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Teacher Experience And Perception Of Feedback Literacy In The International Baccalaureate Diploma Programme, Carla B. Mills Aug 2026

Teacher Experience And Perception Of Feedback Literacy In The International Baccalaureate Diploma Programme, Carla B. Mills

Dissertations

Writing instruction in schools remains a significant area of concern even after decades of awareness that students are not performing at proficient levels upon high-school graduation. This phenomenographic case study investigated teacher feedback literacy at the secondary level through interviews with teachers of writing-intensive International Baccalaureate Diploma Program courses and document analysis. Areas of feedback literacy strength included teacher awareness of designing positive class environments, attending to the socio-emotional needs of their learners, extensive use of both rubrics and exemplars, and frequent provision of verbal feedback. Document analysis revealed the presence of explicit instruction in written feedback, rubric use, and …


Personalization And Generalization In Machine Learning For Affective Ai, Rajesh Titung Aug 2026

Personalization And Generalization In Machine Learning For Affective Ai, Rajesh Titung

Theses

Human emotional communication involves subtle, low-intensity, and context-dependent expressions influenced by sociocultural and interpersonal factors. Their inherent ambiguity and variability create heterogeneous data distributions, making affective phenomena difficult to model in naturalistic settings where expressions differ from exaggerated affect behaviors in acted environments. Affective AI faces the fundamental challenge of balancing personalization, which captures individual nuances, with generalization, which ensures robustness of affective AI systems across individuals. Traditional centralized models emphasizing generalization often fail to capture fine-grained expressive heterogeneity, while fully personalized models improve system performance for individuals but lack transferability and robustness. The central task is thus to develop …


A Systematized Review Of Parent Experiences With Special Education Placement In Rural Communities, Madeline Bishop Aug 2026

A Systematized Review Of Parent Experiences With Special Education Placement In Rural Communities, Madeline Bishop

Educational Specialist, 2020-current

Parents of children enrolled in special education programs often face unique challenges, particularly in rural settings where access to resources and communication with school personnel can be limited. This systematized review explores how rural school systems can best support parents during the special education process. A systematized review of articles published between 2005 and 2025 was conducted. A thematic analysis of 20 articles revealed 3 themes following the review: benefits and barriers to rural special education, professional relationships, and parents’ strain and appreciation. Overall findings highlight the importance of the experiences between parents and school personnel regarding special education. Limited …


Cognitive Flexibility In Broader Autism Phenotype: Does Bilingualism Benefit And Emotion Hinder?, Nardin M. Yacoub Aug 2026

Cognitive Flexibility In Broader Autism Phenotype: Does Bilingualism Benefit And Emotion Hinder?, Nardin M. Yacoub

Theses, Dissertations and Culminating Projects

The broader autism phenotype (BAP) is a milder manifestation of autistic traits just below the clinical threshold for Autism Spectrum Disorder (ASD), and provides a framework for studying and defining these traits in individuals related to autistic people. Cognitive flexibility (CF) is an executive functioning (EF) skill characterized by the ability to switch between tasks or thoughts based on environmental demands. The current study examined whether BAP was associated with CF and how bilingualism and emotion influenced this relationship across development. Previous research has found that bilinguals show enhanced task-switching abilities. Individuals with BAP may show differences in emotional processing, …


Trademarks, Functionality, And Competition, Glynn Lunney Aug 2026

Trademarks, Functionality, And Competition, Glynn Lunney

Faculty Scholarship

Courts and commentators have long thought that the purpose of trademark and unfair competition law is to distinguish fair competition from unfair competition and prohibit the latter. Yet, trademark law has a more fundamental, more foundational purpose. Before trademark law can distinguish fair competition from unfair competition, there must first be competition. That makes ensuring competition trademark law’s highest priority. Identifying and prohibiting unfair competition becomes, by necessity, a subordinate concern. Until 1982, courts recognized this hierarchy and enforced a broad and flexible functionality limitation on trademark or trade dress protection to ensure competitive markets. In 1982, however, this changed. …


Teachers’, Teacher Assistants’, And Classroom Aides’ Perception, Knowledge, And Implementation Of Orton-Gillingham, Doreen Sisolak Aug 2026

Teachers’, Teacher Assistants’, And Classroom Aides’ Perception, Knowledge, And Implementation Of Orton-Gillingham, Doreen Sisolak

Seton Hall University Dissertations and Theses (ETDs)

This study examined teachers’, teacher assistants’, and classroom aides’ perceptions, knowledge, and implementation of the Orton–Gillingham approach to reading instruction. A mixed-methods design was employed, incorporating quantitative survey data (N = 37) and qualitative interview data (N = 9). Descriptive statistics indicated generally low levels of perception, knowledge, and implementation among participants. One-way analyses of variance (ANOVA) were conducted to examine differences based on instructional setting, years of experience, and level of Orton-Gillingham training. Results revealed statistically significant differences in knowledge and implementation by training level and years of experience, whereas no significant differences were found in perceptions across groups. …


Towards The Systematic Cross-Civilizational Comparison: How Civilizations Work Case 3: The Chinese Case, Tiantian Wu Aug 2026

Towards The Systematic Cross-Civilizational Comparison: How Civilizations Work Case 3: The Chinese Case, Tiantian Wu

Comparative Civilizations Review

Drawing on Liah Greenfeld’s (2024) framework of Systematic Cross-Civilizational Comparison, this study examines Chinese civilization as an enduring and culturally autonomous system shaped by its unique first principles, “the Great Unity”, which integrates Confucian orthodoxy, political legitimacy, and cultural tradition into a coherent worldview. Historically, this framework justified dynastic rule through moral virtue and the Mandate of Heaven, forming a durable model of statecraft that incorporated Taoist, Legalist, and Buddhist influences. Expressed and perpetuated through the Chinese language, these principles have systematically shaped the civilization’s modes of thought, ethics, and emotional patterns. Although the Opium War and subsequent “Century of …


The First Principles Of Chinese Civilization: Relationalism And Pragmatism, Sai Zhang, Yongnian Zheng Aug 2026

The First Principles Of Chinese Civilization: Relationalism And Pragmatism, Sai Zhang, Yongnian Zheng

Comparative Civilizations Review

This article examines the first principles of Chinese civilization, relationalism and pragmatism, through Liah Greenfeld’s (2024) definition of civilization as a distinct cultural reality. By comparing Chinese civilization with others, particularly in the context of globalization, we seek to identify its distinctive characteristics. Our overview analysis draws on interdisciplinary literature (including linguistics, philosophy, sociology, political economy, and social psychology). We argue that the complexities of Chinese civilization require a nuanced understanding of its first principles, which are codified in language and cognition. The article explores how these principles manifest in mainstream thoughts such as Confucianism and Legalism, influencing social structure …


Temporal Legitimacy And Civilizational Logic: A Sociological Perspective On The Foundational Principles Of Chinese Civilization, Yuk Man Cheung Aug 2026

Temporal Legitimacy And Civilizational Logic: A Sociological Perspective On The Foundational Principles Of Chinese Civilization, Yuk Man Cheung

Comparative Civilizations Review

This article departs from the recent social-scientific analytical framework for comparative civilizations proposed by the sociologist Liah Greenfeld (2024a, 2024b, 2025) and puts forward several basic conjectures regarding the analysis of the characteristics of Chinese civilization, with the aim of assisting our understanding, execution, and integration of empirical studies. Precisely because these are conjectures, they differ from conventional academic research–especially the case-study-oriented research style dominant in contemporary Anglophone academia. Accordingly, this article can only be regarded as an attempt that, starting from sociological theory, offers preliminary conjectures and tentatively constructs a theoretical framework within which specialists from different fields may …


Cognitive Foundations Of The Absence Of Antisemitism In Japan: Towards A Civilizational Perspective, Chikako Takeishi Aug 2026

Cognitive Foundations Of The Absence Of Antisemitism In Japan: Towards A Civilizational Perspective, Chikako Takeishi

Comparative Civilizations Review

This paper explores the gap between civilizations in the forms antisemitism takes and the cognitive modes on which it is based, given its significance for comparative civilizational analysis. Antisemitism is characterized by two features — the expressive nature of violence and an orientation toward the elimination of an entire group — which are particularly salient compared to other forms of anti-sentiment familiar in the age of nationalism. In the first section of this paper, I argue that antisemitism exhibiting these features has not been present in Japanese history. The subsequent sections, building on Greenfeld’s theory of civilization, examine existential envy …


Children’S Literature As A Site Of Cross-Civilizational Analysis: Hong Kong In Crisis After 2019, Faye Dorcas Yung Schwendeman Aug 2026

Children’S Literature As A Site Of Cross-Civilizational Analysis: Hong Kong In Crisis After 2019, Faye Dorcas Yung Schwendeman

Comparative Civilizations Review

This paper applies Liah Greenfeld’s cross-civilizational framework to Hong Kong children’s literature published from 2017 to the present, with emphasis on post-2019 works. Existing scholarship argues that 2019 marked the crystallization and mass diffusion of Hong Kong national consciousness; a nationalism lens therefore helps explain the intensified production of Hong Kong-centered narratives, civic pedagogy, and Cantonese-language transmission. I argue, however, that nationalism does not fully account for a crisis register that becomes salient in parts of the corpus: texts that frame the conflict as a struggle over singular truth, counter-memory, and intolerable contradiction, and that assign to ordinary people a …


The “Original Spirit” Of Chinese Civilization: Wang Huning And The Indigenization Of Reform In Post-Mao China, Chandler Rosenberger Aug 2026

The “Original Spirit” Of Chinese Civilization: Wang Huning And The Indigenization Of Reform In Post-Mao China, Chandler Rosenberger

Comparative Civilizations Review

For several centuries, modernizing intellectuals in China have struggled with the question of how to move their country forward against the inertia of a large peasant population rooted in millennia-old traditions. The Communist Party of Mao Zedong tried to fill that peasantry with revolutionary fervor, but grew fearful as chaos quickly destroyed traditions and reforms alike. In the last three decades, however, the Chinese Communist Party (CCP) seems to have found a way to engage the population in modernizing within their own familiar cultural framework. Guided by chief ideologist Wang Huning, the CCP has embraced a civilizational approach to reform …


“Dynt Of Dede:” Reading The Medieval Combat Scene Through The Helmet-Cleave Motif, Andrew Sherwood Thomas Aug 2026

“Dynt Of Dede:” Reading The Medieval Combat Scene Through The Helmet-Cleave Motif, Andrew Sherwood Thomas

Dissertations

This research explores the continuity of chivalric combat descriptions throughout medieval literature. By tracing the history, development, and distribution of the helmet-cleave motif, this study is able to examine combat scenes spanning a wide reach of time, genera, and language. The purpose of this work is to suggest a reading methodology for the chivalric combat scene that appropriately situates it in its cross-textual context and so reveals the nuance of its expression and the value in its study.

Despite the volume of surviving combat descriptions in medieval literature, they remain underrepresented in the scholarship due to their apparent repetitious and …


Bridging Borders: Community College Dual Credit Policy And Latinx Student Success In The Southwest Borderland, Daniel Guerra Aug 2026

Bridging Borders: Community College Dual Credit Policy And Latinx Student Success In The Southwest Borderland, Daniel Guerra

Open Access Theses & Dissertations

Early College High School (ECHS) programs have expanded access to college coursework and accelerated degree pathways; however, less is known about how Latinx students experience the transition from these programs into four-year institutions. This qualitative study explored the lived experiences of eight Latinx students who completed ECHS and matriculated to a four-year university between 2022 and 2024 in a Southwest borderland. The location is geographically isolated along the U.S.-Mexico border with a predominantly Hispanic population. Framed through Community Cultural Wealth and Rational Choice Theory, the study examined how students relied on cultural assets and evaluated educational opportunities while navigating secondary …


Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams Aug 2026

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …


The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo Aug 2026

The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo

Dissertations

Depression is a widely studied mood disorder, and understanding its effect on cognitive functioning has become an important area of research. While research has examined relationships among depression, working memory, and cognitive deficits, limited research has explored depressive symptoms and cognitive proficiency across biological sex. Depression manifests similarly in men and women, though men are more likely to experience irritability, impulsivity, and anger, while women tend to experience sadness, stress, and sleep disturbances (Johns Hopkins Medicine, 2023). Women are also more likely to seek treatment and cope differently than men. This study examined the relationship between depression and cognitive proficiency …


Tier 2 Literacy Interventions In Low-Income Schools: Implications For Breaking The Cycle Of Poverty, Morgan Koch Aug 2026

Tier 2 Literacy Interventions In Low-Income Schools: Implications For Breaking The Cycle Of Poverty, Morgan Koch

Dissertations

This study examined the development of a mastery-based Tier 2 reading and writing curriculum prototype designed to improve the coherence and consistency of literacy intervention in high-poverty educational settings. Using the Design Thinking process, stakeholder feedback from educators, administrators, instructional staff, and parents informed the development of the prototype through the Empathy, Define, Ideate, Prototype, and Test phases. The curriculum was evaluated by 15 education professionals through a mock implementation, usability survey, and focus group discussion. Findings suggested that participants perceived the prototype as practical, well organized, and supportive of more efficient and consistent Tier 2 literacy instruction, while also …


Aqqd: Annotated Quranic Qira’At Dataset, Linda Smail, Mohammed Lataifeh, Md Sohazur Islam Sozib, Arthur Diniz De Souza Aug 2026

Aqqd: Annotated Quranic Qira’At Dataset, Linda Smail, Mohammed Lataifeh, Md Sohazur Islam Sozib, Arthur Diniz De Souza

All Works

AQQD (Annotated Quranic Qira'at Dataset) is an open audio dataset of Quranic recitations annotated across canonical Qira'at styles. The dataset is designed to support research in machine learning, speech and audio processing, computational linguistics, and Quranic studies. The current release contains 24,183 WAV audio files from 309 reciters and covers 70 selected Quranic Surahs segmented into representative verses and phonetic variation points. Of these, 23,111 recordings were collected from publicly available sources, including official reciter websites, the Midad repository, MP3Quran, and verified YouTube channels, while an additional controlled subset of 1,072 recordings was obtained from a single reciter recorded as …


Modeling The Psychological And Technical Factors Influencing The Use Of Artificial Intelligence Tools Among Non-Native Arabic Learners: A Comparative Study In Egypt, Saudi Arabia, And Jordan., Mohammad Odeh, Alaa Al Din Musa, Ahmed Ragab Ali Ghalish, Montaser Adel Sayed Ahmed Aug 2026

Modeling The Psychological And Technical Factors Influencing The Use Of Artificial Intelligence Tools Among Non-Native Arabic Learners: A Comparative Study In Egypt, Saudi Arabia, And Jordan., Mohammad Odeh, Alaa Al Din Musa, Ahmed Ragab Ali Ghalish, Montaser Adel Sayed Ahmed

All Works

This study aimed to develop a predictive longitudinal model of the psychological and technical factors influencing the use of artificial intelligence tools among non-native Arabic learners (international students) in three Arab countries: Egypt, the Kingdom of Saudi Arabia, and Jordan. The study adopted an extended Technology Acceptance Model (TAM) incorporating two psychological variables: trust in artificial intelligence and artificial intelligence anxiety. A quantitative longitudinal design with two time waves (T1 and T2) over a full academic semester was employed using Hierarchical Multiple Regression Analysis and PROCESS Macro for mediation. The sample consisted of 812 international students from public universities in …


Sem-Pdpl: Semantic Exposure Graphs For Privacy-Law-Informed Risk Assessment Of Public Social-Media Data, Heba Ismail Aug 2026

Sem-Pdpl: Semantic Exposure Graphs For Privacy-Law-Informed Risk Assessment Of Public Social-Media Data, Heba Ismail

All Works

Public social-media content often contains self-disclosed personal attributes that appear low-risk in isolation but become privacy-relevant when linked across posts, platform accounts, or user-level traces. Existing research has advanced privacy-sensitive content detection, de-anonymization analysis, social-media research ethics, and privacy-compliance workflows; however, limited work operationalizes how personal-data disclosures combine structurally and how these structures can be translated into auditable governance actions. This paper proposes SEM-PDPL, a computational, privacy-law-informed risk-assessment framework for modeling public social-media exposure as semantic exposure graphs and mapping graph patterns to controls aligned with the United Arab Emirates Personal Data Protection Law (PDPL) and compatible with GDPR principles. …


Visually Guided Foraging In Virtual Worlds: Domain-General Properties Of Search Behaviour, Sarah Salo, Alastair Smith Aug 2026

Visually Guided Foraging In Virtual Worlds: Domain-General Properties Of Search Behaviour, Sarah Salo, Alastair Smith

School of Psychology

Everyday human behaviour involves economically driven search for visually relevant targets in complex three-dimensional environments. However, psychological research has typically examined visual search and foraging mechanisms separately, with insights into search emphasising attentional efficiency, and accounts of foraging highlighting decision-making and cognitive control. In order to more closely examine the interrelation between these processes in fully motile environmental search, we devised a novel virtual reality paradigm that required participants to physically explore a large-scale 3D environment and collect multiple visually defined targets. The search environment was organised in patches, with search arrays presented across multiple tables. In single feature search, …


The Weight We Carry: An Arts-Based Narrative Screenplay Of Academically Successful African American Male Students, Freddie Mcgee Aug 2026

The Weight We Carry: An Arts-Based Narrative Screenplay Of Academically Successful African American Male Students, Freddie Mcgee

Dissertations

The purpose of this study was to examine, understand, and creatively represent the stories of African American male college students from low-income backgrounds who were raised by single parents and were academically successful. Guided by the overarching research question — What are the stories of academically successful African American male college students from lowincome homes who single parents raised? — The study sought to understand how participants navigated institutional racism and systemic barriers while achieving academic success, and how they resisted deficit-based stereotypes and expectations in higher education.

This study employed a critical, arts-based, qualitative narrative inquiry approach grounded in …


A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir Aug 2026

A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir

Dissertations

Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …


Empowering Voices: Latino Family Engagement In Bilingual Early Literacy Library Programs, Jovayra Cabrera Aug 2026

Empowering Voices: Latino Family Engagement In Bilingual Early Literacy Library Programs, Jovayra Cabrera

Education Doctoral

Latino children often enter kindergarten with uneven access to early literacy experiences, and families play a central role in their early learning. The purpose of this transcendental phenomenological study was to explore the lived experiences of Latino families who participated in bilingual early literacy library programs with their young children (ages 0–5) in a public library system in a major metropolitan area in a northeastern state. Eight Latino parents and caregivers completed semi-structured interviews, conducted in English or Spanish, that were analyzed through bracketing, horizontalization, and the development of textural and structural descriptions and a synthesized essence. Analysis produced six …


Quality Versus Qualified: Head Start Program Leaders’ Perceptions Of The Characteristics And Traits Of High-Quality Early Childhood Educators In New York State, Tracy L. Persaud Aug 2026

Quality Versus Qualified: Head Start Program Leaders’ Perceptions Of The Characteristics And Traits Of High-Quality Early Childhood Educators In New York State, Tracy L. Persaud

Education Doctoral

The purpose of this study was to examine how leaders in New York State Head Start programs perceive the interpersonal traits and characteristics that define a high-quality, early childhood educator working with children from ages 3 to 5 years old. While formal qualifications, such as degrees and certifications, remain as requirements for employment, leaders may rely on interpersonal and dispositional qualities to distinguish effective early childhood educators in practice. Guided by credentialism theory, this study explored how leaders define teacher quality beyond credentials and how these perceptions shape hiring, evaluation, and professional support decisions. Data were collected through semi-structured interviews …


Effective Leadership Practices For Administrators In High-Poverty Rural Elementary Schools, Rhonda Underhill Aug 2026

Effective Leadership Practices For Administrators In High-Poverty Rural Elementary Schools, Rhonda Underhill

Education Doctoral

The purpose of this study was to examine potential solutions for high-needs rural elementary school leaders to improve academic outcomes for students from low-income families. Students from low-income families in rural elementary schools continue to underperform academically compared to their non-economically disadvantaged peers. Students should not reach adulthood with the same income inequalities they had when they entered school. Solutions are needed to find ways for school administrators to reverse this trend. The study used the New York State Education Department (2018) Culturally Responsive-Sustaining Education (CR-S) Framework to examine effective leadership practices from the perspectives of school leaders in high-achieving, …


Critical Constructivism And Alaana Interpreter Identity: A Narrative Analysis Qualitative Study, Kamil Gerald Aug 2026

Critical Constructivism And Alaana Interpreter Identity: A Narrative Analysis Qualitative Study, Kamil Gerald

Education Doctoral

The purpose of this study was to explore and illuminate the lived experiences of African, Latinx, Asian, Arab, and Native American (ALAANA) sign language interpreters (SLIs) within interpreter education programs (IEPs) and the interpreting field. American Sign Language (ASL), the dominant sign language taught in IEPs across the United States, has been shown to overshadow Indigenous Sign Languages (ISLs), a phenomenon often referred to as “ASL colonialism.” Critical constructivism served as the foundational framework in this narrative analysis qualitative study to examine how ALAANA SLIs navigated, resisted, and reimagined their professional identities amid limited exposure to ISLs. Semi-structured interviews were …


Navigating Dual Standards: Secondary Educators Integrating English Language Standards To Achieve English Proficiency, Calleigh Herrell Aug 2026

Navigating Dual Standards: Secondary Educators Integrating English Language Standards To Achieve English Proficiency, Calleigh Herrell

Electronic Theses and Dissertations

English Learners represent one of the fastest-growing student populations in the United States, creating increased demands on secondary educators to support both language development and academic achievement. As accountability expectations continue to emphasize grade-level proficiency in English Language Arts (ELA), educators serving English Learners must navigate the intersection of English language proficiency standards and content-area instructional requirements. While English Language Proficiency Assessment for the 21st Century (ELPA-21) standards are intended to support language acquisition and access to academic content, educators often face challenges integrating language development goals with grade-level ELA expectations. As such, secondary educators play a critical role in …


Mamma Mia: A Study Of Catholicism, Secularization, And Their Influences On Modern Italian, Lara Zanotti Aug 2026

Mamma Mia: A Study Of Catholicism, Secularization, And Their Influences On Modern Italian, Lara Zanotti

Undergraduate Honors Theses

This study explores the relationship between religion and language by examining how Catholicism and secularization have shaped modern Italian. While the historical influence of the Catholic Church on Italian is well established, less attention has been given to how recent secularizing trends have transformed the language at lexical, discursive, and sociolinguistic levels. Addressing this gap, the study asks: how have Italy’s deep-rooted Catholic traditions and its more recent shift toward secularization influenced the meanings, frequency, and use of religiously rooted expressions in modern Italian?

Using a mixed-methods approach, this project combines corpus-based linguistic analysis with qualitative analysis. Diachronic data from …


Improving Clostridioides Difficile Prevention Practices Through Standardized Stool Collection And Hand Hygiene, Dunya Khateeb, Laura Martin, Jessica Zhang Aug 2026

Improving Clostridioides Difficile Prevention Practices Through Standardized Stool Collection And Hand Hygiene, Dunya Khateeb, Laura Martin, Jessica Zhang

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Healthcare-associated Clostridioides difficile (C. diff) infections increase patient morbidity, length of stay, and healthcare costs (Simor, 2010). Our quality improvement project seeks to reduce C. diff infection rates and enhance prevention practices on the Med-Acute Unit at Sutter Medical Center Sacramento (SMCS) by utilizing the Plan-Do-Study-Act (PDSA) framework. Interventions will be implemented between March 2026 and July 2026. The project examined whether introducing a standardized stool collection tote and improving hand hygiene compliance would reduce C. diff infection rates. Participants included all nursing staff on the unit. Data is being collected through observational hand hygiene audits, collaboration with the SMCS …