Digital Commons Network^™

Implementing A Competency-Based Cross-Training Program To Enhance Patient Flow, Jill E. Shanklin

DNP Projects

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Objective: To evaluate the effect of a competency-based cross-training program on perinatal nurses’ preparedness to care for medical-surgical (med-surg) overflow patients and to support patient flow.

Design: Quality improvement project using a quasi-experimental pre–post design.

Setting: A 44-bed perinatal unit within a university-affiliated medical center in the United States.

Participants: Registered nurses employed in the perinatal unit for ≥6 months; 24 completed the preintervention survey and 28 completed the postintervention survey.

Interventions: A competency-based cross-training program consisting of e-learning modules, simulation-based competency validation, and structured policy and procedure review.

Main Outcome Measures: Self-reported comfort, …

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Riddle Me Resilient: Investigating The Impact Of Riddle Based Class Openings On Student Resilience And Well-Being, Carolyn T. Brown

DNP Projects

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Abstract

Background: Burnout among nurses and nursing students is a widespread and well‑documented problem that adversely affects professional performance and psychological well‑being. Resilience serves as a key protective factor, helping buffer the effects of academic stress and reducing burnout over time. Incorporating brief, low‑stakes cognitive challenges—such as a riddle—can help foster resilience.

Purpose: This project evaluated the impact of incorporating riddles into a wellness-focused course, Introduction to Mindfulness and Wellness, on resilience and well-being among undergraduate nursing students.

Methods: This project employed an Institutional Review Board approved pre-post survey design to measure the effect of an intervention focused on …

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Evaluating The Implementation And Use Of A Standardized Screening Process To Increase Flu Vaccine Uptake In A Rural Health Primary Care Clinic, Mackenzie L. Pierce

DNP Projects

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Background: Research has shown that an annual influenza vaccine is the most effective way to both prevent and reduce the risk of hospitalization and severe health complications of the flu. A yearly influenza vaccination is recommended for everyone age 6 moths and older.

Local Problem: Rural communities have lower rates of influenza vaccination which can be due in part to a lack of screening and education on vaccines and their importance. No process for influenza vaccine status screening existed at the project site prior to this project.

Methods: A quality-improvement project was conducted to evaluate the implementation of a standardized …

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Unintentional Medication Discrepancies In Outpatient Cardiac Procedures: Identifying Modifiable Barriers, Julie M. Turner

DNP Projects

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Background: Medication reconciliation (MR) reduces medication errors during care transitions; however, unintentional medication discrepancies (UMDs) remain common due to variable practices and lack of standardization. Patients undergoing elective cardiac procedures are particularly vulnerable given complex medication regimens.

Purpose: This quality improvement project evaluated implementation of a Medication Reconciliation Barrier Identification Checklist (MRBIC) in the cardiac catheterization laboratory to identify patient, staff, and system-level contributors to UMDs.

Methods: A quasi-experimental pre–post design was conducted at a large academic medical center. During a six-week intervention, nurses and providers completed the MRBIC during pre-procedure MR. Barrier scores were compared with …

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Advancing Rural Health Equity Through Systematic Sdoh Screening- A Quality Improvement Initiative, Laura C. Combs

DNP Projects

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Background: Social determinants of health (SDoH) significantly affect health outcomes and healthcare utilization, particularly in rural communities. In 2024, the Centers for Medicare & Medicaid Services mandated SDoH screenings in the inpatient setting, with recommendation to implement in rural clinics without specifying a standardized tool, resulting in inconsistent identification of needs, e.g., food insecurity, housing instability, mental health concerns, financial strain, and transportation barriers.

Purpose: This quality improvement initiative implemented a standardized SDoH screening tool in a rural outpatient clinic to evaluate changes in referral rates to community-based resources pre- and post-implementation and to improve patient reporting of social needs. …

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Implementation Of A Cardiomems Screening Tool To Increase Provider Awareness And Referrals In Eligible Patients, Monica Rios

DNP Projects

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Background: Heart failure affects over 6 million Americans and causes more than one million hospitalizations annually. CardioMEMS, a remote pulmonary artery pressure monitoring device, effectively reduces hospitalizations, yet its use remains limited due to provider and system barriers. The purpose was to increase CardioMEMS referrals for eligible heart failure patients through targeted provider education and a standardized screening tool.

Local Problem: Kentucky experiences higher heart failure hospitalization rates than the national average, contributing to prolonged hospital stays and rising healthcare costs.

Methods: A pre—post quasi-experimental study was conducted at an academic medical center. Baseline chart review of 47 patients evaluated …

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Improving Compliance With Preoperative Antibiotic Protocols For Cardiac Implanted Electronic Devices: A Quality Improvement Project, James Kaup

DNP Projects

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Abstract

Background

Cardiac implantable electronic device infections remain a serious complication of permanent pacemaker implantation despite evidence-based infection prevention guidelines.

Local Problem

An academic electrophysiology laboratory identified inconsistent guideline-concordant antibiotic selection despite consistently high compliance with recommended antibiotic timing.

Methods

A nurse-led, quasi-experimental pre-post quality improvement project evaluated implementation of a standardized preoperative antibiotic prophylaxis protocol. Data from 36 permanent pacemaker implantations (16 pre-intervention, 20 postintervention) were analyzed.

Interventions

The intervention included a standardized antibiotic protocol, multidisciplinary staff education, and performance feedback.

Results

Guideline-concordant antibiotic selection improved from 37.5% to 95.0% (χ² = 11.27, P = .001). Antibiotic timing remained …

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Implementing A Standardized App-Led Multidisciplinary Medication Review And Reconciliation To Improve Medication Safety Before Systemic Cancer Therapy: An Ambulatory Oncology Quality Improvement Initiative, Sarah R. Hines

DNP Projects

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Background

Adult patients initiating systemic cancer therapy frequently present with pre-existing polypharmacy related to chronic comorbidities and cancer-related symptom management. The addition of anticancer therapies and supportive care medications further increases medication burden and the risk of medication-related harm. Although national organizations and institutional policies recommend comprehensive medication review before treatment initiation, implementation remains inconsistent in ambulatory oncology practice.

Purpose

To implement and evaluate a standardized Advanced Practice Provider (APP)-led multidisciplinary medication review and reconciliation process designed to identify medication medication-related safety risks before initiation of systemic cancer therapy in adult oncology patients receiving care in an ambulatory infusion center. …

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The Concrete Picket Fence: Reconnecting Interstate-Straddled Urban Communities, Brian J. Koluch

Pell Scholars and Senior Theses

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Within the ongoing dialogue on substantive equity, the circumstances regarding enduring issues faced by black urban neighborhoods are called into question. Cities across the United States typically have major automotive arteries that tend to cut through or past said neighborhoods. Advocates argue that it is increasingly apparent that these systems of infrastructure especially in regard to these neighborhoods have been constructed in racist manners. Urban Interstates majorly contribute to equity disadvantages, as well as environmental hazards such as increased rates of asthma and respiratory disease. By mixing and matching various forms of equitable infrastructure, such as with cap parks, public …

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Factors Influencing Senior Practicum Readiness For Nursing Practice: A Descriptive Correlational Study, Beth Nease Phd, Dnp, Rn, Ne-Bc, Cynthia F. Corbett Phd, Rn, Faan, Stephanie Armstrong Phd, Msn, Rn, Kesheng Wang Phd, Ma, Bs, Kathy Casey, Kong Chen

Faculty Publications

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Background:

This study investigated the influence of belongingness, self-efficacy, and clinical learning support on readiness for nursing practice and explored the role of demographic factors and nursing program differences.

Method:

A quantitative, descriptive approach was used to explore undergraduate prelicensure senior nursing students' perceptions across the United States.

Results:

Descriptive statistics, Pearson correlation, and multiple linear regression demonstrated students in traditional Bachelor of Science in Nursing programs reported significantly higher scores across all domains compared with those in associate degree programs (p < .01). Similarly, students in programs with ≤400 clinical hours and those assigned only one preceptor scored significantly higher on all measures (p < .01 and p < .05, respectively). Regression analysis indicated self-efficacy and learning support explained 47.9% of the variance in practice readiness (p < .05).

Conclusion:

These findings share how clinical experiences shape students' readiness for nursing practice. Recommendations …

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The Biology Of Soulmates: Are We Wired For Connection?, Christiane Betfarhad

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Light At The Wrong Time, Alexis Murdock

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Your Brain's Favorite Cheat Code: The Neuroscience Of Self-Affirmation, Maeve Mclaughlin

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Think It, Believe It, Receive It, Angelia Nguyen

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Robots Are Watching You Sleep: The Hidden World Of Sleep Trackers, Luke Latterman

Scientific Kenyon: The Neuroscience Edition

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No abstract provided.

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Table Of Contents, Cardozo Arts & Entertainment Law Journal, Vol. 44, Iss. 1

Cardozo Arts & Entertainment Law Journal

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No abstract provided.

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The Shifting Economics Of Influencer Sponsorship Disclosures, Uri Y. Hacohen

Cardozo Arts & Entertainment Law Journal

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Conventional wisdom holds that disclosing influencer sponsorship diminishes advertising's effectiveness by triggering consumer skepticism. Responding to this perceived transparency gap, regulators have adopted mandatory disclosure regimes to address a perceived market failure: the divergence between private commercial incentives and the public interest in transparency. This Article challenges that assumption. Drawing on a large-scale social media experiment (N=600), it demonstrates that disclosures not only increase consumers' recognition of advertising but also improve their attitudes toward both influencers and brands, while significantly boosting their willingness to share promotional content. These empirical results are further supported by a comprehensive synthesis of the emerging …

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Seeing Is Believing? Deepfakes In Financial Markets, Hadar Y. Jabotinsky, Michal Lavi

Cardozo Arts & Entertainment Law Journal

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An AI-powered tool recently mimicked Warren Buffett's image and voice so convincingly that even his own family could have been deceived. This striking example highlights the transformative potential of voice cloning and deepfakes. This innovative technology leverages artificial intelligence (AI) to create hyper-realistic audio and video content. By blurring the boundaries between authenticity and synthetic creation, deepfakes make it possible to fabricate moments that never occurred. Recent advancements in AI and user-friendly software have made deepfakes more accessible andfurther contributed to the proliferation of deepfakes, enabling even individuals with minimal technical skills to produce compelling deepfakes at little to no …

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Power Play: The Battle For Copyright Control In Emulation, Ryan Borja

Cardozo Arts & Entertainment Law Journal

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The note argues that the current legal framework prioritizes commercial interests and developer rights over the preservation of older video games. To reconcile the tension between copyright protection and the public interest in cultural preservation, the analysis proposes legislative solutions such as compulsory licensing schemes or the creation of a dedicated federal preservation agency.

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Some Respect Reserved? Survey Experiment Insights On The Perception Of Creative Commons And Copyright Infringement, Thomas H. Rousse

Cardozo Arts & Entertainment Law Journal

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Since its inception, Creative Commons has introduced new ways for creators to grant licenses to the public without cost or the need for negotiation by breaking up rights provided by copyright and making a subset of those rights available to anyone willing to abide by the conditions of the license. Its widespread adoption has democratized open licensing for creators beyond the software context these licenses originated within. Although the success of Creative Commons as a community is plain, relatively little information is available about its perception by the general public. Aggressive litigation by Creative Commons licensors has put the organization …

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Private Canvas, Government Expression: Protest Art & The Government Speech Doctrine, Melanie P. Rigden

Cardozo Arts & Entertainment Law Journal

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The note argues that protest art is fundamentally incompatible with the government speech doctrine and should not be subject to its principles. It contends that applying this doctrine to political expression allows the government to suppress dissenting viewpoints and engage in censorship under the pretext of exercising its own speech rights.

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Educators' Uses Of Social Capital In K-12 Book Challenges, Danielle E. Sachdeva, Sue C. Kimmel

STEMPS Faculty Publications

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In this case study, we apply understandings of social capital informed by Pierre Bourdieu and Nan Lin to analyze how seven educators used their capital to navigate book censorship incidents in K-12 public schools. Our findings indicate that participants often used social capital to meet expressive goals, such as seeking support from others, and less often to meet instrumental goals like advocating for policies and legislation in support of students’ intellectual freedom. These findings have implications for practitioners, school administrators, and university faculty, especially now as an unprecedented number of books is being challenged in public institutions throughout the U.S.

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The Devil Is In The Det[Ai]Ls: Ai Agents, Ghost Students, And The Crisis Of Verified Presence In An Agentic Ai World, Aras Bozkurt, Helen Crompton, Caroline Fell Kurban

STEMPS Faculty Publications

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The transition from reactive Generative Artificial Intelligence (GenAI) to agentic AI systems marks a categorical shift in digital education, moving beyond simple content generation to goal-oriented, autonomous execution. This paper explores the emergence of the “ghost student”: a digital surrogate created by the coupling of Large Language Models (the “mind”) and agentic AI browsers (the “body”). These entities are capable of navigating Learning Management Systems (LMS), engaging with content, and completing assessments with human-like mimicry, often rendering the actual learner’s presence optional. We argue that this phenomenon creates a verification gap that traditional proctoring and detection tools are structurally unable …

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"It Can't Just Be One": Canadian Black Youth Perspectives On Representation And Belongings In Public Libraries, Amber Matthews, Sandie Thomas

STEMPS Faculty Publications

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This study employed narrative inquiry and critical race approaches to explore Black youth's perceptions and experiences of Canadian public library programs and materials. In response to calls in Canada's Anti-Racism Strategy (2024) and Ontario's Anti-Black Racism Strategy (2025) for social service institutions to address anti-Black racism, the research examined Black youth experiences in public libraries and how these experiences relate to anti-Black racism in education and social service settings. The study was conducted in London, Ontario, with Black youth aged 13 to 24 and parents of youth using a community-based participatory research approach in partnership with the Where We Are …

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Instructional Designers' Reflections On Generative Ai Use For Scenario-Based And Performance-Centered Learning: A Collective Autoethnography, Nour El Houda Maache, Dan V. Dao, Jiyoon Jung, Jayanth Nadheri, Nari Kim, Chikezie Ozuzu, Xinyue Ren

STEMPS Faculty Publications

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This study examines how instructional designer-instructors (IDIs) use and evaluate generative artificial intelligence (GenAI) when designing scenario-based and performance-centered authentic learning in higher education. Using a collective autoethnography (CAE) approach, the study draws on semi-structured interviews and reflective narratives from five IDIs with varied professional experience. Findings indicate that GenAI enhanced design capacity by accelerating scenario development, translating complex content, and supporting scenario-based and performance-based task construction. At the same time, participants reported limitations related to contextual misalignment, output unreliability, and the cognitive demands of prompt refinement. Across cases, effective integration depended on sustained human oversight, disciplinary judgment, and ethical …

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Chatgpt In Secondary English Language Learning: Educators' And Students' Literacy, Perceptions, And Experiences, Victoria Brenes, Sierra Outerbridge, Xinyue Ren

STEMPS Faculty Publications

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The increasing use of generative artificial intelligence (GenAI) has shown the potential of transforming teaching and learning practices in various educational settings, such as in English language learning (ELL). As English language learners (ELLs) often experience many challenges and barriers in schools in the United States, it is urgent to leverage the educational affordances of GenAI in fostering the effectiveness of ELL. Given the limited research investigating GenAI adoption, especially ChatGPT literacy within K-12 ELL, this convergent mixed methods research aims to investigate students' and teachers’ perceptions of using ChatGPT and their ChatGPT literacy in secondary ELL contexts. We will …

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Governing Generative Ai In Higher Education: A Global Delphi Study On Policy And Practice, Helen Crompton, Diane Burke, Christine Nickel, Aras Bozkurt, Fengchun Miao, Mike Sharples, Jeffrey Alan Greene, David Parsons, Lucy Gill-Simmen, Adam Edmett, Mark Pegrum, Inge De Waard, Curtis J. Bonk, Manuel B. Garcia, John H. Curry, Leeann Lindsey, Mohan Yang, Stephen Marshall, Maha Bali, Nellie Deutsch, Suzaan Le Roux, Mourad Benali, Mohd Ali Bin Samsudin, Hasan Tinmaz, Matthew L. Bernacki, Mari Van Wyk, Lenandlar Singh, Agnes Chigona, Lance Eaton, Junhong Xiao, Johanna Velander, Jinhee Kim, Francisco Bellas, R. Rajalakshmi, Andréia De Bem Machado, Agnieszka Palalas, Sean Yu

STEMPS Faculty Publications

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As GenAI technologies become more pervasive in higher education (HE), scholars call for guidance on AI governance. To meet this need, a Delphi technique and collective writing was used in gathering expert perspectives from across 22 countries/locations and six continents. This resulted in the development of a HE GenAI policy/guidelines framework with eight core areas: (1) academic integrity, (2) ethical use and responsible use, (3) privacy and protection, (4) equitable access, (5) GenAI literacy, (6) integration strategy, (7) human oversight and accountability, and (8) institutional support and infrastructure. In addition, a six-part framework was developed to ensure that policies remain …

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Peacock Competency Model For Online Library Instruction, Rebeca Peacock

STEMPS Faculty Publications

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Academic librarians are an integral part of academia offering niche expertise that benefits faculty and students alike. But they often lack specific guidance on developing competencies for the online teaching that is increasingly expected of them. This article addresses the lack of field specific guidance for academic librarians' online teaching by proposing a competency model grounded in expert practice. The study used semi-structured interviews with 18 academic librarians to address this gap asking: what knowledge, skills, and attitudes are needed for academic librarians to be successful in providing effective online library instruction?

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2026 Jan Term Course Catalog, Saint Mary's College Of California

Jan Term Course Catalog

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No abstract provided.

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Effects Of Student And School Technology Adoption On Student Reading Achievement In The United States: The Case Of Pisa 2018, Mikah J. Hughes

Theses and Dissertations--Educational, School, and Counseling Psychology

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This study examined the relationship between student and school-level information and communication technology (ICT) factors and reading achievement using data from the Programme for International Student Assessment (PISA) 2018 in the United States. In an increasingly digital world, reading and information literacy are essential skills, yet significant gaps in digital competencies persist. This study investigated how ICT access, use, and perceptions relate to reading achievement in the context of student and school background factors.

A two-level hierarchical linear modeling (HLM) framework was employed to account for the nested structure of students within schools. The sample included approximately 4,000 students across …

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