Digital Commons Network^™

Quality Improvement Project: Improving Patient Appointment Adherence Through Staff Education On Health Literacy, Christine A. Johnson- Nganbou Kamkeu

Doctor of Nursing Practice Projects

Non-adherence to appointments remains an impediment to health continuity. It has been especially pervasive in rural settings. Numerous scholarly articles in the healthcare literature support enhancing health literacy in organizations and training in effective communication to promote patient appointment compliance. Hence, the purpose of the quality improvement (QI) project was not only to encourage appointment compliance but also to enhance the application of the Teach-Back Method through health literacy education. The theoretical perspective and practice application, according to Lewin’s Change Theory and the PDSA approach, included a four-week intervention period, during which the Agency for Healthcare Research and Quality (AHRQ) …

Quality Improvement Project: Responding Effectively With The Use Of A Defibrillator And Crash Cart: An Educational Intervention For Medical-Surgical Nurses, Josilyn Lusk

Doctor of Nursing Practice Projects

Appropriate and timely use of a defibrillator and crash cart is essential for patient survival during cardiac arrest, yet many medical-surgical nurses report limited preparedness due to inconsistent, non-standardized training. The purpose of this DNP project is to evaluate the impact of a structured didactic and simulation-based educational intervention on nurses’ self-assessed preparedness to respond to life-threatening events and their perceptions of educational best practices. The aim of the project is to demonstrate measurable improvements in nurses’ self-reported preparedness in responding to emergent events and their perceptions of effective teaching and learning strategies. Guided by Tanner’s Model of Clinical Judgment …

Quality Improvement Project: Debriefing In Simulation With Improved Knowledge And Confidence, Rebecca Walker

Doctor of Nursing Practice Projects

Debriefing is a vital part of simulation and is critical to the students' learning in the simulation environment. It is essential for faculty that debriefers receive training in simulation concepts and in structuring debriefings. The purpose is to improve the simulation program at the project site by implementing a training course, and the project aims to enhance the faculty's confidence and address any knowledge gaps. The project design is a quasi-experimental study that features pre- and post-intervention surveys. Fifteen full-time nursing educators were surveyed, excluding faculty who do not teach in simulation. The intervention includes launching a SBL course and …

Quality Improvement Project Assessment Of Emergency Department Staff Knowledge On Use Of Emergency Severity Index In A Critical Access Hospital: Implementation Of Emergency Department-Based Education Program., Amanda Taylor

Doctor of Nursing Practice Projects

In rural emergency departments, accurate triage is vital to ensuring patient safety and maximizing limited resources. This quality improvement project aimed to strengthen triage practices by enhancing nurses’ understanding and confidence in using the Emergency Severity Index (ESI), a standardized tool for assessing patient acuity. Ten registered nurses at a seven-bed critical access hospital participated in a structured educational program, guided by Lewin’s Change Theory and Benner’s Novice to Expert Theory. The intervention included hands-on training, real-world scenarios, and self-assessment surveys. After the program, nurses showed significant gains in both knowledge (mean scores rose from 70.0 to 88.9, p < .001) and confidence (from 13.5 to 23.2 out of 25). While the small sample size and short timeline were limitations, the results highlight the value of ongoing education in improving triage accuracy and patient care. This project offers a practical model for rural hospitals seeking to enhance emergency nursing practice and promote consistent, evidence-based decision-making.

Simulation Education Program For Medical Emergencies: Improving Facilitator Simulation Proficiency, Cari Kent

Doctor of Nursing Practice Projects

This Doctor of Nursing Practice (DNP) project, Simulation Education Program for Medical Emergencies: Improving Facilitator Simulation Proficiency, addressed a critical gap in outpatient emergency preparedness among nursing leaders and facilitators. Despite established policies, many ambulatory care staff reported feeling unprepared to respond effectively to medical emergencies. Guided by the PICOT question, among nursing leaders and facilitators (P), how does a simulation education program in emergency care scenarios (I), compared to current education practices (C), impact simulation proficiency and effectiveness (O)? This quality improvement project evaluated the impact of structured simulation-based education on the competence of facilitators. Using a pre- and …

Quality Improvement Project Step Into Serenity: How Walking Can Ease Stress For Nursing Faculty, Stefanie Martinez

Doctor of Nursing Practice Projects

This quality improvement project explored whether incorporating scheduled walk breaks could help reduce perceived stress among accelerated Bachelor of Science in Nursing (ABSN) faculty. High levels of stress and burnout continue to affect nursing educators and contribute to faculty turnover and workforce shortages. The goal of this project was to promote physical activity as a simple and accessible approach to supporting well-being and fostering a healthier work environment. Grounded in George Engel’s Biopsychosocial Model of Health, this project introduced an educational session on faculty stress, burnout, and the benefits of walking. Participants completed the Perceived Stress Scale (PSS-10) before and …

From Nicu To Neighborhood: Supporting Premature Patients Beyond The Hospital, Bob Underwood, Jermine Harriet Romald

Pediatrics in Practice: A CME Podcast

In this episode, we chat with neonatologist Harriet Romald, MD, FAAP, to explore the critical role pediatricians play in the long-term care of premature infants. From NICU discharge to developmental milestones, we discuss how pediatricians and neonatologists collaborate to ensure continuity of care, monitor common health challenges and navigate social determinants that impact outcomes. Whether you're new to caring for former NICU patients or looking to deepen your understanding, this conversation offers practical insights and the latest updates in neonatal follow-up care.

Click here to stream the podcast episode.

Face Card Declined: The Deepfake Threat To Biometric Security In Financial Systems, Hazel Fernandez

Washington and Lee Law Review Online

Once limited to entertainment and disinformation, deepfakes are now extending into the financial sector, where voice and facial impersonations exploit biometric authentication systems to facilitate fraudulent transactions. This evolution exposes gaps in existing legal and regulatory frameworks, raising critical questions about consumer protection and institutional safeguards. This Note argues for a reconceptualization of deepfake harms as both a privacy and a financial security issue. It examines the illusion of consent generated by synthetic impersonation and insufficient statutory protections. The analysis examines the patchwork of federal, state, and international laws governing data privacy and artificial media, highlighting the gaps that allow …

Estrogen And Obesity Synergistically Suppress Protein S Via Hif1Α, Enhancing Thrombosis Potential, Mohammad A. Mohammad, Narender Kumar, Sonali Ghosh, Ashley L. Paysse, Claudia Leonardi, Vijaya Pilli, Ma Lorena Duhaylungsod, Eric Lazartigues, Diana Polania-Villanueva, Sadaf Nouman, Logan A. Barrios, Rima Chattopadhyay, Rafika Yasmin, Alaina Guilbeau, Manoj Kumar, Tina H. Nguyen, Jovanny Zabaleta, Li Li, Luis Del Valle M.D., Mallory T. Barbier, Samarpan Majumder, Laurent O. Mosnier, Samarpan Majumder

School of Graduate Studies Faculty Publications

Venous thromboembolism (VTE) is a leading cause of morbidity and mortality, with risk heightened in premenopausal women with obesity or use estrogen-based oral contraceptives. When both risk factors are present, the thrombosis risk increases substantially. Protein S (PS), an essential anticoagulant cofactor, is downregulated by both estrogen and obesity, but the molecular basis for this suppression remains poorly defined. We investigated the effect of estrogen and obesity on PS expression using plasma samples from 157 women stratified by BMI and contraceptive use, alongside 40 mice categorized as lean or obese with or without estrogen pellet treatment. The levels of PS …

Reflecting On The Implementation Of The I-Pass Handoff In An Inpatient Gastroenterology Department, Whitney Thornton

Biennial Convention (CONV)

The primary purpose of this project was to utilize a standardized evidence-based handoff using a modified I-PASS handoff for the gastroenterology department in an inpatient setting. The implementation of an evidence-based standardized handoff into a clinical practice is crucial to the success of patient care. According to the Joint Commission, errors in handoff communication are one of the leading factors of sentinel events (Humphrey et al., 2022). Omission of pertinent patient information during hospital handoff communication accounts for almost 30% of medical malpractice errors and lawsuits (Humphrey et al., 2022). Handoff communication can be described as the action of conveying …

Answering The Call For Nurse Leaders: The Direct Entry Msn Program, Catherine C. Razzi

Biennial Convention (CONV)

Entry level Master of Science programs for second degree students have seen a rise in popularity. Pursuing a Direct Entry Master of Science in Nursing is an excellent option for second degree students, allowing them to fast-track their education by bypassing the traditional BSN and moving directly into a masters program. Initially direct entry programs focused on preparing nurses to practice in advanced specialties, such as Nurse Practitioners. Now, many programs are offering a general MSN degree, rather than an advanced practice degree. Some programs incorporate Clinical Nurse Leader (CNL) courses into the program, allowing students to sit for the …

I Have An Idea, Now What? Guiding Nurses To Transform Ideas Into Impact Through Ebp Fellowships, Kaci Rainey

Biennial Convention (CONV)

Purpose: A large academic health system identified a critical need for an Evidence-Based Practice (EBP) Fellowship to enhance nurses’ ability to integrate research into clinical practice. This initiative empowers nurses to drive and sustain EBP changes, improve patient outcomes, and advance nursing practice.

Relevance/Significance: EBP Fellowships empower nurses to overcome barriers to EBP knowledge, implementation, and evaluation. Tackling these challenges requires a comprehensive, multifaceted strategy from healthcare organizations. Nurse leaders have embraced EBP Fellowships to boost EBP capacity in a meaningful and impactful way. Fellowships are an innovative, forward-thinking approach to the development of mentors and clinical nurses, fostering a …

The Ecological Self In Nurse Educators: A Concept Analysis From A Humanizing Lens, Vhothusa Edward Matahela

Biennial Convention (CONV)

The 21st-century climate crisis necessitates a rethinking of the values and beliefs that have escalated environmental degradation (Gardiner, 2011). This presentation explores the concept of the Ecological Self, emphasizing the deep interconnection between individuals and their environment, as a framework for addressing climate change mitigation and adaptation (Bragg, 1996). Although the Ecological Self is highly relevant, its application within nursing education remains underexplored. Nurse educators, who play a crucial role in shaping future professionals, can influence climate change initiatives through this lens.

This presentation aims to clarify the concept of the Ecological Self in nurse educators by examining its attributes, …

Quality Improvement Project: Creation Of An Ebp Healthy Lifestyle Program: An Evidence-Based Development Program, Devanee Ray

Doctor of Nursing Practice Projects

Nursing education is the foundation of healthcare itself. However, several things influence nursing students’ academic success. A lack of overall health habits is a significant contributor. Generally, this lack is due to a lack of education. The goal of this quality improvement Doctor of Nurse Practice (DNP) project was to develop an educational program that addresses the identified knowledge gaps. The aim was to develop the program to promote student success and pilot-test the program to determine its impact among masters-level nursing faculty. Using Lewin’s Change Theory and Orem’s theory of self-care, the educational program was piloted over a seven-week …

Every Day Counts – A Critical Qualitative Case Study Examining Black Parents’ Perceptions Of Their Preschool Sons’ Chronic Absenteeism, Marilyn I. Dunham

Theses and Dissertations

Abstract Marilyn I. Dunham EVERY DAY COUNTS – A CRITICAL QUALITATIVE CASE STUDY EXAMINING BLACK PARENTS’ PERCEPTIONS OF THEIR PRESCHOOL SONS’ CHRONIC ABSENTEEISM 2025 - 2026 Jo Ann B. Manning, Ed.D. Doctor of Education in Educational Leadership The purpose of this critical qualitative case study was to examine the perceptions of Black parents regarding chronic absenteeism among Black male preschoolers. Grounded in Critical Race Theory (CRT; Ladson-Billings, 1998; Solórzano & Yosso, 2002), the study sought to amplify parental voices and explore how systemic policies, school practices, home factors, and parental advocacy influence early attendance. Eight Black parents from an urban …

Policy Briefing | The Future Of Nyc’S Gig Economy, New York Law School Center For New York City And State Law

Center for New York City Law

Monday, November 17, 2025

Ndls Communicator: Week Of 11.17.25, Notre Dame Law School

NDLS Communicator

The Latest News

• Justice Amy Coney Barrett to judge final round of moot court tournament named in her honor
• Veterans Day 2025: Honoring our ND Law student veterans and reflecting on God, Country, Notre Dame
• Notre Dame faculty contribute to dialogue on artificial intelligence at the Vatican
• Notre Dame experts bridge law and child development to tackle crisis of family separation amidst armed conflict

Alumni News

• Notre Dame LL.M. Graduates Victoria Mendoza Ruiz and Mbonisi (Bo) Secure Prestigious UN Internships

Faculty Briefs

• Caleb Stone
• Christina Jones
• John Meiser
• Nicole Garnett
• Patrick Corrigan
• Mary Ellen O'Connell
• Haley Proctor
• Sadie Blanchard
• Nell …

Earl C. Hazelle, Myrna J. Layton

Faculty Publications

Earl Charles Hazelle (February 1, 1906 – November 22, 1993) was a pianist, organist, accordionist and a composer of music for all three instruments as well as vocal music. He was also an accomplished painter in oils. Hazelle taught both music and art lessons for many years.

Edwin F. Parry, Myrna J. Layton

Faculty Publications

Edwin Francis Parry (June 11, 1860 – September 16, 1935) was a Utah typesetter, printer and writer who also loved music. He sang, played the organ and piano, wrote song lyrics and composed many songs and hymns.

11.17.2025 Ored Connect, Liz Williamson

ORED Newsletter

• Qualtrics training sessions
• Alcorn State University, Dr. Edmund Buckner

Formation And Extent Of The Cretaceous West Mountains Plutonic Complex, Ellen M. Nelson, Claire E. Ruggles, Basil Tikoff, Mollie Patzke, Kathleen D. Surpless, Jeffrey Vervoort, Richard Gaschnig

Earth and Environmental Geosciences Faculty Research

The West Mountains plutonic complex is a series of intrusive bodies, presently located in Idaho, that formed during a continuous period of Early to mid-Cretaceous magmatism in the northwest North American Cordillera. Granitoids of the West Mountains plutonic complex were emplaced across the boundary between accreted terranes and Laurentia following the Jurassic accretion of the Blue Mountains Province. New U-Pb zircon crystallization dates from the West Mountains plutonic complex ranging from 130 to 109 Ma and new zircon εHf isotopic compositions ranging from +12.1 to +4.7 suggest the complex is older and compositionally distinct from the younger than 85 Ma …

Record Of The Late Jurassic Cordilleran Margin From Detrital Zircon Analysis Of The Galice And Mariposa Formations, California And Oregon, Kathleen D. Surpless, Calvin Barnes, Aaron Yoshinobu

Earth and Environmental Geosciences Faculty Research

Details of the Late Jurassic tectonic evolution of the North American continental margin remain controversial, but a clear understanding of Late Jurassic tectonics is essential for understanding subsequent terrane accretion and displacement. Upper Jurassic strata of the Galice Formation in the western Klamath Mountains province and the Mariposa Formation in the Western Sierra Nevada metamorphic province were deposited along the margin of North America during this critical time. The Galice and Mariposa Formations have long been correlated, and these strata are the youngest rocks deformed during Late Jurassic Nevadan deformation in Oregon and California. Published and new detrital zircon age …

Quality Improvement Project: Improving Competency Of Behavioral Health Technicians In Vital Sign Technique, Ashley Buescher

Doctor of Nursing Practice Projects

Untreated hypertension or hypotension can lead to serious health problems, including death. Proper technique is essential when obtaining a blood pressure reading to improve patient safety. The goal of the quality improvement project was to improve competency in blood pressure technique by implementing standardized training. The initiative addressed discrepancies in blood pressure readings in the intake unit of a behavioral health hospital. Using the Stetler Model of Evidence-Based Practice and John Kotter’s 8-Step Change Model, a single sample, pre-post design was implemented over 4 weeks. The American Heart Association's blood pressure guidelines and the Teach-Back Observation Tool were used in …

Enhancing Emergency Department Staff Competency In Ultrasound-Guided Venous Access At A Rural Critical Access Hospital: A Quality Improvement Project, Ryan M. Sand

Doctor of Nursing Practice Projects

Patients meeting difficult intravenous access (DIVA) criteria often experience multiple failed intravenous (IV) access attempts, delayed diagnostics, and treatment initiation, particularly in rural emergency departments with limited resources. This quality improvement (QI) project evaluated whether targeted ultrasound-guided peripheral venous access training would improve staff self-efficacy, confidence, and self-reported procedural execution at a rural critical access hospital. Guided by Lewin’s Change Theory and Benner’s Novice to Expert Theory, a quasi-experimental pre-/post-intervention design was implemented. Nurses and paramedics completed the validated Peripheral Intravenous Insertion Confidence Assessment before and after a didactic and psychomotor training program. Statistical analysis included an independent samples t-test …

Irene (Christopherson) Tempest, Myrna J. Layton

Faculty Publications

Irene Ellen Nelson Christopherson Tempest (January 19, 1904 – February 9, 1988) was a Utah pianist, organist and composer.

Moiselle Renstrom, Myrna J. Layton

Faculty Publications

Katherine Moiselle Renstrom (June 23, 1889 – September 28, 1956) was a Utah educator, author, lyricist and composer of music for children.

November 17, 2025

The Gavel Gazette

No abstract provided.

The Echo: November 17, 2025, Taylor University

2025-2026 (Volume 113)

No abstract provided.

Annual Comprehensive Financial Report, Washington County, For The Year Ended June 30, 2025, Tennessee. Comptroller Of The Treasury.

Tennessee County Audit Reports

No abstract provided.

Does Preoperative Arthritis Affect The Outcomes Of Superior Capsular Reconstruction? A Systematic Review, Tae-Hoon Park, Hyungsuk Kim, Sukil Kim, Jongin Lee, Gerald R. Williams, Hyun Seok Song

Rothman Institute Papers

BACKGROUND: The optimal indications for superior capsular reconstruction (SCR) in cases of massive irreparable rotator cuff tears (RCTs) accompanied by degenerative arthritis remain controversial.

METHODS: A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching PubMed, Embase (Elsevier), and Google Scholar. Studies were included if they documented Hamada grade and reported clinical and radiographic outcomes after SCR for irreparable RCTs. American Shoulder and Elbow Surgeons (ASES) score, visual analog scale for pain (pVAS), active range of motion, and acromiohumeral distance (AHD) were analyzed.

RESULTS: In all 7 studies, there was no consistent …