Digital Commons Network^™

Training And Resources For Clinicians To Reduce Paperwork Burden And Improve Patient Work Capacity Documentation, Emilio Del Toro, Susan Gatti, Jennifer Kimble, Rebekah Lewis, Karen L. Fortuna, Samantha Migdail-Goyette, Gregory G. Morneau, Donald J. Medd, Ricky Snyder, Karen L. Huyck

Journal of Maine Medical Center

Problem: Inadequate patient work capacity documentation by clinicians contributes to health and economic inequity, clinical inefficiency, and worse patient health outcomes. The intersection of an aging workforce and high amounts of work disability presents an opportunity for health systems to integrate occupational health best practices across clinical settings to improve patient health and work outcomes. Clinicians, however, are often unfamiliar with navigating patient work capacity forms to help patients maintain or obtain employment. This knowledge gap further perpetuates work disability.

Approach: To compensate for this gap, we co-created a training for clinicians that integrates didactic learning and supplemental resources to …

Enhanced Rehabilitation Program In Acute Care: New Program Development And Results In Response To Delayed Hospital Discharges, David L Smith, Morgan Hall, Mary E Mcnulty, Elizabeth Pontius, Cathy Peabody, Beth Burke, Julie Fox

Journal of Maine Medical Center

Problem: The objective of this project was to evaluate and describe the flow of patients who have delayed discharge after they have participated in an enhanced therapy program. Approach: In the current practice, which started in 2021, the care coordination team identifies patients medically ready for discharge but with barriers. Working with the rehabilitation team, the care coordination team determines if the patient is suitable for the enhanced therapy program. These patients go on to receive 1 hour of physical therapy and 1 hour of occupational therapy each day, Monday through Friday, with the goal of discharge to home. Outcomes: …

Behavioral Effects Of Novel Treatments For Pain Management Using Combinatorial Methods, Rohit Rajeev Nambiar

Theses and Dissertations

Pain, despite being an uncomfortable feeling to experience, is a necessary protective mechanism for the body1. Understanding that pain results from several different mechanisms within the body is important to discovering the optimal way to treat and manage a person’s pain. Modern medicine has seen numerous advancements in treating or managing acute and chronic pain, particularly with opioid drugs. However, these treatments come with potential side effects, including opioid use disorder (OUD) and fatal overdose. Finding new treatment methods, or improving existing methods, is crucial for patients with pain. This thesis explores two projects looking to develop safer analgesia using …

The Effect Of A Mindfulness Based Stress Reduction Program On Stress And Burnout Among Nurses, Shanda Sutherland

International Nursing Research Congress (INRC)

Following COVID19, hospitals were faced with prolonged staff shortages, nurse burnout, and an exodus from bedside nursing (White, et al., 2025). As human resources become increasingly challenged, leaders must think and act outside the box to promote and sustain the well-being of the nursing workforce (Hazelett-Stevens, 2020). This quasi-experimental study examined the effect of a Mindfulness Based Stress Reduction Program (MBSR) on perceived stress and burnout among medical-surgical nurses in a hospital setting. Stress reduction programs have been shown to positively impact stress among nurses and may support them to function at their highest cognitive ability (Burdette, 2020). The consistent …

It Takes A Community: Barbershops As Healing Spaces For Black Men, Aron Anthony King, Piri W. Ackerman, Patricia Fernandez

International Nursing Research Congress (INRC)

Black men in the United States experience disproportionately poor mental health outcomes yet remain significantly underrepresented in accessing care. According to the U.S. Department of Health and Human Services Office of Minority Health, African American adults are 20% more likely to report serious psychological distress and are more likely to experience feelings of sadness, hopelessness, and worthlessness compared to their white counterparts. Despite these disparities, less than half of Black men experiencing mental illness seek treatment. Intersecting factors such as racism, stigma, medical mistrust, and traditional notions of masculinity contribute to these gaps, highlighting the need for more culturally responsive …

Chronic Inflammatory Cytokines And Depression: Their Role In Myocardial Infarction Recurrence, Carolyn E. Horne, Christopher M. Smith

International Nursing Research Congress (INRC)

Introduction: Heart disease is a global concern with approximately nine million deaths per year and a high burden of disability. Within the first year following an initial myocardial infarction (MI), individuals have a 10% chance of recurrence (Khan et al., 2020) Following MI, a cascade of immune responses leads to persistent inflammation. Chronic inflammation causes detrimental effects, including remodeling and continued muscle damage (Garrels et al., 2023). Factors such as stress and fatigue contribute to this chronic inflammatory process. Understanding chronic inflammation after MI and contributing factors is essential for improving patient outcomes in cardiovascular recovery. This study explored the …

Enhancing Cultural Competency Through Training In A Primary Care Clinic, Rogelio Perez Iii

Doctor of Nursing Practice Projects

Cultural competence remains essential in primary care settings serving diverse populations, yet staff at a small Southern Texas primary care clinic reported no previous formal cultural competency training in workplace orientation or school. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate whether a brief, evidence-based cultural competency intervention improved clinician cultural competency scores. Madeleine Leininger’s Culture Care Theory provided the theoretical framework, Lewin’s Change Theory guided the change process, and the Plan-Do-Study-Act cycle directed implementation and evaluation. The problem addressed was the lack of structured training to support culturally responsive communication, patient trust, and …

Dis/Ability Critical Race Theory In The Early Childhood Education Classroom, Milo Knickerbocker

Masters Projects

Data shows that many Black and Disabled students are underserved in their current learning environments. This project provides a theoretical introduction to Dis/ability Critical Race Theory (DisCrit), as well as guidance on how to incorporate the theory into the early childhood education setting. This is done in attempt to provide a more equitable and inclusionary learning environment.  This project incorporates a data-driven professional development program surrounding DisCrit and incorporation of anti-racist and anti-ableist inclusionary teaching methods, for the betterment of all students.

Self-Regulation For Early Childhood Classrooms, Emily Fox

Masters Projects

The ability to self-regulate is essential for young children's social, emotional, behavioral, and academic development. However, growing exposure to adverse childhood experiences (ACEs), toxic stress, family instability, and other social and environmental stressors has contributed to challenges in the development of these skills. Children with underdeveloped self-regulation skills are more likely to experience difficulties with executive functioning, peer relationships, classroom behavior, and school readiness, demonstrating the need for early intervention. The purpose of this master's project was to investigate the major social and environmental stressors affecting young children's self-regulation and to develop a research-based intervention to support self-regulation development in …

Teaching Writing With Confidence: A Professional Learning Series To Build Special Education Teachers' Knowledge And Self-Efficacy For Explicit Writing Instruction, Lindsay E. Bowen

Masters Projects

Writing is an essential skill used to communicate ideas effectively, assess understanding, and demonstrate critical thinking across educational and workplace settings. Yet, research demonstrates that a majority of special education teacher preparation programs do not offer standalone courses in writing instruction methods, leaving many special education teachers to enter the profession with limited knowledge of effective writing instruction for students with high-incidence disabilities. This project explores current research on effective sentence-level writing instruction for students with high-incidence disabilities, as well as a research-based approach for applying these practices in a systematic yet adaptable manner to meet the needs of individual …

Enhancing Mental Health Support For Motor Vehicle Accident (Mva) Survivors Through Occupational Therapy (Ot)-Led Support Groups, Emma K. Gooden Ms

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project, completed during a 14-week Applied Leadership Experience (ALE) with Georgetown-Scott County EMS (GSCEMS), focused on the ACOTE target areas of Program Development and Advocacy by creating an evidence-based, trauma-informed, occupational therapy support group curriculum for motor vehicle accident (MVA) survivors. A literature review and needs assessment identified a significant gap in post-crash care, as many survivors experience long-term psychological challenges—including PTSD, anxiety, depression, fear of driving, and disruptions in daily roles—despite care often emphasizing physical rehabilitation over emotional recovery. Drawing from observations of GSCEMS Peer Support and Critical Incident Stress Management meetings, current evidence, and ongoing …

Fieldwork Educators' Perspectives On Occupational Therapy Students Addressing Sexuality And Intimacy: Expectations, Supports, And Barriers, Elizabeth Deluca-Berg

Student Dissertations

Sexuality and intimacy are recognized as meaningful occupations within occupational therapy practice; however, they remain inconsistently addressed in clinical care. Previous research has identified limited educational preparation as a contributing factor to occupational therapists' discomfort and lack of confidence in addressing these occupations. Although classroom instruction provides foundational knowledge, Level II fieldwork serves as the primary setting in which students apply knowledge within authentic clinical environments. Despite the central role of FW educators in facilitating students' professional development, little research has explored how they prepare OT students to address sexuality and intimacy during fieldwork. The purpose of this basic qualitative …

Supporting Graduate Student Flourishing: Development Of A Whole-Person Formation Framework Through A University-Wide Task Force, Elisa Greene, Amanda Grieme-Bradley, Maren Bishop

Papers

How do whole persons form for lives of character and flourishing within graduate schooling years? What steps could an institution take to move toward that end? This work describes the process of one institution’s use of a task force examining these questions using a combination of literature review and structured interviews with key stakeholders across campus. The context of the institution’s unique mission, vision, and virtue framework provided a foundation out of which four areas of focus emerged: 1) infrastructure and representation, 2) belonging and community, 3) communication, and 4) professional identity formation. Investment in these institutional themes supports formation …

Reluctant Revolutionaries: Andor, Fallout, And Narrating The Shifting Moral Economy Of Armed Politics In The United States, Cheng Xu

Government: Faculty Publications

This contribution to the special issue of the Forum argues that mainstream science fiction can be an important site for narrating a nascent change in the moral economy of armed politics in the United States. While firearm politics remain durably partisan, I show that a narrower but significant norm change is emerging: the boundary between ordinary gun ownership and politically charged preparedness has become more permeable, even as overt political violence remains broadly stigmatized. I develop this argument through an interpretive comparative reading of Disney’s Andor and Amazon’s Fallout as widely circulating cultural texts that register changing understandings of legitimacy, …

Breast Cancer Knowledge, Awareness And Screening Practices Among Female Healthcare Workers In Al-Mukalla, Yemen, Wafa Al Shoaeeb, Ahmed M. Badheeb, Faisal Ahmed, Amen Bawazir, Abdulla Bin Nabhan, Mohammed Badheeb, Abdulkader Bayazid

Sultan Qaboos University Medical Journal

Objectives: Breast cancer (BC) is the most common malignancy among women worldwide and represents a significant burden for Yemeni women. Early detection through breast self-examination (BSE) and knowledge of risk factors and symptoms are crucial. This study aimed to assess awareness, knowledge and practice regarding BC risk factors, symptoms and BSE among female healthcare workers (HCWs) in Al-Mukalla, Yemen. Methods: This cross-sectional study was conducted from September to October 2022 at three public hospitals in Al-Mukalla, Yemen. A census sampling approach was used to recruit HCWs. Data were collected using a validated self-administered questionnaire covering breast awareness practices, risk …

Understanding Brain Fog During Menopause, Cris Meier, Moth Huenemann, Ashley Yaugher, Cara Murray

All Current Publications

Brain fog is an inability to concentrate or think clearly and is a common symptom of perimenopause and early in the menopause phase. While not everyone who goes through menopause will have brain fog, it is a common symptom, and it can be helpful to understand why brain fog occurs. This fact sheet provides helpful information to understand brain fog and ideas you can use to manage it.

How We Benefit From Job Satisfaction: The Moderating Effect Of Informal Caregiving On The Associations Between Job Satisfaction And Physiological And Psychological Stress, Jensine Paoletti-Hatcher, Vincent D. Lai, Christopher P. Fagundes

Psychology Faculty Publications and Presentations

Job satisfaction and the resource-building processes it supports may have meaningful implications for health and well-being. These processes may work differently for employees who have informal (i.e., unpaid) caregiving duties outside of work. Guided by conservation of resources theory, we examined two indirect stress-buffering pathways in a sample of 799 nursing home workers, measured four times over 18 months. We tested how job satisfaction affects gain strengthening (via higher positive spillover) and loss weakening (via lower work-family conflict), how these processes impact indices of physiological (i.e., C-reactive protein) and psychological (i.e., perceived) stress, and how informal caregiving status may moderate …

Staged Bilateral Magnetic Resonance‐Guided Focused Ultrasound For Treating Essential Tremor: Systematic Review And Meta‐Analysis, Nima Norbu Sherpa, Andrea Gonzalez Lezana, Gabriela Prilip, Kenji Fukutome, Nathan J. Pertsch, Ruth Reeve, Nadège Bault, Elsa Fouragnan

School of Psychology

BackgroundUnilateral magnetic resonance guided focused ultrasound (MRgFUS) thalamotomy reduces tremor in essential tremor, yet disability often persists on the untreated side. The added benefit and safety of a staged contralateral lesion remain uncertain.ObjectiveThe aim was to evaluate the efficacy and safety of staged bilateral MRgFUS thalamotomy for essential tremor.MethodsWe searched MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, Scopus, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform from inception to April 12, 2026 (PROSPERO CRD420251027624). Eligible studies were staged bilateral MRgFUS with Clinical Rating Scale for Tremor outcomes and adverse events, and at least 3 months of follow up. …

The Role Of Parents In Supporting Student Learning At Home, Lindsey M. Deblaay

Masters Projects

This study addresses the pedagogical disconnect between modern, inquiry-based mathematics instruction and traditional caregiver support structures. While caregiver involvement has proved to be helpful in student achievement, systematic barriers that limit family’s capacity, parent self-efficacy and their willingness to use learning strategies at home, the perception of the parent role of caregivers in their child’ s education makes it difficult. The curriculum prioritizes conceptual number sense and critical thinking rather than rote standard algorithm, so it has created a barrier in parent support among caregivers with these instructional shifts. It diminishes parent self-efficacy particularly in fifth grade. The project features …

Delirium Prevention In The Neuro/Medical Icu, Cathrene Ashika Deo

Master's Projects and Capstones

Abstract

Background: The following quality improvement project was performed in a 20-bed Neuro/Medical ICU in a large urban hospital in Northern California. Assessments with the IHI Clinical Microsystem Assessment Tool and the 5 P's framework indicated that the ICU had good practices in place to manage physiologic decompensation of ICU patients, but no practices to prevent delirium in those patients.

Problem: Delirium is associated with increased mortality rates for ICU patients, increased use of ICU ventilators, longer lengths of stay in the ICU, and long-term cognitive impairments (Devlin et al., 2018). The prevalence of delirium in patients who …

Anatomiya Ng Karinderya: An Exploration On The Reflected Filipino Cultural Values On The Visual Identity Of Carinderias In Cavite, Dan Gabriel V. Bagadiong, Ellaine Marie L. De Castro, Miriam Joan C. Generoso, Ej Jimenez, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

This study explored Filipino cultural values reflected in the visual identity of carinderias and examined their sociocultural and psychological significance within Filipino society. Known for serving lutong bahay (home-cooked meals), carinderias have long been embedded in Filipino culture, embodying values such as bayanihan (community spirit), kapwa (shared identity), and resilience while fostering community connections through food. Grounded in the framework of Pantayong Pananaw, the study investigated how these cultural and psychological values shape the identity and perception of carinderias. Focusing on selected small carinderias in Cavite, the research analyzed their cultural relevance, visual identity, and sociopsychological dimensions. Findings revealed …

Information Resources Utilization, Organisational Culture And Motivation As Determinants Of Quality Service Delivery Of Researchers In Nigerian Institute For Trypanosomiasis Research, Kaduna State, Nigeria., Alegbeleye Gabriel Olubunmi, Ibrahim Awodi, Yemisi Tomilola Babalola

Library Philosophy and Practice (e-journal)

This study investigated the combined influence of information resources utilization, organizational culture, and motivation on quality service delivery in the Nigerian Institute for Trypanosomiasis Research (NITR), Kaduna State. The population comprised 206 researchers across the six research departments of NITR, and a total enumeration technique was employed to include all the researchers. Using a structured questionnaire, 172 valid responses were obtained representing an 83.5% response rate. Data were analyzed using descriptive and multiple regression statistics. Anchored on Uses and Gratification Theory of Information behavior, the Denison Organizational Culture Model, and Self-Determination Theory, the findings revealed that the independent variables jointly …

Establishment Of A Specialized Pectus Clinic: Referral Patterns, Diagnostic Characteristics, And Early Management Experience At A University Hospital, Zeead M. Alghamdi

Saudi Medical Journal

Objectives: To describe the establishment and early impact of a dedicated pectus clinic at a university hospital, focusing on patient characteristics, referral pathways, clinical presentation, and initial management strategies. Methods: A retrospective observational study was conducted at a university hospital between January 2020 and April 2025, with 153 patients included in the final analysis. Data collected included demographic characteristics, referral sources, clinical presentation, deformity type, and treatment options. Descriptive statistical analysis was performed. Results: The mean patient age was 18.3 (range 1–44) years, with males accounting for 83.9% of cases. Pectus carinatum was the most common diagnosis (48.1%), followed by …

Artificial Intelligence In Central Arkansas School Districts: A Phenomenological Study Of Practices, Polices, And Perceptions, Alana M. Graham

ATU Theses and Dissertations 2021 - Present

Artificial intelligence (AI) has evolved at a fast rate and has created both opportunities and challenges for public school districts. As AI technologies continue to emerge, limited research exists regarding how school districts in central Arkansas are integrating AI into instructional and administrative practices. The purpose of this phenomenological study was to explore district-level administrators’ perceptions and experiences regarding the integration of artificial intelligence in public school districts in central Arkansas. The study was guided by Diffusion of Innovations Theory and the Technology Acceptance Model, and examined current AI practices, policy development, perceived benefits and challenges, and barriers associated with …

Evaluation Of Implementation Of An Evidence-Based Screening Tool For Genitourinary Syndrome Of Menopause, Anna L. Myers

Doctor of Nursing Practice Projects

Genitourinary syndrome of menopause (GSM) is a prevalent yet underrecognized and undertreated condition despite evidence-based therapies in the urology setting. The purpose of this Doctor of Nursing Practice quality improvement was to provide education on the 2025 American Urological Association/ Society of Urodynamics and Female Pelvic Medicine & Urogenital Reconstruction/American Urogynecological Society GSM guidelines and integrate the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire into practice, evaluate outcomes of acceptability, appropriateness, and feasibility of the intervention, and the impact on diagnosis and associated GSM prescribing. The aim was to impact provider screening and treatment of patients with GSM. Kolcaba's Comfort …

Preparing Newly-Hired Elementary Teachers For Evidence-Based Reading Instruction Through Professional Development, Sierra Rose Anthony

Masters Projects

There is a growing need to equip teachers with the knowledge and support necessary to foster student growth in reading. The problem addressed in this project is that many newly-hired teachers lack the knowledge, confidence, and instructional coaching needed to effectively implement evidence-based literacy practices in conjunction with high-leverage teaching practices. Newly-hired teachers include teachers who are new to a district, both those who have transferred from another school and those who are just beginning their teaching careers. This project proposes a year-long professional development program that equips newly-hired teachers with evidence-based literacy practices and high-leverage teaching practices through explicit …

Understanding And Responding To Childhood Trauma In The Classroom, Kara L. Ganzer

Master of Arts in Human Services

This capstone explored childhood trauma as a significant public health and educational issue because of its widespread impact on children’s development, learning, behavior, and educational experiences. A review of the current literature was conducted to examine adverse childhood experiences (ACEs), the neurobiological and developmental effects of childhood trauma, its impact within educational settings, and the trauma-informed approaches for supporting students who have experienced adversity. The literature suggested that childhood trauma can disrupt brain development, executive functioning, emotional regulation, attention, memory, and stress-response systems, contributing to academic, behavioral, and social-emotional challenges within the classroom. Findings also highlighted the important role schools …

Inclusion Support For Early Childhood Educators, Victoria Parker

Masters Projects

Some general education teachers are not prepared to support the diverse needs of young students with disabilities being included in general education classrooms. Research shows that teacher preparation is a vital component to creating high-quality inclusive classrooms for young children. Preparing teachers for teaching in inclusive classrooms starts in college, and needs to continue throughout teaching careers to encourage and support the implementation of new strategies. Research also shows that training and preparedness for the challenges of working with students with diverse needs in the general education classroom affects staff attitudes and willingness to collaborate. The purpose of this project …

Methodologies For Encouraging Creative Expression Within The Curriculum, Ian D. Martzke

Masters Projects

Many students struggle to find creative expression within the school curriculum. Indeed, since the 1990s we have seen a rise in average IQ but a reduction in scores through the Torrance Test for Creative Thinking (TTCT) (Kim, 2011). In the course of this project several methodologies for creative problem solving will be described and several lessons will be described that will both explain and model these methodologies of creative problem solving. These lessons will utilize the creative process (Wallas, 1926) and be written to include student choice (Hogan et al. 2020) specifically, within the instructional framework known as Teaching for …

A Structured Independent Reading Framework To Promote Reading Engagement And Literacy Achievement In Elementary Classrooms, Linda K. Bush

Masters Projects

State and national assessment data indicate declining reading achievement and decreasing reading engagement among elementary students. At the same time, increasing instructional demands and accountability pressures have reduced opportunities for students to participate in meaningful Independent Reading, despite decades of research demonstrating its value for literacy development. Research consistently suggests that Independent Reading is most effective when students are provided with protected reading time, meaningful choice, access to engaging texts, instructional support, opportunities for discussion, reflection, and authentic literacy experiences.

This master’s project presents a Structured Independent Reading Framework, which is a research-based instructional framework designed for elementary classrooms that …