Digital Commons Network^™

Spaces Of Empowerment: A Study On University Multicultural Spaces & Civil Rights, Keana Balalio

McNair Summer Research Program

Following the 1960s Civil Rights Movement, American universities dedicated offices and centers to multiculturalism. This project questions how identity-centered spaces for empowerment operate in relation to efforts for institutional integration. This study proposes the term space(s) of empowerment to describe identity-based areas at universities [and other institutions] that encourage gathering of historically marginalized communities, their allies, and institutional supervisory support. The concept draws on architectural literature regarding political and economic power dynamics of space. Beginning with the University of San Diego’s United Front Multicultural Commons (UFMC), study includes reproductions of floor plans and memories. Analysis draws from Michel de Certeau’s …

Where Pipes Meet The Water: Urban Infrastructure In Tijuana, Joab Barrientos

McNair Summer Research Program

Tijuana's rapid urban growth and industrial development have placed significant pressure on its water infrastructure, resulting in ongoing pollution concerns in the Tijuana River Watershed and elsewhere in and beyond the city. In many areas of the city, rapid urban growth has outpaced the building of critical infrastructure like sewage and stormwater systems. These factors have left neighborhoods at risk for a long time. At the same time, industrial growth has often relied on old infrastructure or happened without the right systems in place. Although poor water quality has been a problem for years, few studies have used spatial analysis …

Empowering Medical-Surgical Nurses To Conquer Burnout: Building Resilience And Wellness, Catherine P. Morante

Master's Projects and Capstones

Problem: In the healthcare industry, nurse burnout is a well-documented issue that affects the well-being of both healthcare professionals and their patients. Burnout manifests as intense exhaustion, depersonalization, and diminished personal accomplishment (Okoniewski & Verni, 2024).

Context: Burnout affects patient outcomes and drives up costs (Dall’Ora et al., 2020). When nurses are overwhelmed, attendance is affected (Unpublished confidential document; 2024). Resilient nurses are essential to a healthy, reliable workforce (Unjai et al., 2024).

Interventions: From May to July 2025, a 12-week initiative was launched to reduce the effects of nurse burnout in the workplace. Evidence-based interventions were implemented, incorporating educational …

Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott

Master's Projects and Capstones

Abstract

Problem: A 2024 assessment at a 250‑bed Northern California medical center revealed that 76% of 16 inpatient nurse leaders met "high‑burnout" criteria on the Maslach Burnout Inventory, and leader turnover had climbed to 25%, more than triple national benchmarks, threatening patient care quality, financial stability, and alignment with Magnet® and employee engagement goals.

Context: Root causes included pandemic‑era promotions without development support, a task‑oriented leadership culture, and eroding psychological safety (Press Ganey engagement ≈ 30%). An integrative logic model positioned Watson's Caring Science as the theoretical base, Schön's Reflective Model for adaptive learning, and the Prosci ADKAR change framework …

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …

Increasing The Feasibility, Impact, And Equity Of The Medicare Annual Wellness Visit (Awv) With A Practice Tailored Awv Intervention: A Stepped Wedge Clinical Trial Protocol, Chi-Hong Tseng, Neil S. Wenger

Faculty Scholarship

Background Older adults vastly underutilize evidence-based preventive health services and screenings that reduce illness, morbidity and mortality. The free-to-patient Medicare Annual Wellness Visit (AWV) is an opportunity to enhance preventive healthcare use, but also is underused. Objectives To evaluate the effect of a practice-tailored intervention on the sustained use of Medicare AWVs and on guideline-recommended preventive services and racial/ethnic disparities in 3 types of practice settings. Methods This is a stepped wedge cluster randomized controlled trial. The intervention will be implemented at the practice level in 24 primary care practices across the country (8 community-based, 8 academic, and 8 serving …

Growth And Yield Of Curly Red Chili (Capsicum Annum L.) In Response To Mulching And Chicken Manure Application In The Erosion-Prone Area Of Loto, Ternate Island, Tri Mulya Hartati, Lily Ishak, Krishna Aji, Chumidach Roini

Jurnal Kultivasi

Information on soil resources in volcanic landscapes presents a high potential for agricultural land development, but its development is always faced with the potential for continuous land degradation. This study aims to reduce the rate of land degradation through the application of vegetative conservation in erosion-prone Loto agrotourism area, Ternate Island. The research location is focused on erosion-prone areas. The research consisted of a soil resource inventory and a vegetative conservation application. The vegetative conservation application method used a Randomized Block Design (RBD) pattern, composed of 2 factors. The first factor is mulching, namely: no mulching (M0) and mulching (M1), …

Perceptions Of Child–Adult Relationship Enhancement (Care) Training Usefulness For Educational, Behavioral, And Allied Health Professionals: Attitudes Toward Evidence-Based Practices, Julia L. Kiefer, Kristin J. Perry, Dustin E. Sarver, Emily-Anne S. Del Rosario, Lauren B. Quetsch

Psychiatry Publications

Child–Adult Relationship Enhancement (CARE) is an evidence-informed approach to promote positive child–adult relationships in youth with behavior problems or traumatic stress. Implementing CARE in community settings may extend accessibility to evidence-based practices (EBP) for children in underserved areas. The present study examined health professionals’ perceptions of CARE. Participants were 277 professionals from a statewide training initiative including early childhood educators (n = 178), allied health professionals (n = 48; speech, occupational, physical therapists), and behavioral health clinicians (n = 51) completing CARE training. Participants completed the Evidence-Based Practice Attitude Scale (Aarons (2004) Mental Health Services Research 6:61–74) …

Music Student Hopes Competition In Spain Pays Dividends, Andrea Drummond

University of Mississippi News

OXFORD, Miss. – A summer trip to the Mediterranean coast of Spain may sound like an idyllic vacation, but for University of Mississippi student Coda Ethridge, it inspired him to become a better musician and teacher.

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Greg S. Young, Tony Charman, Cherly Klaiman, Ami Klin, Natasha Marrus, Sally Ozonoff, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Jane E. Roberts

Faculty Publications

Importance Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification.

Objective To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD.

Design, Setting, and Participants This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Tony Charman, Cheryl Klaiman, Ami Klin, Natasha Marrus, Sally Ozonof, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Rebecca J. Landa, Daniel S. Messinger, Jane E. Roberts, Wendy L. Stone, Helen Tager-Flusberg, Amy N. Esler, Meghan Miller, Somer L. Bishop, Jed T. Elison

Faculty Publications

IMPORTANCE Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification. OBJECTIVE To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD. DESIGN, SETTING, AND PARTICIPANTS This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

From Bed To Table: Improving Outcomes By Encouraging Patient Mobility During Meals, Quyen Ho

Master's Projects and Capstones

Abstract

Background: Hospital-acquired pneumonia (HAP) is a preventable complication associated with increased morbidity, prolonged hospital stays, and elevated healthcare costs. Early mobility, particularly positioning patients out of bed for meals, is a key strategy to mitigate this risk. Problem: On a 42-bed telemetry unit, only 24% of eligible patients were positioned out of bed for meals. This low rate of mobility presented an opportunity to reduce the risk of HAP and improve patient outcomes. Interventions: This quality improvement initiative, guided by the Donabedian Model, employed a nurse-led intervention that included daily mobility assessments, visual bedside cues, and targeted staff education. …

Comparison Of Left Breast Accelerated Partial Breast Irradiation Plans: Flattening Filter Free Vmat Vs. Standard Vmat In Deep Inspiration Breath Hold And Free Breathing Techniques, Monica Albeck

Masters Projects

This retrospective planning study compared dosimetric outcomes and treatment efficiency between flattening filter free (FFF) and standard volumetric modulated arc therapy (VMAT) plans for left breast accelerated partial breast irradiation (APBI) under deep inspiration breath hold (DIBH) and free-breathing (FB) conditions. Ten patients with early stage left breast cancer were replanned to create four plans each: FFF VMAT and standard VMAT in DIBH and FB. All plans prescribed 30 Gy in 5 fractions. Measures included planning target volume (PTV) coverage, mean heart dose, ipsilateral lung V30%, contralateral breast maximum dose, and monitor units (MUs). Statistical analysis used repeated-measures ANOVA with …

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

Collecting The Strands: A Psychoanalytic Study Of Hair-Pulling In Women, Jacklyn Corsitto

Electronic Theses and Dissertations

This dissertation investigated compulsive hair-pulling (i.e., trichotillomania) in women from a psychoanalytic perspective. The assumption, from a psychoanalytic viewpoint, is that the symptom of hair-pulling serves meaningful, and multiple, psychical purposes that should be analyzed rather than immediately removed, as would be the case in the current gold standard of treatment—behavioral therapy with habit reversal training. This behavioral modality leaves little to no room for exploring the historical, relational, symbolic, and emotional dimensions of hair-pulling. This dissertation fleshed out these dimensions and investigated what hair-pulling was doing for the individual, what its function or purpose was, and, indeed, what ideational …

Healthy And Successful Aging Outside The Closet: How Outness And Social Support Relate To Health And Aging Concerns, Jessica Segal

Electronic Theses and Dissertations

The ability to disclose an LGBTQ+ identity is a significant part of many queer lives. A person’s outness can often be tied into their social support whether through their network or available resources. This study investigated how outness, social network, and access to resources relate to older LGBTQ+ individuals’ concerns regarding their care and their aging. A secondary data analysis was conducted using survey data from the American Association of Retired Persons (AARP). The results showed that an increase in one’s social network indicated a decrease in aging-related care concerns; an increase in access to resources indicated a decrease in …

Exploration Of The Cultural Beliefs, Values, And Practices Of African American/Black Women Or Birthing Persons Regarding Postpartum Depression: A Focused Ethnography, Stephanie Jacobs

Electronic Theses and Dissertations

Introduction: Postpartum depression (PPD) is the most prevalent perinatal mental health illness in women, affecting approximately 10% to 20% of all women in the United States, and a disproportionately higher number of African American women. The aim of this study was to explore the cultural beliefs, values, and practices of African American/Black women or birthing persons regarding postpartum depression.

Research Question: What are the cultural beliefs, values, and practices of African American/Black women or birthing persons regarding postpartum depression?

Methodology: A focused ethnography was chosen for this study and consisted of semi-structured interviews. Data was transcribed and analyzed …

Assessing Greenhouse Gas Emissions From Michigan’S Drowned River Mouths Using In Situ And Remote Sensing Methods, Jillian A. Greene

Masters Theses

Freshwater estuaries are natural contributors to the carbon cycle including production and emission of methane (CH4) and carbon dioxide (CO2), potent greenhouse gases (GHGs); however, estimates of their contribution to regional and global GHG emissions is largely unconstrained. Few studies have examined the quantification and drivers of lake CH4 and CO2 production in the Great Lakes region and how it may differ in response to anthropogenic development. In this study, CH4 and CO2 emissions were measured from three drowned river mouth estuaries (DRMs) along the eastern shore of Lake Michigan in 2024. The DRMs exist along a latitudinal gradient ranging …

Improving Intraoperative Antibiotic Stewardship To Reduce Surgical Site Infections: A Quality Improvement, Allyson Nichelle Heard

Doctor of Nursing Practice (DNP) Manuscripts

Purpose: Surgical site infections (SSIs) have been associated with poor pre-surgical incision antibiotic and intraoperative redosing practices and are the leading cause of postoperative readmissions and healthcare-acquired infections. A Quality Improvement (QI) project was developed to evaluate SSIs rates and pre-surgical incision antibiotic dosing and intraoperative redosing practices of anesthesia providers at a Level 1 trauma center in the Midwest. Methods: A pre- and post-intervention knowledge, attitudes, and practices (KAP) survey addressing intraoperative antibiotic stewardship was administered to 138 anesthesia providers. Interventions included education, a reference sheet, and a clinical pathway. Data analysis for surgical procedures involving anesthesia services, …

Increasing Gonorrhea And Chlamydia Testing By Using Universal Trauma-Informed Care And Offering Self-Collected Vaginal Swabs To Patients At A Non-Profit Independent Reproductive Healthcare Center, Dana M. Bloomburg

Doctor of Nursing Practice (DNP) Manuscripts

Background & Significance: The sexually transmitted infection (STI) epidemic in the United States remains a public health concern, with over 2.4 million cases in 2023 (Centers for Disease Control and Prevention [CDC], 2024). Increased screening can help prevent complications and enable treatment for the sexual partners of these asymptomatic infections (CDC, 2024). The American College of Obstetrics and Gynecology recommends that obstetrician-gynecology offices aim to provide universal trauma-informed care (TIC) to all patients (McNicholas et al., 2021). Purpose: Universal TIC practices were used to improve acceptance of gonorrhea and chlamydia (GC/CT) testing among at-risk individuals by adding a self-collected vaginal …

Enhancing Care Coordination And Expedited Appointment Scheduling By Structured Workflow Process In Oncology Clinics: A Quality Improvement Initiative, Jasmine Lassiter

Doctor of Nursing Practice (DNP) Manuscripts

Background and Significance: Delays in oncology appointment scheduling can negatively impact timely cancer treatment, care coordination, and patient outcomes. Inefficiencies often stem from inconsistent workflows, communication breakdowns, and limited visibility into provider availability, contributing to scheduling inaccuracies, and treatment delays (Fletcher et al., 2023; Johnson et al., 2020). Purpose: This quality improvement project aimed to implement and evaluate a structured workflow for expedited oncology appointment scheduling in an outpatient setting to improve scheduling accuracy, care coordination, and healthcare team vitality. Intervention and Implementation Plan: Guided by the Institute for Healthcare Improvement (IHI) Model for Improvement and the Johns Hopkins Evidence-Based …

Increasing Health Literacy To Improve Cardiovascular Risk Factors In Patients With Low Socioeconomic Status In The Appalachian Region: A Quality Improvement Project, Kara M. Dougherty

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Improving health literacy is one of the main goals of Healthy People 2030. However, there are no evidence-based guidelines as health literacy is still in research status (Office of Disease Prevention and Health Promotion, n.d.). Vulnerable populations are especially at risk of having low health literacy skills. Social determinants of health, such as poverty, lack of access to care, few community resources, and low health literacy, are common issues throughout Appalachia, which includes West Virginia. These disparities negatively impact the success of primary and secondary prevention for cardiovascular disease (Mangini et al., 2018). This quality improvement project utilized the …

The Implementation Of A Pilot Program On Puberty And Menstruation Education For Adolescent Females And Youth Development Specialists For A Gender-Specific Community Organization: A Quality Improvement Project, Cassandra Tavares

Doctor of Nursing Practice (DNP) Manuscripts

Background & Significance: Adolescent girls in the United States (U.S.) often lack adequate education and support regarding puberty and menstruation, despite the importance of this knowledge for healthy development (Schmitt et al., 2022). Only 21% of school systems serving ages 8–12 provide puberty education, and many educators feel unprepared to teach it (Schmitt et al., 2022). Purpose: This quality improvement project aimed to equip youth development specialists (YDS) at a community organization with a structured curriculum and educational tools to confidently educate adolescent females (ages 8–13) on the physical, emotional, and social aspects of puberty and menstruation. Intervention: A four-day …

Northern Arizona Ecological Conservation: Assessing Quaking Aspen Health In Northern Arizona Using Earth Observations, Ikram Morso, Luke Collins, Margaret Cox, Melissa Schwan

Aspen Bibliography

Quaking aspen (Populus tremuloides) forests in Northern Arizona provide critical habitat for endangered bird species and support regional tourism and recreation. However, aspen populations are declining due to a combination of abiotic and biotic stressors. In response, land managers implemented strategies, such as ungulate exclusion fencing, prescribed burns, and stand thinning, but efforts are constrained by limited data on where and when to intervene. This project worked in collaboration with the U.S. Forest Service, the National Park Service, the Arizona Department of Forestry and Fire Management, and Northern Arizona University School of Forestry. The team utilized Earth observations …

Evaluating Dosimetric Outcomes In A Prostate Rapid Plan Model: A Comparison Of Prostate Treatment Plans With And Without Standardized Planning Structures, Erica Wartman

Masters Projects

Abstract

Knowledge-based planning (KBP) using RapidPlan (RP) has demonstrated the ability to produce high quality radiation therapy treatment plans while reducing time. This study evaluated whether the inclusion of department specific standardized planning structures, including rings and other optimization tools, improves plan quality when using a prostate and lymph node RP model, or if the model alone is sufficient to provide a quality plan without the use of these additional planning structures.

Ten previously treated Prostate+LN patients were replanned using the departmental RP model in Varian Eclipse treatment planning system.1 For each patient, two plans were created, one with standardized …

Rice (Oryza Sativa L.) Production, Productivity, And Harvested Area In Karawang Regency Under Extreme Weather From 1991-2023, Adine Syabina Buswar, Ruminta, Fiky Yulianto Wicaksono

Jurnal Kultivasi

Climate change occurred in Karawang Regency due to extreme weather events, which are included in the El Nino climate anomaly phenomenon. The existence of extreme weather events in Karawang Regency has decreased rice production, which is a climate-dependent crop. Based on this problem, a study was conducted to analyze the identification of extreme weather changes and correlation analysis of rice crops in Karawang Regency to see the magnitude of extreme weather changes and the influence of extreme weather elements on rice crops. The method used is a quantitative descriptive method by analyzing extreme weather changes, correlation analysis of extreme weather …

Effect Of Preharvest Paclobutrazol And Nitrogen Fertilizers On The Sprouting Performance Of ‘Median’ Potato Seed G0 Tuber, Jajang Sauman Hamdani, Rahmat Budiarto, Anne Nuraini, Selika Fitrian Ramadani

Jurnal Kultivasi

Various intensifications of potato cultivation, such as the provision of paclobutrazol and nitrogen (N) fertilizer, are thought to impact the quality of the seeds produced. This study aims to evaluate the effects of different N fertilizer doses and paclobutrazol concentrations applied in the preharvest period on the sprouting performance of G0 potato tuber seeds after storage. Nine treatment combinations, each repeated three times, were tested, using 50%, 100%, and 150% of the recommended N dose and paclobutrazol concentrations of 50, 100, and 150 part per million (ppm), applied at 30 and 45 days after planting, respectively. The interaction effect between …

Exploring Strategies For Mitigating Toxic Behaviors And Improving Employee Retention In Organizations, Roy Lydell Rucker

Walden Dissertations and Doctoral Studies

A lack of mitigation strategies for middle manager toxic leadership can negatively affect organizational retention outcomes. Business leaders are concerned with a lack of effective strategies to counteract these behaviors and improve retention. Grounded in the toxic leadership theory, this study aimed to explore executive leaders’ strategies for mitigating toxic leadership and enhancing retention, guided by the toxic leadership framework. A qualitative, pragmatic inquiry design employed purposive sampling of nine C-suite executives from U.S. technology small and medium-sized enterprises (SMEs). Data were collected via semistructured interviews and organizational documents. Thematic analysis, employing iterative coding and constant comparison, yielded six themes: …

Improving Fall Prevention Practices Through Nursing Staff Education In Psychiatric Hospitals, Fidelia Chukwuto

Walden Dissertations and Doctoral Studies

Summary Falls are a significant patient safety concern in psychiatric units due to unique risk factors such as impaired cognition, medication side effects, and behavioral issues. This nursing staff education project focused on fall prevention practices among RNs and mental health technicians (MHTs) in a psychiatric hospital by enhancing staff knowledge through a targeted educational intervention. The practice problem addressed inconsistent fall prevention practices stemming from a lack of specialized training, which increased the risk of patient harm, longer hospital stays, and healthcare costs. The purpose of the project was to determine whether an evidence-based educational intervention could enhance nursing …