Digital Commons Network^™

Implementation Of A Triage Assessment Area To Decrease Left Without Being Seen Rates In The Emergency Department, Margaret Mary T. Steed

Doctor of Nursing Practice Projects

Background: Left without being seen (LWBS) is a concern for emergency departments (EDs) nationwide. LWBS involves patients who sign into the ED and leave prior to being seen by a medical provider. LWBS has been linked to increased wait times in the ED.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project is to aid with decreasing LWBS rates in a local ED. Many tools aid with decreasing LWBS rates, including nurse-initiated protocols and standardized order sets. Despite available tools, LWBS rates remain elevated at 0.95% for the local ED.

Project Design: The evidence-based DNP quality improvement project …

Increasing Colorectal Cancer Screening Rates For Patients Without Insurance, Andrea F. Day

Doctor of Nursing Practice Projects

Background: Colorectal cancer is a leading cause of cancer-related death in the United States (U.S.), ranking as second most prevalent overall. Despite many initiatives, screening rates remain low, especially among clinic patients without insurance. The lack of an evidence-based screening protocol exacerbates these issues and increases the risk of advanced cancer and death. Initial data showed that 0% of patients were screened according to recommended guidelines.

Purpose: The project implemented a standard screening protocol to increase colorectal cancer screening rates in a rural Alabama free clinic for patients ages 45-64 lacking insurance.

Project Design: This quality improvement …

Improving The Detection Of Refractive Errors In First And Third Graders, Tameka J. Bolden

Doctor of Nursing Practice Projects

Background: Vision is a crucial component of the learning process, with academic tasks being heavily dependent on visual acuity. Undetected or diagnosed visual impairments can significantly alter a student’s educational performance and overall development. Currently, in Alabama, kindergarten, second, and fourth grade students are the only students to receive routine vision screenings; therefore, regular screening for visual acuity and eye issues is critical for school health programs. Early screening, diagnosis, and correction of refractive errors prevent permanent visual impairment and support academic success by reducing educational barriers and delayed cognitive impairment.

Purpose: This project aims to improve the early detection …

Influenza And Chronic Obstructive Pulmonary Disease: Correlating Adult Immunization With Exacerbation Reduction After Implementation Of The Global Initiative For Obstructive Lung Disease Recommendations In A Rural Clinic, Jessica Semyonova

Doctor of Nursing Practice Projects

Background: Patients with chronic obstructive pulmonary disease (COPD) may experience exacerbations of the disease, leading to disease progression, decreased lung function, increased mortality, and decreased quality of life. However, one of the clinician’s best tools in preventing exacerbations may be the distribution of annual influenza immunizations.

Purpose: This project aimed to determine whether implementing an influenza vaccination protocol would increase influenza vaccination uptake and decrease COPD exacerbation rates.

Project Design: An influenza vaccination protocol was implemented over an eight-week period. During that time, data was gathered and compared to data from the previous year when a vaccination …

Commit To Sit: Does Purposefully Sitting With Adult Medical-Surgical Patients At A Rural Hospital Impact Patient Satisfaction?, Jolie A. Puckett

Doctor of Nursing Practice Projects

Background: Patient satisfaction surveys encourage patients to provide feedback about their experiences with healthcare organizations, and the surveys also play a critical role in identifying gaps in care that may contribute to patient harm. Effective communication between nurses and patients is crucial for delivering high-quality healthcare; therefore, initiatives to enhance this communication should be explored and implemented.

Purpose: This quality improvement project aimed to evaluate whether sitting with patients improved patient satisfaction scores for a medical-surgical unit within a Northwest Georgia inpatient facility.

Project Design: A pre- and post-design method was utilized to compare patient satisfaction scores before and after …

Utilizing Text Messaging To Increase Annual Mammogram Screening Compliance, Lacey B. Santa Cruz

Doctor of Nursing Practice Projects

Background: Routine mammography can lessen breast cancer deaths, but many patients do not follow the current screening guidelines. Limited access to mammography and insufficient awareness lead to missed screening appointments.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to improve annual mammogram adherence among women aged 40-74 by implementing an electronic medical record (EMR)-based text reminder system.

Project Design: Secondary patient data was collected from a privately owned, rural family practice clinic. Using the Mobilize-Assess-Plan-Implement-Track (MAP-IT) quality improvement framework, the project implemented a text message reminder intervention through the EMR. Eligible patients received a text reminder …

Investigating Individual Variability In Autistic Identity And Its Moderating Effects On Mental Health And Quality Of Life, Sydney Richelle Terroso

Theses and Dissertations

The autistic community has long voiced the mental health of autistic adults as a key clinical and research priority. Autistic identity, or the recognition and embrace of core autistic traits as integral to an individual's identity as a whole, may be a potential target for therapeutic approaches aimed at supporting well-being and quality of life. The current study investigates individual differences in self-reported autistic identity scores by demographic factors and by features of autism and health history using online survey data from N=225 autistic adults. Additionally, with a subset of the participants who completed an interconnected study of current mental …

Social Comparison Target Selections As Health Information Preferences: Exploring Contextual Influences Among Women In Midlife With Elevated Risk For Cardiovascular Disease, Emmanuel Lapitan

Theses and Dissertations

Insufficient physical activity (PA) heightens the risk of chronic illnesses including cardiovascular disease (CVD), particularly among women in midlife with conditions such as hypertension. Behavioral interventions often use psychoeducation and skills training to increase PA, but how individuals interact with health-relevant information and how this relates to daily PA behavior is unclear. Health information preferences vary between individuals, but whether they vary for the same individual across contexts has been understudied. In particular, the role of contextual factors in predicting social comparison (i.e., evaluating oneself relative to others to obtain information about oneself) are not well understood. The purpose of …

The Evolution Of Agriculture Marketing: Harnessing Data Analytics To Understand Generational Shifts And Influencer Trends, Lexi Schweigert

Theses

The findings reveal that data analytics plays a crucial role in shaping marketing strategies in agriculture. Generational shifts, particularly among Gen Z and Alpha, are driving changes in consumer preferences and expectations. Influencers are also playing an increasingly important role in shaping the perception of agriculture and food among these generations.

Customizing Ai Strategies Across Multiple Generations, Matthew Harrer

Theses

This project investigates how artificial intelligence can help brands and marketers connect more effectively with Generation X, Millennials, and Generation Z. The literature review lays the groundwork that focuses on consumer behaviors and the integration of AI into digital marketing practices for each generation. The second part of the project involves a secondary data analysis of 21 recent marketing surveys and reports that explores topics related to trust, personalization, and social media. By integrating the findings into an insightful guidebook, marketers will be able to maximize these insights into clear actionable strategies.

Elisabetta Sirani’S Timoclea: Baroque Agency And The Aesthetics Of Feminine Rage, Shaylen Grace Gardner

Theses

This thesis examines Timoclea Kills the Captain of Alexander the Great (1659) by Elisabetta Sirani as a foundational example of feminine rage within the Baroque period. By framing Timoclea’s violent act not as an outlier or solely reactive gesture, but as a deliberate, composed assertion of power, Sirani constructs a model of feminine agency that defies patriarchal expectations of female submission and passivity. Through interdisciplinary analysis grounded in feminist theory, formal visual analysis, and retrospective cultural studies, this research argues that Sirani’s Timoclea exemplifies the Baroque’s strategic use of socially acceptable iconography to veil explicit challenges to gendered expectations. This …

Supporting On Their Own Terms: Eu Institutions’ Discourses On Mindanao, Vincent Carlo A. Legara

European Studies Department Faculty Publications

This paper critically examines the nature and dynamics of European Union (EU) engagement in Mindanao. The southern Philippines is historically home to Muslims, with a special region that is the Bangsamoro Autonomous Region of Muslim Mindanao (BARMM), formerly known as the Autonomous Region in Muslim Mindanao, where Muslims compose the majority of the population. Muslim Mindanao gained greater autonomy in 2019 after decades of violent conflict and the persistence of weak democratic institutions. Since the 1970s, Muslim secessionist movements have clashed against government troops for independence. These have contributed to poor human development indicators in Mindanao. The EU, previously the …

Using The Observational Medical Outcomes Partnership Common Data Model For A Multi-Registry Intensive Care Unit Benchmarking Federated Analysis: Lessons Learned, Aasiyah Rashan, Daniel P Püttmann, Nicolette F De Keizer, Dave A Dongelmans, Ronald Cornet, Otavio Ranzani, Wangari Siika, Matthew Smith, Steve Harris, Abi Beane

Anaesthesiology, East Africa

Objective: Federated analysis is a method that allows data analysis to be performed on similar datasets without exchanging any data, thus facilitating international research collaboration while adhering to strict privacy laws. This study aimed to evaluate the feasibility of using federated analysis to benchmark mortality in 2 critical care quality registry databases converted to the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM), describing challenges to and recommendations for performing federated analysis on data transformed to OMOP CDM.

Materials and Methods: To identify as many challenges as possible and to be able to complete the benchmarking phase, …

Editorial: The Role Of Diagnostics In Eliminating Schistosomiasis As A Public Health Problem: Trend And Need, James Mwansa, Moses J. Chimbari, Nilanjan Lodh

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Predicting Emotions Across Schizotypy Levels, Elyssa M. Barrick, Sarah Hope Lincoln

Student Scholarship

Successfully navigating the social world requires making accurate predictions about others. Individual differences in emotion prediction–the ability to predict someone's subsequent emotion given their current emotional state–can lead to variability in social success. In this study (N = 1024) we found evidence that individuals with heightened schizotypy displayed worse emotion prediction accuracy. This difficulty with emotion prediction was associated with increased loneliness, diminished social support, and smaller social networks, partially mediating some of the social difficulties in individuals with heightened schizotypy. Individuals with heightened schizotypy showed disruptions to key sources of affective information, meaning they had less reliable information about …

Analysis Of Vision Transformers And Domain Adaptation In Long-Range Facial Recognition, Zachary Michael Swanson

Department of Electrical and Computer Engineering: Dissertations, Theses, and Student Research

Atmospheric turbulence presents a significant barrier to long-range facial recognition, introducing severe geometric distortions and blur that degrade image quality. This thesis investigates deep learning approaches for mitigating these effects, with a focus on transformer based architectures and domain adaptation strategies.

An in-depth benchmarking study was performed using convolutional neural networks (CNNs) and vision transformers (ViTs) on the Husker BRIAR Research Collection from up to 500m (HBRC-500) face dataset. The results demonstrated that vision transformers, particularly hierarchical vision transformers like the shifted-window (Swin) transformer, outperform CNN-based models at long distances due to their ability to model global spatial relationships and …

Biocomputing Approach To Modeling And Modulating Calcium Signaling, Sehee Sun

School of Computing: Dissertations, Theses, and Student Research

Biocomputing is an emerging field that seeks to perform computational tasks using biological substrates and processes. Unlike conventional computing systems based on silicon hardware, biocomputing leverages the parallelism, energy efficiency, and complex dynamics of living systems. Among various cellular mechanisms, calcium (Ca2+) signaling stands out as a central regulator of diverse biological functions, offering a promising basis for programmable logic and control in living cells.

This thesis introduces a novel framework for modeling and modulating Ca2+ dynamics using biologically inspired Boolean logic circuits. Specifically, we propose the Ca2+ Boolean Logic (CaBL) model, in which Ca2+ fluxes and interactions are abstracted …

Beyond Chatbots: The Emergence Of Autonomous Ai Agents In Libraries, Nikesh Narayanan

All Works

This chapter explores how generative AI and agentic AI are redefining library services through enhanced interactivity, personalization, and scalability of support. The rise of machine learning, and specifically natural language processing (NLP) with large language models, brought a new wave of capabilities to library chatbots. Moving beyond single-turn question-answering chatbots, the concept of autonomous AI agents (or agentic AI) in libraries represents a significant leap in capability. An autonomous agent is an advanced form of AI that can understand and respond to inquiries, then take action without human intervention. When they are given an objective, they can generate tasks for …

Bridging Knowledge Gaps In Digital Forensics Using Unsupervised Explainable Ai, Zainab Khalid, Farkhund Iqbal, Mohd Saqib

All Works

Artificial Intelligence (AI) has found multi-faceted applications in critical sectors including Digital Forensics (DF) which also require eXplainability (XAI) as a non-negotiable for its applicability, such as admissibility of expert evidence in the court of law. The state-of-the-art XAI workflows focus more on utilizing XAI tools for supervised learning. This is in contrast to the fact that unsupervised learning may be practically more relevant in DF and other sectors that largely produce complex and unlabeled data continuously, in considerable volumes. This research study explores the challenges and utility of unsupervised learning-based XAI for DF's complex datasets. A memory forensics-based case …

What Approaches Can A Preschool Teacher Use To Support Their Students’ Emotional Regulation Skills?, Lydia Caldwell

School of Education and Leadership Student Capstone Projects

Emotional regulation is a foundational skill in early childhood, closely linked to social skill development, mental well-being, and long-term academic success. Throughout this paper, researcher Lydia Caldwell explores the following question: what approaches can a preschool teacher use to support their students’ emotional regulation skills? Drawing from both literature and personal classroom experiences, this project was created with the author’s profession in mind. As a special educator who works with preschool students, Caldwell sees firsthand the amount of children struggling with emotional regulation, also referred to as self-regulation. The project will result in a series of flyers which serve as …

The Influence Of Supported Mainstream Classes On High School Special Education Students' Social And Emotional Learning, Clare Murr

School of Education and Leadership Student Capstone Projects

This study investigated how participation in supported mainstream classes influences social and emotional learning outcomes of high school special education students. The project was a result of the research done to answer the question: When high school special education students participate in supported mainstream classes, how are their social and emotional learning outcomes influenced? A comprehensive literature review revealed that integration of special education students into the mainstream classroom benefits their social and emotional development; however, unsupported inclusion often results in isolation and peer rejection. Effective co-teaching partnerships, that use the combined expertise of general and special education teachers, can …

Using Fables To Enhance Social Emotional Learning, Eric Albers

School of Education and Leadership Student Capstone Projects

The research question guiding this project is: How can we use fables to strengthen SEL connections with our students and families while enhancing the relationship between character development and life skills? The project addresses growing concerns about student anxiety, depression, and social disconnection while recognizing schools' expanding role in mental health. This work builds upon literature on home-school partnerships, bibliotherapy, and culturally responsive pedagogy, including research on fable comprehension, CASEL's SEL framework, and "funds of knowledge" that honor diverse cultural perspectives.The methodology involved developing a curriculum unit that integrates fables into the existing CharacterStrong SEL program through a Universal Design …

Solid Waste Education For Fourth Grade Students In Washington County, Minnesota, Jessica Hall

School of Education and Leadership Student Capstone Projects

The topic of environmental education has grown in recent years, but this study discovered that there is a lack of education focused on solid waste. Four key themes were explored in the current literature: climate anxiety, place-based education, social-emotional learning, and behavior change. This paper is not a research study, but rather a summary of previous research with a discussion of the current situation supporting the need for, and process of, this project’s development. The guiding questions for developing this project are: How can 4th-grade students and teachers in Washington County, Minnesota, perceive the impact of solid waste education lessons …

Promoting Environmental Literacy And Stewardship Through Interdisciplinary Teaching, Eric Wadnal

School of Education and Leadership Student Capstone Projects

Some of the most pressing issues the current generation is experiencing are related to the environment. Teachers, regardless of discipline, must be prepared to equip students with the knowledge, skills, and attitudes required to solve these issues. Environmental education (EE) is critical for promoting environmental literacy and stewardship. Therefore, this paper explores the research question: How can environmental education be applied to interdisciplinary learning that emphasizes community and builds meaningful connections to the local environment? The impact of connecting students to local environments and communities demonstrates the need for EE approaches that are contextually relevant, participatory, and interdisciplinary. To support …

Fostering Resilience Through Near Peer Mentorship In Elementary School, Bway Paw

School of Education and Leadership Student Capstone Projects

Near-peer mentoring involves pairing students with peers who are close in age but slightly more advanced in experience ensures the students' needs are met in ways that feel supportive and accessible. This capstone project explores how peer mentoring fosters social-emotional resilience in elementary students. The project is designed for a ten-week curriculum using the Minnesota SEL standard, which uses CASEL’s five competencies to be integrated into the classroom. Frameworks that carry this project include Bandura's social learning theory and self-efficacy, Vygotsky's Zone of Proximal Development (ZPD), Identity-Based Motivation (IBM), along with Masten’s ordinary magic. Research on resilience highlights that resilience …

Beyond Language Barriers: Challenging The Equity And Validity Of English-Only Standardized Tests For English Language Learners, Courtney Pille

School of Education and Leadership Student Capstone Projects

English Language Learners represent one of the fastest-growing student populations in American schools, yet they are required to take state standardized tests designed exclusively for native English speakers. This practice creates significant validity, reliability, and equity concerns–as research demonstrates that academic English proficiency takes 4-8 years to develop while students face annual testing requirements beginning in grade 3. This capstone uses a comprehensive literature review examining standardized testing practices, English language acquisition processes, and equity challenges to answer the research question: To what extent does administering English-only standardized tests to English Language Learners (ELLs) produce valid measurements of their academic …

Form A More Perfect Union: Educational Direction For Teaching Effective Political Discourse, Brian Merchant

School of Education and Leadership Student Capstone Projects

Efforts to strengthen civics education in support of democracy have expanded in recent years. Schools increasingly offer project-based learning, authentic assessments, and rigorous course options. Yet while standards emphasize argument formation, little attention is given to the practical skills required for political discussion. Research shows that public schools, with their diversity of perspectives, are well suited to foster dialogical approaches to civic discourse. Despite this potential, classroom discussions often lack depth, and educators frequently lack the resources and training to engage students in high-quality political dialogue. This literature review identifies the importance of political discourse education, interdisciplinary practices to improve …

Middle School Science Inquiry-Based Learning On A Budget, Rosalie Olander

School of Education and Leadership Student Capstone Projects

This curriculum project was based on the question, “How can science educators teach middle school students while promoting quality inquiry-based learning with a minimum budget?” It was inspired by budget constraints forcing teachers to spend personal funds ($500-$750 annually) on classroom supplies. Science teachers are particularly impacted due to specialized equipment needs, and quality inquiry-based learning is often sacrificed due to cost limitations. The curriculum created as part of this project was written with the framework of Pedaste et al.'s (2015) inquiry phases, the National Research Council's (2012) A Framework for K-12 Science Education, and Wiggins and McTighe's (2011) Understanding …

Immersing Historical And Contemporary Indigenous Literature Into Middle School Reading And Writing Workshops, Connor Lynch

School of Education and Leadership Student Capstone Projects

This paper examines literacy and Indigenous literature through the guiding question ; What are the merits of infusing and integrating Indigenous literature in middle school reading and writing workshops in order to address state standards in representing perspectives and identities of historical and contemporary Dakota and Anishinaabe people? Through review of research literature and curriculum development methodology, this capstone concludes that Indigenous literature integration has positive impacts on student critical thinking development, cultural competence, analytical skills, and educational justice while successfully meeting legislative compliance requirements. By re-emphasizing Dakota and Anishinaabe perspectives in curriculum, students engaging with authentic Indigenous literature can …

Incorporating Cooperative Learning And Active Listening Skills In Secondary-Level Science Classrooms, Kaveri Kamatgi

School of Education and Leadership Student Capstone Projects

Middle school students are in a key stage of developing their social and emotional skills. Research emphasizes the importance of focusing on effective instructional strategies to support and enhance that development. In science classrooms, this means providing opportunities for cooperative learning and active listening skills, enabling students to interact and consider diverse perspectives while working in lab investigations, problem-based activities, or research projects. According to the NGSS framework for K-12 science education, students are expected to engage in scientific practices that foster scientific thinking skills. To support the development of these skills, this capstone project explored the question: How can …