Digital Commons Network^™

Resurgent Education In Native American Catholic Schools: The Stories Of Indigenous Educators Who Attended Boarding Schools, William Newkirk

LMU Theses and Dissertations

Although news coverage has discussed the history of Native American boarding schools with more attention, a problematic lack of Native voice has continued to remain in these discussions. In particular, the perspectives of former students of boarding schools are too often missing. Further, there are former residential school students teaching in Native American Catholic schools whose stories and experiences have not yet been documented. This research was not meant to strictly learn from their time as students in the schools, but also their perspectives and successes found within their time as educators. They are teachers with deeply important historical experiences, …

Quality Improvement Project Fall Prevention Among Skilled Nursing Facility Residents Through Staff Education, Reena Mathew

Doctor of Nursing Practice Projects

Falls among older adults in Skilled Nursing Facilities (SNFs) remain a leading cause of injury, hospitalization, and decreased quality of life. Preventing these falls requires awareness and effective staff engagement. This Quality Improvement (QI) initiative is targeted to decrease fall rates in a 90-bed SNF by educating caregivers on the significance and practice of purposeful hourly rounding. The project helped to improve staff knowledge, consistency, and accountability in implementing hourly rounding as a preventive measure. A pre- and post-intervention design was utilized. Staff members received structured educational sessions based on evidence-based guidelines, including interactive modules and printed resources. Twenty staff …

Quality Improvement Project: Faculty Education On Clinical Evaluation Tool Utilization For Outcome-Based Assessment And Readiness In Clinical Competency Evaluation, Catherine Odom

Doctor of Nursing Practice Projects

This Doctor of Nursing Practice (DNP) quality improvement initiative addressed the lack of consistency and subjectivity in clinical evaluations of nursing faculty at a community college in the southern United States. The intervention was a structured faculty development program spanning eight weeks, focusing on Objective Structured Clinical Examinations (OSCEs) and performance rubrics. The project was guided by the IOWA Model of Evidence-Based Practice and the Kotter Change Management Framework, aiming to boost faculty confidence and inter-rater reliability in clinical assessment. The PICOT question was whether a structured educational intervention would enhance self-reported faculty confidence in clinical assessments relative to no …

Quality Improvement Project Improving Self-Efficacy Among Urgent Care Staff Through Medication Reconciliation Education, Jana M. Combs

Doctor of Nursing Practice Projects

Medication errors and adverse drug reactions (ADR) are a significant source of preventable harm in healthcare, and failure to complete proper medication reconciliation is a contributing factor. Despite multiple interventions aimed at addressing this issue, no standardized plan has been implemented universally. Outpatient urgent care sites pose as high-risk environments for failed medication reconciliations due to the nature of the setting, but staff are in prime positions to adjust this culture. This project aimed to enhance staff self-efficacy in medication reconciliation over four weeks through an evidence-based educational program, with the goal of improving patient safety and outcomes. Using a …

Quality Improvement Project Data At Risk: The Implications Of Inconsistent Nursing Documentation On Patient Care Interventions, Amber Jones

Doctor of Nursing Practice Projects

Accurate nursing documentation plays a vital role in ensuring high-quality patient care, yet inconsistencies remain a common challenge, particularly with preventive screenings like pediatric tobacco use. Research shows that when documentation is incomplete or incorrect, opportunities to identify and intervene with at-risk adolescents are often missed. This quality improvement project was developed to address a specific gap in documentation practices at a community health clinic, where staff often failed to consistently complete the pediatric tobacco screening tool. The goal of the project was to determine whether evidence-based education, combined with chart audits and feedback, could improve the consistency in which …

Quality Improvement Project Improving Advanced Practice Registered Nurse Self-Efficacy And Retention Through A Structured Mentorship Program, James Caleb Kent

Doctor of Nursing Practice Projects

High turnover among Advanced Practice Registered Nurses (APRNs) creates significant challenges for healthcare delivery, continuity of care, and organizational costs. Despite convincing evidence supporting the use of mentorship programs to improve job satisfaction and retention, structured mentor education remains underutilized in many outpatient settings. This quality improvement project assessed the impact of a structured mentor education program on APRN self-efficacy related to mentoring competence. A single-group, pre-post design was implemented in one primary care department. Six APRNs completed an evidence-based mentor education module. Self-efficacy was measured using the Mentor Competence Assessment (MCA) survey administered immediately before and after education. Paired …

Ada News - 08/04/2025, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

A Quality Improvement Project Cultural Competency: A Project For Improving Culturally Competent Care Among Mental Health Providers, Lanre Olanrewaju

Doctor of Nursing Practice Projects

Cultural competence, knowledge, and awareness are essential for improving mental healthcare outcomes in diverse populations. Despite the need, the absence of structured cultural competence training contributes to reduced quality of care and health disparities. The purpose of this quality improvement project is to improve cultural awareness and knowledge among mental health providers at an outpatient clinic by implementing structured staff training. A needs assessment identified gaps in cultural competence knowledge, inconsistent practices, and limited provider confidence in addressing diverse patient needs. In the methodology, the model used to answer the PICOT question is Purnell’s Model, guided by a structured process …

Childhood Vaccination In Mozambique Pre- And Post-Covid-19 Pandemic, Remy Mwamba

Walden Dissertations and Doctoral Studies

In 2019, infectious diseases and other conditions claimed the lives of over 5 million children under 5. Global immunization coverage remains below prepandemic levels, leaving behind over 14 million zero-dose children in 2022, of whom 84% lived in low- and middle-income countries. This quantitative cross-sectional study aimed to examine, using two consecutive Demographic and Health Surveys, whether the most significant household characteristics and health service utilization risk factors associated with nonvaccination before the COVID-19 pandemic still hold postpandemic in Mozambique. Andersen's behavioral model of healthcare service utilization was the foundation for this investigation. The sample included N=2034 children aged 12-35 …

The Place Speaks: Sacred & Artistic Genealogies Of Appalachia, The Reece Museum, East Tennessee State University

The Reece Museum Exhibition Publications

Jimmy Morrow was born March 6, 1955 in Raven Branch, a population area in rural Del Rio, Tennessee. His father, Albert Morrow, is remembered as a very devout man who raised his seven children in the church, and young Jimmy Morrow began preaching there when he was just six years old, soon after he received his first vision. Throughout his career, in which the Rev. Morrow was the founder and pastor of the Edwina Church of God in Jesus Christ’s Name, Morrow also preached at churches in Tennessee, Alabama, Georgia, South Carolina, and Kentucky. Alongside his work as a spiritual …

Twelve Tips To Help Junior Faculty Review Medical Education Literature With Confidence, Abagayle Bierowski, Casey Morrone, Ridhima Ghei, Michael Pasirstein, Dimitrios Papanagnou

Department of Emergency Medicine Faculty Papers

Peer reviews play a critical role in maintaining the quality, credibility, and advancement of medical education scholarships. While many early career faculty members are eager to contribute to the peer review process, there are few formal resources available to guide them in how to approach this work effectively. This article offers 12 practical tips tailored specifically for junior faculty who are new to reviewing medical education manuscripts. These tips cover key aspects of the review process, including how to structure feedback, evaluate methodological rigor, assess alignment with journal aims, and communicate constructively with authors and editors. The guide also emphasizes …

Rethinking Empowerment: Financial Self-Efficacy In First-Generation College Students, David Steadman

Masters Projects

Financial wellness difficulties have increasingly been found as a trend found amongst college students in research, as loans increase and student aid decreases, research is needed to understand new approaches to financial wellness and improving this problem within higher education. This project explores financial wellness and the need for wellness support amongst first-generation college students, as they continue to face unique wellness challenges in education at disparate rates. Specifically, it focuses on Financial Self-Efficacy (FSE) as a mediating factor of financial wellness, instead of a traditional focus on purely financial literacy. Grounded in Albert Bandura’s self-efficacy theory, the First-Generation Financial …

Curriculum Accommodations, Modifications, And Differentiation Strategies: Equipping Teachers In Adapting Curriculum To Meet The Diverse Needs Of All Learners, Rachael Van Huis

Masters Projects

The Individuals with Disabilities Education Act (IDEA) supports a free and appropriate public education for all students, yet many students with disabilities are not properly served in the K-12 public school setting. Teachers remain largely unequipped in providing appropriate educational experiences for students with complex learning needs, including the provision of academic accommodations and modifications. As a result, students with disabilities continue to be placed in segregated, alternative learning settings that hinder their academic progress, social connectedness, and ability to learn within their least restrictive environment alongside typically developing peers. This project aims to support both general and special education …

Evaluating Coplanar And Noncoplanar Treatment Plans For The Varian Halcyon And Varian Truebeam For Intact Prostate Patients., Ashley Coppage

Masters Projects

Prostate cancer is among the most treated malignancies with radiation therapy, where precise dose delivery is critical for tumor control and minimizing toxicity. VMAT is widely adopted due to its efficiency and conformity; however, the choice between coplanar and non-coplanar beam arrangements remains an area of ongoing investigation, especially with newer platforms like Halcyon and TrueBeam. This retrospective dosimetric study compares coplanar and non-coplanar volumetric modulated arc therapy (VMAT) treatment plans for intact prostate cancer patients using the Varian Halcyon and Varian TrueBeam systems. Plans were created using a standardized protocol within Eclipse v16.1, with all Halcyon plans employing coplanar …

08.04.2025 Ored Connect, Liz Williamson

ORED Newsletter

NIH limits AI use and annual proposals accepted per PI

Upregulating Ankhd1 In Ps19 Mice Reduces Tau Phosphorylation And Mitigates Tau Toxicity-Induced Cognitive Deficits, Xiaolin Tian, Nathan Le, Yuhai Zhao, Dina Alawamleh, Andrew Schwartz, Lauren Meyer, Elizabeth Helm, Chunlai Wu

School of Graduate Studies Faculty Publications

Using the fly eye as a model system, we previously demonstrated that upregulation of the fly gene mask protects against FUS- and Tau-induced photoreceptor degeneration. Building upon this finding, we investigated whether the protective role of mask is conserved in mammals. To this end, we generated a transgenic mouse line carrying Cre-inducible ANKHD1, the human homolog of mask. Utilizing the TauP301S-PS19 mouse model for Tau-related dementia, we found that expressing ANKHD1 driven by CamK2a-Cre reduced hyperphosphorylated human Tau in 6-month-old mice. Additionally, ANKHD1 expression was associated with a trend toward reduced gliosis and preservation of the presynaptic marker Synaptophysin, suggesting …

Buffalo Stories & Science For 4th Graders, Ashley A. Duffy, Larry M. Browning, Matt Miller, Jiyul Chang, Srinivas Janaswamy, Lydia Yellow Hawk, Jessica Larson, Michael Prate, Madhav P. Nepal

iLEARN Teaching Resources

In this culturally responsive science lesson, students explore the ecological and historical importance of buffalo through story and hands-on learning. Using Paul Goble’s Return of the Buffaloes, learners’ journey into Lakota legend to discover how buffalo sustained communities and symbolized connection to land and spirit. Through guided reading, students uncover how buffalo supported Indigenous survival—providing food, shelter, clothing, and tools—while developing an appreciation for traditional knowledge systems and biodiversity. Students then deepen their understanding of food science by making buffalo jerky, connecting past and present preservation methods. As they mix ingredients, shape meat into strips, and observe dehydration techniques, students …

Comparative Outcomes Of Coil Embolization And Surgical Clipping In Elderly Patients With Subarachnoid Hemorrhage: A Systematic Review And Meta-Analysis, Yohanna Idsabella Rossi, Gabriel Bolner, Jonathan Costa Dall'acqua, Fabiana Dolovitsch De Oliveira, Lucas V. Zacaria, Taís L. Denicol, Michel Frudit, Natália Vasconcellos De Oliveira Souza

Department of Neurology Faculty Papers

BACKGROUND AND OBJECTIVES: Elderly patients with subarachnoid hemorrhage (SAH) face a disproportionately high burden of morbidity and mortality. While endovascular coiling is often favored in this population, direct comparisons with surgical clipping are limited. We conducted a meta-analysis to compare outcomes of clipping versus coiling in SAH patients aged ≥ 60 years.

METHODS: A systematic search of PubMed, Embase, and Cochrane databases identified studies comparing the two treatments in this age group. The primary outcome was a composite of unfavorable outcomes (modified Rankin Scale [mRS] > 2 and mortality). Secondary outcomes included mortality, favorable outcome (mRS 0-2), rebleeding, and hospital length …

Non-Pharmacological Interventions For Attention Deficit Hyperactive Disorders And Anxiety, Alichia Lashawn Pecks

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project used a quality improvement approach to address the co-prescription of stimulants and benzodiazepines in patients with attention deficit hyperactivity disorder (ADHD) and anxiety in outpatient mental health settings. The project explored whether implementing a structured non-pharmacological staff education program for mental health staff could improve knowledge of safe, evidence-based treatment alternatives. The purpose of this staff education project was to improve provider knowledge of evidence-based, non-pharmacological treatment alternatives. To address this issue, a structured non-pharmacological staff education program was implemented to improve provider knowledge of safer, evidence-based treatment alternatives. Four participants completed pre- …

Opposing Roles For Iron Transport Systems In Gallium Tolerance In Extraintestinal Pathogenic Escherichia Coli, Nagama Parveen

Theses and Dissertations

Iron is required for bacterial growth because it serves as a co-factor for enzymes involved in DNA synthesis, cellular respiration, and other processes. Disrupting bacterial iron homeostasis is an effective strategy to prevent the growth of antibiotic-resistant bacteria, and gallium (Ga³⁺) has emerged as a promising candidate due to its ability to displace iron (Fe³⁺) and prevent essential iron-dependent pathways. However, Escherichia coli are naturally less sensitive to gallium than many other bacteria, and the mechanisms that control gallium tolerance are not completely understood. To address this, we performed a genome-wide transposon sequencing (TnSeq) screen to identify genes important for …

Assessing And Improving Provider Knowledge And Comfort With Palliative Care Consultations: A Quality Improvement Project, Summer R. Hess

Doctor of Nursing Practice Projects

Palliative care remains significantly underutilized in the management of heart failure, despite national guidelines supporting its early integration. This underuse limits opportunities for person-centered care in cardiology settings. The purpose of this quality improvement project was to improve provider knowledge and comfort in implementing palliative care consultations. The problem addressed was the low consultation rates for advanced heart failure patients, largely driven by provider misconceptions and a lack of formal training. A quasi-experimental design was initiated by using a brief, evidence-based educational article. Sixteen advanced practice providers at a high-volume cardiology clinic completed pre- and post-intervention surveys using the End-of-Life …

Quality Improvement Project Evaluation Of The Effectiveness Of The Institute For Healthcare Improvement’S Joy In Work Framework On Burnout Experienced By Dialysis Staff, Bernice Jones

Doctor of Nursing Practice Projects

Burnout continues to pose a pervasive and escalating challenge in healthcare, with its severity further amplified in the aftermath of the COVID-19 pandemic. Dialysis professionals are especially vulnerable, facing elevated patient volumes, extended work hours, and frequent encounters with complex clinical needs. These ongoing stressors highlight the critical importance of this quality improvement (QI) project, as there exists an urgent need for evidence-based strategies to alleviate burnout among dialysis professionals. This QI project aimed to enhance joy in the dialysis work setting and reduce burnout experienced by dialysis staff through the implementation of the Institute for Healthcare Improvement’s (IHI) Joy …

Development Of Policy Related To Test Anxiety In High-Stakes Environment, Jancy J. Sabu

Doctor of Nursing Practice Projects

Many nursing students experience test anxiety (TA) due to the highly stressful learning environment and the high-stakes nature of nursing exams. A community college in Texas has experienced an increase in student attrition from 2018 to 2022, primarily due to course failures, which are linked to TA. Expressive writing (EW) is a proven intervention that allows students to write about their anxieties and fears related to exams, helping them to regulate their emotions and manage TA. This project aimed to develop a policy that implements EW as an intervention and incorporates it into the nursing syllabus. Using the Centers for …

Feasibility Of A Novel Combined Treatment For Apraxia Of Speech, Claire Evans Jensen

Theses and Dissertations

Apraxia of speech (AOS) is a disorder of articulation and prosody interrupting the spatial and temporal planning and/or programming of speech movements and commonly co-occurs with aphasia. Most AOS treatment research has used single case experimental designs (SCEDS) to document the effects of treatment. The strength of SCEDs is that they can demonstrate clear causal relations between intervention and behavior change. The most studied AOS treatment is an articulatory-kinematic treatment called Sound Production Treatment (SPT). This study was designed to examine the effects of a novel treatment, Sound Production Treatment in a Metrical- Paced Frame (SPTMF), on the speech production …

Alternative To The Statistical Mass Confusion Of Testing For "No Effect", Josh L Morgan

2020-Current year OA Pubs

In cell biology, statistical analysis means testing the hypothesis that there was no effect. This weak form of hypothesis testing neglects effect size, is universally misinterpreted, and is disastrously prone to error when combined with high-throughput cell biology. The solution is for analysis of measurements to start and end with an interpretation of effect size. In this manuscript, I walk through some of the common critiques of significance testing and how they relate to experimental cell biology. I argue that careful consideration of effect size should be returned to its central position in the planning and discussion of cell biological …

Provider's Attitudes Towards Telehealth And Parenting Interventions During Covid-19 Pandemic: An Exploratory Cross-Sectional Study From Brazil And Mexico, Marina Kohlsdorf, Cole Hooley, Alejandro L Vázquez, Mariana M Juras, Grant Decker, Taylor Iskalis, Kayla Miller, Quinn Tompkins, Nancy G A Buenabad, Michela Ribeiro, Acileide C F Coelho, Ana A Baumann

2020-Current year OA Pubs

BACKGROUND: The COVID-19 pandemic presented challenges for mental health providers all over the world, since they had to abruptly change from in person assistance to remote meetings. The adverse effects from social isolation were critical in Latinx populations such as Brazil and Mexico, since these countries faced a great amount of social, health, and economic burden during the pandemic, which affected families' access to care and increased inappropriate parenting practices.

OBJECTIVE: This study aimed to understand the impacts of adapting parenting interventions to online sessions for Brazilian and Mexican providers, due to the COVID-19 pandemic.

METHODS: Sixty-two Brazilian and 49 …

My A-T Pack: A Qualitative Study Of The Utility, Acceptability, Design, And Content Of A Family-Designed And Owned Information Pack Relevant To The Lives Of Children And Young People Living With Ataxia Telangiectasia, Lisa Bunn, Joanne Paton

School of Health Professions

BackgroundAtaxia Telangiectasia (A-T) is a rare genetic and progressive condition, primarily affecting the neurological, immunological, and pulmonary systems. In the absence of a cure, people living with A-T require co-ordinated multidisciplinary care to manage their complex needs. This often leads to families working with a range of different professionals and feeling burdened by the amount of information and coordination of care that they manage.With the aim to inform the co-production of a family-owned healthcare pack to promote person-centered care and self-management, this study explored the views of children with A-T and parents of children and young people with A-T about …

The Effect Of Hcv On Methadone Dose During Pregnancy, Sarah Boudova, Neel S. Iyer, Danielle M. Tholey, Jonathan M. Fenkel, Rupsa C. Boelig

Department of Obstetrics and Gynecology Faculty Papers

Pregnancy is a time of high patient motivation to initiate treatment for opioid use disorder (OUD). Hepatic drug metabolism can be altered by pregnancy and hepatitis C virus (HCV) infection. We aimed to examine the impact of HCV during pregnancy on methadone dosing. Retrospective chart review of all pregnant patients with OUD admitted for initiation of methadone from 1/2020-6/2022. Associations were examined using Student's T-tests, chi-squared tests, Fisher's exact tests and univariate and multivariate linear regression. We identified 191 pregnancies initiated on methadone, of which 188 were screened for HCV. 111 (59.0%) were HCV Antibody (Ab)+, of whom 108 were …

Abstract Prevention Of Hospital-Acquired Pressure Injuries In Older Adults In Acute Care Settings, Evelyn Yegella

Doctor of Nursing Practice Final Project Abstract

INTRODUCTION:

Hospital-acquired pressure injuries (HAPIs) are a significant risk for older people in acute care, leading to increased morbidity,

Healthcare costs and fragility in senior patients result in higher HAPI rates. This quality improvement (QI) project aimed to reduce HAPI incidence by 40% within four months, utilizing evidence-based nursing interventions tailored to this vulnerable population.

METHODOLOGY:

The project followed the Plan-Do-Study-Act (PDSA) methodology, implementing staff training, periodical skin assessments, and repositioning schedules. Data were collected monthly using skin evaluation checklists and HAPI incidence reports from 30 patient days, and chi-square tests and control charts were used to examine the results. …

August 2025, Office Of Sustainability

Office of Sustainability Newsletter

No abstract provided.