Improving Early Ambulation After Cardiac Surgery Using Nurse Education And Workflow Cues: A Quality Improvement Project, Nathan Seeley

Master's Theses and Capstones

Background: Early ambulation following cardiac surgery is an evidence-based practice that promotes postoperative recovery, reduces complications, and supports earlier discharge (Cook et al., 2024; Engelman et al., 2019; Kanejima et al., 2020). Despite its recognized benefits, consistent implementation remains challenging in busy inpatient settings due to workflow demands, competing priorities, and patient-related barriers.

Local Problem: Inconsistent early ambulation practices were identified on the Cardiac Surgical Step-Down Unit, creating an opportunity to improve adherence to evidence-based postoperative mobility practices.

Methods: This quality improvement project used the Plan-Do-Study-Act (PDSA) model to evaluate the impact of a brief nurse-focused educational intervention on early …

Improving Effective Completion Of Catheter Care Using A Reminder System To Minimize Incidence Of Catheter-Associated Urinary Tract Infections: A Quality Improvement Project, Morgan K. Leonard

Master's Theses and Capstones

BACKGROUND: CAUTI rates can be decreased by implementing a care cluster for RNs for CAUTI care into morning assessments and medication administration to ensure it is being done regularly with reminders through cards at the computers in patient rooms. LOCAL PROBLEM: The local problem in the microsystem were the catheter-associated urinary tract infection (CAUTI) rates at 1.199, while the national benchmark is 1.000 (Medicare, n.d.).

METHODS: Reminder cards were placed in patient rooms on the computers which are highly utilized by staY while providing patient care to serve as a reminder to complete catheter care in a high task burden …

Improving Efficiency In The Intensive Care Unit Through Reduction Of Nurse Burnout: A Quality Improvement Initiative, Johanna Grace Koroma

Master's Theses and Capstones

Abstract

Background: Intensive care unit (ICU) nursing is prone to high levels of burnout, which poses concern for staff wellbeing, patient safety, and microsystem strain (Kerlin et al., 2020). Educational interventions may serve as a means of increasing awareness on the issue and reducing the effects of burnout, through promotion of evidence-based management strategies.

Local Problem: One ICU microsystem identified several key contributing factors to nurse burnout, including staffing shortages, limited resources, competing responsibilities within the macrosystem, and insufficient organizational support (Zhang et al., 2025). Baseline survey data of the population observed a prevalence of 50% “high” burnout profiles among …

Improved Daily Communication To Reduce On-Time First Case Start (Fcots) Delays In The Operating Room: A Quality Improvement Project, Autumn Tourangeau

Master's Theses and Capstones

BACKGROUND: First Case On-Time Starts (FCOTS) are a key indicator of perioperative efficiency and influence operating room (OR) utilization, staff productivity, patient satisfaction, and healthcare costs. Baseline data from an ambulatory perioperative unit demonstrated persistent variability in FCOTS performance and inconsistent interdisciplinary communication regarding surgical delays.

Local Problem: Inconsistent communication and documentation of first-case delays limited interdisciplinary awareness of workflow barriers and contributed to ongoing variability in FCOTS performance.

Intervention: A standardized, HIPAA-compliant daily communication process was implemented, consisting of an end-of-day email summarizing FCOTS delays and the documented reasons for delays. Educational materials and standardized documentation tools were introduced …

A Quality Improvement Initiative: Implementing An Effective Massive Transfusion Protocol Cognitive Aid Tool Within An Operating Room & Post-Anesthesia Care Unit Setting, Jenna L. Farrell

Master's Theses and Capstones

Abstract

Background: Massive Transfusion Protocol (MTP) activations are low-frequency, high-acuity events in the post-anesthesia care unit (PACU) setting.  These events necessitate the rapid formation of codes teams, interdisciplinary communication amongst unfamiliar providers, critical decision-making, high-volume rapid blood transfusions, and critical laboratory marker monitoring.

Local Problem: Due to the infrequent nature of hemorrhagic events in the PACU, nurses may have limited experience participating in these protocols at their institutions, resulting in potential for documentation errors from retrospective back charting, decreased confidence regarding blood product sequencing and laboratory draw timing, and increased cognitive workload overall.  This quality improvement (QI) project implemented …

Table Of Contents, University Of Colorado Law Review

University of Colorado Law Review

No abstract provided.

Table Of Contents, University Of Colorado Law Review

University of Colorado Law Review

No abstract provided.

Annual Report Town Of Barnstead, New Hampshire Comprising Those Of The Selectmen, Fire Wardens, Fire Department, Trustee Of The Trust Funds, Treasurer, Tax Collector, Town Clerk, Police Department, Highway Department, Other Departments, Committees, And Commissions Year Ending December 31, 2025, Barnstead Town Representatives

Barnstead, NH Annual Reports

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

Prevalence Of Pathogenic Aspergillus Species In Cannabis_A Multi_State Analysis Of Us Compliance Testing Data_Code_Txt, Yasha Kahn, Panduka Nagahawatte, Lori Nichols

Code

No abstract provided.

Prevalence Of Pathogenic Aspergillus Species In Cannabis_A Multi_State Analysis Of Us Compliance Testing Data_Code_Pdf, Yasha Kahn, Panduka Nagahwatte, Lori Nichols

Code

No abstract provided.

Prevalence Of Pathogenic Aspergillus Species In Cannabis_A Multi_State Analysis Of Us Compliance Testing Data_Code_Html, Yasha Kahn, Panduka Nagahwatte, Lori Nichols

Code

No abstract provided.

Retirement: Broaching Intersectional Identities And Aging, Nichole Tiggs Angieri, Ericka Cables, Mary Martha Abernathy

Adultspan Journal

Broaching intersectional identities in retirement is a crucial counseling skill that fosters trust and connection with older adults as they navigate this major life transition. Using Person-Centered, Trauma-Informed (PCTI) and Relational-Cultural Theory (RCT) as complements to broaching, these theories provide both relational and cultural attunement to facilitate healing and well-being in this specialized population. Through didactic information and case studies, the purpose of this conceptual paper is to provide counselors and counselor educators with insight into broaching intersectional identities in retirement and to advocate for further research on aging and identity. The implications for clinical practice include providing an integrated …

Full-Time Career Retirement: A Black Man’S Narrative Of Survival And Protecting His Peace, Demetrius Cofield, Amaya Rakes

Adultspan Journal

Full-time career retirement is a major developmental transition that is often examined through race-neutral frameworks, leaving Black men’s experiences underexplored in counseling and aging scholarship. This perspective article centers the narrative of a retired Black man veteran who transitioned into full-time career retirement after decades of state employment. Using a narrative interview approach, this manuscript examines the factors that shaped his retirement decision and adjustment to later adulthood. The interview frames retirement as a process of self-preservation, continuity, and intentional living rather than identity loss or disengagement. Findings highlight the role of disciplined wellness practices and selective disengagement in promoting …

A Systematic Review Of Psychosocial Interventions For Improving Well-Being In Retired Adults, Sakir Yilmaz, Mustafa Filiz

Adultspan Journal

The transition to retirement is a critical biopsychosocial stage that often brings challenges such as shifting roles and reduced income, which may lead to psychological distress. In this study, we systematically synthesized quantitative evidence on the effectiveness of psychosocial interventions in enhancing well-being (increase in positive functioning) among retired adults. A comprehensive search across PubMed, Scopus, Web of Science, and Cochrane was completed in October 2025. This was supplemented by Google Scholar and reference list screening, identifying 5,945 database records and 123 additional sources. After screening and eligibility assessment, seven studies met the inclusion criteria. Across these studies, interventions produced …

Annual Reports To Include The Reports Of The Treasureer, Trustees, Officers, And Boards And Committees Of The Town Of Allenstown, New Hampshire For The Fiscal Year Ending December 31, 2025, Allenstown Town Representatives

Allenstown, NH Annual Reports

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

Town Of Alton, Town Report 2025, Alton Town Representatives

Alton, NH Annual Reports

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

The Effects Of Pornography On Romantic Relationships, Jade A. Green

McNair Scholars Research

This study examined the relationship among pornography use, attitudes toward pornography, and romantic relationship outcomes among adults in the United States. The hypotheses are as follows: 1. Pornography use is negatively associated with relationship satisfaction. 2. Positive attitudes toward pornography are negatively associated with relationship satisfaction. 3. Men will report more positive attitudes toward pornography than women, 4. Higher pornography use is associated with being single.  A convenience sample of 165 adults from central Arkansas completed measures assessing pornography use/acceptance and relationship satisfaction. Statistical analyses included a correlation matrix, an independent-samples t-test, and a chi-square analysis. Results showed that pornography …

How Equity Changes, Samuel L. Bray

Public Law and Legal Theory Working Papers

In Trump v. CASA, the Supreme Court decisively rejected universal injunctions and offered a major decision about the law of equity. This Article grapples with a central question raised by CASA: if equity is not static, then what counts as legitimate innovation? This Article argues (1) that equity, in order to perform its functions, must have the capacity to innovate; (2) that any innovation should be in keeping with those functions and with equity’s own principles; and (3) that the primary stewards of the law of equity are the courts, not Congress. The vulnerabilities of Grupo Mexicano on these points …

Valuing Future Lives, Daniel J. Hemel, Jonathan S. Masur

Public Law and Legal Theory Working Papers

Federal regulation often involves a tradeoff between monetary costs in the present and life-saving benefits in the future. A central question in regulatory cost-benefit analysis is how to assign a present dollar value to future lives so that future lives and present dollars can be compared. For regulations that are projected to prevent deaths years or decades down the road, agencies make two key analytical moves. First, they adjust the value of a statistical life upward to reflect the fact that society’s willingness to pay to save lives will rise as people become wealthier in the future. Second, they discount …

Lockstepping Structure, Darrell A.H. Miller

Public Law and Legal Theory Working Papers

The new judicial federalism is now entering its early middle age. As it has matured—moving from rights to structure—it has become more complicated in its application. For if one were to take arguments about state experimentation and interpretive flexibility to their logical conclusion, there is no reason state legislative, executive, and judicial powers should stay in lanes demarcated by federal constitutional law. Easily amended state constitutions and elected judges support theories of judicial function more akin to statewide legislative policymakers than passive judicial magistrates. Positive rights in state constitutions would seem to demand recalibration of the rules of standing and …

Lethality And The Historical Principles Of Arms Regulation, Darrell A. H. Miller, Jennifer Tucker, Peter Rutland, Stephen Hargarten

Public Law and Legal Theory Working Papers

Second Amendment “arms” jurisprudence is a muddle. Lower courts have been obliged to craft various approaches from Supreme Court decisions that appear to point in different directions.

We propose that the scope and protection of Second Amendment “arms” could be calibrated to a single, shared metric across all weapon types–lethality. Lethality captures the issue that everyone cares about: whether one advocates for gun rights or for gun violence prevention.

Lethality helps make legible the changes in weapons technology over time and explains the principle that underlies traditional regulation of “dangerous and unusual” weapons. The more lethal a weapon is, the …

General Law Revivalism And The Problem Of 1938, Jack Landman Goldsmith, Curtis Bradley

Public Law and Legal Theory Working Papers

From the constitutional Founding until Erie Railroad Co. v. Tompkins, 304 U.S. 64 (1938), federal courts routinely applied a body of “general law” to resolve a wide range of legal issues, including issues relating to commercial law, tort law, international law, conflict of laws, equity, and procedure. This general law regime became politically fraught and difficult to administer, and the Supreme Court repudiated it in Erie, declaring that “there is no federal general common law” and requiring the federal courts to ground all rules in either federal or state law. Erie and its progeny created what this Article terms the …

Cheap Violence: Weapons And The Law, Joseph Blocher, Darrell A. H. Miller

Public Law and Legal Theory Working Papers

A primary task of law is to control violence. Nearly every imaginable rule-of-law value depends on the success of that endeavor, and some of the most foundational works in legal and political theory begin with an effort to understand the relationship between law and violence. Many of those works were written during periods where the lines between law and violence were blurred, and current threats to the rule of law have sparked renewed interest in the structural interactions between law, violence, and the state.

Missing from this discussion has been a comparably deep analysis of the relationship between law and …

What Is Oral Argument In The Supreme Court For?, Lee Epstein, Eric A. Posner

Public Law and Legal Theory Working Papers

No abstract provided.

Administrative Self-Constitutionalism, Brian Lipshutz

Public Law and Legal Theory Working Papers

Since the days of the Interstate Commerce Commission, federal agencies have generally refused to address the constitutionality of statutory provisions. They have offered little reasoning to justify that refusal, yet scholars have generally accepted it. This Article explains why agencies can—and should—address constitutional challenges to statutory provisions.

Agencies have the power to assess the constitutionality of statutory provisions. They already exercise a similar authority when they apply the canon of constitutional avoidance and consider the constitutionality of individual actions. There is no basis for stopping short of addressing challenges to statutes. And many scholars have recognized that, as a formal …

Patrimonial Constitutionalism, Aziz Z. Huq

Public Law and Legal Theory Working Papers

The means and the ends of federal power are experiencing a sea-charge. Pardons are freely granted—but only to political allies or political foes who might be coaxed into switching sides. Baseless federal criminal investigations are opened against other political foes. Probes into allies’ corruption are abandoned. Independent federal agencies responsible for defending the public sphere use their regulatory authority to openly advance politically allied voices, while stifling criticism of those in power. Federal money is explicitly wielded as cudgel and bribe to induce partisan loyalty. These and similar ways of flexing federal power add up to more than the sum …

Prescribing Religion: The Ten Commandments On Classroom Walls, Samuel L. Bray, Nathan S. Chapman, Brent A. Strawn

Public Law and Legal Theory Working Papers

Several states have recently enacted laws requiring the display of the Ten Commandments in public schools. This Article considers the application of the Establishment Clause to these statutes. First, it examines the history of England and its North American colonies to show that a central feature of an established religion was the government’s prescription of particular religious beliefs and practices. Second, it demonstrates that choosing one version of the Ten Commandments to display in public school classrooms necessarily specifies particular religious beliefs. This is in contrast to expressions of generic providentialism that the founders understood the Establishment Clause to permit. …

Slicing Spontaneity, Lee Anne Fennell

Public Law and Legal Theory Working Papers

No abstract provided.

The First Amendment, Federal Employees, And The War On The “Deep State”, Sonja Starr

Public Law and Legal Theory Working Papers

This essay analyzes, from a First Amendment perspective, the second Trump administration’s efforts to align the federal workforce with its ideological preferences. The administration has broad powers to reshape the executive branch’s policy priorities and its messaging. But as I show with examples across the civil, military, and foreign services, it has gone beyond exercising those powers, retaliating against and restricting employees’ protected private speech and incorporating viewpoint- based conditions into hiring. These actions reflect a constitutional vision that stretches existing limits on public employee rights and, for many employees, subordinates those rights entirely when they conflict with purported Article …

Why General Law?, Samuel L. Bray, Christian R. Burset

Public Law and Legal Theory Working Papers

It has been almost a century since the Supreme Court said in Erie, “There is no general federal common law.” But the general law is in the middle of a controversial revival. Instead of siding with the adherents or detractors of general law, this Essay explores why general law emerges, and why it disappears. Three episodes of the emergence of general law are considered: the rise of general law in the late-eighteenth century British Empire, the rise of general law in the early American Republic, and the rise of general law in twenty-first century originalist and textualist scholarship. In each …