Digital Commons Network^™

Implementation Plan For Emr And Beyond, Lori Katterhagen

Doctor of Nursing Practice (DNP) Projects

Change is never easy for anyone, but how we implement change can make the difference in how an innovation is accepted. Over the last two years, a small community hospital in California has introduced a new electronic medical record (EMR) to meet the requirements of meaningful use mandated by the Centers for Medicare and Medicaid (CMS) for all hospitals across the United States. EMRs are expected to improve quality in many areas, especially to improve outcomes, while safely reducing costs (U.S. Department of Health & Human Services, 2012). Adoption of EMR’s is not optional, if facilities want to avoid penalties …

Lean Management Principles To The Creation Of Postpartum Hemorrhage Care Bundles, Bethan Faulkner

Doctor of Nursing Practice (DNP) Projects

Postpartum hemorrhage (PPH) is the number one cause of pregnancy-related death in the US. The Maternity local improvement team (LIT), co-led by an Obstetrician and Board Certified Clinical Nurse Specialist found that each month the maternity unit averages 40 PPHs with 1-2 resulting in an emergency. Over a 6-month period, the LIT decreased response time for emergencies significantly. Supply retrieval time decreased by 99.9%, MD response time decreased by 81%, and Family Centered Care increased by 100%. They recently turned their attention to prevention. Given the lack of literature on preventing PPH in postpartum units, the team developed a PPH …

Improving Value Based Purchasing Through The Implementation Of The Clinical Nurse Leader Role: The Chief Nursing Officer’S Case For Change, Leanne M. Hunstock

Doctor of Nursing Practice (DNP) Projects

The healthcare industry is focused on the implementation of the Affordable Care Act, the payment reform package from Centers for Medicare and Medicaid Services and the development of Accountable Care Organizations. The decisions, behaviors, and practices of medical and clinical staff directly impact patient care, quality, and subsequently cost and reimbursement. The imperative to balance quality and patient safety with cost effectiveness requires a complex orchestration of all the elements of care within the clinical microsystem. A priority is to support and enable bedside nurses’ daily practice, priorities, and decision-making. This can be accomplished through the implementation of the Clinical …

Innovative Approach To New Nurse Residency, Meaningful Use And Health Care Reform, Pamela V. Stanley

Doctor of Nursing Practice (DNP) Projects

The project’s aim was to examine the financial impact of replacing registered nurse (RN) travelers, RN registry and RN overtime with new graduate RNs. Newly graduated RNs are often viewed by hospital administrators as a more costly staffing resource. This project contributes knowledge regarding the potential cost savings with the utilization of a centralized float pool incorporating new graduates. In addition, it contributes a novel idea for reducing organizational costs of implementing an electronic medical record with the utilization of new graduates as super users.

A new graduate program, which incorporated the use of a formal preceptor and mentoring program, …

The Design, Implementation And Evaluation Of A Technology Solution To Improve Discharge Planning Communication In A Complex Patient Population, Susan M. Manfredi

Doctor of Nursing Practice (DNP) Projects

Unnecessary delays in discharge planning can extend the length of stay (LOS) and add non-reimbursable days for socially and medically complex patients thereby increasing the financial burden to healthcare organizations. The literature supports enhanced discharge communication strategies and the use of checklists to facilitate safe and timely discharges. Following root cause analyses of significant discharge delays, one hospital identified gaps in communication as key precursors associated with discharge planning breakdown when discharging patients to skilled nursing facilities. Review of these events demonstrated the need for concurrent communication strategies between multidisciplinary care team members in planning for complex discharges.

Following a …

Transforming The Journey For Newly Licensed Registered Nurses: A Community Based Transition-To-Practice Program In Ambulatory Care Settings, Cathryn A. Halford Dnp

Doctor of Nursing Practice (DNP) Projects

Abstract

In response to the job shortage for newly licensed registered nurses (RNs), transition to practice and residency programs have been established in many areas of the country including the San Francisco Bay Area. The programs were designed as demonstration projects to assist new graduates by increasing their competence, confidence, and skills, and their employability. Evidence from new graduate programs suggests that the programs provide an important bridge that is necessary for the critical transition from classroom to clinical practice and from newly licensed RN to qualified nursing professional. The University of San Francisco (USF)

Transition-To-Practice (nurse residency) program in …

Mobile Information Literacy: Supporting Students’ Research And Information Needs In A Mobile World, Stefanie Havelka

Publications and Research

Mobile devices have changed everyday life and they have had a great impact in higher education. This article describes a pilot project in which an academic librarian at Lehman College, City University of New York, taught information literacy exclusively via mobile devices. The concept of mobile information literacy is also reviewed, and its role in current and future teaching practices is evaluated. Lessons learned from this project tell us that mobile information literacy, albeit in its infancy, could play an essential part in students’ learning, and therefore academic librarians could incorporate it as part of their practice.

An Investigation Of Groundwater Age At The Shiprock, Nm Umtrca Site, Bryan Lawlis

Water Resources Professional Project Reports

The Shiprock Disposal Site is located in Shiprock, NM and was the site of the former Navajo Mill, a uranium and vanadium ore processing facility. The site occupies approximately 230 acres on a terrace overlooking the San Juan River and its adjacent flood plain. Uranium and Vanadium were extracted from ores mined from various locations from 1954 through 1968. The contaminants of this leaching process percolated into the groundwater on the terrace and the floodplain. The remediation of the Navajo mill site was recommended by the EPA in 1974. The Department of Energy (DOE) completed the Shiprock Uranium Mill Tailings …

December 13, 2013 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Learning To Teach Mathematics And To Analyze Teaching Effectiveness: Evidence From A Video- And Practice-Based Pre-Service Course, Rossella Santagata, Cathery Yeh

Education Faculty Articles and Research

Although emerging consensus exists that practice-based approaches to teacher preparation assist in closing the distance between university coursework and fieldwork experiences and in assuring that future teachers learn to implement innovative research-based instructional strategies, little empirical research has investigated teacher learning from this approach. This study examines the impact of a video- and practice-based course on prospective teachers’ mathematics classroom practices and analysis of their own teaching. Two groups of elementary prospective teachers participated in the study—one attended the course and one did not. Findings reveal that the course assisted participants in making student thinking visible and in pursuing it …

2013 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2013 commencement program. Commencement was on Friday, December 13, 2013.

Emu Today, December 13, 2013, Eastern Michigan University

EMU Today

No abstract provided.

The Future Of Disability In Alaska Summit & Follow-Up Survey, University Of Center For Human Development

Reports

The Future of Disability in Alaska Summit was held in Anchorage in the summer of 2013, May 9-10. The purpose was to gather perspectives from a diverse group of stakeholders to inform a vision of the future for people with disabilities in Alaska in five broad topical areas: 1) Housing Arrangements, 2) Advocacy, 3) Relationships, 4) Economic Wellbeing, and 5) Health. About 76 stakeholders participated in the summit including people with disabilities, family members, advocates, service providers, policymakers, and others. A follow-up online survey was conducted to gather information from a broader range of stakeholders and to get a sense …

Board Of Trustees Minutes, December 13, 2013, Coastal Carolina University

Board of Trustees Meeting Minutes

No abstract provided.

The Role Of Information And Communication Technology In The Acculturation Of Vietnamese Refugees, Khanh A. Tran

Master's Theses

One of the most significant refugee populations in the United States is the Vietnamese. This group initially fled their native country to escape political oppression at the conclusion of the Vietnam War in 1975 and continued to flee in a series of separate waves that continued for more than three decades. As a relatively new immigrant group in the U.S., the Vietnamese still face a variety of challenges as they try to reestablish their lives and adapt in a new cultural environment. Acculturation is a complex process that is influenced by a number of factors. Throughout history, U.S. immigration policy …

The Shift In Pedagogy: Authoritarian And Egalitarian Styles Of Teaching, Cayley Yamashita

Dance Department Best Student Papers

No abstract provided.

Maternal Reaction To Diagnosis: Examination Of Categorization And Methods Of Scoring, Alison Bradley

Master's Theses

This study examined the potential usefulness of a continuous rating system for the Reaction to Diagnosis Interview (RDI; Pianta & Marvin, 1992) compared to the already validated dichotomous coding system. Measures of family functioning, parent psychological well-being, and parental coping were also correlated with the continuous rating system. Participants were 116 young children (29 with asthma, 37 with diabetes, and 50 with cancer) and their primary caregivers. Parents were interviewed by a trained researcher and completed well-validated self-report measures of family functioning and parent psychological well-being and coping. Consensus conferencing for classification disagreements was discussed. Differences and similarities among subcategory …

Social Marketing And California High-Speed Rail: A Framework For Behavioral Change Towards Sustainability, Spenser Dill

Master's Projects and Capstones

In this analytical paper, I advocate for the use of social marketing techniques in a campaign targeted towards Central Valley communities with the primary objective of reducing this population’s opposition to the state’s High-Speed Rail project. A secondary objective is to use this strategy to promote positive attitudes towards sustainable practices in general. The goal is to stimulate a change in regional culture, which will support the behavioral changes needed to protect California’s natural resources and reduce our state’s contribution to climate change. I argue: 1) creating a sustainable transit infrastructure with high-speed rail as its centerpiece will reduce harmful …

Biochemical Assay Optimization And Computational Screening Efforts To Identify Potential Luxs Inhibitors, Keeshia Q. Wang

Master's Theses

Quorum sensing (QS) is a process of coordination of bacterial gene expression in response to cell population. System two QS is regulated by the small signaling molecule autoinducer-2 (AI-2) and is implicated in the infectious behaviors of various bacterial species. AI-2 is biosynthesized from S-ribosylhomocysteine (SRH) by the enzyme LuxS and induces interspecies cell-to-cell communication. Inhibition of LuxS would therefore inhibit interspecies QS. Herein, a search for novel molecular species that will competitively bind with SRH in the LuxS binding site is performed in silico. Computational screening results are then validated in vitro using an optimized LuxS inhibition …

Interpretation Of The Potentiometric Surface Along The Rio Grande At Selected Locations In Albuquerque, New Mexico, Jeffrey Worthington

Water Resources Professional Project Reports

The U.S. Geological Survey installed over 240 piezometers and 27 surface-water gages along the Rio Grande in Albuquerque, NM from 2003 to 2009, to monitor groundwater and surface-water levels and water temperatures. Spanning a 20 mile distance between the bridges at Alameda Blvd. and Interstate 25, there were 8 selected locations each consisting of paired east-west transects situated perpendicular to the river (Figure 1). Paired transects comprise two parallel cross-sections of the Rio Grande inner valley that were positioned approximately 500 ft. apart and extend to the riverside drains on both sides of the river. Each transect consisted of piezometers …

The Bg News December 13, 2013, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. December 13, 2013. Volume 93-Issue 47.

Winning Hearts And Minds: Using "Ag-Gag" Outrage And Corporate Rebranding To Achieve A Public Image Makeover For The Animal Rights Movement, Alison J. Spasser

Master's Projects and Capstones

Despite limited legal victories—particularly in the realm of companion animal protections—the animal rights movement has failed to make substantial progress in other focal areas, including the acquisition of increased rights for food animals on factory farms. The public image of the movement has taken a hit in recent years, due in part to effective campaigning by opposing lobbies and corporate entities and in part to self-inflicted damage from failed messaging and tactics. The perceived alignment of animal rights advocacy organizations with extremism and the public distrust of activists leaves the movement in need of a critical public image makeover. However, …

Gendered Power: Looking At Mad Men, Power, And Its Limits, Ashley N. Cox

Honors Projects

This project examines the ways in which power circulates and moves in AMC's show, Mad Men, using Michel Foucault's definitions of power. In this paper, I examine the ways in which the movements of power are different in terms of gender and look at what the show reveals, through its visual narrative and its plot, regarding gender and power in America's late-stage capitalist setting.

Music Alum Works As Composer For Video Game "Poptropica", Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.

Historian Publishes Book On A Century Of Environmental Diplomacy In Whaling Industry, Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.

How Social Media Affect The Social Identity Of Mexican Americans, Kaitlin Eve Felsted

Theses and Dissertations

This is a thesis conducted qualitatively using the Grounded Theory approach where in-depth interviews were conducted with 12 legal Mexican Americans in order to understand how social media affect Mexican Americans' social identity. This effect was understood by discovering the relationships between social identity theory and integration. Results showed that Mexican Americans felt that social media helped them with their English skills and connected them to their friends and family in Mexico. Mexican Americans were able to use social media to connect to their in-group community, and Mexican American community leaders were able to connect Mexicans to their in-group within …

Changing The Costs: A Rational Choice Perspective On African Americans' Healthcare Consumption Decisions, Nicole Langston

Vanderbilt Law School Faculty Publications

This paper makes the case for racial disparities in the consumption of healthcare and advocates for a large-scale cost-benefit change for healthcare practitioners and the African American community to ensure efficient consumption of healthcare by African American patients. Part I explores the history of African Americans and the healthcare system, arguing the history of this interaction fuels many of the present-day decisions not to consume healthcare.

Part II explores the current racial differences in healthcare treatment and outcomes for African Americans in order to lay the framework for racially disparate treatment in America's healthcare system.

Part III of this paper …

Mitochondrial Dysfunction And Reactive Oxygen Species In Neurodegeneration, Leah Farina

Honors Theses

Neurodegeneration leads to the loss of normal anatomy and physiology of the neuronal system in a human body. The hallmark of most neurodegenerative diseases is abnormal folding and accumulation of proteins within neuronal cell bodies that is not present in healthy people. These changes in normal protein metabolism often lead to neuronal cell death and failure of the affected regions of the central nervous system. Abnormal protein accumulation may be attributed to dysfunctional mitochondria and damage by reactive oxygen species. In addition to causing altered protein accumulation, dysfunctional mitochondria and an excess of reactive oxygen species also lead to errors …

Comparison Of Psychogenic Movement Disorder Patients With Non-Epileptic Seizures And Other Hyperkinetic Motor Manifestations: An Integrated Model Of Psychosocial And Neuropsychological Functioning, Bonnie Michelle Scott

Psychology and Counseling Theses

Psychogenic movement disorders (PMDs) represent a complex and severe form of psychopathology, which even after a century of research remains poorly understood. As previous investigations have neglected to differentiate symptom phenotypes and have approached assessment from the perspective of cognitive dysfunction apparent in PMD patient's neurological counterparts, the current study aimed to examine the neurocognitive performance and psychological profiles of PMD patients with hyperkinetic motor manifestations guided by a theoretical lens of frontal lobe pathology and informed by previous neuroimaging studies with this patient population. Subsequent to diagnostic confirmation of their condition by means of video-electroencephalographic monitoring or adherence to …

A Functional Trait Approach To Understanding Natural Regeneration And Restoration Of Neotropical Forests, Vanessa K. S. Boukili

Doctoral Dissertations

Over half of the Neotropical forests have been damaged by human activity, often converted to pasture or agriculture. Under the right conditions, second-growth forests can naturally regenerate once these lands are abandoned, providing a means of recuperating biodiversity and ecosystem services. However, the mechanisms of community assembly during the process of natural regeneration are not fully understood. Here I assess the relative influences of environmental filtering and stochasticity in the regeneration of pre-montane moist forest and lowland wet forests in Costa Rica. I quantify the ecological characteristics of trees and palms with leaf and stem functional traits, which are species-specific …