Digital Commons Network^™

Lgbt Cultural Competence Education For Nurse Leaders In A Large Metropolitan Healthcare System: Quality Improvement, Trevor Mcguffin, Andrew Mitchell

Doctor of Nursing Practice Papers

Background: In the United States, seven percent of adults identify as LGBT. The LGBT population is disproportionately affected by health disparities and barriers to care when compared to the cis-heterosexual population. Due to healthcare providers’ limited LGBT health education and experience, inconsistencies in LGBT culturally competent care perpetuate health disparities and barriers to care for the LGBT population.

Purpose: The purpose of this quality improvement project was to educate nurse leaders on LGBT cultural competency and facilitate nurse leaders’ behavior change.

Methods: This quality improvement project consisted of three LGBT cultural competence modules and two guided behavior change pathways. Outcomes …

Emily Davis Interviewed By Juliann Mackiewicz, Emily Davis, Juliann Mackiewicz, Stephanie Opperman

Collecting the Past

Juliann Mackiewicz interviews Emily Davis, Baldwin County Commissioner for District 1, on her perspective growing up in Milledgeville and what it is like being a leader for your community.

Listen to the podcast version here:

YouTube

https://youtu.be/DzZndl-jpeg

Spotify

https://spotifyanchor-web.app.link/e/xKYCdVATwNb

National Parks Field Journal, Isadora Davis

Art and Design Student Scholarship and Projects

A handwritten, richly illustrated field journal by Binghamton University art major Isadora Davis, recording a trip through national parks in the American West via SUNY Broome's BIO 217: Ecology of National Parks. Davis uses colored pencil drawings and pressed botanical specimens to record landscapes, birds, mammals, and plant life in Grand Teton, Yellowstone, Wind Cave, and Badlands National Parks, as well as Custer State Park. Davis's sketches and diagrams visually explore how to decode past landscapes from current formations, while her written entries explain species diversity, animal behavior, and the mechanisms causing geological formations and geothermal events. Part memoir of …

Un Rce Rise Youth Corps: Mcleod Health Free Health Care For Horry County, Savannah Piziak

Goal 3: Good Health and Well-Being

No abstract provided.

Evaluating 45 Years Of Collaborative Range Livestock Education, Melanie Heaton, Andrew Brischke, Ben Scow

Outcomes and Impact Quarterly

The Arizona/Utah Range Livestock Workshop & Tour builds cooperation and understanding between public land grazing permittees and federal agency personnel through science-based education. The workshop provides information on livestock production practices and addresses controversial grazing issues in a non-confrontational environment. Topics range from animal handling, vaccination, and health to solar development, partnering with public land agencies, and recreation effects.

Assessing The Effectiveness Of Smartphone Retail Shopping Apps Through The Lens Of Customer Value, Satisfaction, And Loyalty, Jean B. Ntahontuye

Doctor of Business Administration (DBA)

Retail e-commerce revenue was $904.9 billion in 2022; of this amount, $431.4 billion was realized via smartphone retail shopping apps, which is a 95% increase from 2019, and retail e- commerce is projected to exceed $1.7 trillion by 2027 (Statista, 2023a). Given the increasing popularity of these apps among consumers, management and marketing literature continues to debate what makes consumers accept and adopt retail shopping apps as their preferred online shopping method. Failure to understand what motivates consumers to repeatedly buy household goods via smartphone retail shopping apps may cause retailers to mistarget their customers by allocating scarce resources to …

Valuing Trans Lives After Suicide: Rituals Of Commemoration In Digital Social Media Culture, Joe Edward Hatfield

Communication Faculty Publications and Presentations

In 2014, a trans teenager named Leelah Alcorn posted a suicide letter to her public Tumblr account. Almost a decade later, in 2023, Eden Knight, another young trans woman, posted a suicide letter to her public Twitter account. Both suicide letters went viral and inspired memorial hashtags on the platforms where they initially circulated. In this article, I identify similarities between the cases, conceptualizing both as rituals of commemoration aimed toward restoring value to trans lives lost too soon. My analysis shows how ordinary users leverage the connective affordances embedded within popular social media platforms to sustain structured, value-laden acts …

Energy And Environmental Analyses Of A Solar–Gas Turbine Combined Cycle With Inlet Air Cooling, Ahmad M. Abubaker, Adnan Darwish Ahmad, Binit B. Singh, Yaman M. Manaserh, Loiy Al-Ghussain

Institute of Research for Technology Development Faculty Publications

Sensitivity to ambient air temperatures, consuming a large amount of fuel, and wasting a significant amount of heat dumped into the ambient atmosphere are three major challenges facing gas turbine power plants. This study was conducted to simultaneously solve all three aforementioned GT problems using solar energy and introducing a new configuration that consists of solar preheating and inlet-air-cooling systems. In this study, air was preheated at a combustion chamber inlet using parabolic trough collectors. Then, inlet air to the compressor was cooled by these collectors by operating an absorption cooling cycle. At the design point conditions, this novel proposed …

Wildlife Conservation: The Importance Of Individual Personality Traits And Sentience, Karen A. Owens, Gosia Bryja, Marc Bekoff

Animal Sentience

Individual differences in personality types within the same species have been studied much less than differences between species and populations. Personality differences are related to risk-taking and exploration, which in turn correlate with individuals' daily responses, decisions, and fitness. Bold and shy personality types can have different advantages and disadvantages under different social or environmental pressures. Analyzing personality differences has helped clarify how elk habituate to a well-populated area and how management strategies can be adapted to them. For wolves newly repatriated to Colorado, individual personality factors are likely to prove important for adapting to their new homes as well …

Intersectional Marxism And The Dialectic: Interpreting Marx For Our Times, Lilia Monzó, Cristal B. Flores

Education Faculty Articles and Research

"Many on the radical left are increasingly seeking a humanist alternative to the white supremacist capitalist patriarchy that has produced immeasurable suffering and destruction. Amidst the fascism ignited within this era’s supra-conservatism, many of us turned to the Democratic Party to ensure Trump’s defeat only to be reminded that both major political parties in the United States have always moved to the tune of capitalist interests.¹ Thus, at this time, especially, we must remain hopeful in order to continue our struggle to develop a viable alternative to the current system.

This new PM Press edition of Karl Marx’s Critique …

Sibling Bullying Reported By Emerging Adults: Profiling The Prevalence, Roles, And Forms In A Cross-Country Investigation, Kristen Cvancara, Esta Kaal, Maili Pörhölä, M. Beatriz Torres

Communication Studies Department Publications

Prevalence estimates of sibling bullying indicate it occurs more frequently and with more negative consequences than peer bullying, yet many countries do not track or investigate the phenomenon. University students from Argentina, Estonia, and the United States were surveyed to investigate their retrospective experiences involving sibling bullying, how often it occurred, the roles held, and the forms communicated. In the aggregated data, roughly 50 % of the sampled emerging adults (N = 3477) reported experience with sibling bullying, with the dual role of bully-victim being the most frequently reported role held by males and females, with the second role being …

Addressing Caregiver Burden Among Oncology Caregivers: An Educational Intervention., Alexandria Salois

Doctor of Nursing Practice Papers

The incidence of cancer is on the rise, the number of cancer diagnoses are increasing at an alarming rate with advanced technologies and available evidence. Cancer care has also shifted from the inpatient setting to mostly outpatient. With this, a large portion of the responsibility has been transferred to the caregiver of that patient (Kent et al., 2019). Historically, caregivers have not been at the forefront of research, however, the concept of caregiver burden is beginning to emerge. A gap exists in addressing the needs of caregivers in both evidence-based data and with the local community cancer support group, Gilda’s …

Evaluation And Implementation Of Mindfulness Module To Reduce Burnout Among Emergency Department Nurses: A Quality Improvement Project, Katie Waltrip

Doctor of Nursing Practice Papers

BACKGROUND: Nurses working in the ED experience higher burnout rates than those working in other healthcare settings. Defined as emotional exhaustion, depersonalization, and a low sense of personal accomplishment, burnout is associated with increased work absences and turnover and decreased patient satisfaction and quality care. Burnout must be examined and addressed for emergency nurses to continue providing quality care.

PURPOSE: This quality improvement project aimed to evaluate burnout among nurses working in the ED prior to and immediately following a 9-week mindfulness-based intervention.

METHODS: A Plan-Do-Study-Act model was utilized along with application of supporting evidence from the literature and an …

Promoting Healthy Habits Among Children In A Residential Facility., Tiffany Jones

Doctor of Nursing Practice Papers

Background: Childhood obesity has been a significant public health concern in the United States. The prevalence of obesity among children and adolescents has increased over the past few decades. There are serious implications for immediate and long-term health. It poses serious health risks and economic challenges.

Setting: This quality improvement project will take place at a residential psychiatric treatment facility and therapeutic foster care program for children and adolescents with mental health or behavioral issues. This facility is in the suburbs of Louisville, Kentucky.

Purpose: The purpose of this project is to boost physical activity and improve knowledge about nutrition …

Improving Transitions In Care Through Early Discharge Planning: A Quality Improvement Initiative., Sarah Markgraf

Doctor of Nursing Practice Papers

Background: A substantial body of evidence has shown transitions in care are one of the weakest links in healthcare networks, especially for older adults with complex comorbidities. Residents receiving short-term rehabilitation (i.e., rehab) transitioning to home from a skilled nursing facility (SNF) are the most vulnerable in the first 30 days post-discharge for adverse resident events, including avoidable rehospitalization. Avoidable rehospitalizations cost Medicare billions of dollars annually and lead to poor resident outcomes. Early discharge planning in SNFs for short-term stay rehabilitation has decreased rates of avoidable rehospitalizations, improved quality of life in geriatric residents, and improved care partners' perceived …

A Parenting-Skills Intervention To Mitigate Adverse Childhood Experiences For Children Of Parents In Substance Use Disorder Recovery., Makayla S. Haas

Doctor of Nursing Practice Papers

Abstract

Background: Parents recovering from substance use disorder (SUD) are prone to neurobiological alterations that affect parental emotional regulation, increasing occurrence of harsh parenting, heightened stress, and relapse. Children with parents who suffer from SUD experience adverse childhood experiences (ACE), predisposing them to negative health and lifestyle risks. Implementing a parenting-skills intervention for parents in recovery can promote positive-parenting, reduce parenting stress, improve the parent-child relationship, and mitigate the effects of ACEs.

Setting: ChooseWell Communities (CWC), a sober-living community, in Louisville, KY served as the project site. Participants at CWC are sober parents with primarily young children under 5 years …

Improving Treatment And Follow-Up Care For Patients Who Screen Positive For Depression In Family Practice: A Quality Improvement Project., Jennifer D. Hooper

Doctor of Nursing Practice Papers

Background: Depression is a prevalent condition requiring systematic approaches for effective treatment and follow-up in primary care. This quality improvement project aimed to enhance care for patients screening positive for depression at an academic family practice with a diverse patient population and a comprehensive electronic health record (EHR) system.

Purpose: The primary objective was to assess whether a provider educational session and the implementation of an optional depression treatment and follow-up algorithm could improve timely and appropriate care for patients with positive PHQ-9 screenings.

Setting: The project was conducted at an academic family practice office.

Methods/Procedures: The intervention included a …

Reducing Stress And Improving Mindfulness Practices Among Mental Health Professionals Through Guided Meditation., Liara G. Patton

Doctor of Nursing Practice Papers

Abstract

Background: Chronic exposure to psychological stress places mental health providers in a vulnerable position when coping skills are not learned or available. Mental health providers are at risk for both mental and physical illness due to the empathetic demands of their client’s stressors. The deficit in adequate coping skills can cause provider-client relationships to suffer and create an undesirable work environment.

Setting: This project took place in Somerset, KY, at a mental health company called A New Beginnings Achievement Center (ANBAC). Twenty-six employees work at ANBAC, all of whom are involved in providing mental health services to developmentally delayed …

Focused Interventions To Decrease Inpatient Falls, Alyssa Nicole Watchmaker Smith

Doctor of Nursing Practice Papers

Background: Falls are the most commonly reported safety incidence in the hospital setting (Morris R. et al., 2017). Because falls may be a result of many factors, evidence shows that multicomponent fall interventions best reduce fall rates (Bargmann et al., 2020; Dykes et al., 2010; Dykes et al., 2020; Strini et al., 2021). In this project, a needs assessment identified a need for fall prevention strategies to reduce fall rates on inpatient units.

Setting: A step-down/telemetry Cardiovascular Intervention Unit (CVI) (15 beds) and Cardiovascular Unit (CVU) (12 beds) in a suburban private hospital.

Purpose: The purpose of this evidence-based project …

Improving The Integration Of Whole Health Into A Veterans Affairs Outpatient Primary Care Clinic., Diana Lynn Blair

Doctor of Nursing Practice Papers

Abstract

The annual $4.1 trillion price tag for healthcare with a simultaneous decline in patient health outcomes is the catalyst to change the current healthcare culture from disease-focused to a Whole Health wellness and prevention model. Transforming to preventative care would remedy the current costly healthcare system, thus Veterans Health Administration (VHA) set forth a mandate to implement Whole Health (WH) system wide. The purpose of this project was to provide a training program that facilitated the implementation of WH and improve the documentation of WH in the electronic health record (EHR). A needs assessment provided to the Fort Knox …

North Hampton Annual Report, Incorporated 1742, For The Fiscal Year Ended June 30, 2024, North Hampton Town Representatives

North Hampton, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Ot Clinical And Cultural Preparedness Working With Gender Diverse Clients, Arthur Lui

Occupational Therapy Student Capstones

No abstract provided.

Queering Parenthood Through The Lens Of Occupational Science, Cassey Dela Pena

Occupational Therapy Student Capstones

No abstract provided.

Intergenerational Programming: An Initiation For Implementation For Individuals With Dementia, Joshua Dano

Occupational Therapy Student Capstones

No abstract provided.

The Incorporation Of Universal Design For Learning And Sensory Support In A School Setting, Hailey Houck

Occupational Therapy Student Capstones

No abstract provided.

Using Machine Learning To Determine A Functional Classifier Of Reward Responsiveness And Its Association With Adolescent Psychiatric Symptomatology, Robert James Richard Blair, Johannah Bashford-Largo, Ahria Dominguez, Matthew Dobbertin, Karina S. Blair, Sahil Bajaj

Center for Brain, Biology, and Behavior: Faculty Publications

Background. Machine learning (ML) has developed classifiers differentiating patient groups despite concerns regarding diagnostic reliability. An alternative strategy, used here, is to develop a functional classifier (hyperplane) (e.g. distinguishing the neural responses to received reward v. received punishment in typically developing (TD) adolescents) and then determine the functional integrity of the response (reward response distance from the hyperplane) in adolescents with externalizing and internalizing conditions and its associations with symptom clusters.

Methods. Two hundred and ninety nine adolescents (mean age = 15.07 ± 2.30 years, 117 females) were divided into three groups: a training sample of TD adolescents …

Annual Report For The Town Of Hebron, New Hampshire For The Fiscal Year Ending June 30, 2024 And 2025 Town Meeting, Hebron Town Representatives

Hebron, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

We Are...Marshall! (The Journey & Formation Of The Safd Archives), T. Fulton Burns

Theatre Faculty Research

The Society of American Fight Directors Archives now have a home at Marshall University in the Morrow Special Collection in the Marshall Library System. While the collection in these archives tells the history of the SAFD from its founding in 1979, the journey to become the current and future archival home is itself an interesting story.

Exploring The Application Of Digital Twin Technology In The Energy Sector Using Merec And Mairca Methods, Asmaa Elsayed, Bilal Arain, Karam M. Sallam

Neutrosophic Systems with Applications

Smart city sustainability initiatives prioritize creating environmentally, economically, and socially sustainable urban environments. Digital Twin (DT) technology creates precise digital replicas of physical assets, systems, or processes. These digital twins play a crucial role in advancing the goals of smart city sustainability. This paper explores the development and application of DT technology for integrated regional energy systems in smart cities, emphasizing its potential to optimize energy consumption, reduce costs, and enhance overall system performance. The CloudIEPS platform, an energy internet planning platform based on digital twin technology, is a great example of how digital twin technology can be applied in …

Leveraging An Uncertainty Methodology To Appraise Risk Factors Threatening Sustainability Of Food Supply Chain, Rehab Mohamed, Mahmoud M. Ismail

Neutrosophic Systems with Applications

By diminishing the risk factors associated with the food supply chain (FSC), we have recourse to strengthen the food supply chain's resilience, decrease food waste, and increase its sustainability. Prioritizing and identifying the risk factors impacting the sustainability of the food supply chain is essential for managing uncertainty and averting unfavorable consequences. This study attempts to identify and rank the most significant risks affecting the sustainability of the food supply chain under an uncertain environment. We use the α-Discounting multi-criteria decision-making (α-D MCDM) method for the main three risk factors: the risks of supply, the risks of demand, and the …