Enhancing Newer Nicu Nurse Confidence With Resuscitation Through High-Fidelity, In-Situ Crisis Resource Management, Karen Rose

Doctor of Nursing Practice Final Manuscripts

Neonatal resuscitation is a low-volume, high-risk occurrence. Given the infrequency of resuscitation, newer neonatal intensive care unit (NICU) nurses may have little to no exposure to neonatal resuscitation events. This can lead to a lack of confidence in resuscitation skills, contributing to burnout, poor patient outcomes, and the potential for nursing turnover. This evidence-based practice project, guided by the Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care, focused on enhancing the perceived confidence in neonatal resuscitation skills among newer NICU nurses. To achieve this, multidisciplinary, high-fidelity, in-situ neonatal resuscitation crisis resource management (CRM) simulated events were implemented. …

Care Of The Critically Ill Nontrauma Patient: Improving Emergency Department Readiness And Patient Care Through The Implementation Of A Dedicated Resuscitation Bay, Martha H. Buck Rn, Bsn, Tcrn

Doctor of Nursing Practice Final Manuscripts

Current best practice among emergency departments worldwide includes the maintenance of a dedicated resuscitation space. This practice allows for team members and equipment to be ready at a moment’s notice to provide care to a patient in need of lifesaving interventions. This evidence-based performance improvement project seeks to implement this standard of care in a busy, urban emergency department in Southern California.

Prior to this study, patients at this facility were placed in the next available care space, without the maintenance of a dedicated resuscitation area for critically ill patients. Survey data evaluating staff levels of perceived readiness to care …

Impact Of Mindfulness Education And Resources On Stress In Parents Of Children With Autism Spectrum Disorder, Jacqueline James

Doctor of Nursing Practice Final Manuscripts

The purpose of this project was to reduce stress levels of parents of children with autism spectrum disorder (ASD) by teaching them mindfulness practices and education on free and accessible methods to integrate mindfulness into their daily lives, as well as the benefits of mindfulness in reducing stress and improving psychological well-being.

Parents of children with ASD experience high levels of stress and numerous research studies support the use of mindfulness techniques to reduce stress levels in adults. The participants in this project included mothers who have at least one child with ASD who attend the Thompson Autism and Neurodevelopmental …

Honoring Veterans’ Wishes: Efficacy Of An Evidence-Based Shared Decision-Making Tool In Va Icu Goals-Of-Care Discussions, Stephanie Alexander, Anna Astashchanka Md, Venktesh Ramnath Md

Doctor of Nursing Practice Final Manuscripts

Abstract

Introduction: This Doctor of Nursing Practice project aimed to enhance the knowledge and confidence of the San Diego Veterans Health Administration’s (VASD) Intensive Care Unit (ICU) medical providers in goals-of-care discussions (GOCD). Additionally, this project aimed to improve the documentation of these discussions.

Background: Delays in GOCD can lead to futile medical and surgical interventions, inappropriate antibiotic use, and higher rates of mental health conditions in patients and their loved ones. Earlier GOCD are associated with lower ventilation and resuscitation rates, earlier hospice enrollment, reduced ICU admissions, lower financial costs, and better patient and caregiver quality of life. However, …

A Multimodal Approach: Implementing Omm For Spinal Surgery Patients' Pain And Anxiety, Summer Barnes

Doctor of Nursing Practice Final Manuscripts

Introduction: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to encourage thorough assessment of pain and anxiety prior to spinal surgery in order to identify the need for implementation of additional modalities, such as osteopathic interventions for pain and anxiety management. It is pertinent that as holistic providers we address this populations often missed psychological distress and ineffective pharmacological pain regimens to promote better patient outcomes.

Background: Research says there are approximately 1.62 million instrumented spinal procedures performed annually in the United States. Spinal surgery is not uncommon, and neither is the chronic pain and …

Keep Our Children Smiling: Fluoride Varnish Education In The Pediatric Primary Care Setting, Isabella Mortola

Doctor of Nursing Practice Final Manuscripts

Background: Dental caries is the most common chronic childhood disease. In early childhood, it is associated with many negative factors such as pain, loss of teeth, and impaired growth. Fluoride varnish (FV) is a protective resin coating treatment that is reimbursable by most insurances and is recommended by the American Academy of Pediatrics (AAP), United States Preventative Services Task Force (USPSTF), and the American Dental Association (ADA) due to its high efficacy in preventing dental caries. FV is a low-cost treatment that can be easily applied in 1-2 minutes during a well-child visit in the primary care setting, where children …

Human Trafficking And Resources Provision In The Ed, Kathryn Patrick

Doctor of Nursing Practice Projects

Human trafficking is both a human rights violation and a national health crisis. Despite nearly 165,000 identified cases in the United States since 2007, studies hypothesize that many more victims remain undetected despite up to 88% of trafficked persons interacting with the healthcare system during the time they are being trafficked. The lack of identification of these victims has often been attributed to healthcare providers' lack of knowledge regarding human trafficking indicators and lack of confidence in how to address trafficking situations when they are encountered. Emergency department care providers of a 500-bed central Illinois hospital received education and resource …

Strengthening And Supporting The Community Of First-Generation Students Of Color, Manuel Pech

M.A. in Higher Education Leadership: Action Research Projects

First-generation students of color overcome many barriers when attending college by finding institutional resources to succeed academically, socially, and emotionally. However, students often feel these resources are scarce at Predominantly White Institutions (PWI). Thus, I created a coaching program focused on community building, academic strategies, and mentorship to connect students to campus resources, improve well-being, and lead to high academic achievement. Peer-to-peer coaches for first-generation students of color often find it challenging to coach students from different backgrounds and ethnicities. This is due to the power or cultural dynamics, gender differences, and fears of the unknown they might encounter when …

The Stability Of Epigenetic Variants That Can Act As Loci Causing Phenotypic Change, Raul Faburrieta

Biology Theses

Epigenetic variations are a possible source of heritable phenotypic variation. In this study I focus on phenotypic alterations seen in epigenetic Recombinant Inbred Lines (epiRILs) of Arabidopsis thaliana. These epiRILs allow me to study the effects differentially methylated regions (DMRs) have on phenotypic variance. In a study performed in 2014 by Cortijo et al., they found that DMR’s affect flowering time and root length when grown under greenhouse conditions. In this study, I replicated the Cortijo et al. (2014) study, with some changes, to see whether the same significant eQTL regions are found. I found that, some of the eQTLs …

Spatiotemporal Alignment Of Event Stream With Images And Active Illumination, Abhijan Wasti

Theses

Unlike conventional frame-based cameras that form images by sampling all pixels within the duration of the global/rolling shutter, a pixel in an event camera can be triggered independently when the log intensity change in scene luminance at the pixel exceeds a threshold. This unique feature provides several advantages over conventional sensors, including high dynamic range (HDR) (≈120dB), high temporal rate (≈10,000Hz), low latency (< 1ms), and low power requirements (≈10mW). These properties make them excellent candidates for applications such as high-speed photography, HDR image reconstruction, object tracking, depth estimation, simultaneous localization and mapping, and surveillance and monitoring. Despite their potential, the asynchronous and spatially sparse nature of events poses challenges to event processing and interpretation. This is because most advanced image processing and computer vision algorithms are designed to work with conventional image formats, and not with temporally dense streams of asynchronous pixel events (i.e., the event stream). Although emerging techniques in supervised machine learning demonstrate promise, continued and rapid progress relies on the availability of labeled event datasets, which are scarce, and difficult to produce. Moreover, generating reliable events for training models is challenging due to the scene-dependent nature of event generation, which is further complicated by varying illumination and relative motion. In this thesis, we attempt to address these limitations with a novel imaging paradigm involving the capture of frames from a conventional frame-based camera that has been spa tially aligned and temporally synchronized with an event sensor. Our active illumination source allows us to generate events more consistently even under challenging illumination and motion in the scene. We demonstrate the feasibility of such a setup for a mobile eye tracking system and acquire subpixel and microsecond accurate spatiotemporal alignment. Our method facilitates the use of pre-trained models that operate on conventional images to detect features that can then be used to train models that can be applied directly to the event stream. This serves as the next step in event-based imaging and unlocks new possibilities in computer vision and imaging technology.

The Efficacy And Challenges Of Lobbying Regulation In Canada: A Comprehensive Analysis, Zahra Khan

Major Papers

Lobbying, often viewed skeptically and associated with corruption, plays a pivotal yet contentious role in modern governance. This paper examines the efficacy of Canadian federal lobbying legislation amid public disillusionment with governmental processes. While only 32% of Canadians express confidence in the Federal Parliament, concerns about lobbying's influence persist. Despite regulatory efforts, lobbying in Canada remains complex, with historical and political contexts shaping its regulation. This study undertakes a comprehensive investigation into Canadian federal lobbying legislation, exploring its ability to regulate lobbying activities effectively. It scrutinizes the regulatory framework, enforcement mechanisms, and identifies systemic barriers that impact trust, access, and …

Scaling The Wall: Math Attitudes And Mindsets Of Middle School High-Achievers, Stephanie R. Gullage

LSU Doctoral Dissertations

This intrinsic case study examined groups of gifted and high achieving middle school mathematics students in one school’s advanced and honors program. The purpose of this study was to determine how the students view themselves in light of noncognitive constructs, how they regard and apply those constructs in their mathematics studies, how the work of those constructs can affect their attitudes toward mathematics, and how they believe educators can help foster success in math via noncognitive factors. The researcher employed a questionnaire, observations, focus group interviews, and interviews with key informants to gather study data. With the theoretical lenses of …

Analyzing The Cognitive Complexity Of The Questions On The Advanced Placement Computer Science Principles Exam, Lauren Zirpoli

Seton Hall University Dissertations and Theses (ETDs)

This convergent parallel mixed methods study with qualitative and quantitative content analysis was conducted to analyze and describe the cognitive complexity of the publicly released Advanced Placement Computer Science Principles Exam questions compared to the language of higher-order thinking found in research literature. Hess’ Cognitive Rigor Matrix was used to determine the frequency and percentage of questions categorized as higher-order thinking within each cell of the matrix. The qualitative method consisted of content analysis of the language of each question analyzed, followed by deductive coding, and culminated with categorizing the depth and type of thinking required on Hess’ Cognitive Rigor …

Moving Forward With Ketamine Therapy: Ensuring Safety, Efficacy, And Accessibility In Depression Treatment, Julienne Desanto

Undergraduate Honors Theses

Ketamine, a medication long used in anesthesia, has emerged as a promising treatment for depression and other mental health disorders. Its rapid onset of action and mechanism, which differs from traditional antidepressants by targeting NMDA receptors, offers a novel approach to managing depressive symptoms. Despite its potential, ketamine's use outside anesthesia, particularly in off-label ketamine clinics, is fraught with regulatory, safety, and accessibility challenges. This paper explores the historical medical use of ketamine and its emerging role in mental health treatment. It compares the efficacies and administration routes of different forms of ketamine, including intravenous (IV) and intranasal (nasal spray) …

Biblical Literacy And The Creative Mind, Michael Farrell

Undergraduate Honors Theses

Biblical Literacy and the Creative Mind will explore interpretation tracing the history of English literature back to biblical aspirations and its continued profound influence on Western human perspectives. It will examine the decline in adults reading literary texts and the diminishing number of English majors among prospective students. I am arguing for poetic interpretations over hermeneutic ones, which analyze what is structurally in a sentence to make a reader feel a certain way. I will use the theory of intertextuality, meaning a text comprises the consumption of past texts, to aid my argument. This theory underscores the importance of celebrated …

Initiating Access To Palliative Care Earlier In Pediatric Oncology Patients, Anita Sharma

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Pediatric oncology patients should be referred to palliative care early but despite research indicating the clear benefits, there is still a delay in referring patients. One of the reasons include lack of understanding amongst providers on what palliative care is. Palliative care provides symptom management, emotional support and helps the patient and family with difficult decision making.

Objectives: This project aimed to increase the number of early referrals to palliative care. The Pediatric Palliative Care Screening Tool (PaPas) was utilized to help identify the triggers which should prompt the referral.

Methods: A chart review of patients diagnosed with …

Indigenous Land Back In Malaysia: Capturing Orang Asal Resistance Through #Kembalikantanahadat, Tarchithaa Chandra Sekharan

Senior Theses

The rise of a pan-indigenous network has been empowered by digital media in the 21st century. Universal concepts such as “landback” have traveled beyond the boundaries of language and borders. For indigenous peoples in Malaysia, the Orang Asal, online resistance is a reclamation of space long suppressed historically and physically. With actions like spreading local news on land rights court cases and development projects, indigenous reclamation from within the Orang Asal as well as indigenous allyship from citizens and diasporic Malaysians alike is possible. #KembalikanTanahAdat in Malay, #ReturnCustomaryLand is one of the many hashtags for a move towards increasing awareness …

Domestic Exotic: Dispossession And Desire In South Florida 20th C Tourism, Emily Nelms

Masters of Environmental Design Theses

Domestic Exotic, considers the conditions that led to the rise of cultural tourism in Florida and examines Yale University’s involvement in this economic phenomenon. Cultural tourism is defined as site-seeing attractions where performers interact with visitors under fabricated conditions. At these sites, ‘the spectacle of the other’ was demarcated onto specific bodies, creating a collective imaginary that helped to shape the infrastructure and public thought of Florida as a travel destination for Euro-American audiences. This document supports an exhibition at the Yale Peabody Museum titled, The Resonance of Things Unseen: Indigenous Sovereignty, Institutional Accession, and Private Correspondence (March 26 - …

Unsettling Climate: The Consequences Of Domestic Buildings Technologies Across The Spanish Empire, Alberto Martinez Garcia

Masters of Environmental Design Theses

Upon their arrival in the Americas in the sixteenth century, Spanish colonizers encountered a tropical climate previously unknown to Europeans. In the four hundred years of their empire, the colonizers set themselves on a collision course of maladaptation, violence towards Indigenous people, and erasure of their knowledge. Unsettling Climate investigates the domestic constructions of Spanish colonization in the tropics during the colonization of the Americas and the Philippines. Using case studies from patio houses in Cartagena in Colombia and bahay na bato (houses of stone) in the Philippines, this project analyzes the relationship between the natural environment, domestic space, and …

Authorizing Violence: Spatial Techniques Of Citizenship Politics In Northeast India, Samarth Vachhrajani

Masters of Environmental Design Theses

Authorizing Violence: Spatial Techniques of Citizenship Politics in Northeast India studies the spatial and legal instruments through which Hindu Nationalism and its political front, the Bhartiya Janata Party (BJP), operates in Northeast India. I document the means through which authoritarian power has been introduced into a democratic structure of governance. Emphasizing the role of architecture and spatial knowledge, I attend to how the violence of disenfranchisement and dispossession is legitimized under the force of law.

For this, Chapter 1, entitled 'Legislating Containment,' turns to the legal instrument of citizenship and studies the Goalpara detention center and multi-purpose criminal …

Wild Food Harvesting And Biodiversity In The Black Hills: Key Issues And Areas For Future Research, Margaret J. Torness

Food Systems Master's Project Reports

As we grapple with the complex and interrelated issues of widespread species extinction and global climate change, both largely driven by industrial agriculture, there is a need to investigate the relationship between food systems and conservation approaches to find solutions. Wild foods lie at the intersection of ecological and socio-cultural systems, bridge the wild and the domestic, and challenge the false dichotomy between production agriculture and conservation. Given the importance of biodiversity to the resilience of our food systems, both wild and domestic, this research serves as a scoping study to investigate key issues and areas in need of future …

Leadership And Teacher Agency For Inclusive Classrooms: Insights About Integrating Students With Disabilities Into Inclusive Classrooms From Teachers And School Leaders In Three International Schools, Chad Wood

Dissertations

As international schools continue to flourish, they must consider how to be inclusive and meet the needs not only of multicultural populations of students, but also the needs of students with diagnosed learning difficulties (i.e., students with special needs). Promoting teacher agency is a potentially important component in successfully implementing inclusive practices given that teachers are key actors in the implementation process. Currently, however, there is limited empirical evidence regarding the interconnectedness of teacher agency and inclusion of special needs populations in international schools.

This qualitative research explores the role of school leaders in promoting teacher agency to support the …

Who We Are Is How We Lead: Storytelling As An Intervention In A Manager Development Program, Brittany Grieb

Dissertations

Leadership development programs (LDPs) have long been recognized as a means for organizations to develop their leaders, yet studies on their efficacy or use of creative interventions are limited. Despite the plethora of leadership studies that exist today, research is still seeking to answer the question: what is the best way to develop leaders? This qualitative study sought to investigate how storytelling can be used as an intervention for leadership development in a manager development program (MDP), an LDP for entry-level to midlevel managers at a biotechnology corporation. Using storytelling as an Indigenous model for knowledge cocreation as a framework, …

Mapping Asian And Asian-American Community Formations In Hartford Through Culturally-Related Businesses, Hannah Lorenzo

Senior Theses and Projects

Hartford has been recognized as a global city through its diverse ethnic population and cultural formations consisting of Native American, Black, Latinx, Puerto Rican, and Afro-Caribbean communities. Yet, scholars have not yet fully explored Asian and Asian-American community formations in Hartford and how these communities have contributed to Hartford’s global interconnectedness. Through my senior thesis research, I aim to address this gap by highlighting the importance of Asian community formations through Asian-owned business and food practices in the Hartford region.

In this context, my research asks: How are Asian diasporic and Asian-American community formations visible in Hartford through culturally-related businesses …

The Cultural Dimension Of Structural School Reforms: The Case Of Schedule Changes, Maylen Sullivan

Dissertations

The four-by-four (4x4) schedule—a type of high school block schedule—presents promising prospects for improving teaching and learning. Using a qualitative, single case study methodology, I investigated a school transitioning from a traditional six-period schedule to a 4x4 schedule during its 2nd and 3rd year of implementation. The study aimed to understand the factors that influenced the transition, the stakeholders’ responses to the decision, and the factors that influenced their responses. Some of the main considerations that motivated the decision included the desire to provide more opportunities within the school day for students to meet A/G college eligibility requirements, allow students …

Understanding Ethical Leadership In Intelligence: Themes In Accountability, Self-Development, And Communication Among Cia Leaders, Caroline Walsh

Dissertations

This dissertation elucidates the concept of ethical leadership within the Central Intelligence Agency (CIA). Based on interviews with ten former senior-level officers from across different departments, the study analyzes how these leaders understand issues of accountability, self-development, and communication. The research also provides insights into their processes of sense-making and their methodologies for fostering ethical conduct amidst the complexities of intelligence operations.

Against the backdrop of the CIA's mission, structure, and norms, the study sheds light on the challenges and tensions inherent in the organization's operations. Through a thematic analysis of participant narratives, themes of moral cognition, personal values, and …

Black School Leader Truth: How Black School Leader Epistemology Influences Liberatory Mindset Development In Their Staff, Orpheus Williams

Dissertations

Black students in the United States have consistently been denied access to empowering, culturally affirming, and responsive learning experiences in the traditional public system. The epistemological and pedagogical beliefs embedded in a liberatory mindset can subvert this pattern of disempowerment (Shujaa, 1998). Black school leaders (BSLs) who understand the systemic and institutional pressures Black children may face and have to overcome, having undergone similarly racialized experiences in school, are uniquely placed to create liberatory spaces for Black students by recruiting and developing these liberatory mindsets in their staff. This instrumental case study used qualitative research methods of front-porch pedagogy (McTighe …

Vital Voices From The Digital Divide: Testimonies Of African American Women Leadership Across Tech, Vinsche' Gray

Dissertations

Many organizations seek to highlight diversity, equity, and inclusion efforts, but African American women are still significantly underrepresented in leadership roles within the workplace (McKinsey, 2023). Within the technology (i.e., tech) space, there is concern regarding the inclusivity of African American women in leadership positions. A hostile and unsupportive environment raises concern for the future of African American women being able to attain key leadership roles. (McGee, 2018).

This study explored multifaceted experiences of eight African American women leaders in for-profit tech organizations. Black feminist thought and organizational culture and belonging were conceptual frameworks that shed light on the persistent …

Convergence And Divergence: Comparative Analysis Of Procedural Rule Changes Of The Hong Kong And Singapore International Arbitration Centers Within The Framework Of Neo-Institutional Theory, Phillip Hoang Tran

Dissertations

International commercial arbitration (ICA) plays an essential role in resolving disputes between companies engaged in complex, cross-border business transactions. It offers an efficient, neutral, and enforceable mechanism for resolving disputes across different legal and cultural backgrounds. ICA is generally conducted at international arbitration centers located throughout the world. According to the extant literature, there is convergence of procedural rules among these centers. Sabharwal and Zaman (2014), for example, claim increasing convergence of procedural rules among all the major arbitration centers. Similarly, Sharma (2021) proposes that this convergence helps build the international arbitration system. However, there is a near absence of …

Borderland Voices: Exploring The Educational Journey Of Transfronterizx Students, Families, And Educators For Enhanced Engagement And Empowerment, Sobeida Velazquez

Dissertations

Transfronterizx students and their families cross the U.S.–Mexico border for academic, economic, social, cultural, and linguistic reasons. Socioeconomic disparities, deportation, and work have propelled some families to live in Mexico and enroll their U.S.-born children in U.S. schools to provide more socioeconomic opportunities in the United States. Educators of transfronterizx students are uniquely tasked to work with these nontraditional students. Moreover, transfronterizx students and their families have distinct needs in U.S. schools; as such, there is a need for further research on the transfronterizx experience in the U.S. K–12 system. This qualitative narrative inquiry study aimed to understand the experiences …