Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 112501 - 112530 of 5150921

Full-Text Articles in Entire DC Network

Quality Improvement Project: Development And Implementation Of A Structured Certification Support Program And The Impact On Nurses’ Confidence And Medical Surgical Certification Rates, Mary Tran Dec 2025

Quality Improvement Project: Development And Implementation Of A Structured Certification Support Program And The Impact On Nurses’ Confidence And Medical Surgical Certification Rates, Mary Tran

Doctor of Nursing Practice Projects

Professional nursing certification is an important criterion of Magnet designation, and increased certification rates have been associated with positive patient outcomes. The literature supports peer support and group study as beneficial strategies to assist nurses in preparing for certification exams. A quality improvement project among medical-surgical (med-surg) nurses at a community hospital pursuing Magnet redesignation addressed the lack of formal processes and nursing perceived barriers to certification that may contribute to low certification rates. The purpose of this project was to develop and implement a structured medical-surgical certification support program following the Plan-Do-Study-Act (PDSA) cycle utilizing evidence-based strategies, including a …


Quality Improvement Project: Improving Nurse Competency In Caring For Patients With Dementia With Behavioral Disturbances In Long-Term Care, Lashunta Jackson Dec 2025

Quality Improvement Project: Improving Nurse Competency In Caring For Patients With Dementia With Behavioral Disturbances In Long-Term Care, Lashunta Jackson

Doctor of Nursing Practice Projects

Dementia-related behavioral and psychological symptoms (BPSD) present major challenges for nurses in long-term care settings, often leading to inconsistent care, staff stress, and safety risks. Evidence-based, person-centered interventions are proven to improve outcomes but are frequently underutilized due to limited staff training. The purpose of this Doctor of Nursing Practice (DNP) project was to improve nursing staff competency in managing residents with dementia and behavioral disturbances through structured, evidence-based education. The problem identified was a lack of dementia-specific knowledge and confidence among nurses, which contributed to suboptimal care and increased behavioral incidents. A quasi-experimental pre-/post-intervention design guided by Knowles’ Adult …


Improving Self-Efficacy Among Clinical Instructors: The Impact Of Communication Education On Handling Lateral Violence, Emma Guidry Dec 2025

Improving Self-Efficacy Among Clinical Instructors: The Impact Of Communication Education On Handling Lateral Violence, Emma Guidry

Doctor of Nursing Practice Projects

The quality improvement (QI) project aims to determine if clinical instructors perceive changes in self-efficacy in communication skills specific to lateral violence (LV) situations secondary to an educational intervention. Currently, clinical nurse instructors lack education specifically addressing communication strategies to utilize when LV occurs in the clinical setting. Banduras Social Cognitive Theory, Lewin’s Change Theory and the Plan-Do-Study-Act (PDSA) were employed as frameworks in the development of this project. Methods used in this quasi-experimental design project include administration of the Self Efficacy to Address Disruptive Behaviors Scale (SADBS) survey to project participants, nursing clinical instructors. The evidence-based practice (EBP) intervention …


Resiliency For Nurse Educators: Incorporating Resiliency Training For Nursing Faculty, Rachael Holder Dec 2025

Resiliency For Nurse Educators: Incorporating Resiliency Training For Nursing Faculty, Rachael Holder

Doctor of Nursing Practice Projects

Nursing faculty frequently experience high levels of stress, workload demands, and burnout, which can negatively affect teaching effectiveness and retention. Literature supports resilience as a protective factor that enhances well-being and professional sustainability. The purpose of this quality improvement project was to impact resilience levels among full-time undergraduate nursing faculty through a self-paced online resiliency training program. Guided by Pender’s Health Promotion Model and Lewin’s Change Theory, this pre- and post-intervention design used the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) to assess changes in resilience. Eleven faculty members completed the pre-survey, and two completed the post-survey. The post-survey mean CD-RISC-10 scores …


Quality Improvement Project Implementation Of A Peer Mentoring Program In An Associate-Degree Nursing Program, Heather Baker Dec 2025

Quality Improvement Project Implementation Of A Peer Mentoring Program In An Associate-Degree Nursing Program, Heather Baker

Doctor of Nursing Practice Projects

Peer mentoring is recognized as an evidence-based strategy that offers support to students and enhances retention. This project aimed to implement a peer mentoring program based on the Nursing Universal Retention and Success (NURS) model. The Plan-Do-Study-Act (PDSA) framework and Havelock’s Theory of Planned Change guided the implementation process. The goal was to assess the program's impact on first-semester nursing student retention rates and students’ perceptions of success. First-semester nursing students in a traditional associate-degree nursing program volunteered to participate in the peer mentoring program for one semester. At the end of the semester, an anonymous post-survey was distributed to …


Quality Improvement Project: Improving Emergency Medication Administration Safety In An Inpatient Psychiatric Unit, Sandra Anusiem Dec 2025

Quality Improvement Project: Improving Emergency Medication Administration Safety In An Inpatient Psychiatric Unit, Sandra Anusiem

Doctor of Nursing Practice Projects

Psychiatric emergencies contribute to medication safety issues due to increased stress, inconsistent practices, and communication breakdowns. The problem was high rates of medication errors in psychiatric emergencies due to the lack of a structured, standardized medication management protocol. This Doctor of Nursing Practice (DNP) quality improvement project aimed to reduce medication errors in administering emergency medications in an inpatient psychiatric unit by using the Medication Administration Cross-Check (MACC) checklist. The project was completed using a quasi-experimental research design guided by the Donabedian Model of Healthcare Quality and Lewin’s Change Model. Pretest and posttest knowledge, confidence, attitude, and perceptions were obtained …


Human Trafficking Simulation: Educational Tool For Developing Interprofessional Competencies, Kerri Anne Irwin, Kelly D. Caskey Dec 2025

Human Trafficking Simulation: Educational Tool For Developing Interprofessional Competencies, Kerri Anne Irwin, Kelly D. Caskey

Biennial Convention (CONV)

Introduction: This research is in response to the human trafficking (HT) crisis. HT affects an estimated 30 million people worldwide. Nurses are one of the few constant contacts within the hospital for these isolated victims. HT patients may feel protected under the trusted care of nurses (Morris, 2023). Raker (2023) found that “academic nursing programs represent an ideal environment to deliver human trafficking training to future graduate nurses.” The limited instruction for students led us to create an HT simulation that is being taught in a senior level nursing course.
The purpose of this research is to address the growing …


Kinship Infrastructure Design: Evaluating Diversity And Resilience In Emergency Response Systems Through Agent-Based Modeling, Fayruz Maysha Dec 2025

Kinship Infrastructure Design: Evaluating Diversity And Resilience In Emergency Response Systems Through Agent-Based Modeling, Fayruz Maysha

Doctoral Dissertations and Master's Theses

Traditional infrastructure systems are often designed for predictable scenarios, making them vulnerable to disruption when real-world conditions change unexpectedly. This research addresses that limitation by introducing Kinship Infrastructure Design (KID), a bioinspired framework based on the kinship coefficient (Φ). Adapted from studies of genetic relatedness in eusocial insects, the kinship coefficient (Φ) measures similarity and diversity among system components by calculating the degree to which their functional traits—encoded as a synthetic genome—match. This research investigates whether a system design can achieve a “Goldilocks Zone” of functional diversity where systems achieve optimal adaptability and coordination under uncertainty."

Rather than relying on …


Bridging Modalities: Enhancing Multimodal Sentiment Analysis For Social Media Networks, Misbah Ul Hoque Dec 2025

Bridging Modalities: Enhancing Multimodal Sentiment Analysis For Social Media Networks, Misbah Ul Hoque

LSU Doctoral Dissertations

Social media platforms like X (formerly Twitter) serve as rich sources of textual and visual information, making multimodal sentiment analysis essential for understanding complex human emotions. This dissertation aims to advance multimodal sentiment analysis by improving the semantic alignment and fusion of textual and visual features, thereby enabling more accurate and context-aware sentiment interpretation of social media content.

To address challenges in multimodal integration, this work proposes two complementary MSA approaches. The first approach introduces a similarity-based multi-layer attention neural network (SiMANN) that enhances modality integration through cosine-based similarity fusion and modality-specific attention to emphasize salient features in text and …


Order Extending Deadline To Respond To Claims Objections Dec 2025

Order Extending Deadline To Respond To Claims Objections

Catholic Dioceses in Bankruptcy

No abstract provided.


Minutes, Faculty Affairs Committee Meeting, Tuesday, December 02, 2025, Faculty Affairs Committee Dec 2025

Minutes, Faculty Affairs Committee Meeting, Tuesday, December 02, 2025, Faculty Affairs Committee

Faculty Affairs Committee Minutes

No abstract provided.


200th Citylaw Breakfast | Janno Lieber, Center For New York City And State Law. Dec 2025

200th Citylaw Breakfast | Janno Lieber, Center For New York City And State Law.

Center for New York City Law

Tuesday, December 2, 2025

Janno Lieber Chair and CEO, Metropolitan Transportation Authority (MTA), SPEAKING ON The state of the MTA and how pro-transit leadership, both in Albany and City Hall, will impact service, ridership, capital investment including the Interborough Express, and continued congestion relief.


More Girls In The Classroom Improves Adolescent Mental Health, Monica Deza, Maria Zhu Dec 2025

More Girls In The Classroom Improves Adolescent Mental Health, Monica Deza, Maria Zhu

Population Health Research Brief Series

Mental health challenges are common among adolescents in the United States. This brief summarizes findings from a study using data from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative survey of middle and high school students conducted in 1994-1995. The analysis included over 17,000 students from 133 schools across the United States. The authors find that the mix of boys and girls in a classroom affects adolescent mental health and school satisfaction. When classes have more girls, both boys and girls experience better mental health outcomes. Boys in classes with more female peers are 10% less …


Cybersecurity, Resilience And Sustainability: Evaluating The Role Of Public-Private Partnerships, Katarzyna Chojecka Dec 2025

Cybersecurity, Resilience And Sustainability: Evaluating The Role Of Public-Private Partnerships, Katarzyna Chojecka

Yearbook of Antitrust and Regulatory Studies

This article explores the role of public-private partnerships (PPPs) in enhancing cybersecurity as a component of sustainable and resilient development. It argues that cybersecurity is not only vital for digital transformation and economic growth but also closely aligned with the UN Sustainable Development Goals, particularly through its emphasis on resilient infrastructure. The paper offers a legal and policy-oriented analysis of how PPPs can strengthen cybersecurity capabilities by leveraging the combined resources and expertise of governments, businesses, and civil society. The Polish case is also studied and analysed through “PW Cyber" program which exemplifies a local cybersecurity PPP model. The article …


Reducing Falls In The Acute Care Setting: A Quality Improvement Project, Elorm M. Adzokpa Dec 2025

Reducing Falls In The Acute Care Setting: A Quality Improvement Project, Elorm M. Adzokpa

Doctor of Nursing Practice Final Project Abstract

Falls remain one of the most common adverse events in acute care settings and are associated with increased morbidity, extended hospital stays, and higher healthcare costs. Orthopedic and trauma patients are particularly vulnerable due to mobility limitations, postoperative recovery, and complex medical conditions. The purpose of this quality improvement project was to reduce inpatient falls on an adult orthopedic and trauma unit by implementing a visual aid to reinforce the 5P fall-prevention framework. A pre–post quality improvement design was used during an eight-week implementation period. The intervention included a standardized fall prevention bundle that reinforced existing Fall TIPS board use …


New Unh Certificate Prepares Social Workers To Support Student Mental Health, Aaron Sanborn Dec 2025

New Unh Certificate Prepares Social Workers To Support Student Mental Health, Aaron Sanborn

UNH Today Archive

No abstract provided.


Annual Report On The Status Of Submission Of Title Ix Implementation Plans, Tennessee. Comptroller Of The Treasury. Dec 2025

Annual Report On The Status Of Submission Of Title Ix Implementation Plans, Tennessee. Comptroller Of The Treasury.

Special Reports

No abstract provided.


Molecular Taxonomy Of The Guitarfish Genus Acroteriobatus (Rhinopristiformes: Rhinobatidae), Mia J. Groeneveld, Juliana D. Klein, Michaela Van Staden, Rhett H. Bennett, Matthew L. Dicken, David A. Ebert, Bruce Q. Mann, Kashmika Perumal, Ralph G.A. Watson, Aletta E.Bester Van Der Merwe Dec 2025

Molecular Taxonomy Of The Guitarfish Genus Acroteriobatus (Rhinopristiformes: Rhinobatidae), Mia J. Groeneveld, Juliana D. Klein, Michaela Van Staden, Rhett H. Bennett, Matthew L. Dicken, David A. Ebert, Bruce Q. Mann, Kashmika Perumal, Ralph G.A. Watson, Aletta E.Bester Van Der Merwe

Faculty Research, Scholarly, and Creative Activity

Guitarfish species (genus Acroteriobatus) display restricted distributions in undermanaged regions of intense fishing pressure. The importance of accurate specimen identification is well established, especially in the context of conservation management. However, guitarfishes remain poorly understood, which is exacerbated by taxonomic uncertainty due to morphological similarity. We therefore aimed (1) to identify molecular operational taxonomic units (MOTUs) within Acroteriobatus by analysing sampled specimens as well as publicly available sequence data for the cytochrome c oxidase subunit I (COI) and nicotinamide adenine dehydrogenase subunit 2 (ND2) genes, and (2) to augment and review the representation of these sequences on public databases. A …


"Pollution Does Not [Sic] Discriminate": Louisiana V. Epa, Disparate Impact, And The Fight For Environmental Justice In A Hostile Climate, Naomi Brim Dec 2025

"Pollution Does Not [Sic] Discriminate": Louisiana V. Epa, Disparate Impact, And The Fight For Environmental Justice In A Hostile Climate, Naomi Brim

Minnesota Law Review Vols. 106:2 onward (2021-present)

Human-induced climate change hurts people. Environmental burdens impact a person’s ability to live freely, in good health, and with loved ones. And in the United States, people in positions of political authority and decision-making—who are predominantly white and high-income—use the legal system to push environmental harms disproportionately onto low-income, Black, Indigenous, People of Color (BIPOC) communities. This has occurred for centuries and continues in the present. A basic sense of justice makes the following conclusion easy to reach: skin color, zip code, and pocketbook should not determine whether someone enjoys a clean and healthful environment.

For plaintiffs seeking relief from …


Per Se Driving Under The Influence Of Cannabis Statutes And Blood Delta-9-Tetrahydrocannabinol Concentrations Following Short-Term Cannabis Abstinence, Robert L. Fitzgerald, Anya Umlauf, Raymond T. Suhandynata, David J. Grelotti, Marilyn A. Huestis, Kyle F. Mastropietro, Igor Grant, Thomas D. Marcotte Dec 2025

Per Se Driving Under The Influence Of Cannabis Statutes And Blood Delta-9-Tetrahydrocannabinol Concentrations Following Short-Term Cannabis Abstinence, Robert L. Fitzgerald, Anya Umlauf, Raymond T. Suhandynata, David J. Grelotti, Marilyn A. Huestis, Kyle F. Mastropietro, Igor Grant, Thomas D. Marcotte

Institute of Emerging Health Professions Faculty Papers

BACKGROUND: Several US states have per se laws using 2 or 5 ng/mL of delta-9-tetrahydrocannabinol (THC) as cutpoints for driving under the influence of cannabis, while some have zero-tolerance statutes. These cutpoints are considered prima facia evidence of driving impairment.

METHODS: In a cohort of people who regularly use cannabis (N = 190) we measured baseline concentrations of THC after instructing participants to abstain from cannabis for at least 48 hours. Baseline driving performance was evaluated using a driving simulator. We also measured blood THC concentrations serially following a smoking session (placebo or active cannabis).

RESULTS: Forty-three percent of the …


Cross Level Effects Of Digitalization And Environment Management On Energy Savings In Chinese Manufacturing Firms, Zijin Wang, Jaime Ortiz, Yuanheng Li, Lingyan Shi Dec 2025

Cross Level Effects Of Digitalization And Environment Management On Energy Savings In Chinese Manufacturing Firms, Zijin Wang, Jaime Ortiz, Yuanheng Li, Lingyan Shi

International Business and Entrepreneurship Faculty Publications

The pathway to energy savings requires coordination of technological progress and policy implementation. Specific factors are needed to bridge cross-disciplinary conversations within just one system. Regional public digital infrastructure and enterprises’ environmental management capabilities are incorporated into a research framework on digitalization and energy savings based on the theory of digital ecosystems. A cross-level moderating model is constructed using data from 2014 to 2022 for 650 Chinese enterprises listed in the manufacturing industry to examine the impact of various digital technologies on energy savings, moderating effect of digital infrastructure and the constraint effect of environmental management systems (EMSs). Artificial intelligence …


Patient-Reported Experience Measures For Person-Centred Care: A Survey For The Development And Psychometric Testing Of A Targeted Measure, The Epcc-14, Ryan Statton, Lena Rosenlund, James Close, Anna Dencker, Helen Lloyd Dec 2025

Patient-Reported Experience Measures For Person-Centred Care: A Survey For The Development And Psychometric Testing Of A Targeted Measure, The Epcc-14, Ryan Statton, Lena Rosenlund, James Close, Anna Dencker, Helen Lloyd

School of Psychology

Objectives This study aims to develop a robust, targeted measure of patient experiences of person-centred care (PCC), informed by the lived experiences of patients with chronic illness using the psychometric theory of Rasch measurement. Design The Rasch measurement model was used to analyse the psychometric functioning of 57 candidate items and select appropriate items for a targeted measure. Setting Participants were recruited from Prolific.com, having experience of both chronic or long-term illness and first-hand experience of primary or secondary care in the UK healthcare setting and completed a survey containing PCC items and descriptors of healthcare experience. Participants Data from …


Quality Improvement Project: Educating Nursing Faculty On Medication Administration Labs To Improve Student Competency, Chelsea Pacheco Dec 2025

Quality Improvement Project: Educating Nursing Faculty On Medication Administration Labs To Improve Student Competency, Chelsea Pacheco

Doctor of Nursing Practice Projects

Medication administration errors are a leading cause of preventable harm in healthcare. Faculty play a critical role in ensuring nursing students develop the knowledge and confidence to give medications safely. A needs assessment at the project site revealed that only course coordinators were teaching medication administration and dosage calculation, leaving other faculty uncertain about how to teach these skills. This quality improvement project aimed to strengthen faculty confidence and create consistency in first-year instruction through a recorded educational video. Constructivist Learning Theory provided the foundation for active, experience-based learning. Lewin’s Change Theory guided the structured implementation process to support adoption …


Quality Improvement Project: Enhancing Diabetes Management Through Continuous Glucose Monitoring Device Education Among Providers Of Underserved Groups, Shaibu Rashid Dec 2025

Quality Improvement Project: Enhancing Diabetes Management Through Continuous Glucose Monitoring Device Education Among Providers Of Underserved Groups, Shaibu Rashid

Doctor of Nursing Practice Projects

This quality improvement project aimed to enhance diabetes management among underserved populations by increasing provider confidence and utilization of continuous glucose monitoring (CGM) devices in a Federally Qualified Health Center (FQHC). Despite CGM being recognized as a standard of care for patients requiring intensive insulin therapy, its adoption in FQHCs remains limited due to provider knowledge gaps, financial barriers, and workflow challenges. Based on Kurt Lewin’s change theory, the project employed a quasi-experimental one-group pretest–posttest design to evaluate the impact of an evidence-based educational intervention among six family practice providers. The intervention included interactive sessions on CGM device use, data …


Teacher Candidates’ Attempts To Implement Anti-Ableist Pedagogy And The Constraints Therein, Benjamin Barnett-Perry Dec 2025

Teacher Candidates’ Attempts To Implement Anti-Ableist Pedagogy And The Constraints Therein, Benjamin Barnett-Perry

Northwest Journal of Teacher Education

In this qualitative study, I interviewed four special education teacher candidates with a stated interest in enacting anti-ableist pedagogy in their student teaching placements. I drew on Holland et al.’s (1998) figured worlds to examine their attempts to enact anti-ableist pedagogy in their classrooms and their navigation of the hierarchy within their placements. Participants entered their student teaching eager to implement anti-ableist pedagogy. However, their attempts at implementation were often met with pushback from a variety of sources and a new understanding of how much they could actually accomplish from their place at the bottom of the school hierarchy. Findings …


Preparing Teachers To Seek Out Student Voice: Grounding The Work In Critical Consciousness, Stephanie Mg Herb Dec 2025

Preparing Teachers To Seek Out Student Voice: Grounding The Work In Critical Consciousness, Stephanie Mg Herb

Northwest Journal of Teacher Education

Seeking out student voice is a powerful and beneficial practice that requires teachers to be thoughtful and intentional. While students may feel validated when teachers respond to their input, soliciting student voice can also be harmful if not done carefully. It is necessary to use a critically conscious lens when soliciting student voice and responding to their input and feedback to best support students with historically marginalized identities. Teachers must be prepared to seek out multiple perspectives, deeply listen, and take critical action in response to the information that the students provide. By doing so, teachers can create empowering learning …


Bridging Boundaries: Integration Of Culturally Relevant Resources, James D. Ware, Evan W. Stokes Dec 2025

Bridging Boundaries: Integration Of Culturally Relevant Resources, James D. Ware, Evan W. Stokes

Northwest Journal of Teacher Education

This qualitative study examines the impact of culturally relevant resources on student engagement, motivation, and academic achievement in a language arts classroom. Since school curricula are increasingly scrutinized for their ability to reflect the historical and cultural diversity of student populations, this study investigates how integrating culturally relevant pedagogy can enhance learning outcomes. The study explores the student impact of blending culturally relevant teaching materials with traditional educational frameworks to foster a more inclusive and equitable classroom environment. By analyzing student feedback from a writing-intensive English course that utilized culturally relevant resources, the study seeks to provide insights into how …


Matthew Draper, Matthew Draper, Gus Guikema Dec 2025

Matthew Draper, Matthew Draper, Gus Guikema

Oral Histories of Farming along the Middle Rio Grande

No abstract provided.


Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas Dec 2025

Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas

Walden Dissertations and Doctoral Studies

Small businesses can be at a heightened risk of occupational fraud if their internal control strategies are not effective. This risk is a major concern for small business owners, who might face financial and operational challenges as a result. Grounded in Cressey’s fraud triangle framework, the purpose of this qualitative multiple case study was to explore effective internal control strategies to reduce the risk of occupational fraud from occurring. Participants were six small business owners in New England who had developed effective internal controls. Data were collected through semistructured interviews and employee handbooks. Through thematic analysis, four themes emerged, including …


Emphasis On The External: Deceptive Beauty In Lady Audley’S Secret And The Picture Of Dorian Gray, Arden Cravy Dec 2025

Emphasis On The External: Deceptive Beauty In Lady Audley’S Secret And The Picture Of Dorian Gray, Arden Cravy

Honors Theses

The novels Lady Audley’s Secret by Mary Elizabeth Braddon and The Picture of Dorian Gray by Oscar Wilde both present major themes of beauty, authenticity, and morality while maintaining their didacticism. This thesis comes as a surprise due to the beliefs and intentions of the authors, both of whom claim other motivations than the betterment of their readers. The parallels between these narratives ascribe to the fallible Victorian perspectives regarding external appearance and internal motivations. The danger of assumed authenticity becomes apparent in these authors’ works as they grapple with the realities of human nature. Wilde and Braddon each depict …