Digital Commons Network^™

The Immunophenotypic And Genetic Characterization Of Pediatric T -L Ymphoblastic Leukemia With A Mature Immunophenotype, Mahsa Khanlari, Wei Wang, Parastou Tizro, Mohammad K Eldomery

Faculty, Staff and Student Publications

Not available.

Industry Perspectives On Engineering Communication Skills For The Green Transition, Una Beagon, Stephen Harper, Paul Talbot

Irish Journal of Academic Practice

Effective communication skills are crucial in complex multidisciplinary, multistakeholder engineering projects, where engineers must articulate ideas, negotiate solutions and convey technical information across diverse audiences. However, despite their importance, communication skills are often undervalued in engineering curricula, as students and faculty may view them as peripheral to technical training. Through focus groups and interviews with practicing engineers in Ireland, the study explores communication’s role in professional tasks and stakeholder interactions. The study provides a flowchart outlining each stage of a civil and structural project. This was then used to identify key communication activities which are presented using the who, why …

Conventional Versus Advanced Imaging Selection For Endovascular Treatment Of Basilar Artery Occlusion Strokes, Huanwen Chen, Joshua Osbun, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Endovascular thrombectomy (EVT) is an effective treatment for basilar artery occlusion (BAO) stroke in select patients. While there is a growing body of literature suggesting that advanced imaging modalities such as computed tomography perfusion (CTP) and magnetic resonance (MR) may not be necessary for selecting anterior circulation large vessel occlusion stroke patients for EVT, whether advanced imaging may be superior to conventional imaging (non-contrast CT and CT angiography) in identifying good treatment candidates among BAO patients is less clear.

PATIENTS AND METHODS: This was a multicenter retrospective cohort study of BAO EVT patients treated from 2013 to 2022 in …

Bi-5756 Reduces Graft-Versus-Host Disease Through Cb1-Mediated Treg Upregulation, Sena Kim, Abdul-Jalil Dania, Sora Lim, Jaebok Choi

2020-Current year OA Pubs

Cannabinoid receptor 1 (CB1) has been implicated in multiple inflammatory diseases by regulating pro-inflammatory mediators or altering immune cell polarization. However, the expression and direct functional role of CB1 in T cells remain largely unexplored. Here, we demonstrate that primary murine T cells express CB1 and that its novel agonist, BI-5756, directly increases the frequencies of regulatory T cells (Tregs) in primary murine pan T cells after activation. In addition, BI-5756 exhibits an in vivo protective effect against graft-versus-host disease (GvHD), an allogeneic T cell-mediated inflammatory complication after allogeneic hematopoietic cell transplantation (allo-HCT), resulting in an improved overall survival with …

Staff Education Project For Enhancing Medication Adherence In Mental Health: An Evidence-Based Education Program For Healthcare Practitioners In Outpatient Clinics, Rita Erina Pyuzza

Walden Dissertations and Doctoral Studies

The staff education project was designed to address medication non-adherence among mental health patients in an outpatient psychiatric clinic by enhancing the knowledge and skills of mental health nurses and nurse practitioners. The lack of structured, evidence-based training on medication adherence strategies has contributed to poor patient outcomes, increased hospitalizations, and higher healthcare costs. Clinic patient reports indicated 50% medication non-adherence, highlighting the need to address non-adherence through effective nursing-led education, medication management, and adherence monitoring. The project assessed whether enhancing the outpatient healthcare providers’ skills and knowledge through a structured, evidence-based program would improve the providers’ medication adherence strategies. …

Timely Resection Of Juvenile Nasopharyngeal Angiofibroma Following Embolization For Uncontrolled Acute Epistaxis Case Report., Koffi L. Lakpa, Timothy Mcculloch, Michael D. Puricelli

Manuscripts, Articles, Book Chapters and Other Papers

Uncontrolled epistaxis in patients with juvenile nasopharyngeal angiofibroma requires prompt intervention. When embolization is required, neovascularization can occur, making expedited surgical resection essential. We conducted a single-institution, retrospective review of one patient. This case study details the patient's clinical presentation and his preoperative, intraoperative, and postoperative course. We present the management of a 14-year-old male with a juvenile nasopharyngeal angiofibroma, who 3 days after initial evaluation at our institution, developed uncontrolled epistaxis requiring embolization at an outside hospital before transfer back to our institution for further management. He initially presented to an outside emergency department with acute epistaxis refractory to …

Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter

Walden Dissertations and Doctoral Studies

Caring for elderly parents with Alzheimer’s disease (AD) poses two major challenges for adult-child caregivers: the tasks involved in taking care of ailing parents and also potentially living in fear of developing the same disease. This research examined how caregivers with such fear regard their vulnerability to AD and how they manage the stress that comes with caregiving for someone with a disease they dread developing themselves. This grounded theory study employed the appraisal theory of emotions and the theory of moods as frameworks and aimed to establish awareness regarding coping strategies that adult-child caregivers have about caretaking and their …

Blood Culture Contamination Rates, Jackqueline R. Easley

Walden Dissertations and Doctoral Studies

The timely and accurate collection of blood culture specimens is essential for improving patient outcomes and minimizing complications. Contaminated specimens can lead to unnecessary antibiotic use, prolonged hospital stays, and delays in appropriate treatment. At one eastern healthcare facility, monthly blood culture contamination rates reached an average of 4.5%, prompting the need for a targeted intervention. The objective of this project was to determine whether a structured process and trained team could reduce contamination rates to below 1%. De-identified data were reviewed using descriptive statistics to observe contamination trends over time, by department, and by month. Using the t-test, contamination …

Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter

Walden Dissertations and Doctoral Studies

Perinatal Opioid Use Disorder (POUD) constitutes a significant public health issue with important ramifications for both mothers and their newborns. The gap in practice identified for this Doctor of Nursing Practice staff education project was the perinatal nurses’ lack of knowledge regarding POUD. The problem was the need for POUD education for the nurses. The practice focus questions were: Will there be a change in knowledge by perinatal nurses following the delivery of the education as shown by a pretest/posttest? Will the participants evaluate the education as having met the program objectives related to the curriculum presented? Guided by the …

Staff Education On Discharge Planning For A County Crisis Stabilization Unit, Eric Rowshaun Luster

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a staff education initiative developed to address insufficient staff knowledge related to discharge planning for homeless individuals experiencing mental health crises. The purpose of the project was to examine whether enhanced staff training could improve knowledge of transitional care planning, thereby supporting equitable, safe, and inclusive discharge processes. By improving staff proficiency, the project sought to reduce gaps in care coordination and promote continuity of treatment for a highly vulnerable patient population. The project was implemented at a Crisis Stabilization Unit (CSU) in the southern United States that serves individuals experiencing homelessness, …

Instructional Leadership Practices To Advance Secondary Student Mathematics Achievement In A British Commonwealth Country, Dawn Agdomar-Jean

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that school leaders are challenged in providing instructional leadership to teachers to advance secondary students' mathematics achievement in a British Commonwealth Country (BCC). The purpose of this basic qualitative study was to investigate secondary school leaders’ perceptions of the challenges to providing instructional leadership practices found to be effective to support teachers to advance secondary students' mathematics achievement in a BCC. The conceptual framework for this study was Hallinger and Murphy's model of instructional leadership. A self-designed semistructured interview protocol with open-ended questions was used to interview participants. Purposive sampling was used to …

Staff Education To Use The Patient Health Questionnaire-9 To Improve Identification Of Depression Among Mental Health Clients, Lukresia Bhwanshe Kawira

Walden Dissertations and Doctoral Studies

This doctoral project was an educational intervention to improve depression screening in a health clinic through standardized training using the Patient Health Questionnaire-9 (PHQ-9). The targeted practice issue was the variable use of the PHQ-9 which led to possible misdiagnosis or underdiagnosis of depression, a critically vital issue in nursing practice owing to the necessity of frontline mental status evaluation by nursing staff. The practice focused question was, for staff in a mental health clinic, will training on the use of the PHQ-9 tool increase knowledge toward the goal of improving the identification of depression among clients? Hence, the overall …

Relationship Between Peer Support Services And Offender Reentry Organizations, Julie Megan Dixon

Walden Dissertations and Doctoral Studies

This study addressed the gap in understanding the acceptability, appropriateness, and feasibility of peer support services (PSS) among two groups of reentry staff in North Carolina (NC): those in the community and those within the Department of Adult Correction (DAC). Both groups of reentry staff completed a web-based survey encompassing the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). The sampling strategy, response rate, and survey administration details are provided. Guided by ecological systems theory, this study examined how PSS can improve reentry outcomes and address insufficient public safety, social relationship deterioration, and …

Effective Business Strategies To Reduce Rural Hospital Closures, Teika Denise Albury

Walden Dissertations and Doctoral Studies

Rural hospital closures disproportionately impact the lives of rural residents across the United States, directly affecting health outcomes for rural communities and the overall financial viability of rural health institutions. Policymakers, healthcare leaders, and community stakeholders are concerned about these closures because they threaten access to care and contribute to health disparities. Grounded in Fiedler’s contingency theory, the purpose of this qualitative pragmatic inquiry was to explore business strategies rural hospital administrators use to prevent rural hospital closures. The participants were five rural hospital administrators who successfully prevented the closure of their rural hospitals. Data were collected through semistructured interviews …

Social Media Vetting Governance And The Impact On Hiring Capacity, Jimmy Lampkin

Walden Dissertations and Doctoral Studies

Human resource managers are concerned with weak social media vetting governance, as it is the number one predictor of reduced organizational capacity to hire candidates. Grounded in Lewin’s Situational Strength Theory, the purpose of this quantitative correlational project was to examine the relationship between social media vetting governance and organizational capacity to hire. The participants were 500 human resource leaders and hiring managers from organizations in the southwestern United States who completed the Job-Related Situational Strength Questionnaire and the Decision to Hire Scale. Although a priori power analysis required a minimum of 103 participants to detect a medium effect size, …

Methane Partial Oxidation With Ni-Mg-Al Hydrotalcites: Impact Of Magnesium On Catalyst Performance, Dalia A. Ali Dr.

Chemical Engineering

The partial oxidation of methane (POM) is a promising route for hydrogen-rich syngas production with lower energy requirements compared to steam reforming. Herein, Ni-incorporated Mg-Al hydrotalcite- derived mixed oxide catalysts (5Ni-HT-x, x = 60, 65, 70, 75 wt.% Mg) were synthesized via co-precipitation and evaluated for CH₄ conversion and H₂ yield. Characterization techniques, including X-ray Diffraction (XRD), X-ray Photoelectron Spectroscopy (XPS), BET, H₂-TPR, TEM, FTIR, TGA, and Raman spectroscopy, were employed to investigate catalyst structure, active site stability, and carbon deposition. As a constituent of hydrotalcite-derived mixed oxides (HT), Ni2+ is strongly bound within the hydrotalcite- derived mixed oxides structure, …

Rampes: Unveiling The Ideal Counselor Traits In The Sanghyang Siksakandang Karesian Manuscript, Ade Hidayat, Mamat Supriatna

Jurnal Kajian Bimbingan dan Konseling

This study aims to describe the ideal characteristics of a counselor based on the values contained in the Sanghyang Siksakandang Karesian (SSK) manuscript. A hermeneutic approach was employed to interpret the meaning of the text from the perspective of guidance and counseling grounded in local wisdom. The findings indicate that the concept of Rampes, mentioned 24 times in the manuscript, serves as the foundation for shaping a counselor’s professional, moral, and integrative character. This concept comprises three dimensions: (1) Bakti, which reflects religious awareness as a creature of God as well as a commitment to ethical behavior; (2) Wastu Siwong, …

The Mediating Role Of Smartphone Usage In The Relationship Between Working Mothers And Children’S Social Interaction, Wulan Patria Saroinsong, Mochamad Nursalim, Azmawaty Binti Mohamad Nor

Jurnal Kajian Bimbingan dan Konseling

This study explores how smartphone usage acts as a mediator in the connection between working mothers and social interaction among children aged 3–6 years in East Java, Indonesia. Due to the insufficient reading and writing skills of children in this age range to complete questionnaires for the children’s interaction variable, data were gathered from their parents’ perspective, notably working mothers, who offered insights into their parenting behaviors and their children’s interaction patterns when using the smartphone. The research utilized a mediation analysis design to examine the relationships among the variables. A structured questionnaire was distributed to a sample of 400 …

Thriving Through Transition: Innovative Resilience Training For New Nurses, Christene Annette Taylor

Creating Healthy Work Environments (CHWE)

The transition from academic settings to professional nursing practice is a critical period marked by high stress and a heightened risk of burnout for newly licensed nurses. This study introduces an innovative Resilience Training Program designed to address these challenges and foster a healthier work environment. Uniquely grounded in Transition Shock Theory, the program focuses on building psychological resilience, providing newly licensed nurses with the skills necessary to navigate and thrive in high-pressure settings.

Employing a quantitative quasi-experimental one-group pre-and-post design, the study assessed resilience using the CD-RISC 10 scale. The results demonstrated a significant improvement in resilience scores post-intervention, …

Supply Waste Reduction Workgroup: A Go Green Initiative, Aswathy Nair, Givenchy Victorio, Durga Basnet, Shani Pinky

Creating Healthy Work Environments (CHWE)

Background: Previous studies report that the healthcare industry significantly contributes to environmental degradation and intensive care units (ICUs) are a major generator of waste (Barbariol, 2023). Many ICU staff and support staff personnels have expressed frustration over extra supplies being brought into the room and later discarded. The “GreenICU” aims to reduce the million-pound contribution of medical waste to our landfills.

Method: "GreenICU” focused on four key areas. First, an ICU green team was formed, consisting of PCAs and nurses from day and night shifts. Forming a team is crucial for gathering input, making recommendations, and ensuring the sustainability of …

Calm The Bone! Transforming Orthopedic Clinics Into Thriving Work Environments With Code Lavender, Tania Mae Golo-Atkin, Jodie Mae Bernardino Shiba, Daniel A. Colllins, Danica Jane Austero Calayag

Creating Healthy Work Environments (CHWE)

BACKGROUND: Gibson et al. 1 first used “Code lavender” to describe part of a bereavement program for NICUs. Since then, code lavender evolved initially to caregiver and health care provider support to now mental health well-being for nurses as part of efforts to decrease nursing burn out. 2 Several hospitals have trialed or implemented a variation of a code lavender program; however, the majority of these focus on inpatient staff and the emergency department. 3–5 There is a dearth of literature about using code lavender in outpatient or ambulatory care settings in general. The purpose of this presentation is to …

Addressing Job Satisfaction In Emergency Services: An Exploratory Study, Jacqueline Christianson, Tiffany Warthon, Tala Fuad Abuzahra

Creating Healthy Work Environments (CHWE)

Purpose: Emergency services professionals (ESPs), like emergency medical technicians, paramedics, and registered nurses, work in stressful, low-resource environments and are vulnerable to work-related burnout (Crowe et al., 2020; Hinderer et al., 2014). While many ESPs are motivated by compassion for others, most ESPs never learn what happened to the patients they cared for (Ntatamala & Adams, 2022; Patterson et al., 2005). Disconnection from patient outcomes may limit compassion satisfaction among ESPs and make it more difficult to actualize their role in patient care and contribute to burnout, which negatively affects patient care (Georgakakos et al., 2022). The purpose of this …

Addressing Health And Healing In The Work Environment Through A Wellness Yoga Class, Norah M.M. Airth-Kindree, Der-Fa Lu

Creating Healthy Work Environments (CHWE)

With escalating nursing faculty shortages, faculty retention is important. Developing an infrastructure to support work-life balance and create programs that address wellness is needed to enhance nursing faculty satisfaction by improving well-being and career satisfaction. Following the Healthy Nurse Healthy Nation initiative launched in 2017 to improve the health of nurses within the United States, educational settings must promote and maintain healthy work environments on a more personal level. Within a midwestern College of Nursing, faculty and instructional academic staff satisfaction surveys are deployed every three years. Overall job satisfaction has plummeted from 90% satisfaction in 2016 to 28% satisfaction …

Examining The Relationship Between Moral Distress And Grit Among Transplant Professionals, Preston H. Miller, Haley Hoy, Shikha Modi, Antonia Primus

Creating Healthy Work Environments (CHWE)

‘Moral distress’ was originally conceptualized among nurses in 1984 by Professor Andrew Jameton as occurring when a nurse “knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action.” Moral distress has since been studied among a variety of healthcare professionals and can further be characterized as occurring when clinicians are constrained from taking what they believe to be ethically appropriate actions or are forced to take actions that are ethically inappropriate based on their professional obligations, resulting in a sense of complicity and wrongdoing. Conversely, the concept of grit has …

Nurses’ Perspectives Of Their Workplace Well-Being At A Tertiary Hospital In Saudi Arabia, Vimela Moodley, Diane Ross, Maab Basha, Asmaa Khan, Naomi Tuifao, Jennifer De Beer, Jamila Alsharani, Abeer Aljoudy

Creating Healthy Work Environments (CHWE)

Nursing is a demanding profession that requires substantial physical and emotional resilience, making nurses vulnerable to burnout and stress due to high job expectations and challenging work environments. In this context, many nurses are reluctant to seek help or divulge personal stressors, which can adversely affect their performance and coping skills. As a Magnet-recognized healthcare facility, the organization prioritizes outstanding patient outcomes and strives to enhance workplace conditions for nurses. A collaboration between the Magnet department and the Nurse Retention Office aims to understand the influence of the work environment on nursing wellbeing, with a focus on uncovering hidden psychological …

Night To Light Revive Before You Drive, Imelda S. Oca, Armie Poralan, Grace Marie Delgado, Mary Ann Sison, Khadijatu A. Bah

Creating Healthy Work Environments (CHWE)

Background: Drowsy driving and commuting accidents following a night shift are common among healthcare workers including registered nurses (RNs)⁸. Mounting evidence suggests that there is a significantly higher adverse driving event following a night shift^3,4,5,6. The Night to Light Revive Before You Drive is a project of the Night Shift Shared Governance Council which supports the recommendations for health equity in the Future of Nursing 2020-2030 report by the National Academy of Medicine⁹. Through interventions specific to the challenges faced by night shift RNs, the project aims to increase safety awareness to combat drowsy …

Radioactive Birds In The Bay And Dugongs In The Middle East: The New Treaty On Biodiversity In The High Seas, Gina Heathcote

Talking Heads Seminar Series

In this paper I examine the new agreement, under the UN Convention on the Law of the Sea, on Biodiversity beyond National Jurisdiction (BBNJ Treaty). The BBNJ Treaty establishes a legal regime for the regulation of marine genetic resources, area based management tools (marine protected areas), technology transfer and environmental impact assessments in the high seas. The BBNJ includes, as one of its core principles and aims, recognition of the importance of Indigenous knowledge. As the treaty moves from agreed draft into force (which will happen when 60 states have ratified the treaty) and thus with the first meeting of …

The Core-Collapse Supernovae Particle Physics Interactions, Skylar G. Butler

Beyond: Undergraduate Research Journal

This study investigates the role of specific particle physics interactions in simulations of core collapse supernovae, with a focus on understanding how varying levels of inclusion impact the accuracy of gravitational wave predictions and results of simulations. Different research groups often approach these simulations with varying degrees of complexity, cutting corners by omitting certain reactions or simplifying others. This project systematically evaluates the implications of these choices, comparing the particle physics interactions included, the dimensionality of the simulations, and the governing equations used. Our goal is to identify how these factors influence the precision of numerical simulations. By providing a …

The Wellness Ambassador For A Healthy Work Environment, Adriana Rumoro, Judy Friedrichs

Creating Healthy Work Environments (CHWE)

Nurses are working in a self-care deficit. The lower the self-care quotient, the more at risk a nurse is for safety and quality issues. Recently, the Work Life Balance committee members have completed training to formally become the Wellness Ambassador to support a healthy work environment.

Per the ANA Code of Ethics, self - care is more than a nicety. It has been found to be critical to the nurse, the team, and the patient. Each of the Wellness Ambassador surveyed the staff on their unit on what would a healthy work environment include. The overall top two topics identified …

Partnering With Hbcus To Improve Advanced Practice Nursing Workforce Diversity, Marquita P. Lyons-Smith, Ragan Johnson, Brigit Carter, Anne Derouin, Yolanda Vanriel

Creating Healthy Work Environments (CHWE)

Illustrate the value of strategic academic partnerships between Predominately White Institutions (PWIs) and historically Black colleges and universities (HBCUs) to increase diversity in nurse practitioner (NP) academic programs.

Healthcare workforce diversity improves health outcomes for minoritized populations. Advanced practice nurses (APNs) are cornerstones of the primary care workforce. However, less than 10% of practicing NPs are Black. Barriers include lack of APN faculty diversity, student access to higher education, awareness, and cost. Pipeline programs such as summer immersion programs have effectively increased knowledge, increased interest, fostered mentorship, and prepared minoritized students for the graduate school application process. Faculty at a …