Digital Commons Network^™

Bridging The Gap: Development And Implementation Of A Caregiver Educational Guide For Post-Lung Transplant Caregivers, Megan Aller

DNP Projects

Background: Caregivers of post-lung transplant recipients play a critical role in postoperative recovery, as patients require continuous support during the first three months after transplant. Despite this responsibility, caregivers frequently experience burden, stress, and challenges adapting to the complex demands of the caregiving role.

Aim: To evaluate the feasibility and preliminary outcomes of a tailored caregiver education and support guide for caregivers of lung transplant recipients.

Local Problem: Within the local transplant program, caregiver education primarily relied on verbal instruction with limited caregiver-specific take-home resources.

Methods: This quality improvement project used a two-group pretest–posttest design to evaluate the …

Full Issue 20.1

Genocide Studies and Prevention: An International Journal

No abstract provided.

Genocide In Gaza? Social Media Discussions Of Violence In Israel And Gaza, Timothy Williams, Andreas Dafnos

Genocide Studies and Prevention: An International Journal

This article conducts social network and topic analyses of German-language posts on X that discuss genocide and terrorism in Israel and Gaza in the first six months after the October 7 attacks and compares these to broader English-language discourses on the platform. The comparison reveals subtle differences in how Israeli violence and governance and Palestinians are discussed and who is seen as complicit in supporting violence. Markedly, German-language posts discuss what constitutes antisemitism more and employ a more restrained language towards Israel as a state and its political actors than English-language posts. We tie these findings back to the idiosyncrasies …

Genocidal Criminology: My Testimony, Yarin Eski

Genocide Studies and Prevention: An International Journal

This article is a testimony on the entanglement of my personal biography, responsibility, and lived experience of genocide denial and, subsequently, developing criminologies of genocide and its denial, based on my formative experiences, ranging from encountering Armenian genocide denial as a student, to dealing with institutional constraints and careerism, to my academic activism, raising awareness about the Gaza genocide, to, finally, prospecting genocide and ecocide in outer space: astrocide. These experiences configure a genealogy of what I term genocidal criminology that unpacks and criticizes criminological knowledge, institutions, and practices that produce genocide (denial), both epistemically and structurally. Essentially, I argue …

Arts & Literature: Gaza And The Question Of Prevention—An Interview With Bruce Robbins, Luis Gonzalez-Aponte

Genocide Studies and Prevention: An International Journal

No abstract provided.

Nurse-Led Quality Improvement Asthma Self-Management In Primary Care, Jolene Steinert-Abderhalden

DNP Projects

Background:
Poorly controlled asthma contributes to preventable morbidity, yet many adults lack consistent self-management support. Local Problem: Baseline assessment at a rural Midwestern clinic revealed limited asthma knowledge, inconsistent action-plan use, and low confidence among adults with Asthma Control Test (ACT) scores below 20.

Methods:
This quality improvement project used a pre- and post-intervention design guided by Lean methodology and the Plan-Do-Study-Act (PDSA) framework. Interventions: Registered nurses delivered standardized asthma education, inhaler-technique review, and action plan reinforcement with monthly structured follow-up for 16 weeks.

Results:
Among four enrolled participants, three completed follow-up. Mean ACT scores improved from 17.5 at baseline …

Bridging The Gap: Empowering Primary Care Providers With Nonpharmalogical Strategies For Adhd Management, Grace Sawyer

DNP Projects

Attention-deficit/hyperactivity disorder (ADHD) affects many adults and children and is commonly managed with pharmaceutical drugs. Although evidence supports the use of nonpharmacological, many providers may not know or have the confidence to use these modalities to incorporate these into practice. This educational gap could contribute to an overreliance on medication when there are other options available for comprehensive ADHD care.  This quality improvement pretest-posttest design aimed to bridge the gap in provider knowledge and confidence regarding evidence-based nonpharmacological ADHD management at two college health clinics.  The intervention consisted of four pre-recorded modules delivered over four weeks that focused on exercise, …

Evaluating An Educational Intervention On Penicillin Allergy De-Labeling Among Graduate Nursing Students, Allison Desmond

DNP Projects

Background
Approximately 10% of patients report a penicillin allergy; however, up to 90% of these individuals are not truly allergic. Inaccurate penicillin allergy labels contribute to inappropriate antibiotic use, increased healthcare costs, and antimicrobial resistance. Education on penicillin allergy testing remains limited among future Family Nurse Practitioners (FNPs).

Methods
A quantitative quality improvement project using a pretest-posttest design was conducted among second- and third-year Doctor of Nursing Practice–Family Nurse Practitioner (DNP-FNP) students enrolled in Pharmacology II or Advanced Practice Nursing III at a Midwestern liberal arts college. Participants completed a 15-minute voiceover PowerPoint educational intervention on penicillin allergy testing and …

Improving Provider Knowledge And Confidence In Hormone Replacement Therapy Through A Quality Improvement Educational Intervention, Caitlin Schmidt

DNP Projects

Background
Menopause is associated with symptoms that can significantly diminish quality of life. Hormone replacement therapy (HRT) remains the most effective intervention for moderate to severe menopausal symptoms. Despite evidence-based guidelines endorsing its use in appropriately selected patients, HRT utilization remains limited.

Local Problem
A gap in provider knowledge and confidence regarding HRT prescribing was identified in a rural primary care clinic in the Midwestern United States. The clinical needs assessment revealed an absence of standardized menopause-specific education and highlighted an opportunity to improve evidence-based menopause management.

Methods
This quality improvement project employed a pre-post educational design guided by the …

Registered Nurse Procedural Sedation In Operating Room: An Analysis Of Patient Safety And Nurse Confidence Efficacy Of 2 Years Post Implementation, Cassandra Fredrickson

DNP Projects

Background
A Midwest hospital implemented a registered nurse (RN) procedural sedation program to provide safe, cost-effective sedation for selected operating room procedures under physician supervision, improving patient access while optimizing anesthesia resources.

Methods
A retrospective descriptive program evaluation examined 1,117 patients who received RN-administered procedural sedation for vascular and neurovascular procedures during 2022 and 2024. Outcomes included anesthesia consultation, anesthesia takeover, reversal agent use, and adverse events. Patient demographics and procedure duration were analyzed. Six procedural sedation nurses completed a self-efficacy survey assessing confidence in sedation-related competencies. Descriptive statistics and qualitative review of adverse event narratives were performed.

Results
Among …

Strategies For Effectively Socializing Remote Workers, Emily Dahlen

Walden Dissertations and Doctoral Studies

Improper socialization of remote workers into the organization can increase employee turnover and create an unstable remote workforce. Business leaders who fail to effectively socialize remote workers in ways that strengthen organizational identification and reduce turnover risk may create workforce instability that exposes the organization to additional business risks. Grounded in the theory of organizational socialization, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies some business leaders use to socialize remote workers and increase employee retention. The participants were eight business leaders who had implemented effective socialization strategies to remote employees. …

Staff Education To Address Medication Nonadherence Among Patients With Mental Health Challenges, Almena Ilis Huggins

Walden Dissertations and Doctoral Studies

Patients’ non-adherence to prescribed medication regimens remains a significant challenge in healthcare. Patients often misuse or skip their medications, which undermines treatment outcomes. This was evident at a mental health medical practice located in a suburban area of the southeastern coast. To address this problem, I developed, implemented, and evaluated a staff education program on evidence-based strategies to improve medication adherence among individuals with mental illness. The practice question focused on whether staff knowledge increased following participation in the education program. Four nursing staff participated in the 2-hour education program. Pre- and posttest questionnaires consisted of 15 multiple-choice questions. The …

Enhancing Surgical Team Readiness: Simulation Training For Power Failure Response In Robotic Procedures, Heather Marie Sorton

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) project, I used a quality improvement design to implement and evaluate a simulation-based education aimed at improving perioperative staff knowledge related to robotic power-loss events. A practice gap was identified in staff preparedness for robotic system failures due to limited education on emergency protocols, communication, team roles, and Association of PeriOperative Registered Nurses (AORN)-aligned response processes, impacting patient safety during robotic-assisted procedures. I examined whether implementation of a simulation-based educational intervention improved staff knowledge related to robotic power-loss management. The purpose of the project was to improve staff knowledge and standardize responses to …

K-12 Teachers’ Perspectives On The Adoption Of Virtual Reality And Augmented Reality Technology In Classroom Instruction, Breanna Mckenley

Walden Dissertations and Doctoral Studies

The problem addressed in this basic qualitative study was that although some K–12 teachers have access to virtual reality (VR) and augmented reality (AR) technologies, these tools are not widely accepted or adopted for classroom instruction. Guided by the technology acceptance model, the purpose of the study was to explore K–12 teachers’ perspectives on their willingness to incorporate VR/AR, the perceived usefulness and ease of use of these technologies, and the challenges they encounter or anticipate during the adoption process. Semistructured interviews were conducted with 10 K-12 teachers from public, charter, and private schools in the United States who had …

Directed Searches For Gravitational Waves From Ultralight Vector Boson Clouds Around Merger Remnant And Galactic Black Holes During The First Part Of The Fourth Ligo-Virgo-Kagra Observing Run, A. G. Abac, I. Abouelfettouh, Teviet Creighton, Mario C. Diaz, Raul Alberto Espinosa Perez, J. Lawrence, Francisco Llamas Villarreal, Soma Mukherjee, Volker Quetschke, Miriam Ramos Arevalo, Wenhui Wang

Physics & Astronomy Faculty Publications

We present the first directed searches for long-transient and continuous gravitational waves from ultralight vector boson clouds around known black holes (BHs). We use LIGO data from the first part of the fourth LIGO-Virgo-KAGRA observing run. The searches target two distinct types of BHs and use two new semicoherent methods: hidden Markov model (HMM) tracking for the remnant BHs of the mergers GW230814_230901 and GW231123_135430 (referred to as GW230814 and GW231123 in this study) and a dedicated method using the Band Sampled Data (BSD) framework for the galactic BH in the Cygnus X-1 binary system. Without finding evidence of a …

Surveyception: An Exploration Of Deceptive Survey Forms, Muhammad Danish

Computer Science ETDs

Survey platforms such as Google Forms and Microsoft Forms are widely used for feedback, data collection, and engagement, but scammers increasingly exploit them to distribute phishing and deceptive attacks. This thesis presents a large-scale study of survey-form abuse across ten major providers. We collected 140,000 forms from three sources: public posts on X, search-engine results, and web pages from the top 10 million DomCop-ranked domains. Using automated filtering and manual qualitative review, we identified 2,645 forms requesting sensitive information and classified 566 as scams. These forms used techniques including phishing, private-secret theft, account and personal-data harvesting, financial deception, and psychological …

Metastatic Large Cell Neuroendocrine Carcinoma: A Rare Cause Of Hypopituitarism, Smriti Nair, Taskeen Ahmed, Jessica Watari

Division of Internal Medicine Faculty Papers & Presentations

Pituitary metastases from pulmonary large cell neuroendocrine carcinoma (LCNEC) are exceedingly rare but should be considered in patients presenting with arginine vasopressin deficiency and panhypopituitarism in the context of known or suspected metastatic lung cancer. Early recognition and prompt initiation of hormonal replacement therapy are essential to prevent life-threatening endocrine crises and to improve symptom burden. We describe a case of a 43-year-old male who presented with dyspnea, weight loss, and weakness who was found to have metastatic LCNEC involving the liver. Endocrine evaluation revealed central hypothyroidism, central adrenal insufficiency, and later arginine vasopressin deficiency manifested by polyuria and hypernatremia. …

Individual Differences In Generative Ai Effectiveness: An Empirical Puzzle For Hrd Research, Nolan C. Lovett

Educational Leadership & Workforce Development Faculty Publications

Professionals with similar backgrounds, given identical generative AI tools, achieve sharply different outcomes. This perspectives piece examines what explains that variance, reviewing evidence on cognitive capacity, domain expertise, metacognition, epistemic calibration, personality, and culture, and argues that existing user typologies describe these differences without predicting their consequences. It then extends the puzzle in a direction the static account misses: the same individual differences that shape AI effectiveness are themselves reshaped by sustained AI use, as cognitive offloading, deskilling, and upskilling inhibition operate differently across the expertise distribution. Recent evidence, including deskilling among experienced clinicians and suppressed learning among students using …

Spherical Video–Based Vr Training For Nurses' Workplace Violence Management, Wen-Chii Tzeng, Yen-Yin Lin

International Nursing Research Congress (INRC)

Background: Workplace violence is a major global public health concern that undermines the physical safety, psychological well-being, and professional performance of nurses. Effective responses require increased sensitivity to environmental cues and interpersonal dynamics. However, nurses' workplace violence management cannot be cultivated through classroom instruction or text-based materials alone. This gap necessitates innovative, sustainable, and immersive learning approaches.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of a spherical video–based virtual reality training programme aimed at helping nurses manage workplace violence.

Methods: A convergent mixed-methods study was employed. This study included nurses from a tertiary medical centre in Taiwan. The training …

Developing And Validating A Nursing Leadership Competency Framework For Hospital Nurse Managers, Wen-Chii Tzeng, Ling-Yu Chien, Yao-Mei Chen

International Nursing Research Congress (INRC)

Background: Nursing leadership competencies are essential for ensuring care quality, organizational performance, and professional advancement. However, in Taiwan, leadership development has been limited by the absence of a validated, tiered competency framework that reflects both local practice contexts and global standards.

Purpose: To develop and validate a nursing leadership competency framework for hospital nurse managers in Taiwan.

Methods: A three-phase design was employed. Phase 1 involved a systematic review of international and domestic literature to generate preliminary competency domains. Phase 2 used focus group interviews with nurse executives, managers, and educators to refine and contextualize the framework. Phase 3 conducted …

Assessing Nursing Students’ Palliative Care Competence To Inform Course And Curriculum Design, Wen-Wen Li, Jung Eun Kim, Derrick Huang

International Nursing Research Congress (INRC)

Purpose: This project evaluated undergraduate nursing students’ competency and knowledge in palliative care (PC) before a semester-long course. Findings informed curriculum design to strengthen students’ understanding and application of PC concepts in clinical practice.

Background/Significance: Palliative care is vital in nursing education, yet integration into undergraduate curricula remains inconsistent (Lippe & Becker, 2021). Developing PC competence enhances patients’ and families’ quality of life (Alhaddar et al., 2025). Assessing students’ baseline knowledge helps identify learning gaps and align curricula with the American Association of Colleges of Nursing [AACN] CARES Competencies (AACN, 2021) in PC education.

Methods: A cross-sectional study was conducted …

West Coast Workshop To Southwest Institute, Hannah Marie Cerne

Art & Art History ETDs

This thesis considers Tamarind Institute in Albuquerque, New Mexico (originally established as Tamarind Lithography Workshop in Los Angeles, CA), and its contributions to collaborative printmaking. Originally founded in 1960 by June Wayne with Clinton Adams and Garo Antreasian, Tamarind Lithography Workshop (the precursor to Tamarind Institute) revitalized lithography through structured collaboration between artists and master printers, alongside rigorous training programs. This thesis provides an institutional history of the workshop during its relocation to the University of New Mexico, highlighting its transformation into a university-based institute that integrated education and professional production. Using social and labor-based methodologies, this study analyzes how …

On Food, Politics, And The Power Of Representation In The American History Museum, Mason A. Bright

Museum Studies Theses

This study explores the political implications of foodways-related interpretation at American history institutions, situating it within current partisan discourse. Using an “Anthropology of Museums” framework, I place literature from the fields of food history, human geography, and museum studies in conversation with interviews with three curatorial professionals from the National Museum of American History, the Henry Ford Museum of American Innovation, and the New Mexico History Museum. I understand the ways these professionals navigate politically engaged interpretation through the lens of ethnographic refusal, a phenomenon drawn from the anthropology subfield of resistance studies. I argue that the connections between food …

Cbd's Impact On Learning, Memory, And Anxiety: A Dose Response, Audrey Camacho

Psychology ETDs

Cannabidiol (CBD) is widely utilized for its therapeutic properties, yet its impact on an unmanipulated model at baseline behavior remains poorly understood. This study investigates CBD’s dose-dependent behavioral profile on spatial learning, memory, and anxiety using Long-Evans rats. Subjects received a vehicle, 20 mg/kg, or 40 mg/kg CBD dose prior to assessment in the Morris Water Task (MWT) and Elevated Plus Maze (EPM). MWT results indicated consistent Day 1 learning, but the 40 mg/kg dose induced a temporary disruption 24 hours post-treatment. Performance returned to baseline by day 6. On the EPM, traditional anxiety markers remained unchanged. While CBD did …

Water Availability Regulates Maize Reliance On Soil Versus Fertilizer Nitrogen In A Semiarid Environment, Dwarika Bhattarai, Janet Moriles Miller, Sharon A. Clay, David E. Clay

Agronomy, Horticulture and Plant Science Faculty Publications

In semiarid environments, early-season water deficits create uncertainty in how much and when N fertilizer should be applied. To minimize indecision, a better understanding of the interrelationships among water availability, N rate, plant N sources, and yields is needed. This study investigated how soil water availability influenced maize (Zea mays L.) yields and utilization of soil- and fertilizer-derived N in semiarid environments in 2020 and 2021. The replicated trials were conducted at 12 sites and determined the impact of water availability and N rate on the sources of N within the grain, and precipitation and N use efficiencies (PUE …

Ophthoevidence Report: Comparative Effects Of Prophylactic Strategies For Post-Intravitreal Injection Endophthalmitis: Protocol For A Systematic Review And Network Meta-Analysis, Maryam Ghadimi, Dena Zeraatkar, João Pedro Lima, Jinhui Ma, Sunir J. Garg, Peter Kaiser, David Steel, Tien Yin Wong, Sobha Sivaprasad, Charles Wykoff, Varun Chaudhary

Wills Eye Hospital Papers

BACKGROUND: Endophthalmitis is a rare but serious complication of intravitreal injections (IVI). To mitigate the risk of post-injection endophthalmitis (PIE), retinal specialists use different strategies, combining various prophylactic measures. However, existing systematic reviews have evaluated the effects of these measures in isolation, which does not consider their concurrent use in practice. A trustworthy systematic review with network meta-analysis (NMA) by providing a framework for simultaneous comparisons of different prophylactic combinations is essential to guide decision-making.

OBJECTIVES: To present a protocol for addressing the comparative effects of different strategies for the prevention of PIE.

METHODS: We will search Medline, EMBASE, Cochrane …

Ai-Powered Resume Screening, Sang Suh, Numery Zaber

Faculty Publications

Traditional resume screening is manual, slow, and susceptible to bias, and it struggles to keep pace with today’s application volumes. This paper presents a dual-engine, AI-powered resume screening system designed for transparency and reproducibility. The primary (classical) pipeline encodes resumes and job descriptions using Sentence-BERT (SBERT), computes a resume–job match score via cosine similarity, classifies candidates into 25 job categories using XGBoost, and provides model interpretability through SHAP. In parallel, a prompted large language model (LLM) baseline (GPT-4o/4o-mini) outputs a match score and predicted category for comparative analysis. A Streamlit-based interface integrates both engines to support recruiter workflows and human-in-the-loop …

Notch Signaling Regulates The Secretion Of Pro-Metastatic Factors In Extracellular Vesicles In Liposarcoma, Menchus Quan, Yi-Kai Liu, Ying Zhao, Madeline Kay, Kai Sun, Timothy P Gavin, Raphael E Pollock, W Andy Tao, Shihuan Kuang

The Brown Foundation: Institute of Molecular Medicine

Notch signaling is an emerging regulator of liposarcoma (LPS), but its role in mediating communication with the tumor microenvironment (TME) is unclear. Here, we investigate how Notch activation (NICD overexpression) alters the proteomes of LPS-derived extracellular vesicles (EVs). We used quantitative mass spectrometry to profile the EV proteome in multiple contexts: cultured LPS cells, LPS tumor, circulating EVs of LPS-bearing mice, and human LPS samples. We found that Notch signaling increases the secretion of EV proteins that favor tumor progression and metastasis but suppresses immune responses in murine LPS cells. Overlapping murine and human LPS data identifies 18 proteins that …

Biologically-Based Alternatives To Plastic Mulch Enrich Microbiome And Buffer Yield In Small-Scale Strawberry Production, Olivia L. Fragiacomo

Master's Theses

Much of commercial agriculture has used plastic mulch since the 1950s to contain fungicides and fertilizers, control weeds, retain soil moisture, and warm the top soil to start the growing season earlier. Research suggests that small-scale strawberry (Fragaria x ananassa) growers may be able to incorporate biological techniques, such as wheat straw mulch with microbial amendments, to reduce the use of single-use plastic mulch with a comparable yield. For this study, I carried out a randomized complete block comparison of five strawberry management techniques: plastic mulch (PM), straw mulch alone, and straw mulch inoculated with either arbuscular mycorrhizal fungi (AMF), …

Medical Recommendations And Bmi Among Black And Hispanic Adolescent Females, Dorothea Polk

Walden Dissertations and Doctoral Studies

Adolescent obesity persists as a critical public health challenge in the United States, with Black and Hispanic adolescent females experiencing elevated rates. Adolescent obesity contributes to serious long-term health risks, but provider counseling may support body mass index (BMI) management. Guided by the social-ecological model, this study examined whether receiving medical recommendations to control or lose weight was associated with BMI among Black and Hispanic adolescent females aged 16–19 years and whether meal preparation habits and food security status moderated this association, controlling for age, household income, and race/ethnicity. This quantitative, cross-sectional secondary analysis used multiple linear regression analyses to …