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Implementing The Walking Impairment Questionnaire For Peripheral Artery Disease Screening And Referral, Lisa Doyle

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Peripheral artery disease (PAD) is a leading cause of cardiovascular morbidity, mortality, and lower extremity amputation. At a Level 1 veterans medical center, the absence of a standardized screening and referral process contributed to delayed identification of symptomatic PAD and underutilization of supervised exercise therapy (SET). Between August 2024 and July 2025, only four veterans completed SET despite a large high-risk population, demonstrating a significant gap in evidence-based recommendations and clinical practice.

Aim of the Project: The aim of this project was to improve patient outcomes by standardizing screening for symptomatic PAD using the Walking Impairment Questionnaire (WIQ) to …

Pressure Injury Prevention Bundle Implementation In An Acute Care Unit, Hannah K. Pobi

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Pressure Injuries are quality indicators that reflect the quality of care delivered to patients. With a hospital-acquired pressure injury rate above 12%, the project site exceeded the national benchmark average of 5-8% for acute inpatient settings. The cost of managing hospital acquired pressure injury ranges from $20,900 to $151,700 per patient, compounded by complications in a patient’s treatment plan.

Aim of the Project: To reduce the prevalence of HAPIs in a step-down unit to below 8% by implementing the Pressure Injury Prevention bundle. The PIP bundle, an evidence-based intervention, primarily aimed to educate the nursing team on its …

Fall Tailoring Interventions For Patient Safety: A Program Evaluation, Shirley Morrison

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls with injury rates had increased for over two years at the project hospital until nurse leaders implemented a new fall-prevention intervention. Patient falls are the most common preventable adverse event in acute care hospitals, with approximately 700,000 to 1 million occurring annually in the United States. Before implementing the Fall Tailoring Interventions for Patient Safety (TIPS) toolkit, the hospital’s program lacked an evidence-based approach and a fall communication board to alert staff, patients, and families about the individual fall risk status, leaving a significant gap in patient-centered care.

Aim of the Project: The aim of the project was …

Reducing Catheter-Associated Urinary Tract Infections In Progressive Care, Kelli S. Bylsma

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Catheter-associated urinary tract infections (CAUTI) harm patients and increase healthcare costs. In fiscal year 2025, the progressive care unit reported a CAUTI rate 2.5 times the National Healthcare Safety Network benchmark of 1.0 infection per 1,000 catheter days. A gap analysis revealed that the project site lacked a policy mandating chlorhexidine baths for catheterized patients, resulting in suboptimal catheter hygiene and ineffective bactericidal intervention.

Aim of the Project: The aim of the quality improvement project was to reduce CAUTI rates by 50% through daily chlorhexidine baths for catheterized patients in the progressive care unit.

Review of the Evidence: Recent …

The Mental Health Of Athletes: Channeling Frustration, Aggression, Internal/External Behaviors In The Real World To Improve Performance, Jabari Johnson

Dissertations

This qualitative study examined how college athletes, 18 years and older, experience and interpret internalizing behaviors and externalizing behaviors within contact and non-contact sports, and how those experiences are shaped by gender, racial/ethnic background, and socioeconomic status. The study addressed a gap in the literature by centering athletes’ own perspectives on how emotions, coping, identity, and performance intersect within collegiate sport contexts. A purposive sample of 12 athletes completed a demographic questionnaire and participated in semi-structured interviews conducted in person between December 2025 and February 2026. Interview transcripts were deidentified and analyzed using reflexive thematic analysis following Braun and Clarke’s …

Strengthening The Shield: Exploring Post-Traumatic Growth In Law Enforcement, Aaleiyah C. Spaulding

Dissertations

Law enforcement officers are routinely exposed to traumatic incidents that can lead to psychological distress, including posttraumatic stress disorder (PTSD). However, emerging literature highlights the potential for posttraumatic growth (PTG), a positive psychological change following adversity. This study examined the prevalence and predictors of PTG in a sample of 33 police officers from a Midwestern department. Using validated self-report measures, the study assessed the role of trauma exposure, cognitive restructuring of core beliefs, and perceived organizational culture, particularly supervisor support. Results indicated that both internal (core belief reflection) and external (supervisory support) factors significantly predicted PTG. Additionally, involvement in a …

Improving Iv Access Outcomes In Obstetric Care Through A-Diva Scale Utilization And Point-Of-Care Ultrasound, Parth S. Patel, Matthew T. Komorowski

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Obstetric (OB) patients frequently present physiological changes, including edema, obesity, and peripheral vasoconstriction, that increase the risk of difficult intravenous access (DIVA). Multiple IV attempts can delay time-sensitive therapies in obstetric emergencies and increase patient discomfort and provider workload. Research studies have supported the use of the Modified Adult Difficult Intravenous Access (A-DIVA) scale to assess patients for DIVA, and the use of point-of-care ultrasound (POCUS) guided peripheral intravenous access (PIVA). In 2025, a preceding Doctor of Nurse Anesthesia Practice (DNAP) project implemented A-DIVA in the Labor & Delivery (L&D) unit of an OB department and found that 35% of …

From Gap To Growth: Academic Librarian Perspectives On Why Collaboration And Curriculum Matter, Stephanie Hallam

Library Faculty Scholarship

Incoming undergraduate students possess information literacy skillsets impacted by several factors, such as prior development of information literacy skills, librarian-faculty collaboration, and GenAI advancements. Academic librarians’ perspectives on undergraduate students’ library use and information literacy skills were examined via a 2025 survey of 337 undergraduate academic librarians. Using the Pearson bivariate method, the authors identified themes pertaining to the challenges students face as well as librarian-proposed solutions. Open responses from librarians provide additional insights. The results showed that librarians desire faculty partnerships and collaborative library instruction to improve information literacy skills and library use.

Empowering Domestic Violence Survivors Through Community-Based Self-Regulation Suppor, Xen Gabrielle O. Advincula

Occupational Therapy Student Capstones

Purpose: Program development of trauma-informed, occupation-based resources and program and incorporating OT-related principles to support occupational balance and engagement of survivors of DV and IPV

Goal: Enhance and support the staff’s capacity and understanding of OT-scope in community settings and incorporation of OT-focused self-regulation strategies

Outcome: Increase the staff’s confidence levels of knowledge on the scope of OT within community-based settings and OT-related strategies to support self-regulation levels

An Epilepsy Community Collective Towards Occupational Justice And Empowerment, Tyler Debuty

Occupational Therapy Student Capstones

Underutilization of epilepsy-specific resource programs, lack of public awareness about epilepsy, limitations in community belonging, and implications for self-management programs aimed towards improving quality of life and reducing the burden of care during the transition into adulthood and throughout the lifespan for people with epilepsy.

Enhancing New Mother's Mental Health And Confidence After Discharge, Breana De La Cruz

Occupational Therapy Student Capstones

New mothers lack guidance, education and resources for common postpartum complications resulting in a decreased overall wellbeing in the postpartum period.

Fostering Wellness: Developing Strategies To Improve Mental Health And Decrease Burnout For Professionals Serving Foster Youth, Amaya Dorado Ledesma

Occupational Therapy Student Capstones

High burnout rates, turnover, and decreased mental health are limiting not only foster youth professionals, but also the families and children they serve.

Going With The Flow: Psychological Flow & The Mental Health Of Occupational Therapy Students, Sydney Buchanan

Occupational Therapy Student Capstones

Despite a growing interest in psychological flow as a factor associated with positive mental health outcomes, its relationship to OTD student well-being has remained underexplored.

Post-Stroke Fatigue: Bridging Neuropathology And Neurorehabilitation-Translating Research Into Clinical Assessment And Intervention Strategies, Wesley Green

Occupational Therapy Student Capstones

Current clinical approaches to post-stroke fatigue are challenged by limited evidence and an incomplete understanding of its underlying mechanisms.

Healing After Loss: Maternal Wellness Following Perinatal Loss, Farah S. Hakim

Occupational Therapy Student Capstones

Perinatal loss can disrupt women's roles, routines, identity, and emotional well-being.

Postpartum services often focus on medical recovery within healthcare settings.

Limited occupational therapy and culturally responsive resources exist after perinatal loss

Kickin' It Old School: Connecting The Ages, Elyssia Lambert

Occupational Therapy Student Capstones

Problem Statement

Lack of social participation is associated with negative impacts on QoL in individuals with dementia

Lack of awareness and knowledge of OT as a career option

Connection For All: Supporting Neurodivergent-Accessible Sex And Dating Education, Emma Martinho

Occupational Therapy Student Capstones

While engaging in sexuality and dating are expressed interests for neurodivergent young adults, there is a lack of support limiting their participation.

Supporting The Transition: A Summer Camp Model For Students With Adhd Entering Middle School, Anna G. Schene

Occupational Therapy Student Capstones

Students transitioning from elementary school to middle school experience newfound independence, requiring sufficiency in their executive functioning skills. The school-based OT service delivery does not always include or target this population, leaving students without the support needed to develop these skills.

Unequal Access, Unmet Needs: Rethinking Occupational Therapy In Private Practice, Meghan Smith

Occupational Therapy Student Capstones

Individuals from low-SES backgrounds often experience barriers to occupational therapy services, while private practitioners face challenges balancing accessibility with financial sustainability. These challenges underscore the need to better prepare future occupational therapists to provide equitable, accessible, and sustainable services within private practice.

Clinician Perspective And Uses Of Technology In Neurological Home Health Rehabilitation: A Quality Improvement Project, Sean Sullinger

Occupational Therapy Student Capstones

Despite advancements in technology-based intervention systems and supporting evidence on its benefits, rehabilitation clinicians often demonstrate minimal adoption rates in practice due to a lack of training, device access, and confidence in implementation skills leading to impacts on intervention variability in practice.

Explainable And Hybrid Machine Learning For Predicting Fatal Crash Risk, Hussein Khanjar, Abdolmajid Erfani

Michigan Tech Publications

Road traffic fatalities remain one of the most persistent public safety challenges, demanding predictive models that are not only accurate but also reliable and interpretable. While numerous machine-learning models have been developed for crash severity prediction, most remain limited in three critical dimensions: they simplify the unit of analysis by focusing only on the driver or the most severe occupant per crash, they emphasize predictive performance while neglecting model confidence and probability calibration, and they often function as black boxes lacking interpretability for real-world decision support. To address these gaps, this study proposes a calibrated hybrid machine-learning framework for nationwide, …

Hope College Magazine, Volume 58, Number 1: Summer 2026, Hope College

Hope College Magazine

No abstract provided.

Fy 2024-2025 Annual Report (Lwlc), Lwlc Faculty And Staff

LWLC Publications

No abstract provided.

Dnp Final Report: Implementing The 5-2-1-0 Lifestyle Framework To Address Elevated Bmi In Pediatric Primary Care, Mary K. Williams

DNP Final Reports

Pediatric obesity remains a significant public health concern, particularly in rural areas where access to specialty care is limited. Primary care settings provide an important opportunity for early identification and intervention through family-based lifestyle modification. The purpose of this quality improvement project was to evaluate the feasibility and preliminary impact of implementing the 5-2-1-0 healthy habits framework, developed by researchers at Penn State, in a rural pediatric primary care clinic to promote improved lifestyle behaviors among children with elevated body mass index (BMI).

This project included pediatric patients ages 5–16 years presenting for well-child visits with a BMI at or …

Adaptive Sports Program & Wellness Initiatives For Individuals With Intellectual/Developmental Disabilities Beyond The Service Cliff, Jordan Pare, Erin K. Wells

OTD DEx Reports - College of Pharmacy and Health Sciences

Young adults with Intellectual and Developmental Disability over the age twenty-one face significant barriers to accessing support in mental health, physical activity, and social communication opportunities due to the loss of federal educational entitlement at this age. Individuals with a disability who lose their educational funding at age twenty-one may be forced into underfunded and uncoordinated systems for support, also known as the service cliff. This paper evaluates the benefits of implementing an adaptive sports program for this population, which research suggests can foster social and physical needs while influencing executive functioning in mental health. The benefits of providing education …

Toward Intentional Praxis: A Design Thinking Multi-Case Study Of Cognitive-Constructive Toolkit Implementation In An Elementary Professional Learning Community, Azam Nathaniel

Dissertations

Among several learning theories that were dynamic and constantly evolving with time, cognitive and constructive theories were predominant in the field of education. However, these theories often included overlapping and contrasting concepts, contributing to confusion in terminology among teachers and limited explicit use in instructional practice. Within the context of K-12 education, teachers demonstrated conceptual awareness of cognitive and constructive learning theories; however, the theories were not a part of day-to-day conversations and were minimally identified in practice. Instead, the theories were implicitly applied as teachers balanced competing professional responsibilities, including daily routines, syllabus requirements, district standards, new initiatives, differentiated …

Empowering Amputees Through Education And Resources To Improve Independence And Quality Of Life, Brooke A. Hodges, Wendy M. Tremaine

Summer 2026 OTD Capstone Symposium

This doctoral capstone project aimed to develop and implement an evidence-based educational toolkit to increase community resource awareness for individuals with amputations. The project was completed at Baylor Scott & White Institute for Rehabilitation in Dallas, Texas, and involved adult patients with limb loss and rehabilitation healthcare professionals. A needs assessment was conducted using surveys, semi-structured interviews, and informal discussions to identify educational gaps and resource needs. Findings informed the development of educational materials addressing mental health, peer support, financial assistance, transportation, driving rehabilitation, home modifications, adaptive recreation, prosthetic resources, and community organizations. The toolkit was designed to accommodate varying …

Supporting Participation Through Sensory Inclusion, Karla Bonilla, Jazminne Orozco Arteaga

Summer 2026 OTD Capstone Symposium

This capstone project focused on promoting sensory-inclusive environments to support play and social participation among autistic children. The project was conducted in partnership with Straight From The Heart, a foster care organization in San Diego County. A community profile, literature review, and needs assessment were completed using caregiver and social worker surveys and semi-structured interviews with community organization professionals to identify environmental barriers, caregiver education needs, and resource priorities. The findings informed the development of sensory-inclusive educational resources and educational workshop. Stakeholder feedback was used to refine the resources and evaluate their perceived relevance and usefulness. The project highlights the …

Ethos: A Computational Framework For Material Culture Research, Chelsea L. Grafe

Department of Textiles, Merchandising and Fashion Design: Dissertations, Theses, and Student Research

Museum catalog records make large collections searchable, but they do not always preserve the reasoning behind the claims they contain. A record may present a quilt's identity as settled while leaving the reasoning behind that claim invisible, making it difficult for later researchers to check, question, or reuse. This project asks whether museum catalog data can be analyzed in a way that keeps each analytical claim connected to the evidence that supports it. To test this question, the project applies a material-first computational framework named Ethos. Ethos formalizes an object-centered inquiry sequence in which material dependencies establish where analysis begins …

The Role Of Complexity In Structural Transfer: A Corpus Study From Turkish And Bulgarian, Sarah Joy Russell

Theses and Dissertations

This study the explores the need to examine the increasingly varied methods of quantifying morphological complexity in regards to their ability to influence structural borrowing across languages, with particular attention to the distinction between enumerative complexity (enumeration of all of the morphemes and distinctions in a system) and integrative complexity (entropy-based calculation of the class distinctions of the system). While existing models in contact linguistics often assume that structurally simpler languages are more likely to serve as sources of grammatical transfer, such accounts typically rely on enumerative measures of complexity alone and do not fully account for the role of …