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Implementation Of A Standardized Suicide Risk Screening Protocol Using The Columbia-Suicide Severity Rating Scale (C-Ssrs) In An Outpatient Mental Health Clinic, Kemisola Ebietomiye

Doctor of Nursing Practice Projects

The outpatient mental health clinics across the United States lack consistent suicide risk assessment methods. This project developed standardized procedures which used Columbia-Suicide Severity Rating Scale (C-SSRS) assessment together with provider education and electronic health record systems to evaluate how these elements impacted provider self-efficacy and their ability to record screening results. The project used a pre-post design to examine (n=24) psychiatric providers at an urban outpatient clinic through the combined methods of Lewin's Change Theory and the Plan-Do-Study-Act framework. The General Self-Efficacy Scale measured provider self-efficacy, and structured EHR audits tracked documentation rates pre- and post-implementation over six weeks. …

Quality Improvement Project: Protecting Young Kidneys: Optimizing Albuminuria Management In Youth With Diabetes, Mili Vakharia

Doctor of Nursing Practice Projects

Diabetic nephropathy is a major microvascular complication and the leading cause of chronic kidney disease (CKD) among individuals with diabetes. Children and adolescents with type 1 and type 2 diabetes face a higher risk of developing CKD earlier in life due to longer disease duration, poor glycemic control, and delayed CKD diagnosis. Guidelines emphasize timely detection and intervention to slow disease progression. Albuminuria is an early marker of glomerular injury and signals the need to initiate CKD treatment. Despite evidence supporting early detection and treatment, standardized management of albuminuria in pediatric diabetes care remains inconsistent. This Doctor of Nursing Practice …

Nursing Education & Burnout: Secondary Analysis Of Nssrn, Bridget M. Webb, Jennifer Mallow

Creating Healthy Work Environments (CHWE)

Background: Burnout is a risk factor for nurse turnover and intent to leave. Burnout impacts nurse outcomes including incivility, fatigue, and decreased self-esteem, while patient outcomes are adversely impacted as well, including increased mortality, hospitalizations, and emergency department visits. The level of nursing education could impact nursing burnout and turnover.

Purpose: To examine the differences in self-reported burnout and level of education related to nurses:1) leaving their primary nursing position, 2) intent to leave primary position, 3) not working in nursing, and 4) employment change in the National Sample Survey of Registered Nurses (NSSRN).

Methods: The 2018 (pre-pandemic) NSSRN data …

Science Communication Tools: Rubrics For Generating Posters And Manuscripts That Are Authentic To The Practice Of Science, Tamarah Lynne Adair, Swati Agrawal, Yesmi P. Ahumada-Santos, Regina Alvarez, Kirk Anders, Rebekah F. Hare

Biology Faculty Scholarship

Traditional undergraduate science courses often prioritize content mastery over authentic engagement with the scientific process. Course-based research, also referred to as course-based undergraduate research experiences (CUREs), addresses this limitation by immersing students in authentic scientific practice. In course-based research, assessment practices can also mirror the authentic scientific practice, where extensive formative feedback supports refinement of skills and understanding. Here, we present two rubrics designed to support the teaching and assessment of science communication in a way that reflects how scientists prepare to disseminate their research findings. One rubric is for creating scientific posters and another for writing short-format manuscripts. Developed …

Interface-Directed Synthesis Of Cspbbr3-Based Particles With Water-Ode Antisolvent Systems, Saurabh Singh, Xiyu Wen, Fuqian Yang

Chemical and Materials Engineering Faculty Publications

All-inorganic lead halide perovskites, specifically CsPbX₃ (X = I, Cl, Br), have attracted significant attention over the past few years due to their immense potential in optoelectronic devices, such as liquid crystal displays (LCDs), light emitting diodes, photodetectors, and solar cells. Currently, most available synthesis techniques rely on high temperatures, inert environments, and toxic non-polar solvents, with limiting scalability and environmental compatibility. Herein, we present a facile, room-temperature, and partially green approach for synthesizing CsPbBr₃-based particles via a biphasic solvent system comprising non-polar octadecene (ODE) layered over deionized water. By simply tuning the volume ratio of DI …

Quality Improvement Project: Improving Pneumococcal Vaccination Rates Through Provider Education In Primary Care, Leikasha Allen

Doctor of Nursing Practice Projects

Pneumococcal disease remains a major cause of illness and mortality among adults aged 65 years and older, leading to severe pneumonia, bacteremia, and meningitis, particularly in vulnerable populations. Although effective vaccines and clear Centers for Disease Control (CDC) and Advisory Committee Immunization Practice (ACIP) guidelines, vaccination in this age group remains inadequate. This Doctor of Nursing Practice (DNP) quality improvement project aimed to determine the impact of pneumococcal vaccination compliance through evaluating provider knowledge, confidence, and adherence to evidence-based guidelines through targeted education. Guided by Rogers’ Diffusion of Innovation Theory and the Health Belief Model, a 20-minute evidence‑based educational session …

Implementation Of A Mentoring Toolkit: A Quality Improvement Project, Joshlyn Neu

Doctor of Nursing Practice Projects

Nursing faculty mentorship is an essential component of professional development, job satisfaction and faculty retention. However, many schools lack a structured approach to preparing their faculty members to act as mentors. This quality improvement project set out to determine whether the implementation of a formal mentoring toolkit would improve nursing faculty members perceived competency to act as mentors. Guided by Bandura’s Social Cognitive Theory (SCT), Lewin’s Change Theory, and the latest evidence-based research, this project sought to answer the following question: In full-time nursing faculty members teaching in a BSN program at a small, private college (P), how does the …

Spartan Daily, February 24, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 165, Issue 14

Improving Diabetes Care: Staff Training On Updated Ada Guidelines, Jeffrey Wilson

Doctor of Nursing Practice Projects

The incidence of diabetes is rising, requiring clinical staff to stay current with the American Diabetes Association (ADA) Standards of Care. A lack of knowledge and outdated practices were revealed during the needs assessment at the project site. This quality improvement (QI) project sought to determine whether ADA‑centered educational training could impact staff members' knowledge of diabetes. Orem’s Self‑Care Deficit Nursing Theory and Lewin’s Change Theory served as the theoretical frameworks to promote provider competence and adherence to evidence‑based diabetes treatment. Quasi‑experimental pre–post design was used with a convenience sample of four clinical staff at a rural outpatient clinic. Study …

Disruptive Academic Behaviors: The Dance Between Emotional Intelligence And Academic Incivility, Tracy Ann Hudgins, Diana M. Layne, Celena E. Kusch, Karen Lounsbury

Creating Healthy Work Environments (CHWE)

This presentation aims to share the findings from a recent study that identified student and faculty perceptions of academic incivility, share the adapted Conceptual Model for Fostering Civility in Nursing Education, and discuss identified strategies for improving civility based on our findings (Authors, 2022; Authors, 2023). This study was conducted at a regional four-year university in the southern United States and focused on the diverse, often under-resourced, and/or first-generation students who make up most students in regional universities but are typically a minority in major research institutions. While the study was not planned to occur during a highly stressful academic …

Opioid Use Knowledge And Attitudes Among U.S. Adults, Jadyn E. Knox

Master's Theses

The opioid epidemic remains a public health crisis, with overdose rates continuing to rise. Associations between individuals opioid use and knowledge of and attitudes toward opioid substances and overdoses have been investigated to inform educational interventions. However, many studies utilize college student or adolescent samples, and findings remain inconclusive. An assessment of opioid knowledge and attitudes across broader adult populations is lacking. Concurrently, replication literature in the social sciences is limited, therefore, the present study replicated and expanded upon Williams et al. (2013) and Vyas et al. (2023) studies. Reliability and validity of the Opioid Knowledge scale, Opioid Overdose Knowledge …

An Examination Of Trends And Factors Influencing Teen Retention In 4-H Youth Development Program: A Case Study, Bethany R. Corona

LSU Master's Theses

Teen participation in 4-H has declined nationally in recent years, raising concerns about long-term program sustainability and youth engagement. Understanding the factors that influence teens’ decisions to remain involved in 4-H is critical for informing program design and delivery. Guided by the theory of planned behavior, this qualitative study explored teen perceptions of 4-H programming, youth voice, social influences, communication, and barriers to participation. Data were collected through two group interviews with teen 4-H members representing multiple parishes. Interviews were audio recorded, transcribed verbatim, and analyzed using the constant comparative method through a three-phase coding process consisting of open, axial, …

Child Development Accounts Reduce Adolescent Behavior Problems, Jin Huang, Yingying Zeng, Michael Sherraden

Center for Social Development Research

Adolescence can be a challenging time, and a body of research has investigated options for addressing adolescent behavior problems. This brief presents findings from a new line of inquiry. The analyses presented here draw upon data from the SEED for Oklahoma Kids experiment, a test of a statewide Child Development Account (CDA) policy in Oklahoma. The findings indicate that CDAs positively shape the frequency of adolescent behavior problems.

Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is a significant public health concern, and educating nursing staff is crucial to improving patient outcomes and supporting public health initiatives. This staff education project focused on improving the quality of hypertension management by empowering nurses to provide evidence-based, patient-centered care. The practice-focused question is as follows: Will HTN education improve staff knowledge of HTN diagnosis, treatment, and management? I employed a quantitative pre-test/post-test design to measure changes in staff (n = 10) knowledge before and after training. Descriptive statistics measure knowledge gain and the effectiveness of educational strategies. The pre-test percentage of correct answers improved from 79% …

Challenges And Supports Of Principals’ Implementation Of Social-Emotional Learning, Nikomar Mosley

Walden Dissertations and Doctoral Studies

School districts throughout the United States are increasingly implementing social and emotional learning (SEL). The problem addressed in this study is that K-12 principals are struggling with the mandated implementation of SEL at Northeastern School District (NSD), a large, diverse urban school district. Guided by the collaborative for academic, social, and emotional learning competency and implementation frameworks, the purpose of this qualitative study was to explore K-12 principals’ experiences with the mandated implementation of SEL at NSD. For this basic qualitative study, semistructured interviews were conducted with 10 principals. Through thematic analysis, the following themes emerged: (a) SEL is not …

Correlation Between Prevalence Of Some Colibactin Genes, Biofilm Formation, And Antimicrobial Resistance In Uropathogenic E. Coli In Iraq, Rukiya Saad Jassam, Husam Sabah Auhim

Baghdad Science Journal

Colibactin is a genotoxin produced by Enterobacteriaceae via a polyketide synthase (pks) island cluster. There is less knowledge regarding the distribution of colibactin genes in E. coli isolates in Iraq and its correlation with biofilm and antibiotic susceptibility. Therefore, this study aimed to investigate the frequency of some colibactin genes (CIbA and CIbQ) in uropathogenic E. coli in Iraq and evaluate the correlation with biofilm and antimicrobial resistance. Between October 2023 and January 2024, 70 E. coli isolates were isolated from 120 females diagnosed with UTIs. Isolates were identified first by biochemical methods and confirmed molecularly by amplification …

Characterization And Identification Of Some Indigenous Bacterial Strains For Heavy Metal Accumulation From Contaminated Soils, Aziza Usmonkulova, Gulchekhra Kadirova, Nosir Shukurov, Tulkin Shonakhunov, Samatov Nuriddin

Baghdad Science Journal

Numerous studies have reported elevated quantities of cadmium and nickel in soil, resulting in reduced plant growth, particularly in biomass, chlorophyll content, and photosynthetic traits due to their hazardous nature. Therefore, it is crucial to enhance plant resistance to heavy metal stress and reduce the toxicity of cadmium and nickel. In this study, several bacterial strains were isolated from heavy metal-contaminated soil to investigate their potential role in facilitating detrimental consequences of heavy metal stress. The capacity of the isolates to increase plant production under heavy metal stress and minimal inhibitory concentration was evaluated after the isolates were identified at …

Green Nanoremediation Of Phytogenic Copper Oxide Nanoparticles For Concurrent Organic Pollutant Degradation In Industrial Wastewaters And Antibacterial Activity, Adel Hussain Talib, Wijdan Hameed Al-Kubaisi, Safaa A. S. Al-Qaysi, Zainab Anwar Ali

Baghdad Science Journal

In the present investigation, culture A. niger was used for the biosynthesis of CuO-NPs using mango (Mangifera indica) leaves aqueous extract. This method of green synthesis is simple, more environment friendly and easy to scaled up. The obtained CuO-NPs were characterized using FT-IR, XRD, TEM, EDX and DLS to evaluate their structure, morphology, elemental composition, and particle size distribution. These findings verify the generation of spherical, crystalline CuO-NPs with an average size of 35.1 nm. The biosynthesized plant-based CuO-NPs showed potential antimicrobial and catalytic, with the higher concentration (till 6.0 mg/mL) having effect better the effect. When used for wastewater …

Continuum Discretized Coupled Channels Calculations For 6He + 197Au, 8He + 197Au And \ 11Li + 208Pb Neutron Halo Systems, Saddon Omran Gharib, Fouad A. Majeed

Baghdad Science Journal

The difficulty in investigating fusion processes using neutron-rich halo nuclei resides in comprehending the system that allows the coupling between the elastic and breakup channels. The main objective of the present calculations is to identify the ideal coupling coefficient. that takes into account the effects of channel-coupling in computing the overall cross section of fusion section σ_fus, the distribution barrier of the fusion D_fus, and the probability P_fus for the subsequent systems ⁸He + ¹⁹⁷Au,⁶He + ¹⁹⁷Au, and ¹¹Li + ²⁰⁸Pb, utilizing a quantum mechanical methodology. The coupled-channel …

Air Pollution Assessment Around Al-Rumaila Combined Cycle Power Plant, Basrah Governorate Under Dry Climatic Conditions, Mariam S. Nasser, Monim H. Al-Jiboori, Jinan S. Al-Hassany

Baghdad Science Journal

The paper addresses the potential air pollution levels resulting from the combustion of natural gas in the Rumaila combined cycle power plant in Basrah city. The study aims to evaluate the concentrations of pollutants (carbon monoxide, sulfur dioxide, nitrogen oxides, and particulate matter) at distances of 100, 500, and 1000 meters from the plant using a Gaussian dispersion model. This includes calculating the emission rates of pollutants from the stacks and estimating atmospheric stability based on data from the Iraqi Meteorological Authority. The study also determines the Turner-Pasquill stability classes for August 2023 and the wind speed and direction at …

Oscillation Conditions For Solutions Of First Order Piecewise Constant Neutral Differential Equations, Sora Ali Majeed, Hussain Ali Mohamad

Baghdad Science Journal

The research seeks to examine a new form of equations as well as possible criteria for oscillation and non-oscillation for all solutions of first-order neutral differential equations with the piecewise constant, whether these oscillatory solutions are convergent or non-convergent, by finding sufficient conditions that guarantee the oscillation of all solutions of these equations. According to NDEPC, these equations contain three delays and three coefficients, which requires that part of the coefficients in this equation be piecewise continuous. In witch A function that assumes constant values over predetermined intervals is known as a piecewise constant argument (PCA). The biggest integer function …

Enhancing Performance Of Intrusion Prevention Systems Through Machine Learning: A Comparative Study, Rawaa Hamza Ali, Zainab Saad Karam

Baghdad Science Journal

This research introduces a Machine Learning-Powered Intrusion Prevention System (ML-IPS) as a robust solution to address the challenges posed by evolving cyber threats. The ML-IPS combines timely threat detection with enhanced accuracy for real-time attack prevention, offering a resilient defense against a broad spectrum of cyber-attack. This study delves into the comprehensive evaluation of a machine learning-powered IPS that ingeniously harnesses the power of advanced algorithms to facilitate real-time threat detection and significantly enhance the overall accuracy of the system. The efficacy of intrusion prevention systems (IPS) that employ machine learning (ML) is greatly dependent on the choice of suitable …

China Maritime Report #51: The Seafarer Profession In Contemporary China, Conor M. Kennedy

CMSI China Maritime Reports

Main Findings

• China’s merchant marine is a foundational economic and national security asset, supporting the country’s multi-decade growth and modernization and military logistics. Thus, Beijing views seafarers as a strategic resource and has prioritized development initiatives to strengthen the quality and quantity of the nation’s professional merchant marine.
• China has a large potential labor supply of seafarers, with 943,954 registered for international and coastal shipping in 2023, but the actual number of seafarers actively working is far fewer. Over the past decade the sector has shifted from oversupply to emerging shortages due to COVID-19 disruptions, declining interest in maritime careers, …

A Probabilistic Deep Learning Framework For Retrieving Chlorophyll-A From Hyperspectral Imagery: Integrating Channel Attention And Mixture Density Networks, Wenzhao Li, Surendra Maharjan, Rejoice Thomas, Junde Chen, Hesham Morgan, Michael J. Garay, Olga V. Kalashnikova, Shahryar Fazli, Charles Ichoku, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

Accurate monitoring of Chlorophyll-a (Chla) is critical for assessing aquatic ecosystem health, yet ecological complexity often leads to ambiguous spectral signatures in satellite data. Traditional deterministic models assume a one-to-one mapping between spectra and pigments, often failing to capture these high-dimensional analytical challenges. In this study, we propose a novel deep learning architecture, the Channel Attention-Mixture Density Network (CA-MDN), to retrieve Chla from the National Aeronautics and Space Administration (NASA) Earth Surface Mineral Dust Source Investigation (EMIT) hyperspectral mission. The CA-MDN integrates an attention mechanism to dynamically select ecologically relevant spectral bands and employs a probabilistic output layer to quantify …

Student’S Experience With Cognitive Rehearsal To Address Incivility, Penny A. Sauer, Margaret M. Verzella

Creating Healthy Work Environments (CHWE)

Nurses need to be able to advocate for their patients, even if they face verbal abuse or incivility. Current literature indicates that 66.2%-95.1% of nurses experience verbal abuse (Dadfar & Lester, 2021) with younger, inexperienced nurses having higher levels of abuse (Zulfan et al., 2022). Nurses who face workplace violence, including verbal abuse, have higher levels of stress, impacting their mental and physical health (Sauer & McCoy, 2017).

A mixed-method study was conducted with undergraduate nursing students to determine their response to a simulation that included difficult communication with a healthcare provider. Students were provided with tools and strategies to …

Theoretical Contributions To A Positive Work Environment, Sharon Prawl

Creating Healthy Work Environments (CHWE)

Objectives: Examination of the success of nurse preceptors is moving toward the need for co-creation between nurse leaders and nurses in the role of nurse preceptors. The current nursing workforce has five generations in the cohort of healthcare workers: Silent Generation, Baby Boomers, Generation X, Millennials (Generation Y), and Generation Z (Bacon, 2023). Each group may have different characteristics and traits; supporting them can be challenging. As noted, the demographics of the workforce have changed. Therefore, Nurse Leaders (NL) must demonstrate inclusive leadership behaviors that result in practice environments where all individuals, diverse in their ages, experiences, and education, …

Organizational Trust And Burnout Among Registered Nurses And Patient Care Aides: A Qualitative Study, Katherine C. Brewer, Andrew Dierkes, Allison A. Norful

Creating Healthy Work Environments (CHWE)

Background: Healthcare worker wellbeing has emerged as a pivotal topic in workforce research. Organizational factors may impact well-being as much as individual and personal factors. One organizational determinant of well-being includes institutional trust; specifically, how the relationship between clinician and employer influences well-being (e.g., burnout). Institutional trust is an important factor in human caring professions, due to the moral and emotional nature of the work and the expectation for safety and provision among clinicians by employers. Existing clinician well-being research rarely studies institutional trust among registered nurses (RNs) and patient care aides (PCAs), despite their important frontline role in patient …

Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie

Walden Dissertations and Doctoral Studies

Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …

A Nurse-Led Clinical Practice Guideline To Improve Medication Adherence Among Psychiatric Home-Health Patients, Amber Murillo - Alonzo

Walden Dissertations and Doctoral Studies

Medication nonadherence among psychiatric patients receiving home-health services contributes to symptom relapse, preventable hospitalizations, and decreased quality of life. Inconsistent medication education and adherence monitoring within home-health settings may further exacerbate this problem. The purpose of this Doctor of Nursing Practice project was to develop and evaluate a nurse-led clinical practice guideline (CPG) designed to improve medication adherence among psychiatric home-health patients. The practice-focused question asked: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, supports the quality and usability of a CPG to improve medication adherence in a …

Understanding The Lived Experiences Of Black Males Successfully Reintegrating Post Incarceration, Ashley Smith

Walden Dissertations and Doctoral Studies

Black males remain incarcerated at higher rates than any other race. Those individuals trying to reintegrate into society face many challenges with little mental and emotional rehabilitation support. The purpose of this hermeneutic phenomenology study was to improve the understanding of what contributes to successful reintegration and the mental health and emotional needs of formerly incarcerated Black males. Critical race theory (CRT) was used as a secondary lens to examine how race, systemic racism, and structural inequities shaped participants' experiences. This study examined the following research question: What are the experiences of Black males who were previously incarcerated and have …