Digital Commons Network^™

Development Of An Evidence-Based Crna Preceptor Training Program, Emmanuel Mensah

Doctor of Nursing Practice Scholarly Projects

A preceptor is an experienced clinician who is expected to facilitate a student's learning experience. Preceptorship is the relationship between a staff nurse and student, focusing on the development of clinical skills and knowledge. Initially introduced by Florence Nightingale in the 1800s, the concept was quickly adopted by nurse anesthetists and is a staple of the anesthesia practice today. As it stands, many Certified Registered Nurse Anesthetists (CRNA) preceptors do not receive formal training in their role, which may lead to a decrease in teaching ability and confidence to face broad teaching-learning issues. A lack of preparation hinders preceptor outcomes …

Incorporation Of Mindfulness Application Use In Doctoral Nurse Anesthesia Curricula For Mitigation Of Stress And Anxiety In Student Registered Nurse Anesthetists, Kerrie Rodgers

Doctor of Nursing Practice Scholarly Projects

The nurse anesthesia specialty is highly stressful, with educational training being no exception. High didactic demands and intensive clinical experiences are placed on student registered nurse anesthetists (SRNAs), increasing stress and anxiety in their personal and professional lives. High levels of psychological distress can lead to inadvertent consequences in students’ mental, emotional, and physical health and can contribute to illness, burnout, substance use, and compromise in patient safety. Some degree of stress is necessary for motivation to succeed and perform at high levels, and encountering stress while enrolled in a doctoral nurse anesthesia program is expected and unavoidable. A search …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

Development Of Evidence-Based Practice Anesthesia Guidelines For Brain-Dead Organ Donors, Kelly Dzialowski

Doctor of Nursing Practice Scholarly Projects

Organ donation is a gift of life for both donors and recipients that can come from living donors, donors after cardiac death, or brain-dead donors (BDDs). Treating the donors with optimal care throughout the entire donation process is crucial due to organ supply shortages. Organs from BDDs are a large contributor to the number of organs donated each year and require critical care from the time of admission, declaration of brain death, and throughout the organ procurement surgery. Although each BDD requires meticulous care for successful retrieval and donation, there is a lack of evidence-based practice (EBP) guidelines for anesthesia …

Routine Evaluation With Gastric Ultrasound To Reduce Gastric Aspiration (Regurga), Joel Jackson

Doctor of Nursing Practice Scholarly Projects

When a patient undergoes anesthesia, there are inherent risks that the providers should protect the patient from. Despite adherence to fasting guidelines established by the American Society of Anesthesiologists (ASA), patients undergoing anesthesia continue to experience intrapulmonary aspiration of gastric contents. There are several factors that delay gastric emptying, including coexisting disease, trauma, pain, and opioid use. Gastric ultrasound assessment of the gastric antrum is a relatively new technology in anesthesia and can be used to assess the gastric antrum and provide information to anesthesia providers regarding the risk of aspiration in the perioperative period. The primary aim of this …

Guidelines For The Optimal Assessment Of Airway To Predict Difficult Intubation, Morgan Kleinfelder

Doctor of Nursing Practice Scholarly Projects

Managing the airway is the cornerstone of anesthesia care. However, difficult airway or intubation is not clearly defined. A major complication with a difficult airway is a cannot intubate, cannot ventilate (CICV) situation, which is reported to be as high as 10%. In addition, according to the American Society of Anesthesiologists (ASA) Closed Claim Study, "Adverse respiratory events are the most common type of injury, with difficult intubation [DI] and ventilation contributing to most of the cases. Twenty-eight percent of all anesthesia deaths are related to a CICV situation. As anesthesia evolves, basic airway assessments were developed and include mallampati …

Evaluating Nurses’ Turnover Intention And Organizational Commitment Following Stroke Unit Staffing Changes: An Evidence-Based Quality Initiative, Heather M. Tatusko Phiri

Doctor of Nursing Practice Scholarly Projects

Nurses are known to be overworked, overwhelmed, undervalued, and understaffed at dangerous levels throughout various inpatient hospital units across the United States (U.S.). Hospital registered nurse (RN) turnover is a significant issue that has accelerated since the COVID-19 pandemic, resulting in economic impacts and other burdens for organizations, individuals, and communities. Evidence suggests that evaluating Registered Nurses’ Turnover intention (NTI) and Organizational Commitment (OC) can help maintain a ready and capable team of skilled RNs; however, most healthcare organizations (HCOs) do not collect or analyze NTI and OC data and focus on staffing numbers and monetary incentives to get adequate …

Development Of Evidence-Based Clinical Practice Guidelines For The Prevention Of Peripheral Neurological Injury During Robotic-Assisted Prostatectomies For Patients In The Steep Trendelenburg Position, Tyler Wolpert

Doctor of Nursing Practice Scholarly Projects

Robotic-assisted surgery (RAS) is becoming more prevalent in modern surgical practice and is currently being utilized in a range of surgical specialties from colorectal and gynecological procedures to bariatrics and orthopedics. Every surgical procedure has potential risk to patients, however robotic-assisted laparoscopic prostatectomies (RALP) in the steep Trendelenburg (ST) position poses unique risk for peripheral nerve injury (PNI). Despite attempts to reduce the incidence rate of PNI during RALP, injuries are still occurring to patients causing patient harm and anesthesia provider litigation. The implementation of a CRNA based safety checklist may reduce the incidence rate of PNI and provider litigation …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

Lindenwood University Spring Fashion Show And Market (April 28, 2024), Lindenwood University

Fashion Show Event Programs & Related Items

Program for the Lindenwood University Spring Fashion Show and Market (April 28, 2024).

Continuous Glucose Monitoring For Glycaemic Control And Cardiovascular Risk Reduction In Patients With Type 2 Diabetes Not On Insulin Therapy: A Clinical Trial, Joseph Reed, Tony Dong, Sanjay Rajagopalan, Ian J. Neeland

Faculty Scholarship

Aim: To evaluate the impact of the Dexcom G6 continuous glucose monitoring (CGM) device on glycaemic control and cardiometabolic risk in patients with type 2 diabetes mellitus (T2DM) at high cardiovascular risk who are not on insulin therapy. Materials and Methods: Adults with T2DM with glycated haemoglobin (HbA1c) >7% and body mass index (BMI) ≥30 kg/m2 not using insulin were enrolled in a two-phase cross-over study. In phase 1, CGM data were blinded, and participants performed standard glucose self-monitoring. In phase 2, the CGM data were unblinded, and CGM, demographic and cardiovascular risk factor data were collected through 90 days …

Education Of The Effects Of Obesity Medications And A Stepwise Approach To Mitigate Prevalence And Encourage Lifestyle Medicine For Primary Care Physicians, Kiely M. Curran

Department of Nutrition Student Projects

My Capstone project is an Educational Manual that emphasizes a healthcare team approach to the treatment and management of obesity. The Educational Manual consists of a standardized protocol in management of obesity in patients and a document with summarized references for primary care providers; and a simplified document for patient education. There is a growing interest in the usage of obesity medications. The purpose of my Capstone project is to provide a simplified manual for the primary care provider to reference to make knowledgeable and patient-centered decisions in the prescription of obesity medications and decisions in weight-management. My methodology included …

Just “Getting By” – Understanding Resource Deficits And Barriers To Medical Interpretation From The Perspectives Of Spanish-Speaking Patients And Emergency Department Nurses, Magdalena Scribner Briggs

Undergraduate Honors Theses

Introduction: Professional medical interpretation has been found to improve communication quality and health outcomes for patients with LEP. There are over 16 million LEP Spanish-speakers in the United States, yet the literature indicates that professional interpretation is lacking and underutilized in many clinical settings. Study Aims: Based on gaps in the literature pertaining to the perspectives of nurses and the cultural factors that influence patient experience, this study aims to qualitatively analyze the matter from the perspectives of both nurses and Spanish-speaking patients. The purpose of this study is to identify barriers to the utilization of professional interpreters, especially by …

Sequence Learning In A 6-Ohda Mouse Model Of Parkinson’S Disease, Ani Gribbin

Neuroscience Honors Projects

Parkinson’s disease (PD), a neurodegenerative disorder originating in the dopaminergic cells of the basal ganglia, is characterized by severe motor impairments such as tremors, bradykinesia, and postural instability. However, non-motor symptoms impacting sensory systems and cognition are consistently pointed to as more greatly affecting quality of life for PD patients. Cognitive impairments in PD can include changes in reward processing, depression, apathy, and increases in risk-taking behavior. Additionally, learning and memory deficits are seen in PD, specifically in motor sequence learning. Often, the neural correlates of sequence learning impairments are traced to the substantia nigra. However, there is some evidence …

Improving Student Engagement Despite Lowering Attention Spans In The Classroom, Kaycee Lee

Senior Honors Theses

Attention spans have been decreasing throughout society for many years, partially due to the constant increase of technological advances. The average human attention span of eight seconds is particularly concerning to teachers and others in the classroom. It does not seem that the average attention span is ever going to increase, so teachers must implement intentional methods and strategies within their classroom to keep their students’ attention. Physical activities, technology and hands-on supports, small group instruction, shorter lessons, making intentional mistakes, flexible seating, and differentiated instruction are all strategies supported by research to improve student engagement within the classroom. Every …

Singing Sad Songs To The Savior: An Examination Of And Argument For Biblical Lament Songs, Kaden Hofheins

Senior Honors Theses

Christian lament songs play an important role in the context of the local church. There are several key differences between Christian lament and secular “sad songs” that are due to Christianity’s perspective of suffering that revolves around the hope of Jesus Christ. Christian songwriters have been writing lament songs through the lens of biblical hope in Christ throughout church history. Due to the nature of lament songs and how they give voice to negative emotions, which can help people to process their grief, and the communal nature of corporate worship, it is important that local churches ensure they use lament …

Sex-Related Differences In Reaction Time During Normobaric Hypoxic Hypoxia In Physically Active University Students, Danielle Passburg

Senior Honors Theses

Limited research has been completed on the sex-related differences in reaction time during hypoxic hypoxia. This is concerning due to the importance of reaction time during hypoxic hypoxia in aviation (particularly within the realm of military aviation). The purpose of this study was to examine the sex-related differences in reaction time during hypoxic hypoxia in university students. The study used a normobaric oxygen device to simulate hypoxic states and Delphi computer software to test reaction time. Subjects were physically active university students (10 females, 10 males). The results of the study showed no significant differences between sexes in reaction times …

The Impact Of Testimonies On Partner Development Strategies: Mission Work In Europe, Kimberly Witte

Senior Honors Theses

This study seeks to answer how first-world missionaries can utilize research findings on the effectiveness of testimonials and apply that knowledge to partner development strategies. Research trends demonstrate that most missionaries are being sent to countries with the largest practicing Christian populations, such as those in Africa or South America, and are more likely to receive financial partnerships. Europe has a high rate of non-practicing Christians and is a cultural intersection due to the refugee crisis, leading to a need for mission work. This research will culminate in the creation of a prayer guide, highlighting testimonies of individuals impacted by …

Implementing Effective And Meaningful Environmental Graphic Design Within Modern Protestant Church Buildings In The U.S., Hannah Gilmer

Senior Honors Theses

The Church, the body of Christ, is filled with people gifted in visual arts, which should present boundless creative opportunities to encourage the body and glorify Christ. However, many modern Protestant churches in the U.S. do not reflect this creative potential in their interior spaces. Christian graphic designers have the unique gift of bringing all the visual arts together into a whole solution that communicates the message of the gospel with richness, power, and beauty. This thesis will show the process of creating environmental graphic design solutions that are intended to encourage a local church and glorify the Lord, building …

Harnell, Alice, Caitlin Omey

Bronx Jewish History Project

Alice Harnell was born in Detroit, Michigan in 1930, coinciding with the Great Depression. Harnell's father was born in Russia and emigrated with his family to New York City during the pogrom of the early 1900s. Once arriving in the United States they settled on the Lower East Side, joining a community of other Jewish immigrant families. Harnell's mother was the first American-born in her German family. Harnell's father and mother moved to Detroit for her father's job as a pharmacist. However, at the age of 5 the family moved back to New York City and settled in the West …

Cognitive Behavioral Therapy To Prevent Nurse Burnout In Sub-Saharan Africa, Anna C. Johnson

MSN Capstone Projects

Overall, burnout prevention has been shown to foster nurse resilience, ability to cope with stressors, teamwork, and improving the personal value of “doing good” and “being good”; the effects have been shown to last between 6 months and one year. The current evidence is strong enough to recommend a change to current nursing practice via annual Cognitive Behavioral Therapy (CBT) trainings to strengthen nurse resilience.

This researcher proposes to implement a CBT-based burnout prevention program in Ghana’s capital of Accra in sub-Saharan West Africa. There is ample evidence that African nurses face many of the same burnout issues that nurses …

Intergenerational Technology Co-Design Process: Reflections From Underwater Telepresence And Xr Workshops, Oksana Hagen, Marius Varga, Rory Baxter, Hannah Bradwell, Amir Aly, Dena Bazazian, Swen Gaudl, Alejandro Veliz Reyes, Ray Jones

School of Engineering, Computing and Mathematics

Within the Intergenerational Co-design of Novel Technologies In Coastal Communities (ICONIC) project we aim to create technologies aimed at enhancing the wellbeing of older adults through co-design workshops with both older adults (aged 50+) and younger participants (aged 16-30). This is an intermediate report summarising our reflections on the co-design of extended reality and underwater telepresence technologies. For the two technologies' core development track, we held thirteen intergenerational workshops in total, that took place between August 2023 and July 2024, with 24 older and 12 younger participants. As a result of the co-design, we are developing prototypes, including live video …

The Heavy Mark Of Ptsd The Justice System Leaves On The People Going Through It., Ezavier Miller, Angel Emetuche, Sakina Ahmed

ENGL 1102 Showcase

This is a paper about how the justice system in it's many forms can cause PTSD. Not only to the criminals that go through it but also the children, victims. With many process having extensive repercussion causing PSTD to take hold of the many people that seek the justice system for help or judgement.

Theft And Entertainment, Francesco Maiolo, Bryce Mccaskill, Libbie Brown

ENGL 1102 Showcase

An anthology that looks at the interaction between theft and entertainment. Why and how entertainment is stolen, the prevention of theft by entertainment companies, and the depiction of theft in media.

Development Of Fashion, Bryan Madeira, Gregory Kelley, Alhagi Kebbeh, Natalie Borchuck

ENGL 1102 Showcase

The theme of this Anthology focuses on the development of fashion over recent years. How it has affected people in recent years and how much it has changed over the years. Specifically talking about large brands that have impacted the market. How celebrities have affected the market and made it better. Along with how the Trans community is treated in the community. How they are represented throughout the fashion business. Last talk about the developing market for sneakers. How they have become an investment rather than something to wear for active wear.

The Mental And Physical Health Of College Students, Cole Palmer, Tiffany Strickland, Nolan Moore, Salvatore Moore, Juan Martinez

ENGL 1102 Showcase

The physical and mental health of college students has been a big topic in recent years, and it is the one that we have chosen. Our inspiration for choosing this topic came from being college students and getting a firsthand view of this issue. Since we are college students, who are navigating the difficulties of higher education daily, we see the issues of mental and physical health in ourselves and among our peers. Exploring the interconnectedness of societal attitudes, nutrition, and physical health regarding mental health is the inspiration for these topics as well. Each individual topic in this paper …

The Fundamentals Of Claymation Films, John Hardy

ENGL 1102 Showcase

This anthology covers three different aspects of a clay-animated film. It covers the unique financial situation that clay-animated films encounter, the different psychological responses that are related to clay-animation, and the specific character creation and voice acting done for the films.

How Different Forms Of Art And Entertainment Can Affect Our Mental Well-Being, Tucker Johnson

ENGL 1102 Showcase

The following paper is a complete anthology of our collective ideas. We wrote this paper from the prompt of entertainment and health. With this given prompt we divulged separate but similar ideas. Then with these ideas formulated our anthology which is the exploration of the impact of various artistic expressions and entertainment on our psychological health. This anthology shows the intersection between art, entertainment, and our mental health. We delve into how different art and entertainment mediums can influence our mental wellbeing. This exploration has been a great culmination of research and analysis. We used extensive research to shed light …

The Failures Of The United States Justice System, Barry Nash, James Hall, Joseph Harris, Jalyn Williams

ENGL 1102 Showcase

This is a compilation of research papers written under a common theme of United States Justice System Failures. This was done for an assignment in an English 1102 class.

The Cost Of Being Healthy In The United States, Bradford Creecy, Sonny Wilson, Youssef Moussa, Nicholas Harris

ENGL 1102 Showcase

This anthology is exploring how expensive it is to be healthy in the United States. We are researching this topic because it directly applies to us along with millions of other United States citizens. This Anthology covers how food deserts impact individuals, why it is difficult but important to learn how to cook from home, how individual's lifestyle and activeness can affect their personal health, and how the ready to cook meal kits have emerged and spread in recent history.