Digital Commons Network^™

The Impact Of Icu Telemedicine On Patient Outcomes In The Surgical Critical Care Setting: An Observational Study, Megan Steely

DNP Projects

Abstract

Background: In April 2020, the University of Kentucky (UK) implemented a division entitled the Enhanced Care through Advanced Technology Intensive Care Unit (eCAT ICU) to provide tele-critical care (TCC) services in all critical care areas at UK Healthcare. The eCAT ICU at UK HealthCare was the first TCC delivery system of its kind in the state of Kentucky. Use of TCC has been associated with improved patient outcomes and decreased costs.

Purpose: The purpose of this study was to analyze targeted outcomes in the surgical critical care population pre- and post-implementation of TCC at UK HealthCare. Specifically, the aims …

Screening For Severe Mental Illness In A Correctional Setting Using The Brief Jail Mental Health Screening Tool, Stephanie Kohl

DNP Projects

Abstract

BACKGROUND: Prisoners who are detained in jails and detention centers have higher rates of Severe Mental Illness (SMI) compared to the general population. However, SMI is often unidentified in this population, largely due to lack of assessment using effective SMI screening tools and lack of knowledge among prison staff about the prevalence of SMI and the importance of identification in the correctional setting. Prisoners with SMI often act out violently against others and themselves. Current standard practice for SMI screening varies significantly across jails. Many jails use standard medical questionnaires which help obtain a brief medical history but often …

A Seat At The Table: Visioning Social Work’S Leadership Future, Lucas Hall

DSW Capstone Projects

This capstone focuses on the history of social work leadership, current trends in social work leadership, what is lacking and where we can go in the future. The systematic literature review was focuses on what is in the literature as it relates to social work leadership preparation. The conceptual paper proposes the creation of social work leadership fellowships and certification programs. Finally, the practice application paper is the full realization of the first two papers. A solution to the crisis of a lack of social work leadership preparation is proposed and fully fleshed out. The solution being the full-scale implementation …

Neuroleadership A New Burnout Prevention Strategy, Zakery David Sloan

DSW Capstone Projects

This capstone project examines the current state of burnout, prevention strategies, prevalence, and introduces neuroleadership as a new leadership theory to advance burnout prevention among the public human service population. Neuroleadership presents a new conceptualization of leadership practice and burnout prevention method by utilizing neuro-informed leadership practices. This new neuro-informed leadership strategy is explored throughout the three major products of this capstone project including a systematic literature review, conceptual paper, and practice application paper.

The first product completed was a systematic literature review. This literature review included a total of 13 articles which were used to answer the research question, …

Good Trouble: Disrupting The Disproportionality Of Black Boys In Special Education Due To Misdiagnosed And Unaddressed Trauma, Montrell Pryor

DSW Capstone Projects

Black boys experience a myriad of trauma as they navigate through society under the gaze of white patriarchy and archetypes. Whether engaging in trauma or witnessing it, it impacts Black boys tremendously, particularly in the educational setting. What typically looks like misbehavior in the classroom can be symptoms of unaddressed and untreated trauma that have been triggered and exacerbated in the school setting. As a result, this phenomenon contributes to the disproportionality of Black boys in special education and adds to the expansion of the school-to-prison pipeline.

This capstone provides a thorough examination of the literature in the form of …

The Power Of Connections: An Online Doctoral Program's Use Of Strategic Onboarding To Enhance The Doctoral Experience, Jeri Heileman

Theses and Dissertations--Educational Leadership Studies

A positive doctoral experience is rooted in an understanding of the expectations and reality of doctoral–level work. Students need specific knowledge, skills, and mindsets to complete coursework, critically analyze research, and write and defend a research dissertation. Despite a mutual commitment to academic achievement and graduation by faculty and students, attrition in doctoral programs remains high. This rate is even higher for those in online programs. Additionally, there are many challenges doctoral students experience outside of the core curriculum. The challenges facing students vary depending on the phase of the doctoral journey and the individual development of each student.

This …

Meeting Transfer Students Where They Are: A New Organizational Approach To Transfer Student Communication, Support, And Recruitment, Daniel Wright

Theses and Dissertations--Educational Leadership Studies

Transfer students have long played a significant role in the growth and diversity of colleges and universities. Recent research points to a continuous decline in enrollment over the coming decade (Kelderman, Gardner, & Conley, 2019), and as tuition costs continue to increase and enrollment numbers decrease, institutions of higher education have begun turning to transfer students to fill their lecture halls and football stadiums. A key variable in higher education’s transfer recruitment blind spot is a fundamental lack of understanding of the structural and organizational changes needed to both attract and retain these non-traditional students (Tobolowsky & Cox, 2012). For …

Integrating Construction 4.0 Technologies: A Four-Layer Implementation Plan, Mahmoud El Jazzar, Christian Schranz, Harald Urban, Hala Nassereddine

Civil Engineering Faculty Publications

This research explores the current state of Construction 4.0 and discusses a four-layer implementation of Construction 4.0 in the industry. The research methodology consists of an extensive literature review to gain insights about Construction 4.0 and frame the four-layer implementation plan. A case study is also presented to showcase the proposed implementation plan. Nine Construction 4.0 technologies were discussed, their integration throughout the project lifecycle was presented in a roadmap, their integration and connectivity with one another were outlined in an interaction roadmap, and the requirements necessary for achieving the 4.0 transformation were articulated. However, the proposed implementation plan is …

Futurological Fodder: On Communicating The Relationship Between Artificial Intelligence, Robotics, And Employment, Michael E. Samers Dr

Geography Faculty Publications

This article examines the debate concerning the employment implications of the so-called ‘Fourth Industrial Revolution’ (FIR) or the increasing presence of artificial intelligence and robotics in workplaces. I analyze three ‘genres’ associated with this debate (academic studies including neo-classical and heterodox/post-human approaches, the ‘gray literature’, and popular media) and I argue that together they represent ‘futurological fodder’ or discourses and knowledges that ‘perform’ the FIR and its purported consequences. I contend further that these genres involve a complex mix of ethics and politics, and I conclude with a reflection on the political implications of the FIR debate.

Business Models For Post-Crisis Information Ecosystems, Antje Mays

Library Faculty and Staff Publications

Since early 2020, the global COVID-19 pandemic has interrupted activity across business, education, research, and communities. Public health safety precautions have forced drastic reductions in economic and educational activity, resulting in widespread economic uncertainty and sizeable budget cuts. With library budgets already declining since the 2001-2002 recession following the dotcom crash and more steeply since the 2007-2009 Great Recession spawned by the financial crash, the pandemic has accelerated trends that were already underway. Libraries’ reduced purchasing power places the information ecosystem at risk of contraction in the race to contain costs. While economic contexts and publishing forms have changed considerably. …

Forage News [2021-05], Department Of Plant And Soil Sciences, University Of Kentucky

Forage News

No abstract provided.

Project Management Research Support, Bryan Gibson, Jeff Jasper, Robin Baskette, Christopher Van Dyke, Doug Kreis

Kentucky Transportation Center Research Report

Like many state transportation agencies, the Kentucky Transportation Cabinet (KYTC) faces unprecedented challenges related to project development and management. Staff losses due to attrition and retirements have resulted in the loss of institutional knowledge. Early- to mid-career project managers (PMs) shoulder more responsibilities than ever while being expected to deliver over 600 successful projects each year. To improve the efficiency of project management, PMs must be able to access effective project management concepts, tools, and strategies which are field validated. Recognizing the importance of strengthening its project management capabilities, the Cabinet asked the Kentucky Transportation Center (KTC) to provide ongoing …

Consultant As Ethnographer: Conceptualizing A New Approach To Nonprofit Arts Management Consulting, Jill Schinberg

Arts Administration Faculty Publications

Hiring a consultant can be an expensive endeavor for nonprofit arts organizations and is sometimes criticized for bearing few substantive outcomes. The unique workplace culture of such organizations calls for a differentiating consulting model. This article conceptualizes a new approach to nonprofit arts management consulting work by looking at the principles of ethnography. From the perspective of both client and consultant, the author posits one possible solution which considers the consultant as an ethnographer. Approaching consulting work with an ethnographer's lens moves away from the prescriptive toward more inclusive and organic techniques. This concept article will be of particular interest …

A Constructive Approach To Managing Faculty Conflict: An Action Research Study, Natasha L. Davis

Theses and Dissertations--Educational Leadership Studies

Research indicates colleges and universities are faced with an excess of challenges and issues, and one of these issues is dealing with conflict. The purpose of this mixed methods action research study was to implement a conflict management strategies workshop on the campus of Morehead State University as an intervention to address the problem of conflict between faculty and administrators. Data collected and analyzed from an exploratory pilot study included interviews of current faculty and administrators regarding situations of conflict. As a result, the following information was discovered: conflict does exist on the campus of Morehead State University between faculty …

Analysis: Internal Controls Impact On The Mitigation Of Risk And Fraud In Public Finance, Brian Stephens

MPA/MPP/MPFM Capstone Projects

Internal controls involve every process that assess or mitigates risks within an organization. From an organizational level, internal control objectives relate to the reliability of financial reporting, measurements on the status of achieving operational or strategic goals, and compliance with laws and regulations. Over the years internal controls have gained the misconception of being merely an accounting or auditing function. However, poor or lapsed internal controls can have devastating effects on an organization. Conversely, an organization that places heavy emphasis on internal controls and leads with an ethical culture are more likely to be successful in meeting their organization’s mission …

Promotion Of Most Forms Through Education About Importance Of Advance Care Planning In Seriously Ill Patients, Nidhi More

DNP Projects

Abstract

Purpose: To establish the importance of early Advance Care Planning (ACP) and improve the utilization of Medical Orders for Scope of Treatment (MOST) forms in seriously ill patients by educating providers and nurses to identify patients who meet specified criteria. The goals of this intervention are reduction of readmissions and better quality of life for this patient population.

Methods: A quasi-experimental design was used for evaluation of an Educational intervention to promote MOST forms, Advance Directives (AD) and Palliative Care (PC) consults. A retrospective and prospective chart review was conducted to determine the number of patients who met criteria …

Improving Multidisciplinary Adherence To A Daily Goals Checklist In The Icu: A Quality Improvement Initiative, Chelsea Mccarty

DNP Projects

Abstract

Background: In November 2019, the University of Louisville Hospital merged and assumed operations of all KentuckyOne facilities. During the transition, a spike in hospital acquired infection rates ensued at Jewish Hospital, notably amongst the critical care units. In January 2020, a daily checklist was introduced to the critical care department. A Daily Checklist is a tailored communication tool designed to reduce communication error and improve adherence to patient safety measures. There continues to be a gap in adherence to the U of L daily checklist from both nurses and providers. Purpose: The purpose of this project was to improve …

The Impact Of A Change In Leadership, Taylor Collins

DNP Projects

Abstract

Background: Unmitigated stress in nursing results in moral distress, burnout, turnover and poor patient outcomes. Authentic leaders can improve the nurses’ work environment and satisfaction by improving communication and implementing supportive measures.

Purpose: The purpose of this study was to determine whether a change in executive leadership at BSW Grapevine Medical Center reduced nursing job stress as evidenced by improved nurse satisfaction, nurse retention, nurse engagement, patient satisfaction and care outcomes.

Conceptual Framework: Watson’s Theory of Human Caring

Design: This study is a quantitative, descriptive retrospective measurement of two points in time, before and after …

S.A.F.F.E.R. Airway Management: Evaluating The Effectiveness Of Checklist Implementation On Reducing Peri-Intubation Complications In An Air Medical Transport Service, Rachael M. Croley

DNP Projects

Background: Advanced airway management via endotracheal tube placement in the critically ill and injured is tenuous and presents a multitude of challenges that threaten patient safety. The potential for procedure-associated hypoxia, hypotension, and cardiac arrest during the peri-intubation period can be detrimental to overall patient outcomes. Purpose: The purpose of this project is to evaluate the effectiveness of the Standardized Airway Flow For Engineered Resuscitation (S.A.F.F.E.R.) checklist in reducing peri-intubation complications and provider perception of checklist implementation when performing advanced airway procedures.

Methods: A case-control analytical observational design study which included retrospective and prospective electronic medical record review to determine …

Evaluating The Sustainability Of A Colorectal Cancer Screening Improvement Intervention, Kimberly Bastin

DNP Projects

Background: Sustainability is a domain or characteristic of quality in healthcare that is not just about what may be delivered to patients today, but what can continue to be delivered to patients in the long term. Evidenced based interventions and quality improvement (QI) initiatives have led to major advancements in health care and have become expected in every clinical setting. Despite the amount of QI work taking place, there is limited evaluation of the sustainability of initially successful quality improvement efforts and a lack of evidence supporting best strategies and measures to ensure that improvement of goals and outcomes are …

Is What Works Working? Thinking Evaluatively About The What Works Clearinghouse, Andrew A. Nelson

Theses and Dissertations--Education Sciences

Since the mid-twentieth century, the U.S. Department of Education has drafted and enacted policies to bridge the research-practice gap—that is, the gap between “what works” according to educational research and what is actually practiced by teachers and their administrators (e.g., Dirkx, 2006; Joyce & Cartwright, 2019; Tseng, 2012). One of the latest manifestations of this “what works” political legacy is the What Works Clearinghouse (WWC), which took shape as part of the Institute of Education Sciences (IES) in 2002. The WWC’s mission is to be a “central and trusted source of scientific evidence for what works in education” (WWC, 2020d, …

Technology Leadership Practices Of Appalachian School Leaders During The Covid-19 Pandemic, Todd Norton

Theses and Dissertations--Education Sciences

The COVD-19 pandemic caused a global disruption to education. In some parts of the United States, schools were cancelled for the year, while others shifted their educational offerings to a distance learning model. Kentucky announced short term closures beginning March 13, 2020, but on April 20th the Kentucky Governor announced that schools would not reopen for in-person instruction for the remainder of the academic year. Many school districts quickly developed a plan to continue a modified version of school. In Appalachia, some school leaders were uniquely prepared because their district had implemented a 1:1 device program. In a 1:1 program, …

Transforming Outcomes To Increase Participation In The Independent Living Program Sponsored By Sunrise Children’S Services, Richard R. Burslem

Theses and Dissertations--Educational Leadership Studies

Research demonstrates the transition for aging-out foster youth evidences they are not equipped with the necessary tools to live a self-sufficient adult life. Many children who age-out of the foster system have encountered trauma at multiple levels. Sunrise Children’s Services is an agency in Kentucky committed to changing negative outcomes for this population of individuals.

The optimum goal for children and youth is for them to grow up within their biological family where they receive guidance and support as they mature. For some individuals that is not an option, and the government along with agencies like Sunrise are focused on …

The Effects Of A Strengths Based Faculty Coaching Intervention On First-Year Undergraduate Student Academic Confidence: A Mixed Methods Action Research Study, Conrad Alfred Davies Sr.

Theses and Dissertations--Educational Leadership Studies

Deficiency remediation models of education imply that students may enter the university with deficiencies, problems, or needs that imply the student needs to be “fixed” before they can proceed in their academic studies. In contrast, strengths-based education models infer that students come to the university with inherent talents, natural propensities, and behaviors that can be leveraged to overcome their challenges. These differing perspectives can influence the effectiveness of university policies designed to improve student retention. This mixed methods action research study, undergirded by student development theories, examined the effects of a strengths-based, faculty-led coaching intervention on first-year undergraduate students’ academic …

Policy Storms At The Central Office: Conflicting Narratives Of Racial Equity And Segregation At School Committee Meetings, Serena M. Wilcox

Educational Policy Studies and Evaluation Faculty Publications

This article reports findings from a multiyear critical ethnography that examined race talk dilemmas of school leaders at the central office at a small urban school district to understand why racialized educational policies and practices still persist against African American students. This study takes a structural approach to investigating the impact that race talk has on educational policymaking at the local district level. The guiding research question in this paper examines how we can understand educational reform and policy implementation and the unintended consequences of those interventions through the local from a historical context.

Olmstead Mandated Statewide Implementation Of Assertive Community Treatment: Precipitating Factors And Participant Experiences, Elizabeth Nelson-Cooke

Theses and Dissertations--Social Work

Evidence-based practices for individuals with serious mental illness have not been widely implemented in United States public mental health systems. Mental health advocates have used the Supreme Court’s Olmstead decision to force states with underfunded community mental health services to develop more robust treatment systems. Using a case study, this article-based dissertation examines the process of mandated widespread implementation of Assertive Community Treatment (ACT) in Kentucky through the experiences of individuals involved in ACT creation and documents related to implementation and the state mental health system. Study 1 identifies precipitating factors to the Kentucky Olmstead settlement agreement that contributed to …

Does State And Local Government Employment Promote Tax Revenue Stability? A Look At Kentucky Cities, William Ryan Pennington

MPA/MPP/MPFM Capstone Projects

Research shows that public sector jobs are more stable than private sector jobs. This study examines whether tax revenue volatility is affected by the concentration of a city’s economic base in state and local government employment. The relationship between public employment and revenue volatility has not been studied but is relevant as state and local governments have reduced their workforces in the post-Great Recession period. Using panel data on Kentucky cities, I find that the coefficient on state and local government employment concentration is inversely related to tax volatility but is not statistically significant in a fixed effects estimation.

Evaluation Of A Concussion Management And Discharge Education Training Module For Emergency Department Nurses, Carmen Frede

DNP Projects

Purpose: The purpose of this project was to improve the Emergency Department (ED) nurses’ knowledge on identifying patients at risk for concussions and delivering effective concussion discharge education using an educational training intervention.

Methods: This project used a descriptive, non-randomized pre-post survey design. Participation involved three stages: a pre-education survey to assess baseline concussion education knowledge, an educational intervention consisting of a narrated PowerPoint presentation, and a post-education survey to evaluate knowledge on concussion discharge education. The intervention was delivered online via the UK Canvas educational platform.

Results: The majority of nursing staff participants were female (97%) and had a …

We Died And Were Reborn: An Anthropological Study Of Health-Seeking Strategies For Mental And Emotional Distress In Post-War Eastern Sri Lanka, Daniel Ball

Theses and Dissertations--Anthropology

Since the early 2000s, Sri Lanka has made major gains in decentralizing and expanding state-based mental healthcare access and services outside of Colombo. However, little evidence exists related to on-the-ground experiences of Sri Lankans who access these services, the quality and sustainability of services, and the effects services have on individual therapy management of mental and emotional distress. In addition to an extensive historical review of mental health service provision, this dissertation explores strategic health-seeking practices among Tamil-speaking communities in eastern Sri Lanka—an area ravaged by high rates of poverty, 26 years of civil war, and the 2004 tsunami catastrophe. …

Responding To Students Experiencing Emotional Distress: An Action Research Study Of Professional Learning Experiences For Faculty And Staff, Christopher Taylor Lakes

Theses and Dissertations--Educational Leadership Studies

Students entering college are increasingly presenting with complex mental health conditions that negatively affect their college experiences. This mixed methods action research study was designed to assess the current level of faculty and staff member’s abilities with respect to, comfort with, and role in identifying and responding to students who exhibit signs of emotional distress (e.g., anxiety, depression, suicidal ideation). Specifically, this study was designed to evaluate faculty and staff understanding of skills, techniques, and resources that can support them in this work, identify an appropriate professional learning experience (i.e., intervention) to increase the level of comfort in this area, …