Digital Commons Network^™

Impact Of Nurse Fatigue And Nursing Handoffs On Patient And Nurse Safety, Melody A. Seitz

Nursing Theses and Dissertations

In healthcare today, patient safety continues to be a major concern. Nurse fatigue from long work shifts and inadequate patient handoffs may lead to errors and near errors that harm patients and nurses. The intent of this study was to fill a gap in understanding the effect shift length has on patient safety and maternal newborn nurses’ personal safety. A cross sectional survey design was administered via Qualtrics, a web-based online software program. Participants included two groups of maternal newborn nurses. One group worked 8-hour shifts (N = 70) and the other group worked 12-hour shifts (N = 151). Statistical …

Evaluation Of The Nursing Handoff Process From Emergency Department To In-Patient Unit, Yana Marutyan

Master's Projects and Capstones

Handoff, or transition in care, is known to be a danger point in the patient care process for a long time. Ineffective communication during handoff is one of the most common identified cause of catastrophic or sentinel events in hospitals (The Joint Commission, 2015). Emergency department (ED) to in-patient unit handoff is particularly vulnerable to medical errors due to high workload, time constraints, different approaches to patient care, and lack of established relationships between care providers (Ong & Coiera, 2011; Hilligoss & Cohen, 2012).

The purpose of this project was to examine and review a current process of ED to …

Patient Falls: Reducing Patient Falls With Injury, Frederick Comer

Master's Projects

The occurrence of patient falls is a very important health concern facing the healthcare industry. Many patients not only experience falls, but have falls with an injury. This is a patient safety concern that can have serious effects on patient outcomes, is a leading cause of patient injuries in hospitals, and are costly adverse events (Trepanier & Hilsenbeck, 2014). It is important that healthcare professionals determine ways to prevent what has been deemed a preventable event (Bemis-Dougherty & Delaune, 2008). In 2005 The Joint Commission (TJC) included patient falls with injury as part of their National Patient Safety Goals (Bemis-Dougherty …

Dopamine D1 Receptor Activity In The Basolateral Amygdala Is Important For Mediating Fear, Reward And Safety Discrimination Learning, Ka Ho Ng

Open Access Theses

Post traumatic stress disorder (PTSD) patients frequently show impairment in safety learning (Jovanovic, Kazama, Bachevalier, & Davis, 2012). Since the amygdala is known to be critical for emotional processing(Wassum & Izquierdo, 2015) and dopamine signaling in the amygdala is important for mediating both fear and reward learning, current experiments examined the role of dopamine signaling in the BLA in mediating both safety learning and reward seeking. We manipulated dopamine D1 receptor activity with a D1 receptor agonist (SKF 38393) or D1 receptor antagonist (SCH23390) either systemically or infused directly into the BLA 20 minutes prior to training rats in a …

Improved Methodology For Developing Non-Motorized Safety Perfomance Functions, Keneth Morgan Kwayu

Masters Theses

This study aimed at improving the methodology for developing statewide non-motorized safety performance functions (SPFs). Due to lack of pedestrian and bicyclist counts, the methodology proposed a procedure for developing statewide surrogate non-motorized exposure measures using data that are available at statewide level. Eleven years non-motorized crashes at signalized urban intersections joining Arterial and Collector roads in Michigan were used to test the procedure.

The study also explored the use of Bayesian approach for modeling non-motorized crashes as an alternative to traditional classical count data models. Classical count data models that were considered as potential fit to the data include; …

Use Of A Handoff Communication Tool Between Certified Registered Nurse Anesthetists, Anesthesiologists, And Post Anesthesia Care Unit Nurses, Rachel Louise Johnson

Doctoral Projects

Ineffective communication in the post-anesthesia care unit (PACU) is considered to have incidences of increased error, mortality, morbidity, which leads to decrease patient outcomes and quality of care. Therefore, the purpose of this study was to introduce a structured, standardized, and consistent handoff tool to Certified Registered Nurse Anesthetists (CRNA), Anesthesiologists, and Post Anesthesia Care Unit Nurses (PACU) that may result in favorable perception of usage. Without a structured handoff tool, the organization risks the occurrence of increasing errors when the message is not transmitted effectively and efficiently every time. Distractions leave the handoff susceptible to a breakdown during the …

Life-Cycle Benefit-Cost Analysis Of Safety Related Improvements On Roadways, Jordan Browne Frustaci

Theses and Dissertations

The Highway Safety Manual (HSM) lists four different methods for determining the change in crash frequency in order of reliability. Currently, the Utah Department of Transportation (UDOT) uses the fourth reliable method. The goal of this research was to develop a tool that the most reliable method mentioned in the HSM could be used to perform life-cycle benefit-cost analyses. A spreadsheet program was built that performs the HSM's Part C Predictive Method for 11 different roadway segment types mentioned in HSM using Excel macros and Visual Basic for Applications (VBA) programming. Intersections were not included in this spreadsheet program as …

An Analysis Of Campus Violence Threat Assessment Policy Implementation At Michigan Community Colleges, Russell T. Panico Jr.

Dissertations

This dissertation evaluated campus violence threat assessment policy and procedure implementation at the community college level of higher education. The importance of this topic was to provide a manageable and collaborative initiative for leadership at institutions of higher learning to identify, develop, implement, and evaluate a policy that can effectively prevent acts of campus-related violence. A mixed-methods study approach using a Likert-scale survey with supporting open-ended questions was used to guide the exploration. Bardach’s (2016) Eightfold Path for Policy Analysis was the framework used by Michigan community colleges to apply to their own unique situations. This method determined the prevalence …

The Impact Of Nursing Crew Resource Management Training On The Patient Safety Self-Efficacy Of Nursing Students, Deanne Marie Donaway

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality health care and optimal health outcomes begin by assuring patient safety. This is a shared responsibility of all health care providers. However, nurses have a fundamental obligation to assure patient safety, given their constant presence with patients requiring care. Patients who are cared for by nurses with insufficient or outdated patient safety education and knowledge can and often experience costly and catastrophic outcomes (Institute of Medicine (IOM), 2011). Medical errors now rank as the third leading cause of death in the United States and cost over 17.1 billion dollars/year (Makary & Daniel, 2016; Andel, Davidow, Hollander & Moreno, 2012). …

Anesthesia Providers' Knowledge And Attitudes On Fire Risk Assessment During Time-Out In The Operating Room, Kathryn D. Coletto

College of Science and Health Theses and Dissertations

Background/Significance: Operating room fire is included in a category of “never-events” which are preventable and often result in poor patient outcomes. However, there is currently no standard policy amongst industry organizations regarding the inclusion of fire risk in the operative time out, though all organizations recognize that the risk exists.

Purpose: The purpose of this descriptive study was to examine the knowledge and attitudes of anesthesia providers on fire risk assessment during time-out in current clinical practice.

Design: A descriptive, cross-sectional design was used.

Methods: Active members of the Illinois Association of Nurse Anesthetists were asked to participate in an …

Housing Choices Among Homeless Families In Child Welfare: A Mixed Methods Study, Anne Rufa

College of Science and Health Theses and Dissertations

A growing body of research has identified a link between housing instability and involvement with child welfare services for families. For some, inadequate housing situations lead to parent-child separations or delayed reunification. Housing assistance may be one option for these families to avoid these outcomes; however, little research examines existing housing services for inadequately housed families in contact with the child welfare system. Public housing assistance represents the primary source to connect low-income families with affordable housing; however, a number of barriers challenge navigation of this system, including long waitlists, stigmatization of voucher use, and stringent eligibility requirements for all …

Gender Nonconformity In Youth And Safety: Utilizing Photo-Elicitation And Thematic Analysis, Jennifer Smith

Counseling and Psychological Services Dissertations

Social stigma against gender diverse people continues to exist (Rieger & Savin-Williams, 2012), and this extends to gender nonconforming youth (D’Augelli, Grossman, & Starks, 2006). Expression and exploration of fluid gender identity and gender roles are part of typical human development (Institute of Medicine, 2011). Childhood gender nonconformity is defined as variation from norms in gender role behavior (Adelson & The American Academy of Child and Adolescent Psychiatry, 2012). Recommendations for research with gender nonconforming youth include gaining a clearer understanding of safe relationships, which currently lacks in the counseling literature (Institute of Medicine, 2011). Safety occurs when an individual …

Effectiveness Of The Arkansas 4-H Atv Safety Training Course, Jesse Bocksnick

Graduate Theses and Dissertations

In response to popularity of ATVs in Arkansas and youth ATV accident rates, the Arkansas 4-H program established an ATV safety training program in 2008. The program has educated 1,500 youth in Arkansas about basic concepts of safe ATV operation in response to youth accident rates. The course covered proper equipment, laws, proper riding, and handling techniques. The program has not been evaluated. The study was to evaluate participants’ knowledge levels prior to participation in the program and after receiving instruction and hands-on ATV operation training, and to determine if Standard Course and S-Course participants’ knowledge scores were different. The …

What They Say: Student Voices In Nursing Simulation, Andrea Mcmahan Damewood

Doctoral Dissertations

Simulation, the use of artificial systems to represent real systems, is a growing practice in the education and training of adults. In the health care field, simulation environments allow for mistakes and provide an environment where medical professionals can practice skills and procedures without harm to actual patients. In recent years, nursing schools around the world have created simulation environments and built simulation events into their curricula. As the use of simulation has increased, the research on simulation effectiveness, best practices and outcomes has grown.

The problem this study addresses is the lack of research describing the safety of the …

Increasing Caregiver Supervision Of Young Children: Teaching Scanning, Predicting Behavior, And Modifying For Safety, Natalie Truba

Dissertations

Unintentional injuries account for a significant number of child deaths and visits to the emergency department. Although increased supervision is routinely shown to be an effective method of preventing unintentional childhood injuries, few interventions systemically teach caregivers behavioral skills to supervise their children appropriately. The present study utilized a multiple baseline design to pilot test an intervention designed to increase caregiver supervision and decrease unintentional childhood injuries by training caregivers how to provide appropriate levels of supervision for their young children (ages 6 to 36 months). Specifically, caregivers were taught in the present study include: (1) scanning the environment (for …

A Taxonomy Of Effective Leader Behaviors In The Construction Industry, Enrique Leonardo Cabrera-Caban

Psychology Theses & Dissertations

The construction industry is a major part of the United States economy, but it is also one of the most dangerous and high-risk industries. The industry is currently facing a shortage of effective leadership, and leaders face unique challenges in coordinating multiple teams of subcontractors on projects. The first step in remedying this shortage is to identify the behaviors of an effective construction leader. To address this need, a taxonomy of effective leader behaviors in construction was developed using grounded theory methodology and rated by construction industry subject matter experts. Archival focus group data from 10 focus groups in three …

Situating Migrants In Contemporary Japan: From Public Spaces To Personal Experiences, Milena Urszula Janiec Grygo

USF Tampa Graduate Theses and Dissertations

Within the broader literature on migration, Japan is often portrayed as straddling two categories, one of a homogenous country and another of a multicultural society. The arguments on both sides are supported through the historical evidence, analysis of media resources, as well as narratives of Japanese residents. This inquiry seeks to highlight voices of migrants within these debates. This dissertation focuses on the urban – rural residential experiences of international migrants in Kanto and Tohoku regions. This inquiry treats international migration processes in terms of moving between the contexts of different countries as well as between urban – rural locations. …

Investigating Pedestrian Crash Risk In Albuquerque, New Mexico, Rahul Reddy Gade

Civil Engineering ETDs

Walking, being an important and basic form of transportation is crucial in everyday day life. Seen as an alternative to traditional modes of transport, walking is seen as an effective way to reduce dependence on fossil fuels and personal transport. Its health benefits and positive changes to the community are seen as incentives to promote walking as an effective mode of transport. As such, pedestrian safety is of utmost importance given the increase in pedestrian numbers and correspondingly, pedestrian crashes. The thesis studies pedestrian crash data and computes pedestrian crash rates for different intersections in Albuquerque, New Mexico. Crash rates …

Oluso, Diego Fernandez, Tyler Heucke, Nishant Mattu, Michael Roesch

Computer Engineering

Oluso is a new startup offering affordable, inexpensive technology to empower the individual. Our product is designed to keep the user in contact with someone close to them in emergency situations. Over the course of the past several months we have performed interviews with both individuals who may be interested in this product as well as organizations who may be interested in purchasing this product for their members. Our product is nearing completion and all of the companies we have interviewed have displayed a significant amount of interest in our product. The combination of easy communication and peace of mind …

Pervious Pavement Systems For High Traffic Roadways, Kevin M. Smith

Construction Management

This report highlights the benefits and detriments of pervious pavement systems through research of existing knowledge and multifaceted experiments to determine the feasibility of implementing a pervious pavement system on high traffic roadways. With over 40,000 miles of highway in the United States alone and severe water crises in states like California and growing environmental and safety concerns, the need for pervious pavements is abundantly clear. The research conducted utilizes existing knowledge on pervious pavements and applies it to the application of high traffic roadways. The experiment tests four different pervious concrete mix designs to determine compressive strength and water …

From Culture Shock To Cultural Adaptation: A Workbook For International Students, Gregory R. Sugajski

Master's Projects and Capstones

San Francisco’s complex communal tapestry can lead to cultural disorientation, dislocation, and unfamiliarity for recently arrived F-1 and M-1 international students, a series of events that when related to problematic adaptation issues and negative adjustment implementations is known as culture shock. Easing the adaptation process for this population is considered to be of academic importance from a progressive, economic, sociocultural, and intercultural perspective. Thus, the organizing purpose and principle of the project is to enable cultural adaptation for students who reside in San Francisco by instilling in them proximal, behavioral, and situational safety awareness. The project takes the form of …

Promoting Patient Safety By Implementing Bedside Shift Report, Maroof A. Olanigan

Master's Projects and Capstones

ABSTRACT

Patient safety is a very broad and general term used to ensure that all aspects of patient care, from medical and nursing services to social and spiritual, are provided with the best interest of the patient. The aim statement for the project is improving patient safety by ensuring the implementation of bedside shift report by 80% of nurses by August 2016. Kurt Lewin’s change theory is going to be used to effect the change.

There were in-services given to nurses on the floor and the project was also discussed in staff meetings. Flyers were posted around the units to …

Educating Nurses On The Use Of The Bedside Mobility Assessment Tool (Bmat) To Create A Culture Of Safety, Kaylin C. Laine

Master's Projects and Capstones

Healthcare workers are more at risk for injury than workers in any other industry, the injury rate in hospitals is almost double that of the entire private sector put together (OSHA, 2013). This high rate of injury has led hospital administrators and policymakers to take a closer look at the job duties and conditions of nurses and other healthcare workers. Almost half of all healthcare worker injuries are the result of overexertion or bodily reaction, injuries that occur as a result of performing patient handling tasks. Many US states have passed laws requiring hospitals to implement Safe Patient Handling and …

A Coach's Guide For Injury Prevention In Youth Football, William Edward Allen Iii

Senior Theses

Youth football is a declining sport this day in age, and this decline can be associated with the negative connotations on football portrayed by the media. Parents need a sense of security when it comes to the health of their children, and this can be achieved by creating a safer environment; one in which young athletes correctly learn safe techniques improving the quality of the game, leading to a decrease in injuries. By creating a website that details instructions and provides protocols to educate coaches on proper preventative injury practices, football can take a step forward in injury prevention, resulting …

Interventions That Address Safety Concerns Among Youth Experiencing, Katrina Mateski

Master of Social Work Clinical Research Papers

In this systematic review, literature regarding youth experiencing homelessness and the clinical interventions focused on safety towards youth experiencing homelessness were synthesized. Using two databases SocINDEX, and PsychINFO; 10 studies regarding clinical interventions met criteria for the review. Each study was analyzed in population, intervention, and findings; while contrasting and comparing the definition of safety and the safety concerns between the clinical interventions. The findings identified focus areas of safety which include chemical health reduction, promoting harm reduction, psychological health, resilience, and service utilization. The primary safety focus areas were reduced to chemical health reduction, promoting harm reduction, and psychological …

Standardizing Functional Safety Assessments For Off-The-Shelf Instrumentation And Controls, Andrew Michael Nack

Masters Theses

It is typical for digital instrumentation and controls, used to manage significant risk, to undergo substantial amounts of scrutiny. The equipment must be proven to have the necessary level of design integrity. The details of the scrutiny vary based on the particular industry, but the ultimate goal is to provide sufficient evidence that the equipment will operate successfully when performing their required functions.

To be able to stand up to the scrutiny and more importantly, successfully perform the required safety functions, the equipment must be designed to defend against random hardware failures and also to prevent systematic faults. These design …

Teacher Perception Of School Safety Between Mississippi Secondary Schools With School Resource Officers And School Safety Officers, David Audet Dit Lapointe

Dissertations

The purpose of the study was to determine if there was a significant difference in the perception of school safety by teachers between secondary schools that employ School Resource Officers (SROs), who are armed, and School Safety Officers (SSOs), who are unarmed or a combination of SROs and SSOs. The School Resource Officers and School Climate Teacher Survey, created by Dr. Amy Oaks (2001) was utilized to gather data. The 193 participants of the study included certified teachers at secondary schools in the Jackson Public School District, the Jackson County Public School District, and the Ocean Springs School District.

A …

Case Study: Benefits For General Contractors Increasing Employee Knowledge Of Jobsite Safety, Joshua Salinas

Construction Management

This case study examines the jobsite safety practices of multiple construction companies that have had Cal Poly student for employees. A student survey shows the different ways companies effectively or ineffectively taught their employees about jobsite safety. Since jobsite safety is the most important aspect of construction, companies should know the best ways to reach out to their employees and teach them proper safety on the jobsite. This case study consists of asking Cal Poly students questions about what they believed is the appropriate way to teach jobsite safety. According to the survey results, Cal Poly students believed that learning …

A Comprehensive Safety Analysis Of Diverging Diamond Interchanges, Holly Lloyd

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

With the implementation of new roadway configurations, there is a great need to study the influence of the roadway design on the crash rate. Utah is one of the leading states in the implementation of the Diverging Diamond Interchange.

In order to determine the effects of the new roadway configuration on the safety of the intersection, this study employs an Empirical Bayes before-after study of the crash rates at selected Diverging Diamond Interchanges in Utah. The results of the Empirical Bayes method were also used to calculate crash modification factors. The total number of crashes at each site were analyzed. …

Mitigating Intimate Partner Violence To Promote Safe Linkage To Care For South African Women Who Test Hiv+ During Mobile Counseling And Testing., Leslie Lauren Brown

Electronic Theses and Dissertations

Sources warn the global HIV/AIDS epidemic will not be halted without significant reductions in Intimate partner violence (IPV). South African women have been hardest hit by the HIV-IPV link, suffering deleterious health outcomes as sequelae of significant barriers to HIV care. Extant literature focuses on HIV prevention, and there is a paucity of effective methods for mitigating IPV-related barriers among women living with HIV. This study was a Phase II trial testing the effectiveness and safety of the HIV IPV Risk and Safety (HIRS) protocol administered to women experiencing IPV and testing HIV+ during mobile HIV Counseling and Testing (HCT). …