Digital Commons Network^™

Climbing Collectively: Clinical Ladder Modernization Leveraging Shared Decision-Making, Shelby Do, Julie Holland, Dorothy Foglia

Creating Healthy Work Environments (CHWE)

The clinical ladder program (CLP) at a large Texas healthcare system is a strategy for enhancing professional well-being through fostering a culture of professional development. An opportunity to evaluate and enhance the CLP arose with an impending change to the workforce management solution that would no longer support the current compensation model. Intentional inclusion of direct care nurses (DCN) allowed for shared decision making (SDM) on the CLP changes.

In addition to compensation changes, inclusion of diverse generational needs, diversity/equity/inclusion, and well-being considerations enhanced the CLP. With direct input from DCN groups, the CLP enhancements correlate more contemporary professional/organizational needs …

Enhancing Er Resident And Preceptor Effectiveness: A Trainer Program Pilot Study, Jennifer R. Wilde, Emily Calabro

Creating Healthy Work Environments (CHWE)

Background: Emergency departments (EDs) present a challenging environment for new graduate nurses (residents), often impacting proficiency and retention. This pilot study aimed to evaluate the effectiveness of an ED Train the Trainer (T3) program, emphasizing the novel IIAR Identify, Intervene, Assess and Reassess model, in improving resident proficiency, confidence, and retention, as well as preceptor confidence. The program addressed the transitional gap between academic preparation and clinical practice by focusing on critical thinking and task management skills.

Methods: After IRB approval, a time-series design was employed. The T3 program incorporated various learning modalities, including face-to-face sessions, instructional videos, and hands-on …

Comparative Analysis Of Patient Acuity Tools: Enhancing Nursing Efficiency With An Ehr Acuity Tool, Carrundlas D. Mathews

Creating Healthy Work Environments (CHWE)

Introduction: This study aims to contrast a mobility acuity tool with an objective, comprehensive patient acuity tool (PAT). The mobility acuity tool subjectively describes the patient’s ability to perform activities of daily living (ADLs) based on a progressive Likert scale. A comprehensive PAT is a standardized system that can be integrated into electronic health records (EHR), quantifying the severity of a patient’s condition and evaluating identified nursing tasks to determine the level of care required in an evolving twenty-four-hours.

Purpose: This study will explore the differences in scope, implementation, nurse perception, and key performance indicators between a mobility tool and …

Fostering A Healthy Work Environment: Assessing And Implementing Aacn Standards, Kelly O'Meara, Lauren Simon, Jacqueline Swindell, Nicolette Vaccaro

Creating Healthy Work Environments (CHWE)

This project examines the need for enhancing healthcare work environments. Healthy work environments (HWEs) provide increased job satisfaction, retention, and most importantly improved patient outcomes. Unhealthy work environments can lead to job dissatisfaction and poor performance, burnout, high levels of stress, and poor patient care. “To foster healthy work environments, the American Association of Critical-Care Nurses (AACN) established six standards, which include skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership” (AACN, 2016). To further study HWEs, the current work environment of a cardiac telemetry unit was assessed by way of interviews, a pre-survey, professional …

The Lived Experience Of Filipino Nurses Caring For Patients With Covid-19, Kristeline Suasin

Creating Healthy Work Environments (CHWE)

Reports of individuals exhibiting respiratory symptoms causing sudden deaths emerged as a pandemic in the start of a new decade. The onset of the novel Coronavirus Disease 2019 (COVID-19) as a worldwide health crisis brought out the significance of the nurses’ role in healthcare. This descriptive phenomenological research focused on the caring experiences of Filipino nurses among patients who were infected with COVID-19 in Negros Oriental, Philippines. Seven participants were identified through purposive and snowball sampling and were asked the question: What is it like to be caring for patients diagnosed with COVID-19 in Negros Oriental, Philippines during this pandemic? …

Path Analysis Of Filipino Nurses' Intent To Stay In The United Kingdom, Blaise B. Nieve, Sarah Bernadette L. Baleña

Creating Healthy Work Environments (CHWE)

Nature and Scope. Nurse attrition remains a significant issue in the UK, particularly among Filipino nurses, who form a substantial portion of the healthcare workforce.

Research Method. This descriptive-correlational study utilized path analysis to identify the best-fit model for predicting the intent to stay among Filipino nurses in the UK, based on job embeddedness, sociocultural adaptation, and job satisfaction. Purposive sampling was employed to recruit 553 respondents, all of whom were Filipino nurses of legal age, qualified to practice in the UK, and employed as registered nurses for at least one year in the public or private sector. Data were …

Workforce Advocacy: An Enhanced Transition Into Practice Program For Advanced Practice Providers, Kimberly Manning

Creating Healthy Work Environments (CHWE)

Abstract Text: Background
An aging population and shortage of providers contribute to shifts in the healthcare landscape and a rapid expansion of Advanced Practice Providers (APPs) in healthcare systems. Effective APP Transition into Practice (TIP) programs are integral to prepare newly practicing APPs for autonomous practice, and the absence of such programs exacerbates role ambiguity and jeopardizes integration and retention of APPs. This gap negatively impacts patient outcomes, disrupts team dynamics, and increases financial strain on healthcare systems.
Purpose
This describes a successful and innovative TIP program. The TIP program aligns with ANCC Magnet® standards, influences patient safety, reduces APP …

A Journey Toward Belonging: Creating An Advanced Practice Provider Council, Victoria Goodwin, Jennifer Joyner

Creating Healthy Work Environments (CHWE)

Background: Advanced practice providers (APPs), composed of advanced practice registered nurses and physician assistants, comprise a rapidly expanding role in the healthcare provider workforce (Arthur et al., 2020; Proulx, 2021). Despite their vast contributions to patient care and outcomes, many APPs have minimal or no administrative representation within healthcare organizations which may contribute to decreased engagement, collaboration, and perceived belonging (Condit & Hafeman, 2019; Gooden & Cole, 2023; Proulx, 2021). Efforts to improve multidisciplinary inclusion and collaboration for APPs must be undertaken to retain and develop this skilled provider group (Swanson et al., 2023). This is particularly important for organizations …

Healthcare Providers And The Lingering Influence Of The Covid-19 Pandemic, Michelle M. Ness, Leigh Ann Difusco, Jennifer Saylor

Creating Healthy Work Environments (CHWE)

Purpose: To gain a better understanding of the experiences of healthcare providers caring for adult patients during the second year of the COVID-19 pandemic.

Methods: A descriptive, qualitative design was conducted using semi-structured interview questions. Eleven participants were recruited from a sample of 28 healthcare providers to participate in video interviews. Thematic analysis was used to analyze data.

Results: Healthcare providers experienced continued distress related to concerns about the long-term effects on themselves, their families, and society. Three themes emerged from the data: (1) exhausted and emotionally numb; (2) vaccinated versus the unvaccinated; and (3) stressors and misguided supports.

Conclusion: …

Evolving Role Of Hospital Chaplains: Optimizing Patient, Staff, Self Well-Being During Pandemic, Linda Y. Kim, Sarah Low, Adrienne Martinez-Hollingsworth, Jason Weiner, Christina Shu, Bernice Coleman, Lucia Florindez

Creating Healthy Work Environments (CHWE)

Abstract Text: Background: The COVID-19 pandemic brought unprecedented strain upon healthcare systems worldwide, presenting hospital chaplains with unique challenges in responding to the increased emotional, mental, and spiritual distress experienced by patients, families, and staff, while also having to prioritize their own well-being.1-3 Traditional methods of providing care were largely unavailable to these chaplains during the pandemic, requiring them to adopt new strategies and innovative ways to maintain engagement with patients and hospital staff.4-5

Study Aim: This study aimed to explore chaplains' experiences in caring for patients, family, and staff during the height of the pandemic, as the initial step …

Exploring Predictors Of Resilience And Burnout In Acute Care Nursing Leaders, Stephanie Bailey, Shirley D. Martin, Shonna Bracco, Norma Rivera, Regina Urban

Creating Healthy Work Environments (CHWE)

Individuals who work in nurse leader roles are vital to support safe patient care and achievement of organizational goals. They are also at risk for burnout and low levels of professional well-being. This presentation will offer a summary of a research study that explored variables associated with mental well-being in acute care nurse leaders and identified predictors of resilience and burnout.

Uniting Care In The Maternal Neonatal Dyad: A Call To Action For Collaboration, Stephanie Beres

Creating Healthy Work Environments (CHWE)

Purpose: Clinical nurses at a Women’s and Children’s hospital advocated for a new campus-wide nursing practice council upon identifying the need to promote collaboration and ensuring a safe place for a healthy work environment between the maternal and neonatal nursing specialties via shared governance.

Relevance: Collaboration is associated with multiple positive outcomes including but not limited to nursing and clinical excellence, optimal patient outcomes, and an overall healthy work environment as set forth by the AACN framework (American Association of Critical-Care Nurses, 2016). The goal of this council is to improve collaboration, communication, and effective decision making across maternal/neonatal specialties …

Enhancing Cataract Surgery Outcomes: Optimal Use Of Pre- And Post-Operative Eye Drops, Keith Skolnick M.D., Anu Valiaveedu

Mako: NSU Undergraduate Student Journal

Many preoperative and postoperative cataract patients struggle with comprehending the use of prescription medication as directed. Language barriers and low health literacy levels are major factors contributing to improper use of prescriptions. To increase patients comprehension, the Fort Lauderdale Eye Institute employed an educational intervention consisting of a live presentation and an instructional video. Results found that 44% of patients were hesitant to ask questions to clinical staff, 32% felt overwhelmed, and nearly 70% lacked confidence in using their prescribed eye drops. Following the intervention, 91% of patients reported increased confidence in their medications, and most indicated that the video …

Host, Microbiome, And Parasite: How Apicomplexan Microorganisms Interact With Gut Microbiota, Senia Bu, Andrew T. Ozga

Mako: NSU Undergraduate Student Journal

The gut microbiome, a complex ecosystem of microorganisms residing in the human gastrointestinal tract, plays a crucial role in maintaining overall health. It functions in immune system regulation, digestion, and protection against pathogens. Apicomplexan parasites, such as Toxoplasma gondii, Plasmodium spp., and Cryptosporidium spp., are major pathogens that can significantly disrupt the gut microbiota, leading to alterations in microbial composition and function. This review explores the bidirectional interactions between Apicomplexan parasites and the gut microbiome, focusing on how these parasites influence microbial diversity, immune responses, and host metabolism. It examines the mechanisms by which infection-induced inflammation, altered …

From Infection To Restoration: A Case Study On Dental Extraction In The Maxilla Anterior, Melanie Ramirez

Mako: NSU Undergraduate Student Journal

A dental implant is a restorative surgical procedure that serves as a solution to replace missing teeth that imitate the function, sensation, and appearance of natural teeth. The objective of this dental case study is to examine the diagnosis, treatment, and post-operation of a patient with a history of tooth loss and infection in the anterior maxilla. This case follows a 55-year-old patient, Jorge Marquez, name changed for confidentiality, who presented a severe tooth abscess on tooth #10 on the anterior maxilla which had previously undergone root canal treatment (Figure 1B). Radiographic evaluations illustrated the severity of the abscess the …

Targeting Wnt-Driven Metabolic Adaptations In Cancer: Integrating Glycolysis, Glutaminolysis, Ido1-Mediated Immune Evasion, And Therapeutic Delivery Strategies, Eric Flores-Hernández, Grace Binder, Kuo-Ching Mei, Nydia Tejeda-Muñoz

Pharmacy Faculty Scholarship

The Wnt pathway is an evolutionarily conserved signaling cascade that regulates a wide range of fundamental cellular processes, including proliferation, differentiation, polarity, migration, metabolism, and survival. Due to its central regulatory roles, Wnt signaling is critically involved in the pathophysiology of numerous human diseases. Aberrant activation or insufficient inhibition of this pathway has been causally linked to cancer, degenerative disorders, metabolic syndromes, and developmental abnormalities. Wnt signaling drives cancer progression by reprogramming metabolism and promoting immune evasion. Wnt-driven tumors exhibit enhanced aerobic glycolysis (the Warburg effect), glutaminolysis, and macropinocytosis, which support rapid proliferation and help maintain redox homeostasis under nutrient-limited …

A 6-Month, Prospective Randomized Controlled Trial Of The Targeted Management (Team) Intervention Vs. Enhanced Treatment As Usual Among Ugandans At Risk For Stroke, Carla Conroy, Joy Yala, Christopher J. Burant, Shirley Moore, Martha Sajatovic

Faculty Scholarship

Background Among low and middle-income countries, especially in Sub-Saharan Africa, the stroke burden is severe, with increasing trends in stroke incidence, prevalence, and mortality. Aims This 6-month, prospective randomized controlled trial (RCT) compared a novel stroke risk reduction approach (TargetEd manAgeMent Intervention (TEAM)) vs. Enhanced Treatment as Usual (ETAU) in 247 Ugandans at risk for stroke. Methods Participants, enrolled across 3 Ugandan sites, were adults with high stroke risk. The primary outcome was a change in systolic blood pressure (SBP) from baseline to 6-month follow-up. Secondary outcomes included changes from baseline to 6 months on diastolic BP (DBP), serum lipids, …

Exploring The Mediating Role Of Autonomous Motivation Between Basic Psychological Needs And Burnout Among Counselors-In-Training, Meredith Si Snieckus

Dissertations - ALL

Burnout is a pressing concern among counselors-in-training (CITs), threatening not only their well-being but also the quality of services they provide. Guided by Self-Determination Theory (SDT; Deci & Ryan, 2000; Ryan & Deci, 2017), this study investigated the relationships among basic psychological needs satisfaction (BPNS), autonomous motivation (AM), and burnout in a national sample of CITs enrolled in Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited counseling programs. Specifically, it examined whether AM mediates the relationship between BPNS and the three dimensions of burnout, emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (DPA), as conceptualized by …

Innovative Approaches To Estimating Sessile Oak Stem Volume: Comparing Additive Models And Ensemble Machine Learning, Maria J. Diamantopoulou, Abbas Şahi̇n, Ramazan Özçeli̇k

Turkish Journal of Agriculture and Forestry

Sessile oak is an important deciduous forest tree species across Türkiye and Europe. Estimating individual tree and stand volumes is essential for growth and yield models, as these predictions play a critical role in assessing forest management, economics, and fire risk. In pursuit of this goal, nonlinear seemingly unrelated regression (NSUR) was used for the simultaneous fitting of stem volume components, and compared to three ensemble machine learning techniques: gradient boosting regression (GBr), XGBoost regression (XGBr), and random forest regression (RFr). NSUR accounts for correlations between error terms across different equations, leading to more efficient parameter estimates than if each …

Exploring The Dynamics Of Online Engagement: A Social Exchange Theory Approach To The Baking Industry’S Use Of Social Media, Abagail Sweeney

Theses - ALL

This study investigates how organizations in the baking industry use social media to engage with consumers. Social Exchange Theory was applied to understand the dynamics in online interactions. A content analysis of the social media accounts for Insomnia Cookies, Lady M and Cake Bar was done for the months of January 2024 through March 2024. The platforms analyzed were Facebook, Instagram, X, TikTok and YouTube. Engagement was measured through likes, comments, shares and sentiment analysis. Post type was also observed to see what the users engaged with the most. The findings revealed that the number of active platforms did not …

Multiaxial Expansion Of 4d-Printed Shape Memory Polymer Scaffolds Via Programming Via Printing (Pvp), Verona Hendricks

Theses - ALL

Shape memory polymers (SMPs) offer unique opportunities for engineering responsive medical devices that can adapt to changing anatomical environments. However, most SMP-based systems are limited to uniaxial deformation which restricts their ability to conform to complex geometries found in soft tissue applications. Moreover, 3D approaches to print and program SMPs have demonstrated printed parts that can contract, but printed parts that can expand after printing has not been demonstrated to date. This work presents the design, fabrication, and evaluation of a 4D-printed SMP scaffold capable of controlled expansion along all three orthogonal axes (x, y, and z). Utilizing a method …

Using Chatgpt-Generated Practice Exam Questions In Medical Education, Jack Paradis, Currey Zalman, Makayla Schissel, Geoffrey Talmon, Kari L. Nelson

Medical Student Research Showcase

Background: As artificial intelligence expands in medical education, large language models like ChatGPT have shown potential for efficiently generating practice questions (PQs). A 2023 needs assessment at our institution found that all first-year medical students used PQs, with 75% reporting they always use them when available. To support active learning and exam preparation, we utilized ChatGPT to generate PQs for the historically challenging Circulatory and Respiratory Blocks of the M1 year. Our pilot study aimed to (1) examine the process of developing PQs using ChatGPT, (2) evaluate the impact of ChatGPT-generated PQs on exam performance, and (3) assess student satisfaction. …

A Framework For Advancing And Strengthening The Veteran Entrepreneur Ecosystem, Rosalinda V. Maury, Adam Pritchard

Institute for Veterans and Military Families

This brief is designed for funders, program leaders, and policymakers working to build stronger veteran entrepreneurship ecosystems. This paper brings together insights about veteran entrepreneurial ecosystems from Military Entrepreneurship Forum (MEF) roundtable conversations, the National Survey of Military-Affiliated Entrepreneurs (NSMAE), and other entrepreneurship research. Rather than offering a one-size-fits-all solution, this paper lays out a set of components that communities can use to strengthen their own ecosystems. Veteran entrepreneurship is a lens into broader questions of economic mobility, local resilience, and civic leadership. But systems matter. With veteran-serving organizations facing revenue declines and donor fatigue, coordinated entrepreneurial ecosystems are a …

Ectopic Adipose Tissue In Subsistence Populations With Minimal Coronary Disease, Large Left Atria, And Very Low Rates Of Atrial Fibrillation, Randall C. Thompson, Benjamin C. Trumble, Daniel K. Cummings, Angela D. Neunuebel, Paul L. Hooper, Samuel Wann, Adel H. Allam, Frances Neunuebel, Benjamin D. Gans, Samantha I. King, Edmond Seabright, Caleb E. Finch, Margaret Gatz, Kenneth Buetow, Michael I. Miyamoto, Guido P. Lombardi, M. Linda Sutherland, James D. Sutherland, Christopher J. Ward, Madeleine J. Lee, Ashna Mahadev, Daniel Eid Rodriguez, David E. Michalik, Chris J. Rowan, Tianyu Cao, Jonathan Stieglitz, Cameron M. Quick, Gregory S. Thomas, Jagat Narula, Damini Dey, Michael Gurven, Hillard Kaplan

ESI Publications

Background

Methods

Putting It Together, Bit By Bit: Partimenti For Guitarists, James Renwick

Soundboard Scholar

A review of Fenaroli's Musicali per i principianti di cembalo [Naples, 1775], edited for guitarists by Nicola Pignatiello, with translations of Fenaroli’s text by Robert Gjerdingen (Independently published, 2023), PDF available online.

Effects Of Storage Temperatures On Quality And Phytochemical Properties Of The Hawthorn (Crataegus Azarolus L.) During Storage And Shelf Life, Ahmet Erhan Özdemi̇r, Oğuzhan Çalişkan, Safder Bayazit, Kazi̇m Gündüz, Nurdan Tuna Güneş, Zafer Karaşahi̇n, Derya Kiliç, Ramazan Bestami̇ Karahan

Turkish Journal of Agriculture and Forestry

This study aimed to investigate the effects of storage temperature on the quality and phytochemical characteristics in Sultan hawthorn cultivar during cold storage and shelf life. Fruits were stored at 0 ± 0.5 °C and 4 ± 0.5 °C and 90 ± 5% relative humidity (RH) for 6 months in cold storage and were analyzed every month. In addition, hawthorn fruits were kept at 20 ± 0.5 °C and 75 ± 5% RH for 7 days, and their shelf life was investigated at monthly intervals. Weight loss, appearance, the incidence of physiological disorders and fungal decay, fruit skin color, firmness, …

Aligning Novice Special Educators Classroom Practices, Mentoring Support, And Needs With Discrit Classroom Ecology, Kaitlyn Stillwagon

Theses and Dissertations

This multiple case study investigates the alignment of novice special educators’ classroom practices, mentoring supports, and expressed needs with DisCrit Classroom Ecology. Situated in a large, urban city in the Northeast United States, this study centers the experiences of novice special educators and their mentors to examine this alignment to uncover gaps and best practices for improved mentoring support for novice special educators. Data were collected through semi-structured interviews, classroom artifacts, and teacher reflection journals. Thematic analysis using both deductive and inductive coding revealed that novice special educators demonstrated emerging entry points toward DisCrit aligned practices, particularly in the use …

Monitoring The Developmental Stages Of Calendula Officinalis L. Nutrients Efficacy Under Hot Weather Mitigation Through Nutrients In Haripur, Pakistan, Waseem Ahmed, Rafia Azmat, Shah Masaud Khan, Abdul Qayyum, Waseem Hassan, Adnan Noor Shah, Muhammad Hadi Abbas, Fatima M. Abbas, Tahani A.Y. Asseri, Ahmet Hakan Ürüşan

Turkish Journal of Agriculture and Forestry

This study examines the effect of different doses of N and P fertilizer on Calendula officinalis L. (marigold) during the hot weather in summer (May–July) in Pakistan. The aim was to determine whether fertilization can help minimize the impacts of climate change. During the summer peak seasons (May, June, and July), the trial was conducted in potted plants with different N and P application levels to monitor the quality and quantity of C. officinalis. The results showed that the interactive effects (N × P) gave higher values for plant height, number of leaves, fresh weight, leaf length, and number of …

Chemical Weed Control Strategies For Sweet Corn In Türkiye’S Diverse Production Areas, Zübeyde Fi̇li̇z Arslan, Ahmet Uludağ, Hüseyi̇n Güngör, Ti̇muçi̇n Taş, Emi̇ne Aydin, Martin M. Williams Ii

Turkish Journal of Agriculture and Forestry

Sweet corn production in Türkiye is failing to match growing demand from consumers and the food industry. Weeds severely limit sweet corn production, yet only a single herbicide is registered in Türkiye. Due to labor costs, hand weeding is no longer affordable and growers are demanding cost-effective weed control strategies for sweet corn production. Nine treatments including preemergence (PRE) and/or postemergence (POST) herbicides were tested across the country’s diverse growing environments. Compared to the weedy control, all treatments increased the number of marketable ears. Only two treatments—s-metolachlor plus terbuthylazine followed by isoxaflutole plus cyprosulfamide plus theincarbazone-methyl and dimethenamid followed by …

Cover And Contents

Turkish Journal of Agriculture and Forestry

No abstract provided.