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Swimming In Uncertainty: Filling Data Gaps And Providing An Educational Platform For Beach Water Quality At Tybee Island, Georgia, Lukas Roberson Jan 2026

Swimming In Uncertainty: Filling Data Gaps And Providing An Educational Platform For Beach Water Quality At Tybee Island, Georgia, Lukas Roberson

College of Graduate Studies: Theses & Dissertations

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Swimming in beaches water contaminated with high levels of bacteria can make you sick. Current monitoring at the public beaches on Tybee Island consists of weekly monitoring and enumeration of fecal indicator bacteria that takes 24 hours for results. If the number of bacteria exceed regulatory limits, a public health advisory is issued, and affected waters are retested until …


Untalented: What Is The Role Of “Talent” In Art Class?, Sean Bianchi Jan 2026

Untalented: What Is The Role Of “Talent” In Art Class?, Sean Bianchi

College of Graduate Studies: Theses & Dissertations

The concept of talent in art education is widely accepted yet rarely challenged or questioned. This essay critically examines the construction of artistic talent perceptions, the sociohistorical roots of the term itself, and the implications of what talent does for art education. This speculative essay problematizes talent as a persuasive force over art students and art teachers alike, criticizes the accessibility of art to the naïve and art enthusiast alike, as well as the consequences of talent constructs over the future of artistic instruction within public education. Utilizing an aesthetic framework, I explore what the role of talent in art …


Holding Space For Teachers: A Phenomenological Exploration Of Social-Emotional Competence And School Climate In Title I Schools, Zsa Zsa B. Davis Jan 2026

Holding Space For Teachers: A Phenomenological Exploration Of Social-Emotional Competence And School Climate In Title I Schools, Zsa Zsa B. Davis

College of Graduate Studies: Theses & Dissertations

Teacher retention remains a critical concern in education, particularly within Title I schools, where educators face elevated stress levels, emotional exhaustion, and burnout due to the complex needs of students and limited institutional resources. Addressing teachers’ social-emotional competence (SEC) can mitigate the adverse effects of stress by enhancing emotional regulation, well-being, and relational trust which in turn promote job satisfaction and professional fulfillment. Likewise, a positive school climate plays a crucial role in sustaining teachers’ long-term commitment to the profession. This qualitative study employed a descriptive phenomenological design to explore the lived experiences of Title I elementary teachers as they …


Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman Jan 2026

Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman

College of Graduate Studies: Theses & Dissertations

Timely and fair adjudication of incivility-related actions within the Department of Defense (DoD) and Military Health System (MHS) is increasingly crucial for maintaining accountability, mission readiness, and quality of care. Ongoing delays in resolving workplace complaints and inefficiencies in resource-heavy adjudications highlight the need to shift from reactive complaint handling toward proactive civility promotion and transparent decision-making. This Integrated Learning Experience (ILE) introduces the Peipelman Civility Discussion and Assessment Toolkit (PCDAT)—a comprehensive, evidence-based framework designed to improve civility, optimize resources, and enhance communication, even in the MHS. Based on the Social-Ecological Model (SEM) and adapted from the Workplace Power and …


Community Care During Austerity: Mutual Aid And Online Connection Among Disabled Americans, Maeve J. King Jan 2026

Community Care During Austerity: Mutual Aid And Online Connection Among Disabled Americans, Maeve J. King

College of Graduate Studies: Theses & Dissertations

Amidst a mental health epidemic and rising inequality, online communities offer a medium for peer support networks for disabled Americans. Community care, especially in the form of mutual aid, has increased in popularity since the beginning of the COVID-19 pandemic. Considering troubling increases in eugenics-based messaging and disproportionate economic inequality, disabled Americans in particular have leaned into community care. Previous research establishes social media as a hub for resource mobilization and safe space for members of marginalized communities to connect. This research aims to explore the impacts of social, political, and economic unrest on the development of community care and …


The Effect Of Complexity Of Expert Testimony And The Presence Of A Defensive Rebuttal On Jurors' Decisions In Criminal Trials, Shelby E. Madden Jan 2026

The Effect Of Complexity Of Expert Testimony And The Presence Of A Defensive Rebuttal On Jurors' Decisions In Criminal Trials, Shelby E. Madden

College of Graduate Studies: Theses & Dissertations

Forensic science plays a critical role in criminal trials, yet forensic techniques vary in their reliability. Expert testimony, often held in high regard by jurors, can be a decisive factor in verdicts, but its influence is complicated by factors such as technical complexity, adversarial bias, and heuristic processing. The present study examined how the complexity of prosecution expert testimony and the presence of a defensive rebuttal influenced jurors’ decisions when presented with faulty forensic evidence. Participants (N = 142) were randomly assigned to one of four conditions in a 2 (testimony complexity: high v. low) x 2 (defensive rebuttal …


Emotion Regulation: The Effectiveness Of Reappraisal And Potential Benefit Of Music, Ezra J. Greidinger Jan 2026

Emotion Regulation: The Effectiveness Of Reappraisal And Potential Benefit Of Music, Ezra J. Greidinger

College of Graduate Studies: Theses & Dissertations

Literature has supported potential benefits to cognitive reappraisal as a method of emotion regulation, as well as intentional music usage as an enhancer of these effects. It has been suggested that instruction be provided to individuals to use these methods, especially in highly stressed populations (Sakka et al., 2018). However, there has not been an experimental study to follow up on these claims. When instruction is provided, is cognitive reappraisal more effective than naturally developed habits in regulating anxiety, and would music enhance these effects? College students (N = 170) were randomly assigned to three treatment conditions: control, cognitive reappraisal, …


Ni De Aqui, Nor There. Pero As The In-Between, Vanessa Franquez Jan 2026

Ni De Aqui, Nor There. Pero As The In-Between, Vanessa Franquez

College of Graduate Studies: Theses & Dissertations

This thesis explores first-generation Mexican American identity as a lived experience of translation and survival. Drawing from Judith Butler, Gloria Anzaldúa, and Jack Burnham, the work frames identity as performative, embodied, and shaped by overlapping cultural systems. Insects function as models of adaptation, camouflage, and defense, paralleling survival strategies such as code-switching and cultural hybridity. Through sculptural processes including tufting, felting, sewing, layering, and the inscription of Spanglish text, repetition and puncture become material metaphors for pressure, repair, and resilience. Language operates as both subject and substance, resisting grammatical purity in favor of hybridity. The work ultimately positions the in-between …


Early Icu Physiological Subtyping From Time-Series Data: A Comparative Study Of Feature Complexity, Predictive Performance, And Model Interpretability, Rojeena Khadka Jan 2026

Early Icu Physiological Subtyping From Time-Series Data: A Comparative Study Of Feature Complexity, Predictive Performance, And Model Interpretability, Rojeena Khadka

College of Graduate Studies: Theses & Dissertations

Intensive Care Unit (ICU) patients do not follow a single uniform physiological pattern. Patients admitted with the same diagnosis show different clinical trajectories over time making standardized classification and treatment approaches insufficient. The increasing availability of large-scale electronic health records in MIMIC-IV makes it possible to investigate such heterogeneity through data-driven approach that captures how physiology evolves during the early phase of ICU admission. This thesis compares two analytical pipelines designed to identify physiological subtypes from the first 48 hours of ICU time series data. This study then assesses how well these subtypes predict in-hospital mortality. The first approach, referred …


Exploring The Relationship Between Principal Instructional Leadership Practices And Student Achievement In Rural Schools, Moneak Mccrary Jan 2026

Exploring The Relationship Between Principal Instructional Leadership Practices And Student Achievement In Rural Schools, Moneak Mccrary

College of Graduate Studies: Theses & Dissertations

The purpose of this quantitative study was to examine the distribution of College and Career Ready Performance Index (CCRPI) content mastery scores and investigate the relationship between principal instructional leadership practices and student achievement in rural Georgia middle schools. To this end, we analyzed differences in CCRPI content mastery scores based on school rurality and geographic region and compared principal instructional leadership practices in higher- and lower-performing schools. Hallinger’s (1983) Principal Instructional Management Rating Scale (PIMRS) was used to assess three dimensions of instructional leadership: Defining the School Mission, Managing the Instructional Program, and Developing the School Learning Climate. The …


Modeling Accreditation Standards And Evaluation Methods To Inform Strategic Planning In Public Health Education, Debra Rich Jan 2026

Modeling Accreditation Standards And Evaluation Methods To Inform Strategic Planning In Public Health Education, Debra Rich

College of Graduate Studies: Theses & Dissertations

Public health has long benefited from the relationship between postsecondary education, accreditation, and government employment. Assessment and accreditation are important tools in postsecondary education to ensure fiscal responsibility, professional competencies, and quality assurance. The competency standards implemented in post-secondary education are not under the direct control of the federal government; however, policy amendments aimed at specific accreditation criteria could result in changes to public health curriculum and create eligibility barriers for students who rely on federal financial support. The Central Washington University Public Health program has provided educational support in professional public health for decades, and there is an increased …


The Influence Of Localized Water Quality On Eastern Oysters (Crassostrea Virginica) And Their Internal Microbiome Under Changing Environmental Conditions, Jessie Rivera Lafreniere Jan 2026

The Influence Of Localized Water Quality On Eastern Oysters (Crassostrea Virginica) And Their Internal Microbiome Under Changing Environmental Conditions, Jessie Rivera Lafreniere

College of Graduate Studies: Theses & Dissertations

Oysters are found ubiquitously in estuaries along the Georgia coast, where marsh morphology and large daily tidal fluctuations create dynamic and stressful conditions to which oysters may be locally adapted. Based on water quality data from the Sapelo Island National Estuarine Research Reserve, it is evident that changing climatic conditions are rapidly causing shifts in water quality that may be adversely affecting oyster health, especially as ocean acidification alters the carbonate buffering capacity, increasing the amplitude of daily pH variations. Importantly, the rate of change of conditions are not uniform within estuaries, varying on spatial and temporal scales. The symbiotic …


Maternal Healthcare In The United States: An Exploration Of The Organizational And Political Determinants Of Maternal Healthcare Quality And Outcomes, Tamaya S. Browder Jan 2026

Maternal Healthcare In The United States: An Exploration Of The Organizational And Political Determinants Of Maternal Healthcare Quality And Outcomes, Tamaya S. Browder

College of Graduate Studies: Theses & Dissertations

Despite having an advanced U.S. healthcare system, childbirth remains risky in the US, especially for socially vulnerable populations. Medicaid covers a large portion of births and is equipped to implement large-scale interventions to improve maternity care and patient outcomes. Two studies were conducted to (a) examine the relationship between organizational factors in U.S. hospitals and adverse clinical outcomes among Medicaid-insured maternity patients, and (b) analyze state-level Medicaid bundled payment models for maternity care. Guided by the Donabedian Quality of Care Model, Study One used logistic regression on data from the 2018-2020 National Inpatient Sample to explore how hospital organizational factors …


Fur-Ever In Memory: College Student Grief And Coping After Pet Loss, Rohit Paruchuri Jan 2026

Fur-Ever In Memory: College Student Grief And Coping After Pet Loss, Rohit Paruchuri

College of Graduate Studies: Theses & Dissertations

Pet loss is a significant yet often overlooked form of bereavement, particularly among college students who are navigating emerging adulthood. Pets play an important role serving as a source of emotional support and are often viewed as family members; however, grief following pet loss is a type of disenfranchised grief, meaning it is not accepted by the society as something significant and often overlooked when compared to grief following human loss (Spain et al., 2019). Research suggests that grief following pet loss can mirror responses to human loss including sadness, guilt, loneliness, and disruption of daily routines (Eckerd et al., …


Geospatial Investigations Of Big Buckhead Cemetery, Millen, Ga, Audrey E. Popard Jan 2026

Geospatial Investigations Of Big Buckhead Cemetery, Millen, Ga, Audrey E. Popard

College of Graduate Studies: Theses & Dissertations

Geospatial investigations of burials are increasingly recognized as the most efficient and ethical means of determining grave locations in forensic and bioarchaeological research. A methodology of multi-tiered geospatial investigation has been applied to the Big Buckhead Baptist Church cemetery in Millen, GA. Using the systematic layering of geospatial technologies, the present study seeks to identify ground surface anomalies, with the objective of delineating known and potential unknown burial locations. It is hypothesized that the layered use of Light Detection and Ranging (LiDAR), Geographic Information Systems (GIS), and Ground Penetrating Radar (GPR), will allow for the most efficient and accurate demarcation …


Formalizing Asymmetric Control-Telemetry Separation In Distributed Industrial Control Systems, Andrew Manison Jan 2026

Formalizing Asymmetric Control-Telemetry Separation In Distributed Industrial Control Systems, Andrew Manison

College of Graduate Studies: Theses & Dissertations

Distributed industrial control systems often place control and telemetry traffic on the same communication substrate even though the two workloads impose different requirements. Control paths need bounded request-response latency and predictable acknowledgement semantics, whereas telemetry paths benefit from scalable publish-subscribe fanout and tolerance for consumer-side delay. This thesis argues that, for the tested class of mixed workloads on shared commodity infrastructure, these communication roles should be separated architecturally rather than forced through a single protocol. To evaluate that claim, the thesis formalizes an asymmetric control- telemetry pattern and instantiates it in the Asymtra framework using gRPC for synchronous control and …


From Vision To Impact: Strategic Planning For The South Health District, Jason D. Butler Jr Jan 2026

From Vision To Impact: Strategic Planning For The South Health District, Jason D. Butler Jr

College of Graduate Studies: Theses & Dissertations

This study presents a community health assessment and strategic planning process for the South Health District (SHD), a rural, multi-county public health district.  Using a mixed-methods approach, quantitative surveys and qualitative data from County Nurse Managers, County Boards of Health, and internal staff were integrated with secondary sources to identify community health priorities and organizational gaps.  Broad stakeholder engagement through surveys, SWOT workshops, and town-hall meetings ensured credibility and contextual relevance.

Findings revealed challenges in behavioral health, substance abuse, chronic disease, access to preventive services, transportation, workforce capacity, communication, and infrastructure.  Four strategic issues—Communication, Workforce Development and Retention, Purpose-Driven District, …


Faculty Handbook, Georgia Southern University Jan 2026

Faculty Handbook, Georgia Southern University

Faculty Handbooks

Faculty Handbook for Georgia Southern University for the 2025-2026 academic year. The Faculty Handbook is published online by the Office of the Vice President for Academic Affairs and archived in Digital Commons@Georgia Southern.


(2026) Maughn Rollins Gregory Curriculum Vitae (Short Version), Maughn Rollins Gregory Jan 2026

(2026) Maughn Rollins Gregory Curriculum Vitae (Short Version), Maughn Rollins Gregory

Collected Papers of Maughn Rollins Gregory

No abstract provided.


To Kill And Let Suffer: The Incompatibility Of The Death Penalty And Medical Aid In Dying, And The Necessity For A Fundamental Right To Life, Nicholas Stackhouse Jan 2026

To Kill And Let Suffer: The Incompatibility Of The Death Penalty And Medical Aid In Dying, And The Necessity For A Fundamental Right To Life, Nicholas Stackhouse

Dickinson Law Review (2017-Present)

Currently, the Supreme Court holds that the death penalty is constitutional and that a person has no right to Medical Aid in Dying, resulting in a legal environment in which a person can unwillingly be put to death while simultaneously having no ability to end their own life if terminally ill and in pain. The conclusion drawn from the Supreme Court’s decisions means that death row inmates who wish to end their lives have a greater right to die than law-abiding citizens. This state of affairs is untenable and contradictory to the founding principles of the United States. This Comment …


Losing Your Driver’S License; Just What The Doctor Ordered?, Shawna Traver Jan 2026

Losing Your Driver’S License; Just What The Doctor Ordered?, Shawna Traver

Dickinson Law Review (2017-Present)

Having a medical scare or living with a chronic medical condition is a common experience for many people in the United States. But should you go to a doctor in Pennsylvania and tell them of your condition or experience, a little-known law may force the doctor to report you to the Pennsylvania Department of Transportation— without your knowledge. Once the report is received, the Department can recall your license. You can attempt to restore your license by attending a hearing, though you are fighting an uphill battle. Essentially, Pennsylvania drivers may be blindsided by a license recall merely because they …


The Effects Of Stress-Related Hormones On Excitatory Synapse Formation, Autumn C. Garvey Jan 2026

The Effects Of Stress-Related Hormones On Excitatory Synapse Formation, Autumn C. Garvey

Honors Undergraduate Theses

Stress profoundly influences brain function through neuromodulatory hormones that regulate synaptic plasticity, yet how temporal patterns of hormone exposure shape excitatory synapse formation remains poorly understood. This study investigates how exposure to stress hormones, norepinephrine and cortisol, affects excitatory synapse development. While existing research primarily compares concentration models, real-world stress occurs in variable patterns that may produce distinct neural outcomes. To address this gap, differentiated Neuro2A neuronal cells are exposed to norepinephrine or cortisol under a continuous treatment paradigm designed to model chronic stress conditions. Following treatment, immunofluorescence imaging is utilized to quantify excitatory synapse formation through analysis of presynaptic …


Neighborhood Deprivation Associated With Impaired Sit-To-Stand Performance In Middle-Aged And Older Adults: A Cross-Sectional Analysis With Clinical Implications, Kenneth Harrison, Silvia Campos-Vargas, Brandon M. Peoples, Keven G. Santamaria-Guzman, David T. Redden, Michael A. Samaan, Jaimie A. Roper Jan 2026

Neighborhood Deprivation Associated With Impaired Sit-To-Stand Performance In Middle-Aged And Older Adults: A Cross-Sectional Analysis With Clinical Implications, Kenneth Harrison, Silvia Campos-Vargas, Brandon M. Peoples, Keven G. Santamaria-Guzman, David T. Redden, Michael A. Samaan, Jaimie A. Roper

Kinesiology and Health Promotion Faculty Publications

Background: Socioeconomic factors significantly influence health outcomes in older adults, yet their impact on specific aspects of mobility remains unclear. This study investigates the relationship between area-level socioeconomic disadvantage and mobility health in older adults.

Methods: We conducted a cross-sectional study of 110 community-dwelling older adults recruited and collected using voluntary response sampling at eight health fairs across rural Southeast Alabama in 2022–2024 (60 ± 16 years, 80% female). Area-level socioeconomic status was measured using the Area Deprivation Index (ADI), a validated composite measure of neighborhood disadvantage. Mobility was assessed using the Instrumented Timed Up and Go (iTUG) test and …


Forward Chaining And Emotion Regulation: Exploring The Effects Of Forward Chaining On Emotion Regulation Skills, Celoine Akouri Jan 2026

Forward Chaining And Emotion Regulation: Exploring The Effects Of Forward Chaining On Emotion Regulation Skills, Celoine Akouri

Masters Essays

Emotion dysregulation places the quality of life for individuals with autism spectrum disorder (ASD) at risk. The current research on emotion regulation teaching strategies after emotion recognition training is limited. This study explored the effectiveness of forward chaining on teaching emotion regulation skills to an adult with ASD who engaged in a long history of self- injurious, property destruction, and screaming behaviors. The emotion regulation intervention used forward chaining procedures to teach a three-step sequence of behaviors to the participant in their adult day program setting using a multiple baseline across time design. The results showed that as the participant’s …


A Comparison Of Using Token Economy With Differential Reinforcement Procedures In Increasing Compliance In Children With Autism, Jada Keyes Jan 2026

A Comparison Of Using Token Economy With Differential Reinforcement Procedures In Increasing Compliance In Children With Autism, Jada Keyes

Masters Essays

Compliance, or engaging in an adult-delivered instruction, is a prerequisite skill for following daily routines in school-aged children. Noncompliance, engaging in any other behavior than the directed activity or task, is a common barrier among children with Autism Spectrum Disorder (ASD). Behavioral interventions, such as token economy and differential reinforcement, have been implemented to increase compliance among children with ASD. However, limited research has compared the effectiveness of combining token economy with different types of differential reinforcement interventions. Thus, this study compared the effects of using token economy with differential reinforcement of alternative behavior (DRA) versus differential reinforcement of other …


Comparative Analysis Of Serum-Free Culture Conditions On Cell Proliferation And Extracellular Vesicle Production By Adipose-Derived Stem Cells, Ayna Ghulldu Jan 2026

Comparative Analysis Of Serum-Free Culture Conditions On Cell Proliferation And Extracellular Vesicle Production By Adipose-Derived Stem Cells, Ayna Ghulldu

Honors Undergraduate Theses

Adipose-derived stem cells (ADSCs) are promising candidates in regenerative medicine due to their proliferative capacity, self-renewal, and secretion of extracellular vesicles (EVs) that mediate intercellular communication. Serum-free media has been increasingly explored for MSC culture as it eliminates xenogeneic components, improving human therapeutic suitability. However, comparative evaluation of distinct serum-free formulations on ADSC proliferation and EV output simultaneously remains limited. This study compares a serum-containing medium to three proprietary serum-free media prototypes differing in composition, including the presence or absence of extracellular matrix proteins, to inform the optimization of culture conditions for clinical use. Proliferation, EV characteristics, and gene expression …


The Depuration Of Microplastic Pollution In Aquacultured Indian River Lagoon Oysters, Lee Nguyen Jan 2026

The Depuration Of Microplastic Pollution In Aquacultured Indian River Lagoon Oysters, Lee Nguyen

Honors Undergraduate Theses

Plastics are widely used in consumer goods and industrial manufacturing, and their degradation into microplastics (MP, size < 5 mm) has created an emergent environmental pollutant. Plastics readily enter aquatic environments, where they accumulate additional contaminants and bioaccumulate in organisms. While MP contamination in marine ecosystems is well documented, less is known about MP presence in aquacultured shellfish. Depuration, the process of purging contaminants from shellfish, is conducted in sterile seawater without food, which may cause oyster starvation and death. To date, MP depuration has not been examined in the aquacultured eastern oyster (Crassostrea virginica) in published studies. This study had 3 goals: 1) evaluate the effects of algal feed on oyster survival during depuration, 2) determine the effect of algal feed on depuration effectiveness, and 3) investigate the effect of a ten-day depuration on MP concentration in aquacultured C. virginica soft tissue. MP were quantified in oyster tissues, biodeposits, and in industrial algal feed. Tissues were digested using alkaline solutions, manually examined via microscopy, and analyzed using Fourier-Transform Infrared Spectroscopy (FTIR) to investigate MP polymer …


The Impact Of Gastric Sleeve And Roux-En-Y Gastric Bypass On Chief Cell Function And Protein Digestion In Obese Patients, Garikoitz Mikel Gainza Jan 2026

The Impact Of Gastric Sleeve And Roux-En-Y Gastric Bypass On Chief Cell Function And Protein Digestion In Obese Patients, Garikoitz Mikel Gainza

Honors Undergraduate Theses

Obesity has become one of the largest global health concerns of the 21st century, correlating with numerous associated diseases. To help address the growing prevalence and burden of obesity, sleeve gastrectomy and Roux-en-Y gastric bypass have become two commonly performed surgical procedures done to promote weight loss by altering the anatomical structure of the stomach and surrounding organs of the gastrointestinal system. Although the benefits of improved metabolism linked to these surgical procedures are well studied, their impact on the physiology of gastric cells, and more specifically chief cells as they relate to protein digestion post-surgery, is yet to …


Guideline For A Burnout Bundle For Nurses In Psychiatric Mental Health Units, Festus Irabor Jan 2026

Guideline For A Burnout Bundle For Nurses In Psychiatric Mental Health Units, Festus Irabor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Abstract

Problem: Burnout among nurses, especially in psychiatric mental health units, significantly impacts both their well-being and the quality of patient care. Despite its severity, with approximately 30% of nurses worldwide affected and contributing to a 31.5% nurse turnover rate (Ge et al., 2023), there are limited formal guidelines specifically targeting nurse burnout prevention in the mental health setting. The issue is particularly acute in the United States, where 91.1% of psychiatric nurses report experiencing burnout, compared to 79.9% of other healthcare professionals (Anger et al., 2024). In the local unit 38.05% have experienced burnout.

Purpose: The PICOTS for this …


Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall Jan 2026

Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction:

Iron deficiency and iron deficiency anemia in children aged 12 to 18 months are prevalent conditions that, if not identified and treated early, are associated with adverse neurodevelopmental outcomes.

Purpose:

This quality improvement project evaluated the impact of a standardized screening and follow-up protocol on laboratory result retrieval, provider review, and caregiver follow-through in a military pediatric clinic.

Method:

A pre-post intervention design guided by the Plan-Do-Study-Act framework was implemented over 11 weeks and included staff education, standardized workflows, and caregiver outreach.

Results:

The intervention improved laboratory completion and caregiver follow-up rates; however, sustainability was limited by staffing constraints …