Nurse-To-Patient Ratios In Adult Medical-Surgical Units, Kayleigh A. Runion, Emily G. Barnette, Maddison K. Wood, Jeremy Walker

Epsilon Sigma at-Large Research Conference

Nurse-to-patient ratios in adult medical-surgical floors vary across healthcare settings and have been linked to patient safety and quality outcomes. Nurse-to-patient ratios of 1 to 6 or greater are most common in practice settings, despite the growing evidence that higher nurse workloads are associated with increased mortality, longer length of stay, higher readmission rates, mistakes, and miscommunication in nursing care. The purpose of this evidence-based practice project is to examine whether applying safer nurse-to-patient ratios, 1 to 4 instead of 1 to 6 or higher, improves patient safety outcomes. Using the Johns Hopkins Evidenced-Based Practice Model, a project was put …

Does Time Matter? Comparing 8- And 12-Hour Registered Nurse Shifts., Ava P. King, Abby L. Goodall, Cheryl L. Goodall, Makayla B. Ramsey, Imari K. Golden

Epsilon Sigma at-Large Research Conference

This project analyzes the effect that registered nurse's shift length has on patient outcomes and quality of care. The research specifically explores a well-debated healthcare issue; are 12-hour shifts associated with poor patient care due to fatigue? By comparing errors made in 12-hour and 8-hour shift lengths of registered nurses, it can be determined if a trend can be seen in declining patient care. Not only will this research shed light on nurses' fatigue and burnout, but it will also showcase the patient dangers associated with overworking. Overall, the goal is to bring awareness using statistical data that explains why …

Historical Development Of Vaccines And The Public's Response, Kristen Montgomery, Samantha Prince Bsn, Rn, Melissa Ealey Bsn, Rn, Jarrad Morelock Bsn, Rn, Shelby Johnson Bsn, Rn, Kokeshia Crosby Bsn, Rn, Stephanies Himes Bsn, Rn, Theresia Hinton Bsn, Rn

Epsilon Sigma at-Large Research Conference

Purpose: Vaccines, which have become one of the most important medical accomplishments in the prevention of communicable diseases, have a history that dates to the use of variolation as early as the 11th century. The purpose of this study is to explore the historical development of vaccines and to determine the characteristics that emerged when new vaccines were developed.

Aims: The specific aim of this study is to understand if all vaccines have been received about the same by the general public or if there are certain different or diverse characteristics associated with the introduction of different vaccines.

Methods: A …

A Systematic Literature Review On Alternative Treatment Modalities In Adults With Treatment Resistant Depression, Brian Miller

Epsilon Sigma at-Large Research Conference

Abstract

            Currently, Psychiatric Mental Health Nurse Practitioners (PMHNPs) often defer to electroconvulsive therapy (ECT) for individuals with TRD who fail to achieve resolution of their disorder. However, many individuals do not meet criteria for ECT or decline the treatment due to side effects and associated risks. To synthesize potential alternative treatments and address the current gap in literature that does not include first-line preferred electroconvulsive therapy (ECT), a systematic literature review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA 2020). Databases searched for this review included the Cumulative Index to Nursing and Allied Health Literature …

The Impact Of Social Interaction On Patient Well-Being With Transition Into Long-Term Care Settings: A Review Of Interventions For Improved Patient Outcomes, Helen Whitney Harmon

Epsilon Sigma at-Large Research Conference

Abstract

Purpose: When individual patients are transitioned from home or acute care settings to more long-term care environments such as skilled nursing units or assisted living facilities, the residents are at an increased risk of experiencing loneliness, which is linked to depression, anxiety, and increasing cognitive decline, and other detrimental outcomes.

Aims: Combinations of peer-reviewed qualitative and quantitative research studies were analyzed to determine what factors contributed to changes in patient well-being, mental health and overall quality of life during these transitions.

Methods: One article focusing on preventable healthcare transitions in patient population was able to link higher medical acuity …

Does Mandated Paid Maternity Leave Affect Postpartum Depression?, Amaya S. Hall, Shay Y. Bullwinkel, Loran M. Hurley, Sara Cook

Epsilon Sigma at-Large Research Conference

This project analyzes the effects that paid maternity leave has on postpartum depression. Upon reviewing multiple studies, it has been demonstrated that unpaid maternity leave is associated with postpartum depression. Throughout researching postpartum depression rates, it has been proven to be much higher in unpaid leave compared to paid maternity leave. Mothers that have the burden of staying home with their infants and having to juggle time off work, without being compensated, are at an increased risk of experiencing postpartum depression. It has been shown that when a mother is able to focus on her child and her healing after …

The Alarming Rise Of Constitutional Illiteracy In America, Christine Johnson

Liberty University Research Week

No abstract provided.

The Secret Society Of British Prisoners Of War At The Albemarle Barracks, Ethan Hope-Ogden

Liberty University Research Week

No abstract provided.

Epistemological Skepticism, Certainty, And How Knowledge Is Still Possible, Dominic Attiliis

Liberty University Research Week

This paper evaluates epistemological skepticism and its implications for the concept of knowledge. Philosophers such as David Hume have advanced skeptical challenges that call into question the possibility of knowledge, while others have sought to resist his conclusions. At its core, this debate concerns the nature of certainty in epistemology. I argue that, when properly understood, epistemological skepticism does not undermine knowledge; rather, it introduces a necessary intellectual humility. First, I clarify a working definition of knowledge as employed in contemporary philosophical discourse. I then examine classical arguments for skepticism to demonstrate the seriousness of their challenge. Following this, I …

“The Inspiration Of Woman’S Genius:” The 1893 Columbian Exposition And Its Recognition Of Women, Olivia Mares

Liberty University Research Week

Women’s history was globally recognized as worthy of note in 1893, and its main representation and voice at the Columbian Exposition belonged to the Board of Lady Managers, which gained surprising respect from many and paved the way for the future of women’s activism, rights, and global representation. This research aims to analyze the scale and impact of the Board of Lady Managers and the work of women on display at a global event. Additionally, this research seeks to deepen our understanding of the beginning of widespread public recognition and appreciation of women’s achievements and history have developed in the …

American Phoenix: The Rise Of J.D. Vance, Isaiah Ingram

Liberty University Research Week

No abstract provided.

Choreographed Confession: Plath’S Engineered Extremity And Technical Voice, Emma Heagney

Liberty University Research Week

Sylvia Plath’s poetry is frequently interpreted through the framework of confessionalism, encouraging readings that equate emotional extremity with spontaneous self-disclosure and psychological crisis. This presentation challenges that assumption by arguing that the intensity of Plath’s late poetry is not an eruption of uncontrolled feeling but a deliberately engineered aesthetic effect. Drawing on Plath’s journals and letters alongside close readings of poems from Ariel, the project demonstrates that Plath conceived of poetry as a disciplined, technical practice involving control, revision, and precision rather than unmediated expression. Her private writings repeatedly emphasize ordering, manipulation, and the importance of sound, revealing a poet …

Winston Churchill's Crucial Role In Developing The Tank, Wesley Jones

Liberty University Research Week

The tank was a top-secret project in World War I and played a key role in helping put the war to an end. Its debut was not perfect as many had doubts on whether it could be a weapon of war in the future like the airplane had cemented itself to be. However, few people like Winston Churchill saw the tank project’s potential and was key to its development. As a result, the steps that it took for the tank to be a symbol of modern warfare that it is today would not have happened the way it needed to …

The Role Of Nurses In Robotic-Assisted Surgery, Tehya Wiedemeier, Gretchen Faith Grambow, Ella Froehlich, Whitney Anna Holmes

Epsilon Sigma at-Large Research Conference

The research examines the evolving role of nurses in robotic-assisted surgery. As the technology advances, the nursing role is expanding beyond the traditional responsibilities. The method of literature review for this study was completed through deductive content analysis based off three data bases called Science Direct, PubMed (Medline), and Scopus. Current research is working towards trying to bring educational awareness to the role of nurses within the robotic surgery environment and what new skills they will have to acquire.  For nurses to successfully fit into the role of assisting within robotic surgery, they will need to obtain a higher level …

Mindfulness-Based Therapy For The Treatment Of Anxiety In Adolescents, Alicia Lemaster

Epsilon Sigma at-Large Research Conference

Abstract

Adolescent anxiety disorders represent a significant and growing public health concern, with increasing prevalence and associated functional impairment. Traditional treatments, including cognitive behavioral therapy (CBT) and pharmacologic interventions, are effective but often limited by barriers such as access, stigma, and adherence. Mindfulness-based interventions (MBIs) have emerged as a promising alternative or adjunctive approach to address anxiety symptoms in adolescents. The purpose of this literature review is to evaluate the effectiveness of structured mindfulness-based therapy programs in reducing anxiety symptoms among adolescents compared to usual care. A systematic literature search was conducted using databases including PubMed, CINAHL, and PsycINFO, focusing …

Improving Glp-1 Ra Initiation In Primary Care Through A Paper-Based Clinical Decision Support Tool, Carissa R. Bowery, Karen Carver

Epsilon Sigma at-Large Research Conference

Title: Improving GLP-1 RA Initiation in Primary Care Through a Paper-Based Clinical Decision Support Tool

Authors: Carissa R. Bowery, MSN, FNP-C; East Tennessee State University College of Nursing. Karen M. Carver, PhD, APRN, FNP-C; East Tennessee State University College of Nursing

This quality improvement project focuses on improving evidence-based pharmacologic management of adults with type 2 diabetes mellitus (T2DM) and obesity through implementation of a paper-based clinical decision support (CDS) tool in primary care. The aim is to increase initiation of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) among eligible patients and improve provider adherence to current clinical guidelines.

Processes: This …

A Systematic Literature Review Examining Suicide Risk Factors In Older Adults, Carolyn Bivens

Epsilon Sigma at-Large Research Conference

Introduction & Background: Suicide in older adults is a increasingly prevalent tragedy worldwide, and rates in North America have uniquely increased over the past two decades. The context of the cultural environment of North America and population-specific factors in the elderly must be explored to protect this vulnerable group.

Purpose Statement Question: In older adults living in North America, what experiences and risk factors influence the development and severity of suicidal thoughts and behaviors?

Literature Review: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart guided the search of the Cumulative Index to Nursing and Allied Health Literature …

Postpartum Psychosis Risk In Women With Bipolar Disorder, Rachel R. Lay

Epsilon Sigma at-Large Research Conference

Psychiatric relapse and postpartum psychosis pose vital psychological threats to women with bipolar disorder. The phase after delivery implies a great number of biological, psychological, and social alterations that might predispose to mood fluctuations and extreme psycho-psychiatric behavior. A systematic literature review assessed the recent literature on postpartum relapse risk, contributors, and maternal outcomes in women with bipolar disorder. Systematic search of three electronic databases, CINAHL, PubMed, and PsycINFO, revealed 168 studies dating back to 2022. Title and abstract screening of 124 articles was carried out after elimination of duplicates and other eligibility criteria. Eighteen articles were full-text reviewed, and …

Adolescent Depression, Telepsychiatry, And Access, Dustin Strickland

Epsilon Sigma at-Large Research Conference

Adolescent depression is prevalent, undertreated, and associated with long-term morbidity if left untreated. Several structural barriers impede timely access to specialty mental health care in this age group. Telepsychiatry, including therapist delivered videoconference psychotherapy and internet delivered cognitive behavioral therapies (ICBT) have been developed to expand access and continuity of care for adolescents. This modality, however, has not been thoroughly evaluated to determine the effectiveness of telepsychiatry in improving access to services and its ability to reduce depressive symptoms in adolescence. A structured literature review identified six primary studies and four complementary systematic reviews evaluating this topic. Randomized trials show …

Hazard Vs Risk: Scientific Considerations On The Eu Clp Approach To Mocs And Whole Essential Oil Classification With Tea Tree Essential Oil As An Illustrative Example, Cecile Bascoul, Dakota Carter, Joseph Dawson, Tim Valentiner, Russell J. Osguthorpe

Oxford ICSB

The ongoing revision of the EU Classification, Labelling and Packaging (CLP) Regulation represents a critical development for the essential oil industry. A provisional derogation has been introduced for plant-derived, non-chemically modified Multi-Constituent Substances (MOCS), including essential oils, following sustained advocacy efforts. However, the European Commission is required to deliver, by the end of 2029, a scientific report reassessing the validity of this derogation based on scientifically and regulatorily accepted safety evaluation approaches. In the absence of such a derogation, essential oils could be classified solely on the basis of individual constituents exceeding regulatory thresholds, irrespective of the whole oil safety …

Building The Nursing Leadership Pipeline: Outcomes Of A Statewide Emerging Nurse Leader Fellowhip, Kathleen Kinser Dnp, Aprn, Belinda J. Fleming Phd, Christie Manasco Phd, Monaco M. Briggs Edd, Yan Cao Phd, Jennifer Hitt Phd

Epsilon Sigma at-Large Research Conference

Healthcare systems increasingly require skilled nurse leaders to address workforce shortages, quality improvement demands, and complex care environments. However, many nurses transition into leadership roles without formal preparation. In this quality improvement project, nurse scientists Kathleen Kinser DNP; Belinda Fleming, PhD; and Christie Manasco, PhD, from the Tennessee Center for Nursing Advancement (TCNA) evaluated outcomes of the Emerging Nurse Leader Fellowship developed to strengthen foundational leadership competencies among novice nurse leaders. Guided by transformational leadership theory, the fellowship was a statewide, cohort-based, instructor-led, asynchronous online program emphasizing practical leadership development and application in clinical settings. Two cohorts participated and completed …

Over The Garden Wall And The Divine Comedy: Mchale's Modern Vision Of Purgatory, Gloria Asper

Liberty University Research Week

This paper discusses how the allusions to The Divine Comedy in Patrick McHale’s mini-series Over the Garden Wall (OTGW) influences one’s interpretation of the series. Building off the work of other OTGW scholars such as Willsey and Camacho & Menchero as well as pop culture commentators such as Trey the Explainer, I highlight parallelisms within OTGW as well as reference comments from the creators in order to demonstrate how theoretical concepts in The Divine Comedy shape the understanding of OTGW. Specifically, one such theoretical concept involves Dante’s philosophical belief that the intellect and the will must work together to create …

An Unfaltering Step To The End: An Analysis Of Virginia Governor James L. Kemper's Veto Of The 1874 Petersburg Charter, Chandler Lilley

Liberty University Research Week

No abstract provided.

The Mythopoeic Translator In Peter Jackson’S The Fellowship Of The Ring, Alyssa Johnson

Liberty University Research Week

Peter Jackson's "The Lord of the Rings" films are beloved by Tolkien fans around the world. But do they hold true to Tolkien's original vision for the stories? This presentation aims to discuss the mythopoeic elements in Tolkien's books and the way that the films follow those elements through the only thing that films can have that books cannot: music. Howard Shore's film score for "The Lord of the Rings" carries the movies across the divide created by transferring a story from paper to screen. The score creates a sense of wonder and mythopoeia in the viewers that returns beautifully …

Guppy: From Fleet Boat To Modern Submarine, Nathaniel Estrada

Liberty University Research Week

World War II changed everything when it came to American submarine warfare. Before the war, American naval leaders and planners debated over what the purpose of their submarine fleet should be. The more progressive thinkers claimed the submarine would be in-of-itself a decisive combat asset, while the conservative naval minds saw their “fleet boats” as supplementary to the main battle line. When the war ended, the debate was no longer about what role the submarine would play in the great game on the sea. In the Atlantic, the German U-boat fleet of 1,131 submarines would sink 14,878,463 tons of Allied …

Mycotoxin Trends In Cannabis Flower And Concentrates In The United States, Kyle Boyar, Yasha Kahn, Michael Esposito, Sukhikh Pavel

Oxford ICSB

Mycotoxins are toxic fungal metabolites that may pose potential health risks in cannabis products, yet limited data exists on their prevalence in regulated markets. This study analyzed multi-state compliance testing data for cannabis flower and concentrates across eleven U.S. states to evaluate detection and failure rates for aflatoxins (B1, B2, G1, and G2) and ochratoxin A. Ochratoxin A was the most frequently detected mycotoxin in both flower and concentrates; however, detections rarely exceeded regulatory action limits, with overall failure rates remaining low at 0.016% for flower and 0.017% for concentrates. After excluding outlier laboratories with unusually high detection rates, true …

Canndor Herbarium: A Comprehensive Herbarium Resource For Cannabis Identity, Diversity, And Botanical Research, Nick Batora, Laura Klein, Kerin Law, Eleanor Kuntz

Oxford ICSB

Decades of cannabis prohibition have created major gaps in our understanding of cannabis biology, especially with regard to the genomic, phenotypic, and germplasm resources that are standard in other agriculturally and medicinally important crops. Herbarium collections, which serve as archival specimens that preserve plant material for long term study, are no exception. Although herbarium specimens are meant to document plant diversity, most collections contain only a narrow sampling of cannabis and do not reflect the extensive variation present in commerce or this species at large. To address this need, the Canndor Herbarium was established in 2016 as the first dedicated …

Disability Studies In Historical Context: The Research Behind The Creative Writing Process, Annabelle Welch

Liberty University Research Week

This study examines the process of  writing a short story “The Shoes,” set in New Orleans during World War II, and creating a main character through the lens of research within the field of disability studies. This research is closely intertwined with my creative process of writing “The Shoes.” The first portion of the poster focuses on the city of New Orleans, Louisiana, during America’s involvement in World War II. My aim is to build a foundational understanding of the microculture in that region, especially as it was shaped and molded by the strong presence of soldiers, the heavy hand …

Comparison Of Hypothalamic And Hippocampal Neurogenesis Across Sexes And Ages Of Mice, Chloe Jensen, Madison Reynolds, Rebecca Kinyon

Liberty University Research Week

Background: The hippocampus is primarily known for its function in learning and memory; thus, it makes sense that this is a well-established highly neurogenic zone. Recent studies have demonstrated that the hypothalamus also has neurogenic properties where there were once believed to be none. Because of these recent findings, our study aims to provide baseline data pertaining to rates of neurogenesis in the hypothalamus in comparison to the hippocampus along with distinguishing differences in these rates between males and females. Methods: Using four mice, three young and one aged female, we cryosectioned the brain to image the hippocampal and hypothalamic …

Allosteric Modulation Of Faah By Tocopherols, Beatrice Pyles

Liberty University Research Week

No abstract provided.