Digital Commons Network^™

An Electronic Automated Service To Improve Bowel Preparation, Gabriel Diaz

Doctor of Nursing Practice Projects

Background: To reduce the incidence of colorectal cancer, optimal bowel preparation is imperative. At an outpatient gastroenterology clinic has been experiencing an increased number of patients arriving for their colonoscopy with poorly prepped bowels.

Objectives: The purpose of this quality improvement project was to improve patient’s bowel preparation by augmenting paper-based instructions with an automated electronic messaging service that sent dietary, and bowel instructions tailored to patients.

Methods: This project used a quasi-experimental design to compare scheduling and bowel preparation outcomes of patients who received colonoscopies prior to the intervention (control group) with patients who received automated preparation messages (intervention …

Implementing Standardized Screening Protocols For Perinatal And Postpartum Depression And Substance Use: A Quality Improvement Project, Ava Smith

Doctor of Nursing Practice Projects

Background/Significance: Perinatal mood, anxiety, and substance-use disorders remain leading contributors to maternal morbidity, impaired maternal–infant bonding, and preventable adverse outcomes. Although national organizations recommend universal screening during pregnancy and postpartum, implementation gaps persist due to inconsistent provider practices, workflow variability, and unclear referral pathways. Strengthening both provider competency and system- level processes is essential to improving identification and follow-through in obstetric settings.

Purpose: The purpose of this quality improvement project was to evaluate and strengthen the consistency, quality, and reliability of perinatal depression and substance-use screening practices at an OB/GYN Clinic by implementing standardized screening protocols using the Edinburgh Postnatal …

Improving Consistency In Neonatal Abstinence Syndrome Screening: A Readiness And Barrier Assessment Among Rural Hospital Nurses, Ellen Siekkinen

Doctor of Nursing Practice Projects

Background

Neonatal Abstinence Syndrome (NAS) affects up to 94% of opioid-exposed neonates. A needs assessment at a rural Minnesota hospital, where the local NAS rate exceeds the state average, revealed that neonates at risk are not consistently screened. This lack of screening can delay treatment, leading to prolonged withdrawal, and increase hospital stays and costs.

Aims

This quality improvement project aimed to (1) improve nurse confidence and (2) identify barriers and facilitators to consistent implementation of NAS screening using the Eat, Sleep, Console (ESC) assessment tool following a nurse education intervention.

Methods

Twelve full-time and part-time nurses on the Labor, …

Educational Interventions To Improve Interpersonal Communication With Icu Family Members, Adriana Szaboova

Doctor of Nursing Practice Projects

Background: Family members of critically ill patients frequently experience significant psychological distress, often compounded by unclear communication and limited understanding of complex care processes in the intensive care unit (ICU). In the cardiovascular intensive care unit (CVICU), staff identified a gap in structured, procedure-specific education for families during the admission process following cardiac surgery.

Aims/Objectives: This quality improvement project aimed to develop and implement a one-page, procedure-specific family education tool for CVICU admissions. The goals were to integrate the materials into the admission workflow with staff education and to enhance HCAHPS communication scores during implementation.

Methods: This quality improvement project …

Improving Pain Assessments In The Medical Icu, Tyler J. Wiorek

Doctor of Nursing Practice Projects

Background 

Approximately half of intensive care unit (ICU) patients experience moderate-to-severe pain during admission, yet pain assessment in non-communicative patients remains inconsistent. Evidence-based behavioral tools such as the Critical Care Pain Observation Tool (CPOT) have been recommended to improve detection and management of pain in this population.

Aims/Objectives 

This quality improvement (QI) project aimed to implement the Critical Care Pain Observation Tool (CPOT) among registered nurses in a 29-bed medical ICU and evaluate its impact on nurse knowledge, acceptability, and documentation of pain assessments.

Methods 

A pre–post quality improvement design was used. A convenience sample of registered nurses in a …

Effectiveness Of Aromatherapy To Improve Postoperative Nausea And Vomiting, Mengtian Bludsky

Doctor of Nursing Practice Projects

Background: Postoperative nausea and vomiting (PONV) remains one of the most common and distressing complications following general anesthesia, negatively affecting comfort, recovery, and satisfaction. Although antiemetics are routinely administered, many patients continue to experience PONV. Aromatherapy using essential oils such as ginger and lavender has demonstrated benefit as a low‑risk complementary modality, it was underutilized in clinical settings.

Purpose: The purpose of this quality improvement project was to implement an evidence‑based aromatherapy intervention to increase aromatherapy utilization and decrease PONV incidence among eligible post-anesthesia care unit (PACU) patients; as well as educate and improve perioperative nurses’ acceptance of aromatherapy.

Methods: …

Full Practice Authority For Advanced Practice Registered Nurses In Texas: A Policy Analysis, Carly Baker Duncan

Doctor of Nursing Practice Projects

Background: Texas is one of many states that faces healthcare professional shortages which ultimately results in poor healthcare system performance. The lack of access to healthcare providers is an ongoing challenge that is expected to continue through 2036. One solution to the healthcare access challenge is passing full practice authority (FPA) for advanced practice registered nurses (APRNs) in the state of Texas.

Objectives: This policy analysis was undertaken to evaluate current APRN practice restrictions in Texas and explore policy reforms to address healthcare workforce shortages. Specific objectives included examining primary care health needs in East Texas, workforce needs for primary …

Implementing An Early Lactation Support Workflow To Decrease Missed Lactation Care And Increase Exclusive Breastfeeding Rates, Juleen Johnson

Doctor of Nursing Practice Projects

Background: There are life-saving health benefits associated with breastfeeding. The receipt of early and consistent lactation support improves breastfeeding outcomes. However, for C-section patients at this site, breastfeeding rates are low, initial lactation consults are delayed, and follow-up consults are sometimes not received.

Aims: This project aimed to implement an early lactation support workflow to decrease missed lactation care and increase exclusive breastfeeding rates among C-section patients on a postpartum unit. Evaluation outcomes were: (1) the receipt of initial consults within 24 hours of delivery, (2) the receipt and timing of follow-up consults, (3) exclusive breastfeeding rates, and (4) staff …

How Does Education Regarding Stress Reduction Technique Activities Affect Phq9 And Gad7, Olu Akande

Doctor of Nursing Practice Projects

Mental health conditions such as depression, anxiety, and PTSD are prevalent among home care patients and significantly impact quality of life. This Doctor of Nursing Practice (DNP) project aims to assess the impact of structured education on stress reduction techniques—such as mindfulness-based stress reduction (MBSR), progressive muscle relaxation, cognitive reframing, and guided breathing—on PHQ-9 and GAD-7 scores. A selected registered nurse at Human Touch Home Care (HTHC) will provide targeted education to eligible patients, using a teach-back method to ensure comprehension. PHQ-9 and GAD-7 assessments will be administered before and two weeks after the intervention. Data will be analyzed to …

Emotion Regulation As A Moderator Of The Association Between Stressful Life Events And Changes In Religiosity, Catharine Mann

Senior Theses

Previous research indicates that religion and spirituality can have a beneficial impact on the well-being of individuals, both promoting health and reducing poor mental and physical health outcomes. Religiosity often shifts across the lifespan, but some experiences can predict those changes. For example, stressful life events (SLEs; e.g., loss of a family member, serious illness) are often associated with a decrease in religiosity. Past research has shown that in adults, the experience of SLEs predicts less identification with previously held religious beliefs. This relation could be influenced by a number of factors, but many are likely related to the use …

New School Troubles: How Building Community Impacts Sense Of Belonging, Naydine Naileah Garcia

Capstone Projects and Master's Theses

In this quantitative two group study, there were opportunities for 11th-grade students in ELA to build a classroom community throughout a three-week intervention, designed to examine if implementing these activities would increase their sense of school belonging. Sense of belonging is significant for students to feel personally accepted, respected, included, and supported by others in the school's social environment. Sense of belonging was measured using the Psychological Sense of School Membership Scale as a pre and post test. The treatment group participated in four, 15-minute classroom community building activities a week, completing twelve activities by the end of the intervention. …

Modeling Of Aggregate Losses Of Metastatic Cancer Using Katz Family (A, B, 0) Distributions, Cynthia M. Mwau, Howard Omukami

Institute for Educational Development, East Africa

The incidence of metastatic cancer over the years has gradually increased. This can be due to delayed quality treatment, attributed to insufficient funds. Models that can more accurately price cancer insurance policies incorporating its metastatic nature would enable insurance firms to develop affordable and profitable cancer insurance policies. Effectively marketed and reasonably priced insurance policies can enhance the uptake of cancer specific insurance, thereby alleviating the financial strain linked to cancer treatment. To capture the impact of metastatic cancer on overall cancerrelated losses, we construct Katz recursive models grounded in the Katz family of distributions, specifically the (a, b, 0) …

Materialism: What Do We Lose By Focusing On Having More?, Traidan C. Hier

Augustana Center for the Study of Ethics Essay Contest

This paper seeks to grapple with how materialism impacts the world that we live in and the person holding that mindset. It also seeks a solution to materialism, offering a helpful perspective on how can we avoid a materialistic mindset.

Pacifism And Negligence In Our Modern Era Ignoring Crises For “It Being Political”, Georgi Feigley

Augustana Center for the Study of Ethics Essay Contest

No abstract provided.

Under The Bridge - Vol. 5 (Spring 2026), Trinity Christian College

Under the Bridge

This Home - Wasco - 1 / Do You Want A Tree? - Honey - 5 / The Heart of a Troll - Majewski - 8 / Memory Map - Cohen - 11 / Am I True To My Words? - Post - 18 / Lukewarm - Enriquez - 22 / Bottled Memories - Hoffman - 23 / Darkness to Dependance -  Santostefano - 25 / Amor Eterno - Zuno - 30 / Growth - Suchorabski - 31 / I bruise easily - Heyboer - 33 / Solo Christo - Jamrozik - 35 / Banished - Clausing and Parsley - …

Navigating End-Of-Life Decisions: Cultural Considerations For Latine Patients, Michelle Carbajal Hernandez

Honors Capstones

Healthcare professionals face many challenges when communicating terminal illness prognoses for individuals. This responsibility to address a terminal prognosis is further complicated when communicating with Latine patients who may face multiple barriers within the healthcare system and whose cultural preferences influence end-of-life care planning (Carrion, 2010). For example, Latines are less likely to enroll in end-of-life (EOL) care services (e.g., hospice) (Barragan-Carrillo et al., 2022). As well as engage in end-of-life care planning than White Non-Latines (Shen et al., 2016). To understand this hesitancy towards EOL care options, this literature review aims to explore how terminally ill Latine and …

Start With What They Know: Using Motivational Interviewing To Create A Cooking Class, A Culinary Intervention For Teens (Autistic And Non-Autistic), Gwendolyn S. Tedder

LEND Trainee Presentations

Autistic teens are at greater risk for having heart disease and diabetes as adults. Food particularity, sensory issues, fixed mindset, and anxiety over trying new things can slow down their interest in preparing food for themselves. Nurturing basic cooking skills and gently encouraging trying new foods would provide more nutritional options to teens as they move into adulthood. A cooking class preceded by Motivational Interviewing (MI) developed further interest in preparing food afterward in teens, both autistic and non-autistic, and in trying new foods for autistic teens with food concerns.

Retail Behaviours And Preferences Of Older Adults In Suburban Malls, Le Ha Linh Phan, Kenneth Choo, Emi Loh, Wensi Lim

ROSA Research Briefs

Singapore’s population is ageing rapidly, with projections indicating that one in four Singaporeans will be aged 65 and above by 2030 (Iparraguirre, 2019). This demographic shift presents significant opportunities for the Silver economy, which refers to economic activities, products, and services designed to meet the needs of older adults. As the market for products that enhance seniors’ quality of life expands (Wong, 2007), the Silver retail sector, comprising businesses that provide age-friendly goods and services, has become an increasingly important component of this landscape (Colurcio et al., 2022).

Not Too Early, Not Too Late: A Framework For Career Guidance In Competency -Based Education (Cbe), Mercy Igoki

Institute for Educational Development, East Africa

The aim of this study is to develop a framework for providing career guidance to learners in Kenyan schools within a competency-based education framework. The framework will give guidance from early childhood to senior schools. It will help learners select careers and develop relevant competencies. Learners are often introduced late to career guidance, mostly when they must make key academic and career decisions, such as subject selection. This timing may limit their ability to make informed decisions about their future career pathways. The study uses a conceptual research design, grounded in a review and synthesis of existing literature on career …

Folic Acid–Carbon Dot–Gemcitabine Nanoparticles For Targeted Cancer Drug Delivery, Irfan Huda, Hua Mei

SPARK Symposium Presentations

This project aims to develop a folic acid-attached carbon dot nanoparticle system (FA-CDs-GEM) for the targeted delivery of gemcitabine to cancer cells. While gemcitabine is widely used, its effectiveness is limited because a short in vivo half life and lack of selectivity, which lead to severe side effects. Carbon dots offer a simple and modifiable platform as the drug delivery and bioimaging agent. Conjugation of folic acid to the carbon dots enables selective targeting of cancer cells that overexpress folate receptors. In this study, we synthesized and characterized FA-CD-GEM nanoparticles and developed an HPLC calibration curve of GEM to accurately …

Sjsu Erfa News, Spring 2026, San Jose State University, Emeritus And Retired Faculty Association

Emeritus and Retired Faculty Association (ERFA) Newsletter

Volume 39, No 3

Ai-Driven Analysis Of Stroke Mortality And Socio-Demographic Patterns In Ohio, Krithin Godala, Ayati Lala, Ian Zagorac

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

Proportionate To What?, Anthony Lupo

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

Human Osteosarcoma Cell Line That Overexpresses Cd4/Ccr5 Or Cd4/Cxcr4 To Study Hiv-Host Interactions, Harry Baffour Awuah

Biotechnology Theses

Human immunodeficiency virus type 1 (HIV-1) entry into host cells occurs through interactions between the viral surface envelope glycoprotein (Env) and the host receptor CD4, and co-receptors CCR5 or CXCR4. However, understanding these interactions in membrane contexts remains limited due to low receptor and coreceptor densities in commonly used cell models. To address this, we developed cellular systems with elevated CD4 expression and either CCR5 or CXCR4. Human osteosarcoma cells (HOS), which lack endogenous surface expression of HIV receptor (CD4) and co-receptors (CCR5 or CXCR4), were engineered via lentiviral transduction to overexpress CD4 and either CCR5 or CXCR4. Cells were …

The Crime We Forget? White-Collar Crime: Problems In Defining Motive And Enforcement Of Followers, John Stillman

Notre Dame JLEPP: In Limine

John Stillman explains problems in defining and enforcing against white-collar crime, focusing on followers.

Why A “Blog” For Law, Ethics & Public Policy?, Declan M. Hurley, Jack Manning

Notre Dame JLEPP: In Limine

Hurley and Manning explain why JLEPP needs a new short-form publication--JLEPP In Limine--for relevant scholarly commentary.

A Test Case For Raccoon Roundworm Anthelmintic Baiting In Western Virginia, Karen Powers, W. Jayme Viers, Carolyn K. Rossmeisl, L Kristen Page

Virginia Journal of Science

As a test case to determine the efficacy of anthelmintic baiting to reduce raccoon roundworm (Baylisascaris procyonis) prevalence in western Virginia, we deployed baits in a mountainous area of Roanoke Co., Virginia that historically was occupied by Allegheny woodrats (Neotoma magister). We deployed anthelmintic baits at 6-wk intervals from August to December 2024 at a density of 100/km². We opportunistically collected raccoon (Procyon lotor) scat in the drop area from August 2024 to May 2025 and found a marked decline in prevalence of raccoon roundworm in the samples. Deeming this a measured …

Production Of Black And Navy Beans In Virginia, Harbans L. Bhardwaj, Satya S. S. Narina Ph.D.

Virginia Journal of Science

An urgent need exists in Virginia and adjoining states to identify crops to replace declining tobacco acreage. Although not traditionally grown in the region, dry beans (Phaseolus vulgaris L.) have considerable potential as alternative summer crops due to their nutritional benefits and increasing consumer demand. Information on the production potential of these crops in Virginia, however, is not yet available. To remedy this situation, replicated field trials were conducted over three years with six black and four navy bean varieties to characterize grain yields following three row spacings and three planting times. Black beans significantly out-yielded navy beans (2095 …

Enhancing Urban Garden Capacity By Linking Biodiversity And Ecosystem Function, Mary T. Nguyen, Carleen Rauh, Shelby Gresch, Charlotte Correiro, Heidi Elmendorf, Adriane Fugh-Berman, Gina Wimp, Alexandra L. Decandia

Virginia Journal of Science

Urban agriculture broadly describes food and plant cultivation in metropolitan areas. While biodiversity is thought to support ecosystem health and resilience, the relationship between above-ground and below-ground diversity has been understudied in urban green spaces. This study examines plant, animal, bacterial, and fungal diversity across three distinct urban habitats: a turf lawn, a forb garden, and a farming space. Using bacterial 16S rRNA and fungal ITS2 sequencing, soil nutrient analyses, and surveys of vegetation and wildlife, we connect diverse philosophies in urban agriculture to their role in advancing community diversity and ecosystem function. We found that different urban gardens support …

Automated Classification Of Periodontal Bone Loss In Periapical Radiographs Using Convolutional Neural Networks, Ramadhan Hardani Putra, Eha Renwi Astuti, Alhidayati Asymal, Aga Satria Nurrachman, Afifah Salsabila, Nasywa Athaillah Safitri, Fatina Yasmin, Andrew Nalley

Journal of Dentomaxillofacial Science

Objective: Periodontal diseases, including periodontitis, affected approximately 951.3 million people worldwide in 2021. Early detection and accurate diagnosis are crucial for determining effective treatment plans. Radiographic examination, particularly periapical radiographs, is a valuable method for assessing periodontal bone loss (PBL). However, classification of PBL stages is often influenced by observer subjectivity due to the complexity of manual measurement. This study aimed to develop and evaluate convolutional neural network (CNN) models for automated PBL classification in periapical radiographs.

Material and Methods: A dataset of 600 periapical radiographs was used, consisting of 480 training images, 60 validation images, and 60 testing images. …