Digital Commons Network^™

Bureau For Private Postsecondary Education, Junhee Park, R. C. Fellmeth

California Regulatory Law Reporter

No abstract provided.

Humanities Center Annual Report 2018-2019, Humanities Center, University Of San Diego

Humanities Center Annual Reports

No abstract provided.

Usd Magazine Summer 2019, University Of San Diego

University of San Diego Magazine (1992- )

From the President; Torero News; Torero Athletics; An Extraordinary Exhibition: Christ: Life, Death, and Resurrection; Delving Deeper into the Symbiosis of the U.S./Mexico Border; Mending the First Amendment; Class Notes; Saving Lives (Times Two); Getting Messy: Zen and the Serendipitous Art of Finding Your Bliss; The Big Picture

Trifecta Of Student Engagement: A Framework For An Online Teaching Professional Development Course For Faculty In Higher Education, Heather J. Leslie Phd

Learning Design Center: Staff Scholarship

Purpose

The purpose of this paper is to describe an online faculty development pilot course on how to engage students online. A framework was used, referred to as the Trifecta of Student Engagement, for the design of the course. The Trifecta of Student Engagement proposes that students, in order to be fully engaged in a course, need to be engaged with their course content, with their peers and with their instructor. The course has three units of content that each correspond to the Trifecta of Student Engagement. This course has gone through one pilot with faculty and has impacted students …

Enhancing Chronic Pain Management Motivational Interview Among Lower Back Pain Patients, Melissa L. Hines-Antico

Doctor of Nursing Practice Final Manuscripts

Purpose: Untreated chronic pain is a nationwide epidemic affect individual physically, psychologically, and financially. Low back pain is the most common subset of chronic pain. Restricted clinic time and a focus on procedural/prescriptive methods for managing pain prohibits patient education regarding self-care, and formation of a relationship with the provider.

Design: Article review yielded 20 articles that supported the use of motivational interviewing for chronic pain in lower back pain patients. They were evaluated for their strength of evidence on a scale of 1-6. One article was ranked level I as a meta-analysis, and six were ranked as level II …

Is Modern Paganism True?, Anthony T. Kronman

San Diego Law Review

Anthony T. Kronman’s contribution to the 2019 Editors’ Symposium: Pagans and Christians in the City.

Paganism Is Dead, Long Live Secularism, Samuel C. Rickless

San Diego Law Review

Samuel C. Rickless’s contribution to the 2019 Editors’ Symposium: Pagans and Christians in the City.

Havelian Presidency: A Study In Theory & Practice, Chelsea Johnson

Undergraduate Honors Theses

Despite former dissident and Czech president Václav Havel’s widespread influence, his presidency has not been seriously considered as a framework for how one should head a government. A reasoned and thorough examination of Havel’s presidency is conspicuously absent in the existing literature. Havel is known for and evaluated most in terms of his sweeping moral principles and philosophical treatises, but I wish to know whether his 13-year presidency passes the test of ideal world leadership that he provides so clearly in his written works and speeches. Specifically, I develop a set of ideal traits for world leadership and then examine …

Nurse Family Member Perceptions Of Patient Death And Nursing Care After Withdrawal Of Life-Sustaining Treatment, Deena Drake

Dissertations

Purpose/Aims: This pilot study explored nurse family member perceptions of nursing care and patient quality of death and dying during and after withdrawal of life-sustaining treatment within Intensive Care Units (ICU).

Rationale: Past research that examined physician, nurse, and family member experiences of End-of-Life (EOL) care within the ICU found significant differences between the three groups.

Background: Approximately 500,000 people die within an ICU each year in the United States. End-of-Life and Palliative Care programs focused primarily on physician interventions to improve quality of EOL care have had little impact on family member perceptions of quality of care or patient …

Managing Childhood Atopic Dermatitis: Utilizing A Written Eczema Action Plan To Improve Caregiver Self-Efficacy, Tiffany Sena

Doctor of Nursing Practice Final Manuscripts

Approximately 13% of the pediatric population suffer from atopic dermatitis (AD) or eczema (Silverberg & Simpson, 2014). Eczema is a complex and costly managed disease. There is a need to improve caregiver knowledge and to maintain and control exacerbations as national prevalence increases in the United States. Literature supports utilization of a written Eczema Action Plan (EAP) to improve caregiver self-efficacy of eczema management. An evidence-based practice project was conducted in a primary care pediatric practice implementing a written EAP for mild to severely diagnosed patients ranging from 4 months to 17 years of age. The practice intervention included providing …

Pilot Implementation Of A Comprehensive Pain Assessment In An Oncology Clinic, Lauren Botta

Doctor of Nursing Practice Final Manuscripts

Purpose/Aims: This project implemented an algorithmic approach to assess pain, functionality, and psychosocial states in newly diagnosed cancer patients. This was accomplished through utilization of a validated pain assessment tool. The tool’s purpose was to identify high-risk patients for Emergency Department (ED) visits or unanticipated hospital admissions (UHA), within a second-year fellow Hematology/Oncology clinic.

Primary aims included: (a) aggregating demographic data to determine the profile of a high-risk patient seen within this clinic, (b) determining those referred to and who followed up with symptom specialists or the ED, and (c) identifying barriers for the next iteration of the project. …

The Roles Of An Evidence-Based Weight Management Protocol In Hypertension Control, Belinda Akakpo Maxwell

Doctor of Nursing Practice Final Manuscripts

The Roles of an Evidence-Based Weight Management Protocol in Hypertension Control

Abstract

Purpose: The purpose of this project is to evaluate the impact of a healthcare provider-led protocol for patients with hypertension (HTN) and weight loss needs to improve weight control, cardiovascular risk and quality of life.

Background: Evidence shows that a 1.2-kg weight loss can reduce systolic blood pressure (SBP) by 3.8mmHg. Thus, a 10kg (22lbs) weight loss is likely to yield a SBP decrease of as much as 32mmHg. Such results would positively impact quality of life and costs. The simple approach of instructing patients to eat less …

A Pilot Project For School-Based Screening And Treatment Of Latent Tb Infection Among Freshman High School Students, Isis Cunningham

Doctor of Nursing Practice Final Manuscripts

Background: San Diego’s tuberculosis (TB) incidence is 2.5 times higher than the national rate. Five cases of active TB in the county’s public high schools during 2018 demonstrated the need for prevention interventions in this setting.

Objectives: This evidence-based project aimed to increase awareness, screening, and treatment of latent TB infection (LTBI) in the school setting.

Methods: A one-time TB educational presentation was given to high school freshman students with a pretest and posttest. A TB risk assessment and consent was sent home with the students. For at-risk students, a confidential package was sent to the parents recommending testing along …

Multilingual Postpartum Depression Screening In Pediatric Community Health Clinics, Margo Cohen

Doctor of Nursing Practice Final Manuscripts

Abstract

Purpose: The purpose of this evidence-based project is to screen all mothers for postpartum depression at their infant’s 1-week, 1-month, 2-month, and 4-month well-child visits and to educate pediatric providers and mothers on the importance of early detection, referral and utilization of mental health services.

Background: Every year, 400,000 infants are born in the United States to mothers with depression, most of which have not been diagnosed or treated. The prevalence of postpartum depression (PPD) among immigrant and low-income women following birth, is estimated to be as high as 22%. Despite their high rate of prevalence, recognition and treatment …

Patient Perception Of Fall Risk And High Fall Risk Screening Scores, Nicole D. Pena

Dissertations

Purpose: The purpose of the study was to describe the relationship between patient

perception of fall risk and high fall risk screening scores.

Background: Despite mandated government regulations and multiple hospital

interventions, falls are the most prevalent adverse event among hospitalized patients and

are the leading driver of health care costs, amounting to over $30 billion each year with

projections to double by 2030. Recently, perception was identified as a major component

in preventing falls. A dearth of research examines the relationship between a patient’s

perceived risk for falls and standardized fall screening scores.

Methods: A descriptive correlational design with …

Perinatal Mood And Anxiety Disorders, Stigma, And Social Support Among Postpartum Women, Ellen K. Fleischman

Dissertations

Purpose/Aims: The purpose of this descriptive, correlational, cross-sectional study was to examine the relationships among perinatal mood and anxiety disorder (PMAD) symptomatology, select demographics, stigma of mental illness, and social support, among inpatient postpartum women. Rationale: PMADs affect as many as 21% of childbearing women, yet these disorders are identified and treated less than half the time. There is a gap in the literature regarding the relationships among stigma, social support, and PMADs in postpartum women.

Conceptual Basis/Background: Despite recommendations from professional organizations, screening for PMADs is not consistently completed using a valid, reliable instrument. Stigma contributes to the low …

Adult Postoperative Open-Heart Patients: Anemia And 30-Day Hospital Readmission, Lindsey Ryan

Dissertations

Background. In 2013 alone, more than 4% (3.9 million) of patients discharged from a hospital were readmitted. Anemia following a surgical procedure is associated with early hospital readmission.

Purpose/Aims. The following were specific aims of this dissertation:

• Aim 1. To develop an operational definition of the term condition-based maintenance as applied to health care and discuss the applicability and effectiveness of condition-based maintenance within health care.
• Aim 2. To identify the number of adult patients undergoing elective open-heart surgery with preoperative anemia.
• Aim 3. To examine the relationship between preoperative anemia, sociodemographics, and 30-day hospital readmission rates among postoperative open-heart …

The Lived Experience Of Discharged And Readmitted African Americans With Chronic Obstructive Pulmonary Disease To A Safety-Net Hospital, Kiiyonna Jones

Dissertations

Background:Chronic Obstructive Pulmonary Disease (COPD) is a debilitating respiratory disease that negatively affects the quality of life of those affected and has been a major contributor to the continuous rise in healthcare cost in the Unites States (Guarascio, Ray, Finch, & Self, 2013; National Heart Lung and Blood Institute, 2009; Shavelle, Paculdo, Kush, Mannino, & Straus, 2009; Scott, Smith, Sullivan, & Mahajan, 2001). In 2014, Centers for Medicare & Medicaid Services (CMS) identified COPD as an applicable condition to the Hospital Readmissions Reduction Program, which penalizes healthcare organizations having readmissions higher than the national average. COPD is the second …

Utilization Of Evidence-Based Telehealth For Routine Follow-Up Visits In Outpatient Palliative Care, Kori Fitzgerald Bsn, Rn, Phn, Fnp/Dnp Student

Doctor of Nursing Practice Final Manuscripts

Title: Utilization of Telehealth for Palliative Care Follow-up Visits

Background: A vital part of cancer management is the implementation and integration of palliative care, to prevent and relieve suffering and to improve quality of life for patients with serious chronic illness. However, access to palliative care services continues to be inadequate. There is a nationwide shortage of skilled palliative providers and the supply is insufficient to meet the growing demand.

Purpose of Project: Implementing telehealth visits with palliative care patients with advanced cancer at the UCSD Moores Cancer Center has the potential to maintain patient satisfaction with …

Analysis Of A Universal Depression Screening Workflow At An Integrated Healthcare Center, Arthur Roehr

Doctor of Nursing Practice Final Manuscripts

Purpose: Evaluation of an evidence-based protocol that measures the effectiveness of universal depression screening at an integrated healthcare center. At risk patients are those who complete a patient health questionnaire (phq-9) and score ≥ 10 when presenting for a primary care visit. A score of ≥ 10 prompts further evaluation by the primary care provider (PCP) prior to behavioral health care management (BHCM) referral.

Background: In 2016, 16.2 million adults aged 18 or older in the U.S. experienced a major depressive episode (MDE). 65.3% of those received some form of treatment from a healthcare professional (therapy and/or medication). Early identification …

Discursive Leadership: Exploring The "Black Box" Challenge In Transcultural Leadership Studies, Christopher Patrick Brown

Dissertations

The increasingly globalized U.S. workforce includes significant numbers of adult immigrants integrating into the North American professional sphere. As such, it is important to have concrete ways to study and interpret different cultures’ thinking about teamwork, and their models of enacting shared leadership and communication in a multicultural context. Since 2006, hundreds of millions in federal grant funding has been invested in university-based language and culture programs focused on training government personnel and heritage populations in the languages and cultures of the Middle East and Central and Southeast Asia. Little is known about the performative strengths and challenges of the …

Truth Or Myth? Millennial Stereotypes, Self-Image, And Engagement In The Workplace, Stephanie Van Dellen

Dissertations

There are approximately 58 million Millennials working for corporations in the United States. Millennials generally born between the years 1980 to 1995 are said to have been shaped by events such as the invention of the Internet and cell phones. Given that Millennials make up a large percentage of the active workforce, it is important to understand the perceived stereotypes of Millennials and how these generalizations may impact their engagement and effectiveness at work.

This research aims to better understand how managers perceive Millennial employees, how Millennials self-identify with their generational stereotypes, and how they differ from other generations. The …

Exploring, Examining, And Explaining How Participatory Governance Adds Value To Saudi Foundations’ Philanthropic Strategy, Afnan E. Koshak

Dissertations

Foundations’ flexibility, given their independence from fundraising imperatives, competition forces, and accountability pressures, enables them to invest in long-term, high-risk, multi-level experiments to deal with the increasingly complex societal problems. This flexibility, coupled with the growing role philanthropy plays in promoting social welfare across the world, is arguably what makes studies that focus on foundations’ philanthropic approaches of utmost importance.

There is a mounting interest among scholars in the governance of foundations, the systems and processes concerned with ensuring the overall strategic direction of organizations. Influenced by agency and stewardship theories, an increasing number of studies address such topics as …

Coming Together: Graduate Students And Community Engagement, Irma Gonzalez

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

The purpose of my research was to explore how graduate students regard and participate in community engagement opportunities at the University of San Diego (USD), specifically within the School of Leadership and Education Sciences (SOLES). Thus, my research question was: How can I explore and facilitate community engagement among SOLES graduate students? Through my work, I found that community engagement efforts are of interest to the USD graduate student population while greater efforts for access and involvement would be appreciated. By focusing on the current role of this topic among the graduate population and fostering greater awareness, I was able …

Full Of Pride: Improving Latino Engagement And Retention In Usd's Lgbt+ Community, Miguel Rios

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

The purpose of my study was to examine and implement strategies that would get gay Latino students at USD to engage more with the LGBT+ community on campus. Using McNiff’s action research method, I researched how I can work effectively with USD’s LGBT+ community to create a more diverse community that enhances the involvement of Latino students. My findings indicate that Latino students choose to explore their LGBT+ identity through other identity-based organizations and that a stronger need for community building is critical to enhance the involvement of Latino students within the LGBT+ community.

Nudge Or Puppet? Decision-Making, Ethics, And Leadership In The Information Age, Yihe Yang

M.A. in Leadership Studies: Capstone Project Papers

In the past two decades, algorithm-based information technology has provided great convenience and a strong theoretical foundation for organizational leadership decision-making, since the analysis of contextual information from data analysis and mathematical models enhances decision-makers’ judgments. However, improper use and insufficient understanding of information technology also bring negative results throughout the practical application. To eliminate adverse effects, organization leader requires rigorous ethical demands. A case study for IBM and literature review constituted the paper’s methodology, analyzed through the East-West decision theory, the duality of information technology, and the ancient Chinese ethics. Also, the leadership ethics and the adaptive leadership theory …

Mindful Facilitation - Designing A Workshop Linking Transformative Leadership Theory To Facilitation Techniques To Increase Facilitator Confidence, Cristina Schaffer

M.A. in Leadership Studies: Capstone Project Papers

Facilitation skills have value in any setting where one seeks to persuade others, obtain deeper interaction in meetings, encourage or motivate others, make a lasting impact, and energize others. “Mindful Facilitation” integrates the ability to bring mindfulness, empathy, and connection to facilitation practice. This paper presents an applied project in creating a workshop developed to link adaptive leadership theories with the best practices of successful facilitation with the intent of raising facilitator confidence. The results show that confidence levels are raised when workshop participants learn facilitation skills that are rooted in mindfulness.

Early Identification And Intervention In Patients With Atrial Fibrillation Using An Implantable Cardiac Monitor To Significantly Improve Guideline-Based Anticoagulation Therapy In An Outpatient Cardiology Clinic, Lisa Alvarez

Dissertations

The purpose of this research was to (a) examine the demographics of patients receiving care in an outpatient cardiology clinic, (b) describe the relationship between the atrial fibrillation (AF) and other variables (e.g., BMI), (c) examine the frequency and the length of time to AF diagnosis in patients implanted with an implantable cardiac monitoring (ICM) device, (d) observe provider patterns of treatment with oral anticoagulants (OACs), and (e) investigate documented considerations to either diagnose or rule out OSA in a group of outpatient AF patients in a cardiology clinic.

Background: AF is largely undiagnosed but can cause major morbidity and …

Vista: May 9, 2019, University Of San Diego

USD Vista (1965-)

No abstract provided.

Vista: May 2, 2019, University Of San Diego

USD Vista (1965-)

No abstract provided.