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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 …

Resilience, Social Support, And Burnout: Building Healthy Work Environments For Emergency Nurses, Timothy R. Burns

Creating Healthy Work Environments (CHWE)

Background: Emergency department (ED) nurses work in high-stakes environments that increase exposure to stress, trauma, and burnout. Identifying protective factors that strengthen well-being is essential to building and sustaining healthy work environments.

Purpose: This study examined how years of experience, social support, and resilience influence burnout, secondary traumatic stress, and compassion satisfaction among ED nurses across the United States.

Methods: A cross-sectional design was used. Participants completed a demographic form, the Professional Quality of Life Scale (ProQOL), the Connor–Davidson Resilience Scale (CD-RISC), and the Lubben Social Network Scale. Data were analyzed using multiple and hierarchical regression to identify predictive relationships …

Quality Improvement Project: Impacting Staff Confidence In Recognizing Hiv Medication Adherence, Joy Nwansi-Iro

Doctor of Nursing Practice Projects

Medication adherence to antiretroviral therapy is essential for viral suppression and improved outcomes among individuals living with human immunodeficiency virus (HIV). Despite advances in treatment, healthcare providers lack confidence in recognizing medication adherence challenges and implementing appropriate interventions. Evidence suggests that provider education using standardized adherence assessment tools improves adherence monitoring and clinical decision-making. The purpose of this quality improvement project is to evaluate whether an educational intervention and a standardized workflow using the CASE Adherence Index would impact healthcare staff confidence in recognizing HIV medication adherence. Lewin’s Change Theory guided the project through the stages of unfreezing, change, and …

Quality Improvement Project: Enhancing Staff Delivery Of Non-Pharmacological Interventions In Serious Mental Illness Care, Kimberly Vann

Doctor of Nursing Practice Projects

Serious mental illness places a significant burden on global healthcare systems, increasing hospital utilization and critically impairing patients' functional status. Often crippling, these illnesses are mostly treated with medication therapy despite proven research to show effective outcomes with holistic and non-pharmacological therapies. Non-pharmacological interventions (NPIs) are often underutilized in outpatient mental health settings. The purpose of this quality improvement project was to determine whether structured training impacted staff confidence in delivering NPIs and impacted documentation frequency in the electronic health record (EHR). The project was guided by the Iowa Model of Evidence-Based Practice and implemented using the Plan-Do-Study-Act (PDSA) cycle, …

Quality Improvement Project Bridging The Gap In Scholarly Productivity: An Educational Workshop For Tenure-Track Nursing Faculty, Britney Thorne

Doctor of Nursing Practice Projects

Tenure-track nursing faculty often balance teaching, service, and scholarship responsibilities, which can be overwhelming when promotion and tenure expectations are unclear or insufficiently supported. At a historically Black university, a school of nursing identified gaps in scholarly productivity and limited guidance for early-career faculty, highlighting the need for structured support. Guided by Knowles’ Adult Learning Theory and Lewin’s Change Theory, this Doctor of Nursing Practice (DNP) quality improvement project examined whether structured faculty development workshops could improve faculty knowledge of scholarly productivity, engagement in scholarly activities, and perceptions of tenure and promotion expectations. A quasi-experimental pre-post design was implemented over …

Enhancing Ot-Classroom Staff Collaboration: A Usability Study Of A Formalized Sensory Communication Process, Victoria Foo, Neil Harvison, Alyson Pasquale, George Bulger, Jessica Evans

Post Professional Occupational Therapy Doctoral (PPOTD) Student Capstone Projects

Addressing students’ sensory-based behaviors can be challenging when there are no team-based and student-centered approaches in place, making it essential to create an interdisciplinary framework where OTs and classroom staff communicate consistently to blend supports. Effective communication and collaboration involve carryover, explanation, education, and training of sensory processing and sensory-based interventions (SBI) as crucial components in a knowledge translation process.

Assessing The Feasibility Of Integrating Occupational Therapy Services Within A Pediatric Primary Care Setting For Children 0-3 Years Old., Amanda L. Wilbert, Cristina Dumitrescu, Kim Karr

Post Professional Occupational Therapy Doctoral (PPOTD) Student Capstone Projects

The objective of this capstone project was to assess the feasibility of implementing occupational therapy (OT) services within a pediatric primary care office using a manualized service delivery approach. Occupational therapy is inherently grounded in parent coaching and education, positioning the profession to play a critical role in supporting families and promoting early identification of developmental risk. This project aimed to address a documented gap in the inclusion of OT within pediatric primary care by exploring how OT services can support parenting skills and monitor children identified as at risk for developmental, behavioral, or psychosocial concerns. The project was conducted …

Weakening Of Social Protection In Vietnam: Labour Legislation, Cicada Capital And Civil Society, Angie Ngọc Trần

SSGS Faculty Publications and Presentations

Using findings from a 2023 case study on Vietnamese workers in the wood-processing industry and critical content analysis of changes in the labour codes, social insurance laws and annual minimum wage increase policy, I demonstrate how the state’s rhetoric of ‘universal social coverage’ for workers has facilitated the recommodification phase, an authoritarian turn, in the ‘cycle of commodification’ ( Lin and Nguyen, 2021 ). I argue that the expansion of informal labour and unchecked prevalence of ‘cicada capitalism’ are enabled by weakening labour legislation, even weaker state enforcement of social protection laws, and suppression of civil society’s labour advocacy …

Histological Analysis Of Six Atlantic Scleractinian Coral Species Exposed To Three Hydrocarbons, 1-Methylnapthalene, Phenanthrene, And Toluene, Jalyn R. Lee

All HCAS Student Capstones, Theses, and Dissertations

Coral reefs are biologically diverse marine ecosystems that provide numerous goods and ecosystem services. These sessile organisms are vulnerable to anthropogenic impacts, habitat degradation, climate change, and pollution, particularly Petroleum hydrocarbon contamination. Previous research has characterized coral species' sensitivity to hydrocarbons, using a continuous passive dosing system, but the specific histological impacts of petroleum hydrocarbons remain underexplored. This study investigates the histological effects of three petroleum hydrocarbons, 1-methylnaphthalene, phenanthrene, and toluene, on six Atlantic scleractinian coral species: Acropora cervicornis, Porites astreoides, Porites divaricata, Solenastrea bournoni, Stephanocoenia intersepta, and Siderastrea siderea. Coral fragments were exposed to species-specific hydrocarbon concentrations, and …

Outcomes Of Deep Peroneal Neurectomy: A Scoping Review Of Complications, Postoperative Recovery, And Patient-Reported Satisfaction, Krista Elizabeth Samreth, James Hughes, Amayrani Sanchez, Nicholas Obias, Madeleine Mehaffey, Stephanie Campbell Dpm, Aacfas

School of Podiatric Medicine - Student Research

Background: Deep peroneal neurectomy (DPN) evolved as a surgical treatment alternative for patients with painful midfoot arthritis who may not tolerate more invasive surgery such as arthrodesis. This scoping review aims to display current evidence of postoperative recovery complications and patient-reported outcomes specific to alternative surgical treatment of DPN.

Methods: A scoping review was completed using PRISMA-ScR reporting standards. Investigators searched PubMed, Google Scholar, Foot & Ankle Orthopedics, and Journal of Foot and Ankle Surgery for studies from 2002 to 2025 with search terms: “deep peroneal neurectomy,” OR “deep peroneal nerve excision,” OR “peroneal neurectomies” AND “midfoot arthritis”. Exclusion criteria …

Utilization Of Natural Pumice Stone As A Low-Cost Ion Exchanger For Lead (Pb(Ii)) Removal: A Kinetics, Isotherms And Mechanisms Studies, Ahmad Sulaiman

Baghdad Science Journal

Pumice is one of the raw materials that is widely available, especially in the ``Middle East region and Turkey''. In this research, an ion exchanger was prepared from Syrian pumice by converting it into a low-silica ion exchanger (P_Na) for the removal of Pb²__MATH₀__⁺ uptake was 4.3 mmol/g (308.15 K). Removal efficiency was 100% at low concentrations and >80% at medium/high concentrations. The adsorption kinetics followed a pseudo-first-order model, and the equilibrium data fit well to Langmuir, Freundlich, and Redlich-Peterson isotherms (R² > 0.99).

Evaluation Of Enolase1 And Il-9 As Biomarkers To Determine Stratifying Severity Of Vaginal Candidiasis In Iraqi Women, Shams I. Ali, Teeba H. Mohammad

Baghdad Science Journal

Vaginal candidiasis is an opportunistic fungal infection of the lower female reproductive tract caused by Candida species. This study aimed to investigate the roles of Enolase 1 and Interleukin-9 in the pathophysiology of vaginal candidiasis and examine their correlations with anthropometric and lipid profile parameters. A total of 120 participants were enrolled, including 80 patients with VC and 40 healthy controls. Patients were classified into Candida albicans and non-Candida albicans groups based on clinical and microbiological criteria. Serum and vaginal secretions levels of ENO-1 and IL-9 were measured using ELISA, while lipid profiles were assessed spectrophotometrically. Both ENO-1 and IL-9 …

Molecular Characterization And Virulence Factors Of Streptococcus Mutans Isolated From Dental Caries In Type 2 Diabetic Patients, Tiba Abed Maarij Al-Ogaidi, Shaymaa Ismael Kadhim Al-Juboori

Baghdad Science Journal

Individuals with type 2 diabetes are particularly susceptible to frequent and uncontrolled dental caries. Streptococcus mutans, a main cause of dental caries, impacts millions each year and presents significant oral health challenges. Although extensively studied, the bacterium's pathogenesis remains incompletely understood, underscoring the need for further research. This study aimed to isolate and analyze the molecular characteristics of Streptococcus mutans in patients with type 2 diabetes. It explored the bacterium's capacity to infect, survive, and endure acidic oral environments. Samples were taken from 50 individuals with both type 2 diabetes and dental caries, 50 with dental plaque, and 20 …

Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins

Walden Dissertations and Doctoral Studies

Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …

Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins

Walden Dissertations and Doctoral Studies

Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …

Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth

Walden Dissertations and Doctoral Studies

Despite organizational policy and access to physical activity facilities, the U.S. Department of Defense has observed an increase in the prevalence of service members classified as overweight or obese. Guided by the social-ecological model, this quantitative study investigated the work-related exercise determinants within the U.S. military community. Voluntarily recruited current and former service members from Stars and Stripes completed the Office Exercise Behavior Determinant Scale and the International Physical Activity Questionnaire, along with demographic and biometric questions, to identify physical activity behavior and potential barriers. Findings revealed statistical significance related to exercise duration and military variables (e.g., occupation, race/ethnicity), as …

Butte Priority Soils Operable Unit (Bpsou) Final Unreclaimed Sites Field Sampling Plan (Fsp) Package #7: Ur-01, Ur-12, Ur-03, Ur-04, Ur-15, And Ur-17 Amendment, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Identifying Obstetric Care Needs Among Rohingya Refugee Women In Milwaukee: A Quality Improvement Project, Amulya Suresh, Sarah Yapo, Dahlia Tesfamichael, Manuel Lamptey, Dawn Wankowski, Jessica Kram, Elizabeth Corey

All Other Contributions

No abstract provided.

Grupo De Apoyo Prenatal: Pregnancy In Good Company, Brigid Hughes, Michelle Buelow, Kimberly Chobanian Balash, Alexandra Medina

All Other Contributions

No abstract provided.

African American Breastfeeding Network (Aabn): Strategic Planning For Community Advisory Council, Ka’Derricka Davis, Dalvery Blackwell, Zakiya Courtney, Sihkhemmes Akimat, Kjersti Knox

All Other Contributions

No abstract provided.

Addressing Obesity Management Capacity And Barriers In Primary Care: Supporting The Vidas Program At An Urban Federally Qualified Health Center (Fqhc), Molinna Bui, Bret Valentine, Ryan Baxter

All Other Contributions

No abstract provided.

Implementing Point-Of-Care Diabetic Retinopathy Screening At A Free Community Clinic, Parabhjot Singh, Vibhusha Kolli, Lynn Dolan, Margie Dunn, Barbara Horner-Ibler, Kjersti Knox

All Other Contributions

No abstract provided.

Skin And Soft Tissue Wounds Among People Experiencing Homelessness In Milwaukee, Wi: A Cross-Sectional Study, Stephen Halada, Alexa Weber, Seamus Mcwilliams, Benjamin Bateman, Daniel Talebzadeah Shoushtari, Kaitlyn Weix, Alexander Gowing, Michael Costello, David Nelson

All Other Contributions

No abstract provided.

High Yield Facial Fractures, Felipe Hernandez

Aurora GME

No abstract provided.

Small Bowel Crohn's Disease Enterography, Cody Schreiner

Aurora GME

No abstract provided.

Development Of A Hallway Utilization Index To Evaluate Emergency Department Crowding, Andrew Baker, Michael Kennedy, Judy Terri, Ed Gutierrez, Cameron Lewis, Ryan Mckillip

Advocate GME

No abstract provided.

Hybrid Fabrication Of An Electrochemical Electrode Via Inkjet Printing On 3d-Printed Substrates, Md Tawabur Rahman, Jessica Bone, Thomas J. Roussel, Judith L. Jenkins, Aron J. Huckaba

Chemistry Faculty Publications

Combinations of additive manufacturing methods such as inkjet printing and various 3D printing techniques have led to advances in customizable electronic devices by reducing the need for the complex assembly of individually fabricated components. Such combinations are particularly attractive for the fabrication of electrochemical sensing platforms, where the sizes and spatial configurations of electrodes enable (or limit) the sensitivity of the sensors. However, to realize the potential of the combined fabrication methods, the parameters of each printing technique must be mutually compatible. For instance, electrochemical sensing assemblies consisting of inkjet-printed metals on 3D-printed plastics require post-processing steps that convert nanoparticular …

Contests Of Masculinity: The Model Program, Notre Dame, And Collegiate Football, 1945-1972, Brian Michael Burns

Dissertations (1934 -)

This dissertation examines how collegiate football functioned as a contested site for defining masculinity and institutional identity in the United States between 1945 and 1972. Focusing on the leadership and interactions of the National Collegiate Athletic Association (NCAA), the National Football Foundation (NFF), and the University of Notre Dame, the project argues that these institutions promoted competing models of masculinity that reflected broader tensions between moral authority, institutional control, athletic success, and social change in postwar America. This dissertation argues that postwar collegiate football did not express a single dominant masculine ideal but instead became a site of ongoing institutional …