Implementing Simulation In Icu New Graduate Nursing Orientation: Introducing Two Practice Innovations, Aiza Quinday Msn

Master's Projects and Capstones

A change project involving the use of innovative wearable simulation technology was integrated into the 12-week new graduate nurse ICU training program at one community hospital in Northern California. Project implementation was interrupted by the Covid-19 pandemic, so only the first pilot training session was conducted. Initial results from this training session suggest that the simulation training had a positive impact on the nurses’ ability to assess patient breath sounds and to recognize and treat a rapidly deteriorating patient. This training session also allowed the project team to identify additional areas of skill assessment and opportunities for improvement for the …

An Online Self-Directed Learning Module For Regional Stroke Survey Success, Winchell Rodriguez Kuttner

Doctor of Nursing Practice (DNP) Projects

The lack of a standardized education for stroke coordinators focusing on The Joint Commission (TJC) standards and requirements in preparation for the stroke program disease-specific care (DSC) certification survey every two years has led to undue added stress prior to survey. The development of tools and resources has been identified to address the current educational gap in stroke coordinator orientation. This project addressed the gap by creating an online, self-directed learning module to assist the stroke coordinators in knowledge acquisition of the stroke standards and requirements.

A stroke coordinator plays a critical role in stroke care delivery. An educational module …

Quality Assurance In Competency Training Of Pre-Anesthesia Consultation Skills, Michelle Wong

The Dissertation in Practice at Western University

The absence of quality assurance in training clinicians to perform pre-anesthesia consultations at a Canadian university is the Problem of Practice addressed in this Organizational Improvement Plan. This competency requires learners to apply their anesthesia knowledge to take medical histories; perform physical examinations; diagnose anesthetic risks; and generate anesthesia plans. Random chart audits of many learners identify deficiencies and suggest inconsistent training of this competency. This Organizational Improvement Plan analyzes the anesthesia program’s organizational context to be a complex adaptive system; organizational structure to be a hierarchy; and organizational state to be static. Through the paradigms of complexity theory, interpretivism, …

Attrition In A Holistic Job Skills Training Program: A Qualitative Study, Jeaniece Silas

Electronic Theses and Dissertations

Today thousands of individuals and families are unemployed or underemployed and are seeking ways to combat poverty and become employed. One way that individuals seek to gain employment is by attending job skills training and adult education programs. However, there are barriers that hinder those individuals from successfully completing the programs. The purpose of this study is to explore the experience of applicants of a nonprofit job skills training program called FaithWorks and explore the reasons why applicants were not able to continue and, or complete the program. This study was conducted, through qualitative interviewing of four participants (N=4) utilizing …

Training Evaluation For Introductory Ocean Lifeguard Instruction: A Practical Example From California, William A. Koon, Ryan M. Gates, Jack Futoran

International Journal of Aquatic Research and Education

Ocean lifeguards have several responsibilities that require precise training. California State Parks is one of the largest providers of open water lifeguard services in the United States, and trains approximately 200 new lifeguards per year. As part of our lifeguard training section’s quality improvement efforts, we conducted a training needs assessment to help determine how well our introductory ocean lifeguard training curriculum prepared lifeguards to perform job related tasks upon successful completion of the training program. We surveyed both first year and seasoned lead lifeguards on operational needs, training gaps, and specific subject areas. We identified several areas where our …

Vocal Health Of Choral Singers From Kenya And The United States: Dysphonia And Vocal Fatigue In Relation To Musical Genres, Morgan Jolley Burburan

USF Tampa Graduate Theses and Dissertations

The purpose of this mixed-methods study was to investigate the vocal health of choral singers from Kenya and the United States and to determine whether genre (classical choral, traditional Kenya, and Contemporary Commercial Music [CCM]) had any impact on healthy vocal production, particularly as it related to vocal fatigue. Participants were adult singers (N = 94) in two semi-professional choirs, the Nairobi Chamber Chorus (NCC) from Kenya (n = 25) and the Festival Singers of Florida (FSOF) from the United States (n = 69). Singers’ perceived overall vocal health was measured using multiparametric clinical self-reporting instruments and acoustical assessment. Singers’ …

The Development, Implementation, And Evaluation Of A Sexual Assault Nurse Examiner Training Program, Shantee Henry

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Sexual assault is a growing concern in the United States. Appropriate care of its survivors is essential to controlling the short and long-term effects of this trauma. A sexual assault nurse examiner (SANE) is a registered nurse that acquires additional training specializing in the comprehensive care of sexual assault survivors. Research indicates that there are not enough SANEs to provide coverage for the increasing number of sexual assaults, especially in rural areas. To increase the number of certified SANEs in rural areas, the Health Resources and Services Administration (HRSA) of the U.S. government provided funds through a grant that was …

Improvement In Physical Function And Quality Of Life In Older Adults Following 4 Weeks Of Neuromuscular Electrical Stimulation, Monica A. Mendoza, Mitchell S. Kane, Nigel C. Jiwan, Kyndall P. Ramirez, Lindsay E. Kipp Ph.D, Joni A. Mettler Ph.D

International Journal of Exercise Science: Conference Proceedings

Older adults often suffer from sarcopenia, the age-related loss of muscle mass and strength, which negatively impacts physical function and quality of life (QoL). Neuromuscular electrical stimulation (NMES) is frequently used in physical rehabilitation as a muscle strengthening modality; however, little research exists on QoL outcomes in response to NMES. PURPOSE: The aim of this study was to determine changes in QoL and physical function in older adults after 4 weeks of NMES. METHODS: Ten healthy, older adults participated in the study (67.8 ± 2.1 years-old). Each participant was seated on an isokinetic dynamometer with the knee positioned at 60°, …

Adolescent Mental Health Training For Middle School Educators, Sarah Minton

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Adolescent mental health disorders are an increasing concern in the United States. School systems, specifically educators, are in the unique role to aid in early identification of mental health disorders, as well to intervene in mental health distress. However, mental health training for educators is lacking, leaving educators unprepared to manage mental health concerns within their classroom.

Purpose: The purpose was to utilize an evidence-based training, the “Teacher Knowledge Update Guide” from TeenMentalHealth.org to train middle school educators on the signs and symptoms of mental health conditions in the adolescent population with the intent to increase awareness, knowledge, …

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Walden Dissertations and Doctoral Studies

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators’ transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Using Data-Enabled Performance Feedback And Guidance To Assist Employment Consultants In Their Work With Job Seekers: An Experimental Study, John Butterworth, Alberto Migliore, Kelly Nye-Lengerman, Oliver Lyons, Amy Gunty, Jill Eastman, Paul Foos

All Institute for Community Inclusion Publications

BACKGROUND:The success of job seekers with disabilities in achieving their employment goals depends in large part on the quality of employment supports that they receive from employment consultants. OBJECTIVE:To test the effectiveness of data-enabled performance feedback to assist employment consultants in implementing standards of effective employment supports. METHODS:A total of 187 employment consultants in 30 states were randomly assigned to intervention or control groups. The intervention group received data-enabled performance feedback and guidance for 12 months, whereas the control group continued with business as usual. Both groups completed baseline and quarterly surveys throughout the intervention. RESULTS:One year after baseline, the …

Free To Be Dog Haven: Dogs Who May Never Be Pets?, René J. Marquez

Animal Studies Journal

I am an artist who runs a sanctuary for dogs. I did not start the sanctuary as a studio project, but, as it turns out, it is very much an extension of my studio work. The sanctuary focuses on acknowledging canine subjectivity and agency in the context of colonialist, Western, modernist human fictions, a context explored throughout my work, in general. Our sanctuary is a site of ongoing investigation: we seek to map the territory between ‘free’ and ‘pet’. This paper examines the thinking behind and the practical life of my dog sanctuary: exigencies of doghuman collaboration and what it …