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Full Marc Examples To Accompany Olac Best Practices For Cataloging Dvd-Video And Blu-Ray Discs, Objects, Streaming Media, Video Games, And Digital Media Storage Devices Using The Original Rda Toolkit And Marc 21, Kristi Bergland, Mary Huismann, John Dickson, Autumn Faulkner, Robert B. Freeborn, Jeannette Ho, Sarah Hovde, Kyla Jemison, Yoko Kudo, Junghae Lee, Jack Nighan, Alex Whelan Jul 2026

Full Marc Examples To Accompany Olac Best Practices For Cataloging Dvd-Video And Blu-Ray Discs, Objects, Streaming Media, Video Games, And Digital Media Storage Devices Using The Original Rda Toolkit And Marc 21, Kristi Bergland, Mary Huismann, John Dickson, Autumn Faulkner, Robert B. Freeborn, Jeannette Ho, Sarah Hovde, Kyla Jemison, Yoko Kudo, Junghae Lee, Jack Nighan, Alex Whelan

OLAC Publications and Training Materials

Examples of MARC 21 catalog records to accompany the OLAC Best Practices for Cataloging DVD-Video and Blu-ray Discs, Objects, Streaming Media, and Video Games Using the Original RDA Toolkit and MARC 21.


Chaotropic And Kosmotropic Effects Of Brines On Protein Structure: Habitability Across The Solar System, Shelby Dawn Osborne Jul 2026

Chaotropic And Kosmotropic Effects Of Brines On Protein Structure: Habitability Across The Solar System, Shelby Dawn Osborne

Graduate Theses and Dissertations

Salts exhibit unique and specific effects on biomolecular structure depending on the physical nature of the salt (ion density, formation of hydration shells, direct binding to protein). This thesis implements biochemical, thermodynamic, and computational methods to investigate how the nature of the salt effects protein structure, which aids in defining the habitability of various brine solutions. By using simple proteins and solar system relevant salts, we inspect the physical reactions of proteins to these saltwater environments to understand which salts stabilize or destabilize protein structure. Several methods of experimentation are utilized to provide an understanding of the interaction relevant to …


Hpv Vaccination Status And Associated Factors Among Postpartum Patients, Morgan L. Malonson, Sandhya B. Avula, Mary B. Rysavy Jul 2026

Hpv Vaccination Status And Associated Factors Among Postpartum Patients, Morgan L. Malonson, Sandhya B. Avula, Mary B. Rysavy

Summer Research Program Abstracts

No abstract provided.


Effects Of Blood Brain Barrier Permeability Upon Exposure To Patient Plasma From Traumatic Injury, Mackenna S. Mcgraw Jul 2026

Effects Of Blood Brain Barrier Permeability Upon Exposure To Patient Plasma From Traumatic Injury, Mackenna S. Mcgraw

Summer Research Program Abstracts

No abstract provided.


Metabolic Correlates Of Suicidal Ideation In A Longitudinal Cohort Of Hospitalized Adults With Mood Disorders, Mihai Bendea, Nanako Matsuda, Ali Muhammad Lalani, Ana Cristina Ruiz, Sophia Mcinturff, Courtney Vecera, Jair C. Soares, Rodrigo Machado-Vieira, Gabriel R. Fries Jul 2026

Metabolic Correlates Of Suicidal Ideation In A Longitudinal Cohort Of Hospitalized Adults With Mood Disorders, Mihai Bendea, Nanako Matsuda, Ali Muhammad Lalani, Ana Cristina Ruiz, Sophia Mcinturff, Courtney Vecera, Jair C. Soares, Rodrigo Machado-Vieira, Gabriel R. Fries

Summer Research Program Abstracts

No abstract provided.


Microrna Regulation Of Human Trophoblast Stem Cell Proliferation, Eva E. Adams, Madison Vu, Jacqueline G. Parchem Jul 2026

Microrna Regulation Of Human Trophoblast Stem Cell Proliferation, Eva E. Adams, Madison Vu, Jacqueline G. Parchem

Summer Research Program Abstracts

No abstract provided.


Reducing Over-Isolation: Baseline Evaluation Of Isolation Precaution Reassessment In Hospitalized Children, Laura Brambilla, Wan-Hsuan Chen Jul 2026

Reducing Over-Isolation: Baseline Evaluation Of Isolation Precaution Reassessment In Hospitalized Children, Laura Brambilla, Wan-Hsuan Chen

Summer Research Program Abstracts

No abstract provided.


Procedural Pain In Extremely Preterm Infants During The First 28 Days Of Life, Emma Young, Manouchehr Hessabi Md, Amirali Tahanan Ms, Sepideh Saroukhani Md, Phd, Amanda Zander Msn, Rn, Christine Domonoske Pharmd, Matthew Martin-Souza Pharmd, Amir Khan Md, Allison Davidson Md, Jaclyn Ruggiero Md Jul 2026

Procedural Pain In Extremely Preterm Infants During The First 28 Days Of Life, Emma Young, Manouchehr Hessabi Md, Amirali Tahanan Ms, Sepideh Saroukhani Md, Phd, Amanda Zander Msn, Rn, Christine Domonoske Pharmd, Matthew Martin-Souza Pharmd, Amir Khan Md, Allison Davidson Md, Jaclyn Ruggiero Md

Summer Research Program Abstracts

No abstract provided.


Financial Independence And Adult Role Expectations Of College Students In Emerging Adulthood, Elizabeth Ampomaa Amoako Jul 2026

Financial Independence And Adult Role Expectations Of College Students In Emerging Adulthood, Elizabeth Ampomaa Amoako

Graduate Theses and Dissertations

The transition to adulthood has become increasingly prolonged and individualized. This raises questions about how college students conceptualize their readiness for long-term adult roles. Marriage and parenthood remain culturally meaningful markers of adult status, and expectations regarding the timing of these transitions offer a window into how emerging adults integrate identity development and financial considerations into life planning. Grounded in Arnett’s theory of emerging adulthood and Luyckx and colleagues’ multidimensional model of identity formation, the present study examined how identity processes and financial independence relate to college students’ anticipated timing of marriage and parenthood. Data were drawn from 247 undergraduate …


Tipping In The Digital Age: Comparing Group And Individual Tipping Behavior Across Cashless Payments, Akosua Sayer Koduah Jul 2026

Tipping In The Digital Age: Comparing Group And Individual Tipping Behavior Across Cashless Payments, Akosua Sayer Koduah

Graduate Theses and Dissertations

Tipping has long been central to the U.S. hospitality industry, where it provides a substantial share of service workers’ income. What was once a cash-based practice is now increasingly mediated through digital platforms such as card readers, QR codes, and peer-to-peer apps. These systems introduce features such as visibility of the decision, preset defaults, and group payment options that reshape how customers decide whether and how much to tip. While traditional tipping has been widely studied, research on digital restaurant tipping remains limited. This study focuses on two underexplored mechanisms: visibility (whether staff can observe the decision) and group context …


Identification Of Conditionally Essential Genes Required For Salmonella Enterica Serovar Typhimurium Adaptation To The Chicken Cecal Extract Through Ex Vivo Modeling And Transposon Insertion Sequencing, Deborah Bukola Olubanjo Jul 2026

Identification Of Conditionally Essential Genes Required For Salmonella Enterica Serovar Typhimurium Adaptation To The Chicken Cecal Extract Through Ex Vivo Modeling And Transposon Insertion Sequencing, Deborah Bukola Olubanjo

Graduate Theses and Dissertations

Salmonella enterica serovar Typhimurium (S. Typhimurium) remains a major foodborne pathogen associated with chicken, where it can persist in the intestinal tract without overt disease and contribute to zoonotic transmission. The chicken cecum represents a complex ecological niche shaped by microbial competition, host-derived substrates, short-chain fatty acids, oxygen limitation, extracellular components, and diverse metabolic gradients. Although transposon insertion sequencing (Tn-seq) has been widely used to define bacterial fitness determinants, limited work has examined genome-wide adaptation of S. Typhimurium in chicken ceca-derived ex vivo systems that preserve key features of the avian cecal environment. This dissertation investigated conditionally essential genes required …


Jme 4110: Drill-Powered Beach Umbrella Anchor, Matthew Barton, Tanin Ramnath, Marquan Bailey, Zachary Van-Horn, Kaelin Mendoza Jul 2026

Jme 4110: Drill-Powered Beach Umbrella Anchor, Matthew Barton, Tanin Ramnath, Marquan Bailey, Zachary Van-Horn, Kaelin Mendoza

Washington University / UMSL Mechanical Engineering Design Project JME 4110

A common and potentially hazardous situation faced by beachgoers is when standard umbrella anchors fail to hold during wind gusts, causing the umbrella to potentially go airborne and injure nearby people. Existing anchors require manual operation, leading to inconsistent grip and no resistance to different wind directions. Our project is a motorized three anchor system that drives augers into the sand to ensure a consistent grip and security against the wind.


Jme 4110: Drill Powered Pressure Washer, Kathryn Keele, Ashley Givance, Reagan Grass, Andrew Ellis, Jacob Thebeau Jul 2026

Jme 4110: Drill Powered Pressure Washer, Kathryn Keele, Ashley Givance, Reagan Grass, Andrew Ellis, Jacob Thebeau

Washington University / UMSL Mechanical Engineering Design Project JME 4110

This project focuses on developing a drill-powered pressure washer attachment that connects to a standard cordless drill and garden hose. The device uses the drill as its only power source to pressurize water for cleaning applications. This portable design provides a convenient, low-cost alternative to traditional electric or gas-powered pressure washers.


Investigating And Re-Imagining Contemporary Religious Leadership, Amy Lawton, Feyza Akova Jul 2026

Investigating And Re-Imagining Contemporary Religious Leadership, Amy Lawton, Feyza Akova

Sociology Faculty Research and Scholarship

Sociologists, anthropologists, cognitive scientists, and others have shown that religion is a feature of life in every known human society (Bellah 2011). While the cultural contexts, organizing principles, and values of each religion differ greatly – so much so that “religion” is a problematic universal category (Asad 1993) – many religions do share certain characteristics. One of those characteristics – shared among most social groups regardless of their purpose – is leadership, variously defined. Spiritual and religious groups, gatherings, and collectives have specific individuals that they turn to for wisdom, spiritual or moral guidance, fostering community, and/or ritual facilitation. We …


Nuclear Factor Of Activated T Cells As A Driver Of Tumor Progression And A Target For Precision Therapy, Hira Khan, Khushbakhat Alia, Yusra Al Dhaheri, Muhammad Naseem, Rabah Iratni, Edgar Serfling, Khalid Muhammad Jul 2026

Nuclear Factor Of Activated T Cells As A Driver Of Tumor Progression And A Target For Precision Therapy, Hira Khan, Khushbakhat Alia, Yusra Al Dhaheri, Muhammad Naseem, Rabah Iratni, Edgar Serfling, Khalid Muhammad

All Works

The Nuclear Factor of Activated T Cells (NFAT) family comprises closely related transcription factors. Numerous biological processes including angiogenesis, invasion, migration, proliferation, and cell survival are regulated by the NFAT family. NFATs are overexpressed and have increased transcriptional activity in a variety of human solid tumors and hematological cancers. Beyond tumor cell-intrinsic roles, NFAT has also emerged as an important regulator of the tumor microenvironment (TME), where it can influence immune cell behavior and contribute to mechanisms of immune evasion. The discovery of the multifaceted functions of NFATs has driven the need to further unveil their role in cancer and …


Life Cycle Of Lithium-Ion Battery Recycling Systems Enable Carbon Capture, Utilization, And Storage: A Review, Nabeel Al-Qirim, Mohammad Kamrul Hasan, Hussam Al Hamadi, Akm Ahasan Habib, Shayla Islam Jul 2026

Life Cycle Of Lithium-Ion Battery Recycling Systems Enable Carbon Capture, Utilization, And Storage: A Review, Nabeel Al-Qirim, Mohammad Kamrul Hasan, Hussam Al Hamadi, Akm Ahasan Habib, Shayla Islam

All Works

The lithium-ion battery (LIB) is the primary component of electric vehicles (EVs), and its environmental consequences are significant for the eventual widespread adoption of EVs. Recycling used LIBs protects the environment and allows for the reuse of valuable materials. To achieve the goal of a circular economy, LIB recycling processes that conserve environmentally friendly resources and maintain sustainability need to be developed. The critical technology for achieving global climate goals is carbon capture, utilization, and storage (CCUS), which makes it possible to significantly lower carbon dioxide (CO2) emissions across power and industrial systems. The LIB recycling and CCUS are becoming …


Plant-Dominant Low-Protein Diet Versus Standard Care In Adults With Chronic Kidney Disease Stages 3–5: A Randomized Controlled Trial Protocol, Joelle Abi Kharma, Rana Sultan, Rana Rizk, Dalya Haroun, Hala Kilani, Kamyar Kalantar-Zadeh, Jessica Gubbels, Kathelijne Bessems Jul 2026

Plant-Dominant Low-Protein Diet Versus Standard Care In Adults With Chronic Kidney Disease Stages 3–5: A Randomized Controlled Trial Protocol, Joelle Abi Kharma, Rana Sultan, Rana Rizk, Dalya Haroun, Hala Kilani, Kamyar Kalantar-Zadeh, Jessica Gubbels, Kathelijne Bessems

All Works

Background The plant-dominant low-protein diet (PLADO), providing 0.6-0.8 g/kg/d of protein with ≥50% derived from plant sources, may improve acid–base balance and metabolic outcomes in chronic kidney disease (CKD). However, concerns remain regarding safety and feasibility, and experimental evidence is limited. Objective This protocol describes a randomized controlled trial (RCT), designed to evaluate the efficacy, nutritional and biochemical safety, implementation feasibility, and cost-effectiveness of PLADO compared with the standard renal diet in adults with CKD stages 3-5. Methods This unblinded, parallel-group RCT will enroll 48 adults with CKD stages 3-5 in a medical center in Lebanon and randomize participants 1:1 …


Cultural Diplomacy Through Museums: An Analysis Of The Role Of Sheikh Dr. Sultan Al Qasimi In Promoting Intercultural Dialogue Through History, Culture, And Tourism, Abdulla Almheiri, Fareed Awae, Muhammad Talhah Jima’Ain, Hamdan Chehdimae, Mohamad Azrien Mohamed Adnan, Fuad Trayek Jul 2026

Cultural Diplomacy Through Museums: An Analysis Of The Role Of Sheikh Dr. Sultan Al Qasimi In Promoting Intercultural Dialogue Through History, Culture, And Tourism, Abdulla Almheiri, Fareed Awae, Muhammad Talhah Jima’Ain, Hamdan Chehdimae, Mohamad Azrien Mohamed Adnan, Fuad Trayek

All Works

This study aims to analyze the role of cultural diplomacy in the Emirate of Sharjah through museums. Particular emphasis is placed on the important contributions of His Highness Sheikh Dr. Sultan Al Qasimi in promoting intercultural communication and consolidating cultural identity through the support of history, archaeology, and tourism. The study uses a quantitative approach with a survey research design. The perspectives of 285 museum visitors have been analyzed based on arithmetic means and standard deviations to measure their level of awareness regarding the museum’s historical, cultural, and tourism dimensions. The findings indicate a high level of awareness concerning the …


Vaccine Hesitancy And Uptake During Pregnancy: Investigating The Role Of Emotional Mental Imagery, Julie L. Ji, Zoe Bradfield, Lies Notebaert, Joshua Lake, Catherine Hughes, Jane Warland, Julian Basanovic, Colin Macleod, Margie Danchin, Christopher C. Blyth, Katie Attwell Jul 2026

Vaccine Hesitancy And Uptake During Pregnancy: Investigating The Role Of Emotional Mental Imagery, Julie L. Ji, Zoe Bradfield, Lies Notebaert, Joshua Lake, Catherine Hughes, Jane Warland, Julian Basanovic, Colin Macleod, Margie Danchin, Christopher C. Blyth, Katie Attwell

School of Psychology

Background Vaccine hesitancy and suboptimal vaccine uptake pose significant threats to public health, but modifiable psychological factors underpinning them are under-investigated. We examined the prevalence of spontaneous emotional mental imagery relating to infectious diseases and perinatal vaccines and its unique associations with vaccine hesitancy and uptake behaviour. Methods In a two-part longitudinal study, a sample of 411 English-speaking pregnant women attending a large public maternity hospital in Western Australia completed a baseline survey assessing levels of vaccine hesitancy and vaccine uptake (status and timing) during pregnancy for influenza, pertussis, and COVID-19. Vaccine uptake data were collected through official immunisation records. …


Current State And Needs Of Clinical Laboratories In Latin America: A Cross-Country Assessment., Alejandro R. Molinelli, Elizabeth L. Palavecino, José C. Jara-Aguirre, Kerry Cosby, Allison Targowski, Barbara Goldsmith, Rosa Sierra-Amor, Juan D. García, Alicia Algeciras-Schimnich, Eugenio H. Zabaleta, Veronica I. Luzzi, Jessica M. Colón-Franco Jul 2026

Current State And Needs Of Clinical Laboratories In Latin America: A Cross-Country Assessment., Alejandro R. Molinelli, Elizabeth L. Palavecino, José C. Jara-Aguirre, Kerry Cosby, Allison Targowski, Barbara Goldsmith, Rosa Sierra-Amor, Juan D. García, Alicia Algeciras-Schimnich, Eugenio H. Zabaleta, Veronica I. Luzzi, Jessica M. Colón-Franco

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

The Association for Diagnostics & Laboratory Medicine (ADLM) aims to improve health by providing education to laboratory scientists worldwide. Different regions of the world face unique challenges shaped by their national and regional contexts. However, the needs of clinical laboratories worldwide remain largely understudied. To address this gap, we conducted a comprehensive needs assessment survey among laboratory professionals in the Latin American region. The survey was distributed to over 2708 individuals across Latin American countries and yielded 148 responses. Most respondents were from urban areas (74%) and worked in private hospital laboratories (45%), with microbiology (25%) and chemistry (23%) identified …


Outcomes With Cerclage For Short Cervix ≤20.9 Mm Before 24 Weeks In Singletons Without Prior Preterm Birth: A Focused Meta-Analysis Of Randomized Controlled Trials, Rupsa Boelig, Kypros Nicolaides, Orion Rust, Katsufumi Otzuki, Sietske Althuisius, Gabriele Saccone, Vincenzo Berghella Jul 2026

Outcomes With Cerclage For Short Cervix ≤20.9 Mm Before 24 Weeks In Singletons Without Prior Preterm Birth: A Focused Meta-Analysis Of Randomized Controlled Trials, Rupsa Boelig, Kypros Nicolaides, Orion Rust, Katsufumi Otzuki, Sietske Althuisius, Gabriele Saccone, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

No abstract provided.


Cefepime Pharmacokinetics In Critically Ill Children With Multiple Organ Dysfunction Syndrome Using Volumetric Absorptive Microsampling, Victor Amajor, Amanda Bwint, Steven Shein, Janet Hume, Courtney Rowan, Leeanne Flygt, Matthew Malone, Erin Stenson, Scott Weiss, Matt Zinter, Sujatha Kannan, Mary Dahmer, Ryan Nofziger, Manjunath Pai, Athena Zuppa, Nathaniel Rhodes, Mark Hall, Marc Scheetz, Kevin Downes Jul 2026

Cefepime Pharmacokinetics In Critically Ill Children With Multiple Organ Dysfunction Syndrome Using Volumetric Absorptive Microsampling, Victor Amajor, Amanda Bwint, Steven Shein, Janet Hume, Courtney Rowan, Leeanne Flygt, Matthew Malone, Erin Stenson, Scott Weiss, Matt Zinter, Sujatha Kannan, Mary Dahmer, Ryan Nofziger, Manjunath Pai, Athena Zuppa, Nathaniel Rhodes, Mark Hall, Marc Scheetz, Kevin Downes

Department of Pediatrics Faculty Papers

Up to half of critically ill children experience multiple organ dysfunction syndrome (MODS), which worsens outcomes and increases mortality risk. Cefepime is a broad-spectrum antibiotic commonly used in pediatric sepsis, but its pharmacokinetics during MODS has not been evaluated. We performed a prospective, observational study of critically ill children with MODS who were administered cefepime and collected up to 15 whole blood samples over 3 days using volumetric absorptive microsampling (VAMS). We performed nonlinear mixed-effects modeling to develop a population PK model for cefepime in children with MODS. We then reran our final population PK model using estimated plasma concentrations …


Purposeful Rounds: A Structured Fall Prevention Plan: Final Report, Cincerlyn Lewis Jul 2026

Purposeful Rounds: A Structured Fall Prevention Plan: Final Report, Cincerlyn Lewis

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls are the most frequently reported preventable events in hospitalized patients.  Falls in the project unit were increasing, and a gap analysis revealed variation in how nurses assessed fall risk and implemented interventions. Evidence indicated that inconsistent rounding undermined situational awareness and delayed identification of patient needs. This gap highlighted the need for a structured, evidence‑based rounding process to improve consistency and reliability.

Aim of the project: The Purposeful Rounds (PR) project aimed to implement a structured process to improve rounding consistency and staff responsiveness, while reducing fall rates over a 12‑week period.

Review of the Evidence: Evidence-based literature …


Increasing Referrals To The Lung Cancer Screening Program, Megan Randall Jul 2026

Increasing Referrals To The Lung Cancer Screening Program, Megan Randall

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Lung cancer is the leading cause of cancer-related deaths worldwide and is frequently diagnosed at advanced stages when treatment options are limited. A Veterans Administration (VA) primary care clinic demonstrated lower referral rates to the lung cancer screening (LCS) program than a comparable VA clinic despite having a higher prevalence of tobacco users. Existing electronic health record reminders focused on smoking cessation and did not systematically assess eligibility for LCS, contributing to underutilization of the screening program.

Aim of the Project: The aim of this quality improvement project was to increase referrals to the LCS program by improving identification …


Optimizing Daily Central Line Review: A High-Reliability Qi Project, Heather Khan Jul 2026

Optimizing Daily Central Line Review: A High-Reliability Qi Project, Heather Khan

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Prolonged central line use increases the risk of infection. At baseline, central line utilization in a 21-bed medical intensive care unit exceeded organizational goals and the national median. Gaps in the central line review process and variation in staff knowledge contributed to overutilization.

 Aim of the Project: The project team aimed to improve patient outcomes by reducing the central line standardized utilization ratio (SUR) from 0.93 to the national median of 0.79 over 12 weeks.

Review of the Evidence: Evidence supports standardization, use of decision-support tools, measurement, and auditing to reduce central line utilization. Leadership engagement, safety culture, and …


Poor Adherence To Established Clinical Guidelines In Outpatient Bladder Cancer Management, Melanie Boren Jul 2026

Poor Adherence To Established Clinical Guidelines In Outpatient Bladder Cancer Management, Melanie Boren

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: The outpatient urology practice encountered challenges with adherence to Clinical Practice Guidelines (CPGs), primarily due to unfamiliarity and lack of operational accountability. This led to a low adherence rate of only 40% among patients with bladder cancer. Key issues included inadequate training and knowledge gaps regarding CPGs.

Aim of the Project: The project aimed to improve patient care and outcomes in bladder cancer treatment by enhancing patient retention and adherence to treatment protocols. Evidence-based interventions were implemented to optimize care delivery and support adherence to prescribed treatments.

Review of Evidence: A literature review highlights the effectiveness of nurse navigator …


Skin Is In: Promoting Breastfeeding Through Immediate Cesarean Skin-To-Skin, Autumn Spencer Jul 2026

Skin Is In: Promoting Breastfeeding Through Immediate Cesarean Skin-To-Skin, Autumn Spencer

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) and the American College of Obstetricians and Gynecologists identify immediate, uninterrupted skin-to-skin contact as a standard of care that improves neonatal stability, breastfeeding outcomes, and maternal satisfaction. Despite these recommendations, timely initiation following cesarean birth remains inconsistent. At the project site, skin-to-skin initiation averaged 72 minutes after birth, exceeding the 10-minute benchmark, and exclusive breastfeeding rates were below the national standard of 70%. Contributing barriers included workflow variability, unclear role expectations, and inconsistent communication.

Aim of the Project: The aim of the project was to improve infant and maternal …


Improving Timely Hospice Pain Reassessments Through A Quality Improvement Initiative, Brianna Strong-Mosley Jul 2026

Improving Timely Hospice Pain Reassessments Through A Quality Improvement Initiative, Brianna Strong-Mosley

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: In a hospice care organization, a practice gap was observed in prompt pain reassessment with an onset or increase of pain, as mandated within a 48-hour timeframe by the Centers for Medicare and Medicaid Services (CMS). Baseline data showed that only 40% of eligible patients with a pain score of ≥ 6 received a documented pain reassessment within 48 hours. Overall patient satisfaction with hospice services was 45%.

Aim of the Project: The quality improvement project aimed to enhance pain management by increasing the percentage of eligible hospice patients with a documented pain score of ≥ 6 from a …


Improving Medication Reconciliation Compliance In Home Health Admissions, Paula A. Petrie-Rivas Jul 2026

Improving Medication Reconciliation Compliance In Home Health Admissions, Paula A. Petrie-Rivas

All Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Clinician compliance with medication reconciliation at a home health agency was below regulatory expectations, with agency performance significantly lower than state and national averages. Workflow inefficiencies, inconsistent clinician practices, and limited training contributed to noncompliance, increasing the risk of medication discrepancies, preventable rehospitalizations, and Medicare reimbursement penalties.

Aim: This quality improvement project implemented a standardized medication reconciliation workflow using the Agency for Healthcare Research and Quality’s MATCH toolkit to improve clinician compliance during admission to home health.

Evidence: Literature supports structured medication reconciliation as an effective strategy to improve safety during transitions of care. The MATCH toolkit provides a …


Utilizing A Multidisciplinary Team Approach To Opioid Stewardship In A Long-Term Acute Care Hospital, Lesley Moore Jul 2026

Utilizing A Multidisciplinary Team Approach To Opioid Stewardship In A Long-Term Acute Care Hospital, Lesley Moore

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

The opioid crisis continues to negatively affect patient safety and healthcare outcomes across the United States. Long-term acute care hospitals (LTACHs) care for medically complex patients who often require prolonged pain management and are at increased risk for opioid-related adverse events. At the project site, a 32-bed LTACH, 72% of reviewed patient charts included an opioid prescription upon admission, exceeding recommended prescribing benchmarks and identifying a gap in opioid stewardship practices. The absence of a standardized opioid stewardship program (OSP) and opioid risk screening process increased the risk of opioid misuse, dependency, and adverse patient outcomes.

Aim of the …