Digital Commons Network^™

Operation Honor: Honoring Our Veterans In The Medical Intensive Care Unit, Kendra Manns Msn,Rn, Dawn Wind Rn

Nursing Publications, Posters, & Presentations

Presented at the 2025 Parkview Nursing Research Symposium.

A coworker had an impressionable conversation with a patient and their family regarding end of life. During this conversation she found out the patient was a veteran. This conversation made her aware of a care gap we could fill. She approached the NCAT chair to brainstorm ideas. After months of discussion and research, Operation Honor was born.

Two goals of this project: 1)To honor veterans and their families

To improve staff morale surrounding the loss of a patient as well as providing the patient with a “good death”

Nursing Professional Liability: Bridging Rn & Aprn Perspectives On Risk, Coverage & Evolving Practice Authority, Michelle Hileman Msm, Rn, Cnm, Parkview Health

Nursing Publications, Posters, & Presentations

Presented at the 2025 Parkview Nursing Research Symposium.

The purpose of this literature review is to explore professional liability for RNs and APRNs. Specific objectives include:

• Identify patterns in malpractice claims for RNs and APRNs

• Compare employer-provided and personal malpractice coverage

• Examine the impact of scope-of-practice laws on APRN liability

• Clarify principles of vicarious liability

• Recommend lifelong strategies for education, risk management, and professional practice

An Environmental Scan Of Preparation For Occupational Therapy Intraprofessional Collaboration In Ontario, Teresa R. Avvampato, Mark Hall, Dianna Fong-Lee, Marcia Finlayson

Journal of Occupational Therapy Education

Intraprofessional collaboration between occupational therapists (OTs) and occupational therapist assistants (OTAs) is important for safe, effective, and efficient occupational therapy services. However, challenges such as role misunderstandings in Canada exist, which impact OT-OTA intraprofessional collaboration and the quality of care provided. This study aimed to reveal the OT-OTA intraprofessional collaboration preparation taking place in Ontario, Canada, during entry-to-practice education. An explanatory sequential environmental scan was conducted, which involved a survey distributed to OT and OTA educators, followed by six focus groups: two with OT educators, two with OTA educators, and two with OT and OTA recent graduates. Key findings revealed …

Transforming Pathfinder Acculturation Gaps: Confronting Intergenerational Cultural Conflict Between First- And Second- Generation Immigrants With Family Strengthening Workshops Among Scottish Mission Pathfinders And Their Parents, Njabulo King Ndlovu

Doctor of Ministry Projects

Problem

The immigrant population in the UK is rapidly increasing along with correlated increases in the membership of both the British Union Conference (BUC) and the Scottish Mission (SM) of the Seventh-day Adventist Church. The Scottish Mission Pathfinder clubs (SMPCs) have many immigrant children. However, as immigrants’ home culture comes into continuous contact with the British culture, acculturation gaps between first- and second-generation immigrants tend to form naturally as a result of the differing pace with which these two generations acculturate. Adolescents are generally thought to adapt quicker. Parent-child miscommunication and disagreement on critical matters such as values, beliefs, and …

The Mordecai-Esther Mentorship Initiative: A Cross-Gender Mentorship Model For Commissioned Female Pastors In South Central Conference, Latina Carriger

Doctor of Ministry Projects

Problem

In the South Central Conference of Seventh-day Adventists (SCC), while male pastors receive formal mentorship through the ministerial internship program leading up to ordination, female pastors—who are only commissioned and not ordained—often experience a lack of continued mentorship beyond commissioning. This absence hinders their professional development, limits leadership opportunities, and contributes to feelings of isolation. The current mentorship framework does not adequately support the ongoing growth of female pastors in a context where ordination is not extended to women, thereby creating a gap in pastoral leadership development and equity.

Method

This project utilized a qualitative case study design to …

Programa De Evangelismo A Través De Las Redes Sociales En Tucson, Arizona, Cesar Sanchez

Doctor of Ministry Projects

Problem

The Northwest Adventist Church (IAN) in Tucson, Arizona, faces challenges in maintaining a meaningful missional presence within the local community. Despite the growing importance of digital platforms as communication tools, the church has neither developed nor implemented a comprehensive evangelism program that utilizes social media, nor has it provided a training program in this area. This lack of a digital program may be limiting its capacity to attract new members and to increase its relevance in today’s world. Without an appropriate intervention, the church risks continuing to miss opportunities to fulfill its evangelistic mission effectively.

Method

This project employed …

Programa Para Formar Líderes Jóvenes En La Iglesia Adventista Del Séptimo Día Hispana De Fresno, Edward Alexander Charles Smith

Doctor of Ministry Projects

Problem

The Hispanic Seventh-day Adventist Church of Fresno faces a significant challenge in developing trained youth leaders capable of directing and sustaining the Youth Ministry. Despite having a large and active membership, the church lacks a structured leadership development process for young people between the ages of 18 and 35. This deficiency resulted in the inability of the Nominating Committee to appoint a youth director due to the absence of adequately prepared candidates. The lack of intentional leadership formation has limited the involvement of youth within the congregation.

Methodology

This Doctor of Ministry project employed an applied ministry approach focused …

Effect Of Activation Temperature On Quantum Efficiency And Lifetime Of Nea Truncated Nanocone Array Gaas Photocathode, Md. Aziz Arroyo Rahman, Md Abdullah Mamun, Shukui Zhang, Hani E. Elsayed-Ali

Physics Faculty Publications

This study investigates the quantum efficiency (QE) and operational lifetime of a negative electron affinity GaAs truncated nanocone array (TNCA) photocathode benchmarked against a conventional flat GaAs photocathode under varying activation temperatures. The TNCA structure demonstrated a QE of up to 13.6% at 590 nm with room temperature (RT) activation—approximately 1.5 times higher than its flat counterpart. This enhancement is due to Mie resonance effects within the nanostructure, as confirmed by finite-difference time-domain simulations. Moreover, the TNCA photocathode exhibits significantly extended charge lifetime, with enhancement factors of ∼6.1 and ∼19.8 under RT and 50 °C activations, respectively. These gains are …

Prevalence And Relationship Of Poor Sleep Quality And Suicidality Risk Among Patients With Schizophrenia, Inu Arya, Nanda Kumar Paniyadi, Debadatta Mahapatra, Jaison Jacob, Rakesh Vr

Manipal Journal of Nursing and Health Sciences

No abstract provided.

Soothing Little Feet: Exploring Warm Water Foot Baths As A Gentle Fever-Reduction Therapy For Children", Alphy Philip, Manjusha A P, Jaison Jacob

Manipal Journal of Nursing and Health Sciences

Introduction: Footbath therapy has been traditionally used as a non-pharmacological approach to promote relaxation, improve circulation, and regulate body temperature. Warm water footbath therapy, in particular, is believed to aid in reducing fever by enhancing peripheral vasodilation, which facilitates heat dissipation.

Aim: To evaluate the effectiveness of warm water footbath therapy in reducing body temperature in children with fever.

Method: A quasi-experimental design with pre-and post-test control groups was used, involving 40 children aged 6-12 years. Participants were split into an experimental group (n=20) receiving warm water footbath therapy for 15-20 minutes and a control group (n=20) receiving standard care. …

Assess The Age At Childbirth, Birth Spacing, And Family Planning Methods Adopted By Women, R Sudha, Blessy Little Christy P, Sasi Rekha A

Manipal Journal of Nursing and Health Sciences

Abstract: Age at childbirth, birth spacing, and family planning methods significantly influence maternal and child health.

Objectives: To assess the age at childbirth, birth spacing, and family planning methods adopted by women and to associate the family planning methods used after marriage and after birth with demographic variables.

Materials and Methods: The descriptive analytical study was conducted among 140 married women from urban slums in Kannagi Nagar and Neelangarai, Chennai, using purposive sampling. Responses were obtained through a structured interview schedule. Analysis was conducted using SPSS version 25 employing descriptive statistics and chi-square tests.  

Results: The majority of the respondents …

Posterior Circulation Stroke- A Case Report, Janet Alva, Shwetha Prabhu, Raghavendra Rao S

Manipal Journal of Nursing and Health Sciences

Background: Stroke is most commonly seen in individuals over 65 years of age. When it occurs in adults between 18 and 65 years, it is classified as a young stroke. Unusual presentations such as dizziness, visual disturbances, or sensory changes often contribute to delayed recognition. Early identification is crucial for preventing complications and enhancing neurological outcomes. Case presentation: A 34-year-old female presented to the emergency department with a sudden onset of dizziness, right-sided tingling and weakness, and blurred vision. The neurological examination revealed subtle signs of posterior circulation impairment. MRI brain stroke protocol demonstrated an acute posterior circulation infarct involving …

Beyond Involuntary Movements: A Case Of Diabetic Striatopathy Complicated By Cardiac Arrest, Deepa M

Manipal Journal of Nursing and Health Sciences

Abstract

Diabetic striatopathy (DS) is a rare neurological manifestation of poorly controlled diabetes mellitus, typically characterized by hemichorea–hemiballismus and distinctive basal ganglia abnormalities on neuroimaging. We report the case of a 57-year-old woman with type 2 diabetes mellitus who presented with generalized choreiform and ballistic movements and subsequently developed an in-hospital cardiac arrest. Diagnostic evaluation revealed uncontrolled hyperglycemia (random blood glucose 243 mg/dL; HbA1c 8.3%) without ketosis, with neuroimaging findings consistent with DS. The patient was initially managed in the casualty department and subsequently admitted to a neuro stepdown intensive care unit, where she remained for 10 days. Comprehensive medical, …

People Living ‘Well’ With Dementia ― Are They Truly Living Well?, Seelia Peter A, Elsa Sanatombi Devi, Rajeshkrishna Bhandary P

Manipal Journal of Nursing and Health Sciences

No abstract for this article type

What Can Conjuring Tell Us About Cognition? The Future Of The Science Of Magic, Geoff G. Cole, Gustav Kuhn

School of Psychology

During the past 20 years a number of articles have appeared within a field that has become known as the “science of magic.” This subdiscipline of psychology posits that the ancient art of conjuring can be used to develop psychological theories and knowledge, and more than 150 peer-reviewed articles have now been published. In the current article, we critically evaluate what can be considered as the three central tenets of the discipline: that the methods used in magic can be incorporated within experimental research, that magicians have particular insight into human cognition and behavior, and that the deconstruction of magic …

Imagine For Tomorrow, What You Cannot Feel Now – The Role Of Anhedonia In Imagery-Enhanced Behavioral Activation, Max Heise, Julie L. Ji, Jessica Werthmann, Fritz Renner

School of Psychology

Preliminary evidence suggests that mental imagery-based elaboration of rewarding activities enhances anticipated pleasure, motivation, and behavioral engagement in non-clinical samples, but its effects in individuals experiencing anhedonia (loss of pleasure/interest) is unclear. Study 1 (N = 90) contrasted imagery-enhanced activity scheduling with two scheduling-only control conditions (Reminder/No Reminder Control) in an unselected sample. Study 2 (N = 108) compared imagery-enhanced activity scheduling with two control conditions (Neutral Imagery/Motivational Verbal Reasoning) in individuals experiencing mild to moderate anhedonia. Both studies measured changes in activity appraisal (anticipated pleasure, anticipated reward/mastery, motivation) in the lab, and behavioral engagement across a subsequent 7-day period. …

How Decontextualised Risk Information Affects Clinicians’ Understanding Of Risk And Uncertainty In Primary Care Diagnosis: A Qualitative Study Of Clinical Vignettes, Alex Burns, Elizabeth Shephard, Raff Calitri, Adrian Mercer, Edmund Jack, Mark Tarrant, Sarah Dean

School of Psychology

Background: Decontextualised risk information (DRI) is any information pertaining to diagnosis, which is introduced into a clinical consultation, or a diagnostic thought process, without being requested by the clinician. It can be risk scores, computerised warnings, or laboratory tests or diagnostic imaging requests ordered by other clinicians. It is an increasing, and yet under-researched phenomena in UK primary care. Aim: To investigate how GPs integrate DRI into their clinical decision making and how might they communicate this to patients. Design & setting: Clinical vignettes of cases that involve DRI, designed to increase the diagnostic uncertainty of the case, were presented …

Beyond The Drill: Understanding Empathy Among Undergraduate Dental Students, Muhammad Qasim Javed, Zaina Ahmad, Muhammad Muhammad, Kamran Ali, Arham Riaz, Rebecca Glanville

Peninsula Dental School

Introduction: Compassionate care and empathy are fundamental components of health care which contribute to the social construction of physician–patient relationship to meet the expectations of the patients. The aim of this study was to evaluate clinical empathy among undergraduate dental students at a University in the Middle East. Materials and Methods: It was a cross-sectional study which used purposive sampling to recruit undergraduate dental students from five academic years. The Jefferson Scale of Physician Empathy-Health Profession Students was used, a reliable 20-item tool with a total score ranging from 20 to 140. Data collection was done online using Google Forms. …

Curated Bricolage: Questions Of Agency, Accuracy, And Complicity In Munich Holocaust Memorialization, Jamie Downing

Academic Affairs

As the birthplace of the Nazi movement, Munich has long struggled to reckon with its legacy from World War II and the Holocaust. While some museums in Munich document the rise of the Nazis, the war, and the Holocaust, unlike other European cities, Munich lacks a centralized Holocaust museum or memorial. Instead, across the city there are dozens of mini-monuments—plaques, sculptures, cobblestone markings—that reference different figures and events related to Munich's Nazi history. These sites comprise a decentralized, bricolage approach to memorialization, leaving individuals to happen upon these mini-memorials and make sense of them without much context.

While this approach …

Driving While Black: Mobility, Travel, And Violence In Flannery O'Connor's 'A Good Man Is Hard To Find', Katie Simon

Academic Affairs

This project investigates social, cultural, and historical contexts for Flannery O’Connor’s 1953 short story “A Good Man is Hard to Find,” and situates this work as a commentary on midcentury racialized codes in the South, particularly pertaining to traveling while black. The title of this short story comes from the blues tune “A Good Man is Hard to Find,” written in 1917 by the African American songwriter and actor Eddie Green. Green’s song became a well-known standard, widely recorded and performed by both men and women, with many performers improvising lyrics that alter or even subvert the original accommodationist content …

Primary Prevention Of Incivility For Nursing Students, Krystal Canady, Joyce Norris Taylor

Academic Affairs

Background: Incivility in nursing education, including lateral violence and bullying, is increasing, negatively impacting student success and faculty retention. The Joint Commission (2021) reported that over 50% of registered nurses and nursing students experienced verbal abuse. Foreman (2023) used the epidemiological triangle to illustrate incivility in nursing students, identifying them as susceptible hosts. Primary prevention interventions are essential to reduce incivility.

Methods and Aim: IRB approval was obtained from the university review board. The sample included 41 first-semester baccalaureate nursing students. Data were collected in 2024 using the Clark Civility Index for Students and Classmates. The study aimed …

Design Thinking As A Theoretical Framework To Spark Innovation In Post-Professional Occupational Therapy Doctoral Projects, Jessica D. Asiello, Sunny R. Winstead

Journal of Occupational Therapy Education

Contemporary occupational therapy (OT) practice is situated within healthcare, education, and community-based systems faced with increasingly complex problems. There is therefore a need to develop OT practitioners’ capacity for innovation to influence change. Post-professional Doctor of Occupational Therapy (PPOTD) students are seasoned clinicians with an understanding of the challenges of everyday practice, combined with an intrinsic motivation for professional growth that led to their return to higher education. Thus, PPOTD students are a sub-population of OT practitioners who are uniquely primed for development as innovators. Despite the prevalence of PPOTD programs in the United States, there is limited literature on …

Designing An Effective Online Study Abroad Program: Effects On Intercultural Communication, Sensitivity, And Professional Identity Development, Lynne Andonian, Megan C. Chang

Journal of Occupational Therapy Education

Research highlights the importance of cultural competence in occupational therapy (OT) education and practice, as emphasized by both student and practitioner perspectives. Previous studies in nursing and occupational therapy posit that short-term study abroad programs, supported by adequate faculty guidance, can significantly improve cultural competency. Within the OT context, this study aims to describe the development of an online faculty-led study abroad course and examine its effects on intercultural communication, intercultural sensitivity, and professional identity among OT students. The paper also provides a detailed course description, outcome assessments aligned with the course learning objectives, a discussion of challenges and opportunities, …

Understanding And The Perceived Value Of Contemporary Pain Neuroscience Education Among Occupational Therapy Students, Sue E. Curfman, Elicia Dunn Cruz, Diana A. Harrison, Will J. Best, Kathryn Schmidt

Journal of Occupational Therapy Education

Chronic pain is a leading cause of global disability, yet occupational therapy education often lacks sufficient coverage of multidisciplinary pain management approaches. The purposes of this study were to 1) determine the level of understanding of contemporary pain neuroscience in occupational therapy doctoral (OTD) students; 2) evaluate the effectiveness of instructional techniques to improve their knowledge of contemporary pain neuroscience; and 3) explore their perceptions of pain neuroscience and its implications for their future roles. This pre-post test within-subject experimental design study, involving 39 OTD students, assessed the impact and perceptions of a two-hour pain education module. The revised Neurophysiology …

From Measuring Professional Behaviors To Developing Professional Identity: Use Of The Pie Tool In Occupational Therapy Education, Ashlea D. Cardin, Tara L. Boehne, Naomie Corro

Journal of Occupational Therapy Education

Defining and measuring "professionalism" in academic occupational therapy (OT) programs is a highly interpretative and formidable task, as evidenced in the literature and revised language in the 2023 ACOTE® Standards. Within the context of a university assessment workshop, a team of OT educators and students used an occupation- and strengths-based lens to consider “professional identity.” The team subsequently developed an innovative criterion-referenced, growth-tracking professionalism tool (“The Professional Identity Evaluation [PIE] Tool”) for use in didactic OT education and advisement. The team initiated a multi-year trial of the PIE Tool in periodic advisement and gathered students' perspectives of (1) the use …

Agreement On Climate Change, Trade And Sustainability: Forging New Frontiers In Trade And Sustainability Debate, Rishabha Meena, Apoorva Singh Vishnoi

Indian Journal of International Economic Law

The Agreement on Climate Change, Trade and Sustainability (ACCTS) is a historic international trade agreement that weaves environmental considerations into a traditional trade agreement. While only four countries, namely New Zealand, Switzerland, Iceland, and Costa Rica, are Parties to the ACCTS, it is open to new members, and a textual analysis of its review provisions underscores the commitment of ACCTS Parties to ‘design flexibility’. Its Chapters liberalising trade in environmental goods and services, disciplining fossil fuel subsidies and providing voluntary guidelines on ecolabelling mark it as an international trade agreement with many historical firsts. This Article will undertake a legal …

Too Late To Deny? An Empirical Analysis Of The Retrospective Invocation Of Denial Of Benefits Clauses, Prem Vinod Parwani

Indian Journal of International Economic Law

As States increasingly seek to prevent opportunistic investors from treaty shopping, Denial of Benefits (‘DoB’) clauses have taken centre-stage in international investment law. However, there has been a long divide on a seemingly straightforward procedural issue: should States be allowed to invoke these provisions after the dispute has arisen? That is, can States invoke them retrospectively? This debate has reached the forefront of reform, with the UNCITRAL Working Group III debating whether a uniform approach should govern the timing and procedure for the invocation of DoB clauses.

Broadly, treaty practice reflects two different paradigms of DoB clauses — one that …

Editorial Note, Aastha Malipatil, Kedar M Ammanji

Indian Journal of International Economic Law

No abstract provided.

A Comparison Of Pacing Strategies Between Males And Females Running In Carbon-Fiber Plated Shoes, Amanda P. Ares, Allison A. Petry, Morgan M. Koskela, Owen R. Daigle, Summer B. Cook

Honors Theses and Capstones

Carbon-fiber plated (CFP) shoes have been shown to enhance performance in elite runners, with less research on recreational runners. It is also unknown how CFP shoes affect pacing strategy during races. Additionally, it is known that male and female recreational runners pace differently throughout running races. Purpose: This study aimed to compare pacing strategies between male and female recreational runners running in non-CFP and CFP shoes during a 5km time trial. Methods: Twenty-one male and female recreational runners (22±4 years, 1.7±0.07m, 65.2±7.0kgs) completed two 5km time trials in non-CFP and CFP shoes in a randomized order. Participants were blinded to …

From Civil War To Cold War: China, The Us, And The Korean Conflict, Ethan Paul Foss

Honors Theses and Capstones

This history honors thesis investigates US foreign policy in East Asia during the early Cold War, specifically from 1945 to 1953, focusing on the Chinese Civil War and the Korean War. This thesis argues that American policymakers misjudged Chinese communism, Korean nationalism, and regional dynamics due to ideological assumptions and Cold War anxieties. The research examines missed diplomatic opportunities with Mao’s China, the flawed occupation of South Korea, and the escalation of the Korean Conflict, revealing how rigid anti-communist policies contributed to the Korean War's outbreak and strengthened communist alliances. Ultimately, it argues that the Korean War was less an …