Digital Commons Network^™

Quality Improvement Project: Impact Of Mindfulness-Based Stress Reduction On Nurse Burnout In Skilled Nursing Facilities, Chinenye Okafor

Doctor of Nursing Practice Projects

Burnout is a persistent and critical problem in skilled nursing facilities, contributing to reduced job satisfaction, increased turnover, and compromised quality of care. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the impact of a Mindfulness-Based Stress Reduction program on burnout among registered nurses in a skilled nursing facility. Guided by the Job Demands–Resources framework and Lewin’s Change Theory, a quantitative pretest–posttest design was implemented using the Plan–Do–Study–Act. Ten nurses consented to participate in an eight-week intervention, and four completed both pre- and post-intervention measures. Burnout was measured using the Maslach Burnout Inventory–Human Services …

Quality Improvement Project: Improving Pneumococcal Vaccination Rates Through Provider Education In Primary Care, Leikasha Allen

Doctor of Nursing Practice Projects

Pneumococcal disease remains a major cause of illness and mortality among adults aged 65 years and older, leading to severe pneumonia, bacteremia, and meningitis, particularly in vulnerable populations. Although effective vaccines and clear Centers for Disease Control (CDC) and Advisory Committee Immunization Practice (ACIP) guidelines, vaccination in this age group remains inadequate. This Doctor of Nursing Practice (DNP) quality improvement project aimed to determine the impact of pneumococcal vaccination compliance through evaluating provider knowledge, confidence, and adherence to evidence-based guidelines through targeted education. Guided by Rogers’ Diffusion of Innovation Theory and the Health Belief Model, a 20-minute evidence‑based educational session …

China Maritime Report #51: The Seafarer Profession In Contemporary China, Conor M. Kennedy

CMSI China Maritime Reports

Main Findings

• China’s merchant marine is a foundational economic and national security asset, supporting the country’s multi-decade growth and modernization and military logistics. Thus, Beijing views seafarers as a strategic resource and has prioritized development initiatives to strengthen the quality and quantity of the nation’s professional merchant marine.
• China has a large potential labor supply of seafarers, with 943,954 registered for international and coastal shipping in 2023, but the actual number of seafarers actively working is far fewer. Over the past decade the sector has shifted from oversupply to emerging shortages due to COVID-19 disruptions, declining interest in maritime careers, …

Challenges, Stressors, And Resilience Resources Experienced By Older Black Women In Rural South Carolina Throughout The Covid-19 Pandemic, Arielle N'Diaye, Camryn Garrett, Sarah Wilcox Phd, Bankole Olatosi Ph.D., Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Background

Resilience has been established as a protective factor against mental health challenges (e.g., anxiety, depression). From an intersectional perspective, the stressors experienced by Black women living in rural communities are likely to have been exacerbated during the COVID-19 pandemic. This study aims to identify the challenges and stressors experienced and the resilience resources available to and relied upon by rural, Black women, during the pandemic.

Methods

Individual, in-depth, structured interviews (n = 24) were conducted among Black women living in rural South Carolina, recruited by local community health workers, from January to April of 2024. All interviews were recorded, …

Revisiting Eli Lilly V. Canada: Judicial Interpretation Of Ip Law And Exposure To Investor-State Disputes, Yumu Chen

Duke Law & Technology Review

Eli Lilly v. Canada was an investor-state dispute settlement (ISDS) case widely noted for signaling a regime shift in intellectual property (IP) protection from the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) to ISDS. Its true yet often overlooked significance, however, lies in being a case of first impression on whether judicial interpretation of IP law may serve as a basis for state responsibility independent of denial of justice. To bridge that gap, this Note undertakes a close reading of the novel doctrinal discussion in Eli Lilly and related precedents, drawing implications for the broader theory of state …

Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie

Walden Dissertations and Doctoral Studies

Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …

Challenges And Supports Of Principals’ Implementation Of Social-Emotional Learning, Nikomar Mosley

Walden Dissertations and Doctoral Studies

School districts throughout the United States are increasingly implementing social and emotional learning (SEL). The problem addressed in this study is that K-12 principals are struggling with the mandated implementation of SEL at Northeastern School District (NSD), a large, diverse urban school district. Guided by the collaborative for academic, social, and emotional learning competency and implementation frameworks, the purpose of this qualitative study was to explore K-12 principals’ experiences with the mandated implementation of SEL at NSD. For this basic qualitative study, semistructured interviews were conducted with 10 principals. Through thematic analysis, the following themes emerged: (a) SEL is not …

Musculoskeletal Infection Reporting And Data System (Mski-Rads): Reviewed And Explained, Angela He, Flavio Duarte Silva, Mina Guirguis, Erin F. Alaia, William B Morrison, Avneesh Chhabra

Department of Radiology Faculty Papers

A standardized guideline and scoring system are recommended for the imaging evaluation of musculoskeletal infections on MR imaging. The Musculoskeletal Infection Reporting and Data System (MSKI-RADS) is a recently developed and validated classification system using MR imaging that can be used to classify the severity and extent of musculoskeletal infections, improve radiology-pathology concordance, and outline the corresponding management recommendations. This review article explains MSKI-RADS and discusses the different elements of this system in detail with a review of pertinent literature so that the readers can apply it in their practices. The work outlines the technical considerations for optimal MR imaging …

Spartan Daily, February 24, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 165, Issue 14

West Side Marquis Llc V. Maldonado

All Decisions

The Appellate Division reversed the Appellate Term, granting the tenant's cross-motion for summary judgment and dismissing the landlord's holdover petition. The landlord failed to timely offer a renewal lease to a successor tenant until after the Housing Stability and Tenant Protection Act (HSTPA) was enacted. The court held that the HSTPA applies, requiring the landlord to offer the renewal lease on the same terms and conditions as the predecessor's prior lease, including the preferential rent. The landlord could not leverage its own delay to avoid the HSTPA's provisions, as the tenant was entitled to a renewal lease prior to the …

20260224: Institute For The Arts, 1978-1985, College Of Arts And Media

Guides to University Archives

These items include materials from the College of Arts and Media at Marshall University from 1978-1985. Items were received sometime in the 1990s but were not processed until 2026. Items include notable materials about the Institute for the Arts in the late 1970s and then early 1980s.

Green Nanoremediation Of Phytogenic Copper Oxide Nanoparticles For Concurrent Organic Pollutant Degradation In Industrial Wastewaters And Antibacterial Activity, Adel Hussain Talib, Wijdan Hameed Al-Kubaisi, Safaa A. S. Al-Qaysi, Zainab Anwar Ali

Baghdad Science Journal

In the present investigation, culture A. niger was used for the biosynthesis of CuO-NPs using mango (Mangifera indica) leaves aqueous extract. This method of green synthesis is simple, more environment friendly and easy to scaled up. The obtained CuO-NPs were characterized using FT-IR, XRD, TEM, EDX and DLS to evaluate their structure, morphology, elemental composition, and particle size distribution. These findings verify the generation of spherical, crystalline CuO-NPs with an average size of 35.1 nm. The biosynthesized plant-based CuO-NPs showed potential antimicrobial and catalytic, with the higher concentration (till 6.0 mg/mL) having effect better the effect. When used for wastewater …

Bay Staters Support Same Day Registration, Lower Taxes & Rent Control, Oppose Recreational Marijuana Repeal 2/24/2026, Unh Survey Center

All UNH Survey Center Polls

Massachusetts voters may be faced with several prominent ballot questions in the November general election, and Bay Staters are generally supportive of same-day voter registration, decreasing the state income tax, and establishing rent control, while a majority oppose repealing laws which legalized the use of marijuana. In the Democratic primary for U.S. Senate, Ed Markey continues to lead Seth Moulton and both candidates hold comfortable leads over prospective Republican challenger John Deaton in the general election. Just over half of Bay Staters approve of Governor Maura Healey's job performance, but she holds large leads over prospective Republican challengers in November. …

In Maine Senate Race, Platner Leads Mills In Primary And Collins In General Election Matchup 2/24/2026, Unh Survey Center

All UNH Survey Center Polls

Graham Platner continues to hold a large lead over Maine governor Janet Mills in the race for the Democratic nomination for US Senate. Platner leads incumbent Republican Senator Susan Collins in a general election matchup, while Collins and Mills are deadlocked. In the gubernatorial election, Democrat Nirav Shah and Republican Robert Charles lead their respective primaries, but many likely primary voters are undecided and many candidates are unknown to them. Maine's 2nd District will likely be close in the general election as Republican Paul LePage and several possible Democratic opponents are tied in general election matchups. The cost of living, …

Lamont Frontrunner In Nomination For Ct Governor, State Of State Proposals Popular With Residents 2/24/2026, Unh Survey Center

All UNH Survey Center Polls

Incumbent Connecticut Governor Ned Lamont continues to hold a comfortable lead in his bid for the Democratic nomination in 2026, although approval of Lamont's performance as governor has slipped in recent months. However, bipartisan majorities support his proposals to ban cell phone use and provide free breakfast in Connecticut public schools, along with requiring parental permission for children to access social media platforms. The high cost of living is seen as the most important problem facing the state and just over half of state residents say it has been difficult to pay their home heating costs this winter, and a …

Foulkes Retains Lead In Ri Dem Gubernatorial Primary, Mckee Approval Falls To New Low 2/24/2026, Unh Survey Center

All UNH Survey Center Polls

Helena Foulkes remains the leader in the race for the Democratic nomination for Rhode Island governor, but a plurality of likely voters remain undecided. Neither the declared candidates nor possible late entrant and former Governor Gina Raimondo are particularly popular among likely Democratic primary voters, and very few want Raimondo to launch a new campaign for governor. On the Republican side, the declared candidates are not well-known among likely Republican primary voters, but there is strong interest in 2022 Republican nominee Ashley Kalus running again. Approval of Governor Dan McKee's performance as governor has fallen to an all-time low, but …

Theoretical Contributions To A Positive Work Environment, Sharon Prawl

Creating Healthy Work Environments (CHWE)

Objectives: Examination of the success of nurse preceptors is moving toward the need for co-creation between nurse leaders and nurses in the role of nurse preceptors. The current nursing workforce has five generations in the cohort of healthcare workers: Silent Generation, Baby Boomers, Generation X, Millennials (Generation Y), and Generation Z (Bacon, 2023). Each group may have different characteristics and traits; supporting them can be challenging. As noted, the demographics of the workforce have changed. Therefore, Nurse Leaders (NL) must demonstrate inclusive leadership behaviors that result in practice environments where all individuals, diverse in their ages, experiences, and education, …

Weaponizing The First Amendment: Captive Audience Laws Recast From Shield To Sword, Seth Freeman

Seattle University Law Review Online

This Comment examines the evolution and misuse of captive audience laws in the United States, particularly as they have shifted from narrow exceptions in First Amendment jurisprudence to expansive tools for ideological suppression. Originally designed to protect individuals from unavoidable and coercive speech, especially in private spaces like the home, captive audience laws have increasingly been utilized in regulating workplace speech, with a recent focus on suppressing conversations around diversity, equity, and inclusion (DEI). Through an analysis of foundational Supreme Court cases and an exploration of recent legislative trends, this Comment reveals how state legislatures have weaponized captive audience doctrine …

The Path Forward For T Cell Engagers In Patients With Prostate Cancer, Sumit K. Subudhi, Bilal A. Siddiqui, Kevin K. Zarrabi, William K. Kelly, Charles G. Drake

Department of Medical Oncology Faculty Papers

T cell engagers (TCEs) recruit T cells to the tumor microenvironment (TME) to induce antitumor immune responses. TCEs have demonstrated promising clinical responses in patients with metastatic castration-resistant prostate cancer and have advanced into phase 3 clinical trials. Here we provide an overview of the mechanisms of action of TCEs, including both CD3-targeted and CD28-targeted agents, and review the clinical development of these agents for prostate cancer. We propose a path forward for TCEs in prostate cancer, in which innovative clinical trials will facilitate a biological understanding of mechanisms of efficacy and toxicity to inform: (1) development of predictive biomarkers …

Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon

Walden Dissertations and Doctoral Studies

Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …

Impact Of Cloud Computing On Organization’S Profitability, Simeon Adeoye Bakare

Walden Dissertations and Doctoral Studies

Cloud computing is a virtual pool of services that provides confidentiality, availability, integrity, and authenticity for customers and cloud service providers, yet many organizations underutilize available cloud resources. This underutilization is a concern for organizational information technology (IT) leaders because solving it would improve secure scalability, operational efficiency, and return on investment. Grounded in the Technology Acceptance Model (TAM3) and the Unified Theory of Acceptance and Use of Technology (UTAUT3), the purpose of this multiple case study was to explore the security measures that IT Security managers can implement to ensure their organizations remain secure when using cloud computing infrastructure. …

Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has placed stress on healthcare systems globally, with emergency department (ED) physicians experiencing an acute impact due to their frontline role. Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, has been widely reported by healthcare providers during the pandemic. However, the specific manifestations of burnout among ED physicians remain underexplored, particularly from their own perspectives. This study is grounded in Maslach’s Multidimensional Theory of Burnout and Alan Card’s theory of Avoidable versus Unavoidable Suffering, providing a framework to interpret ED physicians’ experiences and distinguish between the inherent challenges of frontline work and …

Effective Human Resources Strategies For Flexible Parental Leave Applications, Omolola Balogun

Walden Dissertations and Doctoral Studies

A lack of flexibility in the application of human resources (HR) parental leave policy can negatively affect employee capacity and organizational sustainability. HR leadership policymakers are concerned that parental leave policies fail to accommodate individual employee circumstances, limiting effective workforce support and retention. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that HR leadership policymakers use to develop and implement flexible parental leave HR policy applications tailored to individual employee situations, thereby supporting improved employee capacity and the overall success and sustainability of the business. The participants …

Cle Program: Putting People At The Center Of Representation 2-24-2026, Roger Williams University School Of Law

School of Law Conferences, Lectures & Events

No abstract provided.

Inferential Study Using Neutrosophic Imputation Techniques In Two-Phase Sampling, Alia A. Alkhathami, Salemah A. Almutlak, Showkat Ahmad Lone, Vinay Kumar Yadav

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Sets And Systems, Vol. 96, 2026, Florentin Smarandache, Mohamed Abdel-Basset, Maikel. Leyva Vazquez

Neutrosophic Sets and Systems

No abstract provided.

The Diamond, February 24, 2026, Dordt University

Dordt Diamond

• Front Page: New Dordt Advertisement Airs During the Super Bowl; Dordt Alum Detained by Immigration Enforcement in Minneapolis; Dordt University Construction Masterplan - The Ghost of Campus Past and Campus Future
• Feature: The Inevitability and Danger of Generative AI's Conscience; A Splash of Color - Sponges and Soft Coral Revitalize Campus Aquarium
• News: Dordt Students Attend Conference at Capitol Hill; Dordt Receives 1.25 Million Dollar Grant for Children's Worship Initiative
• Politics: New Israeli Policy in the West Bank - Is it Really New?; Gang Violence Across Mexico Disrupts U.S. Trade; A Look at the Nancy Guthrie …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Biological Opinion Monitoring Of Riparian Habitat And Forest Stand Resources, Peter D. Howe

Funded Research Records

No abstract provided.

Automated, High-Resolution, Three-Dimensional Pest Scouting In Orchards Using Aerial And Ground Vehicles, Sierra N. Young

Funded Research Records

No abstract provided.