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Thematic Analyses Of Session Data With Transgender And Gender Diverse Adults Obtained During A Clinical Trial, Brenna Rose Lash Aug 2025

Thematic Analyses Of Session Data With Transgender And Gender Diverse Adults Obtained During A Clinical Trial, Brenna Rose Lash

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Transgender and gender diverse (TGD) adults in the United States experience high rates of discrimination and marginalization, contributing to adverse mental health outcomes. While clinical guidelines for gender affirming care have been developed, these guidelines often lack empirical grounding or specific, actionable strategies for clinicians. Although theoretical models such as the marginalization stress model and the psychological mediation framework offer useful foundations for case conceptualization, they do not fully capture the lived experiences or the resilience mechanisms of TGD individuals in therapeutic contexts. This project aims to bridge the gap between research and clinical practice through thematic analysis of therapy …


Intergenerational Family Dynamics Among Caregivers And Children’S Social-Emotional Development In China, Weiman Xu Aug 2025

Intergenerational Family Dynamics Among Caregivers And Children’S Social-Emotional Development In China, Weiman Xu

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The early years of a child’s life are pivotal for social-emotional development. While extensive research has explored the role of family settings in fostering children's social-emotional development (Bornstein, 2005), the impact of grandparental involvement, particularly the caregiving dynamics between generations, remains less well understood. This study aims to fill this gap by examining two critical aspects of intergenerational dynamics among caregivers (i.e. parent-grandparent coparenting and parent-grandparent relationship quality) and their associations with children’s social-emotional development (i.e. social skills and problem behaviors). Two specific aims were delineated: 1) examine the unique contribution of parent-grandparent coparenting, especially the power and authority domain …


The Career Resilience Of Women Of Color Amidst Intersectional Racism-Sexism In The Us: A Consensual Qualitative Study, Hannah Ahmad Ridzuan Aug 2025

The Career Resilience Of Women Of Color Amidst Intersectional Racism-Sexism In The Us: A Consensual Qualitative Study, Hannah Ahmad Ridzuan

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Women of color have historically and presently experienced both sexism and racism on interpersonal, institutional, and cultural levels (Sue et al., 2007). While discrimination based on racial-ethnic and gender identities has by far the most extensive literature base (Duffy et al., 2016), literature on the development of women of color career resilience is not as expansive. Informed by the Psychology of Working Theory (PWT) (Blustein, 2006; Duffy et al., 2016), the intersectionality framework (Crenshaw, 1989; Collins et al., 2021), and critical consciousness (Freire, 1971; Quiñones-Rosado, 2020), this consensual qualitative research (CQR; Hill, 2006) explored how women of color in the …


Flooding: Risk Assessment And Its Interaction With Population & Environmental Health, Shivendra Srivastava Aug 2025

Flooding: Risk Assessment And Its Interaction With Population & Environmental Health, Shivendra Srivastava

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Flood events have significant implications for both population and environmental health. This dissertation aims to explore flood risk and its interaction with humans and the environment. The key questions addressed in this dissertation include improving the existing flood risk framework to better assess population vulnerability and associated risk. Additionally, it explores how interactions among risk components vary across spatial scales and regions, and how these variations influence overall flood risk. The dissertation also investigates how to design a vulnerability component specific to flooding within flood risk estimation. Finally, it answers whether flood-specific vulnerability differs for a population compared to vulnerability …


The Tree That Would Not Fall: An Educator’S Autoethnographic Journey Of Healing Through Words, Raeanna Marie Carlson Aug 2025

The Tree That Would Not Fall: An Educator’S Autoethnographic Journey Of Healing Through Words, Raeanna Marie Carlson

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

To say the world has changed since the 2020 COVID-19 shut down is to minimize the micro and macro social changes that infiltrated the school system. In the wake of it all, we find a landscape marred by a both rising teacher attrition and struggling student motivation. This autoethnographic dissertation explores the deeply personal experience tethered to a deeply problematic system that contributes to not only teacher burnout but what I came to know as teacher demoralization. Personal traumas of teachers profoundly impact their experience in the classroom, and as I examined my own near departure from the classroom, I …


Between Two Worlds: A Case Study Of Third Culture Identity And Reentry For Unl International Students, John S. Tessalee Aug 2025

Between Two Worlds: A Case Study Of Third Culture Identity And Reentry For Unl International Students, John S. Tessalee

Department of Agricultural Leadership, Education, and Communication: Dissertations, Theses, and Student Research

Third Culture Kids (TCKs) and international students share many commonalities, such as their globalized nature, adaptability, and the adoption of cultural components from their host country versus their home country. However, they contain enough differences to be considered separate groups. Traditionally, people need to be immersed in a culture different from their parents’ culture between the ages of 0 and 18 to be considered a TCK, whereas international students are typically between 18 and 24 years old by the time they attend universities overseas. The cultural absorption of TCKs in their formative years is usually greater than that of international …


Artificial Intelligence On Campus: Revisiting Understanding As An Aim Of Higher Education, Jamie Herman, Henry Lara‐Steidel Aug 2025

Artificial Intelligence On Campus: Revisiting Understanding As An Aim Of Higher Education, Jamie Herman, Henry Lara‐Steidel

Prindle Faculty and Staff Publications

AbstractThe launch of the powerful generative AI tool ChatGPT in November 2022 sparked a wave of fear across higher education. The tool could seemingly be used to write essays and do other work without students putting in the effort expected of them. In this paper, Jamie Herman and Henry Lara‐Steidel posit a way of addressing the concerns over ChatGPT and increasingly powerful generative AI tools in the classroom by first examining what exactly, if anything, widespread AI use undermines in education. That question, they argue, is logically prior to the question of what to do or how best to embrace …


A Multi-Modal Method For Synthetic Data Generation In Social Network Analysis, Hortencia Josefina Hernandez Aug 2025

A Multi-Modal Method For Synthetic Data Generation In Social Network Analysis, Hortencia Josefina Hernandez

Open Access Theses & Dissertations

Social network analysis (SNA) research is often rife with data collection pitfalls, frequently leading to incomplete and missing data. With the growing use of SNA-based research, researchers must address the challenge of missing data and synthetic data generation in these settings. Missing data occurs due to longitudinal non-response or lack of response to sensitive or difficult-to-answer questions. Synthetic data generation in SNA settings addresses the lack of representation that is often present in large-scale SNA studies. This dissertation investigates synthetic data generation methods to address these challenges and develops a novel algorithm that leverages information from multi-modal data, e.g., databases …


Perceptions Of Healthcare Students And Educators On Ai And Ar In Immersive Learning: A Phenomenological Study Of Empathy And Self-Efficacy Development In Palliative And End Of Life Care, Thomas Joseph Soto Aug 2025

Perceptions Of Healthcare Students And Educators On Ai And Ar In Immersive Learning: A Phenomenological Study Of Empathy And Self-Efficacy Development In Palliative And End Of Life Care, Thomas Joseph Soto

Open Access Theses & Dissertations

As healthcare education evolves to address emotionally complex scenarios such as palliative and end-of-life care, there is an increasing need to integrate both technical and emotional competencies into training. This interpretive phenomenological study explored how artificial intelligence (AI) and augmented reality (AR)-enhanced immersive simulations shape healthcare students' empathy and self-efficacy. Grounded in Rogers' Client-Centered Theory and Bandura's Social Cognitive Theory, the research investigated the lived experiences of healthcare students and educators who participated in emotionally realistic simulations using AI-driven manikins and auditory AR features. Data were collected through semi-structured interviews and analyzed using a hybrid inductive-deductive coding framework, incorporating in-vivo …


Complex Factors Impacting Smoking Behavior In Cancer Survivors With Food Insecurity, Madeline C. Castele, Kareena Shah, Avianna Thompson, Jin E. Kim-Mozeleski Aug 2025

Complex Factors Impacting Smoking Behavior In Cancer Survivors With Food Insecurity, Madeline C. Castele, Kareena Shah, Avianna Thompson, Jin E. Kim-Mozeleski

Faculty Scholarship

Objectives: Tobacco use remains prevalent among people with social needs, such as food insecurity. In this study, we aimed to understand the complex experiences of low-income cancer survivors with food insecurity who smoke tobacco, to identify the unique smoking cessation needs for this group. Methods: We conducted in-depth, semi-structured qualitative interviews with 40 adults experiencing food insecurity who continued smoking after a cancer diagnosis. Interviews focused on smoking behaviors, cessation interest, cancer experiences, and financial circumstances. We analyzed the data using reflexive thematic analysis. Results: In this sample of cancer survivors (50% female, mean age 42 years, 60% black/African American, …


Effects Of Training With Different Set-Repetition Configurations On High-Intensity Exercise Endurance And Acute Recoverability, Wesley Gawel Aug 2025

Effects Of Training With Different Set-Repetition Configurations On High-Intensity Exercise Endurance And Acute Recoverability, Wesley Gawel

Electronic Theses and Dissertations

This study aimed to evaluate how high- (3x10) versus low-repetition (3x2) resistance training affects (1) muscular strength-endurance and (2) immediate recovery after a high-intensity exercise effort (HIEE). Fourteen college-aged participants (10 males: 24.5 ± 4.9 yrs, 1.76 ± 0.05 m, 86.56 ± 6.90 kg; 4 females: 23.0 ± 2.8 yrs, 1.58 ± 0.09 m, 62.19 ± 5.96 kg) completed a 4-week training program and were divided into two groups: G2 (3x2; 5 males, 2 females) and G10 (3x10; 5 males, 2 females). All subjects performed back squats to failure at 67.5% of baseline 1RM. Repetitions (REPS) and volume load with …


An Exploration Of Factors Influencing Sophomore-Year Persistence At A Regional Institution In Southern Appalachia, Jonathan W. Mitchell Aug 2025

An Exploration Of Factors Influencing Sophomore-Year Persistence At A Regional Institution In Southern Appalachia, Jonathan W. Mitchell

Electronic Theses and Dissertations

The purpose of this qualitative and interpretative phenomenological study was to explore factors that participants identified as playing roles in their persistence through their sophomore years at a regional university located within Southern Appalachia. Research on second-year retention efforts is far lacking compared to first-year retention efforts. Reflecting the heavy emphasis placed on the first year, there is also more research on first-year retention. However, students can feel a sharp decline in support entering sophomore year, making that just as critical of a transition. Student retention has been emphasized in higher education since its inception, as an institution’s goal in …


Recommended For You Streaming Platform Recommendation Algorithms And Consumer Rights, Margaret Wilson Aug 2025

Recommended For You Streaming Platform Recommendation Algorithms And Consumer Rights, Margaret Wilson

Canadian Journal of Law and Technology

Streaming platforms are becoming increasingly popular with consumers. In Canada, recent studies have suggested that 55% of Canadians use video streaming services, like Netflix, on a daily basis. Similarly, up to 30% stream audio content daily on platforms like Spotify.6 The federal government has recognized that the broadening use of these technologies creates new challenges for consumer privacy and has proposed updates to consumer privacy laws in Bill C-27. With the dissolution of the 44th Parliament on March 23, 2025, Bill C-27 died on the roll and will not be adopted. As proposed legislation, Bill C-27 signalled the direction of …


Navigating The Shadows: Evaluating Privacy Protections Against Dark Patterns, Matt Gaulton, Dominique Kelly, Dr. Jacquelyn Burkell Aug 2025

Navigating The Shadows: Evaluating Privacy Protections Against Dark Patterns, Matt Gaulton, Dominique Kelly, Dr. Jacquelyn Burkell

Canadian Journal of Law and Technology

Privacy dark patterns are user interface design strategies that manipulate individuals into disclosing personal information or consenting to data practices they may not fully understand or intend. This paper critically evaluates the effectiveness of Canadian, American, and European privacy frameworks — specifically, the Personal Information Protection and Electronic Documents Act (PIPEDA), the California Consumer Privacy Act (CCPA), and the European Union’s General Data Protection Regulation (GDPR) — in addressing the regulatory challenges posed by privacy dark patterns. We argue that PIPEDA is significantly less equipped to counteract such manipulative practices, particularly in comparison to the GDPR and CCPA, due to …


Making Sense Of Myc In Skeletal Muscle, Ronald G. Jones, Sebastian Edman, Nathan Serrano, Yuan Wen, John J. Mccarthy, Christopher S. Fry, Ferdinand Von Walden, Kevin A. Murach Aug 2025

Making Sense Of Myc In Skeletal Muscle, Ronald G. Jones, Sebastian Edman, Nathan Serrano, Yuan Wen, John J. Mccarthy, Christopher S. Fry, Ferdinand Von Walden, Kevin A. Murach

Physiology Faculty Publications

No abstract provided.


Building A Sustainable Home On The Central Coast: An Owner’S Perspective, Austin Chase Anderson Aug 2025

Building A Sustainable Home On The Central Coast: An Owner’S Perspective, Austin Chase Anderson

Construction Management

As awareness and technology increase, sustainability as a focus in home construction is also increasing. This case study based research project seeks to understand the process of building a home on California’s Central Coast with sustainability in mind. An interview was conducted with an owner who built their home in Templeton in 2019. The interview was in a semi-structured format which included specific qualitative questions but mostly focused on an open-ended discussion which allowed the owner to share their own experience. The key challenges learned from this interview were that the owner believed price to be the main factor that …


Product, Process, And Behavior Influences On Value Retention Processes: Toward A Circular Economy In Consumer Electronics, Kyle Parnell Aug 2025

Product, Process, And Behavior Influences On Value Retention Processes: Toward A Circular Economy In Consumer Electronics, Kyle Parnell

Theses

Consumer electronic products (CEP) manufacturing and retail contribute markedly to global industrial activity; worldwide estimates suggest revenue growth from $1 trillion in 2020 to $1.5 trillion by 2026. Consequently, the production, distribution, use, and end-of-life (EOL) disposition of these products are responsible for considerable social and environmental impacts, including 35 million metric tonnes of waste to landfill per year, 793 million metric tonnes (MMT)—and growing—of carbon dioxide-equivalent (CO2e) greenhouse gas (GHG) emissions per year, and innumerable adverse effects on human health and development. Driving these impacts are the inherent characteristics of CEPs themselves, which increasingly require critical materials in design, …


Advancing The Utility Of Unmanned Aerial Systems (Uas)-Based Imaging Techniques In Broadacre Agriculture: A Multimodal Case Study On Table Beets, Mohammad Shahriar Saif Aug 2025

Advancing The Utility Of Unmanned Aerial Systems (Uas)-Based Imaging Techniques In Broadacre Agriculture: A Multimodal Case Study On Table Beets, Mohammad Shahriar Saif

Theses

Efficient and sustainable food production and management are growing concerns in the context of an ever-increasing global population. It is in this context that the integration of remote sensing with advanced imaging technologies presents transformative opportunities for data-driven decision-making in agriculture. This study therefore explores the use of unmanned aerial systems (UAS) equipped with multispectral, hyperspectral, and LiDAR sensors for the non-destructive monitoring of table beet (Beta vulgaris) crop traits, with a specific focus on root yield estimation and foliar disease assessment. Table beet, a subterranean crop of increasing commercial and nutritional importance, poses unique challenges for above-canopy sensing due …


Engineering Tunable Collagen Fiber Alignment Gradients To Quantify Contact Guidance Effects On Cell Migration, Indranil Mandar Joshi Aug 2025

Engineering Tunable Collagen Fiber Alignment Gradients To Quantify Contact Guidance Effects On Cell Migration, Indranil Mandar Joshi

Theses

Directional migration of cells is one of the most important physiological processes, necessary for tissue and organ development. It also plays a crucial role in pathological conditions such as cancer metastasis. This directed migration is influenced by various factors present in the native environment, which guide cells to migrate steadily in a specific direction. Due to its importance, over the years, a lot of emphasis has been placed on understanding and exploring the biochemical and biophysical factors that direct cell migration. In addition to the commonly studied biochemical and biophysical cues, contact guidance from collagen fibers, in the native matrix, …


On The Adaptation Of Latent Dynamics Models, Ryan Missel Aug 2025

On The Adaptation Of Latent Dynamics Models, Ryan Missel

Theses

Predicting future states of high-dimensional, partially observed dynamical systems - such as cardiac electrical propagation - is crucial for advancing fields like healthcare and physics. While univariate time-series forecasting is well-explored, high-dimensional time-series forecasting presents unresolved challenges. These challenges include the computational burden of processing high-dimensional data and the difficulty of accessing the system’s underlying dynamics directly. Classical optimization and analytical approaches become impractical as the dimensionality increases, leading to a growing interest in data-driven deep learning models, particularly those based on latent dynamics functions. Latent dynamics models provide an efficient way to map high-dimensional observations into lower-dimensional latent spaces, …


Biojardineras In Monteverde: A Mixed Method Approach To Examine Greywater Treatment, Elyssa Allen, Jackson Anderson, Brayden Dostal, Alan Hernandez, Kacy Moe, Facundo Pereya-Kluser Aug 2025

Biojardineras In Monteverde: A Mixed Method Approach To Examine Greywater Treatment, Elyssa Allen, Jackson Anderson, Brayden Dostal, Alan Hernandez, Kacy Moe, Facundo Pereya-Kluser

Monteverde Institute: Tropical Ecology and Conservation

Rural and semi-rural regions around the globe often struggle with inadequate wastewater treatment infrastructure, thereby negatively impacting the public and environmental health of the region. Due to its rural nature and current infrastructure, the Monteverde Zone (MVZ) in Costa Rica lacks a centralized wastewater system, with many homes relying on septic tanks for wastewater treatment. To prevent overloaded flows to septic tanks, greywater from kitchens, laundry, showers, and sinks is often discharged separately to the environment with no treatment. This pollutes the surrounding water bodies and streets with pathogens, soap, excess nutrients, as well as fats, oils, and grease (FOG). …


Final Quarterly Operations And Maintenance Report Butte Treatment Lagoon System – Third Quarter 2022, Pioneer Technical Services, Inc. Aug 2025

Final Quarterly Operations And Maintenance Report Butte Treatment Lagoon System – Third Quarter 2022, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.


The Lived Experiences Of Fathers With Postpartum Depression: A Qualitative Study, Rachael Elizabeth Schmitz Aug 2025

The Lived Experiences Of Fathers With Postpartum Depression: A Qualitative Study, Rachael Elizabeth Schmitz

Nursing and Health Sciences

Background:

Although parents may joyfully anticipate the birth of a child, it's impossible for them to know ahead of time just how profoundly their lives will change. Postpartum depression (PPD) can result. While there is a substantial body of research regarding maternal PPD, paternal PPD has received far less attention and is neither adequately understood nor diagnosed. This is exacerbated by outdated but persistent sociocultural masculinity norms and the stigmas around mental health issues.

Purpose:

This study sought to explore the lived experiences of new fathers with PPD in order to provide greater insight into their experiences.

Methods:

This qualitative …


Building Elementary Student Science Skills And Interest: A Reciprocal Engagement Partnership, Lindley Mcdavid, Sandra F. San Miguel Aug 2025

Building Elementary Student Science Skills And Interest: A Reciprocal Engagement Partnership, Lindley Mcdavid, Sandra F. San Miguel

ELRC Presentations

Scholar-practitioner partnerships grounded in community engagement principles focus on mutually beneficial relationships that meet critical community needs while integrating learning, discovery and service. Our research aims to identify how and the degree that a physical activity-based science learning program contributes to students’ science learning and interest while aiming to support the overall wellbeing of a community elementary school that serves families from under resourced (98% free/reduced lunch) and diverse racial and ethnic backgrounds (48% non-white). Partner school teachers and staff members were invited to participate in an interview where they answered questions about their perspectives and experiences with the program …


Identifying And Examining Stressors In The Secondary And Post-Secondary Classroom, Benjamin S. Alter Aug 2025

Identifying And Examining Stressors In The Secondary And Post-Secondary Classroom, Benjamin S. Alter

All NMU Master's Theses

Students in secondary and post-secondary classrooms are openly exposed to stressors that can be considered impactful in their day-to-day lives.These stressors can be categorized as either “positive,” which serve as motivators, or “negative,” which often cause anxiety. In order to understand the stressors that students experience, students in a rural teacher education program at Northern Michigan University were asked to respond anonymously to a survey asking about stressors at the secondary and post-secondary levels. The survey was given to students enrolled in the Winter & Fall semesters of 2023, and the Winter semester of 2024. Students identified stressors from their …


The Effect Of An Acute Bout Of Rock Climbing On Cognitive Functioning And Cortisol Levels, Vanessa Steigauf Aug 2025

The Effect Of An Acute Bout Of Rock Climbing On Cognitive Functioning And Cortisol Levels, Vanessa Steigauf

All NMU Master's Theses

Rock climbing is an understudied physical activity (PA) that demands active decision-making, integration of sensory and visual input, and continuous regulation of nervous system activity to produce complex motor outputs. The unique psychological demands of climbing warrant studying its effect on cognition and brain health. I recruited 26 generally healthy adults for a randomized-controlled study. Climbing experience, PA and perceived stress were self-reported. Each participant was randomly assigned to a climbing (10x2 minutes climb, moderate intensity) or control group (seated, watching climbing-related video). The primary outcomes, cognitive performance and salivary cortisol levels were assessed by the Stroop test. A linear …


The Aid Impact Theory: A Theoretical Framework For Maximizing The Impact And Sustainability Of Foreign Education Aid In Ghana, Jonas Bensah Aug 2025

The Aid Impact Theory: A Theoretical Framework For Maximizing The Impact And Sustainability Of Foreign Education Aid In Ghana, Jonas Bensah

Graduate Program in International Studies Theses & Dissertations

Foreign aid plays a critical role in supporting education systems in developing countries, yet its effectiveness varies depending on the presence and interaction of key implementation components. This study applies the Aid Impact Theory (AIT) to comparatively analyze the USAID Partnership for Education: Learning and the World Bank-funded Secondary Education Improvement Project (SEIP) in Ghana, assessing their effectiveness and sustainability. Using a structured framework, the research examines six essential components: stakeholder consultation, donor coordination and local implementer collaboration, awareness of cultural, political, and institutional contexts, community involvement, capacity building, and monitoring and evaluation. The findings indicate that the USAID Learning …


Exploring Variability Of The Cg18562578 Methylquant Assay For The Forensic Discrimination Of Monozygotic Twins, Sydney E. Arnold Aug 2025

Exploring Variability Of The Cg18562578 Methylquant Assay For The Forensic Discrimination Of Monozygotic Twins, Sydney E. Arnold

Student Theses

Monozygotic (MZ) twins possess identical DNA sequences, posing a problem for forensic scientists, as they are incapable of distinguishing MZ twins from each other using traditional DNA identification methods. However, the epigenomes of MZ twins will differ and might be used for their forensic discrimination. Here, we explored the variability of an assay previously developed by our laboratory that showed high discrimination potential for MZ twins using buccal swab DNA, cg18562578 MethylQuant. We measured precision at each step: bisulfite conversion, nested PCR, and qPCR, reproducibility, and repeatability. DNA methylation ratios were compared between two analysts carrying each step using the …


Internet Of Things And Modern Digital Evidence Collection, Muhammad T. Haider Aug 2025

Internet Of Things And Modern Digital Evidence Collection, Muhammad T. Haider

Student Theses

The ever-evolving landscape of technology and its innovations are populating our houses, streets and all kinds of industries. The use of smart devices is booming from most developed nations to underdeveloped countries. The complications which come with the use of the Internet of Things has been an active discussion for the past many years. If we look around in a room of 30 people, we will most likely find double the amount of IoT devices than the people in that room. All of those devices are connected to the Internet, and are communicating with data servers across the world. The …


Development And Implementation Of An Ob/L&D Sbar Framework To Enhance Communication Between Obstetric Nurses And Anesthesia Providers: A Quality Improvement Initiative, Jenna E. Bigam, Laina J. Uzarski Aug 2025

Development And Implementation Of An Ob/L&D Sbar Framework To Enhance Communication Between Obstetric Nurses And Anesthesia Providers: A Quality Improvement Initiative, Jenna E. Bigam, Laina J. Uzarski

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Effective communication between obstetric (OB) nurses and anesthesia providers is critical to ensure patient safety during epidural placements in labor and delivery (L&D) settings. At a large teaching hospital, communication gaps were identified when OB nurses requested anesthesia for epidural placements without consistently providing vital patient information. The lack of structured communication can result in important details being overlooked, which may lead to delays in care and potential patient harm. To address this, the SBAR (Situation, Background, Assessment, Recommendation) communication framework was implemented to standardize and improve information exchange. This Doctorate of Nurse Anesthesia Practice (DNAP) project aimed to enhance …