Digital Commons Network^™

Improved Depression Screening In An Outpatient Mental Health Clinic Using The Phq-9, Meghan Rey Young

Walden Dissertations and Doctoral Studies

Depression is a common mental health disorder in the United States that places significant burden on the individual, the community, and the country. It is estimated that 7.8% of adults in the U.S. experienced major depression in 2019. Having a depression diagnosis places the individual at increased risk for suicide by 31%. Therefore, it is important to screen for depression. In a small outpatient mental health clinic, a gap in practice was identified as a lack of depression screening at patient encounters. The question was asked: In the outpatient clinical setting, what is the impact of improved use of the …

Consistent Phq-9 Administration At Mental Health Watch Initiation And Discharge In A Correctional Setting, Gouni Aicha Bouraima

Walden Dissertations and Doctoral Studies

This staff education project addressed inconsistent Patient Health Questionnaire-9 (PHQ-9) administration and documentation at mental health watch initiation and discharge in a correctional setting. A baseline audit showed 42.1% PHQ-9 documentation compliance (8 of 19 charts), below the 90% organizational benchmark, limiting objective depression severity data needed for clinical decision-making and safe transitions. The practice-focused question was: Among nurses working with incarcerated individuals at mental health watch initiation and discharge, what is the impact of staff education on nurses’ knowledge of PHQ-9 screening protocols? The purpose was to implement structured staff education to improve nurses’ knowledge of PHQ-9 trigger points, …

Order Denying Approval Of Disclosure Statements

Catholic Dioceses in Bankruptcy

No abstract provided.

Conceptual Framework And Key Considerations For Field-Based Infrastructure In Food Is Medicine Research, Shreela V Sharma, Colleen Tewksbury, Christopher R Long, Colleen Spees, Ronit A Ridberg, Reshma Gupta, Erin P Ferranti, Naomi Tice, Eric Peterson, Brian Levine

Faculty, Staff and Student Publications

In 2023, the American Heart Association launched the Healthcare by Food (HCXF) initiative to establish a rigorous evidence base for Food Is Medicine (FIM) programs, so that patients with acute or chronic disease could access FIM programs as a covered benefit under their health insurance. The HCXF initiative is engaging in research, advocacy, and education to support the development and testing of interventions that improve health outcomes. The HCXF initiative launched 9 task forces aligned with research progress, including the Field-Based Infrastructure task force designed to examine broader questions to help support either earlier or later stages of the HCXF …

The Sonam Times Newsletter Vol 01 Issue 01, School Of Nursing And Midwifery

The Aga Khan School of Nursing and Midwifery Archives

• Message from the Dean
• Collaborations & Outreach
• Key Events and Engagements
• Capacity Building Initiatives
• Accomplishments
• Stories of our People
• Promotions & Appointments

Stop Holding New York Workers Back: An Evaluation Of Non-Compete Agreements, Maxwell J. Nares

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Implementation Of Visual Bed Indicator Lights To Improve Fall Prevention Processes, Andrea Leffew

Master's Projects and Capstones

Problem: Inpatient falls remain a significant patient safety concern associated with preventable patient harm, prolonged hospitalization, and increased healthcare costs. Routine fall bundle validations identified inconsistent adherence to safe bed configuration practices, such as beds left raised and bed alarms turned off.

Context: A 3-month quality improvement project was implemented on a 20-bed medical-surgical telemetry unit within an integrated healthcare delivery system at a 130-bed community hospital in Northern California, which was experiencing an increase in inpatient falls and fall-related sentinel events.

Interventions: Implementation of bed-monitoring technology with visual indicator lights that provided real-time feedback on bed configuration.

Measures: The …

The Prophylactic Landscape: Sand And Typhoid On The Merrimack River, Laila Seewang

School of Architecture Faculty Publication and Presentations

“The first municipal water filter of the rapid sand type was built at Somerville, NJ, and thus began its wonderful history.”  By 1917 the rapid sand filter was the standard defense against typhoid epidemics in the United States.

Developing Confidence And Motivation In Writing Through Authentic And Collaborative Writing Approaches, Sara J. Weeks

Masters Projects

Writing is an expressive and complex process that takes time to develop, yet writing in middle school classrooms is primarily used as a way to demonstrate mastery of content rather than develop writers. Writing instruction is limited or used inefficiently in today’s classrooms, which gives students fewer opportunities to engage in authentic writing experiences. As a consequence, middle school students report a lack of confidence and motivation to write. These conditions contribute to stagnant writing achievement for middle school students. Research suggests that improving student writing outcomes requires writing environments that provide authentic, collaborative, and process-oriented writing experiences. However, these …

Brown V. Eighteen Properties Llc

All Decisions

Court denied owner's motion to dismiss HP action brought by tenant in an interim multiple dwelling (IMD) subject to the Loft Law, rejecting arguments based on res judicata and collateral estoppel (prior Article 78 was dismissed on procedural, not substantive, grounds), primary jurisdiction of the Loft Board, and the inapplicability of the Housing Maintenance Code to IMDs. Court held Multiple Dwelling Law § 282-a(2) contemplates concurrent Housing Court jurisdiction over housing maintenance enforcement in IMDs.

Reducing Primary Cesarean Births Among Nulliparous, Term, Singleton, Vertex (Ntsv) Patients Through Structured Multidisciplinary Communication, Toyin Ajani

Master's Projects and Capstones

Background: Primary cesarean birth among nulliparous, term, singleton, vertex (NTSV) patients remained a persistent quality and safety concern in obstetric care. Unnecessary cesarean birth was associated with increased maternal morbidity, neonatal complications, prolonged recovery, higher healthcare costs, and adverse outcomes in subsequent pregnancies. Problem: A Northern California labor and delivery unit identified an elevated NTSV cesarean birth rate of 26.8%, exceeding the national benchmark of approximately 23%. Variability in provider communication, inconsistent labor management practices, and lack of standardized interdisciplinary collaboration contributed to this quality gap. Context: The project was conducted in a high-volume labor and delivery microsystem serving a …

Decreasing Icu Clabsi Through Improved Central Line Dressing Integrity, Sharmila Reyes Moreno

Master's Projects and Capstones

Problem: Central line-associated bloodstream infections (CLABSIs) are a significant source of preventable patient harm, increased healthcare costs, and prolonged hospital stays. In a 20-bed medical-surgical ICU, CLABSI events increased from one case in 2024 to four cases in 2025, resulting in a standardized infection ratio (SIR) of 1.21, exceeding the organizational target of ≤ 0.87.

Context: Audits of central line dressings identified frequent edge lifting and dressing disruption despite staff awareness of CLABSI prevention practices. These findings suggested a gap between evidence-based recommendations and consistent clinical practice. The project was conducted in a 20-bed adult medical-surgical ICU serving a diverse …

Improving Peer Feedback Participation Through Psychological Safety Interventions In Labor & Delivery Nurses, Lindsey C. Hora

Master's Projects and Capstones

Abstract 

Background: Labor and Delivery (L&D) units require effective communication, speaking up, and team learning to support safe care. Psychological safety informed this quality improvement project as a contextual strategy to strengthen peer feedback engagement.  

Problem: Peer feedback participation among eligible L&D registered nurses at a large acute care hospital in Santa Clara, California, was 14.29% (N = 112) below the 30% project target and 80% organizational target. Low participation limited routine feedback for professional development, recognition, and team learning.

Interventions: Interventions included psychological safety education, peer feedback reinforcement, workflow integration, platform navigation support, dedicated completion time, and unit champions. …

Optimizing Life Care Planning For Palliative Home Health Care Patients, Lilian Muraya

Master's Projects and Capstones

Problem: In this home health palliative microsystem, many seriously ill patients begin care without timely goals‑of‑care conversations or documented advance directives, leading to fragmented communication and potentially avoidable emergency visits and rehospitalizations.

Context: This quality improvement project took place in a hospital-based home health palliative care program in Northern California, where an interdisciplinary team identified inconsistent Life Care Planning (LCP) practices and variable staff comfort with conducting goals‑of‑care discussions.

Intervention: A structured LCP workflow was developed so that newly admitted palliative home health patients receive a goals‑of‑care discussion and advance directive review within 7 days of start …

Same-Day Cancellation Reduction In An Ambulatory Surgery Unit, Anthone Dalit Vengersammy

Master's Projects and Capstones

Problem: Same-day surgical cancellations in the outpatient surgery setting remain a significant operational and patient care challenge. Preventable cancellations negatively affect patient experience, operating room efficiency, staff productivity, and healthcare costs. 

Context: A microsystem and organizational culture assessment identified several factors contributing to same-day cancellations, including unclear preoperative instructions, incomplete medical clearance, inconsistent patient education, lack of standardized workflows, unclear staff responsibilities, and communication gaps among interdisciplinary teams. SWOT and gap analyses were used to identify opportunities for improvement and guide intervention planning.

Interventions: Quality improvement interventions were implemented through iterative Plan-Do-Study-Act (PDSA) cycles. Strategies included revising preoperative patient instructions, …

Butte Priority Soils Operable Unit Final 2024 Unreclaimed Sites Sampling: Ur-46 Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Chronotivity: Concurrent And Prospective Influences On Creative Performance Among College Students, Hreem Mahadeshwar

Theses

Creativity is increasingly understood as a dynamic process influenced by biological, psychological, and contextual factors. Previous research has linked chronotype, sleep quality, affect, curiosity, and creative self-efficacy to creative performance; however, relatively little is known about how these factors jointly relate to creativity among college students or whether they predict creative performance over time. The present study examined concurrent and prospective relationships in undergraduate students at RIT (T1: n = 210; T2: n = 38), between these variables and creative performance using a two-timepoint design. Creative performance was assessed using the Alternative Uses Task and scored for creative quality and …

Opioid Overdose Education For Outpatient Settings And Simulation Development, Nancy S. Goldstein, Tyler Langley, Brook Van Buskirk

International Nursing Research Congress (INRC)

In 2023, the National Institute of Health reported 79,358 U.S. overdose deaths caused by opioids. This value is 166% higher than data from 2017, with an opioid-induced death toll of 47,600.¹ The rising rates of overdose require clinics to be prepared to respond to overdose emergencies.² Literature analysis revealed gaps in provider response capability for opioid overdose in healthcare outpatient settings.^{3, 4, 5, 6} Thus, there is a need to address the gaps in emergency preparedness for an opioid overdose through simulation training of outpatient staff. The purpose of the pilot study is to develop a simulation …

Exploring Feasibility Of Neurofeedback To Alleviate Cognitive Impairment And Fatigue In Long Covid, Marian Luctkar-Flude, Jane Tyerman

International Nursing Research Congress (INRC)

Background: Long COVID affects a substantial number of individuals with persistent symptoms such as cognitive impairment, fatigue, and emotional distress impacting quality of life and functionality.1 Current management primarily relies on supportive care, underscoring an urgent need for novel therapeutic approaches to alleviate these enduring symptoms. Neurofeedback is a non-invasive complementary therapy that promotes self-regulation by training the brain to achieve optimal functioning via auditory feedback with demonstrated improvements in symptoms of cognitive impairment, fatigue, anxiety, depression and sleep problems in other patient populations including cancer survivors.2,3 We propose neurofeedback could be used to address persistent symptoms associated with Long …

Minority Stress As Mediator Of Ace-Substance Use Pathways: Sem Analysis Of Sexual Minorities, Meghna Shukla, Marvin Schilt-Solberg

International Nursing Research Congress (INRC)

Background: Adverse childhood experiences (ACEs) are known determinants of negative health outcomes. Sexual minority (SM) individuals have higher ACE scores than non-SM individuals, and as a result also have worse health outcomes.According to the WHO, ACEs such as abuse & neglect are among the most severe forms of stress an individual may face, with extant literature identifying SM status and ACEs as predictors of substance use. There is a paucity of evidence examining the pathways between ACEs and substance use in SMs. Burgeoning evidence indicates minority stress is a strong predictor of substance use in SMs.

Purpose: To examine the …

Transforming Telehealth With Thrive: An Online Intervention For Nps Caring For Young Adults, Lisa V. Duffy

International Nursing Research Congress (INRC)

AIM: To develop an online, video-based intervention for nurse practitioners (NPs) that illustrates best practices to establish therapeutic relational connection (TRC) during telehealth visits.

BACKGROUND: Telehealth offers many benefits for chronically ill young adults. Despite the potential benefits of virtual visits, little attention has been given to the quality of the virtual provider-patient relationship and its consequences. Relationships with healthcare providers that are characterized by a sense of TRC have the potential to increase self-management skills which are associated with improved physical, mental, and behavioral health outcomes. Although there are known benefits to TRC, what is not known are the …

Accidental Transdermal Buprenorphine Patch Overdose In An Older Adult: A Case Report, Hashem Shogdar, Ahmed Aljohani, Yousef Almubarak

Saudi Toxicology Journal

Background: Buprenorphine is an opioid that is generally used for chronic pain and opioid dependence. Its pharmacological ceiling effect on respiratory depression gives it a comparatively favorable safety profile relative to other opioids. Despite its safety profile, inappropriate use can still result in clinically significant opioid poisoning. This case report highlights a case of accidental buprenorphine overdose in an aged patient. It illustrates the clinical presentation and preventive considerations associated with this uncommon but critical event. Case presentation: A 65-year-old woman with recent left total knee replacement was brought to the Emergency Department (ED) after being found drowsy and unresponsive …

Hematological, Inflammatory, And Oxidative Stress Biomarker Profiles In Substance Abuse Combinations: A Comprehensive Evidence-Based Review, Teif Naif Freeh Alenezi, Samia Soliman Barghash

Saudi Toxicology Journal

A potential risk of polysubstance use in relation to substance abuse can involve the development of intricate pharmacological interactions affecting the immune system and oxidative stress responses of the body. The current review aims to present a synthesis of the existing literature about hematologic, inflammatory, and oxidative stress markers associated with three patterns of polysubstance use: (1) stimulants and cannabis, (2) stimulants/depressants and CNS depressants, and (3) multi-drug complex usage. This review explores markers such as a neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), eosinophil-to-lymphocyte ratio (ELR), total oxidant …

Examining Six Domains Of Resilience With Latinx College Students From Migrant Farmworker Backgrounds: A Quasi-Experimental Single Case Design Study, Rebecca Dickinson, Raissa Miller, Cian L. Brown, G Michael Russo, Emma Knowles

Trauma Counseling and Resilience

Resilience-building interventions show promise in higher education, yet few studies focus on Latinx college students from migrant farmworker backgrounds (LMFWs), a group facing significant challenges such as acculturative stress, mixed familial immigration status, and educational discontinuity. This quasi-experimental single-case design study examined resilience domains among LMFW students participating in a group-based intervention informed by the predictive 6-factor resilience model. Resilience was measured across six domains: collaboration, vision, tenacity, reasoning, health, and composure, using standardized assessments adapted from Rossouw and Rossouw (2018). Pre- and post-intervention scores were visually analyzed to assess change at the individual level. Results indicated a evidence of …

The Roles Of Adverse And Benevolent Childhood Experiences In Posttraumatic Growth And Social Connectedness Following Interpersonal Trauma, Margaret Poandl, Emily Kitching, Daniel Gutierrez, Yuqi Zhang

Trauma Counseling and Resilience

Interpersonal trauma, such as childhood abuse, neglect, and intimate partner violence, is a prevalent and harmful form of trauma associated with deleterious psychosocial outcomes. Despite its negative impacts, individuals exposed to interpersonal trauma may also experience posttraumatic growth (PTG). While adverse childhood experiences (ACEs) are known risk factors and benevolent childhood experiences (BCEs) are potential protective factors for adult outcomes, little is known about how combinations of ACEs and BCEs influence PTG. This study examined how combinations of ACEs and BCEs relate to PTG and social connectedness among individuals who have experienced interpersonal trauma. Using cross-sectional survey data from 615 …

Padres Ayudando A Padres: Co-Constructing A Family-Centered Mental Health Intervention Of, By, And For Central American Immigrant Parents, Rachael Goodman, Colleen K. Vesely, Maribel Tohara Nakamatsu, Victoria Stone, Valeria Quintana, Bethany Letiecq, Amigas De La Comunidad

Trauma Counseling and Resilience

In the wake of the COVID-19 pandemic, our partners in a Central American immigrant enclave reported an increasing need to support parents and children whose mental health was negatively impacted by the confluence of underlying systemic stressors and traumatic experiences. Using our existing family-centered participatory action research (FCPAR; Letiecq, Vesely, et al., 2022) approach and guided by the transcreation model (Nápoles & Stewart, 2018), we co-constructed a mental health intervention in partnership with community members, via our community advisory board (CAB). Essential to this process was building the intervention with the community, ensuring that it was culturally and contextually grounded …

Collective Trauma And Systemic Negligence: Exploring South Korean Disasters Through Media And Cultural Narratives, Jung H. Hyun, Eunae Han

Trauma Counseling and Resilience

Disaster trauma often occurs at multiple levels, with the systemic level highlighting its collective impact on survivors. Betrayal trauma, inflicted by trusted individuals or institutions including the government, further compounds this experience. Drawing on historical and contemporary challenges in modern Korean history and recognizing their collective impact on the Korean population, this paper examines Korean betrayal trauma stemming from disasters, introduces a new concept of political betrayal trauma, and explores how media can serve as a tool for healing. Through a fictional case study, this paper illustrates how collective cultural narratives support both survivors and the broader society in validating …

Letter From The Editor, Erin Kern Popejoy

Trauma Counseling and Resilience

No abstract provided.

Immunohistochemical Characterization Of Tumor-Associated Macrophage Polarization In Cutaneous T-Cell Lymphoma, Emma Luong, Wei Han, Xiao Ni

CATALYST Summer Training Program 2026

No abstract provided.

Bekizine: A Zine Featuring Selected Queer Artists And Narratives, Daniel D. Sullano, Alex Ayson, Arianna Atas, Renee Sophia Caponong, Merix Kobi Blancaflor, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

Media serves as a powerful medium for shaping cultural norms and self-perception. Despite increasing visibility in Philippine media, LGBTQ+ representation remains dominated by metropolitan-centric narratives and reductive tropes that overlook the nuanced realities of provincial queer life. The study explored how BEKIZINE, a community-centered zine created by and for LGBTQ+ individuals aged 18–30 in Cavite, can serve as alternative media for self-expression, community building, and historical preservation. Adopting a practice-based, mixed-methods approach, the study integrates Queer Theory, Safe Space Theory, and Alternative Media Theory through semi-structured interviews with local queer artists and individuals, followed by zine launch evaluation surveys. Qualitative …