Digital Commons Network^™

Early Pressure Injury Identification And Intervention In Emergency Department Older Adults Who Are Admitted Into A Community Hospital Intensive Care Unit, Lisa M. Britt

Doctor of Nursing Practice (DNP) Scholarly Projects

A clinical gap was identified when reviewing a hospital acquired pressure injury (HAPI) dashboard from a 369- bed, acute care community hospital located in North Texas. Fifty percent of HAPIs acquired occurred in older adults, aged 60 or higher, who were admitted into the intensive care unit (ICU) from the emergency department (ED). A retrospective review of the electronic health records (EHR) demonstrated that none of the patients had received HAPI prevention interventions while they were in the ED and the inconsistent document of skin assessments resulted in identification of few HAPIs present on admission (POA). The purpose of this …

Front Matter

Lewis & Clark Law Review

Front Matter contains Table of Contents, Masthead, and faculty for Lewis & Clark Law Review, Volume 29, Issue 4.

Let Them Hear It: Peaceful Protests Near The Homes Of Supreme Court Justices, Srikanth Reddy

Lewis & Clark Law Review

All of us—not just attorneys and politicians—need to be more critical and skeptical of the Supreme Court. Criticism by ordinary people is good and appropriate, even if it hurts the Justices’ feelings. That includes public protests. When a case matters enough to them, members of the public can and should criticize the Court and its Justices, including by peacefully gathering and protesting near a Justice’s home, or when a Justice appears out in the world.

Oregon’S History Of Using The Law To “Stack The Deck” In Favor Of White Males, Janet Steverson

Lewis & Clark Law Review

The United States has a sordid, racist history that permeates society still today. The State of Oregon has its own racist history, systematically excluding persons of Black African ancestry in its early years. This Essay explains this history and how seemingly historical practices continue to provide advantages to some, while detrimentally impacting others. This history is put in context by providing explanations of particular terms and this Essay further explains why examining these historical laws are critical in moving forward.

Catching The Forgotten: Repairing The Safety Net For Cofa Migrants In The United States, Brian Aguilar

Lewis & Clark Law Review

Citizens of the Freely Associated States—the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Belau—are permitted to live and work in the United States without a visa under the Compacts of Free Association (COFA). Yet, for nearly three decades, COFA migrants were excluded from the federal public benefits safety net. This exclusion, a product of legislative oversight in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, devastated communities like the Marshallese in Springdale, Arkansas, who endured dangerous working conditions, poverty, and severe health vulnerabilities without access to critical federal benefits programs. While …

Taking Off The “Blindfold”: Exploring Montana’S Public Trust Doctrine And The Right To A Clean And Healthful Environment After Held V. Montana, Lizzy Gazeley

Lewis & Clark Law Review

As global average temperatures continue to rise, the threat of climate change looms closer. To evade climate catastrophe, greenhouse gas emissions will need to be substantially reduced. Despite climate change’s imminent risks, in the United States, both the federal government and states remain resistant to transitioning away from fossil fuel energy sources. To combat this government inaction, some litigants have turned to an ancient doctrine. The public trust doctrine provides that sovereigns must protect natural resources from substantial impairment to ensure the public’s right to use those resources.

In Held v. Montana, youth plaintiffs alleged that the State of Montana …

Front Matter

Lewis & Clark Law Review

Front Matter contains Table of Contents, Masthead, and faculty for Lewis & Clark Law Review Volume 30, Issue 1.

Immigration Federalism And The Promise Of State Constitutions, Joanne Gottesman

Lewis & Clark Law Review

This Article explores state constitutions’ promises and pitfalls for immigrant rights advocacy. This is a particularly urgent endeavor, given the anti-immigrant measures of President Trump’s second term and a U.S. Supreme Court that is willing to reverse longstanding precedent. Even cases like Plyler v. Doe, with its guarantee of free public education to undocumented children, could be vulnerable. While U.S. Supreme Court opinions protecting immigrant rights are the gold standard because they apply nationwide, state courts and state constitutions provide critical alternative avenues for relief that should not be overlooked.

This Article considers some state constitutional provisions that may help …

Law And The Moral Geography Of Urban Education, Rebecca Horwitz-Willis

Lewis & Clark Law Review

In contemporary discussions, urban schools are often labeled as “bad,” while suburban schools are generally regarded as “good.” These assessments are typically based on achievement metrics, resource allocations, and the demographics of student populations. However, this Article offers a new lens through which to analyze the valuation of urban schools: the relationship between local vice regulation and what I term “educational geographies” in urban areas. Specifically, it argues that the location of vice institutions in cities has disproportionately impacted Black neighborhoods, thereby devaluing the educational geographies within these communities. These distributions do not just impact market value, but rather, also …

A Scope For Survival: Creating A Path For The Pregnant Workers Fairness Act Under A Conservative Administration And Supreme Court Bench, Emily Easton

Lewis & Clark Law Review

The Pregnant Workers Fairness Act (PWFA) requires employers to provide reasonable accommodations for known limitations related to pregnancy, childbirth, or related medical conditions, representing a bipartisan congressional effort to fill the gaps in workplace protections afforded to pregnant workers. However, the Equal Employment Opportunity Commission’s (EEOC) final rules interpreting the PWFA have generated significant legal and political controversy—especially around the broad interpretation of the definition of related medical conditions to include lactation, “elective” abortions, menstruation, infertility, and contraception.

Given the current political and legal climate presented by a conservative federal administration and Supreme Court bench, this Note proposes a pragmatic …

Truth And Consequences: What Catastrophe Teaches Us About Homeownership And Underinsurance, Kenneth S. Klein

Lewis & Clark Law Review

The firestorms enveloping Los Angeles in January 2025 made yet more inescapable the reality of the increasingly overwhelming impacts that climate change is having on communities. Many thousands of owner-occupied homes were destroyed. Most homes have insurance, but many homeowners will be surprised to find themselves underinsured, meaning their insurance proceeds will be materially less than the insurer-reported, incurred cost of rebuilding their destroyed home. The human consequences on these homeowners, each of whom has lost everything in a single week, are a now sadly all too imaginable tragedy in real time.

How underinsurance happened and what could have been …

Anything For Views Parenting, Bahar Tarighi

Lewis & Clark Law Review

Children who appear in monetized family vlogs are the product. Without them, the content would not exist, and the revenue would not follow. Yet unlike child actors in traditional entertainment, these children receive no guaranteed wages, no mandated trust accounts, and no right to control the digital record created in their name. This gap is a product of a legal framework that has simply not kept pace: the Fair Labor Standards Act, enacted in 1938, expressly exempted child performers from its protections, and neither Congress nor the majority of states have updated their child labor frameworks to account for the …

Shared Decision-Making To Improve The Vaccination Rate Among Older Patients, Muxian Chen

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Vaccines recommended for patients over the age of 50 include those for influenza (Flu), COVID-19, respiratory syncytial virus (RSV), pneumococcal disease, shingles, hepatitis A, hepatitis B, and a booster dose of the Tetanus, diphtheria, and pertussis (Tdap) vaccine every 10 years (American Association of Retired Persons, 2025). Unfortunately, these vaccines are often not adequately discussed during patient visits or are mentioned only briefly, without a clear plan for administration (American Association of Retired Persons, 2025). A vaccination bundle, which included resources for all vaccines and the opportunity to receive vaccines such as flu, COVID-19, RSV, Pneumococcal, Tdap, shingles, and …

A Chronic Pain Self-Management Quality Improvement Bundle For Veterans, Srijana D. Baniya

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction: Veterans often face challenges accessing care services due to limited awareness of available resources for support, Self-care, and mental health (Harding et al., 2019; Patel et al., 2024). Given the high prevalence of Chronic pain and opioid use in this population, Self-management (SM) education and non-pharmacologic interventions are required to address the biological, psychological, and social effects of pain (Bair et al., 2015; Mumba et al., 2024; Nahin, 2017; Higgins et al., 2020). This Quality improvement project aims to determine whether implementing an evidence-based SM bundle for chronic pain improved Pain severity scores and increased understanding of SM strategies. …

The Role Of White Racial Identity Development In Leadership Practices: An Interpretive Phenomenological Study In White Educational Leaders, Kaitlyn Ryan

Theses and Dissertations

This qualitative study examined how white educational leaders experience and make meaning of their racial identity development as they lead adult professional learning focused on racial equity and culturally responsive practice. Grounded in Helms’s White Racial Identity Development (WRID) model and guided by Interpretative Phenomenological Analysis (IPA), the study explored the lived experiences of ten white leaders across PK–12 and Institution of Higher Education (IHE). Data were collected through three semi‑structured interviews per participant and analyzed using IPA’s six‑step process. Five major themes emerged: transformational experiences that shifted leaders’ understanding of race and privilege; the critical role of white affinity …

Italian Commedia Dell’Arte And Modern American Performance: Comedy As A Cultural Window, Sofia Craig

Undergraduate Honors Theses

Commedia dell’Arte, a form of improvisational comedy for the stage developed in the Renaissance, is at least half a millennium old, and leaves minimal records of its content. However, its stock characters still seem to appear in modern media, including television, movies, and current theatre. Commedia characters' noticeable persistence in the modern day suggests that our culture continues to enforce social dynamics which have elements in common with sixteenth-century Italy. This thesis compares Commedia stock characters with their counterparts in modern media, to learn what cultural analysis can be made from their similarities and differences. Most retain traits that keep …

Reclaiming Connection: Narrative Differences Between Traumatic And Positive Birth Experiences, Ryan O. Sesker

Undergraduate Honors Theses

Traumatic birth experiences can disrupt mental health and maternal bonding between mother and infant. While clinical outcomes often prioritize infant health, less attention has been given to how birth experiences shape maternal confidence and feelings of confidence and adequacy as a new parent. This study examines what factors within birth experiences influence maternal self-perception and confidence during the postpartum period. Drawing on Maternal Role Attainment Theory and self-efficacy theory, this research explores how perceived loss of control, medicalization, provider interactions, and emotional support affect maternal identity formation. Using a qualitative approach, this research analyzes publicly available birth stories shared on …

Vacuum Wars: The Belt & Road Initiative’S Rise In The Arab League, Corabeth R. Pierce

Undergraduate Honors Theses

The world has shifted and changed in the last decade, resulting in a new world order. The Middle East and North Africa region houses the Arab League, which has drawn the attention of several states throughout the world. China has shown particular interest in the region since its Belt and Road Initiative (BRI) was first created in 2013. The BRI demonstrates how China has become more involved in the region and that these Arab states are more interested in what China has to offer compared to other countries. With the United States developing more nationalist policies, the European Union facing …

Meiji And Myth: The Emperor, Totemic Principles, And Unity, Ella Jean H. Fernandez

Undergraduate Honors Theses

The purpose of this study was to investigate the complex relationship between religion and state during the Meiji era (1868-1912). Specifically, how central governmental and religious figures craft a sense of unity and national identity. The primary research question of this study is: How did the Meiji Emperor’s development as a totem unite the people and grant credibility to the Meiji era (1868-1912)? A totem in this context is a functioning symbol that is both representative and sacred. This study was conducted through the analysis of primary source documents, Imperial shrine activity, and historical context sources. Through analysis of these …

A Computational Approach To Graduated Centrifuge Profiles For Partial Gravity Planetary Environments, Cabell W. Jones

Mechanical & Aerospace Engineering Faculty Publications

Missions such as NASA’s Artemis and SpaceX’s Starship aspire towards creating permanent settlements beyond Earth. In order to achieve this goal, it must be considered that the gravity present on planetary surfaces such as the Moon (0.165 g) and Mars (0.378 g) may be insufficient to support human physiology for long term habitation. On near-Earth missions, issues such as muscular atrophy, neuro-ocular changes, cardiopulmonary variations, and bone mineral density loss have been observed proportional to the duration spent in microgravity. Further studies have suggested that the severity of these conditions scales linearly with decreasing gravity, meaning that astronaut health can …

Annual Report Of The Town Officers Northwood, Nh For The Fiscal Year Ending December 31, 2025 And Of The School District For The Fiscal Year Ending June 30, 2025, Northwood Town Representatives

Northwood, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Town Of Sunapee Annual Report For The Year Ending December 31, 2025, Sunapee Town Representatives

Sunapee, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Annual Report Town Of Center Harbor, New Hampshire For Year Ending December 31, 2025, Center Harbor Town Representatives

Center Harbor, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Florida Springs: From Geography To Politics And Restoration, Linh Uong

The Southeastern Librarian

Christopher F. Meindl

Gainesville: University Press of Florida, 2024

ISBN: 9780813079158

245 pp. $38.00 (Hbk)

Accessibility Services And Support In Small And Rural Academic Libraries, Robert M. Amerson, Deborah Tritt Harmon

The Southeastern Librarian

This exploratory study examines how small and rural academic libraries support students with disabilities. While grounded in a professional commitment to equitable service, these libraries often face challenges, such as limited staff, aging infrastructure, and stagnant funding. Survey results from 38 librarians reveal a strong dedication to accessibility, despite institutional constraints. Respondents identified barriers, such as insufficient training, inadequate resources, and minimal collaboration with campus disability offices. However, many also reported implementing personalized, student-centered services and cited the advantages of flexibility and close student relationships in small academic settings. The findings underscore the need for tailored support, increased training opportunities, …

Invisible Blackness: A Louisiana Family In The Age Of Racial Passing, Tim Dodge

The Southeastern Librarian

Katy Morlas Shannon

Baton Rouge: Louisiana State University Press, 2025

ISBN: 9780807183823

184 pp. $29.95 (Hbk)

Employing The Marketing Mix Framework To Increase Usage Of Academic Libraries, Chantelle Swaren

The Southeastern Librarian

Academic libraries face a regular influx of new students, creating an ongoing need to increase awareness and usage. To accomplish this, many academic libraries rely on short-term outreach tactics that focus on only one element of the marketing mix: Promotion. This article introduces the complete marketing mix framework, including seven elements (7 Ps), and explains how they can be applied in academic libraries. Definitions and library-specific examples are provided for each element: Product, Price, Place, Promotion, People, Process, and Physical Proof. The integrated approach of marketing mix theory and planning can be employed by academic libraries to increase patron awareness, …

Member Spotlight: Wanda Kay Brown, Blair Jones

The Southeastern Librarian

Member Spotlight no. 3 for the Winter 2026 issue of The Southeastern Librarian. The spotlight shines on Wanda Kay Brown, Director of Library Services at the C. G. O'Kelly Library at Winston-Salem State University, North Carolina.

The President's Column, Laura Slavin

The Southeastern Librarian

SELA President Laura Slavin's column for the Winter 2026 issue of The Southeastern Librarian

Town Of Lyman, New Hampshire Annual Report Year Ending December 31, 2025, Lyman Town Representatives

Lyman, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.