Digital Commons Network^™

Confidence Versus Competence: Addressing Nursing Knowledge Gaps In Catheter Care To Reduce Catheter-Associated Urinary Tract Infections, Leslie Anne Villanueva Bautista

Master's Projects and Capstones

Catheter-associated urinary tract infections (CAUTIs) remain among the most prevalent and preventable healthcare-associated infections (HAIs), contributing substantially to patient morbidity, mortality, prolonged hospitalization, and healthcare expenditures. Most hospital-acquired UTIs are related to urinary catheters, and this burden costs the United States alone an estimated $340 to $450 million annually (Yang et al., 2022). CAUTIs are UTIs that occur in patients with indwelling urinary catheters. This quality improvement project aimed to increase adherence to existing bladder scanning protocols and strengthen urinary catheter care to prevent CAUTI. Baseline staff nurse knowledge was obtained, and reinterpretation of the facility’s existing protocols and bundles …

Techniques, Skills, And Synthesis For “Cooking” In The Organic Laboratory, Emily C. Sylvester, Tim Evans

Open Education Materials

Lab manual for CHEM 211L, Organic Chemistry I Laboratory. Provides background and procedures for laboratory experiments, including fundamental techniques and several organic syntheses.

Creative Commons attribution.

From Prairie To Practice: Environmental Controls And A Forensic Taphonomic Framework In Southeastern Nebraska, Jessica F. L. Gammage

Nebraska Academy of Sciences: Programs and Proceedings

Forensic taphonomy examines the postmortem processes that affect human remains, but much of the existing research has been developed in environments that differ significantly from those encountered in the Central Great Plains. This creates limitations when applying established models to regions like southeastern Nebraska, where decomposition is shaped by tallgrass prairie ecosystems, loess-derived soils, and strong seasonal variability. Addressing this gap is important for improving the accuracy and reliability of medicolegal interpretations.

This study evaluates how environmental conditions influence decomposition in southeastern Nebraska and proposes a regionally grounded framework for forensic taphonomic research. Drawing on existing literature, regional ecological data, …

The Use Of Chitosan-G-Poly (Acrylic Acid-Co-Acrylamide) In The Delivery Of Imatinib In The Small Intestine, Dawson Ohrt, Clint Everard

Nebraska Academy of Sciences: Programs and Proceedings

The use of hydrogels as drug delivery systems is the future of biotechnology, hydrogels can offer a new way of controlled delivery to specific areas of the body. Hydrogel also create new possibilities for treatments of gastrointestinal stromal tumors (GISTs). There are many different types of hydrogels that can be used in drug delivery. Hydrogels offer customizability in regard to the release of drugs in specific environments. The chemical properties of hydrogels allow for them to be manipulated for specific functions such as release at a specific pH . The hydrogel being used in the study is Chitosan-G-Poly (Acrylic Acid …

Developing An Object Level Understanding Of Sine And Cosine As Ratios And A Coherent Trigonometry, Jeffrey Peter Nair

Theses and Dissertations

Solving right-triangle problems as well as integrating right-triangle and circular trigonometry into a coherent understanding are documented challenges for students. Prior research has deeply investigated students constructing ratio meanings for sine and cosine using a circle-first approach, which then can be extended to right triangles. Also, past work has separately documented distinct meanings that are useful for sine and cosine, in addition to the ratio meaning, including as lengths in a unit circle and coordinate points. This study took these existing ideas and put them together into one possible developmental progression, based on APOS theory, where students can learn length, …

Temperature And Hydrologic Context Influence Methane Variability In A Low-Salinity Marsh, Zoie Brauser

Dissertations and Theses

Coastal wetlands are biogeochemical hotspots that capture and transform carbon and nutrients. Wetland restoration is increasingly used as a climate mitigation strategy because of wetlands' capacity to sequester large amounts of carbon. However, low-salinity tidal marshes exhibit high variability in methane (CH₄) emissions, which could partially offset carbon sequestration under certain conditions. Understanding the drivers of CH₄ variability is crucial for restoration and conservation work. This project uses an observational research approach to assess the relationships between environmental factors and carbon dioxide (CO₂) and CH₄ soil gas fluxes in a restored low-salinity tidal marsh …

Draining The Risk, Holding The Line: A Nurse-Driven Approach To Catheter-Associated Urinary Tract Infection Prevention, Thy Nguyen

Master's Projects and Capstones

Catheter-associated urinary tract infections (CAUTIs) remain among the most common preventable healthcare-associated infections, with CMS eliminating reimbursement for hospital-acquired cases since 2008. Within a five-unit, high-acuity microsystem at an urban acute care hospital, four CAUTIs were documented between January and July 2026 despite established prevention protocols. Adherence gaps were identified in catheter necessity assessment, maintenance practices, and nurse-driven removal protocol use. This quality improvement project was guided by the Johns Hopkins Evidence-Based Practice framework and Lewin's Change Theory. A targeted nursing education intervention addressing bladder scanning, dependent loop identification, and catheter care bundle adherence was implemented across the microsystem over …

Improving Adherence To Remote Patient Monitoring (Rpm) For Patients With Hypertension, Chioma Udegbune

Student Scholarly Projects

Practice Problem: Hypertension is a leading contributor to cardiovascular disease, and suboptimal adherence to remote patient monitoring (RPM) limits opportunities for timely intervention and effective blood pressure management in outpatient primary care.

PICOT: The PICOT question that guided this project was: Among outpatient clinic nursing staff responsible for remote patient monitoring (RPM) in adults with hypertension (P), how does implementation of a structured nurse-led education and reminder protocol (I), compared to standard RPM practices consisting of routine onboarding and passive reminder processes (C), influence patient adherence to RPM protocols (O) over a 10-week period (T)?

Evidence: Evidence supports nurse-led education, …

Addressing Haitian High School Students’ Educational Challenges Through Their Self-Cultural Awareness, Gregory Louis

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The study is grounded in the understanding that culturally responsive education practices can promote academic success and empower students to navigate multiple cultural contexts. A review of literature highlighted the complexities of Haitian students' educational experiences, the impact of cultural identity on academic achievement, and the need for further research on this topic.

The research employed in-depth, semi-structured interviews with Haitian high school students and their parents to gather data on their experiences, perceptions, and attitudes towards education and cultural identity. The study aimed to contribute to a deeper understanding of the educational experiences of Haitian students and inform strategies …

Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu

Walden Dissertations and Doctoral Studies

Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …

Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …

Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik

Walden Dissertations and Doctoral Studies

Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …

Changes In Psychological Adjustment Among Laryngectomized Patients Through Nursing Intervention: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Ichiro Ota, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Hirokazu Uemura

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine changes in psychological adjustment among laryngectomized patients through nursing interventions and to verify the effectiveness of these interventions.

Methods: Of the 76 hospitalized laryngectomy patients who received the study explanation and provided consent, 74 were included. The intervention involved providing information through interviews and a guidebook. The study method involved conducting follow-up surveys at preoperative, pre-discharge, and three months, six months, and one year post-discharge to examine the temporal changes in psychological adjustment. This study used the Nottingham Psychological Adjustment Scale for laryngectomized patients. The higher the subscale score, the greater …

Shape: A Photovoice Study Exploring Student And Educator Perceptions Of School Built Environments, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson

International Nursing Research Congress (INRC)

Background: School buildings shape daily experiences, well-being, and professional satisfaction for those who work and learn within them. Schools are increasingly primary access points for student health services.¹ Teaching in public schools ranks among the most stressful occupations, driving burnout and turnover.² As these groups spend most days in schools, the built environment serves as a crucial social determinant of health.³ Factors like extreme temperatures, poor air quality, and noise pollution impact health outcomes^4-6, creating barriers to learning.⁷ Limited nurse-driven research exists on how building attributes impact well-being. Spatial Habits Advance Personal Excellence examines …

Opioid Overdose Simulation Training For Staff: An Educational Development Project, Brooke Van Buskirk, Tyler Langley, Nancy S. Goldstein

International Nursing Research Congress (INRC)

Outpatient medical facilities have become more likely to encounter in-office emergencies related to opioid overdoses. Literature analysis found gaps in health team response capability in outpatient healthcare settings.¹

Our aim was to design and implement an opioid overdose simulation at an outpatient substance use disorder clinic. Literature reviewed found 4 essential themes to guide our curriculum development: simulation training, emergency action protocols, response training and equipment readiness.^2,3,4,5 These themes were used to create an algorithm on best-practice for overdose response and guided our simulation development.

A four-step simulation was designed including pre-brief education, low-fidelity mannequin simulation, high-fidelity simulation …

Life Of Patients After Laryngectomy Before Hospital Discharge, Kaori Haba, Kumiko Kotake, Mami Kurita, Kazuyo Iwanaga, Ichiro Kai, Yoshimi Suzukamo, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Ichiro Ota, Hirokazu Uemura

International Nursing Research Congress (INRC)

Purpose: This study aims to identify how patients after laryngectomy (PaL) feel about their lives before discharge.

Methods: The participants received total laryngectomy for peri-laryngeal cancer. They were interviewed for physical condition and concerns in daily lives, and how they coped with them before discharge. Qualitative induction was used to analyze. This study was conducted by obtaining the approval of the Ethical Review Committee of the university the researcher belongs to.

Results: All 9 participants were male, and the mean age was 68.2 years.
They “felt their bodies were recuperating” from the surgical invasion with free from respiratory distress and …

The Gap Kalamazoo Instrument To Evaluate Therapeutic Communication Of Pre-Licensure Nursing Students, Tracy J. Perron, Mary Thomas, Chelsea Lebo, Romy Zemer

International Nursing Research Congress (INRC)

Background: Effective communication among healthcare teams is essential for patient safety and satisfaction. Communication is a core competency for students in nursing education.

Purpose: This study aims to adapt the Gap-Kalamazoo Communication Skills Assessment for nursing students to enhance their communication skills and align with the American Association of Colleges of Nursing Essentials competencies.

Methods: This tool was tested with junior and senior nursing students at two institutions, with data collected through self-evaluations, peer evaluations, and faculty evaluations during clinical and simulation experiences.

Results: The results showed a high reliability of the tool (Cronbach’s Alpha 0.832 for seniors, 0.880 for …

Silver Linings Among Youth Living With Hiv: An Integrated Mixed Methods Analysis, Emily Anne Barr, Mary Catherine Lingwall, Himabindu Reddy Basani, Joanna S. Vennekotter, Alyssa Goldsmith, Joseph Crane, Leah Jane Anthony, Re'undre Malone, Veronica Brady

International Nursing Research Congress (INRC)

Purpose: Youth living with HIV experience stigma, mental health challenges, and barriers to engagement in care. Silver linings are positive shifts in perception, connection, or opportunity that arise from adversity. This project examined silver linings across two studies of youth living with HIV and explored associations with stigma, trust, mental health, and viral suppression.

Methods: An integrated mixed methods design was used. The first study (Colorado, USA) was a cross-sectional survey of 109 youth that assessed stigma, mental health, trust in the healthcare relationship, viral load, and one open-ended item on silver linings. The second study (Texas, USA) included semi-structured …

Pre-Implementation Factors For Active Music Engagement (Ame): Barriers And Facilitators To Integrating An Evidence-Based Dyadic Intervention Into Pediatric Oncology Care., Kristin M. Story, Elizabeth Harman, Kristin Stegenga, Jelena Golubovic, Sheri L. Robb

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Pediatric cancer treatment is a difficult and distressing experience that often results in sustained, interrelated distress in young children and parents, and traumatic stress symptoms for some parents. Few evidence-based interventions address this dyadic distress. Active Music Engagement (AME) is a manualized, evidence-based music play intervention that significantly reduces distress in child/parent dyads and mitigates traumatic stress and improves well-being among highly distressed parents and those experiencing sociodemographic risk. Successfully integrating AME into standard care requires a systematic understanding of implementation factors. This study aimed to identify site-specific barriers and facilitators that influenced successful AME delivery during a recently …

The Fate Of Microplastics In The Littoral Zone Of A Whole-Lake Microplastic Addition Experiment, Ren Staggs

Theses

Microplastics (MPs) are ubiquitous across all ecosystems, but the physical fate of MPs within specific littoral compartments in lakes is poorly understood. Here, we describe the fate of MPs across five littoral compartments: water, macrophytes, periphyton, rocks, and sediment, to contribute to a whole-lake MP particle budget as part of the pELAstic project, which has been adding polyethylene (PE), polystyrene (PS), and polyethylene terephthalate (PET) MPs to an entire lake over three years in a whole-ecosystem experiment at the IISD-ELA. We quantified MP abundance across three particle size fractions (>212, 106–212, and 106–53 µm) by sampling each compartment at …

Listening, Learning, Accommodating: A Critical Look At Inclusive Research Help, Michelle Lee, Laura Beane, Kristina Lang, Jillian Speck, Kristina Clement

Faculty Articles

Research consultations continue to be a valuable means of connecting with users and supporting their research needs. As we’ve received an increasing number of research consultations where one or more accommodations have been requested, the Kennesaw State University Libraries have been exploring ways to provide accommodations in research consultations. Since there is a lack of research on this specific facet of research consultations, this literature review focuses on the related topics of assistive technology in libraries, accommodations in library services and spaces, and library anxiety to show how these topics relate to providing accommodations in research consultations. The objective of …

Sac Newsletter 2026, South Asia Center

Newsletters from the South Asia Center

No abstract provided.

Actionable Hydrologic Data To Information With National Water Model-Based Derived Dataset, Cutting-Edge Data Services, And Agentic Ai System, Sujan Chandra Mondol

Theses and Dissertations

Hydrologic data are the cornerstone of many complex hydrologic research and operational workflows that produce useful hydrologic information for water resources decision-making, flood risk communication, and water availability implications. The National Water Model (NWM) is a valuable source of hydrologic data, particularly for its extended coverage of unmonitored streams and the large-scale continuity of hydrologic processes. Precomputed secondary datasets derived from this simulated data, such as streamflow indices, can improve operational efficiency through thresholding. Disseminating the data through modern technologies, such as application programming interfaces, is required for ready integration into applications. However, if extraction requires an intermediate service, there …

"Tithing Is An Insurance Premium": A Framing Analysis Of Speaker Innovation And Diachronic Trends In Latter-Day Saint Religious Discourse, Reid Empey

Theses and Dissertations

Religious language relies on shared metaphor and frames that contextualize religious experience and practice. Current approaches to frame semantics (Fillmore 1982) and cognitive metaphor (Lakoff & Johnson 1980) lend important insight into religious language, particularly in describing the role that figurative language serves in a religious speech community. However, a vital component of many religious speech communities is the presence of and engagement with a scriptural canon, which often contains metaphorical and framing language that religious speakers can directly reference. Yet, past conceptualizations of speech communities have not accounted for this engagement with a shared canon. To illustrate the role …

Synthetic Strategies For Bioactive Peptides: From Aggregation Inhibitors To The Total Synthesis Of Tunicyclin C, Stephanie Graciela Garcia Morin

Theses and Dissertations

In Alzheimer's disease (AD), a brain protein called "tau" abnormally clumps and forms neurofibrillary tangles (NFTs), causing damage to brain cells. Ac-PHF6-NH2 is a hexapeptide segment of tau protein that plays a dominant role in tau aggregation and is used as a model to design tau protein aggregation inhibitors. In this research we synthesized four dehydroamino acid (□AA) containing PHF6 analogues with △Abu (derived from L-threonine) and △Val (derived from □-OH-Valine) at position 2 or 3 via dehydrations or azlactone ring-openings as key reactions. We evaluated their proteolytic resistance, ability to inhibit aggregation of PHF6, and impact on the morphology …

Measuring Proteostasis Changes In Apolipoprotein E Mouse Models Using Quantitative And Kinetic Proteomic Methods, Ariel E.A. Denos

Theses and Dissertations

Alzheimer's Disease (AD) is a neurological disorder associated with brain mass loss and cognitive decline. It affects millions of elderly people and is currently uncurable. Since 1906, when the disease was first described, researchers have uncovered many components of AD pathology. However, it is now evident that curing Alzheimer's Disease will require intervention before the pathological onset of amyloid beta plaque deposition, tau neurofibrillary tangles, and associated neuronal loss. Studying AD from the perspective of early intervention requires special attention to small changes that may disrupt the normal processing of cells. Cells undergo a natural cycle of creation and destruction …

Multi-Band Extinction Modeling In Early-Type Galaxies With Circumnuclear Disks, Nonnie Bash

Theses and Dissertations

In this thesis, we present a spatially resolved, multi-band dust-attenuation method for correcting the stellar luminosity models used in dynamical supermassive black hole (BH) mass measurements. If uncorrected, dust extinction effects may dominate over other systematic uncertainties when determining the BH mass ($M_\mathrm{BH}$). We expand on a simple dust-attenuation method that treats the circumnuclear disk as a thin dust layer embedded in the galaxy midplane. Using a Multi-Gaussian Expansion, we create a three-dimensional stellar luminosity model to calculate the fractions of stellar light originating in front of and behind the disk along each line of sight. We infer the pixel-by-pixel …

Standardizing Gestational Diabetes Mellitus Education To Improve Patient Knowledge And Care Consistency In A Prenatal Clinic Setting, Wynn Zara

Master's Projects and Capstones

The gestational diabetes mellitus (GDM) group visit framework aims to improve consistency of GDM education by standardizing referral processes, educational materials, staff workflows, and patient communication. Although evidence-based GDM education supports patient self-management and improved maternal-fetal outcomes, variability in education delivery contributed to inconsistent care within the outpatient maternal-fetal medicine setting. This quality improvement project was conducted in an outpatient maternal-fetal medicine clinic in Santa Clara County serving pregnant patients diagnosed with GDM. To address this gap, a standardized GDM group visit framework was developed and implemented using structured educational resources, referral criteria, and communication workflows. The intervention was evaluated …

Development And Validation Of The Global Impact Of Chronic Illness Scale – Universal, Abigail Kukay

Theses and Dissertations

The current manuscript presents the development and validation of the Global Impact of Chronic Illness Scale – Universal (GICIS-U), a novel measure of chronic illness impact through three separate studies. The pilot study aimed at measure development, which included item selection and two rounds of item refinement using feedback gained through four focus groups. Study 1 consisted of an exploratory factor analysis (EFA) to determine factor structure of the measure. Participants were 183 individuals recruited from an online participant pool and social media outlets who completed the refined GICIS-U online. Results of the EFA suggested a six-factor structure, of which …

Engineering Education Beyond The Engineering Classroom: Three Studies On Behavioral Nudges, General Education Completion, And Honors Program Participation, Andrew Harrison Volk

Theses and Dissertations

Engineering education extends well beyond the engineering classroom. Engineering undergraduates progress through general education courses, institutional support structures, and enrichment opportunities operating outside their major. The administrative offices that shape these non-engineering experiences typically operate independently of engineering departments, and the structural decisions they make can shape the engineering student's experience without engineering's input. This dissertation examines three settings in which decisions outside engineering matter for engineering students. Study 1 reports a PRISMA-format systematic review of nudge interventions in higher education, developing a four-category typology of nudge types (informational, environmental, process-oriented, and in-name-only) and a six-category typology of application domains. …