Digital Commons Network^™

Language Attrition As A Social Process, Or Barzilay

Master's Projects and Capstones

Language attrition is a process in which the gradual decline in proficiency of a language occurs when another language becomes more prominent among individuals, families, and broader societies. This shift often occurs not by choice but by necessity, as speakers are expected to adapt to the other language in educational settings, for employment, and to conform to societal pressures in their new environments. Although language attrition is often described as an individual loss of proficiency, contemporary research reveals a far more complex picture—one shaped by factors that determine which languages are valued and which fade into obscurity. These forces collectively …

Improving Interdisciplinary Communication And Collaboration With The Standardization Of Doula Care Through An Informatics Tool, Shela Le

Master's Projects and Capstones

Objective: The 22-bed Labor and Delivery (L&D) unit lacks a standardized model to introduce doulas, clarify their scope of practice, or communicate the value of the services they provide. To address this gap, the team implemented a standardized doula awareness poster that included each doula’s name, photo, years of experience, and personal interests. Aim: The goal is to enhance visibility and promote integration of doula support to strengthen team collaboration and patient engagement. Methods: A pre- and post-implementation survey was distributed exclusively to the volunteer doulas. After the doula awareness poster was displayed for a month, a post-survey assessed these …

Optimizing Electronic Health Record Workflow To Improve Flu Vaccinations In A Primary Health Clinic, Xzalyn Arianah Hernandez

Master's Projects and Capstones

Among the Latinx population influenza vaccination rates remain disproportionately low due to vaccine hesitancy, misinformation, limited access to healthcare, and socioeconomic barriers. Influenza related hospitalizations and deaths have risen in recent years as rates continue to drop across all age groups, as a result of this issue. This quality improvement project aims to increase staff satisfaction and flu vaccination rates among Latinx patients by the implementation of a more efficient workflow process. Different interventions were designed to address workflow inefficiencies and medical assistant dissatisfaction. These interventions included 1) integrating the Immunization Clinic function in EPIC to streamline flu vaccine documentation …

Reducing Hospital-Acquired Pressure Injuries Through Targeted Nurse Education On The Braden Scale And Skins Bundle, Sarah Nicole Farkas

Master's Projects and Capstones

Objective: Hospital-acquired pressure injuries (HAPIs) continue to rise nationally despite overall reductions in other hospital-acquired conditions. This project sought to address gaps in nurse knowledge, inconsistent prevention practices, and workflow barriers contributing to HAPI development on a Trauma Medical-Surgical Unit (Unit A). Aim: This project aims to decrease the number of HAPIs on the Trauma Medical Surgical Unit by 11%, from nine HAPIs to eight HAPIs, following implementation of nurse education on the proper use of the Braden Scale and the SKINS Bundle from October 6, 2025, to November 14, 2025. Methods: A pre-intervention survey was administered to identify baseline …

A Quality Improvement Initiative To Streamline Flu Vaccine Documentation And Increase Staff Engagement, Carla E. Giron

Master's Projects and Capstones

Objective: This quality improvement project was implemented in an urban community health clinic primarily serving low-income and Latinx patients. Factors such as demographics, socioeconomic status, health, and transportation contribute to low U.S. influenza vaccination rates (Chen et al., 2020), while EHR training can improve provider satisfaction and efficiency (DiAngi et al., 2019). This microsystem faced inconsistent workflow processes, limited EHR training, and documentation errors that contributed to low staff satisfaction rates and influenza vaccination rates. An average of 11.4% of patients received a flu vaccine in October 2023 and 2024. Medical assistants (MAs) completed a pre-intervention survey indicating that 35% …

The Pressure Is On: A Quality Improvement Project To Educate Nurses On Hospital Acquired Pressure Injuries, Lance Ward

Master's Projects and Capstones

Objective Hospital acquired pressure injuries (HAPIs) are injuries developed by admitted patients, from treatment interventions that they encounter during their hospital stay. If a patient acquires a HAPI during their stay, the hospital is required to cover all expenses related to the injury. An in-patient trauma unit at a large medical center wishes to improve patient care by educating nursing staff on preventive measures of HAPIs. A review of relevant literature on HAPIs from the past five years was conducted to identify HAPI preventions tools, such as the Braden Scale and SKINS bundle, as well as the best methods to …

From Fear To Familiar: Reducing Technology-Induced Anxiety In Seniors, Justin Kyle V. Manalang

Master's Projects and Capstones

Abstract

This quality improvement project focuses on reducing the average technology-induced anxiety score among senior community members through 1:1 mentorship sessions. Aim During an eight-week period from September 10, 2025, to November 5, 2025, this project will reduce the severity of technology-induced anxiety by 25% from the established baseline. Methods: A 5P Microsystem assessment was conducted alongside an initial questionnaire to gauge the residents’ interests and concerns regarding technology use. From the results, focused mentorship sessions were conducted once a week and pertained to the chief complaint the resident had for eight weeks. The mentorship sessions were one-to-one and individualised …

Enhancing Psychotropic Medication Documentation Through Staff Education To Promote Increased Compliance Rates And Patient Safety, Matalyn F. Kirkes

Master's Projects and Capstones

Objective: Inappropriate psychotropic medication use and documentation poses a risk to patient safety and health as well as premature death while also leading to regulatory noncompliance (Bednarczyk et al., 2022). Improving nurse documentation can help patients maintain safe and adequate prescriptions and doses. Context: Baseline data collected within our microsystem revealed gaps in nurse comfort and knowledge around documentation requirements. The nursing staff (LVNs/RNs), who we received the baseline data from, are responsible for assessments, documentation, and patient monitoring, for which there is significant variability in understanding the required expectations. Interventions: The education for the skilled nursing staff as well …

Stop, Look, And Save A Spot! Implementing The Hapi Prevention Tool, A Visual Cuing System That Aims To Reduce Hospital-Acquired Pressure Injuries In Acute Care Units, Jada Baldoza

Master's Projects and Capstones

Objective: Hospital-acquired pressure injuries continue to be a major challenge in many healthcare settings as it poses increased risk in patient safety. Additionally, it creates a significant financial burden on hospitals as it increases operational costs that can increase strain on healthcare resource demands. Nurses play a major role in mitigating these injuries through practicing quality patient care and utilizing prevention strategies that have been proven effective. Aim: A quality improvement project was conducted by introducing a visual cueing system, the HAPI Prevention Tool to investigate its potential sustainability on reducing HAPI rates in the medical-surgical unit. Methods: The QI …

From Fear To Familiar: Alleviating Technology Anxiety In Older Adults Through A Community-Based Mentorship Program, Inyoung Jang

Master's Projects and Capstones

This quality improvement project was implemented in a senior residential facility in Richmond, California, catering to older low-income adults who frequently experience elevated levels of technology anxiety. Aim This project aims to reduce the mean modified technology-anxiety score among residents aged 65 and older by at least 25% from baseline by November 5, 2025. Methods The Abbreviated Technology Anxiety Scale (MTAS) was modified to consider the cognitive, linguistic, and experiential differences among target population. The original 11-item instrument, which was validated primarily within college-aged populations, used terms and repeated items irrelevant to older people. The adapted tool included five simplified …

Implementing A Standardized Doula Awareness Tool To Improve Team Collaboration And Patient Understanding, Stephanie Wong

Master's Projects and Capstones

Setting: 22-bed, Labor and Delivery (L&D) unit in the Bay Area serving diverse birthing patients. Problem & Context: The unit lacks a standardized model to introduce doulas, clarify their roles, or communicate their value. Evidence shows that doulas feel unseen by other hospital staff (Kett et al., 2022) and report that their role can be misunderstood, undervalued, or unrecognized, creating barriers to effective partnership (Louis-Jacques et al., 2024). Pre-survey: Only 19.2% of the participating volunteer doulas felt patients understood their role as a doula, and 11.5% felt patients were only slightly knowledgeable. In terms of collaboration, just 15.4% felt consistently …

Standardizing Care: Strengthening Dka Protocol Implementation Among Emergency Department Nurses, Toni Joy Angelique Biliran Miculob

Master's Projects and Capstones

Objective: The objective of this project was to address the inconsistent understanding and utilization of the Diabetic Ketoacidosis (DKA) protocol in a high-acuity emergency department within a large hospital system, where baseline survey results showed that 84% of nurses found the DKA order set confusing and only 15% felt “very comfortable” applying it.

Aim: The aim was to improve nurse clarity, confidence, and consistency in using the DKA protocol to support timely, evidence-based management of this high-risk, time-sensitive condition.

Methods: The intervention consisted of brief, targeted education delivered during pre-shift huddles across day and night shifts, focusing …

California Water Reuse: State Of The Industry As Direct Potable Reuse Comes Online, Guy Gutterman

Master's Projects and Capstones

Since the early 1900’s, California has found ways to reuse its wastewater, and in 2023 the state added a new method, Direct Potable Reuse (DPR), to its toolkit. DPR allows for advanced treated wastewater to be sent directly to a drinking water system, without an environmental buffer. Through a synthesis of the literature and related government documents of the state's water reuse history, an analysis of regional water recycling trends, and a survey of water utility professionals, this paper aims to understand DPR's future role in securing California's water supply. Historically, public perception has delayed adoption and development of California's …

Evaluation Of Remote Sensing Technologies For Bull Kelp Detection In The Greater Farallones National Marine Sanctuary, Melina Shak

Master's Projects and Capstones

The Greater Farallones National Marine Sanctuary (GFNMS), located off the coast of Northern California contains approximately 90% of the region’s bull kelp. Bull kelp is a foundational species that provides food and shelter supporting diverse marine ecosystems, but due to recent anthropogenic stressors, 90% of kelp forests along the California coast have been lost. The Greater Farallones Association (GFA) is actively working on restoration efforts, where monitoring is essential for assessing recovery success. My research addresses GFA’s need to reduce reliance on intensive, time-consuming Unmanned Aerial Systems (UAS) surveys by identifying accurate, cost-effective, and scalable remote sensing technologies for kelp …

Enhancing Fall Prevention Through Post-Fall Huddles In A Skilled Nursing Facility, Eliza R. Galimba

Master's Projects and Capstones

Objective: Falls in skilled nursing facilities increase the risk of injury, readmissions, and higher healthcare costs. This facility’s rates remained high due to inconsistent post-fall protocols, no standardized review process, and insufficient communication. Seventy-five falls were documented in the first eight months of 2025, exceeding the national benchmark of 3–5 per 1,000 patient-days (AHRQ, 2024). Aim: This quality improvement project will occur over a 5-week period from October 1, 2025, to November 5, 2025, and aims to decrease the fall rate by 25%, from 4.3 falls per 1,000 patient-days to 3.3 falls per 1,000 patient-days, through improved team communication and …

Decarbonizing California Wine: Navigating Scope 3 Emissions Challenges And Opportunities, Olivia Regalia

Master's Projects and Capstones

Climate change is already impacting the California wine industry through increases in extreme weather, such as prolonged heatwaves and atmospheric rivers. For the industry to survive, it is important for California wineries to mitigate the effects of climate change and adapt to current and future impacts. Scope 3 greenhouse gas emissions (i.e., emissions generated throughout the supply chain) from glass packaging make up 29% of a typical California winery's carbon footprint, representing both the largest Scope 3 climate impact and greatest opportunity for reductions. This research examined key factors shaping California wineries’ Scope 3 emissions reductions efforts. A mixed-methods approach …

What We Can Learn From Comenius About Why We Educate, David I. Smith

University Faculty Publications and Creative Works

As we wrangle repeatedly over the purposes of schooling and who gets to define them, what might we gain by taking a moment to listen to a thoughtful voice from a place and time not defined by our own mix of prejudices? I invite you to listen to such a voice, one speaking from a different era amid different anxieties and in a different idiom yet addressing questions that remain pressing. It is a voice shaped by a lifetime of educational engagement and reflection in the constant shadow of violence, yet, to the last, invested in the pursuit of delight. …

Policy Library- 870 Web Publications, Indiana State University, General Counsel

Policy Library

Policy 870 Web Publications

Exploring The Association Between Nurse Characteristics And Intent To Leave Their Current Position In Counties With Rural Hospital Closures, Caroline A. King

2025 Fall Honors Capstones Projects - Archive

Increased rural hospital closures and nursing burnout may lead to greater morbidity/mortality for rural residents. Current literature fails to capture whether rural hospital closures influence nurses’ intent to leave their current position. In this cross-sectional study, descriptive and correlational statistical analyses were conducted on survey responses from a sample of nurses who lived in a rural county that experienced a hospital closure. 66% of nurses stated that, at one point, they had considered leaving their primary nursing position. Logistic regression model results revealed that nurse-reported age and gender were significant predictors of a nurse’s intention to leave their current position. …

International Law, Adam Chilton, Weijia Rao

Faculty Scholarship

International law has, historically, been best understood as a body of principles and rules that govern the interactions between sovereign states and regulate how sovereign states can behave outside their borders. Over time, international law has evolved to regulate a broader range of subjects than just exterritorial activities—including the treatment of citizens or migrants within a country’s borders—and to regulate a greater range of actors than just sovereign states—including private individuals, corporations, and other nonstate actors. This body of principles and rules comes from several sources, including treaties and conventions, customary international law, judicial opinions, and academic articles and treatises …

Maria Vasquez-De Perez V. Attorney General United States Of America

2025 Decisions

Agency

Bethlehem Manor Village Llc V. City Of Bethlehem

2025 Decisions

USDC for the Eastern District of Pennsylvania

Gender Gaps And Economic Growth: Why Haven't Women Won Globally (Yet)?, Patrick Agte, Orazio Attanasio, Pinelopi K. Goldberg, Charles Gottlieb, Aishwarya Lakshmi Ratan, Rohini Pande, Michael Peters, Charity Troyer Moore, Fabrizio Zilibotti

Discussion Papers

Globally women’s labor force participation lags that of men and women, on average, have lower labor market earnings than men. Does economic growth reduce gender disparities in labor market outcomes between women and men? Conversely, do gender inequalities in the labor market impede growth? To inform these questions, we conduct two analyses. First, we estimate regressions using harmonized data on gender gaps in a range of labor market outcomes from 153 countries spanning two decades (1998-2018). Second, we conduct a systematic review of the recent economics literature on gender gaps in labor markets, examining 16 journals over 21 years. Our …

Back To The Future: Reflecting On The Slce Future Directions Project, Lori E. Kniffin Ph.D., Sarah E. Stanlick, Patti H. Clayton

Leadership Faculty Publications

This paper reflects on the Service-Learning and Community Engagement (SLCE) Future Directions Project (FDP), an initiative launched in 2015 to engage with the 20th anniversary of Edward Zlotkowski's pivotal 1995 article, "Does service-learning have a future?" to stimulate a broader, co-creative conversation about the future of SLCE. The FDP ultimately resulted in 29 thought pieces, co-written by 57 authors and published in the Michigan Journal of Community Service Learning (MJCSL) between 2015 and 2017. This current reflection, undertaken in 2025, synthesized survey responses from FDP authors and SLCE practitioners to assess the project's impact and re-examine future directions amidst evolving …

Assessing The Efficiency Of Methods To Teach Adolescents About Testicular Cancer And Testicular Self-Examination, Ayşe Gül Güven, Laden Jafari̇, Murat Doğuş Günel, Özlem Akbulut

Turkish Journal of Medical Sciences

Background/aim: Due to the increasing incidence of testicular cancer (TC), early testicular self-examination (TSE) in adolescent males is crucial for early detection and treatment. However, it is uncertain which method is best for teaching about TC and TSE in this age group. This study aimed to assess the effectiveness of formal (face to face with model) and informal (video presentation) approaches in male adolescents about TC and TSE.Material and methods: This intervention study was conducted in 2 high schools, and included a study group (n = 142) and a control group (n = 102). In the study group, a video …

A New Subspecies Of Celastrina Lucia (W. Kirby) (Lycaenidae: Polyommatinae) In The Central Appalachian Mountain Region, Harry Pavulaan

The Taxonomic Report of the International Lepidoptera Survey

The Celastrina (“Azure”) populations of the central Appalachian Mountain region have traditionally been identified as Celastrina ladon (Cramer) by numerous authors. However, the discovery of elongated dorsal wing scales in males of C. ladon (Wright & Pavulaan, 1999; Ômura et al., 2015) established that this diagnostic trait is limited to C. ladon, C. nigra (W. Forbes), and subsequently C. iryna (Pavulaan). Microscopic examination of male “Spring Azure” specimens from higher elevations in the Appalachian Mountains revealed a complete absence of these elongated scales in the resident populations, despite their outward resemblance to C. ladon …

The Relationship Between Light Physical Activity And 10-Year Weight Change In 2,868 U.S. Adults: A National Health And Nutrition Examination Survey Investigation, Chloe Diane Cory

Theses and Dissertations

The prevalence of obesity has steadily increased over the past several decades. About 13.4% of Americans aged 20-74 had obesity in 1960-1962 and the prevalence has steadily increased to 40.3% in 2021-2023--more than a 3-fold increase. PURPOSE: The aim of this study was to evaluate the relationship between time spent in light physical activity (LPA) and 10-year weight change in a random sample of 2868 women and men representative of the U.S. adult population. METHODS: Data were used from the National Health and Nutrition Examination Survey (NHANES) from the 2003-2006 data cycles. Participants were limited to non-pregnant U.S. …

Recovery Of High Energy-Value Materials From Mine Wastewater, Zainab Nasrullah

Graduate Theses & Non-Theses

The increasing global demand for high-energy-value materials (HEVM), such as rare earth elements (REEs), copper (Cu), nickel (Ni), cobalt (Co), and lithium (Li), coupled with their limited availability and environmental concerns associated with traditional mining methods, necessitates the development of alternative and sustainable recovery strategies. Wastewater streams from industrial processes, mining operations, and electronic waste treatment represent untapped reservoirs of these valuable materials. Research is proposed to develop sustainable, cost-effective, and scalable methods for selectively recovering HEVM from mine wastewater (Berkeley Pit, Montana). Two innovative approaches, the adsorption process using functionalized adsorbent and solvent extraction (SX) using organic or hydrophobic …

A Geological And Geochemical Study Of The Philipsburg Mining District, Granite County, Montana, Celine M. Beaucamp

Graduate Theses & Non-Theses

The Philipsburg district, renowned for its rich mining history, has contributed significantly to Montana's mineral production, ranking as the state's second-most productive district. Active from 1865 to the 1980s, it yielded an impressive array of Ag (50-60 million oz), with notable outputs of Au, Zn, Pb, Cu, and battery-grade MnO2. The district features Cordilleran polymetallic veins, some of which are along bedding in Mississippian and Devonian limestone, and others are steeply dipping quartz veins in silicate-rich sedimentary rocks and in the Philipsburg batholith. The veins exhibit a district-wide mineral zonation, marked by Cu- and Ag-rich ores near granite porphyries, with …

Aqueous Geochemistry Drives Microbial Cu, Fe, And Zn Uptake Rates In Yellowstone, A Continental Hydrothermal System, Eva Carolina Andrade-Barahona

Graduate Theses & Non-Theses

Microbial uptake of trace metal cofactors such as copper (Cu), iron (Fe), and zinc (Zn) is governed by biogeochemical processes in hydrothermal systems where metal bioavailability varies widely. In situ microbial metal uptake rates were quantified by applying metal stable isotope probing (MSIP) in the Yellowstone hydrothermal system across diverse geochemical conditions in hydrothermal springs. The findings in these studies revealed that pH exerts a dominant influence on microbial copper uptake rate, also enhanced by increased Cu²⁺ ion availability and dissolved oxygen. Microbial iron uptake, in contrast, displayed a broad tolerance to environmental variability, occurring across a pH range of …