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Adapting To Change: Adn Faculty Perspectives About The Future Of Adn Education: A Qualitative Case Study, Linda D. John

Dissertations

The purpose of this qualitative single case study was to offer more insight into how the adoption of the BSN as the entry-level for nursing practice affects the future ADN education and what the change means for ADN faculty at multiple programs throughout regions of the United States. Eleven ADN faculty were sampled to acquire their perspective about this phenomenon.

The First Thirty Years Of Green Stormwater Infrastructure In Portland, Oregon, Michaela Koucka, Cara Poor, Jordyn Wolfand, Heejun Chang, Vivek Shandas, Adrienne Aiona, Henry Stevens, Tim Kurtz, Svetlana Hedin, Steve Fancher, Joshua Lighthipe, Adam Zucker

Geography Faculty Publications and Presentations

Over the past 30 years, the City of Portland, Oregon, USA, has emerged as a national leader in green stormwater infrastructure (GSI). The initial impetus for implementing sustainable stormwater infrastructure in Portland stemmed from concerns about flooding and water quality in the city’s two major rivers, the Columbia and the Willamette. Heavy rainfall often led to combined sewer overflows, significantly polluting these waterways. A partial solution was the construction of “The Big Pipe” project, a large-scale stormwater containment system designed to filter and regulate overflow. However, Portland has taken a more comprehensive and long-term approach by integrating sustainable stormwater management …

Lighting A Public Thing? Organizing Design Things In Public Bureaucracy, Christina Vildinge, Elena Raviola

Nordes Conference Series

This study takes an interdisciplinary approach to the design of the night city, by exploring how, through complex scripting processes, the relational aesthetics of light is translated in processes of urban planning. This exploration is based on our study of lighting design in the city of Gothenburg and highlights the multiplicities of designing light through dimensions of aesthetics, sustainability, safety, environment, biodiversity, work and more. The question we ask is how the relational materiality of light as a design material is translated in the organizational process of urban planning and how light in this process is made a matter of …

Intentional Action At The Margins: Unpacking Agency In Public Service Ecosystem Design, Nicole Hußmann, Annukka Svanda, Martina Čaić

Nordes Conference Series

This paper examines how public service ecosystems shape the agency of marginalized residents, focusing on immigrant job seekers. While ecosystem perspectives in service design have highlighted marginalization and actor interconnectedness, the role and intricacies of agency remain underexplored. To address this gap, we draw on a service design project in the City of Espoo aimed at improving an employment service for immigrants. Our findings reveal that immigrant job seekers’ agency is affected by (i) limited psychological, financial, and temporal resources, (ii) distorted information flows, (iii) the dependence on community support, (iv) biased attitudes of service staff and managers, and (v) …

We Are All Old: Decentralising Visions, Hayley Ho, Elsa Vaara

Nordes Conference Series

This paper seeks to understand how a mixed methodology of speculation, design practices, and artistic practices can help design researchers understand how people of different ages and backgrounds may distribute their visions about being old. Our overall motivation for the research is that countries in the world are struggling to shape good societies while the pace of population aging is accelerating faster than in the past. The world’s problems are often perceived as complex, leading some to lose faith in their ability to effect change. Every person is a piece of the larger puzzle, and we argue that when individuals …

Design Facilitation Skills: Discrepancies Between Research Focus And Industry Needs In Us Job Postings, Wenqi Zheng, Mauricio Mejia, Catalina Cortes

Nordes Conference Series

In design, designers often act as facilitators, helping cross-functional teams capture, evaluate, and integrate diverse ideas to create improved products. While the broader application of facilitation has been extensively explored, the specific demand for design facilitation in the industry remains understudied. This study bridges the gap by exploring the call for design facilitation in the U.S. job market. Through a content analysis of job postings and a novel approach for tracking skill trends over time, we identify key design facilitation-related skill employers seek, uncovering four patterns. We also discuss implications for design education, proposing curriculum changes to better prepare students …

Pressure Free Care: Empowering Staff With The Hapi Prevention Reference Sheet, A Quality Improvement Project, Harmony Le, Melissa Suthar, Olivia Tubao, David Valdez, Mckenna Wallace

Master's Projects and Capstones

Hospital-acquired pressure injuries (HAPIs) can significantly impact a patient’s quality of care, increase organizational costs, and pose significant risks for patient safety. According to the United Hospital Fund, “Hospital-acquired pressure injuries (HAPIs)—also known as pressure ulcers or bed sores—can pose significant problems for both the patient and hospital. Being an injury to the skin or underlying tissue, HAPIs can be painful, cause infections, hinder recovery, and prolong a patient’s time in the hospital” (United Hospital Fund, 2025). This quality improvement (QI) project took place in a small, urban southern California hospital with a high incidence and prevalence rate of HAPIs …

Kid Power: Mastering Asthma Management To Keep Hospitals Away!, Kriste L. Moret

Master's Projects and Capstones

Problem: Pediatric asthma remains a leading cause of preventable hospitalizations, particularly in California’s Central Valley, where environmental and health disparities worsen symptoms. Many children are discharged without understanding their Asthma Action Plan (AAP) or feeling confident in symptom management.

Context: On a unit in a community hospital in this high-risk region, asthma-related admissions persisted. Gaps in discharge education highlighted the need for a structured intervention. The Institute for Healthcare Improvement (IHI) Model for Improvement (MFI) guided this effort.

Intervention: A nurse-led, developmentally appropriate asthma education bundle was implemented. Teaching began on admission and was reinforced using teach-back, color-coded AAPs, culturally …

Spirituality And Perceived Insider Status: A Study Of Organizational Commitment Of African American Female Leaders In Fortune 1000 Companies, Toni Y. Stubbs

Doctoral Dissertations and Projects

This quantitative study examined the relationships among spirituality, perceived insider status, and organizational commitment among African American female leaders within Fortune 1000 companies. Using a cross-sectional design, the research gathered data from 119 participants through online surveys that included the Spiritual Well-Being Scale (SWBS), the Perceived Insider Status Scale (PIS), and the Organizational Commitment Questionnaire (OCQ). Analyses included Pearson correlations and mediation modeling to address the research questions. The results revealed a strong, statistically significant relationship between perceived insider status and organizational commitment. Although spirituality did not directly predict organizational commitment, it demonstrated a small but significant mediating effect between …

Enhancing Patient Safety: Fall Prevention Through Video Education, Fithawit T. Zere

Master's Projects and Capstones

Abstract

Problem: Globally, hospital falls remain a leading cause of injuries, increased costs, short and long-term disability and emotional impact on patients/families. Despite required prevention measures, a local hospital experienced rising fall rates during 2024 (n=71);13 of these occurred in the Med-telemetry microsystem. Although multiple strategies and financial investments occurred, nursing compliance with the fall prevention “bundle” remained suboptimal.

Context: Thirteen falls resulted in $182,000 in 2024. A quality improvement (QI) project was initiated over 12 weeks after routine audits revealed inconsistency in application of several components of the required bundle: particularly, the fall prevention video upon admission.

Interventions: A …

Parent's Help-Seeking For, And Care Of, A Sick Or Injured Child During Covid-19 Pandemic Lockdowns: A National Online Survey In Türkiye, Bahar Aksoy, Sarah Neill

School of Nursing and Midwifery

Aim: This study aimed to investigate how COVID-19 lockdowns in Türkiye influenced parents' actions when their child was ill or injured and how they perceived the impact of the lockdown on the severity of their child's illness and the treatment received. Methods: This descriptive, and cross-sectional mixed method was conducted with 104 parents whose children experienced illness or injury during the pandemic lockdowns between July and September 2022. Data was collected through online survey using snowball sampling method. Descriptive statistics and pearson's chi-square test were used for statistical analysis, while free-text data was subjected to thematic analysis. Results: Of the …

A Transcendental Phenomenological Study: Exploring Experiences Of Secondary Teachers With Content- Only Training Instructing English Language Learners, Anita Ellis

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe the initial experiences of secondary content teachers from diverse backgrounds during their first five years in high schools with a substantial number of English Language Learners (above 50%) in north Georgia. The theory guiding this study is Schlossberg's transition theory as it helps to understand the psychological and emotional adaptations teachers undergo while instructing ELLs, highlighting changes in their self- perceptions, circumstances, and support networks. The central research question is: What challenges and strategies do secondary education teachers without ESOL training describe in their experiences teaching various subjects to classrooms with …

Management Behavior Required For Creating Social Value In The Uae, André De Waal, Meerna Mroueh

Arab Economic and Business Journal

This study explores how specific managerial behaviors support social value creation in UAE-based Takaful organizations. Using the High-Performance Organization (HPO) framework - particularly the Management Quality factor - it analyzes data from 230 questionnaires and 59 interviews. Findings show strengths in trust and relationship-building, but weaknesses in decision-making, leadership effectiveness, and performance management. Compared to national and global HPO benchmarks, the case organizations scored lower, indicating cultural and organizational barriers. The study offers industry-specific recommendations and presents a practical approach for measuring the alignment between managerial behaviors and ESG, CSR, and EDI goals in Islamic financial institutions.

Perceptions Of Nonclinical Healthcare Executives On Advancing Physical Therapists Into Executive Healthcare Leadership Positions, Lindsey Johnston

Walden Dissertations and Doctoral Studies

Healthcare professionals often aspire to transition beyond clinical roles into organizational leadership. In particular, physical therapists may seek executive leadership opportunities beyond rehabilitation departments. However, there is limited understanding of how nonclinical healthcare executives perceive physical therapists advancing into these roles. This qualitative study aimed to understand nonclinical healthcare executives' perceptions regarding physical therapists’ advancement to executive healthcare leadership positions. The study was guided by new institutional theory and Level 5 leadership theory and addressed four research questions to explore these perceptions in depth. A general qualitative methodology was employed, with data collected through semistructured, virtual interviews with eight nonclinical …

Enhancing Nurse Well-Being Through Mandatory Rest Breaks At A Hospital, Elise Njang

Doctor of Nursing Practice Projects

Nurses are essential to the healthcare system, yet their demanding 12-hour shifts in hospital settings often leave little opportunity for adequate rest. The absence of structured rest breaks not only endangers nurses' well-being but may also compromise the quality of patient care. This quality improvement (QI) project aimed to evaluate the effects of implementing structured, mandatory 15-minute rest breaks on nurse burnout and job satisfaction. The initiative addressed a critical gap at the project site, where nurses typically received only one 30-minute lunch break per shift, despite evidence supporting the benefits of more frequent rest breaks. A quasi-experimental pre- and …

Improving Anxiety Screening In Active-Duty Military: Policy Recommendation For Implementing Ham-A Alongside Gad-7, Alex Judkins

Student Scholarly Projects

Practice Problem: Military personnel appear to be at increased risk for mood and stress-related conditions, such as anxiety and depression. These are frequently associated with traumatic brain injury (TBI), yet existing policies and practices may not fully capture this symptom complexity.

PICOT: For healthcare policymakers and providers (P), how does a policy review and recommendation for implementing the HAM-A screening tool for anxiety (I), compared to continued reliance on GAD-7 (C), impact the early identification and policy alignment for somatic and psychic anxiety management among active-duty military personnel (O)?

Evidence: Investigating psychological illnesses and their physiological manifestations in isolation fails …

Quality Improvement Project Fall Prevention Among Skilled Nursing Facility Residents Through Staff Education, Reena Mathew

Doctor of Nursing Practice Projects

Falls among older adults in Skilled Nursing Facilities (SNFs) remain a leading cause of injury, hospitalization, and decreased quality of life. Preventing these falls requires awareness and effective staff engagement. This Quality Improvement (QI) initiative is targeted to decrease fall rates in a 90-bed SNF by educating caregivers on the significance and practice of purposeful hourly rounding. The project helped to improve staff knowledge, consistency, and accountability in implementing hourly rounding as a preventive measure. A pre- and post-intervention design was utilized. Staff members received structured educational sessions based on evidence-based guidelines, including interactive modules and printed resources. Twenty staff …

Quality Improvement Project Improving Self-Efficacy Among Urgent Care Staff Through Medication Reconciliation Education, Jana M. Combs

Doctor of Nursing Practice Projects

Medication errors and adverse drug reactions (ADR) are a significant source of preventable harm in healthcare, and failure to complete proper medication reconciliation is a contributing factor. Despite multiple interventions aimed at addressing this issue, no standardized plan has been implemented universally. Outpatient urgent care sites pose as high-risk environments for failed medication reconciliations due to the nature of the setting, but staff are in prime positions to adjust this culture. This project aimed to enhance staff self-efficacy in medication reconciliation over four weeks through an evidence-based educational program, with the goal of improving patient safety and outcomes. Using a …

Quality Improvement Project Data At Risk: The Implications Of Inconsistent Nursing Documentation On Patient Care Interventions, Amber Jones

Doctor of Nursing Practice Projects

Accurate nursing documentation plays a vital role in ensuring high-quality patient care, yet inconsistencies remain a common challenge, particularly with preventive screenings like pediatric tobacco use. Research shows that when documentation is incomplete or incorrect, opportunities to identify and intervene with at-risk adolescents are often missed. This quality improvement project was developed to address a specific gap in documentation practices at a community health clinic, where staff often failed to consistently complete the pediatric tobacco screening tool. The goal of the project was to determine whether evidence-based education, combined with chart audits and feedback, could improve the consistency in which …

A Quality Improvement Project Cultural Competency: A Project For Improving Culturally Competent Care Among Mental Health Providers, Lanre Olanrewaju

Doctor of Nursing Practice Projects

Cultural competence, knowledge, and awareness are essential for improving mental healthcare outcomes in diverse populations. Despite the need, the absence of structured cultural competence training contributes to reduced quality of care and health disparities. The purpose of this quality improvement project is to improve cultural awareness and knowledge among mental health providers at an outpatient clinic by implementing structured staff training. A needs assessment identified gaps in cultural competence knowledge, inconsistent practices, and limited provider confidence in addressing diverse patient needs. In the methodology, the model used to answer the PICOT question is Purnell’s Model, guided by a structured process …

Quality Improvement Project Evaluation Of The Effectiveness Of The Institute For Healthcare Improvement’S Joy In Work Framework On Burnout Experienced By Dialysis Staff, Bernice Jones

Doctor of Nursing Practice Projects

Burnout continues to pose a pervasive and escalating challenge in healthcare, with its severity further amplified in the aftermath of the COVID-19 pandemic. Dialysis professionals are especially vulnerable, facing elevated patient volumes, extended work hours, and frequent encounters with complex clinical needs. These ongoing stressors highlight the critical importance of this quality improvement (QI) project, as there exists an urgent need for evidence-based strategies to alleviate burnout among dialysis professionals. This QI project aimed to enhance joy in the dialysis work setting and reduce burnout experienced by dialysis staff through the implementation of the Institute for Healthcare Improvement’s (IHI) Joy …

The Impact Of The Implementation Of A Code Lavender Stress Management Program On Post-Surgical Critical Care Nurses’ Stress, Solange Ngoundjou

Student Scholarly Projects

Practice Problem: Post-surgical critical care nurses face a variety of stressful events when providing patient care. And there is a strong relationship between job stress, provision of patient care, patient satisfaction, and the overall well-being of the organization.

PICOT Question: For post-surgical critical nurses who are part of a stressful event (P), do evidence-based stress management strategies (I) compared to the current practice (C), reduce stress (O) within 8 weeks (T)?

Evidence: The evidence that guided this project change is based on John Hopkins’ nursing evidence-based practice model, and Lewin’s Change theory.

Intervention: The Code Lavender …

The Tragedy Of Arwen Evenstar In “The Tale Of Aragorn And Arwen” And In Her Legacy On Film, Nicole Duplessis

Online Midwinter Seminar (OMS)

No abstract provided.

Improving Icu Decolonization Compliance Among Nursing Staff, Sarah J. Moore

Student Scholarly Projects

Practice Problem: Hospital acquired infections (HAIs) burden patients and health care organizations by influencing extended hospital stays, increasing mortality risk, and increasing healthcare spending.

PICOT: The Doctor of Nursing Practice (DNP) Scholarly Project was guided by the PICOT question: In ICU nursing staff (P), how does the implementation of a standardized process with visual reminders and checklists (I) compared to no reminders or checklists (C) impact compliance with the decolonization protocol for HAI reduction (O) over four weeks?

Evidence: A review of evidence-based literature demonstrated efficacy in the reduction of HAIs through once daily bathing with 2% chlorhexidine gluconate (CHG) …

Magnet Council Toolkit For Organizations Seeking Magnet Status And Recruitment, Andrew J. Boone

Student Scholarly Projects

Practice Problem: The problem was a lack of a standardized or structured process for the development of Magnet Councils. There is no clear pathway or materials to initiate the process, and one must start by applying to the American Nurses Credentialing Center (ANCC) with little guidance prior to seeking help on the Magnet Journey. PICO Question: The PICO question that guided this DNP Project Toolkit development was as follows: For healthcare organizations pursuing Magnet status (P), how does the development of a structured Magnet Council Toolkit (I) compared to the absence of a formal toolkit (C), contribute to the validation …

Sos (Save Our Skin)- A Hospital Acquired Pressure Injury Reduction Quality, Nicholas A. La Mar

Master's Projects and Capstones

Problem: Hospital-acquired pressure injuries (HAPIs) are a significant source of preventable harm. Often associated with increased patient morbidity, reduced quality of life, and substantial financial costs. In 2023, a Northern California level II trauma center reported 44 HAPI cases, with 25% occurring in the telemetry units. Despite a hospital-wide reduction in HAPIs in 2024, telemetry units accounted for 33% of the cases in the first quarter of 2025, highlighting a need for targeted intervention.

Context: The project was conducted in four adult inpatient telemetry units of a 241-bed level two trauma center. The units faced challenges with inconsistent adherence to …

Adaptive Leadership And Employee Retention During Disruptive Times In Real Estate, Susej Koral Corrales Bethancourt

Walden Dissertations and Doctoral Studies

Some real estate agency owners in Panama lack adaptive leadership strategies to retain employees during market disruptions. The real estate industry and agency owners are especially vulnerable to financial fluctuations and market volatility, which can lead to increased employee turnover and decreased organizational performance. This qualitative pragmatic inquiry explored the adaptive leadership strategies used by Panamanian real estate agency owners to retain employees during disruptive periods. Guided by Heifetz and Linsky’s adaptive leadership theory, the project addressed the central research problem through semistructured interviews with six real estate owners and managers with at least 4 years of leadership experience. Participants …

A Force To Be Reckoned: Strategic Equity Sense Leadership Of Unit-Level Higher Education Leaders, Jin M. Mims

LMU Theses and Dissertations

The #BlackLivesMatter (#BLM) movement in 2020 pressured higher education institutions to address their oppressive and exclusive systems. As these institutions communicated their diversity, equity, and inclusion, (DEI) commitments and processes, it was those who took charge to facilitate the operational and cultural change for their respective area through the DEI lens, those who assumed DEI roles in their designated units, actualized the ground-level work of designing and implementing DEI programs and policies to produce the institutional progress reported by the university’s executive leadership. I will refer to those change agents as Unit-level DEI Officers (UDOs). Meanwhile, the current body of …

A Convergent Parallel Mixed Method Design Analysis Of Sponsorship And The Advancement Of Women In The Workplace, Shaparak Malek-Morvai

Masters Theses & Specialist Projects

Sponsorship is vital for advancing women's careers but is often inconsistently applied. Limited programs for women seeking leadership roles and a lack of sponsors can hinder progress. This study used a mixed-methods approach, combining quantitative survey data from 73 participants with qualitative insights. Sponsors advocate for protégés, emphasizing visibility, promotion, and networking, while mentorship offers guidance and coaching. Many leadership roles confuse sponsorship with mentorship, as noted by Helms et al. (2016). However, the key difference lies in influence. The study had four objectives: to explore women's perceptions of sponsorship, analyze how roles and tenure influence these perceptions, enhance discussions …

I'M Okay Being Square In A Round Hole: A Black Feminist Autoethnography Traversing Workplace Oppression, Sense Of Self, And Resistance, Maria A. Duffy

Master of Arts in Media and Communication Plan II Graduate Projects

Although Black women are an important part of the U.S. workforce, they continue to experience discrimination at the workplace. Prior research has examined Black women workers’ resilience and strength (e.g., Allen, 2020; Ross et al., 2020; Woods-Giscombe et al., 2023). Researchers also have explored different types of institutional and interpersonal discrimination that have harmed Black women---especially those with white collar jobs (e.g., Bloch et al., 2021; Patton, 2010; Weiner et al., 2019). However, more research is needed on how discrimination at blue-collar workplaces can affect Black women’s intrapersonal communication, self-concept, and co-cultural communication. In this project, I explore the intersectional …