Digital Commons Network^™

Resuscitation Quality Improvement Mortality Rates, Jordan Priest

Dissertations

This paper explores and answers the question: What is the impact of Resuscitation Quality Improvement on survival at discharge rates after suffering an IHCA when compared to every two-year BLS/ACLS training? Articles are explored that identify positive patients’ outcomes when resuscitation training is repetitively learned. The design consists of a BLS/ACLS and RQI evaluation of quarterly survival to discharge rates prior to the initiation of the new RQI program and after the initiation of the new RQI program. The setting of the study is the east region of a midwestern faith-based health care system, that includes four hospitals in one …

The Impact Of Advisory Programs On Student Achievement, Attendance, And Behavior, Joshua Colby Flora

Dissertations

The impact of advisory programs on student achievement, attendance, and behavior was explored in this study. The study was conducted to contribute to existing research and to gain insight as to whether or not advisory programs promote positive academic outcomes in schools. Four schools with advisory programs and four schools with academic homerooms participated in the study. Each school provided student achievement, attendance, and behavior data from the 2015‒2016, 2016‒2017, 2017‒2018, and 2018‒ 2019 school years. In addition, advisory teachers responded to a survey regarding outcomes of advisory and their perceptions of advisory programs. The data were analyzed using an …

Forecasting Demand For Optimal Inventory With Long Lead Times: An Automotive Aftermarket Case Study, Chris Anderson

Dissertations

Accuracy in predicting customer demand is essential to building an economic inventory policy under periodic review, long lead-time, and a target fill rate. This study uses inventory and customer service level as a stock control metric to evaluate the forecast accuracy of different simple to more complex predictive analytical techniques. We show how traditional forecast error measures are inappropriate for inventory control, despite their consistent usage in many studies, by evaluating demand forecast performance dynamically with customer service level as a stock control metric that includes inventory holdings costs, stock out costs, and fill rate service levels. A second contribution …

Guided Online Coaching For Teachers Of Emergent Bilinguals In A Tesol Practicum Course During Covid-19, Dawn Thieman

Dissertations

Guided online coaching for teachers of emergent bilinguals (EBLs) is a job-embedded professional development model established from the educational policies and practices described in the No Child Left Behind Act and Every Student Succeeds Act. Having effective teachers who ensure an equitable, creative, and linguistically and culturally relevant education for all EBLs is of paramount importance in the ever-changing demography of schools in the United States. The guided online coaching for teachers of EBLs offers a collaborative, facilitative, dialogic, and reflective coaching process for positively influencing teacher transformation, thus providing a creative language teaching pedagogy for EBLs. The purpose of …

New Methods For The Synthesis, Activation, And Application Of Thioglycosides, Samira Escopy

Dissertations

From their ubiquitous presence in Nature to their vital roles in biology and medicine, carbohydrates (sugars or glycans) are essential molecules of life, which are made and/or utilized by every living organism. Our cells are coated with sugars that are involved in almost every biological process and defensive mechanism in our body. To mention some of their crucial biological functions, carbohydrates are essential source of energy, they participate in blood coagulation, immune defense, cell growth, cell-cell interaction, and anti-inflammatory processes. Understanding of glycan functions and structure is crucial for the development of vaccines and therapeutics. Producing complex carbohydrates in sufficient …

Standardized Screening For Peripheral Artery Disease In Primary Setting, Tamara Tomlin

Dissertations

Problem: Peripheral artery disease (PAD) affects eight million Americans and is the third leading cause of death in the U.S. in people 60-85 years of age. Veterans are at a 45% greater risk to develop PAD than non-veterans. Left untreated, PAD can progress to hospitalization for revascularization, amputation, or death. The American Heart Association (AHA) recommends using a standardized screening tool for the diagnosis of PAD; however, a lack of standardized screening is problematic in veterans receiving proper intervention.

Methods: This quality improvement (QI) project utilized a descriptive, observational design. The American Heart Association (AHA) screening tool was administered by …

Help For Osteoarthritis Pain In African American Elders (Hope): Patterns, Predictors, And Preferences Of Osteoarthritis And Chronic Joint Pain Self-Management, Staja Quinae Booker

Dissertations

Chronic joint (CJ) pain is the foremost osteoarthritis (OA) symptom that affects older African Americans' (AAs) functional ability. Every effort should be made to reduce the development of high-impact chronic pain. One way to effectively do this is for older AAs to consistently engage in self-management utilizing the recommended OA treatments. Recommended behaviors include land-based exercise, water-based exercise, strength (muscle and endurance) training and stretching, self-management education, analgesic medications, thermal (warm/cool) modalities, and use of assistive and/or orthotic devices. However, evidence suggests these core behaviors of chronic pain self-management are not optimally utilized in older AAs.

Leadership Engagement For Military Hospitals: A Case Study Of The Effects Of Executive Leader Engagement In Military Hospitals That Have Become High Reliability Organizations, Russell Phillips

Dissertations

Purpose: The purpose of this qualitative case study was to explore and explain the leadership strategies that military hospital executive leaders used to engage hospital staff in implementing the six principles of High Reliability Organizations (HROs).

Methodology: A qualitative case study approach was selected for this study. Interviews were conducted with three executive leaders describing their experiences with initiating and managing the change development of HRO. The participants in this study were executive leaders of military hospitals across the Puget Sound Military Health System. All participants had direct experience with the implementation of HRO. Interview transcripts were analyzed and reviewed …

The Effect Of An Unfolding Case Study On Critical Thinking, Knowledge Acquisition, And Handoff Communication In Baccalaureate Nursing Students, Antionella M. Upshaw

Dissertations

Miscommunication during handoffs at time of transition for the older adult patient often results in hospital readmissions, penalties and nursing malpractice. Handoff communication (HOC) is a necessary and critical factor in patient safety; therefore, it is imperative that nurses be educated and trained in how to communicate essential geriatric patient data, minimize errors and ensure continuity of care. Nursing researchers report that HOC is a critical responsibility and varies in educational methods creating a latent patient safety risk. The unfolding case study (UCS) is increasingly being used to promote critical thinking and improve communication but lack of evidence to guide …

The Role Of Zingiberales Shared Evolutionary History And Leaf Traits In Structuring Rolled-Leaf Beetle Assemblages In A Tropical Forest, José Miguel Chaves Fallas

Dissertations

Understanding how local assemblages of plants and animals are structured is a central challenge for evolutionary ecology. Tropical assemblages are high in species numbers and in variety of ecological interactions, providing unique multispecies biological systems to test ecological and evolutionary hypotheses about community assembly. The objective of this dissertation was to understand the role of Zingiberales shared evolutionary history and plant traits for structuring the rolled-leaf beetle (Cephaloleia and Chelobasis, Chrysomelidae) assemblage in a lowland wet forest (La Selva Biological Station) of Costa Rica.

In chapter I studied the evolution of physical, nutritional, and chemical leaf traits, how …

Heart Failure Family Caregivers: Psychometrics Of A New Quality Of Life Scale And Variables Associated With Caregiver Outcomes, Julie Ann Nauser

Dissertations

The number of patients with chronic heart failure (HF) is at an all-time high and the incidence is expected to increase as our population ages. HF patients experience impaired cognition, exertional shortness of breath, and persistent fatigue; therefore, family members are needed to assist with their care at home. Although existing literature suggests that HF caregivers experience negative physical, mental, and social outcomes, there is a lack of studies guided by a conceptual model to determine factors associated with these outcomes. The purpose of this study was to determine factors associated with HF caregiver depressive symptoms, life changes, and quality …

Development Of Sensor, Sensory System And Signal Processing Algorithm For Intelligent Sensing Applications, Xingzhe Zhang

Dissertations

Sensors have been receiving significant attention in the last decade and the demand for sensory systems has increased in recent years due to the rapid growth in the field of artificial intelligence (AI). Sensors can improve people’s awareness by providing them with real-time information on the environment and their immediate health conditions. This dissertation presents the fulfilment of three main projects and focuses on the development of a sensor, a sensory system, and a sensor signal recognition system for AI applications by employing printed electronics, analog circuit design, and digital signal processing techniques.

In the first project, a multi-channel stethograph …

The Influence Of United Arab Emirates National Culture On Leadership Styles In Higher Education Institutions, Hamsa Saleh Al Ammari

Dissertations

Academic institutions and universities are complicated organizations led by professionals and academics who owe their knowledge and skills to their experience in education and leadership. In a country like the United Arab Emirates (UAE), education leaders who come from different cultural backgrounds practice their daily duties within a context where the local national culture imposes certain assumptions, beliefs, norms, and attitudes on them, thereby controlling their understanding of leadership and shaping their behavior. There has been little academic research into what constitutes the national culture of the UAE, a young, cosmopolitan amalgamation of seven Emirates, viewed internationally as an Arab, …

Ready Or Not: Examining The Efficacy Of The Academic Preparation Of Bsn Students And Readiness To Enter Practice, Kathleen Anne Diatta

Dissertations

The concept of critical thinking (CT) has perplexed employers and researchers in the field of nursing for decades. The nursing profession is under intense pressure to hire clinicians who exhibit CT skills. A review of the literature has shown that the divide between bedside clinicians and nursing faculty has led to the separation of academic educators from clinical practices. As a result, new graduates come into the clinical setting inadequately prepared to meet the clinical demands of today's hospitalized patients. The purpose of this study was to explore the experience of new graduate nurses from a Baccalaureate program and their …

Semi-Empirical Modeling Of Liquid Carbon's Containerless Solidification, Philip Chrostoski

Dissertations

Elemental carbon has important structural diversity, ranging from nanotubes through graphite to diamond. Previous studies of micron-size core/rim carbon spheres extracted from primitive meteorites suggest they formed around such stars via the solidification of condensed carbon-vapor droplets, followed by gas-to-solid carbon coating to form the graphite rims. Similar core/rim particles result from the slow cooling of carbon vapor in the lab. The long-range carbon bond-order potential was used to computationally study liquid-like carbon in (1.8 g/𝐜𝐦𝟑) periodic boundary (tiled-cube supercell) and containerless (isolated cluster) settings. Relaxations via conjugate-gradient and simulatedannealing nucleation and growth simulations using molecular dynamics were done to …

A Glimpse Into The Multilingual Experience: A Phenomenological Study On How Nonnative English-Speaking Students Leverage Personal And Academic Support In Completing The Doctoral Journey, John Pervez

Dissertations

Purpose: The purpose of this phenomenological study is to use Activity Theory to identify and describe the personal and academic supports of multilingual doctoral alumni at a private, non-profit university in California.

Methodology: This study was a phenomenological study that identified and described the lived experiences of 15 multilingual alumni that completed a doctorate program at a private, non-profit university. Participants were selected using criterion sampling. Data was collected, analyzed, and triangulated between interview data and artifacts. Data was then coded, themed, and organized with reference to Activity Theory.

Findings: Examination of the data found that multilingual …

Benzodiazepine Reduction Program In A Psychiatric Mental Health Setting, Tracy Pacini

Dissertations

Benzodiazepine Reduction Program in a Psychiatric Mental Health Setting

The purpose of this pilot project was to reduce side effects and adverse effects of long-term benzodiazepines (BZDs) use in a non-profit community health center. This was a quality improvement project. The evidence-based practice (EBP) framework identified for the project was from the Institute for Healthcare Improvement (IHI) Plan-Do-Study-Act (PDSA) framework to decrease BZD use in a non-profit community health center. This model is focused on four stages: 1) gathering a proactive healthcare team to examine and identify solutions to reduce BZD usage, 2) testing the pilot program that the team …

Shining A Light: Compassion Fatigue In Psychiatric Nursing And Nursing Students, Kathryn M. Chachula

Dissertations

Low levels of compassion satisfaction (CS) and high levels of compassion fatigue (CF), comprised of burnout (BO) and secondary traumatic stress (STS), have been identified as a serious concern among students within health science disciplines.

To conduct a cross-sectional survey to determine what factors are related to the development of BO and STS within a pre-licensure health studies student population of undergraduate nursing and psychiatric nursing disciplines, groups that have seldom been studied.

The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie Waite

Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner. Philosophical Underpinning: This qualitative study was guided by the hermeneutic phenomenological approach of Max van Manen (1990).

African American Elementary School Principals' Perspectives Of The African American Student Achievement Gap, Lisa Broomfield

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the strategies implemented by African American elementary school principals in Riverside County, California to close the achievement gap that exists for African American students using the CASEL SEL core competencies: (a) self-management, (b) self-awareness, (c) social awareness, (d) relationship skills, and (e) responsible decision making.

Methodology: A qualitative research design was chosen for this phenomenological study. A phenomenological study was used to study the lived experiences of TK-6 African American Principals. This technique involves the use of interviews, “directed toward understanding their perspectives on their everyday lived experience …

The Influence Of Nurse Manager Leadership Style Factors On The Perception Of Staff Nurse Structural Empowerment, Work Engagement, And Intent To Stay, Jennifer Moody Manning

Dissertations

Healthcare is facing many challenges which impact all practice settings. Both nurse managers and staff nurses play critical roles in overcoming the challenges faced in healthcare today. Staff nurses are intimately involved in providing care to their patients but not always involved in the decisions impacting care delivery (Health Resources and Services Administration (HRSA), 2010; Institute of Medicine (IOM), 2010). Evidence has shown when staff nurses are not engaged and empowered in their work they are more likely to become dissatisfied in their job resulting in increased turnover and adverse patient outcomes (Hauck, Griffin & Fitzpatrick, 2011; Jenaro, Flores, Orgaz …

Implementing The Richmond Agitation-Sedation Scale To Assess Delirium In A Pediatric Icu, Leigh Paridy

Dissertations

Purpose: The purpose of this quality improvement project was to establish early identification of delirium in the intensive care setting to reduce the impact of long-term patient outcomes. Description of project: A retrospective-prospective medical chart review was completed. The retrospective chart review looked at fifty-two patients admitted to the pediatric intensive care unit (PICU) between October 1, 2020 and December 1, 2020 for patient demographics and State Behavior Scale (SBS) and the Cornell Assessment for Pediatric Delirium (CAPD) charting compliance especially with children with developmental delay and those with a high susceptibility to delirium. The prospective chart review looked at …

Senior Nursing Students' Knowledge, Attitudes, And Perceived Competency About Older Adults, Deborah Denise Brabham

Dissertations

Nurses entering the workforce may have limited education in gerontological nursing. Therefore, many nurses are unprepared to provide quality care to older adults. An unprepared nursing workforce could negatively influence older adults' health outcomes and care experience.

To determine differences in senior nursing students' knowledge, attitudes, and perceived competency about older adults based on enrollment in a bachelor of science in nursing degree (BSN), associate's degree nursing (ADN), and practical nursing (PN) program that offers geriatric content in curricula.

Giving Up Their Place In The Walls: The Lived Experience Of Community College Nursing Faculty Who Leave The Profession Of Teaching, Cherry A. Karl

Dissertations

Community college nursing faculty members are essential to the continuation and growth of the profession of nursing. Every loss of a nursing faculty member represents an even greater loss to the practice of nursing within the health care system. Previous research has documented the serious and inter-related shortage of both nursing professionals and nursing faculty. This phenomenological study explores the underlying themes leading to the decisions made by nursing educators to leave the practice of teaching, and presents strategies for preserving and strengthening the position of nursing faculty within the community college. The guiding question for this inquiry is: "What …

A Quality Improvement Project To Assess Anxiety Of Family Members Who Receive Standard Communication During The Intraoperative Period, Ashlie E. Sinclair

Dissertations

Introduction: The waiting period for surgical patients' family members can be stressful, causing increased frustration and fear. Most patients and families do not regularly experience the surgical environment in the same way that the operating room (OR) staff do, making this area unfamiliar. If there are inconsistent and insufficient information provided to the family, anxiety levels may increase. It is essential that staff attend to family members' needs while the patient is in surgery. The evidence is overwhelming that structured patient status updates to family members and varying waiting room techniques are critical in decreasing their anxiety.

Methods: This quality …

The Experiences Of Cancer Nurses' Existential Care In Response To The Threat Of Patients' Mortality Within The Culture Of Care, Doris Yuet Lan Leung

Dissertations

Patients are living longer with many types of cancer; however, often they face sudden possibilities of dying, not only due to their advancing illness but due to complications of their treatment. Consequently, they can express substantial existential distress. Nurses' close proximity to patients puts them in an ideal place to assess and engage with patients' existential distress; yet this kind of research has been scarce. The purpose of this doctoral thesis was to explore nurses' experiences of being with patients facing the threat of mortality.

Coping With Addiction: A Case Study Exploring The Needs Of Struggling Substance Abuse Addicts, Shelly Wims

Dissertations

The purpose of this qualitative case study was to explore the current State Targeted Response (STR) Program in a Midwest recovery program that addressed increases in opioid abuse and barriers to recovery. The study sought to answer how substance abuse counselors detected and addressed potential barriers, if any, to addiction recovery; whether substance abuse counselors sought any need for improvements within the STR to reduce relapse; how counselors addressed the social aspects of addiction; whether counselors addressed the factors influencing addiction relapse; and whether counselors collected feedback from clients concerning their perception of the effectiveness of treatment in preventing addiction …

Impact Of Water, Hygiene And Sanitation On Medication Adherence Intention Among Hiv Positive Women Enrolled In Option B+ Treatment Regimen In Zambia, Jerry John Yao Nutor

Dissertations

Mother-to-child transmission (MTCT) of HIV is a major problem in sub-Saharan Africa despite increasing availability of free and subsidized antiretroviral treatment (ART); MTCT can be significantly reduced provided pregnant and breastfeeding mothers adhere to prescribed regimens. Access to potable water and adequate sanitation is a major problem in low-resource countries including Zambia, located in sub-Saharan Africa. This study investigated the influence of water hygiene and sanitation (WASH) on ART adherence intention among HIV positive women enrolled in Option B+ regimen, the current World Health Organization recommendation for low resource countries.

Educational Intervention To Enhance Staff Knowledge And Increase Awareness Regarding Risk Assessment And Personal Protective Equipment Selection To Reduce Blood And Body Fluid Exposures, Teresa Smoot

Dissertations

Accidental occupational blood borne pathogen exposures pose a great occupational risk for healthcare workers, worldwide. After an occupational exposure, there is a potential risk for transmission of blood borne infections such as human immunodeficiency virus (HIV), hepatitis B and hepatitis C, to health care workers. Blood and body fluid exposures reported in an academic healthcare facility in Northeast Florida have been trending upward since 2015. The literature shows accidental blood borne pathogen exposures were greater among healthcare workers with little or no training in exposure prevention.

Preventing Food Fights: A Meta-Analytic Review Of Single Case-Design Research In The Cafeteria Setting, Mary Ware

Dissertations

Disruptive behavior is one of the most prevalent problems in schools, with nearly 50% of all disruptive behavior occurring in non-classroom settings (e.g., cafeteria; Colvin, Sugai, Good, & Lee, 1997). However, the extent to which intervention strategies exist to address these behaviors in these settings is unknown. The purpose of the current study was to conduct a meta-analytic review in order to identify, review, and determine the effectiveness of interventions implemented within the cafeteria setting. Eighteen articles were identified through a comprehensive database search and application of inclusion criteria were included. Overall results determined that interventions implemented in the cafeteria …