Digital Commons Network^™

Cardiogenic Shock: Igniting Knowledge Through Simulation, Tracy Suddreth Msn, Aprn, Accns-Ag, Ccrn-Cmc, Leah Haught Msn, Aprn, Accns-Ag, Ccrn-Cmc

Nursing Research & Professional Development Conference

Background/ Introduction

Despite advances in technology, national cardiogenic shock (CS) mortality rates remain above 30%. Recent literature on early recognition initiatives led the organization to create a CS team and protocols to guide treatment. Increased volume and acuity of CS patients highlighted the need for specialized RN training in the complex care of this patient population.

Purpose

The purpose of this project was to develop both didactic and high-fidelity simulation sessions to increase nursing confidence in early recognition and management of CS patients.

Methods/Evaluation

A 1-hour didactic course and 4-hour simulation session were built based on review of current CS …

Advocate Nurses Collaborate For Stronger Legal Shields Against Workplace Violence, Susan Morby Msn, Rn, Nea-Bc, Sarah Gilmore Bsn, Rn

Nursing Research & Professional Development Conference

Background/Introduction

Healthcare workers (HCW) face disproportionately high rates of workplace violence (WPV) and are five times more likely to be injured than other types of workers (Lim et al., 2022). HCWs account for 73% of all nonfatal workplace injuries in 2018 (OSHA, 2020). National studies show that 12% of nurses planning to leave the profession in the next 5 years cite WPV as the reason (Smiley et al., 2025). Despite implementation of security measures, WPV continues to escalate, contributing to burnout and workforce attrition (The Joint Commission, 2018).

Purpose or Objective

This initiative aimed to expand legal protections for all …

Professional Governance: From Informational To Transformational, Leah Stein-Fredbeck Bsn, Rnc-Ob, Kristin Rothbart Msn, Mba, Rn, Chpq, Ne-Bc

Nursing Research & Professional Development Conference

Background

Nurse engagement and retention in governance structures is challenging, with many hesitant to participate due to perceived time constraints, lack of expertise, and insufficient skills. As a foundation of Magnet organizations, professional governance impacts nurse-sensitive indicators (NSI) and satisfaction. This initiative addressed barriers by equipping nurses to lead councils effectively, fostering improved participation, sustainable outcomes, and alignment with organizational goals.

Purpose

To improve engagement in unit-level professional governance councils, a structured program of chair educational sessions was developed, culminating in a comprehensive workshop. This initiative addressed concerns, providing chairs with tools and strategies to enhance council effectiveness

Method

Professional …

Preventing Infant Falls: Empowering Parents Through Safe Sleep Education, Gina Morimoto Rn, Brandee Staude Bsn, Rnc-Mnn, Kimberly Stevenson Bsn, Rnc-Mnn, Cristina Dolan Bsn, Rn, Jacqui Lemieux Bsn, Rn, Cpst, Isabella Horning Msn, Rn, Phoebe Poff Bsn, Rn, Sheridan Schaefer Msn, Rn, Rachael Krofta Bsn, Rnc-Mnn, Karina Thompson Can

Nursing Research & Professional Development Conference

Background:

In-hospital newborn falls, often linked to maternal fatigue during postpartum recovery, present significant safety concerns. Factors such as sleep deprivation, pain, medication, age, multiparity and type of delivery can impair a mother’s ability to safely hold and care for her infant, increasing the risk of accidental drops. Implementing safe sleep practices and educating parents are critical strategies to mitigate these risks.

Local Problem:

Our hospital identified a concerning number of newborn falls, predominantly occurring during nighttime hours when mothers, exhausted from childbirth, breastfeeding and caregiving, inadvertently fell asleep while holding their infants. This pattern highlighted the need for a …

The Efficacy Of Realistic Code Simulation On Nurses' Preparedness And Anxiety, Jadyn Lloyd-Romig Msn, Rn, Ccrn

Nursing Research & Professional Development Conference

Background: In a hospital cardiopulmonary arrest, the patient's life and functional outcome rely on the efficiency of the care team. When a Neuroscience Intensive Care Unit team member inquired about unit concerns, many nurses shared challenges managing code situations. Factors relating to this problem include limited real-life experience and the non-unit-specific nature of ACLS/ BLS training.

Local Problem: To better understand the scope of the issue, a 10 question survey was created and administered to staff to assess their preparedness and anxiety levels during code situations. This survey revealed high levels of anxiety and low levels of confidence, highlighting a …

Patient Identification: Call Check Connect, Antoinette Fox Bsn, Rn, Nicole Calderon Bsn, Rn

Nursing Research & Professional Development Conference

Background: Lack of staff participation in verifying correct patient in conversations via phone or in-person has led to an increase in patient safety events within our site.

Local problem: While receiving telemetry monitoring, a patient experienced sustained bradycardia (slow heart rate). When the concern was initially escalated to the care team, there was confusion regarding which patient was experiencing the clinical decline. The lack of use of the high reliability tool read/repeat back and patient identifiers lead to a delay in escalation to the clinician and a clinical intervention delay. Ultimately leading to a major safety event.

Method: The safety …

The Barcode Breakthrough: A Quality Improvement Initiative To Medication Safety, Larissa Cooper Msn, Rn, Christa Oechler Msn, Rn Npd-Bc, Aurora Smith Msn, Rn Patient Care Manager

Nursing Research & Professional Development Conference

Background

Medication errors affect over one million people annually, leading to significant mortality. Barcode Medication Administration (BCMA) reduces errors by reinforcing safe medication practices. In December 2023, a Midwest non-profit hospital identified BCMA compliance below the 97% (stretch goal 98%) system goal on two medical-surgical (MS) units, prompting intervention.

Local Problem

In Quarter Four 2023, BCMA compliance rates on two inpatient MS units were 91.5% and 94.6%. Issues in data accuracy were identified and addressed in January 2024, ensuring reliable tracking. Data was refined to include only core MS nursing staff. Once data accuracy was confirmed, barcode scanning compliance remained …

Sharper Focus, Safer Teams: Standardizing Sharps Injury Prevention Across Multiple Sites, Susan Morby Msn, Rn, Nea-Bc, Sarah Gilmore Msn, Rn

Nursing Research & Professional Development Conference

Background:

Healthcare workers (HCWs) remain at risk for sharps injuries, which can lead to transmission of blood-borne pathogens such as HIV (Maina, 2024). Contributing factors include inconsistent safety practices, limited access to real-time data, and insufficient support. Evidence-based prevention strategies emphasize safety-engineered devices, ongoing education, and standardized protocols (Cheetham et al., 2019; Moshksar et al., 2023).

Local Problem:

In 2022, Advocate Health Illinois and Wisconsin reported 1,060 sharps injuries, with 433 involving nurses. Notably, many incidents occurred despite safety mechanisms. Injury rates did not improve in 2023, highlighting the lack of a standardized approach to sharps injury prevention, inconsistent access …

The Discharge Admission And Transfer (D.A.T) Nurse Program, Bethane Leuck Bsn, Rn, Raquel Gonzalez Msn, Rn, Agcns-Bc, Shannon Peters Bsn, Rn, Medsurg-Bc - Nursing Professional Development Generalist, Shavonya Wright Msn, Rn - Director Of Nursing, Maria Witczak Bsn Rn - Nurse Supervisor

Nursing Research & Professional Development Conference

Background: Overcrowding and boarding in the emergency room is a national issue associated with delayed care, adverse events and increased mortality. This in turn impacts inpatient bed availability, capacity, and patient flow. Strategies to mitigate this include addressing barriers and facilitators to inpatient discharges. Baseline data (03-06/2024) showed on average 11% of discharges occurred before noon, 4.3 hours from order to discharge, 32% utilized the discharge pharmacy nurse navigator, and mean length of stay was 5.4 days.

Purpose: To pilot and evaluate the role of a discharge admission and transfer (DAT) nurse, whose primary goal is to improve discharge efficiency …

Taste Matters: Innovative Nurse-Led Research In Oncology, Sharon S. Kilbride Bsn,Rn,Ocn, Abigail M. Dillon Msn, Rn, Ocn, Bree Aguilar Msn, Rn-Bc - Nursing Professional Development Generalist - Advocate Illinois Masonic Medical Center

Nursing Research & Professional Development Conference

Background

Taste alteration (TA) affects up to 70% of oncology patients receiving chemotherapy, leading to decreased dietary intake, malnutrition, and poor quality of life. TA is unreported due to lack of taste assessments or toxicity screening, with no known treatment. However, researchers have shown that breast cancer patients were able to control TA with a researcher-delivered intervention. Research is needed to translate this promising strategy for real-world clinical use with populations beyond breast cancer.

Purpose

The study is aimed at testing the effectiveness of a nurse-led TA intervention to reduce symptom intensity for oncology patients initiating chemotherapy.

Methods

This prospective …

Presidents, Opinions, And Independent Officers, Jed Handelsman Shugerman

Faculty Scholarship

The Opinions in Writing Clause is a persistent textual problem for the claim that Article II implies an indefeasible removal power: If the Framers believed they had given the president an unconditional removal power, why would they also specify a lesser power merely to ask for opinions? New historical research confirms this textual problem was also contextual: early state constitutions, the Ratification debates, and the First Congress indicate that the Opinions Clause’s original public meaning signaled independence of department heads, or at least the possibility of congressional requirements like good cause.

Legal scholars have already shown that the texts of …

The Parthenon, November 12, 2025, Baylee Parsons, Kaitlyn Fleming, Ashton Pack, Nate Harrah, Caden Adkins, Scott Price, Lilli Ross, Wade Sullivan

The Parthenon

No abstract provided.

Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin

Walden Dissertations and Doctoral Studies

A major gap in acute care is the delayed initiation of palliative consultations. Although over 58 million people worldwide could benefit, only 14% receive such care. Despite evidence that early involvement improves outcomes, providers often overlook their value, leading to late referrals, typically after repeated hospitalizations or near end-of-life, when hospice may be more appropriate. This Doctor of Nursing Practice (DNP) educational intervention addressed a critical practice-focused question to enhance healthcare providers’ understanding of palliative care improve hospital-based patient outcomes. The intervention aimed to demonstrate a ≥20% knowledge gain from pretest to posttest scores related to distinguishing palliative care from …

Phenomenon-Based Learning And Storylines In K-12 Science Education: A Systematic Review Of Current Research, Implementation, And Future Directions, Kate Ireton Walker, Noushin Nouri

Teaching and Learning Faculty Publications

Phenomenon-based learning (PhBL) and storylines represent emerging pedagogical approaches in K-12 science education that emphasize student-centered inquiry and real-world connections, yet comprehensive synthesis of research in this field remains limited. This systematic review synthesizes current literature on PhBL and storyline approaches to identify key themes, implementation practices, and research gaps in K-12 science education. Using PRISMA guidelines, we systematically searched education journals, identifying 24 articles published between 2013 and 2024. Qualitative inductive analysis revealed six major themes through iterative coding and collaborative discussion. Six interconnected themes emerged: (1) Theoretical Foundations encompassing constructivist frameworks and pedagogical principles; (2) Curriculum Design and …

Shade As An Agro-Technique To Improve Gas Exchange, Productivity, Bioactive Potential, And Antioxidant Activity Of Fruits Of Hylocereus Costaricensis, Milena Maria Tomaz De Oliveira, Noemi Tel-Zur, Francisca Gislene Albano-Machado, Daniela Melo Penha, Monique Mourão Pinho, Marlos Bezerra, Maria Raquel Alcântara De Miranda, Carlos Farley Herbster Moura, Ricardo Elesbão Alves, William Natale, Márcio Cleber De Medeiros Corrêa

Plants, Soils, and Climate Faculty Publications

Hylocereus species are promising for enhancing fruit productivity in arid regions, but high solar radiation often leads to yield loss. This study aimed to evaluate the short-term impact of different shading levels on the physiological performance, productivity, and post-harvest quality of Hylocereus costaricensis under semi-arid conditions. Plants were grown in the field under two shade levels, i.e., 35 and 50% and their performances were compared to plants under control, i.e., 0% of shade or full sunlight. The nighttime CO₂ assimilation and productivity increased significantly by 310.5 and 114.6% and 34.3 and 50.14% for plants under 35 and 50% of …

Low Mutation Rate But High Male-Bias In The Germline Of A Short-Lived Opossum, Yadira Peña-García, Richard J Wang, Muthuswamy Raveendran, R Alan Harris, Paul B Samollow, Jeffrey Rogers, Matthew W Hahn

Faculty, Staff and Students Publications

Age and sex have been found to be important determinants of the mutation rate per generation in mammals, but the mechanisms underlying these factors are still unclear. One approach to distinguishing between alternative mechanisms is to study species that reproduce at very young ages, as competing hypotheses make different predictions about patterns of mutation in these organisms. Here, we study the germline mutation rate in the gray short-tailed opossum, Monodelphis domestica, a laboratory model species that becomes reproductively mature at less than 6 mo of age. Whole-genome sequencing of 22 trios reveals one of the lowest mutation rates per generation …

The Bg News November 12, 2025, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. November 12, 2025. Volume 105-Issue 11.

Reframing Women’S Football Through Digital Journalism: The Case Of Kumparanbolanita In Indonesia, Nesia Qurrota A'Yuni

JURNAL KOMUNIKASI INDONESIA

The global rise of women’s football has opened new opportunities for media industries worldwide, including in developing countries such as Indonesia. In response to this trend, Kumparan launched kumparanBOLANITA in 2023, the country’s first digital media channel dedicated to women’s football. Drawing on media economy theory, this study examines how globalization, regulation, technology, and audiences shape the dynamics of kumparanBOLANITA as both a corporate social responsibility (CSR) initiative and a strategic move within Indonesia’s media ecosystem. Employing a qualitative case study approach, data were collected through interviews, document analysis, and observations, including insights from editorial team managing the channel. Findings …

Assessing The Role Of Ai In Determining The Necessity And Proportionality Of The Exercise Of Self-Defense Against An Armed Attack, Marco Roscini

International Law Studies

This article explores whether artificial intelligence (AI) constitutes an asset or rather a challenge in assessing the necessity and proportionality of a State’s response to an armed attack in the context of self-defense. Two central arguments are advanced. First, while AI may assist in detecting incoming threats of armed attacks, abstract and highly context-driven notions like necessity and proportionality would be very difficult to encode into algorithms. Second, even assuming that this were possible, relying on AI to determine the necessity and proportionality of a self-defense response would present as many challenges as it does advantages and, therefore, should be …

Artificial Intelligence And The Prohibition On The Use Of Force: Intention And Causation, Russell Buchan

International Law Studies

This article explores the application of Article 2(4) of the United Nations Charter to AI-enabled systems that carry out unintended engagements involving the use of force. First, it analyzes whether State responsibility for a breach of the prohibition on the use of force is defined in subjective or objective terms. Most commentators maintain that a State must intend to use force against the victim State in order for the prohibition to apply. However, through an examination of State practice, this article demonstrates that the prohibition is based on objective responsibility. Second, this article assesses whether a State must cause the …

Have Laws In America Been Effective In The Fight Against Sex Trafficking?, Justina Grosso

Theses & Dissertations

Human trafficking, specifically sex trafficking, has gone on from as far back as the Transatlantic Slave Trade. Thousands of vulnerable adults and children are traded yearly and coerced into various forms of exploitation. This paper focuses on the phenomenon of sex trafficking and its history in America. It analyzes the pandemic of trafficking regarding its victims and who their traffickers are, shining light on the trauma these victims endure. This paper delves into real life survivor stories and the social media influence on trafficking, federal and state legislation, economic impacts and rehabilitative services for victims. Most importantly, the question of …

In Vitro Antiviral Activity Of Cat’S Claw (Uncaria Tomentosa) Bark Extract Against Human Influenza A Virus, Juliann N. Makau, Keith K. Talaam, Mike Odiwuor, Janet M. Majanja, Sophia Musenjeri, Ratika Rahmasari, Samoel A. Khamadi, Ken Watanabe

Pharmaceutical Sciences and Research

Influenza A viruses mutate very fast and this leads to the development of resistance to antivirals, hence the need to find new therapeutics. Due to their extensive traditional use, natural products are crucial resources for the discovery of drugs. Cat’s claw (Uncaria tomentosa), is a tropical vine known for various health benefits and in this study we evaluated its anti-influenza activity. Pulverized material of the stem bark was extracted using 80% ethanol, hot water, and 1% sodium bicarbonate. The extracts were dried and dissolved in dimethylsulfoxide before testing for cytotoxicity and antiviral activity using crystal violet assay. The …

Exploring The Vitronectin Binding Affinity And Cell Viability Effect Of Small Molecule Metabolites From Medicinal Plants For Neuroblastoma, Stephenie C. A Alaribe, Sofia Granados-Aparici, Akolade R. Oladipupo, Isaac Vieco-Marti, Blessing E. Titilayo, Gordon Allen, Rosa Noguera

Pharmaceutical Sciences and Research

High-risk neuroblastoma (HR-NB) is an aggressive form of childhood cancer with a five-year survival rate of less than 50%, underscoring the need for more efficacious and less toxic treatments. The glycoprotein vitronectin (VN) has been linked to poor prognosis in patients with HR-NB, thus inhibitors of VN function represent a promising avenue for molecular mechanotherapy. This study investigated the binding affinity between the somatomedin B (SMB) domain of VN and natural compounds from the medicinal plant, Olax subscorpioidea, targeting the plasminogen activator inhibitor-1 (PAI-1). The therapeutic potential of α-amyrin (AMY), lupeol (LUP), and olax chalcone A (olax CHA) was tested …

Systematic And Scoping Reviews: What They Are, Why They Matter, And How To Do Them Right, Sharon Duffy Mlis, Rowan Marye Mlis, Lsu Health Libraries

Library Instruction

Curious about evidence synthesis? This session offers a practical introduction to literature reviews and explains their role in evidence-based scholarship. You’ll learn the types of research questions they address and the structured six-step process for conducting them effectively. Recorded session from the information session that took place on November 12, 2025.

Integrating Heritage Assets Into Peatland Restoration: Finding, Assessing And Valuing The Palaeoenvironmental Archive, Heather Davies, Ralph Fyfe

School of Geography, Earth and Environmental Sciences

Peatland restoration projects aim to improve the delivery of ecosystem services. Cultural heritage and Historic Environment assets are usually identified as co-beneficiaries of restoration but are not commonly well-integrated at the planning or design stages. This paper considers the heritage value of upland peatlands and methods for integrating these values in ecosystem services approaches. Taking Exmoor National Park as a case study, an extensive walkover survey identified 119 small mires and assessed their cultural heritage asset potential. Many were not previously recognised as part of the Historic Environment potential of the upland. A novel valuation system based on proximity of …

Sustainability As Global Citizenship: Creating High-Impact Learning Experiences In The Honors College, Timothy Jussaume Dr.

Sustainability Research & Practice Seminar Presentations

Dr. Timothy Jussaume, Honors College, presents "Sustainability as Globl Citizenship: Creating High-Impact Learning Experiences in the Honors College."

Storytelling Technique For Peer Group Communication About Reproductive Health On “Bacarita Kespro”, Irene Aprilya Meok, Ana Nadhya Abrar

JURNAL KOMUNIKASI INDONESIA

This study examines storytelling techniques for adolescents in group communication as a medium for reproductive health education in the “Bacarita Kespro”, a program organized by Tenggara Youth Community. The use of new educational methods is essential as traditional lecture-based approaches have proven ineffective in educating adolescents about reproductive health. Guided by narrative communication theory and symbolic convergence theory, this study employs a qualitative approach combining observation and interview data. The results show that storytelling practices in group communication involve adolescents alternating roles as storytellers and listeners, focusing on the theme of changes during puberty. From the perspective of narrative understanding, …

The Association Between Social Determinants Of Health And Pressure Injury Development In Middle-Aged Adult Oncology Patients, Ashley Marston

Electronic Theses and Dissertations Archive

In the United States, pressure injuries are a severe health problem that affect over 2.5 million people while approximately 60,000 of the affected will die annually from complications or infections related to the pressure injury. However, few studies have explored associated factors in the middled-aged adult oncology patient population Social Determinants of Health (SDOH) are known to affect health and well-being; yet there is limited evidence that SDOH directly affect oncology patients and the risk for pressure injuries. This study will explore clinical factors associated with these social determinants of health, as well as several demographic categories such as race, …

Morphometric And Meristic Analysis Of Labeo Coubie In Esa-Odo Water Reservoir, Esa-Odo, Osun State Nigeria, Olugbemi V. Ekundare, Funmilayo B. Oyekanmi, Mahmud Sanni, Azeez Aransi, Dorcas O. Owolabi

Tanzania Journal of Science

One of the common species of family Cyprinidae found in Nigeria and West Africa is Labeo coubie. They are of commercial importance in West Africa. This study embarked on the assessment of the length- weight relationship, condition factor, morphometrics and meristic characteristics of L. coubie from Esa-Odo water reservoir, Esa-Odo, Osun State Nigeria. A total of 135 (65 males and 70 females) individual L. coubie collected from fishermen were subjected to morphometric and meristic analysis. Results showed 4.90, 5.46 and 5.24 as the b value for male, female and combined sexes respectively, describing positive allometric growth for all the fish …

Antibiofilm Potential Of Zanthoxylum Zanthoxyloides Bark-Extract Against Biofilm-Producing Streptococcus Mutans In Dental Caries, Efunwole Omonike Omolade, Olaitan J. Olubukola, Wahab Abideen A, Oyedara Opemipo Omotayo, Oluwajide O. Odunola

Tanzania Journal of Science

Streptococcus mutans is the major cause of dental caries, which is costly to treat. The burden is worse in low- and middle-income countries, due to poor access to oral health services and diets high in free sugars. Conventional antibiofilm agents in oral health often have side effects, prompting the search for safer and affordable alternatives. This study investigates the antibiofilm activity of Zanthoxylum zanthoxyloides bark extract against biofilm-forming S. mutans. Dental plaque and tooth samples were collected from hospitals after ethical approval. S. mutans was identified using standard microbiological methods on Mitis Salivarius agar supplemented with Bacitracin and potassium tellurite. …