Digital Commons Network^™

Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong

Walden Dissertations and Doctoral Studies

Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …

Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González

Walden Dissertations and Doctoral Studies

Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …

Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi

Walden Dissertations and Doctoral Studies

Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …

Mechanism Of Anticancer Action Of Bifidobacterium: Insights From Gut Microbiota, Hoang Do, Esther Asiamah, Mayanijesu Olorife, Arathi Pillai, Sakshi Patel, Ponniah Selvakumar, Sidhartha D Ray, Ashakumary Lakshmikuttyamma

College of Pharmacy Faculty Papers

Bifidobacterium has captured major attention recently because of its health benefits and extensive research highlighting its potential in cancer treatment and prevention. Evidence suggests that bifidobacterium can actively fight against various types of cancer, including those of the colon, lungs, breast, and stomach. Research indicates that several species of bifidobacterium can potentiate the action of chemotherapy, immunotherapy and radiation therapy in battling tumors, and reducing their adverse effects. Bifidobacteria shows its multipronged effect by modulating various immunomodulatory and inflammatory signaling pathways, potentially leading to the suppression of tumor growth. Moreover, different species of bifidobacteria are known to regulate signaling molecules …

How Life Enrichment Farms Promote Independence, Health, And Well-Being Through Vocational Skills And Sensory Processing Skills, Olivia Stanek

Honors Theses

There is limited knowledge about life enrichment farms and their role in supporting individuals with disabilities. This project aimed to highlight how occupational therapy can collaborate with these farm-based programs to promote independence, health, and well-being among younger adults with autism spectrum disorder and other developmental disabilities. An evidence-informed approach and qualitative research methods were used to explore this question, including a literature review and an interview with AACORN Farms, a life enrichment farm located in Michigan. Findings were further examined through occupational therapy activity analysis to identify the vocational, sensory, and meaningful engagement opportunities embedded within the various areas …

Treatment Intensification Of Digester Dewatering Sidestreams Via Pilot- And Demonstration-Scale Revolving Algal Biofilms At Municipal Water Resource Recovery Facilities, Audrey E. Kocher, Hunter W. Schroer, Christopher A. Marks, Craig L. Just

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

As water resource recovery facilities (WRRFs) pursue decarbonization, the treatment of concentrated side streams from anaerobic digestion offers a critical opportunity to reduce energy use and greenhouse gas emissions. This study evaluated the intensification potential of revolving algal biofilms (RAB) for side stream nutrient removal via partial nitrification at pilot- and demonstration-scales. RAB systems were deployed at municipal WRRFs in Boulder and Iowa City, treating real dewatering side streams across a range of ammonium (NH4⁺–N) surface area loading rates (SALR) reaching up to 196 g N m^–2d^–2. The results demonstrated that RAB systems can …

The Life You Save May Be Your Own, John C. Hawley

English

When I worked as a Jesuit in my early years at Santa Clara University, I published an essay entitled “A Ratio Studiorum for the Postcolonialist’s Classroom.” I asserted that Ignatius, founder of that religious order, “saw education as a tool for social change, not merely as an opportunity for a value-free and objective exposure to Truth. . . . Education, much like the religious retreat described in his Spiritual Exercises, was to bring about a metanoia, a change of heart, in students.”¹ This internal development was then meant to motivate action in the world. As I continued, “if there …

Childhood Events And Counseling Experiences Of Chinese And Korean American Transracial Adoptees, Mele Kramer, Lee Stadtlander

Journal of Social, Behavioral, and Health Sciences

From the 1950s through 2024, transracial adoptions—particularly of Korean and Chinese children—have been increasingly prevalent in Western societies. While these adoptions provided children with opportunities to grow up in loving and supportive families, they also introduced unique challenges related to identity, cultural integration, and self-esteem. This basic qualitative study aimed to explore the lived experiences of Chinese and Korean transracial adoptees (TRAs) within their adoptive families, in their interactions with counseling, and their perceptions of the effectiveness of counseling interventions. The study was grounded in Relational-Cultural Theory (RCT) and the Openness to Communication framework to examine the experiences of 19 …

Mapping Intellectual Property Abuses In The Pharmaceutical Field, S. Sean Tu, Ana Santos Rutschman

Faculty Publications

This Viewpoint details intellectual property abuses in the pharmaceutical industry involving patents, trademarks, copyrights, and trade secrets.

Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch

Walden Dissertations and Doctoral Studies

Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …

Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh

Walden Dissertations and Doctoral Studies

In Nigeria long-standing sociocultural norms dictate widowhood practice, which widows are expected to undergo when they lose their husbands. The impact of this ancient culture, which has continuously been encouraged from generation to generation to date, has been devastating for widows. The purpose of this generic qualitative study was to investigate the effects of widowhood practices on the well-being of young widows in southeastern Nigeria. Feminist theory was the conceptual framework. Through semistructured, audio-recorded interviews conducted via Zoom, data were collected from 10 young widows between age 18 to 45 in the southeastern Nigeria. After the data were collected, Braun …

Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a critical gap in care at a 24-bed, combined, intensive care unit (ICU): The absence of a standardized, evidence-based clinical practice guideline (CPG) for managing diabetic ketoacidosis (DKA). DKA is a life-threatening emergency requiring timely, coordinated, and evidence-driven management. Despite its prevalence, the project site ICU lacked formal guidelines, resulting in fragmented care delivery and inconsistent treatment practices. Project site leadership expressed concerns that the absence of a unified protocol contributed to increased workload for nurses and physicians with frequent interruptions for order verification and delays that compromised patient safety and care …

Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson

Walden Dissertations and Doctoral Studies

Psychiatric advance directives (PADs) are binding documents through which a patient who has severe mental illness can specify their treatment preferences before becoming mentally ill in a crisis. PADs support patient autonomy, shared decision-making, and reduce the reliance on coercive or involuntary treatments. However, patient record reviews in this practice setting revealed that PAD documentation was not frequently practiced, and nurses were not even aware of or confident enough to assist patients in preparing these directives. This DNP project was designed to bridge this gap by implementing a formal staff education program that would improve the knowledge and awareness of …

In-Silico Assessment Of Aortic Valve Function And Mechanics Under Hypertension, Jason A. Shar, Philippe Sucosky

Faculty Articles

Introduction: Calcific aortic valve disease (CAVD) is the most common heart valve disorder. While hypertension is a major risk factor, the mechanisms by which elevated blood pressure contributes to calcification are largely unknown. Given the established sensitivity of aortic valve (AV) tissue to mechanical cues, hypertension may subject AV leaflets to a stress state conducive to CAVD. To address this hypothesis, the objective of this study was to compare AV function and mechanics under normotensive (NTN, 120/ 80 mmHg), pre-hypertensive (preHTN, 125/80 mmHg) and hypertensive (HTN, 130/90 mmHg) conditions using fluid-structure interaction modeling.

Methods: AV flow and leaflet dynamics were …

Inspiring The Next Generation Of Dentists: The Impact Of Role Modelling In Dental Education, Casper Jonker, Shaan Mirza

Peninsula Dental School

No abstract provided.

Unveiling The Link Between Leadership Brand Authenticity, Role Clarity And Customer Responsiveness In Islamic Banking: A Two-Source Analysis, Muhammad Adnan Waseem, Waqas Muhammad, Irfan Irfan, Nauman Wajid

Plymouth Business School

Purpose – This study aims to address the limited understanding of how leadership brand authenticity (LBA) translates into employee and customer outcomes in Islamic banking, a sector where ethical alignment and trust are critical but underexplored in existing literature. Specifically, it explores how LBA influences role clarity and customer responsiveness. It further examines whether role clarity serves as a key mechanism linking authentic leadership to customer-focused outcomes, and whether the bank’s country of origin (COO) shapes this relationship. By addressing both internal organizational alignment and external perceptions, this study offers a comprehensive view of value-driven leadership in Shariah-compliant financial institutions. …

The Inner Workings Of The Flipped Classroom, Kimberly Y. Resendiz

Honors Theses

This paper will be exploring what a flipped classroom is; specifically how teachers use the flipped classroom. First, it is important to note that the flipped classroom is a relatively new method that has popped up as early as the early 2000s. In general, this method allows for teachers to switch the environments in which learning the concepts and doing an activity are switched. The purpose of this paper is to explore the implementation of the four pillars of the flipped classroom, as well as the benefits and challenges STEM teachers face when using flipped classrooms. I have collected data …

The Symposium On Arnold Berleant's Works, Editorial Office

Contemporary Aesthetics (Journal Archive)

This symposium publishes all the contributions presented at the XVIth Summer Conference of the international Institute of Applied Aesthetics held in Lahti, Finland, June 2025. We thank the contributors for preparing their presentation for publication.

Arnold Berleant And The International Institute Of Applied Aesthetics: Introduction To The Panel Discussion, Arto Haapala

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Berleant’S Critique Of Aesthetic Disinterestedness Revisited, Again, Harri Mäcklin

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Descriptive Aesthetics, Max Ryynänen

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Arnold Berleant’S Engagement With The Aesthetics Of Engagement, Fotini Vassiliou, Katerina Bantinaki

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Aesthetic Engagement, Descriptive Aesthetics, And The Reformation Of Aesthetics: Responses To Mäcklin, Ryynänen, And Vassiliou, Arnold Berleant

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Following The Script? Barriers And Facilitators To Nursing Adhering To Provider Orders For Pain Medication, Jarrod A. Atkinson, Angela Cavallaro

Nursing Research and EBP Day 2025

No abstract provided.

Battle Of The Bladders: Internal Vs External Catheters, Karina Rotoli, Sam Mckellar, Melissa Tatarka, Ben Gehl, Joe Santillo, Tina Holley

Nursing Research and EBP Day 2025

No abstract provided.

Improving Emergency Care Through Standardized Post Event Debriefing, Kiersten Ash, Madison Boyce, Katie Dolan, Jessica Mccann, Jessica Morones, Katherine Yaworsky

Nursing Research and EBP Day 2025

No abstract provided.

Bedside Report: The Way To Go?, Taylor Augello, Jenelle Lapiana, Marsha Murphy, Jackie Nocita, Emma Raines, Olivia Spark, Katrina Uy

Nursing Research and EBP Day 2025

No abstract provided.

The Impact Of Structured Education On Medication Adherence/Education In Hypertensive Patients In Emergency Medicine, Marie Alexander, Leah Calcango, Charlessa Christiano, Frank Fullone

Nursing Research and EBP Day 2025

No abstract provided.

The Mosaic, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Vibrato In The Singing Voice: A Survey Of Vibrato Practices In The Studio For Teachers And Coaches, Anna Alyce Tarver

Electronic Theses and Dissertations Archive

Historically variable in its terminology, “vibrato” was not used until the nineteenth century. Coaches and teachers recognize it as a signature of healthy, expressive singing, except in some stylistically appropriate contexts. However, it continues to raise questions. Little data has been reported on vibrato outside of general characteristics. Only a few sources exist examining the knowledge and skillset of teachers of singing. This survey aimed to gain information on what instructors and coaches are told about vibrato in comparison to what they experience in the voice studio. An anonymous mixed-method survey was distributed to 201 professional voice teachers and coaches; …