Digital Commons Network^™

Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson

Walden Dissertations and Doctoral Studies

Workforce burnout, low morale, and high turnover are persistent challenges in psychiatric emergency services, where clinicians work in high-acuity environments. These conditions threaten workforce sustainability and continuity of crisis care. The problem addressed in this study was difficulty retaining staff within a nonprofit psychiatric emergency services organization due to burnout and morale erosion. The purpose of this study was to examine how leadership practices influence staff morale, burnout, and workforce retention at Psychiatric Emergency Stabilization Services X, located in New Jersey. The study was grounded in a qualitative conceptual framework informed by the Baldrige Excellence Framework. The study population included …

Quality Improvement Project: Reducing Test Anxiety: Faculty Training For Supporting Students, Chichi Markham

Doctor of Nursing Practice Projects

Test anxiety significantly affects nursing students’ academic performance and well-being. Emotional Freedom Techniques (EFT) offer a non-pharmacological method for alleviating anxiety; however, research on faculty-centered approaches in nursing education is limited. The purpose of this quality improvement project is to evaluate the impact of EFT training on nursing faculty’s knowledge, attitudes, and confidence regarding test anxiety, as well as on student exam performance. Guided by Lewin’s Change Theory, Stetler’s Model, and the Plan-Do-Study-Act (PDSA) cycle, the initiative aimed to enhance faculty capacity to identify and address test anxiety within a prelicensure nursing program. A pre-post quality improvement design involved faculty …

Quality Improvement Project: Reducing Medication Errors To Improve Patient Safety, Paulina Irish

Doctor of Nursing Practice Projects

Medication administration errors remain a persistent threat to patient safety in emergency department settings, where high acuity, rapid throughput, and workflow interruptions increase vulnerability to preventable adverse events. The purpose of this Doctor of Nursing Practice quality improvement project was to increase medication-safety knowledge scores by at least 10% and reduce medication administration error rates by 20% within eight weeks among registered nurses in a freestanding emergency department in South Texas. The project was grounded in Lewin’s Change Theory as the theoretical framework and implemented using the Plan–Do–Study–Act quality improvement model. A quasi-experimental, single-group pretest–posttest design was used with a …

20.01-07 Lesley University Audiovisual Materials, 1932-2013, Lesley University Archive

Finding Aids

The collection includes a series of audio and video recordings in various formats, such as VHS and Betacam tapes, digital video cassette (DV), cassette tapes, CDs, and DVDs. It features media reflecting life at Lesley University, including ceremonies such as inaugurations, commencements, alumni reunions, and student activities; faculty talks and interviews; guest speakers; marketing materials; conferences; fundraising events; media coverage; and personal collections from faculty and administration donated to the university.

The Neuroprotective Effects Of Alpha-Tocopherol As An Anti-Inflammatory Agent: Mechanistic Insights And Therapeutic Challenges, Megumi H Seese, Yuanzhong Xu

The Brown Foundation: Institute of Molecular Medicine

Vitamin E (alpha-tocopherol, αToc), an antioxidant fat-soluble vitamin that prevents lipid peroxidation and modulates pro-inflammatory cytokine production, is well-known to be critical for neuroprotection. However, the underlying mechanism remains poorly understood. Accumulating evidence demonstrates that αToc influences neuroinflammatory processes. Here, we review recent research progress on the effects of αToc on neuroinflammation. Preclinical studies included in this narrative review were identified through PubMed searches using the keywords "alpha-tocopherol AND neuroinflammation or alpha-tocopherol AND brain AND inflammation". While many studies support a neuroprotective role of αToc, the magnitude and direction of its effects vary substantially depending on dosage, route of administration, …

Analytical Framework For Understanding Broader-Based And Sectoral Bargaining Models, Sara Slinn

Articles & Book Chapters

No abstract provided.

New Research Advances The Science Of Long-Term Organ Preservation, Beth Potier

UNH Today Archive

No abstract provided.

Faculty Senate Minutes, Academic Year 2024-2025, February 19, 2026, Faculty Senate

Faculty Senate Minutes

Minutes for the Faculty Senate Meeting held February 19, 2026.

A Transcriptional Program Associated With Neurotransmission In The Living Human Brain, Alexander W. Charney, Lora E. Liharska, Eric Vornholt, Alissa Valentine, Anina Lund, Alice Hashemi, Ryan C. Thompson, Terry Lohrenz, Jessica S. Johnson, Nicole Bussola, Esther Cheng, You Jeong Park, Salman Qasim, Alisha Aristel, Lillian Wilkins, Kimia Ziafat, Hannah Silk, Lisa M. Linares, Brendan Sullivan, Claudia Feng, Beniamino Hadj-Amar Ph.D.

Faculty Publications

At the foundation of neurotransmission, and by extension at the foundation of brain function, are coordinated programs of gene expression involving many thousands of genes. These programs are poorly defined in humans because most modern studies that characterize human brain gene expression use tissue obtained in the postmortem state when neurotransmission and brain function have ceased. Here, to advance knowledge of the gene expression programs at the foundation of neurotransmission in the human brain, gene expression was characterized in 130 prefrontal cortex (PFC) samples obtained from participants of the Living Brain Project (LBP) during neurosurgical procedures in conjunction with intracranial …

Ai-Guided Binding Mechanisms And Molecular Dynamics For Mers-Cov, Pradyumna Kumar, Lingtao Chen, Rachel Yuanbao Chen, Yin Chen, Seyedamin Pouriyeh, Progyateg Chakma, Abdur Rahman Mohd Abul Basher, Yixin Xie

Faculty Articles

The MERS-CoV (Middle East respiratory syndrome coronavirus) is a zoonotic virus with a high mortality rate and a lack of antiviral drugs, underscoring the need for effective therapeutic methods. Viral entry depends on interactions between viral surface proteins and human receptors, with Dipeptidyl Peptidase-4 (DPP4), a transmembrane glycoprotein, acting as the receptor for MERS-CoV. We employed Molecular Dynamics (MD) Simulations to identify critical interface residues under a high-performance computing (HPC) workflow for accelerated results. Target residue pairs were identified through analysis of salt bridge and hydrogen bond occupancy. The stability of these residues was confirmed through three independent MD Simulations …

The Overlooked Burden: Anti-Seizure Medications, Laxatives, And Antipsychotics Prescribed In Primary Care For People With Intellectual Disability, Rohit Shankar, Richard Laugharne, Ian Wilson, Mike Wilcock

Peninsula Medical School

Objectives: People with intellectual disabilities (PwID) have higher prevalences of epilepsy and constipation than the general population. Constipation is having fewer than three bowel movements or requiring laxatives three or more times weekly. Both epilepsy and constipation contribute significantly to premature mortality. To manage constipation, many individuals are prescribed long-term laxatives, which serve as a surrogate indicator of constipation. PwID and epilepsy also have a high prevalence of multimorbidity and polypharmacy, particularly involving antiseizure medications (ASMs) and antipsychotics. This study aimed to explore associations between ASM use, antipsychotics, and laxative prescribing.Method: The primary care dataset in Cornwall, England (population 572,000), …

Would You Trust This Person Professionally? Seeking Agreement On Unprofessional Behaviors, Deborah Simpson, Kristin Ouweneel, Jacob Bidwell, Tricia La Fratta, Will Lehmann, Nicole Salvo, William Macdonald, Kathryn Agard, Esmeralda Santana, David Hamel, Kirtan Patel, Jessica O'Brien, Suzette Caudle, Leah Delfinado, David Irby

Aurora GME

Background

“That’s just your perception” is a frequent response when told “That’s unprofessional.” Yet unprofessional behavior adversely affects individual learning and team functioning, while increasing avoidable patient complications and malpractice claims.   But what if professionalism is reframed as trust? Is there agreement on which behaviors would adversely affect trust; thus, providing a different way to approach this quagmire? Is the person competent with humility? Is reliable? Do they care about others (beneficence)? Using an established four component model of trust as a framework, we wondered if key GME stakeholders would agree on what were untrustworthy behaviors.

Objectives

1.           To identify …

Optimising Time For Schoolwide Improvement: Developing A Time-Use Study Process For Mtss Leadership Teams, Hank Bohanon, Eleanor Charlton, Alejandra Vazquez, Anna Press

Education: School of Education Faculty Publications and Other Works

School reformers have inundated staff with numerous improvement efforts in recent years. These efforts include multi-tiered systems of support (MTSS) that involve early, preventative interventions. Educators, already burdened with heavy workloads, may feel frustrated by the lack of time to implement MTSS approaches. Researchers suggest that time-use studies could help educators better understand and optimize their use of temporal resources. However, no time-study research has specifically addressed school MTSS leadership teams. This research involved developing a time-use study process to support leadership teams in gathering and reflecting on time-use data to improve MTSS implementation. Researchers gathered educators’ recommendations from four …

Spirituality Educational Intervention To Enhance Nurse Resiliency, Anna Cerra

Creating Healthy Work Environments (CHWE)

Relevance/Significance: Healthcare environments are complex exposing nurses to demanding workloads, staff turnover as well as personal stress. Resilience can help new nurses withstand the emotional stress of the workplace and improve nurse retention (Chaing et al., 2021). Evidence suggests that Spirituality Training provides resources to support clinical nurses’ use of spirituality within hospital settings to help diffuse stress, build resiliency and enhance patient outcomes (Chaing et al., 2021; Caton, 2021). Often nurses are not adequately prepared to provide spiritual care.

Purpose: The purpose of this evidence-based practice, EBP, project is to provide an educational structure using Spirituality Training …

Cake: Our Story Of The Development Of A Resource To Develop Healthy Workplace Cultures, Caroline A.W. Dickson, Kath Macdonald

Creating Healthy Work Environments (CHWE)

The purpose of this presentation is to share our story of co-designing, producing and testing of an interactive resource to promote individual and team well-being and effectiveness in clinical practice. As we emerge from the pandemic, the spotlight in global healthcare is focused on well-being and healthy workplace cultures. According to Saville (2021) stress and burnout in the workplace leads to staff moral distress and Hinderer et al. (2014) contend it is having a negative impact on patient safety and quality care. The impact extends to recruitment and retention of the health and social care workforce (Buchan et al. 2020). …

A Supply And Demand Intervention Increased Fish Consumption Among Rural Women: A Randomized, Controlled Trial, Alexander Tilley, Kendra A. Byrd, Hamza Altarturi, Gianna Bonis-Profumo, Joctan Dos Reis Lopes, Mario Gomes, Katherine Klumpyan, Lorenzo Longobardi, Kelvin Mashisia Shikuku

Faculty Research, Scholarly, and Creative Activity

Malnutrition is a critical public health issue in Timor-Leste, where nearly half of children under five suffer from stunting and diets are chronically low in nutrient-rich foods, including fish. We conducted a cluster-randomized, 2×2 factorial, parallel-arm controlled trial to evaluate the effects of nearshore fish-aggregating devices (FADs, a technology designed to increase pelagic fish catch rates), social behaviour change (SBC) interventions, and their combination, on household fish purchasing and consumption in inland villages of Timor-Leste. However, inland households exposed to both FADs and SBC were nearly twice as likely to purchase fish (PR: 1.90, 95% CI: 1.14–3.20, p<0.05) and women were over four times as likely to report fish consumption the previous day (PR: 4.17, 95% CI: 1.88–9.29, p<0.001), compared to controls. No significant effects were observed from FADs or SBC alone. These findings suggest that the combination of supply-side (FAD) and demand-side (SBC) interventions is necessary to improve dietary intake in nutritionally vulnerable, inland populations. These results underscore the importance of integrated food system approaches to address poor diet quality and reduce malnutrition risks in small island developing states. Trial registration: Trial registered at clinicaltrials.gov Identifier: NCT04729829.

Crispr Spacers Reveal Diverse And Abundant Thermococcales Viruses In Hydrothermal Vents, Ryan Catchpole, Justin Mclean, Emily St John, Anna-Louise Reysenbach, Mart Krupovic, Michael P. Terns

Biology Faculty Publications and Presentations

Viruses are the most pervasive biological entities on Earth and they profoundly shape host ecology and evolution. However, for many microbial lineages, knowledge of their viromes remains limited, especially for those inhabiting remote environments, including deep-sea ecosystems. Here, we leverage one of the most extensively cultivated and genomically characterized archaeal lineages, the Thermococcales, to identify novel viral genomes. By utilizing CRISPR spacers from isolates and spacer arrays reconstructed from metagenomes, we mined mobile genetic elements (MGEs) in 1,172 publicly available and newly sequenced hydrothermal vent metagenomic datasets. Comparative genomics and identification of viral hallmark proteins revealed 620 viral genomes across …

2026 February 19 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian E. Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

Adipocyte-Specific Deletion Of Sine Oculis Homeobox Homolog 1 Inhibits Lipolysis And Reduces Skin Fibrosis, Nancy Wareing, Tingting W Mills, Scott Collum, Minghua Wu, Lucy Revercomb, René Girard, Hui Liu, Alexes Daquinag, Mikhail Kolonin, Marka Lyons, Brian Skaug, Weizhen Bi, Meer A Ali, Haniyeh Koochak, Anthony R Flores, Yuntao Yang, W Jim Zheng, William R Swindell, Shervin Assassi, Harry Karmouty-Quintana

Faculty, Staff and Student Publications

Dermal fibrosis is a cardinal feature of systemic sclerosis (SSc) for which there are limited Systemic sclerosis (SSc) is characterized by dermal fibrosis accompanied by loss of dermal white adipose tissue (DWAT), yet the mechanisms linking adipocyte depletion to fibroblast activation remain unclear. Here we identify the transcription factor SIX1 as a central regulator coupling adipogenic repression with profibrotic signaling. SIX1 expression was increased in skin biopsies from two independent SSc cohorts and localized to fibroblast and perivascular stromal cells. In mice, ubiquitous or adipocyte-specific deletion of Six1 preserved DWAT, reduced collagen accumulation, and selectively decreased pro-fibrotic mediators. In cultured …

Staff Education On Evidence-Based Interventions To Improve Patient Engagement In An Outpatient Mental Health Clinic, Gloria Egeh

Walden Dissertations and Doctoral Studies

In this project, I implemented a staff education initiative at an outpatient psychiatric facility in Michigan to address gaps in clinicians’ and office managers’ knowledge of evidence-based patient engagement strategies. Limited understanding had hindered patient participation in treatment planning, symptom self-management, and shared decision-making, key components of recovery-oriented care. The education initiative was aimed at enhancing staff competencies to strengthen therapeutic alliances, improve treatment adherence, and support positive mental health outcomes. Guided by a practice-focused question, in the project I examined whether an evidence-based staff education program would improve patient engagement among adults receiving outpatient mental health services. A pre-/postintervention …

Survival On Image Regression With Application To Partially Functional Distributional Representation Of Physical Activity, Rahul Ghosal, Sunwoo Emma Cho, Marcos Matabuena

Faculty Publications

Technological advancements in wearable devices and medical imaging often lead to high-dimensional physiological signals in the form of images or surfaces. To address these data structures, we develop a novel survival on image regression model with a specific focus on partially functional distributional representation of wearable data. The existing approaches for functional data and survival outcomes have been primarily developed for uni-dimensional functional predictors. Drawing on recent developments in distributional data analysis, we model temporally varying distributional patterns of physical activity (PA) as a partially functional distributional predictor within a semiparametric Cox model framework. We use tensor product splines to …

Environmental Chemicals And Maternal Depression During And After Pregnancy: A Scoping Review, Pengfei Guo, Yunyue Shi, Cindy Nguyen, Haoran Zhuo, Tormod Rogne, Zeyan Liew

Faculty Publications

Purpose of Review

There is increasing evidence that several environmental exposures may pose a risk for depression, including maternal depression. We conducted a scoping review of epidemiological evidence regarding maternal exposure to environmental chemicals and perinatal depression.

Recent Findings

We searched PubMed, Embase, Web of Science, Dimensions, and Scopus, and summarized the findings from 27 articles that examined environmental chemical exposures and maternal depression. Studies of ambient air pollutants (N = 11) showed exposure to NO₂ and PM10 to be most consistently associated with antenatal or postnatal depression. Studies of endocrine-disrupting chemicals, including phthalates (n = 6), …

Cardiac Output-Guided Vs. Mean Arterial Pressure-Guided Hemodynamic Management In Craniotomy Patients With Cardiovascular Disease: A Randomized Trial, Na Chen, Minjing Yang, Renhua Li, Chunyan Ye, Lu Wang, Xingyang Liu, Jinghan Wu, Daniel I Sessler, E Wang

Faculty, Staff and Student Publications

We tested the primary hypothesis that cardiac output (CO)-guided versus mean arterial pressure (MAP)-guided hemodynamic management reduces the fraction of patients with 90-day Glasgow Outcome scores ≤ 4 (on a 1–5 scale, 5 better) after supratentorial brain tumor resections in adults with cardiovascular disease. 202 adults were randomized to intraoperative hemodynamic management guided by either CO or MAP. In patients assigned to CO guidance, clinicians targeted CO > 4 L/min and > 90% of baseline values using a combination of fluids and vasoactive agents. In patients assigned to MAP guidance, clinicians targeted MAP within ± 20% of baseline and ≥ 65 mmHg. …

Nurse-Led Transformation: Evaluating The Impact Of A Professional Development Intervention On Interprofessional Collaboration, Amanda Kay Garey

Creating Healthy Work Environments (CHWE)

Interprofessional collaboration (IPC) is critical in improving positive patient outcomes and achieving the quadruple aim of enhancing patient experience, improving population health, reducing costs, and improving the work-life balance of healthcare providers. Interprofessional collaboration (IPC) effectively enhances the patient experience and healthcare quality (McGuier et al., 2021). According to the Interprofessional Education Collaborative (IPEC), critical drivers for the ongoing growth of developing interprofessional collaborative practice include the need to empower the interprofessional (IPE) community with the best available evidence and research related to IPE and collaborative practice, conduct a continuous review of standard terms for competence, competency, and competency framework, …

Optimizing Workplaces And Patient Outcomes: Implementing Kotter’S Change Model, Jacquelyn Smith, Brandy L. Simpler, Kasey Chance

Creating Healthy Work Environments (CHWE)

Purpose: Healthcare settings continue to experience unique challenges in maintaining healthy working environments while keeping patient care and quality a top priority (Campbell, 2020). Leaders in healthcare strive to develop and maintain healthy working environments and patient outcomes but continue to fall short of these goals (Pechacek et al., 2022). The Kotter Change Model (KCM) provides an organized process that leaders can use to inform and guide healthcare teams during change implementation (Kotter, 1995). Managing change implementation in healthcare settings is no easy task, especially in areas of high stress and staffing shortages. Organized change processes, like KCM, can improve …

Impact Of Shift Duty On Physical And Social Well-Being Of Nurses In Southwest Nigeria, Deborah Tolulope Esan, Temitope Francess Oladokun

Creating Healthy Work Environments (CHWE)

Night and weekend shifts are a complex issue that has significant impact on both nurses and their family. Although shift work is inevitable for nurses, shift duties (night and weekend) could impair family functions. Thus, this study examined the perceived impact of night and weekend shifts on physical and social well-being of nurses working in a multi-system hospital in South-west, Nigeria. The study employed a descriptive cross-sectional study design. All available Nurses, in all the major clinical area of the hospital were recruited for the study. A total of 95 nurses took part in the survey. Data collection was by …

The Impacts Of Healthy Work Environments On Retention And Well-Being Of The Nursing Workforce, Benita N. Chatmon, Ahnyel Jones-Burkes, Alison H. Davis

Creating Healthy Work Environments (CHWE)

Background: The persistent nurse shortage is a critical nationwide concern with implications for healthcare and patient outcomes. Without workforce expansion, this crisis will intensify. Limited research focuses on nurse retention, particularly in Louisiana.

Purpose: This study aimed to investigate factors influencing the retention and well-being of Licensed Practical and Registered nurses in Louisiana. The objective was to inform the development of effective retention strategies.

Research Question: What is the relationship between a nurse's work environment and intent to leave the profession?

Method: Employing a quantitative, descriptive approach, this research encompassed a sample of 1,209 nurses hailing from Louisiana. The research …

Fourth Circuit Panel Upholds Military Ban On Enlisting Hiv-Positive Individuals, Arthur S. Leonard

Other Publications

Originally posted in https://gaycitynews.com/4th-circuit-panel-military-hiv-positive-ban/.  Cite to original publication.

The Minutes Of The Marshall University Staff Council Meeting, February 2026, Marshall University Staff Council

Staff Council Minutes

No abstract provided.

Third-Party Funding: Balancing Transparency, National Security, And Access To Justice, Victoria Shannon Sahani

Seattle University Law Review

Many lawmakers who have recently become aware of the multi-billion-dollar global third-party funding industry are raising new national security concerns that further complicate preexisting, longstanding debates about transparency, disclosure, access to justice, and the best way to regulate third-party funding. In response, this Article briefly asserts three main points relating to the question of how best to regulate third-party funding. First, this Article explains the third-party funding industry, including its global regulatory landscape and how it serves three distinct populations: consumers, businesses, and law firms. Second, this Article explains that third-party funding is one tool that can help expand access …