Digital Commons Network^™

Transitions Of Care: Implementing Early Follow-Up Appointment To Help Decrease Readmission Rate, Lualhati Espina Dursun

Master's Projects and Capstones

Abstract

Problem – The rate of readmission in the country is at a severe level. According to CMS, in 2017 the average national readmission rate was 18.4%(CMS, 2018). Hospitals are penalized for unnecessary readmissions (HRRP, 2018). In addition to the financial burden of readmissions, quality of life is decreased with readmission.

Context – Early or timely outpatient follow-up after hospitalization has been projected as a means of decreasing readmission rates.

Interventions – Integrating follow-up appointment to the current care transition - HUB process as a means in reducing readmission rates.

Measures & Results – Identified high-risk patients that need timely …

Watch & Learn - A Teacher's Guidebook For Film-Based Esl Course, Xiaoxue Zhu

Master's Projects and Capstones

Educators in the 21st century are continuously discovering more engaging teaching tools to facilitate language learners. In today's increasingly developing visual world, film stands out from other traditional materials for its unique features, such as the visuality and authenticity. With appropriately designed activities, film could be a valuable resource in teaching English as a second language (TESOL) setting, and also a perfect tool for inspiring cross-cultural communication and promoting critical thinking skills.

However, research has shown that ESL teachers feel reluctant to use film as a significant component in their classrooms even though they have recognized and affirmed the benefit …

Healing Wounds Through Nutrition, Deanna Garza

Master's Projects and Capstones

Abstract

The role of nutrition in wound care is often overlooked. The main reasons why wounds fail to heal are malnutrition, infection, impaired organ function due to co-existing diseases such as diabetes, hypertension, renal disease, and peripheral vascular disease to name a few. These factors have contributed to poor patient outcomes and patient satisfaction, as well as an increase in hospital length of stay. To promote wound healing, fuel from macro and micronutrients are necessary to deliver oxygen and energy for cell regeneration. However, nurses must possess knowledge and understanding of these requirements and the effects of nutrition on wound …

Making Space For Makerspace: How Adding A Makerspace Can Benefit Art Museum Education Programming, Kaeleigh Thorp

Master's Projects and Capstones

In this capstone project, I advocate for adding makerspaces to art museum education programming. I review the foundational educational concepts of a makerspace which help explain why it is a modern strategy to increasing visitor learning. This includes John Dewey’s theories of experience and education, Howard Gardner’s multiple intelligences theory, George Hein’s studies of museum visitor behavior, and the physiological science of learning. I then propose four key terms essential for visitor learning, and explain how makerspaces successfully incorporate them. The four key terms are: 1. multiple intelligences, 2. direct experience, 3. inquiry based and open ended learning, and 4. …

Expanding The Definition Of Provenance: Adapting To Changes Since The Publication Of The First Aam Guide To Provenance Research, Katlin Cunningham

Master's Projects and Capstones

In 2001 the American Alliance of Museums (AAM) published The AAM Guide to Provenance Research. However, in the past seventeen years there have been several new developments in the provenanceresearchfield, and an updated guide has yet to be released. I propose that several changes be made to create an updated version. For this project, I tested this guide in two ways: first, to see how our understanding of provenance has changed since 2001 and second, to use a case study to assess whether the recommended basic research guide and principles still apply to today.

In the first …

Post-Traumatic Stress Disorder Screening Project For Adult Males From The Middle East And Afghanistan, Ricky Norwood

Master's Projects and Capstones

Current research indicates a significant rise in PTSD signs and symptoms of adult males arriving from the Middle East and Afghanistan. In an effort to increase the awareness of Post-Traumatic Stress Disorder (PTSD) in clinical personnel and adult males from the Middle East and Afghanistan, the Sacramento Refugee Health Clinic implemented a PTSD Screening Project. This project was designed to ensure the maximum number of the adult males from the Middle East and Afghanistan would be appropriately screened for PTSD and provided additional opportunities to meet the mental and acute primary care needs of these patients in an adequate and …

Under Pressure: Tailored Cpr With Stress Management For Formerly Incarcerated Individuals, Amanda Lee

Master's Projects and Capstones

Purpose: The purpose of this study was to increase rates of Cardiopulmonary Resuscitation (CPR) training and bystander response to Sudden Cardiac Arrest (SCA). This was accomplished by providing a short, one hour adapted CPR course with a stress management component targeting common barriers (e.g. psychological concerns) to bystander response for formerly incarcerated individuals at the Delancey Street Foundation.

Methods: The CPR course was adapted based off a literature review on the learning needs and preferences of this population. Data collection included:1) instructor evaluation of skills based on oral and simulation examination by students (adapted from the standard American Heart Association …

Examining Barriers To Receiving Home Care In A Medical Program, Mariah Martinez

Master's Projects and Capstones

Introduction: In Home Supportive Services is a Medi-Cal program serving low-income seniors and adults with disabilities. IHSS clients, or “consumers” are responsible for finding, hiring and supervising their IHSS home care worker. IHSS workers provide services such as feeding, bathing, bowel and bladder care, meal preparation and clean-up, laundry, and paramedical care. This project was created to identify why a high number of IHSS clients have not been able to hire and retain an IHSS care worker. The aim of the study was to understand the consumers interactions with IHSS and identify points at which consumers experience challenges in …

Defying The Gravity Of Falls On Msu, Alvin Joseph Abad

Master's Projects and Capstones

Falls are a leading cause of injury and death for adult males in the United States and have been an ongoing problem on the Medical Surgical Unit (MSU). Therefore, the aim of this project is to increase fall prevention education and communication on MSU in order to ultimately improve fall rates. Although there are currently fall prevention processes already in place, these may not be sufficient as demonstrated by recent fall metrics. Many RNs on MSU are fairly new nurses; and their enthusiasm and adaptability may be an advantage for this evidence-based project. Furthermore, the management team seems to be …

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In …

Creating A Culture Of Learning: Improving Patient Mobility In A Medical-Surgical Unit, Camille Cabalsa

Master's Projects and Capstones

Abstract

PROBLEM: Hospitalization, especially among older adults aged 65 or over, can result in decreased mobility and functional decline. This decreased mobility can lead to accelerated bone loss, falls, increased length of stay, and delirium. In this medical-surgical unit, a pattern reflecting lack of adequate patient mobility has persisted over one year.

CONTEXT: Northwest (NW), a 42-bed community hospital medical-surgical unit- part of an integrated regional health care delivery system, has not been maximizing the mobilization of their patients for the past year based on internal data.The improvement project described in this paper focused on creating a culture of continuous …

Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm

Master's Projects and Capstones

Abstract

Problem: Hospital-acquired infections are preventable harm that occurs to patients while in the hospital. Catheter-associated urinary tract infection (CAUTI) is a preventable hospital-acquired infection that continues to plague hospitals nationwide. The Centers for Disease Control and Prevention estimates that there are more than 13,000 CAUTI related deaths in the United States annually (Scanlon, 2017). In addition to the harm caused to patients by CAUTIs, the estimated $500 million yearly cost for CAUTI treatment has created a fiscal burden on healthcare systems (Scanlon, 2017). Decreasing the rate of CAUTI by decreasing overall number of catheters is the goal of this …

Health Care Improvement Initiative: Outcomes And Impact Of An Academic-Practice Partnership Between A Large Integrated Health System’S Nurse Scholars Academy And The University Of San Francisco School Of Nursing And Health Professions, Ryan Fuller

Master's Projects and Capstones

By December 2018, a large integrated health system’s Nurse Scholars Academy (NSA) will have financially-sponsored 64 registered nurses to return to school through a strategic academic-practice partnership program at the University of San Francisco (USF). Referred to as ‘Nurse Scholars,' health system employees elected to return-to-school through NSA. As a five-year initiative, NSA was at risk for not receiving additional funding beyond 2020 without a thorough outcomes analysis that articulated the outcomes to executive leadership.

This health system employs more than 23,000 registered nurses in Northern California (NCAL). The NSA is a region-wide effort to accelerate academic progression, leadership development, …

Combining Patient-Centered-Care And Technology To Reduce Falls In A Medical/Telemetry Unit, Megan Mira

Master's Projects and Capstones

Abstract

PROBLEM: From October 2017 through June 2018 there were 25 patient falls recorded on the 5^th floor medical surgical telemetry unit. Top factors contributing to this high fall rate include: poor patient-centered-care planning, and inadequate set-up for use of technology.

CONTEXT: According to the Joint Commission, 2015, each fall with injury costs $14,000. This estimate doesn’t include the potential indirect costs that account for the long-term effects of injuries such as disability, dependence on others, lost time from work, household duties, and reduced quality of life.

INTERVENTIONS: Staff education was introduced and focused on using a new mindfulness …

Mdr Matters! Improving Primary Nurse Participation In Multidisciplinary Rounds, Alma Alcantara

Master's Projects and Capstones

Abstract

Problem: The current model of multidisciplinary rounds (MDR) in a 40-bed medical-surgical unit within a Northern California community hospital has demonstrated low participation rates from primary nursing. The primary nurse attendance in MDRs is consistently at 50% participation, below the target goal of 80%. This lack of engagement leads to ineffective communication and fragmented care coordination resulting in suboptimal quality care and cost outcomes.

Context: An intervention strategy to standardize the MDR model was implemented over three months. A literature review revealed that effective and consistent MDR practices can directly influence primary nurse participation. This change management project focus …

Building Engagement Through Developing Students’ Sense Of Self-Control, Natalia Sanchez Gonzalez

Master's Projects and Capstones

Students who enter public schools in the United States in the latter part of their academic career may lack the English language proficiency or capital necessary to successfully participate in mainstream content courses. Students such as these, known as late arrivals, face even greater difficulties when they enter academic institutions that or not equipped to provide language supports that ensure students can access content. Arriving at a later age and grade level, places additional pressure on educators and students to enter mainstream language classrooms. With little control or access to be active participants in the new academic settings, these students …

Emphasizing The Importance Of Cultural Identity Of Second Language Learners In Lesson Plans, Sreyasi De

Master's Projects and Capstones

A sky rocketing trend of one in three United States residents is estimated to be either an immigrant or the child of an immigrant by 2065. How well immigrants and second-generation immigrants are inhabiting in United States is of great significance to the state of being happy, healthy, prosperous, and full of energy and resonance of the United States in general. While economic, political, and social aspects of immigration are frequently contemplated for policy-making, comparatively small investigations have examined the cultural identity of the immigrants. In the review of literature, topics of intercultural competence, cultural competence, and culturally responsive teaching …

Improving Nursing Communication Outcomes Through The Tell-Us Card, Jeffrey Salao, Nina Park, Laura Le, Brittney Pilker, Jillian Cule, Maricarmen Reyes

Master's Projects and Capstones

Abstract

Nursing communication plays a pivotal role in patient-centered care. However, statistics have shown that failures in communication exist in more than 20% of all hospital settings (Sethi & Rani, 2017). Within the explored microsystem, a gap in patient communication was identified through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Reports revealed that the microsystem was performing at 69%, which is 11% below the national average for nursing communication (Centers for Medicare and Medicaid Services [CMS], 2018). After performing a microsystem assessment, there was a measurable communication opportunity between the patients and nurses. It was determined …

Music Education And Its Impact On L2 Learning, Johanna Nilsson

Master's Projects and Capstones

English Language Learners are disproportionately underrepresented in secondary music classes in the United States. They are systematically excluded due to overly restrictive schedules, high emphasis on test scores and academic remediation, real and perceived cost of participation, and the types of courses that are offered at most secondary schools. At the same time, musical intervention research has revealed that musical ability is linked to literacy, pronunciation, and vocabulary retention, all aspects of second language acquisition. By excluding English Language Learners from music education, we could be denying them a tool that could positively impact their language acquisition. However, most of …

English For Baking: Lessons For Kitchen Workers Using On-Site Learning, Christopher Torossian

Master's Projects and Capstones

Today, the back of house staff in culinary kitchens is comprised largely by migrant workers whose native language is something other than English. At times this can create issues among workers due to communication errors or complete lack of communication all together, posing issues for not only cooking, but it can also be a threat to kitchen safety as well. Additionally, due to native speaker stigma surrounding non-native speakers of English, many workers are often denied the chance at a higher position in the workplace simply because of their low communicative competence, despite their actual talents and skills in the …

Improving Nursing Communication Outcomes Through The Tell-Us Card, Brittney Pilker, Jillian Cule, Laura Le, Nina Park, Jeffrey Salao, Maricarmen Reyes

Master's Projects and Capstones

Nursing communication plays a pivotal role in patient-centered care. However, statistics have shown that failures in communication exist in more than 20% of all hospital settings (Sethi & Rani, 2017). Within the explored microsystem, a gap in patient communication was identified through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Reports revealed that the microsystem was performing at 69%, which is 11% below the national average for nursing communication (Centers for Medicare and Medicaid Services [CMS], 2018). After performing a microsystem assessment, there was a measurable communication opportunity between the patients and nurses. It was determined that …

Power In Plain Sight: Exploring The Class Privilege At In Curriculum At Wealthy High Schools, Miriam Gross

Master's Projects and Capstones

While secondary education has moderately improved in its approach of racial and gender issues in the classroom, social class remains an undiscussed topic, especially in school communities serving students of the highest social classes where financial privilege often intersects with racial privilege. The lack of discussion of social class is considered against the role schooling is meant to play in creating good citizens and the different ways that is construed. Taking into account research into the identity formation of wealthy adolescents, the hidden curriculum in secondary schools that supports the current social order, and pedagogical practices that could be used …

Homeward Bound: The Struggle Senior Dogs Face To Find Their Fur-Ever Homes, An Exhibition Proposal, Natalia Chavez

Master's Projects and Capstones

For this capstone project, I created a proposal for an exhibition centering around animal rights that focuses on the rights of senior dogs in United States animal shelters. Homeward Bound: The Struggle Senior Dogs Face to Find Their Fur-Ever Homes intends to raise awareness of the difficulties senior dogs face in being adopted from animal shelters, while promoting individuals to be active and engaged participants in actions to support the needs of senior shelter dogs.

Senior dogs have the highest probability of euthanasia in shelters.[1] Shelters and rescue organizations provide much needed assistance to senior dogs, supporting their …

Renouncing The Universal Museum’S Imperial Past: A Call To Return The Rosetta Stone Through Collaborative Museology, Anna Volante

Master's Projects and Capstones

In colonial times, Western empires used orientalism to justify and perpetuate colonialism and imperialism over countries that they believed inferior to their own. These imperial powers plundered cultural heritage artifacts from the nations they oppressed and took these objects back to their national museums to be displayed as trophies of subjugation. The ownership of cultural heritage remains a point of contention throughout the field of museum studies. Despite cries for repatriation, these artifacts continue to be housed in universal museums today. One of the most well-known cases is that of the Rosetta Stone, stripped from the city of Rashid, Egypt …

Using Games To Teach English In Chinese High School Classroom, Wenyu Zhu

Master's Projects and Capstones

In the 20th century, English played an important role in international communication as an international language. English is a bridge between countries' economies, cultures, and trade. However, current English education in Chinese high schools is still test-oriented which is ineffective, and students are tired of it. Moreover, teachers also have trouble engaging students in the class. The purpose of this project is to create a curriculum for high school English teachers in China to use games to teach English language skills. Krashen’s (1982) Theory of Second Language Acquisition contains five main hypotheses which support this project. The project includes twenty-three …

Museum-School Partnerships: From Creative Discourse To Resource Development, Emma Doctors

Master's Projects and Capstones

This paper aims to explore museum-school partnerships and best educational practices within each entity's efforts to collaborate. The project surveys museum education and explores programmatic and curriculum development that help to serve as enrichment for students. These partnerships are important to the museum studies field as it fulfills a fiduciary responsibility that museums hold - to educate the public. By fulfilling the needs of both entities (museums and schools), creative discourse ensues, creating solutions for students to enrich their learning. I end with a project to propose the development of an exhibition resource guide that would combine the knowledge and …

Improving Nursing Communication Outcomes Through The Tell-Us Card, Nina Park, Laura Le, Brittney Pilker, Jillian Cule, Maricarmen Reyes, Jeffrey Salao

Master's Projects and Capstones

Nursing communication plays a pivotal role in patient-centered care. However, statistics have shown that failures in communication exist in more than 20% of all hospital settings (Sethi & Rani, 2017). Within the explored microsystem, a gap in patient communication was identified through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Reports revealed that the microsystem was performing at 69%, which is 11% below the national average for nursing communication (Centers for Medicare and Medicaid Services [CMS], 2018). After performing a microsystem assessment, there was a measurable communication opportunity between the patients and nurses. It was determined that …

Sustainably Managing Groundwater - Surface Water Interactions Within The Santa Rosa Plain Basin, Rhianna Frank

Master's Projects and Capstones

In this paper, I designed a strategy for implementation of sustainably managing groundwater-surface water interactions in the Santa Rosa Plain Basin in compliance with the requirements set forth by the Sustainable Groundwater Management Act of 2014. The research objectives for this analysis are: (1) to fully examine the requirements of the Sustainable Groundwater Management Act and the implications that implementation will have on the Santa Rosa Plain Basin, (2) to use technical data gathered regionally coupled with related policy design theory to analyze how groundwater and surface water interactions can be managed to meet the requirements set forth in this …

Battlefield Mementos Care Of And Restitution Of Japanese 'Good Luck Flags' And Cultural Heritage Objects From War In Museum Collections, Andrew Armstrong

Master's Projects and Capstones

In World War II one of the most common objects found on the battlefield in the Pacific Theater was that of the Japanese Yosegaki Hinomaru or “Good Luck Flag” These objects were some of the most looted items from the war and soon found themselves in the possession of veterans of World War II and their families. In the past few decades as these veterans pass, increasing numbers of veterans and their families attempt to return the flags to Japan, or museums in the United States, believing they are the most suited to care for such objects. However this presents …

Accessing Mental Health Services As An Undocumented Individual: Policy Recommendations For The State Of California, Lorena Mosqueda

Master's Projects and Capstones

Undocumented individuals are subject to stressors that may exacerbate existing mental health problems or proliferate new mental health illnesses. Due to unjust historical and current institutional and systemic policies the undocumented population accesses mental health services at a rate far below the general population. As a result, this vulnerable community is left with untreated mental health conditions and is further entrenched in a cycle of inequity. In an effort to address this alarming reality we based a review of relevant literature to identify recommendations to increase access to mental health services among the United States undocumented population. Additionally, a simulation …