Digital Commons Network^™

Enhancing Care Coordination And Expedited Appointment Scheduling By Structured Workflow Process In Oncology Clinics: A Quality Improvement Initiative, Jasmine Lassiter

Doctor of Nursing Practice (DNP) Manuscripts

Background and Significance: Delays in oncology appointment scheduling can negatively impact timely cancer treatment, care coordination, and patient outcomes. Inefficiencies often stem from inconsistent workflows, communication breakdowns, and limited visibility into provider availability, contributing to scheduling inaccuracies, and treatment delays (Fletcher et al., 2023; Johnson et al., 2020). Purpose: This quality improvement project aimed to implement and evaluate a structured workflow for expedited oncology appointment scheduling in an outpatient setting to improve scheduling accuracy, care coordination, and healthcare team vitality. Intervention and Implementation Plan: Guided by the Institute for Healthcare Improvement (IHI) Model for Improvement and the Johns Hopkins Evidence-Based …

Increasing Health Literacy To Improve Cardiovascular Risk Factors In Patients With Low Socioeconomic Status In The Appalachian Region: A Quality Improvement Project, Kara M. Dougherty

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Improving health literacy is one of the main goals of Healthy People 2030. However, there are no evidence-based guidelines as health literacy is still in research status (Office of Disease Prevention and Health Promotion, n.d.). Vulnerable populations are especially at risk of having low health literacy skills. Social determinants of health, such as poverty, lack of access to care, few community resources, and low health literacy, are common issues throughout Appalachia, which includes West Virginia. These disparities negatively impact the success of primary and secondary prevention for cardiovascular disease (Mangini et al., 2018). This quality improvement project utilized the …

Evalutaing The Effectiveness Of A Two-Year Nurse Residency Program On Reducing Nursing Turnover In The One To Three Years Tenure, Nancy J. Plum

Doctor of Nursing Practice (DNP) Manuscripts

Background: First-year turnover for new registered nurses continues to take the lead in all tenured categories, accounting for 59% of turnover, carrying with it a financial impact averaging $88,000 per staff nurse lost. A synthesis of the literature finds the research to be ambiguous and anecdotal, with a narrow focus on understanding the causes of turnover, while an underwhelming amount of rigorous research has been conducted on identifying effective solutions. Solutions to mitigate nursing turnover will require an innovative approach.

Purpose: This program evaluation aimed to examine the impact of a two-year nurse residency program (NRP) on registered nurse turnover …

Enhancing Nurses’ Joy And Meaningful Work In A Military Treatment Facility: A Quality Improvement Project, Ann M. Uetz

Doctor of Nursing Practice (DNP) Manuscripts

Background: Prior to the pandemic, there was growing concern regarding nurse burnout and retention – concern which still exists today in healthcare organizations. Purpose and happiness in work ensures staff engagement, positive patient outcomes, improves nurses’ well-being, and decreases burnout. The Institute of Healthcare Improvement’s (IHI) Quadruple Aim emphasizes improving the work life and well-being of healthcare teams. IHI’s white paper, Joy in Work, outlines nine components to guide interventions for enhancing joy and meaningful work. Purpose: This project’s purpose is to determine the impact of implementation of the Joy in Work’s framework on registered nurses and nursing leadership …

The Implementation Of A Pilot Program On Puberty And Menstruation Education For Adolescent Females And Youth Development Specialists For A Gender-Specific Community Organization: A Quality Improvement Project, Cassandra Tavares

Doctor of Nursing Practice (DNP) Manuscripts

Background & Significance: Adolescent girls in the United States (U.S.) often lack adequate education and support regarding puberty and menstruation, despite the importance of this knowledge for healthy development (Schmitt et al., 2022). Only 21% of school systems serving ages 8–12 provide puberty education, and many educators feel unprepared to teach it (Schmitt et al., 2022). Purpose: This quality improvement project aimed to equip youth development specialists (YDS) at a community organization with a structured curriculum and educational tools to confidently educate adolescent females (ages 8–13) on the physical, emotional, and social aspects of puberty and menstruation. Intervention: A four-day …

Northern Arizona Ecological Conservation: Assessing Quaking Aspen Health In Northern Arizona Using Earth Observations, Ikram Morso, Luke Collins, Margaret Cox, Melissa Schwan

Aspen Bibliography

Quaking aspen (Populus tremuloides) forests in Northern Arizona provide critical habitat for endangered bird species and support regional tourism and recreation. However, aspen populations are declining due to a combination of abiotic and biotic stressors. In response, land managers implemented strategies, such as ungulate exclusion fencing, prescribed burns, and stand thinning, but efforts are constrained by limited data on where and when to intervene. This project worked in collaboration with the U.S. Forest Service, the National Park Service, the Arizona Department of Forestry and Fire Management, and Northern Arizona University School of Forestry. The team utilized Earth observations …

August 8, 2025 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Thionine Modulates Tau Phosphorylation In An Alzheimer’S Disease Cell Culture Model, Seda Önder, Kevser Bi̇beroğlu, Özden Tacal

Turkish Journal of Biology

Background/aim: Tau protein, which is crucial for sustaining the cytoskeletal network by assisting microtubule construction, contributes significantly to the pathophysiology of Alzheimer’s disease (AD). The hyperphosphorylation of tau causes it to detach from microtubules (MTs), leading to the formation of neurofibrillary tangles (NFTs) in neurons, which ultimately results in cell death. Thionine (TH), a cationic phenothiazine-structured compound, has been the topic of extensive research due to its interesting physicochemical properties. It is a common biological dye, especially useful in histology due to its strong affinity for biological membranes. Furthermore, TH serves as a photosensitizer in phototherapy. It has a phenothiazine …

Mca 10100 Oer/Ztc Syllabus, Daniel Gilmore

Open Educational Resources

This is a syllabus for the MCA 10100 Introduction to Media Studies course taught at City College in the Media & Communication Arts department. It is an OER & ZTC compliant syllabus.

Evaluating Dosimetric Outcomes In A Prostate Rapid Plan Model: A Comparison Of Prostate Treatment Plans With And Without Standardized Planning Structures, Erica Wartman

Masters Projects

Abstract

Knowledge-based planning (KBP) using RapidPlan (RP) has demonstrated the ability to produce high quality radiation therapy treatment plans while reducing time. This study evaluated whether the inclusion of department specific standardized planning structures, including rings and other optimization tools, improves plan quality when using a prostate and lymph node RP model, or if the model alone is sufficient to provide a quality plan without the use of these additional planning structures.

Ten previously treated Prostate+LN patients were replanned using the departmental RP model in Varian Eclipse treatment planning system.1 For each patient, two plans were created, one with standardized …

Assessing The Costs Of Constructed Floating Wetlands For The Treatment Of Surface Waters And Wastewater, John Awad, Christopher Walker, Declan Page, Muhammad Arslan, Sarah A. White, Terry Lucke, Simon Beecham, Ryan J. Winston, William H.J. Stonsnider, Phil Nicodemus, Chris Streb, John Van Leeuwen

Faculty Publications

The development of constructed floating wetlands (CFWs) as a nature-based solution for water treatment has progressed over the last 25 years. However, full-scale CFW adoption remains relatively limited due in part to the uncertainty regarding the costs of CFWs in terms of capital and operational expenditure (CAPEX and OPEX) and treatment capacity. This study reports on the costs of 11 international CFW schemes including the factors affecting CAPEX and OPEX and levelized costs of nitrogen and phosphorus removal. The estimated levelized CAPEX and OPEX ranged from US$15/m² to $2537/m² and from $0.5/m² y⁻¹ to $181/m² y⁻¹, respectively, for CFW schemes …

The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks

Walden Dissertations and Doctoral Studies

The novel Coronavirus Disease 2019 (COVID-19), first detected in Wuhan, China, is caused by a new virus strain: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11, 2020, COVID-19 was classified as “the second pandemic of the 21st century” by the World Health Organization. To better control the spread of the virus, governments and communities adopted several established public health protocols to quell the spread of the disease and decrease the resulting morbidity and mortality. Specific measures included masking, hand hygiene, social distancing and disinfection. Though these are proven measures, not much was known about adherence in the home …

Best Practices In Healthcare Leadership Succession Planning To Improve Vamc Executive Leadership Stability, Randi Marie Farris

Walden Dissertations and Doctoral Studies

The Veterans Health Administration’s (VHA) current succession planning and management practice has been identified as a significant opportunity for alignment with evidence-based practice. This integrative review aimed to synthesize evidence-based healthcare succession management to improve executive leadership stability in Veterans Affairs Medical Centers (VAMC). This integrative review provided an analysis of empirical and non-empirical literature from 2002 to 2025 for best practices to increase the stability of VAMC executive leadership. The strategic human resource management (SHRM) framework was selected as the conceptual framework to inform a comprehensive process, as succession management is one element of a much larger human capital …

Exploring The Self-Efficacy And Experiences Of Caregivers Using Thickened Liquids To Manage Pediatric Dysphagia, Jaimee E. Conmy

Electronic Theses and Dissertations

Pediatric dysphagia affects 1 in 37 typically developing children under five, with increased prevalence in at-risk populations. Thickened liquids are often used as an intervention despite limited evidence supporting their effectiveness in the pediatric population. Caregivers play a critical role in managing their child’s dysphagia, yet their experiences, self-efficacy, and challenges with thickened liquids remain underexplored. This mixed-methods study surveyed 57 caregivers of children on thickened liquid diets, to assess their self-efficacy, education, perceptions of effectiveness, and overall impact on their quality of life. Findings highlight gaps in caregiver training, concerns about preparation, and benefits and/or challenges experienced by caregivers. …

The Protective Role Of Resilience In Indirect Aggression Perpetration And Victimization, Amelia Klass

Electronic Theses and Dissertations

This study examines the relationship between resilience and indirect aggression, specifically relational and social aggression, utilizing a sample of 104 females aged 18–22. Indirect aggression, characterized by behaviors such as social exclusion, gossip, and manipulation, is associated with significant emotional and interpersonal difficulties. Using a theoretical basis that includes gender schema theory, social learning theory, and social information processing theory, this study investigates whether resilience has a significant relationship in both the perpetration of and victimization through the use of indirect aggression. Participants completed self-report measures, including the Adult Resilience Measure – Revised and the Young Adult Social Behavior Scales …

Collecting The Strands: A Psychoanalytic Study Of Hair-Pulling In Women, Jacklyn Corsitto

Electronic Theses and Dissertations

This dissertation investigated compulsive hair-pulling (i.e., trichotillomania) in women from a psychoanalytic perspective. The assumption, from a psychoanalytic viewpoint, is that the symptom of hair-pulling serves meaningful, and multiple, psychical purposes that should be analyzed rather than immediately removed, as would be the case in the current gold standard of treatment—behavioral therapy with habit reversal training. This behavioral modality leaves little to no room for exploring the historical, relational, symbolic, and emotional dimensions of hair-pulling. This dissertation fleshed out these dimensions and investigated what hair-pulling was doing for the individual, what its function or purpose was, and, indeed, what ideational …

Healthy And Successful Aging Outside The Closet: How Outness And Social Support Relate To Health And Aging Concerns, Jessica Segal

Electronic Theses and Dissertations

The ability to disclose an LGBTQ+ identity is a significant part of many queer lives. A person’s outness can often be tied into their social support whether through their network or available resources. This study investigated how outness, social network, and access to resources relate to older LGBTQ+ individuals’ concerns regarding their care and their aging. A secondary data analysis was conducted using survey data from the American Association of Retired Persons (AARP). The results showed that an increase in one’s social network indicated a decrease in aging-related care concerns; an increase in access to resources indicated a decrease in …

Identifying The Experiences And Perceptions Of School Psychologists On Racial Disparities In Autism Spectrum Disorderidentifying The Experiences And Perceptions Of School Psychologists On Racial Disparities In Autism Spectrum Disorder, Anna Marie Paolicelli

Electronic Theses and Dissertations

This paper investigates the experiences and perceptions of school psychologists who identify as experts in autism spectrum disorder (ASD) regarding racial and ethnic disparities in ASD identification. Utilizing a convergent embedded mixed-methods design grounded in Consensual Qualitative Research (CQR), the study explores how school psychology practices may have contributed to recent changes in ASD outreach and assessment, as well as persistent disparities, particularly for Black children with co-occurring intellectual disability (ID). Thirteen credentialed school psychologists with extensive experience in diverse educational and clinical settings participated in semi-structured interviews and binary survey items. Findings reveal perceived progress in ASD awareness and …

Causes, Consequences, And Countermeasures Of Military Coups In The Gambia, Alhagie A. Mbye

Walden Dissertations and Doctoral Studies

Military coups d’état remain a persistent threat to postcolonial African states, undermining democratic consolidation and institutional legitimacy. The Gambia, although historically regarded as a relatively stable West African nation, has experienced approximately 14 coup attempts since gaining independence from Great Britain in 1965. While military coups in Africa are well documented, much of the existing literature relies on broad regional frameworks that emphasize externalities such as foreign influence and geopolitical pressures rather than internalities such as national policy direction, and domestic governance challenges. The purpose of this qualitative case study is to address that gap by providing context-specific empirical research …

Optimizing Sourcing Through Agile Project Management: Enhancing Efficiency And Cost Effectiveness In Apparel Production, Gautami Vikrant Moghe

Harrisburg University Dissertations and Theses

Production delays, cost overruns, and inventory mismanagement are a few of the challenges that the garment industry faces in its sourcing process. The main causes of these challenges are fluctuating market demands and evolving customer preferences. This research explored the application of agile project management methodologies to address these challenges by enhancing flexibility and collaboration. This study implemented a qualitative approach, leveraging interviews with industry professionals to gather insights into the practical implementation. The significance of this research lied in its potential to provide actionable insights for companies that were seeking to improve their sourcing efficiency and cost-effectiveness. To contextualize …

Quality Improvement Project Impact Of Impostor Phenomenon On Medical Personnel, Elizabeth L'Heureux

Doctor of Nursing Practice Projects

The DNP project examined medical healthcare personnel who displayed an impostor phenomenon (IP), as reflected in the Perceived Stress Scale (PSS-10) surveys, identifying a lack of structured support for reducing stress. The aim of the quality improvement project (QI) is to evaluate the impact of a four-week structured mentorship and resilience training intervention on perceived stress levels among medical healthcare personnel experiencing symptoms of the impostor phenomenon. The QI project utilized the Cognitive-Affective framework to shape what needed to change, the origins of IP stress, while Lewin’s Change Theory guided how to implement and sustain those changes. A quasi-experimental study …

The Effects Of A Breastfeeding Educational Program On Nurses’ Self-Efficacy And Knowledge, Amanda Quinn

Doctor of Nursing Practice Projects

Breastfeeding, a cornerstone of maternal and infant health, faces barriers due to inadequate healthcare provider education, contributing to low exclusive breastfeeding rates. The purpose of this quality improvement project was to evaluate the impact of a four-week educational program on clinical staff’s knowledge and self-efficacy in supporting breastfeeding in a rural OB/GYN clinic in central Florida. This project evaluated a four-week educational program’s effect on clinical staff’s knowledge and self-efficacy in supporting breastfeeding in a rural OB/GYN clinic in central Florida. Using a quasi-experimental pre-post design, nine licensed/certified staff (medical assistants, licensed practical nurses, registered nurses, advanced practice registered nurses) …

Quality Improvement Project Evaluating The Impact Of A Structured Training Program On Cultural Competency Among Mental Health Providers In A Local Outpatient Clinic, Adedamola Adefioye

Doctor of Nursing Practice Projects

Culturally responsive care is critical in addressing mental health disparities, but many mental health providers express feeling unprepared to engage with culturally diverse patients. Low cultural competence is associated with communication failures, lack of patient trust, and the possibility of poorer treatment outcomes. This quality improvement project evaluated the impact of a structured cultural competency training program at an outpatient behavioral health clinic. A quasi-experimental, one-group pre-test/post-test design was used with the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals - Revised (IAPCC-R). Eight licensed mental health providers participated in four weekly one-hour interactive training sessions using …

Ot And Lactation Consulting: More Than Just A Baby's Breast-Friend, Cara N. Reynolds

Occupational Therapy Doctorate Capstone Posters

Over the course of 14 weeks, I developed clinical skills related to infant feeding, including—but not limited to—anatomy, conditions that interfere with feeding, maternal health concerns, and the importance of an interdisciplinary approach. I gained insight into each discipline's unique role by job shadowing at various lactation clinics. I observed PTs, SLPs, RNs, craniosacral therapists, and interviewed a nutritionist. Many of the centers I visited expressed a desire to one day incorporate an OT into their practice, which was encouraging.

With this knowledge, I created an informational binder to leave at the Kentucky Breastfeeding Center (KBC) for future OT students. …

Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams

Walden Dissertations and Doctoral Studies

Despite increasing participation, women have remained significantly underrepresented in elected political office. Existing literature on women elected to political positions highlights persistent gender disparities in representation, access, and political influence. Scholars have examined the structural, cultural, and institutional barriers that women face when seeking and holding public office. While recent research has increasingly focused on intersectionality and the diverse experiences of women in politics, gaps remain in capturing their personal narratives and day-to-day realities. The purpose of this generic qualitative study was to examine the experiences of women currently serving in political positions to understand how prior career opportunities influenced …

Landscape Of Physical Activity And Quality Of Life Research In Breast Cancer Survivors: Topic Modeling Analysis., Suryeon Ryu, Ki-Yong An, Min Song, Zan Gao

Manuscripts, Articles, Book Chapters and Other Papers

Background/Objectives: Physical activity (PA) is widely recognized as a beneficial approach to improving the health-related quality of life (HRQoL) of breast cancer survivors. This study explored key research topics and emerging trends in studies related to PA and HRQoL among breast cancer survivors. Methods: Titles and abstracts of 3847 English-language research articles (2000-2024) were retrieved from PubMed, EMBASE, Web of Science, and Scopus using keywords related to 'breast cancer', 'PA/exercise', and 'HRQoL'. A text-mining algorithm based on the Dirichlet-multinomial regression approach in Python was applied to identify the top 10 research topics and their trends over time. Results: In total, …

Should School Board Elections Be Partisan? Analyzing Elite Discourse In The Debate Over The Structure Of Local Elections, Bre'arra M. Long

McNair Summer Research Program

The goal of this research paper is to identify the most prevalent arguments for and against partisan school board elections while also examining what differences, if any, exist between Republicans and Democrats with respect to the way they talk about the issue. The interdisciplinary fields of political science and linguistics provide helpful context to the effectiveness of political communication in smaller scale, yet salient elections in communities where impacts are most directly felt. My interest lies in how the nationalization of politics influences local government and elections, and how language and the media act as conduits for that relationship. It …

2025-08-09 Agenda Book, Morehead State University. Board Of Regents.

Morehead State Board of Regents Agenda Books and Meeting Minutes

Agenda booklet for the Board of Regents meeting of August 8, 2025, which includes the minutes of the meeting held on June 20, 2025.

Centering The Medical Student Perspective In A Mixed-Methods Evaluation Of The Holistic Admissions Process At A Mission-Driven Institution, Brenda L. Liszka

Electronic Theses and Dissertations

This mixed-methods research explores the influence of a holistic admissions process on medical student enrollment at a mission-driven institution. The study quantitatively measured the impact of various admissions touchpoints on enrollment decisions and qualitatively investigated the experiences of students underrepresented in medicine based on their race or ethnicity, first-generation status, and medically underserved backgrounds. Individual interviews, guided by Maslow's Hierarchy of Needs, were used to understand participants' sense of belonging and esteem throughout the process. The findings inform an improvement agenda aimed at creating a responsive and inclusive admissions process that supports diverse student bodies and addresses national public health …

The Crucial Role Of Grassroots Social Organizations In Advancing Immigrant Legal Protections And Reshaping Immigration Policy, Isabella Reynolds

McNair Summer Research Program

This research project examines how grassroots social organizations contribute to the advancement of immigrant legal protections and shape immigration policy, with a particular focus on formerly incarcerated migrants in California. I focus on case studies and the personal experiences of organizers from Homies Unidos, Border Angels, and other organizations that operate near the San Diego–Tijuana border region. The study illustrates how these groups provide essential services, mental health support, and community-based initiatives for vulnerable and formerly incarcerated immigrants. By conducting oral histories and ethnography as methods for preserving emotional labor and shared memory, this research challenges prevailing narratives that criminalize …