Nursing Students' And Recent Graduates' Observations Of Fatphobia In The Clinical Setting, Myah Kerbyson

Honors Theses and Capstones

Objectives: To investigate the incidence of fatphobic behaviors among the healthcare team and how nursing students’ and recent graduates’ observations of fatphobic behaviors impact the provision of affirming care.

Background: Weight stigma among healthcare providers can lead to fatphobia (e.g., hurtful or stigmatizing language, dismissal of symptoms). These experiences can negatively impact patients’ health and experiences with healthcare, leading some patients to avoid or delay seeking healthcare services. Fatphobia can also cause increased stress levels among patients, which places them at a higher risk of several diseases. The short-term and long-term effects of fatphobia lead overall worse health outcomes.

Methods: …

The Clinical Observations Of Nursing Students And Recent Graduates Caring For Lgbtq+ People, Emily E. Roy

Honors Theses and Capstones

Objective: The next generation of nurses have increased educational preparation to provide affirming care to lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, but an evaluation of the effectiveness of this teaching has not been performed. The purpose of this study was to identify nursing student and recent nursing graduate observations of affirming and non-affirming care of LGBTQ+ people in healthcare settings during clinical experiences. We also sought to understand how those experiences affect their ability and willingness to provide affirming health care to LGBTQ+ people.

Methods: Participants filled out a mixed methods Qualtrics survey that was distributed through school …

Understanding The Personality Of A Coworker, Alyssa S. Hall

Honors Theses and Capstones

The concept of personal intelligence (PI) refers to an individual's capacity to accurately reason about personality and personality-related information in themselves and others (Mayer, 2008). Understanding personal intelligence has various practical applications, including the workplace, where it has been shown that individuals with higher PI exhibit lower levels of counterproductive work behavior and perceive their work environments as more supportive (Mayer et al., 2018). In a recent study by Peters and colleagues (2021), participants were asked to describe their interactions with difficult coworkers, and their sophistication in the narratives was evaluated by judges. The study found that there was a …

Assessing Parental Conversational Overlap In A Museum Setting And Its Correlation With Child Language Skills, Madison Gould

Honors Theses and Capstones

Research has identified the importance of quality interactions with parents, caregivers, and peers in the promotion of language acquisition. We question how certain aspects of parental language, primarily repetition, expansion, and extension, correlate with child language skills. There is limited research available regarding the impact of conversational overlap on a child’s language development at a singular time point, with most studies being longitudinal, especially when assessing conversations between children and their caregivers in different settings, such as a museum exhibit. Our findings suggest that children need less parental recasting as they age and as their language skills are bolstered.

Examining The Interest Of Business School Students And The Gender Gap In Careers Of Data Science And Analytics, Logan M. Lopus

Honors Theses and Capstones

Professionals in the data science and analytics field are in high demand. Recently, business schools have introduced various academic programs to train students in those fields. However, what makes business school students interested in these career fields is not entirely known. Research questions such as who the major influencers are for business school students' career choices or whether there are any differences between genders in terms of their awareness, readiness, and interest in data science and analytics careers remain to be answered. Therefore, this study examines the segmentation of business school students in how they prepare for careers, drivers of …

Anti-Queer Policy As It Translates To Violence Against The Lgbt Community, Kendall Bush

Honors Theses and Capstones

In recent years, the amount of anti-LGBT policy introduced is rapidly increasing (ACLU, 2023). Contemporary policy focuses mainly on queer youth and gender identity, attacking gender-affirming health care and limiting LGBT discussions in public schools. Although these policies are particularly insidious, they follow a trend of queer persecution in the United States. Within federal policy and across state legislation, the panopticon of anti-LGBT policy ensures that queer bodies are policed and monitored. This paper posits that the increase in anti-queer policy translates to an increase in experiences of external and indirect violence. Based on findings from the UCR and various …

Understanding Castration Anxiety Through Contemporary Art And Feminism, Ember J. Nevins

Honors Theses and Capstones

No abstract provided.

Neuronal Primary Cilia In Postnatal Brains & Alzheimer’S Disease Mice Eeg Patterns Under Fear Conditioning, Sierra Rose Mae Walsh

Honors Theses and Capstones

Alzheimer’s Disease (AD) is a neurodegenerative condition caused by the abnormal accumulation of amyloid β plaque. While small amounts of amyloid β plaque is to be expected with increased age, AD presents amyloid precursor protein (APP), a gene promoting inappropriate plaque formation, causing early neuronal death and tissue depreciation. APP23 transgenic mouse models contain the human mutation in the neocortical and hippocampal positions, areas revealing of plaque accumulation and memory loss. Within the hippocampal cortices, the primary cilia, which regulate higher cognition and neurodevelopment can be studied along with burst suppressions, or moments of high focal activity, to target potential …

Mpacts Of Parental Incarceration On Child's Well-Being And Interventions To Support Them, Anna Stacey Roberge

Honors Theses and Capstones

This study reviews the effectiveness and impact of current interventions for children who have incarcerated parents in New Hampshire. The negative impacts of parental incarceration have led to the need for these intervention strategies. Recently psychologists and behavioral experts have conducted their studies which show that children who have incarcerated parents are more likely to display delinquent behaviors. Additionally, studies have shown that parental incarceration can lead to the experiencing of several more psychological difficulties, such as depression, anxiety, and learning disorders (Kremer et al., 2020). Several communities have worked to implement interventions that will help these children avoid falling …

Investigation And Enhancement Of Students’ Conceptions Of Ph Buffers, Mary Alice Woodland Sheppard

Doctoral Dissertations

Understanding how students construct knowledge of pH buffer concepts is essential to developing effective instructional strategies to support student learning. A resource theoretical framework and the phenomenographic method were used to explore 12 general chemistry students’ conceptions of pH buffers using three buffer questions ranging from algorithmic to conceptual. Open coding of student responses revealed a diverse array of resources that varied in productivity and connectedness. A layered resource graph was introduced to visually compare resource activations across question contexts, highlighting some resources as important for all sensemaking about pH buffers, while others were specific to particular topics. The phenomenographic …

Studying Us Iranian Immigrant Parents Negotiating Movements Toward Future Belonging, Fatemeh Hajnaghizadeh

Doctoral Dissertations

In this dissertation, I reflect on how my work with Iranian immigrant parents in the US is informed by my lived experiences and research as a member of the minoritized group both in post-revolutionary Iran and the US. I recognize these experiences as informing my research on diasporic parenting throughout different stages, from designing the methodology to curating the theoretical framework and analyzing data.The desire to engage with minoritized ways of being and knowing beyond static essentializing viewpoints informs my approach to designing methodological processes that centralize confusion/disagreements with dominant practices and ideologies. In my study’s methodology, I use stories …

Acid-Sensing By Olfactory Sensory Neurons And Regulation Of Neuron Reverse Migration By Primary Cilia During Postnatal Neurodevelopment, Juan Yang

Doctoral Dissertations

Cilia are microtubules-based, hair-like structures extending from the surface of cells. Cilia can be found in various parts of the body, including the central nervous system and the peripheral nervous system. Olfactory cilia, which are specialized immotile cilia located on the olfactory sensory neurons of the nasal cavity, are responsible for detecting and transmitting signals related to the sense of smell. Primary cilia, another type of immotile cilia that are present solitary in almost all mammalian cells, have emerged as crucial cell antennae that can sense extracellular chemical and mechanical signals. Although numerous studies have demonstrated that dysfunctions of primary …

Implementation Of A Standardized Process To Increase Promotion Of Family Presence During Resuscitation, Eileen Hollis

DNP Scholarly Projects

BACKGROUND: Family Presence During Resuscitation (FPDR), has been studied and recommended as an important and relevant practice for decades, yet it remains controversial with frequent barriers to implementation. The benefits of this practice are numerous; and to truly embrace shared decision making, nurses and providers must encourage patients and families to participate in all aspects of care, even during resuscitation events. As evidence supporting the emotional and psychological benefits of FPDR began to grow, however, a global pandemic brought family presence to an abrupt halt.

METHODS: This quality improvement project’s focus was to standardize a process for offering and allowing …

Utilizing Outpatient Telehealth As A Treatment Approach For Patients With Substance Use Disorder: A Quality Improvement Project, Veronica Kwegyir-Afful

DNP Scholarly Projects

Background: The issue of substance use disorder (SUD) has demonstrated a growing prevalence both in the United States (U.S.) and globally. Effective treatment modalities have been devised for individuals afflicted by SUD, thereby enabling their post-treatment prognosis to be parallel to that of patients with other chronic diseases, such as diabetes. However, several factors or barriers impede individuals with SUD from assessing treatment. These barriers encompass financial constraints stemming from inadequate insurance coverage and high cost, the stigma surrounding SUD, which results in patient's hesitancy to seek treatment treat, adverse societal attitudes, collateral social percussions like work hour losses and …

A Quality Improvement Initiative: Addressing Workplace Violence Toward Nurses To Promote A Culture Of Safety In An Inpatient Psychiatric Facility, Ernestina Danso

DNP Scholarly Projects

This quality improvement initiative aimed to address workplace violence against nurses in inpatient psychiatric facilities and promote a culture of safety. The QI project involved 27 participants, including inpatient psychiatric nurses and mental health counselors from Cahill 4 and 7 West units at the Cambridge Campus. The primary objective was to identify challenges that hindered the effective utilization of the Broset Violence Checklist (BVC) tool for referring patients to sensory modulation rooms.

Pre- and post-intervention surveys were conducted to assess participants' self-reported knowledge and barriers to BVC and sensory room utilization. Educational sessions covering workplace violence, debriefing techniques, and the …

Exploring & Mitigating Workplace Incivility At A Rural Community Hospital, Jacquelyn Ethier

DNP Scholarly Projects

Workplace Incivility (WI) is a well-known challenge in healthcare, with decades of mounting evidence showing the effects on workplace culture, healthcare worker retention and patient safety. The nursing workforce has become increasingly vulnerable to all stressful elements of the work environment. Organizational leadership must develop and deploy mitigation strategies to minimize the negative consequences of these behaviors for nurses, and the entire healthcare team. The purpose of this quality improvement project is to assess the current state of nurse perceptions of WI at a rural community hospital and deploy evidence-based education on strategies to address and mitigate WI. The method …

Facilitating Palliative Care In A Critical Access Hospital System: Implementation Of Screening And Educational Interventions, Michele Lovell

DNP Scholarly Projects

BACKGROUND: The United States health care system faces the dual challenge of an aging population with a concomitant increase in the presence of chronic and serious illness, the care of which accounts for the nation’s largest expenditure of burgeoning healthcare costs. Palliative care is specialized care for people with serious illness aimed at reducing suffering, optimizing quality of life, and enhancing medical decision making. An ample evidence base demonstrates that palliative care increases both quality of care and patient and family satisfaction while also reducing associated costs. The aim of this quality improvement project was to facilitate palliative care services …

Development Of An Evidence Based Surgical Site Infection Bundle In Patients Undergoing Colorectal Surgery: A Quality Improvement Initiative, Jessica Mcbee

DNP Scholarly Projects

BACKGROUND: Surgical site infections (SSI) are among the leading healthcare-acquired infections that negatively impact patient outcomes and increase total cost of healthcare and the patient’s length of stay. At a community hospital in West Virginia, trends in SSI rates and the standardized infection ratio (SIR) increased for patients undergoing colorectal surgery. The purpose of this quality improvement project was to identify and implement permanent evidence-based practice changes to reduce SSI rates in colon surgery patients.

METHODS: Baseline rates of SSI and the SIR for the facility was calculated from October 2021 to September 2022. Colon surgery SSI reduction …

Evidence-Based Suicide Assessment And Managment Training For Mental Health Professionals, Clara Abit

DNP Scholarly Projects

Background: Suicide is a significant public health concern both nationally and globally. While the suicide rate has been decreasing in recent years, evidence shows that the rate of suicide among teenagers and adolescents has been on the rise. Teenage suicide accounts for 14% of all deaths by suicide in the United States, calling for effective interventions in various settings. However, inadequate knowledge of the potential signs and risk factors of suicide hinders mental healthcare professionals' ability to recognize at-risk patients.

Purpose: The project's objective was to evaluate the effects of the intervention on mental health workers' knowledge, skills, and screening …

Implementation Of A Multipronged Approach To Improve Pre-Operative Efficiency And First Case On Time Start Performance, Melyssa A. Stokes

Master's Theses and Capstones

Background: Surgical services are an important source of revenue and important economic driver of hospital systems. Surgical services account for approximately 42% of a hospital’s annual revenue, however, it also constitutes 40% of facility operating costs (Gupta, et al., 2022 & Morel & Gomez, 2021). Despite the high costs associated with surgical services delays remain a significant issue across the nation. On-time starts for the first surgical cases of the day is a key performance metric tracked by surgical facilities to determine efficiency. Currently, 50 – 90% of first surgical cases are delayed throughout the United States and the most …

Increasing Access And Adherence To Cognitive Behavioral Therapy For Insomnia (Cbti) For Adults: A Quality Improvement Project, Kristen Newell

DNP Scholarly Projects

BACKGROUND: Insomnia is a sleep disorder that is becoming more prevalent. It can significantly impact a person's quality of life and it contributes to a substantial economic financial burden. Cognitive behavioral therapy for insomnia (CBTi) is the primary treatment for insomnia, but patients are rarely referred for this treatment. This quality improvement project focused on implementing motivational interviewing to increase patient utilization of CBTi. It also encouraged utilization of CBTi Coach, a free phone application that has all of the CBTi components, a rigid sleep behavioral plan and frequent follow-up appointments to improve sleep quantity and quality.

INTERVENTION: Patients that …

Improving Mental Health Psychiatric Nurse Practitioners’ Knowledge And Confidence To Assess Decision-Making Capacity In Geriatric Psychiatric Patients In Acute Settings, Lolita Brown

DNP Scholarly Projects

Abstract

In this quality improvement project, I aim to enhance the knowledge and confidence of psychiatric mental health nurse practitioners (PMHNPs) in completing Decisional Capacity Mental Assessments (DMCAs). I use qualitative and quantitative methods to measure the intervention’s success, emphasizing PMHNPs’ role in ensuring ethical DMCAs while maintaining patient autonomy. The education-based intervention significantly improves PMHNPs’ knowledge and confidence levels following the pre-education survey. These findings highlight the significance of DMCA training for health-care professionals, underscoring the necessity of standardized assessments alongside improved dialogue during capacity evaluations. Limitations include limited sample sizes and dependence on self-reported measures, which may introduce …

“Wilfrid Sellars And Pragmatism”, Willem A. Devries

Faculty Publications

A brief survey of Wilfrid Sellars' relation to Pragmatism, focusing on the priority of the practical in the constitution of meaning, the critique of the given, and sociality of thought and inquiry.

Where The Action Is: Positioning Matters In Interaction, Danielle M. Pillet-Shore

Faculty Publications

Position matters. As a conversation analyst examining any form of recorded synchronous human interaction – be it casual or institutional – I constantly monitor for, and organize my collections of target phenomena around structural position: Where on a transcript and when in an unfolding real-time encounter does a participant enact some form of conduct? Because conversation analysis (CA) is primarily focused upon action sequences, I use CA methods to examine the ways in which participants’ audible utterances and visible body-behaviors accomplish particular social actions due at least in part to their positioning within a sequence of interaction – …

Dataset For Effects Of Single-Session Practice Structure On Motor Skill Acquisition And Alpha And Beta Eeg Oscillations, Audrey Porter, Ronald V. Croce, Wayne Smith

Faculty Publications

Although it is known that practicing a motor skill updates the associated internal model, it is still unclear as to how cortical oscillations linked with the motor skill change under differing practice schedules. The current study investigated α- and β-power changes associated with motor skill acquisition. Firstly, we investigated the behavioral effects of practice on motor learning and retention during repetitive (RP) and variable (VP) practice schedules on an anticipation timing task. Secondly, we investigated changes in cortical α (10-13 HZ) and β (15-30 Hz) event-related synchronization and dyssynchronization (ERS/ERD) under RP and VP during early (EP) and late …

Effective Leadership Styles To Ensure Organizational Success, Nicholas Collishaw

M.S. in Leadership

A look into the different leadership styles that can ensure organizational success within the law enforcement field. Each generation that comprises of the law enforcement field have different preferred leadership styles and traits that keep an organization running effectively. Finally, an analysis of the different theories revolving around leadership and the benefits of each theory if implemented effectively.

The Impact Of Compensation Framing On Work Relationships, Jack Wixson

Honors Theses and Capstones

This paper attempts to understand the effects of compensation framing on performance, work relationships, and organizational citizenship behavior. 108 study participants worked under either a bonus or penalty framed contract to complete an effort-based task. The results of the study indicate that employees will exert more effort to get to know their supervisor and demonstrate more good behavior under a bonus frame versus a penalty frame. These findings are important for companies to recognize how different compensation structures impact their employees. Companies can be more successful if they put in more time and effort to better understand their employees.

Enhancing Nurses' Self-Efficacy In Smoking Cessation Counseling To Improve Patient- Centered Care At A Federally Funded Urgent Care Center: A Quality Improvement Initiative, Adam N. Waller Ii

Master's Theses and Capstones

Background: It is well documented that there is a high prevalence of Veteran tobacco use in the United States. Additionally, providing smoking cessation counseling in an emergency setting is beneficial. The broader Veteran Affairs (VA) macrosystem has a plethora of smoking cessation resources available for Veterans. Within a VA Urgent Care Center (UCC) a quality improvement initiative was conducted that focused on increasing registered nurses (RNs) self-efficacy in providing smoking cessation counseling. Prior to this quality improvement (QI) project, smoking cessation did not occur in this UCC. If RNs have higher self-efficacy more smoking cessation counseling will occur.

Methods …

Using Education To Improve Nurse Perceptions On Rounding To Increase Patient Safety And Efficiency Of Care On A Behavioral Health Unit: A Quality Improvement Project, Shannon Alty

Master's Theses and Capstones

Abstract

Background: Hourly rounding completed by nursing staff are routinely completed on most inpatient hospital units. Evidence suggests that hourly rounding can improve patient outcomes, patient satisfaction rates, communication, minimize patient requests and improve the nurse patient relationship (Halm, 2009). Additional evidence suggests that inpatient psychiatric patients often feel disconnected from their nurse and hourly rounding is recommended to build the nurse-patient relationship (DaSilva, 2017). However, for successful implementation, nurse perceptions of rounding must be obtained.

Local Problem: Hourly rounding is a standard of practice, however, was not being consistently completed. Assessing the nurse perceptions regarding rounding, was imperative understand …

Promoting Safety Of Medication Administration And Reducing Medication Errors Using Photographic Patient Identification In An Inpatient Psychiatric Setting: A Quality Improvement Initiative, Kyla Kelly

Master's Theses and Capstones

Abstract

Background: Medication errors pertaining to patient wristband workarounds in a behavioral and mental health inpatient unit can affect patient outcomes, safety and can even be fatal. The proper verification of the five rights of medication administration, patient acuity, diagnosis, and unit staffing can impact the need for patient wristband workarounds to occur. Improving staff and patient education and reducing the need for wristband workarounds through the utilization of patient photographic identification significantly reduces the number of medication errors relating to wristband workarounds during the medication administration process. Additionally, a significant reduction in the time it takes to administer medications …