Digital Commons Network^™

Vista: April 11, 2019, University Of San Diego

USD Vista

No abstract provided.

Vista: March 14, 2019, University Of San Diego

USD Vista

No abstract provided.

2019 Causes Count: The Economic Power Of California's Nonprofit Sector, California Association Of Nonprofits, The Nonprofit Institute, University Of San Diego

State of Nonprofits in California

California’s nonprofits bring more than $40 billion into California each year from out-of-state sources, and one in every 14 California jobs is at a nonprofit.

Like the inaugural Causes Count report in 2014, this “Causes Count 2.0” report summarizes the noteworthy size, variety, diversity, activities, accomplishments, and overall magnitude and importance of California’s nonprofit sector.

The research was conducted by The Nonprofit Institute at the University of San Diego, working alongside Calnonprofits staff. The research involved finding and scrutinizing many different sources of data to create this synthesized exposé of the breadth, depth, and strength of California’s nonprofit sector.

Policymakers, …

Medical Board Of California, Angela O'Hara, Debra Jorgensen

California Regulatory Law Reporter

No abstract provided.

Bureau For Private Postsecondary Education, Mikaila Hernandez, R. C. Fellmeth

California Regulatory Law Reporter

No abstract provided.

Medical Board Of California, Kayla Watson, J. D. Fellmeth

California Regulatory Law Reporter

No abstract provided.

Stop, Meditate, And Listen: A Treatment Modality For Iraqi Refugees With Depression, Katherine Goehring

Doctor of Nursing Practice Final Manuscripts

Purposes: To implement a mindfulness meditation program with Arabic speaking clients as an adjunctive treatment of depression

Background: Depression rates among Iraqi refugees are between 28.3 and 75% compared to 8.6% in the general population (Slewa-Younan, Guajardo, Heriseanu, & Hasan, 2015). Treatment options are limited at Neighborhood Healthcare in El Cajon due to budget limitations, cultural beliefs and language barriers, among other reasons. Individual therapy is intended to be a brief intervention due to limited staffing. Many middle eastern refugees decline group therapy due to stigma surrounding mental health treatment and concerns about privacy. Even though traditional treatment …

Oxygen Consumption In Sepsis, Julie Graham

Dissertations

Background: Sepsis is a life-threatening condition that can lead to septic shock and death. With over 300,000 annual cases (AHRQ, 2011) costing a staggering $1.5 billion (Health Care Utilization Project Brief #185), the importance of sepsis is becoming clear. However, some basic biological mechanisms are poorly understood. Study Purpose: This study investigated the relationships between select demographics, resting energy expenditure (REE), serum lactate, SOFA score mortality index, oxygen consumption [by way of measuring net oxygen consumed, (V02) and net carbon dioxide produced (VC02)], and sepsis. Specific Aims: Aims were to describe 1) patient demographics, serum lactate, SOFA score mortality index, …

2017 Food, Friendship, And Health: Working Together To Serve Seniors In North County San Diego, Michelle Ahearne, Meghan Kelly, Mary Jo Schumann

Seniors

This report, prepared by the Caster Center, is a three-year evaluation of the North County Senior Connections Thyme Together Food Truck Lunch Program.

Improving Self-Care Management In Heart Failure Patients, Sible Rebello

Doctor of Nursing Practice Final Manuscripts

This evidence-based project aimed to improve self-care and decrease the 30-day readmission rates in cardiology clinic heart failure (HF) patients. Thirty-day HF readmission rates, pose a financial burden to hospitals and consistent patient engagement and education in self-care among HF patients can decrease health care utilization, reduce mortality and improve quality of life. Patients received HF education during the first post-discharge clinic visit followed by weekly telephone calls. The Self-Care of Heart Failure Index (SCHFI) was administered to assess baseline knowledge of the self-care and reevaluated at the end of 30 and 90 days. None of the participants were readmitted …

Evaluating An Employee Health Tobacco Cessation Program For Enhanced Success, Leah Griffiths, Kathy S. James

Doctor of Nursing Practice Final Manuscripts

Tobacco smoking is the number one cause of preventable death in the US. It increases risk for cardiovascular and respiratory disease, diabetes, and many types of cancer. When contrasted with nonsmoking employees, smokers have a greater amount of lost productivity, as well as cost of health and life insurance claims due to illness. The purpose of this evidence-based project was to identify current smokers and monitor the consistency of their progression through the 5 A’s framework within an employee health clinic. Data was collected over two years and 600 charts were reviewed. After the data was analyzed, it was estimated …

Oral History Conversation With Chuck Samuelson (Kitchens For Good), Sulaiman Almatar, Michelle Truong, Jason Chander, Megan Strickland

Philosophy: All Student Work

This was a conversation with Chuck Samuelson who runs a social organization (Kitchens for Good).

The Never-Ending Quest For Clarity Amidst Uncertainty: Hospital M&A And Antitrust Scrutiny, Ross E. Bautista

San Diego Law Review

Although critics say hospitals justify mergers in the same way as they did during the M&A boom of the 1990s, these critics frequently link the current wave of mergers with the purpose of becoming more integrated and efficient to achieve the level of cost savings and improved quality that the United States and patients currently require. However, the results from hospital consolidation remain uncertain because of the limited and mixed evidence about its impact on quality of care and price. Part I of this Article discusses the recent surge in hospital M&A activity. Part II brings some clarity by discussing …

Vista: February 2, 2017, University Of San Diego

USD Vista

No abstract provided.

Faith And Homelessness: Examining The Influence Of The Faith-Based Component Of A Transitional Housing Program On The Attitudes And Behaviors Of Homeless Men, Douglas Edward Luffborough Iii

Dissertations

Homelessness is a social and public policy concern. In the United States, homelessness is a problem with multiple and complex causes that include mental illness and the effects of physical, economic, and social conditions such as extreme poverty, exposure to the elements, mental and substance abuse disorders, malnutrition, and victimization. Transitional housing is a temporary option offered as a response to homelessness, recognizing that if individuals are provided with shelter, they may be supported in their attempt to achieve self-sufficiency.

There is some evidence that supports the benefits of federally funded transitional housing programs, but to date, few studies have …

The Health Of Human Trafficking Victims In San Diego, California: A Retrospective Study, Noelle Lipkin Leveque

Dissertations

Background/Purposes/ Aims: Human trafficking (HT) is a threat to human rights globally. Studies indicate between 28% and 87% of HT victims encountered a health care professional during their trafficking period. Nonetheless, little is known about the health care needs of victims of HT. The purpose of this study was to examine the health care needs of a self-identified group of trafficked women in San Diego County, California.

Conceptual Basis: The Model of Human Trafficking and Health by Zimmerman et al. (2011) was used to identify multiple determinates of health following the trafficking period including demographic factors (age at assessment, age …

Masking Your Rights: Facemask Requirements Under Mandatory Influenza-Vaccination Policies Violate Privacy Rights Of Health Care Workers, Janet S. Kim

San Diego Law Review

Hospitals should abandon the facemask requirements in their mandatory influenza-vaccination programs because the facemasks can infringe on the privacy rights of health care workers, and hospitals can still achieve their vaccination goals through less restrictive practices. Part II introduces the recent rise of mandatory influenza-vaccination policies for health care workers, how hospitals exempt certain employees, and the consequences for those exempted. Part III discusses the legal implications of requiring exempted employees to wear facemasks and other identifying material under federal and state privacy law. Part IV recommends that health care employers abandon facemask requirements in their mandatory-vaccination programs in order …

Preoperative Assessment Clinic Reduces Total Joint Arthroplasty Case Cancellations, Angelica Adriano

Doctor of Nursing Practice Final Manuscripts

The purpose of this evidence-based project was to reduce the rate of elective total joint arthroplasty case cancellations by implementing a nurse practitioner-led Preoperative Assessment Clinic (POAC), in the orthopedic department of a major southern California Veterans Affairs (VA) hospital. Retrospective data collected in a 12-month time period showed a surgical cancellation rate of 22%. Reasons for delays or cancellations included: medical instability, abnormal labs and/or studies, patients requiring referral to specialists, dental clearance, patient-initiated cancellations, and active infections. The POAC reduced the rate of case cancellations at 1 year to 17% and at 2 years to 9%. Lost revenue …

Use Of Video Games In Patients' Self-Management Of Pain: A Feasibility Study, Janet Donnelly Phd(C), Rn-Bc, Acns-Bc, Pccn

Dissertations

Background: Pain affects more than 75 million Americans and is the primary reason people seek medical attention. Pain is a common cause of disability and diminished quality of life. While anecdotal evidence exists regarding nurses’ use of distraction therapy activities in pain management, little empirical research data is available.

Purpose: To examine the effects of video game use (VGU) on pain perception, pain interference perception and perceived self-efficacy in pain management in adult inpatients.

Conceptual Model: The conceptual model is based on Self-efficacy Theory (Bandura, 1995). The antecedents of the concept of distraction therapy with use of VGs in patients’ …

Vista: October 1, 2015, University Of San Diego

USD Vista

No abstract provided.

Toward Coherent Federal Oversight Of Medicine, Patricia J. Zettler

San Diego Law Review

The conventional wisdom in U.S. health law and policy holds that states regulate medical practice—the activities of physicians and other health care professionals—while the federal government regulates medical products. But relying on states as the principal regulators of medical practice has, at times, driven law and policy in directions that are problematic from a public health perspective, as demonstrated by a deadly 2012 outbreak of fungal meningitis that was linked to a primarily state-regulated practice known as drug compounding. This Article argues that the federalism concerns underlying the conventional wisdom are misplaced. It demonstrates that, contrary to conventional wisdom, the …

Promoting Completion Of Advance Directives In A Hispanic Religious Congregation: An Evidence-Based Practice Project, Luis Daniel San Miguel, Mary Jo Clark

Doctor of Nursing Practice Final Manuscripts

Background: Hispanics utilize more aggressive medical treatment at the end of life and are less likely to receive end-of-life care consistent with their wishes than nonHispanic Whites. Hispanics are less likely than nonHispanic Whites to have an advance directive (AD). Increasing AD completion among Hispanics can promote end-of-life care consistent with their wishes, diminish healthcare disparities, and eliminate unnecessary healthcare spending. Objectives: To promote completion of advance directives by increasing knowledge, positive attitudes, and comfort with advance care planning (ACP) among Hispanics through culturally sensitive interventions. Intervention: The project was conducted in Spanish and implemented among a …

Vista: October 16, 2014, University Of San Diego

USD Vista

No abstract provided.

State Of Nonprofits Annual Report: 2014, Mary Jo Schumann, Jennifer Amanda Jones, Kim Hunt, Christina Mitchell, Svetlana Krasynska, Laura Deitrick

State of Nonprofits in San Diego

For the second consecutive year, the State of Nonprofits Annual Report chronicles the capacity, contributions, and overall economic health and well-being of the San Diego nonprofit sector over time.

It also documents the current state of the nonprofit sector in San Diego County based on perspectives of local nonprofit leaders in 2013.

The findings presented in this report are a culmination of various sources and represent different perspectives. Together, they help tell the story of the nonprofit sector in San Diego County (subsequently referred to as San Diego).

Comparing Factors Of Bachelor's Degree Attainment For First And Continuing Generation Students, Holly Gilbertson Hoffman Phd

Dissertations

Colleges and universities have recently been under great pressure to increase institutional graduation rates, due to a surge in consumer demand for accountability and the use of graduation rates to deter nine effectiveness and funding. Many colleges may choose to achieve higher graduation rates by simply increasing selectivity. However, this strategy has the potential to exclude at-risk student populations, namely first generation students, who lack a family track record of college completion and have been shown to be less likely to graduate than continuing generation students. To allow for continued access for first generation students, institutions have the ability to …

Do New Buildings, Equipment, And Technology Improve Student Outcomes? A Look At One Community College's Experience, Danene Twyman-Brown Phd

Dissertations

During the last decade, community colleges have taken a close look at the way they educate and train students, and are using an assortment of student engagement indicators in an effort to assess and document learning outcomes of their students. While these indicators have proven helpful, the extent to which new buildings, equipment, and technology have been integrated into these metrics has been sorely lacking; instead, the assumption has been that more modem facilities, equipment, and technology will improve students' learning and better prepare them for the workforce. To test this assumption, this study examined the relationship between a new …

Understanding The Development Of Global Leadership Competencies, Andrea L. Mcmullen Phd

Dissertations

As businesses seek to gain a competitive advantage in a rapidly evolving global marketplace and in the midst of a global talent shortage, the demand is increasing for guidance surrounding the development of global leaders. Although competency model frameworks have existed since the 1970s, the process of how an organization develops Global Leadership Competencies (GLCs) has not been well documented, particularly in new and evolving industries such as the biosciences. Furthermore, despite the time, effort, and money spent on learning and development or training programs, there are no studies that investigate employer-learner perceptions regarding the alignment of these learning programs …

Fighting For The Option To Care For Huntington’S Disease Patients At Home, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

California Stem Cell Agency Approves $19 Million Clinical Trial Project As Huntington's Disease Families 'Change The Course Of Science', Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Pain Management In Triage And Reducing Percentage Of Left Without Being Seen In An Overcrowded Ed, Christina Ballejos-Campos Phd

Dissertations

Although in most emergency rooms, the patient is seen first by a highly trained triage nurse, the ED physician is trained to determine if the patient can safely leave the ED prior to in-depth exam, treatment and diagnosis. The goal is to keep the left without being seen by a physician percentage low, since a high number would indicate poor quality, additionally patients who present with pain, and then leave the ED prior to being seen can pose a greater risk. This study examined the association of nurse-initiated triage pain protocol on the LWOBS percentage rate of patients who present …