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Hydroxypropyl Methylcellulose As A Mucoadhesive Polymer In Ethanol-Free Buprenorphine Gel For Neonatal Sublingual Delivery, Sanskruti Dave, Viren Soni, Samarth A. Shah, Walter K. Kraft, Gagan Kaushal Feb 2026

Hydroxypropyl Methylcellulose As A Mucoadhesive Polymer In Ethanol-Free Buprenorphine Gel For Neonatal Sublingual Delivery, Sanskruti Dave, Viren Soni, Samarth A. Shah, Walter K. Kraft, Gagan Kaushal

College of Pharmacy Faculty Papers

Buprenorphine (BUP) is widely used in the treatment of neonatal opioid withdrawal syndrome (NOWS). However, the most compounded formulation contains 30% ethanol, despite regulatory and clinical concerns regarding ethanol exposure in pediatric patients. Thus, this research aimed to develop an ethanol-free sublingual (SL) gel formulation of BUP that would be safe, stable, and suitable for NOWS. Multiple polymers were screened as gelling agents, with hydroxypropyl methylcellulose (HPMC) emerging as the ideal base polymer for the formulation due to its optimal pH, rheological characteristics, and stability. The formulated gels were stored at room temperature and refrigerated conditions for 30 days and …


Law School News: Roger Williams University School Of Law Launches Spring Cle Series For Rhode Island Attorneys 02-09-2026, Eryn Parlin, Roger Williams University School Of Law Feb 2026

Law School News: Roger Williams University School Of Law Launches Spring Cle Series For Rhode Island Attorneys 02-09-2026, Eryn Parlin, Roger Williams University School Of Law

Life of the Law School (1993- )

No abstract provided.


Integrating Music Therapy Into Dental Clinics For Whole Person Care, Dana Osterling Benoit Mba, Mt-Bc, Nisreen Al Jallad Dds, Ms2, Shasha Cui Ed.D. Mba, Mandy Fraser, Gaelen Mccormick Mm1, Rosemary Oliva Obi Ms, Lcat, Mtbc1, Adela Planerova Dds, Ms2, Madeline Vinolus Mt-Bc1, Angela Valeria Perez Pita Dds, Ms2 Feb 2026

Integrating Music Therapy Into Dental Clinics For Whole Person Care, Dana Osterling Benoit Mba, Mt-Bc, Nisreen Al Jallad Dds, Ms2, Shasha Cui Ed.D. Mba, Mandy Fraser, Gaelen Mccormick Mm1, Rosemary Oliva Obi Ms, Lcat, Mtbc1, Adela Planerova Dds, Ms2, Madeline Vinolus Mt-Bc1, Angela Valeria Perez Pita Dds, Ms2

Journal of the American College of Dentists

This case study describes the integration of a board-certified music therapist into two specialty dental clinics at the University of Rochester Medical Center’s Eastman Institute for Oral Health. Initiated in collaboration with the Eastman Performing Arts Medicine Center, the effort reflects a humanistic and biopsychosocial approach to dentistry that leverages music therapy to reduce anxiety, improve patient experience, and support better clinical outcomes.

Before implementation, monthly interdisciplinary planning meetings were held, bringing together dental faculty, research and administrative staff, and the music therapy team. These meetings built a shared understanding of each clinic’s unique patient population, workflow, and clinical priorities, …


Artificial Intelligence In Crisis Communication: Investigating Source Effects And Matched Crisis Responses On Stakeholder Perceptions, Erika J. Schneider, Victoria A. Kyriakopoulos, Youngji Seo, Nalae Hong, Moon Lee, Joon Soo Lim Feb 2026

Artificial Intelligence In Crisis Communication: Investigating Source Effects And Matched Crisis Responses On Stakeholder Perceptions, Erika J. Schneider, Victoria A. Kyriakopoulos, Youngji Seo, Nalae Hong, Moon Lee, Joon Soo Lim

Media Studies - All Scholarship

As public relations efforts increasingly integrate AI into operations, examining how the disclosure of AI as the source in organizational crisis communications affects public perceptions is increasingly relevant. This research investigates the effects of AI disclosure across matched crisis responses within a 3 (match crisis response: victim crisis-scapegoating, accidental crisis-excuse, preventable crisis-apology) x 2 (source disclosure: AI vs. human) experimental design survey. Key findings reveal that crisis responses with human sources, compared to those with AI disclosure, led to greater perceptions of organizational reputation and credibility across the three matched crisis responses. AI-disclosed messages from the company were also associated …


Accuracy Improvements For Electroencephalography (Eeg) Eye State Classification Using Extreme Gradient Boosting And Cluster Ensembles, Hossein Ahmadi, Mehrbakhsh Nilashi, Abdullah Alghamdi, Rabab Ali Abumalloh, Mesfer Alrizq, Sultan Alyami, Waleed Abdu Zogaan, Fatima Khan Nayer Feb 2026

Accuracy Improvements For Electroencephalography (Eeg) Eye State Classification Using Extreme Gradient Boosting And Cluster Ensembles, Hossein Ahmadi, Mehrbakhsh Nilashi, Abdullah Alghamdi, Rabab Ali Abumalloh, Mesfer Alrizq, Sultan Alyami, Waleed Abdu Zogaan, Fatima Khan Nayer

School of Nursing and Midwifery

Electroencephalography (EEG) eye state classification is crucial as it enables noninvasive monitoring and identification of different eye states. This importance has been underscored in studies exploring the use of machine learning techniques for accurate classification. Previous research has primarily applied supervised learning methods to EEG signal analysis for eye state classification using real-world datasets, focusing on improving accuracy through novel algorithms. Achieving high classification accuracy remains a key objective in EEG signal analysis. This study introduces a hybrid method designed to handle multivariate signals and nonlinearity. By integrating both supervised and unsupervised learning, the proposed approach aims to achieve high …


Student Life E-Newsletter February 9, 2026, Seattle University School Of Law Student Life Feb 2026

Student Life E-Newsletter February 9, 2026, Seattle University School Of Law Student Life

Student Life E-Newsletters

No abstract provided.


Introducing Safe-Ai: A Behavioral Framework For Managing Ethical Dilemmas In Ai-Driven Human Resource Practices, Rob E. Carpenter, Debaro Huyler, Sanket Patole, Rochell Mcwhorter Feb 2026

Introducing Safe-Ai: A Behavioral Framework For Managing Ethical Dilemmas In Ai-Driven Human Resource Practices, Rob E. Carpenter, Debaro Huyler, Sanket Patole, Rochell Mcwhorter

Human Resource Development Faculty Publications and Presentations

Organizations increasingly deploy artificial intelligence (AI) in human resource (HR) decision processes to improve efficiency and strategic execution, yet ethical failures persist when principles remain decoupled from everyday workflow enactment. This paper addresses AI-ethics in HR practice by advancing a behavior-first premise: AI-ethics becomes durable organizational practice only when ethical intent is translated into observable routines and cues that employees can interpret as legitimate and consistently enforced. We introduce the Socially Aware Framework for Ethical AI (SAFE-AI), which integrates normative ethical reasoning (consequentialist and deontological logics), social information processing, and socially informed heuristics as a practical translation layer for HR …


Video-Based, Small Group, Synchronous Discussions (Vssd), Jeff Renfrow Feb 2026

Video-Based, Small Group, Synchronous Discussions (Vssd), Jeff Renfrow

Teaching Online Pedagogical Repository

The VSSD is a research-supported online discussion model that can produce significant increases in student perceptions of social presence, learning, and satisfaction as compared to the traditional text-based, asynchronous, whole-group discussion model. In the VSSD, students lead the discussion experience by scheduling a synchronous, remote video meeting with their small group, they engage in the discussion topic for 30 to 45 minutes, then individually record a privte reflection video that is submitted to the instructor for evaluation and feedback.


The Impact Of Central Bank Digital Currencies News On Bank Stability: Evidence From Asean-5 Countries, Firman Hidayat, Raditya Sukmana, Masrizal Masrizal, Rahmat Heru Setianto Feb 2026

The Impact Of Central Bank Digital Currencies News On Bank Stability: Evidence From Asean-5 Countries, Firman Hidayat, Raditya Sukmana, Masrizal Masrizal, Rahmat Heru Setianto

Bulletin of Monetary Economics and Banking

This study constructs an index reflecting Central Bank Digital Currency (CBDC) news coverage and evaluates its impact on bank stability. The CBDC Attention Index (CBDCAI) is formulated based on more than 533 Reuters Digital News Report articles from 2019 to 2023. Employing the System Generalized Method of Moments (GMM) approach with data from 92 banks across ASEAN-5 nations, and implementing quantile regression for robustness checks, the findings demonstrate a significant relationship between the CBDCAI and bank stability, alongside variables such as bank size and capitalization. These results offer valuable guidance for central banks, especially within the ASEAN-5 region, as they …


Green Banking Disclosure And Financial Trade-Offs: Evidence From Indonesia’S Banking Sector, Nafis Dwi Kartiko, Amrie Firmansyah Feb 2026

Green Banking Disclosure And Financial Trade-Offs: Evidence From Indonesia’S Banking Sector, Nafis Dwi Kartiko, Amrie Firmansyah

Bulletin of Monetary Economics and Banking

This study explores the relationship between green banking disclosure, firm performance, and firm value, with firm size and age as moderating variables. The study analyzed 578 observations from 43 banking companies in Indonesia. The findings reveal that green banking disclosure significantly negatively impacts firm performance and value, suggesting that green banking efforts may not always yield positive shortterm financial outcomes. However, firm size and age were found to moderate these relationships. Based on these findings, the study highlights the importance of carefully designed green banking strategies and a deeper understanding of their financial impacts by banking management. It also emphasizes …


A Theoretical Investigation Of The Linear And Nonlinear Optical Responses Of Scandium- And Yttrium-Doped (Sub-Nm) Ag And Au Clusters, Munish Sharma, Mukesh Jakhar, Ravindra Pandey, Shashi P. Karna Feb 2026

A Theoretical Investigation Of The Linear And Nonlinear Optical Responses Of Scandium- And Yttrium-Doped (Sub-Nm) Ag And Au Clusters, Munish Sharma, Mukesh Jakhar, Ravindra Pandey, Shashi P. Karna

Michigan Tech Publications

We investigate the linear and nonlinear optical properties of (sub-nm) Ag6 and Au6 clusters doped with Sc and Y using time-dependent density functional theory. Both parent clusters have D3h ground-state geometries but exhibit noticeably different electronic structures; scalar-relativistic corrections in Au6 induce significant s-d hybridization, resulting in larger HOMO-LUMO gaps and reduced one-photon absorption (OPA) cross-sections compared to Ag6. Two-photon absorption (TPA) peaks in the UV region show resonance enhancement via coupling with OPA-active states, with Ag6 having larger cross-sections than Au6. Doping with Sc and Y modifies the optical responses by breaking configurational symmetry and lifting HOMO degeneracies. ScAg5 …


Consensus Paper: Models Of Cerebellar Functions, Mohammad Amin Fakharian, Hiroaki Gomi, Xavier Guell, Marie Hemelt, Huu Hoang, Court Hull, Masato Inoue, Takahiro Ishikawa, Masashi Kameda, Mitsuo Kawato, Shigeru Kitazawa, Mario Manto, Javier F Medina, Hiroshi Mitoma, Keiko Ohmae, Shogo Ohmae, Ken-Ichi Okada, Laurentiu S Popa, Jeremy D Schmahmann, Reza Shadmehr, Peter L Strick, Hirokazu Tanaka, Masaki Tanaka, Tadashi Yamazaki Feb 2026

Consensus Paper: Models Of Cerebellar Functions, Mohammad Amin Fakharian, Hiroaki Gomi, Xavier Guell, Marie Hemelt, Huu Hoang, Court Hull, Masato Inoue, Takahiro Ishikawa, Masashi Kameda, Mitsuo Kawato, Shigeru Kitazawa, Mario Manto, Javier F Medina, Hiroshi Mitoma, Keiko Ohmae, Shogo Ohmae, Ken-Ichi Okada, Laurentiu S Popa, Jeremy D Schmahmann, Reza Shadmehr, Peter L Strick, Hirokazu Tanaka, Masaki Tanaka, Tadashi Yamazaki

Faculty, Staff and Students Publications

For a long time, from the nineteenth century to most of the twentieth century, the cerebellum was thought to be an organ that regulates movement. Towards the end of the twentieth century, the brain functions associated with the cerebellum began to extend beyond motor control. Now, there is a consensus that the cerebellum is involved not only in motor functions but also in the most basic autonomic functions and the most complex cognitive and emotional functions, with a focus on predictions and internal models. A new functional model of the cerebellum is needed to explain all layers of brain functions …


Lanthorn, Vol. 60, No. 11, February 9, 2026, Grand Valley State University Feb 2026

Lanthorn, Vol. 60, No. 11, February 9, 2026, Grand Valley State University

Volume 60, August 4, 2025 – April 20, 2026

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.


Generalization Under Sub-Population Shift: Equitable Models For Imbalanced, Long-Tailed, And Fair Representation Learni, Faizanuddin Ansari Feb 2026

Generalization Under Sub-Population Shift: Equitable Models For Imbalanced, Long-Tailed, And Fair Representation Learni, Faizanuddin Ansari

Doctoral Theses

Machine learning systems often experience performance degradation in real-world scenarios due to subpopulation shift defined as mismatches in the distribution of classes or attributes within datasets. This thesis investigates generalization failures arising from class imbalance, long-tailed distributions, and attribute-level biases (specifically, attribute-level biases that originate from demographic imbalances in sensitive domains, such as medical imaging). It proposes principled strategies to mitigate these effects in both classical and deep learning frameworks. Class imbalance and long-tailed distributions pose significant challenges, especially in real-world applications where minority classes are underrepresented yet critically important. To address these challenges, this work develops novel algorithms and …


Research Review: "Black Veterans' Insight On Racial Disparities In Military Administrative Separations", Institute For Veterans And Military Families At Syracuse University Feb 2026

Research Review: "Black Veterans' Insight On Racial Disparities In Military Administrative Separations", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

Military service provides a path toward the middle class by granting veterans benefits, including healthcare and compensation for disabilities acquired during service. Military characterization of service, assigned by the Department of Defense at separation, can qualify or disqualify veterans from benefits access. Black service members are 50% more likely than White service members to receive an Other Than Honorable rather than an Honorable discharge, resulting in disproportionate impediments to the benefits designed to facilitate re-entry into civilian life and prevent poverty. Yet, the Department of Defense provides little meaningful remedy for Black veterans to correct less than Honorable discharges, instead …


The George-Anne Daily, Georgia Southern University Feb 2026

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.


20260209: Dr. Kelli Johnson's Donation, 1952-2025, University Libraries Feb 2026

20260209: Dr. Kelli Johnson's Donation, 1952-2025, University Libraries

Guides to University Archives

These items include materials from University Libraries at Marshall University from 1952-2025. Items were received in 2026 from Dr. Kelli Johnson within the University Libraries and include notable materials about various campus events, such as the MU Textbook Affordability Committee (2022), the Dr. Carter G. Woodson Dinner Honoring Dr. Carla Hayden, Librarian of Congress (2018), Greater Huntington Wall of Fame 2024 Induction Ceremony, June Harless Center 25 Years Celebration (2025), Hooding Ceremony for Grad Students (2025), Marshall vs. Morris Harvey (1952), and WV's Experience in Civil Rights with Eve Faulkes (2024). Please download the finding aid for a full list …


Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Tareq A Juratli, Andrea Daniela Maier, Pernilla Lindner, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Ricardo Prat-Acin, Stéphane Goutagny, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Pedro Góes, Fang Wang, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Mechthild Krause, Ian Law, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen Feb 2026

Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Tareq A Juratli, Andrea Daniela Maier, Pernilla Lindner, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Ricardo Prat-Acin, Stéphane Goutagny, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Pedro Góes, Fang Wang, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Mechthild Krause, Ian Law, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen

Faculty, Staff and Students Publications

Purpose

The role of adjuvant fractionated radiotherapy (aFRT) after gross total resection (GTR) of WHO-2 meningiomas remains unclear. We aimed to estimate the effect of aFRT on recurrence risk and survival following GTR and subtotal resection (STR).

Methods

We analyzed 1452 patients with WHO-2 from our international, multicenter database (followed between 1989 and 2019). Outcomes were recurrence (10-year follow-up) and death (5-year follow-up). Risk estimates were obtained using competing risks and survival analysis. Average treatment effects were estimated by G-computation, adjusted for potential confounding by age, sex, Simpson grade, Ki-67 proliferation index, location, country group (universal healthcare or not), …


“U’R-In(E)!- Urine-Albumin-Creatinine Ratio–The Old Kid On A New Block! Feb 2026

“U’R-In(E)!- Urine-Albumin-Creatinine Ratio–The Old Kid On A New Block!

Faculty, Staff and Students Publications

No abstract provided.


Myokine Sirpα Exacerbates Kidney Disease In Diabetes, Qingtian Li, Helena Zhang, Bhuvaneswari Krishnan, David Sheikh-Hamad, Zhaoyong Hu, William E Mitch, Sandhya S Thomas Feb 2026

Myokine Sirpα Exacerbates Kidney Disease In Diabetes, Qingtian Li, Helena Zhang, Bhuvaneswari Krishnan, David Sheikh-Hamad, Zhaoyong Hu, William E Mitch, Sandhya S Thomas

Faculty, Staff and Students Publications

Mechanisms responsible for skeletal muscle kidney crosstalk have not been defined. We have determined that a circulating mediator, signal regulatory protein α (SIRPα), impairs intracellular insulin-mediated functions. To elucidate the effect of myokine SIRPα on diabetic kidney disease (DKD), flox mice and muscle-specific (m-specific) SIRPα-KO mice were subjected to an obesity-induced model of diabetes, high-fat diet (HFD; 60%) or insulin-deficient hyperglycemia model, streptozotocin (STZ), and were subsequently exposed to anti-SIRPα monoclonal antibodies. In the obesity-induced diabetic mice, serum SIRPα increased. Genetic deletion of muscle SIRPα protected against obesity and improved intracellular insulin signaling in muscle and adipose tissue, with reduced …


Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Michael Mcdermott Feb 2026

Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Michael Mcdermott

All Publications

PURPOSE: The role of adjuvant fractionated radiotherapy (aFRT) after gross total resection (GTR) of WHO-2 meningiomas remains unclear. We aimed to estimate the effect of aFRT on recurrence risk and survival following GTR and subtotal resection (STR). METHODS: We analyzed 1452 patients with WHO-2 from our international, multicenter database (followed between 1989 and 2019). Outcomes were recurrence (10-year follow-up) and death (5-year follow-up). Risk estimates were obtained using competing risks and survival analysis. Average treatment effects were estimated by G-computation, adjusted for potential confounding by age, sex, Simpson grade, Ki-67 proliferation index, location, country group (universal healthcare or not), and …


Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis Feb 2026

Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis

Walden Dissertations and Doctoral Studies

This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …


Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris Feb 2026

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris

Walden Dissertations and Doctoral Studies

Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …


The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen Feb 2026

The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen

Walden Dissertations and Doctoral Studies

Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …


Sepsis Bundle Compliance Initiative, Engleish Annette Flynn Feb 2026

Sepsis Bundle Compliance Initiative, Engleish Annette Flynn

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focused on the development and evaluation of a clinical practice guideline (CPG) designed to improve compliance with the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis bundle at a 300-bed Level III trauma center serving a rural population in West Virginia. Sepsis remains a leading cause of morbidity and mortality nationwide, and rural hospitals face additional challenges related to delayed presentation, limited resources, and workflow variability. Inconsistent adherence to evidence-based sepsis bundle elements have been associated with increased mortality risk, prolonged length of stay, and financial penalties (Evans et al., 2021). The purpose …


Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba Feb 2026

Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba

Walden Dissertations and Doctoral Studies

This doctoral project focused on developing and evaluating a clinical practice guideline (CPG) to address the lack of standardized interdisciplinary communication between psychologists and psychiatric mental health nurse practitioners (PMHNPs) in a pediatric outpatient psychiatric setting. Inconsistent communication practices, including informal conversations, delayed documentation, and unstructured messaging, contributed to fragmented care and inefficient treatment coordination. To address this gap, an evidence-based, structured communication framework was developed to guide interdisciplinary collaboration. The guideline was developed using the Johns Hopkins Evidence-Based Practice model and supported by a review of 14 evidence sources spanning Levels I to V of the literature. A four-member …


The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn Feb 2026

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn

Walden Dissertations and Doctoral Studies

In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …


Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller Feb 2026

Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on the development and expert appraisal of a clinical practice guideline (CPG) to improve home-based comfort care in hospice settings. Terminally ill patients frequently experience distressing symptoms such as pain, dyspnea, and nausea, yet inconsistent symptom management and documentation practices persist across hospice care (Henson et al., 2020). A CPG was developed to evaluate a comfort care kit for patients. The CPG was independently reviewed by a three-member expert panel using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, which consists of 23 items that are organized into …


Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne Feb 2026

Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an executive leadership proposal to develop an evidence-based program plan for standardized postpartum mental health screening and structured referral processes within an obstetric clinic. The practice problem was inconsistent postpartum mental health screening and follow up. Internal organizational data demonstrated elevated no-show and cancellation rates among obstetric patients referred for mental health services, reflecting gaps in care coordination, particularly for rural and underserved populations. The purpose of this project was to develop a comprehensive program plan guided by the following practice-focused question: Will a standardized postpartum mental health screening and structured referral program …


Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky Feb 2026

Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky

Walden Dissertations and Doctoral Studies

Social media platforms have become significant contexts for informal learning among adults, offering access to information and peer exchange outside of formal educational settings. These platforms are also emotionally complex environments in which stress and emotion regulation may shape learning outcomes. The purpose of this quantitative, nonexperimental study was to examine the relationship between social media use and informal learning in adults, with perceived stress and emotion regulation examined as moderating variables. Secondary data from the Stress in America: The State of Our Nation, 2007–2018 surveys were analyzed, using binary logistic regression with moderation while controlling for age, gender, and …