Digital Commons Network^™

Safe And Effective Injection Practices For Insulin And Glp-1 Users, Lydia A. Anderson

Doctor of Nursing Practice Projects

Improper insulin and GLP-1 injection techniques can reduce treatment effectiveness in patients diagnosed with diabetes mellitus. This quality improvement project aimed to improve patients' knowledge and safety regarding insulin and GLP-1 medications by conducting an educational session and demonstration of proper injection techniques. The project took place at a community senior center where individuals reported not receiving instruction or education on correct injection practices when prescribed these medications. Pre- and post-intervention surveys assessed changes in patient knowledge, confidence, and understanding of proper injection methods. Results demonstrated clear improvements in patient knowledge, confidence, and technique. This project highlights the significance of …

Enhancing Uncontrolled Hypertension Compliance And Self-Management In A Senior Center, Kimberly D. Strickland

Doctor of Nursing Practice Projects

Hypertension is a complicated, chronic condition that affects individuals worldwide. The prevalence of this condition has increased nearly 48% in the last decade in America. This project served to determine if participants in a targeted area/community would show increased knowledge and awareness of hypertension after implementation of educational sessions. A post-session survey was provided to determine if the educational sessions were effective. Data was collected and analyzed that showed an increase in awareness and knowledge regarding the prevalence of hypertension, diet modification, lifestyle, and compliance.

Increasing Awareness Of Obesity And Its Associated Risks In Adults, Esther E. Bayode

Doctor of Nursing Practice Projects

Obesity is a significant and growing public health concern in a metropolitan area of North Carolina, reflecting statewide and national trends. With 36% of adults in North Carolina classified as obese, the condition contributes to chronic diseases such as hypertension, diabetes, heart disease, and certain cancers. This project targeted adults aged 18 and older within a local faith-based community, where preliminary findings showed a strong association between elevated body mass and increased chronic disease burden. To address this issue, a two-session educational intervention was implemented in partnership with a religious organization to increase knowledge about obesity, its causes, associated risks, …

The Essentials Of Heart Failure Management, Emily W. Greene

Doctor of Nursing Practice Projects

Heart failure remains a leading cause of hospitalization among older adult women, often due to delayed recognition of symptom exacerbation and limited knowledge of self-management strategies. The purpose of this quality improvement project was to evaluate whether a brief educational intervention could improve knowledge of heart failure management among older adult women at a community senior center. The DNP project leader conducted two educational sessions focusing on early recognition of heart failure symptoms, heart-healthy diet, and when to contact a healthcare provider. Participants completed a pre- and post-test survey containing four knowledge questions and one Likert-scale question on perceived knowledge …

Spreading Awareness To College Athletes About Skin Cancer And Improving Sun Protection Habits, Baylee B. Whiteside

Doctor of Nursing Practice Projects

Introduction: The intention of this Doctor of Nursing Practice evidence-based project was to provide education on improving awareness of skin cancer to potentially improve sun protection habits. A total of 100 college athletes participated in this project. The goal was to increase educational knowledge and practice intentional sun protection habits.

Background: One in 5 people will develop a type of skin cancer by age 70 (Skin Cancer Foundation, 2024). Several studies have proven that young adults, ages 15-25, are at an increased risk of sun exposure due to decreased knowledge about skin cancer. Teaching and improving the knowledge in this …

Increasing Teens' Knowledge On The Health-Related Effects Of Vaping, Anteja Gore

Doctor of Nursing Practice Projects

Vaping in teens has become an increasing public health issue related to the growth in the number of teens who are using vapes. Many teens are not aware of the potential associated risk of using vapes, as they perceive them to be a safer alternative to smoking cigarettes. The purpose of this project was to increase the middle school teens’ knowledge of the potential health risks associated with vaping through an educational awareness session. This project was implemented in the middle school setting, targeting students aged 12-14 years. The students who participated completed anonymous pre- and post- questionnaires that evaluated …

Spreading Awareness To Adults About Cardiovascular Disease And Improving Healthy Lifestyle Habits, Madison L. Eldridge

Doctor of Nursing Practice Projects

Introduction: The intention of this Doctor of Nursing Practice evidence-based project was to evaluate if providing education to the target community would increase awareness and knowledge of cardiovascular disease and healthy lifestyle habits. The goal was to increase educational knowledge and promote awareness of cardiovascular disease and healthy lifestyle habits.

Background: Cardiovascular disease (CVD) is a critical health issue that prevails across the state of North Carolina, while continuing to remain one of the leading causes of death across the south-center Piedmont area of North Carolina. Several studies have proven that increasing knowledge on cardiovascular risks, promoting healthy exercise, and …

Effects Of Educational Programs On Reducing Sexually Transmitted Infection Rates, Phierica D. Gardin

Doctor of Nursing Practice Projects

Sexually transmitted infections (STIs) remain a significant public health concern in the United States, with increasing rates reported in many states, including North Carolina. Limited sexual health education, stigma surrounding sexual health discussions, and lack of awareness regarding prevention and screening contribute to ongoing transmission, delayed diagnosis, and potential long-term complications associated with untreated STIs. The purpose of this Doctor of Nursing Practice (DNP) project was to implement a sexual health education program aimed at increasing knowledge of STI transmission, prevention strategies, and the importance of screening among adults aged 18 years and older. Two educational sessions were completed within …

Combating Pressure Injuries In Critical Care: A Dnp Project On Nursing Education And Prevention Strategies In The Icu, Tijuana M. Johnson

Doctor of Nursing Practice Projects

Hospital-acquired pressure injuries (HAPIs) are preventable complications that significantly increase patient morbidity, mortality, length of stay, and healthcare costs, particularly in intensive care units (ICUs). At a rural 146-bed hospital, the ICU pressure injury rate of 1.17 per 1,000 discharges exceeded the national benchmark of 0.58 per 1.000 discharges, identifying a critical gap in prevention practices. This Doctor of Nursing Practice (DNP) project aimed to improve ICU nurses' knowledge of pressure injury prevention and reduce unit-based educational intervention grounded in Patricia Benner’s Novice to Expert Theory and implemented using the Plan-Do-Study-Act (PDSA) quality improvement framework.

A pre-and post-intervention design was …

Building Clinical Competency In Central Line Care: A Nurse-Focused Initiative To Prevent Clabsis, Glenda A. Robbins

Doctor of Nursing Practice Projects

Central line-associated bloodstream infections (CLABSIs) are a significant yet preventable source of increased morbidity, mortality, and healthcare costs in acute care settings. Despite established evidence-based prevention bundles, inconsistent nursing adherence remains a primary contributor to elevated CLABSI rates. A 241-bed acute care hospital reported CLABSI rates above the national benchmark. This Doctor of Nursing Practice (DNP) project utilized Neuman’s Systems Model. The intervention consisted of a structured educational module on central line care and maintenance, including pre- and post- knowledge assessments. Additionally, standardized daily central line visual audits were reinforced by the Vascular Access Team. A total of 363 bedside …

Diabetes Education In Buncombe County, Deonna Nicole Blount

Doctor of Nursing Practice Projects

The growing number of Americans living with diabetes has reached an all-time high. According to the Centers for Disease Control and Prevention (CDC) (2026), there are 40.1 million people diagnosed with or underdiagnosed with diabetes. Evidence has shown that with education tailored to the patient's lifestyle, changes can be made and healthier lifestyles exhibited. Understanding the why of the patients can assist in changes that are feasible and can be implemented for the now and the future. Several studies outlined by Alonso-Carril et al. (2024), Lander et al. (2022), and Hodges et al. (2019) showed that education was implemented and …

Mental Health First Aid Training In The Community, Vester Agbley Gideon

Doctor of Nursing Practice Projects

Mental health issues impact one in five adults in the United States; however, many individuals lack the requisite knowledge and skills to effectively respond to mental health crises. Mental Health First Aid (MHFA) training empowers individuals to recognize and address mental health concerns, thereby fostering early intervention and support. This review analyses the efficacy of MHFA training, best practices for its implementation, and its influence on mental health outcomes. Empirical evidence indicates that MHFA training enhances mental health literacy, diminishes stigma, and encourages supportive behaviors. Customized approaches for targeted populations, such as youth and older adults, have also shown significant …

Improving Timeliness Of Extubation Post-Cabg: An Educational Intervention Utilizing A Nurse-Driven Checklist, Christy Scott

Doctor of Nursing Practice Projects

Background: Timely extubation following coronary artery bypass graft (CABG) surgery is associated with improved patient outcomes. In a rural six-bed cardiovascular intensive care unit (CVICU) in North Carolina, extubation times were previously reported at approximately 15 hours. A lack of a standardized nurse-driven process and inconsistent familiarity with extubation readiness criteria contributed to variation in practice.

Purpose: The purpose of this DNP project was to implement and evaluate an educational intervention using a nurse-driven extubation checklist to improve nurses' knowledge, confidence, communication, and role clarity related to post-CABG extubation readiness in the CVICU.

Methods: The staff education …

Musical Measures: Nurse Education On Music-Based Interventions To Reduce Patient Restraints, Crystal D. Tucker

Doctor of Nursing Practice Projects

The use of physical restraints in acute psychiatric settings poses significant risks to patient safety, including physical injury and psychological distress. Evidence supports the need for alternative, non-pharmacologic interventions to reduce reliance on restraints. This Doctor of Nursing Practice quality improvement project aimed to evaluate the impact of an educational intervention on nurses’ knowledge and confidence in implementing music-based interventions, specifically binaural beats, to manage patient anxiety and agitation.

The project was conducted on a medical observation and behavioral health holding unit and utilized a pre- and post-intervention design. Registered nurses participated in educational sessions on music-based interventions and were …

Facilitating Mortgage Modification To Save Homes And Mitigate Lender Losses, Julia Patterson Forrester Rogers

Faculty Journal Articles and Book Chapters

Homeowners in financial distress or whose homes have been damaged by natural disaster may avoid foreclosure if their lender agrees to modify the loan to reduce payments. Commercial loans may also be modified to avoid foreclosure or in response to changed circumstances or changing market conditions. Although loan modifications are generally beneficial to both borrowers and lenders, barriers to modification exist. The Consumer Financial Protection Bureau (CFPB) has addressed some of the roadblocks to residential loan modifications by regulating the procedures that mortgage servicers must follow in dealing with delinquent borrowers, but the CFPB and its regulations are at risk …

Vision‑Based Online Quality Tracking In Wire Arc Additive Manufacturing Via Hybrid Unsupervised Deep Learning–Statistical Process Monitoring, Giulio Mattera, Yue Cao, Yuming Zhang, Luigi Nele

Electrical and Computer Engineering Faculty Publications

Vision-based monitoring of Wire Arc Additive Manufacturing (WAAM) using supervised deep learning represents the state of the art in anomaly detection, but such approaches require large labeled datasets that are costly to obtain and typically limited to laboratory conditions. To address these limitations, this work proposes a hybrid deep learning–statistical process monitoring (SPM) framework tailored to the stochastic nature of conventional arc welding processes such as GMAW-based additive manufacturing, where existing methods often overfit. The framework integrates a residual convolutional autoencoder (Res-CAE) with skip connections, which jointly analyzes video frames to generate refined latent-space features that are subsequently monitored using …

Wa Insecticide Guide 2026 - Autumn Winter, Rebecca Severtson, Svetlana Micic, Andrew Phillips

PestFacts WA

Registered chemicals for broadacre crops in Western Australia The insecticides listed in the tables within this guide can be used on any crop appearing on the chemical label, if the rate used does not exceed the highest rate that is registered for use on that crop. There are many products with different trade names that contain the same active ingredient. This list is not exhaustive and does not imply any specific recommendations of brand names. Unless otherwise specified, all insecticides listed are emulsifiable concentrates (EC). Other insecticide formulations are suspension concentrate (SC), wettable powder (WP), capsule suspension (CS), wettable granules …

Wa Insecticide Guide 2026 - Winter Spring, Svetlana Micic, Cindy L. Webster, Rebecca Severtson

PestFacts WA

Registered chemicals for broadacre crops in Western Australia.

The insecticides listed in the tables within this guide can be used on any crop appearing on the chemical label, if the rate used does not exceed the highest rate that is registered for use on that crop.

There are many products with different trade names that contain the same active ingredient. This list is not exhaustive and does not imply any specific recommendations of brand names.

Unless otherwise specified, all insecticides listed are emulsifiable concentrates (EC). Other insecticide formulations are suspension concentrate (SC), wettable powder (WP), capsule suspension (CS), wettable granules …

2026 Volunteer Impact Report, Tennessee. Department Of Disability And Aging

Volunteer Impact Report

This report highlights the accomplishments and statistics concerning volunteer programs for the department.

Identification Of Culturable Moulds, Audrey Bernèche-D'Amours, Thi Thanh Tam Nguyen, Delphine Lanoie

Microbiologiques

Cette méthode est utilisée pour identifier au genre ou à l’espèce des moisissures cultivées à partir d’échantillons d’air, de surface ou de matrices solides ou liquides. Après avoir isolé une souche de moisissure en culture pure, différentes techniques peuvent être utilisées : l’observation des caractères macroscopiques et microscopiques des colonies et leur comparaison à des clés d’identification de référence, la spectrométrie de masse utilisant la technologie MALDI-TOF et le séquençage de type Sanger ciblant différents loci génétiques. Les identifications obtenues par l’une, plusieurs ou l’ensemble de ces techniques sont ensuite interprétées pour rapporter une identification finale.

Abstract

This method is …

"Let The Little Children Come To Me:" Examining The Importance Of At-Home Discipleship And Spiritual Formation For Children Ages Zero To Three Years Old, Kamilah Kay Edwards

Doctor of Ministry

The narratives of children in the Bible links the Old and New Testaments, continually shaping our understanding from past to present. Likewise, children hold a significant place in Christian churches and homes as the legacy of the lived Christian experience. Considering 21st century research findings highlighting the perceptions of children in the American Christian church, American Christianity is seeing a departure of youth. This departure is more than an exodus, it is an identity crisis that calls into question contemporary discipleship and spiritual formation practices at home and in the faith community. The importance of discipling children from the earliest …

The Flow Of Holiness: A Theology Of Grace And Differentiation For Congregational Formation, Paul David Bravard

Doctor of Ministry

This dissertation addresses a problem in contemporary Christianity, particularly among Evangelical Friends: many hold an incomplete and fragmented understanding of holiness. Holiness has become either a private glow, a legalistic burden, or a vague aspiration. In a culture marked by relativism, anxiety, and institutional fatigue, many believers lack a clear, communal way of speaking about and living out holiness as “the good life through Christ,” shared within a meeting rather than confined to individual hearts.

This dissertation proposes that holiness can be recovered as a distinctive Friends’ witness when it is reframed as a grace-shaped, communal, faithful presence. By bringing …

Near & Now: Everyday Encounters With God, Caleb Christian Cox

Doctor of Ministry

People of Redeemer Lutheran Church often experience a disconnect between Sunday worship and their ordinary lives, leaving them inattentive to everyday encounters with God.

Research and feedback from individuals and households revealed several key insights. First, participants reported that a clear, repeatable structure made spiritual attentiveness more sustainable in daily life. Second, integrating theology with design and usability proved essential for engagement across generations. Finally, stakeholder interaction with the resource affirmed that attentiveness to God would not bear fruit by adding more tasks, but by recognizing the everyday as holy ground.

The project was implemented in the ministry context of …

Body Wonder: Helping Women Discover The Wonder Of God In Their Female Forms, Kristin Marie Antil

Doctor of Ministry

This project works to address the following need/problem/opportunity (NPO): Christian women in my contexts are hindered from having a positive relationship with their bodies which undermines potential and diminishes self-worth. I observed this problem in the students I counsel in my work as a mental health therapist at Bethel University, but I also noticed a tendency for women in my church and community settings to disregard, disdain, or despise their bodies as well. The research over these three years has helped me see the complexities of the factors that contribute to the negative postures that women hold towards their bodies …

S.T.A.R. Methodology: Semiotic Tracing, Attunement And Reframing, Debbie Jacobsen

Doctor of Ministry

This Project Portfolio responds to the following Need–Problem–Opportunity (NPO): Fathers shaped by incarceration and broken paternal roots need a reorienting tool to reclaim fatherhood, see beauty in chaos, and encounter Jesus’ presence. While many ministry and reentry initiatives appropriately prioritize immediate stabilization and support, this project addresses a complementary and often underdeveloped need: cultivating meaning, dignity, and spiritual attentiveness through sustained presence, where chaos may be perceived not only as disruption but also as a site of possible beauty and presence.

A key insight emerging from the research is that meaning is neither created nor imposed, but recognized through sustained, …

Audacious Saints: A Spiritual Formation Journey Toward Freedom And Flourishing, Carroll Lane Parsons

Doctor of Ministry

This doctoral project addresses a common challenge for many Christian women. In spiritual direction, they often express emotional, spiritual, and psychological pain because their voice, vision, and power are limited in their faith communities. Even though these women are deeply devoted to God and their beliefs, this pain can often make it difficult to experience spiritual confidence, discover their calling, and trust their own discernment. The project explores how engaging with the lives of female saints, alongside contemplative and embodied practices, can offer a healing way forward.

Audacious Saints is a twelve-module spiritual formation program that integrates sacred stories, group …

The Reconnection Experience: A Black Pastor's Journey Back To God And Self, Lindsay Mcghee Alexander

Doctor of Ministry

NPO

The Need/Problem/Opportunity (NPO) statement guiding this project is: Pastors in the 8th Episcopal District of the AME Church feel disconnected from God and themselves.

Key Insights

The research revealed that pastoral disconnection is driven less by lack of skill and more by identity loss, performance pressure, and the absence of safe spaces for vulnerability. Spiritual formation remains largely absent from Black pastors' lives and churches. Cultural and denominational expectations reward quantitative data over spiritual growth. Self-care and inner work are not recognized as integral to ministry success or effectiveness. Many pastors operate from “doing” rather than “being,” leading to …

Equip: Developing Confident, Christ-Centered Volunteers, Alyssa Mclaughlin

Doctor of Ministry

NPO statement: Volunteers within Cedar Hills Church feel unsure of what we believe, unclear on their purpose, and unprepared to disciple others in their specific ministry contexts. Without intentional training and equipping, these barriers keep capable people on the sidelines instead of stepping confidently into the mission of Jesus.

Key benefits or insights that emerged: Research and early implementation showed that volunteers engage more when equipping is relational, practical, and connected to real life. Adults were more willing to participate when they could share from their own experiences and practice their faith, rather than sit through content-heavy teaching. Participants gained …

Space, Belonging, And Formation In The Intergenerational Church, Tara Lynn Wolf

Doctor of Ministry

This Doctoral Project addresses the following Need, Problem, or Opportunity (NPO): Redeemer Lutheran Church has limited intentionally cultivated spaces for informal, intergenerational connection, leading to reliance on programs to foster relationships, formation, and a sense of belonging. This condition challenges the congregation’s stated commitment to being intentionally intergenerational and affects relational continuity spanning generations.

Research conducted through stakeholder interviews, design workshops, surveys, and prototyping revealed that belonging and spiritual formation are formed not only by ministry programming but by the physical and social environments in which people gather repeatedly over time. Key insights indicated that churches often underestimate the influence …

Renewed: A Journey Toward Resilient And Relational Leadership, Molly Bradley Lacroix

Doctor of Ministry

Adverse religious experiences cause spiritual, emotional, and relational wounds. Research on spiritual harm locates its origins in the misuse of power. High-control religious environments are preoccupied with authority, submission, silencing dissent, and shaming those who question or doubt. Clearly, the nature of leadership is key in addressing and preventing harm. Spiritually safe leaders empower people, lead with humility, seek feedback, and take accountability for mistakes. Research on the role of clergy reveals complex roles, relentless demands, burnout, and the impact of secondary trauma on clergy well-being. Additionally, clergy are often expected to operate beyond their areas of competence and report …