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Suny Cortland Handbook 2025-2026, State University Of New York At Cortland

SUNY Cortland Handbook

No abstract provided.

Reducing Aspiration Pneumonia By Implementing An Enhanced Oral Care Toolkit, Jennifer London

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Oral care is essential for reducing bacteria and preventing aspiration pneumonia. The risk of aspiration pneumonia increases when protocols are not followed. In 2024, a regional hospital in the Midwest United States spent approximately one million dollars on the preventable healthcare-associated infection known as aspiration pneumonia. A pre-project chart audit of 100 random patient charts on a medical/surgical step-down unit revealed that only 1 of the 100 charts had oral care documented as completed.

Aim of the Project: The primary aims of this project were to increase nursing documentation of oral care by 50% and to decrease …

Improving Pain Assessment After Bedside Percutaneous Endoscopic Gastrostomy (Peg) Placement, Sherman Cotton

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Baseline audits at a 44-bed critical-illness recovery hospital showed low reliability in two post-PEG practices: (1) pain reassessment within 90 minutes of an intervention and (2) complete PEG-site documentation (skin, drainage, tube position/measurement). Baseline performance averaged 55% and 62%, both of which were below the organization’s 90% benchmark.

Aim of the Project: From May to July 2025 (12 weeks), improve on-time pain reassessment and ensure PEG-site documentation reaches at least 90%, maintaining this level for three or more consecutive weeks; monitor workload to prevent increases in perceived charting time and ensure safety by avoiding a rise in PEG-related …

Reducing Hospital-Acquired Pressure Injuries In Critical Care Using A Preventing Pressure Ulcers Data Tool, Elizabeth Appiah-Caslin

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Hospital-acquired pressure injuries (HAPIs) are preventable yet remain a significant source of patient harm, especially in high-acuity settings like the Neurocritical Care (NCC) unit. HAPIs increase morbidity, length of stay, and healthcare costs. Despite having a prevention bundle, the NCC unit exceeded national benchmarks due to inconsistent adherence, delayed consultations, and variable documentation. Addressing this issue supports the organization's goals for safety and quality, aligning with CMS and Joint Commission standards.

Aim of the Project: This 12-week quality improvement project aimed to reduce HAPI incidence in the NCC unit by implementing the AHRQ Preventing Pressure Ulcers Data Tool. The …

Enhancing Nursing Documentation Accuracy For Female External Urinary Collection Devices Through Structured Documentation Huddles, Tiffany Ealy

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Accurate documentation of female external urinary collection devices (EUCDs), such as the PureWick, is crucial for maintaining continuity of care and ensuring efficient resource utilization. However, inconsistent nursing documentation practices have led to gaps in regulatory compliance and communication among healthcare teams. Baseline data revealed frequent omissions and inaccuracies in female EUCD charting, indicating a significant practice gap that requires targeted improvement.

Aim of the Project: The purpose of the evidence-based practice (EBP) project was to improve nursing documentation accuracy for female EUCDs by implementing structured documentation huddles, thereby enhancing organizational compliance.

Review of the Evidence: A …

Eat, Sleep, Console Care For Infants With Neonatal Abstinence Syndrome: A Multisite Evaluation, Amanda Fout

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Opioid use in pregnancy continues to rise, leading to increasing cases of neonatal abstinence syndrome (NAS). Traditional management with the Finnegan Neonatal Abstinence Scoring System (FNASS) often results in pharmacologic treatment, prolonged hospitalizations, and higher costs. Inconsistent FNASS scoring at the hospital system contributed to unnecessary NICU admissions and variable outcomes. Eat, Sleep, Console (ESC) was introduced as an alternative approach, but its effectiveness had not been formally evaluated.

Aim of the Project: The aim of the quality improvement initiative was to evaluate the effectiveness of the ESC model in improving outcomes for infants with NAS across three hospitals …

Implementing A Sepsis Questionnaire To Reduce Readmissions…A Health Plan’S Experience, Vernita L. Kelley

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Sepsis is a life-threatening condition with high readmission risk, threatening patient recovery and survival. In the managed care organization (MCO) where this DNP project was implemented, sepsis ranks among the top five readmission diagnoses. The organization's 30-day readmission rate of 15.5% is substantially higher than the benchmark of 9.29%, highlighting a clinical quality issue, a strain on patient outcomes, and a strain on healthcare resources.

Aim of the Project: This quality improvement (QI) project aimed to reduce sepsis readmissions by embedding a sepsis questionnaire into case management workflows to identify clinical risks and social determinants of health, improve transitions, …

Quality Improvement Initative To Reduce Falls Among Geriatric Patients In The Inpatient Mental Health Setting, Regina Johnson

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls are widely recognized as a leading cause of injury and hospitalization among older adults, with geriatric psychiatric patients at particularly high risk due to polypharmacy, cognitive impairment, and mobility challenges. At the project site, baseline audits revealed inconsistent use of structured fall risk tools, limited nurse-driven medication review, and gaps in post-fall documentation. The absence of an embedded electronic health record feature for medication review highlighted a significant practice gap requiring intervention.

Aim of the Project: The aim of this quality improvement (QI) project was to reduce fall risk in a geriatric psychiatric hospital through structured post-fall medication …

Fall Reduction Utilizing Fall Tailored Intervention For Patient Safety In Acute Care, Lauren Poindexter

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Hospitalized patient falls cause physical, psychological, and financial harm and persist despite prevention bundles. A Midwest Ohio acute medical unit experienced higher-than-benchmark fall rates (1.53–7.58 falls/1,000 patient days; unit rate 113% of the national median), with a rising trend in FY25. Reliance on the Schmid tool and existing interventions lacked structured patient/family engagement, as well as comprehensive medication assessment, leading to under-recognition of risk and limited nurse-driven prevention.

Aim of the Project: The aim of the project was to reduce inpatient fall rates and fall-related injuries on a medical unit by implementing the Agency for Healthcare Research and Quality …

Implementing Pain Reassessment Workflow To Improve Timely Pain Management In Hospice Patients: A Quality Improvement Project, Oluremi Omodara

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Timely pain reassessment is a vital component of hospice care, directly influencing the quality of life for patients. Despite the high prevalence of pain, which affects 55% of hospice patients due to disease progression or adverse drug reactions, only 51% of those reporting moderate to severe pain at admission receive a documented reassessment. The gap highlights an organizational issue in pain management stemming from the absence of a clearly defined period and workflow for reassessment.

Aim of the Project: The aim of the quality improvement (QI) project was to improve compliance with pain reassessment documentation within 48 hours …

Improving Patient Portal Messaging Workflow, Tanya M. Fitzpatrick

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Inefficiencies in patient portal secure messaging between providers and patients in a large primary care practice led to delayed resolution times, averaging 5.6 days per message. Most messages were closed by physicians or advanced practice providers, resulting in imbalanced workload distribution, increased provider burden, and reduced communication efficiency. The lack of standardized guidelines for message use, character limits, or triage processes contributed to workflow disruptions, a diminished patient experience, and unreimbursed provider time.

Aim of the Project: The aim of the project was to reduce average portal message closure times by at least 38% through the implementation of standardized …

Fall Prevention In Home Care: The Introduction Of The Steadi Initiative As Evidence-Based Tool, Margarida Barbosa - Barreiro

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls continue to be one of the leading causes of injury and mortality among older adults and remain a significant driver of healthcare utilization and cost. Within the home health setting, inconsistent practices in fall risk assessment and intervention have contributed to care gaps and increased patient vulnerability. The absence of a standardized, evidence-based process created the need for a structured quality improvement initiative to strengthen patient safety.

Aim of the Project: The purpose of this quality improvement project was to integrate the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) toolkit into home health visits to enhance the …

A Qualitative Exploration Of Parents' Experiences Of Homeschooling In The United Arab Emirates: Motivations And Challenges, Reem Thani Aldhaheri

All Works

Homeschooling in the United Arab Emirates (UAE) is an understudied phenomenon despite the growing numbers of homeschoolers. Controversies about homeschooling and its impact on children’s well-being create a social stigma around families that choose to homeschool their children for various reasons. This study explored the experiences of homeschoolers in the UAE, specifically, the motivations for homeschooling and the challenges homeschooling families face during the experience. The study followed a qualitative exploratory approach using a semi-structured interview. The sample consisted of 16 parents of different nationalities living in the UAE. Data were analyzed using a thematic approach to gain an in-depth …

The Effect Of Administrative Bullying On The Quality Of Education, Hanadi Alrashdan, Najwa Darawsheh, Abdulla Almheiri, Yaseen Aljanabi, Majid Al-Khataybeh, Nahla Al-Quran

All Works

Background/purpose. Administrative bullying has become associated with inappropriate behaviors at work. This raised some concerns about how to define and measure it precisely. Nonetheless, there is a theoretical and practical gap in educational literature. So, this study explores the impact of administrative bullying on the quality of education. Materials/methods. The sample consisted of (300) employees selected randomly from employees working at Jordanian universities. To achieve the objectives of the study, Administrative Bullying and Quality of Education questionnaires were developed Results. The results showed that the level of administrative bullying practiced at Jordanian universities was low (M=2.30, SD=0.13); that the level …

Esg Ratings And Investment Returns At The Country Level: Does Higher Mean Better?, Ioannis Litsios, Dimitrios Asteriou, Keith Pilbeam, William Pouliot

Plymouth Business School

We examine whether U.S. dollar-based investors can do better investing in highly rated ESG countries than in medium andlower rated ESG countries using both cross sectional and panel data estimations. In general, we find evidence that investmentin ESGLow scoring countries leads to better returns than investing in ESGHigh scoring countries which in turn provide better returns than investing in ESGMedium scoring countries. We also examine the issue of risk-adjusted excess returns using a variety ofcountry risk-adjusted returns including the country-level Sharpe ratio, Treynor ratio and Alpha. In general, we find that ESGLowcountries still outperform ESGHigh countries who in turn outperform …

Adapting To Inflationary Pressures: Household Coping Strategies In Urban Egypt (2016– 2025), Mohamed Mohamed Ashraf Kamal

Theses and Dissertations

Over the past decade, Egypt has faced persistent economic challenges including repeated currency devaluations, high inflation rates, subsidy reforms such as the gradual reduction of food and energy subsidies, and the ripple effects of global crises that have significantly impacted household well-being, especially in urban areas. These pressures have eroded purchasing power and heightened food insecurity, especially among low- and middle-income families. Although substantial attention has been paid to macroeconomic indicators, there remains a critical gap in understanding how households adapt on a daily basis to manage financial stress and sustain their livelihoods. This inquiry is especially timely, as household …

Precipitated By The Pandemic: From Remote Witnessing To Electronic Wills, Edward Ti, Hang Wu Tang

Research Collection Yong Pung How School Of Law

The COVID-19 pandemic exposed the rigidity of will-making laws requiring in-person witnessing. Jurisdictions responded differently: some introduced temporary measures, others implemented permanent reforms allowing remote witnessing. This article compares responses in England and Wales, selected Australian states, Singapore, and Hong Kong SAR, tracing developments toward potential recognition of electronic wills. The central argument is that law reform should balance accessibility with safeguards against fraud and undue influence, avoiding overly burdensome formalities that deter compliance. The article concludes by examining how national digital identity systems could be used for the execution of electronic wills.

The Excellent Legal Scholar, Seow Hon Tan

Research Collection Yong Pung How School Of Law

The Excellent Legal Scholar: This article considers how virtues pan out in the life of the legal scholar, bearing in mind the purpose of legal scholarship and the identity of the legal scholar, who plays multifarious roles in today's research landscape. I consider how vision is important for the excellent legal scholar, bearing in mind that an aretaic account should be attentive to eudaimonia. I conclude with soul-searching questions for the legal scholar who endeavours to live an examined life that stands up to aretaic appraisal.

The Mandate For Accountability And The Rule Of Law: A Theological-Ethical Analysis Of The House Of Representatives’ Role After Duterte V. House Of Representatives, Kerr Nell S. Deliva

Loyola Papers

This article offers a theological-ethical analysis of Duterte v. House of Representatives, interpreting the tension between the House of Representatives of the Philippines and the Supreme Court of the Philippines as a kairos that clarifies their institutional vocations. It examines impeachment as a moral duty rooted in popular sovereignty and public accountability, while highlighting challenges to fides publica arising from judicial intervention. Drawing on moral theology, the article underscores the need to balance justice and legal order, proposing pathways for responsible governance and deeper civic engagement.

Glimpses Of Joy In The Beginning Of The Lucan Gospel: A Narrative-Critical Reading Of Lk 1:5-2:52, Jieqi Huang

Loyola Papers

This paper explores the theme of joy in Luke 1:5–25 through a narrative-critical approach, focusing on how Luke presents joy as a theological motif grounded in God’s redemptive initiative. By analyzing the chiastic structure and literary techniques of the passage, the paper highlights how the interplay of story and discourse conveys profound theological meaning. Through extensive intertextual allusions, particularly to the Old Testament, Luke frames this episode in Luke as both a continuation and fulfillment of Israel’s salvation history. Ultimately, the paper argues that Luke’s narrative invites readers to encounter a faithful God who brings joy in unexpected ways and …

Lst At The Frontiers Of Theology: Mission, Milestones, And Future Directions, Renato R. Repole

Loyola Papers

This inaugural address reflects on the mission, achievements, and future directions of the Loyola School of Theology as it celebrates sixty years as a theological school and twenty-five years as an ecclesiastical faculty. It highlights institutional milestones, including internationalization, academic collaborations, research initiatives, and program expansion. The address emphasizes LST’s commitment to contextual theologizing in Asia, interdisciplinary engagement, and pastoral relevance. It also identifies emerging challenges, including artificial intelligence, integral ecology, synodality, and safeguarding. Ultimately, it calls the LST community to collaborative discernment in shaping a new strategic plan that strengthens theological formation for the Church’s mission.

Contributors, Contributors Contributors

Loyola Papers

No abstract provided.

Editor's Preface, Leo-Martin Angelo R. Ocampo

Loyola Papers

No abstract provided.

Ready For A Theology Of The Mind? Faith Response To The Mental Health Crisis, Ramil R. Marcos, Phil Nielsen G. Galvez

Loyola Papers

This article argues for the urgent development of a “theology of the mind” as a pastoral and theological response to the growing mental health crisis in the Philippines. This timely study highlights the systemic problems surrounding this important concern, such as limited access to professional help, cultural stigma, poverty, and inadequate government facilities. The paper draws from Scripture, Church teaching, papal pronouncements, and local initiatives to show that mental health struggles are not alien to Christian life but resonate deeply with biblical figures, the life of Christ, and the Church’s mission of compassion. Among its unique contributions is the proposal …

Full Issue, Volume 6, Issue 2

Loyola Papers

No abstract provided.

Exploring Positive Psychology And Goal Setting In Esports Coaching: A Thematic Analysis Of Professional Fortnite Coaches, Samuel Jaffe, Nigel Jackson, Jonathan Rhodes

School of Psychology

This study investigates how professional Fortnite coaches integrate positive psychology, specifically Seligman’s PERMA (positive emotion, engagement, relationships, meaning, and accomplishment) model and goal-setting frameworks, to enhance player performance and well-being. Through semistructured interviews with 16 esports coaches, the research examines how psychological strategies influence motivation, resilience, and long-term success in a highly competitive, digital coaching environment. Using Braun and Clarke’s reflexive thematic analysis, three key themes were constructed: defining and measuring success, goal-setting practices, and balancing positive versus pressured coaching styles. Coaches defined success beyond tournament outcomes, emphasizing player development, consistency, and psychological resilience. Goal-setting strategies were highly individualized, blending …

Progress In Progressive Pulmonary Fibrosis, Jesse Roman

Rothman Institute Papers

No abstract provided.

Fall 2025: Antimatter

The Weldon Times

A student-run publication from the Schulich School of Law at Dalhousie University.

Co-Editors in Chief: Kimberly Gilson, Carleigh MacKenzie

Deep Learning-Based Change Detection In High-Resolution Remote Sensing Imagery, Hazem Badawy

Theses and Dissertations

Remote sensing has become a key tool for monitoring Earth’s surface over time, offering valuable insights into both natural and human-driven changes. Among its many applications, change detection focuses on analyzing multi-temporal imagery to reveal how specific areas evolve across different time periods. It plays a pivotal role in Earth observation applications, including urban development monitoring, environmental degradation assessment, and disaster response. However, existing approaches often struggle with limited contextual awareness, high sensitivity to noise, and imprecise localization of change boundaries, especially with high-resolution imagery. This thesis investigates the complex problem of change detection in remote sensing imagery by proposing …

Addressing Climate Vulnerability And Policy Gaps Of Heat Waves In Upper Egypt: The Case Study Of Al-A’Qaab Village In Aswan, Eman Abdullah

Theses and Dissertations

Heatwaves are currently one of the most dangerous climate hazards globally. Egypt is experiencing an increase in the intensity and frequency of heatwaves, which affects health, economy, infrastructure, and the ecological system. Upper Egypt is one of the most vulnerable regions in Egypt to rising temperatures, particularly in Aswan Governorate. The risks of heat waves are increasing vulnerability among vulnerable groups, such as women and low-income individuals. However, there is a clear gap in protection policies against heat waves, along with a lack of studies examining the effects of heat waves on individuals in Aswan. Accordingly, this thesis aims to …