS/idiopathic dysplasia of undetermined significance [IDUS], CCUS, and MDS/myeloproliferative neoplasm overlap) were enrolled and …

Familial Healthy Aging And Longevity: The Role Of Spouses, Søren Netra, Angéline Galvin, Matthew Keys, Katrine Lawaetz Kristensen, Jacob Krabbe Pedersen, Bharat Thyagarajan, Svetlana Ukraintseva, Mary K Wojczynski, Dorret I Boomsma, Kaare Christensen

2020-Current year OA Pubs

BACKGROUND: Families with exceptional longevity often experience delayed onset of age-related diseases and reduced mortality across generations-a pattern influenced by shared genetic and behavioral factors. While several studies have focused on the members of longevity-enriched families (LEF), little is known about the health trajectories of the spouses marrying into these families. Given prior evidence of substantially reduced mortality among spouses of LEF members, determining whether this advantage reflects selection, shared environments, or behavioral convergence is essential for understanding the mechanisms that underlie intergenerational health transmission.

METHODS: We conducted a multigenerational, retrospective matched cohort study using nationwide Danish civil and health …

From Open Source To Action: A Volunteer-Led Health Surveillance Model For Humanitarian Ngos, Jessica Krouse, Mohammed H. Zakir, Sakina Rashid, Juzer T. Vasi, Zahra Shah, Thaer Ahmad

Advocate GME

No abstract provided.

Improving Blood Pressure And Diabetes Outcomes Through Culturally Tailored Education In Refugee And Immigrant Patients, Mohamad Karim, Salma Akhter, Sireen Jaber, Lawrence Moore

All Other Contributions

No abstract provided.

Facilitators And Barriers To Engagement In A Virtual Mindfulness Program Among Healthcare Workers, Yu-Ping Chang, Tess Bernardo, Allie Nickel, Linda Steeg

Creating Healthy Work Environments (CHWE)

Purpose: Healthcare professionals experience ongoing stress and burnout from heavy workloads and emotional demands. Mindfulness-Based Stress Reduction (MBSR) has strong evidence for enhancing emotional regulation, resilience, and well-being. Despite its proven benefits, adoption remains limited across individuals and organizations. Identifying key facilitators and barriers is essential for sustainable integration into healthcare practice. This presentation explores healthcare workers’ perceived barriers and facilitators to participating in an eight-week virtual MBSR program.

Methods: We conducted a qualitative study using individual interviews with healthcare workers who completed the virtual MBSR program delivered by certified trainers aimed at improving workplace resilience. Four trained research staff …

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 …

Navigating Uncertainty: A Deep Insight Into Tariffs’ Effects On The Automotive Industry, Gavin J. Gautier

Honors Theses

The purpose of this thesis is to address the financial, strategic, and external effects caused by tariffs within the automotive industry, with a specific focus on the effects caused by the Section 232 tariffs imposed on aluminum and steel. More Specifically this thesis will examine a comparative analysis of General Motors between 2017 and 2018 during the Section 232 enactment. While traditional studies tend to observe the input-cost effect, my hope is to examine the broader effects at the firm-level, such as inventory shifts, cost management, and risk hedging procedure. Through an evaluation of GM’s 10-K filings, key financial ratios, …

New Nurse Faculty Mentorship: A Quality Improvement Project, Kimberly B. Porter

Doctor of Nursing Practice Projects

The ongoing nursing faculty shortage limits program capacity and makes it harder to retain novice nurse educators transitioning from clinical practice to academia. The literature highlights issues such as insufficient mentorship, role confusion, and a lack of structured support as key factors contributing to early faculty attrition. This quality improvement (QI) project aimed to implement and evaluate an evidence-based mentorship program to improve perceptions of mentorship effectiveness among new-to-academia nurse faculty in a School of Nursing in Arkansas. The purpose was to implement and evaluate a mentorship program designed to improve perceptions of mentorship among new-to-academia nurse faculty. The project …