Digital Commons Network^™

The Creation And Implementation Of A Transgender Cultural Competence Nursing Education Toolkit, James Bl Donovan

Doctor of Nursing Practice (DNP) Projects

Healthcare disparities in the transgender populations have been linked to lack of healthcare provider cultural competence (IOM, 2011; Bradford et al., Harbin et al., 2012; Eliason, Dibble, & DeJoseph, 2010; Lim, Brown, & Jones, 2013). Prior research has identified that healthcare providers receive little, if any, transgender cultural competence training during their formal education. A survey of nursing educators at the University of San Francisco School (USF) of Nursing and Health Professions suggested that few educators are providing transgender content or understand the unique healthcare needs of that population. A literature review concluded that little is known about the best …

Implementation And Evaluation Of An Oral Hygiene Program In Long-Term Care, Lawrence P. Lemos

Doctor of Nursing Practice (DNP) Projects

A review of the literature focusing on oral care within long-term care (LTC) suggests positive resident care outcomes occur when standardized practices are employed. Studies of staff education programs, trained oral hygiene aides, and dental hygienists working within LTC, have linked regular oral hygiene practices to decreased pneumonia rates. While these studies make the connection between good oral hygiene and reducing risk for pneumonia, best practices focused on implementing and sustaining an oral hygiene program in LTC facilities are lacking. The aim of this quality improvement project was to ensure that dependent residents in LTC receive assistance with daily oral …

Implementation Of A Helicobacter Pylori Test And Treat Program In Rural Nepal Facilitated By A Nurse Practitioner Doctor Of Nursing Practice Comprehensive Project Report, Shelley Bloom

Doctor of Nursing Practice (DNP) Projects

There are 30 million people in Nepal, 85% live in rural areas and have access to 15% of health care resources. This deficit in health care resources is supplemented by services provided by non-governmental organizations who organize short-term medical missions. At a rural Nepalese health post 45% of the patients complained of abdominal discomfort. As the prevalence of helicobacter pylori is 50-90% in Southeast Asia, the patients believed that they had helicobacter pylori.

In resource-poor communities, there is a gap between best practices and the care delivered. To decrease the gap in one rural Nepalese health post, a Nurse Practitioner …

Overcoming Barriers To Screening For Anal Intraepithelial Neoplasia For Persons Living With Hiv, Brandon Hastings

Doctor of Nursing Practice (DNP) Projects

Screening has proven an effective strategy in the management of diseases that plague the population. This technique has proven to be most effective when screening is conducted with those who are most at risk for developing the targeted illness and when the frequency of screening follows set guidelines. Currently there are no nationally recognized screening guidelines for anal intraepithelial neoplasia (AIN). Screening for AIN stands to reduce overall incidence of anal squamous cell carcinoma through destruction of the dysplastic cells before they become cancerous. The goals of this project were to identify the patient population that stands to benefit the …

December 12, 2014 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Addressing Impacts Of Incarceration In Marin, Ca Project Avary Peacemaker Initiatives, Jessica Lynn Stillman

Master's Projects and Capstones

Project Avary, a nonprofit in Marin, piloted a new initiative, Peacemakers, to promote health equity and awareness of the impacts of incarceration. The need for a comprehensive program to bring awareness of the impacts of incarceration was clear. The Peacemaker Initiative will address the issue, by empowering Marin youth to educate their communities. The project seeks to improve the life outcomes of many youth in Marin County.

The focus of the paper is a summary of Project Avary’s new initiative, the Peacemaker. The paper will highlight strategies and approaches used to breaking cycles of intergenerational incarceration. Furthermore, this report links …

Decreasing Medication Errors Through The Reduction Of Avoidable Interruptions, Julia Nyznyk

Master's Projects and Capstones

In recent years, the media has been rife with stories of medical mistakes in hospitals or other health care settings that lead to patient injury or death. While most of the media attention rightfully focuses on the horrific psychological and emotional toll such injuries and deaths impose upon patients, their loved ones, and the healthcare providers involved, there is also an enormous economic cost associated with the results of such mistakes that, if not resolved, will continue to strain an already heavily burdened system. Progressive step down units are fast paced and highly demanding. This type of unit is placed …

Reducing Avoidable Interruptions During The Medication Administration Process, Lindsay A. Umeda

Master's Projects and Capstones

Background: Medication safety and preventing medication errors continues to be a high priority for hospitals and clinics, as medication errors are the most common and most costly errors in U.S. hospitals (Kliger, 2010, p. 690). Kliger (2010) reported that 450,000 medication errors occur annually, costing hospitals approximately $3.5 to 29 billion dollars a year. Furthermore, Ching, Long, Williams & Blackmore (2013) estimated that 770,000 injuries and deaths occur each year as a result of medication errors.

Purpose: To decrease medication errors by reducing the number of phone call and call light interruptions during the medication administration process.

Methods: Lippitt’s Change …

Avoiding 30-Day Readmissions Of Acute Mi Patients Utilizing Cardiac Rehabilitation, Patricia T. Forsberg

Doctor of Nursing Practice (DNP) Projects

A significant number of Acute Myocardial Infarction (AMI) patients were readmitted to an urban San Francisco Medical Center within 5-7 days post discharge this year. Two of the main identified causes were symptom management issues and medication instructions, both of which are part of the discharge instructions. It’s not surprising that 80% of all discharge teaching is forgotten by patients by the time they hit the parking lot. With the recommended timeframe for post discharge follow up appointments at 48 to 72 hours post discharge and as those appointments are not typically available within the recommended timeframe, patients are more …

Daily Eastern News: December 12, 2014, Eastern Illinois University

December

No abstract provided.

Emergency Preparedness On An Inpatient Hospital Unit, Hailee Marie Barnes

Master's Projects and Capstones

This paper will discuss the implementation of an emergency preparedness quality improvement project conducted by a University of San Francisco Clinical Nurse Leader (CNL) student on an inpatient cardiac unit, Unit H, at an urban teaching hospital in Northern California, Hospital B. An assessment of the current state of emergency preparedness, a diagnosis of Unit H’s area of greatest needs, the details of planning and implementing the quality improvement as well as the final evaluation will be discussed. The nursing process will be used for the structure of this paper as it was used as the structure of this project. …

Creating Theatre-Based Curriculum For Use In The Esl/Efl Language Classroom: A Model, Alexandra Williams-Fleck

Master's Projects and Capstones

Many countries require the study of the English language as part of the standard curriculum in K-12 schools. Unfortunately, many students lack the interest and motivation to learn, despite English’s potential to open future academic and professional doors. This is particularly true for students living in countries where English is not a nationally spoken language. They receive no language support from their surrounding environment, which affects their rate of language acquisition. Coupled with a prevalence of out-of-context materials and non-native English-speaking teachers (NNESTs) who may be unable to impart the non-verbal and cultural implications of the language, students are at …

The General Court Confirms The Commission Decision Ordering The Recovery Of State Aid Granted By Portugal To Banco Privado Português, European Union: Courts: European Court Of Justice (Ecj)

Documents

No abstract provided.

Improving Nurse Education On Research Informed Consent, Tina Rasooli

Master's Projects and Capstones

As the number of human participants in clinical trials continues to grow, it is increasingly imperative that research nurses are educated about valid research informed consent to improve patient outcomes. As patient advocates, nurses must be aware of the components and principles of valid informed consent in order to protect the rights, safety, and wellbeing of their patients as human subjects. The research nurse must also be aware of their available resources and who to contact if they suspect a problem or a lack of patient comprehension of the study. In order to address these needs, an evidence-based performance improvement …

Improving English Skills Through Video: A Conversation-Based Curriculum For Chinese Efl Adult Learners, Xiaojie Wang

Master's Projects and Capstones

In 1980, China opened its door to the outside world and eventually learning English became a tool for the drive for modernization in the country. For the past thirty years, learning English has been a goal of many. However, the overwhelming majority of Chinese students with limited vocabulary are apt to display low confidence when engaged in conversations in English. Specifically, they may fail to apply correct grammar knowledge and syntax during their communication. The purpose of this field was to create video teaching resources, based on U.S. media like television shows, to be used in EFL classes in China …

Improving Influenza Vaccination Rates Through Nursing Journal Clubs, Lily Yan

Master's Projects and Capstones

The objective of this CNL Internship Project is to improve patient compliance with the flu vaccine for the 2015 fiscal year. Currently the project is set at a teaching hospital in Northern California on the Abdominal Transplant Unit. Participants include six staff nurses who care for End Stage Renal Disease (ESRD), End Stage Liver Disease (ESLD) and abdominal transplant patients. To address the barriers to vaccination, specifically patients’ fear of adverse effects, nursing journal clubs (NJC) were implemented on the unit to educate nurses about the current research on flu vaccination for this patient population. As the facilitator, the CNL …

Commission Decision Of 28 December 2012, European Union: European Commission

Documents

No abstract provided.

Improving Staff Responsiveness To Patient-Initiated Call Lights, Doshia B. Williams

Master's Projects and Capstones

This Clinical Nurse Leader (CNL) project involves the nursing staff and patients of a 23-bed post-surgical medical-surgical nursing unit at a Bay Area community hospital. The goal of this project was to improve patient care, patient satisfaction and staff workflow. Assessment of the microsytem revealed that from July 2013 through July 2014, the nursing unit scored below the unit’s goal 10 out of the 12 months for the HCAHPS question related to patient’s receiving help as soon as they pressed their call button. The unit’s goal is 64%; however, the 12-month average was 50%, with one month as low as …

Into The Red: A Look Into The Reasons Why Refugees Decide To Flee, Settle Or Migrate To And From Morocco, Fadeelah E. Holivay

Master's Theses

This research paper explores some of the main reasons why refugees and asylum seekers, particularly from sub-Saharan African countries, embark on a journey and decide to settle, flee or migrate to and from Morocco. Because of this phenomenon, Morocco has seen a 96% increase of refugees migrating to the borders of Morocco each year for the past three years. Many say that this astonishing increase of migrants choosing Morocco is due to such factors as: wars breaking out regionally across central African and Middle Eastern countries causing them to flee; Morocco being a culturaly diverse francophone country whose laws and …

The Bg News December 12, 2014, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. December 12, 2014. Volume 94-Issue 47.

Healthy And Livable Pittsburg Initiative: Master Of Public Health Culminating Experience, Jasmine L. Bernal

Master's Projects and Capstones

Contra Costa Health Services Department of Community Wellness and Prevention sole purpose is to improve the environmental, social and economic conditions that contribute to poor health, and support a quality of life that promotes the health and well being of all residents within the county, with major attention to those underserved. The Healthy and Livable Pittsburg Initiative tries to address those issues within the city of Pittsburg. The project aims to engage certain members of the community within Pittsburg to be involved in the future community action plan, which will improve the lives of every resident in Pittsburg. The first …

Prevention Of Vaccine-Preventable Diseases Through Information And Education At The California Department Of Public Health, Vaisali M. Patel

Master's Projects and Capstones

Immunizations are one of the most important developments in the twentieth century towards the prevention of infectious diseases. Vaccinations against communicable diseases have helped reduce morbidity and mortality all over the world. Despite having numerous vaccines that protect individuals from serious and deadly diseases, vaccination rates in the United States remain at an all-time low. The Information and Education section of the Immunization Branch within the Division of Communicable Disease Control at the California Department of Public Health (CDPH) focuses on working with local health departments, primary care providers, immunization coalitions, and other statewide organizations to increase the rates of …

Increased Communication Between Nurses And Doctors On An Acute Medical Unit, Nina Linebarger

Master's Projects and Capstones

Background: Nurse-physician rounding is crucial to safe, effective care and to maintain open communication between the multidisciplinary healthcare team. Currently there is no protocol that encourages nurses to attend physician rounds. The lack of nurse-physician rounding is a potential area for medical error due to lack of communication and collaboration among the healthcare team.

Purpose: The focus of this study is to increase communication between the nurses and doctors on an acute medical unit by increasing nurse attendance and participation at physician rounds.

Methodology: Surveys were a key component in the methodology of this project. Surveys were distributed to the …

The Significance Of Timing Of Patient Daily Weights And The Barriers, Ann Pan

Master's Projects and Capstones

Background. Current unit practice is that patient daily weights are obtained in the afternoon or evenings. However, patient weights in the afternoon and evenings are not accurate dry weights. According to evidenced based research, to obtain an accurate patient daily weight, patients should be weighed every morning, after their first void and before they eat breakfast.

Purpose. The focus of the study was to compare the current practices of obtaining daily weights in the afternoon and evenings, compared to the evidenced based practice recommended in the literature.

Method. Through interviews and surveys with staff, the barriers to obtaining patient weights …

Strengths In Action: Implementing A Learning Organization Model In A Human Service Setting, Barbara Ann Whitbeck

Dissertations and Theses

Although learning organization theory evolved in corporate settings, literature suggests that the theory has much to offer human service organizations. This dissertation examines the implementation of a modified learning organization model in three small field offices of a publicly-funded vocational rehabilitation organization in the Pacific Northwest, at a time when the organization was negotiating financial cutbacks and organizational changes. The model - known as Strengths in Action - was based on Senge's five learning organization disciplines, and informed by organizational culture theory. In each participating office, all staff worked together to set a goal, make a plan, and achieve the …

Mythological Rewriting: New Perspectives On Algeria's Postcolonial History, Elena Telegina

Doctoral Dissertations

Mythological Rewriting: New Perspectives on Algeria’s Postcolonial History.

Elena Telegina, Ph.D

University of Connecticut [2014]

Abstract

Algerian history, falsified and distorted by different Algerian regimes, obscured the nature of many contemporary problems, while creating a climate of confusion about the present and anxiety about the future. Beneath Algeria’s relative calm during the uprisings of the “Arab Spring”, violence and social dissociation, continue to threaten the society, showing that deep-seated historical conflicts in Algeria remain unsolved.

While historians and political scientists attempt to clarify the contemporary situation from a scientific perspective, Francophone Algerian novelists have addressed these issues by drawing on …

Cost-Effective Algorithms For Deployment And Sensing In Mobile Sensor Networks, Yuan Song

Doctoral Dissertations

In this dissertation, we propose cost-effective algorithms for deploying mobile sensors in traditional mobile sensor networks and scheduling mobile phone opportunistic sensing in mobile phone based sensor networks. Traditional sensor nodes must be deployed appropriately to successfully accomplish their sensing tasks. When the region of interest is unknown or hostile, manual deployment is infeasible. For such scenarios, how to employ sensor mobility to achieve cost-effective self-deployment is an interesting yet underexplored problem. While mobile phones are naturally sensor nodes, they differ from traditional sensor nodes in that they move along with their owners and only perform sensing tasks in an …

Clean Up Techniques Used For Coastal Oil Spills: An Analysis Of Spills Occurring In Santa Barbara, California, Prince William Sound, Alaska, The Sea Of Japan, And The Gulf Coast, Henry R. Walther Iii

Master's Projects and Capstones

An analysis of four spills occurring within the last 50 years to see the progression in clean up techniques used for coastal oil spills. The Santa Barbara, California Oil Spill of 1969, the Exxon Valdez Oil Spill of 1989 occurring in Prince William Sound, Alaska, the Nakhodka Oil Spill of 1997 occurring in the Sea of Japan, and the Deep Water Horizon Oil spill of 2010 occurring in the Gulf of Mexico, are analyzed. The different types of oil, the composition of oil, and the variables that effect spilled oil’s movement, are provided. Oil spill response planning and preparation are …

Developing Efl Reading Fluency In Upper Elementary Schools In China, Jianxian Yang

Master's Projects and Capstones

This project aims to help EFL educators and EFL teachers realize the importance of developing EFL students’ reading fluency, and more importantly, to provide specific curriculum for upper elementary school EFL students to improve their reading fluency. The most important intervention being used in this curriculum is extensive reading which appears in every class. Besides extensive reading, using rapid word recognition, repeated reading, paced reading, cloze reading, echo reading and choral reading are also discussed in this project. Teachers are suggested to rotate the interventions during the whole semester and they can adapt the materials and the curriculum in this …

Addressing Health Disparities In Refugees, Claire E. Lopez

Master's Projects and Capstones

I completed the required 300 hours of my fieldwork internship at the International Rescue Committee (IRC) in Oakland, CA. The International Rescue Committee (IRC) is a non-profit international organization that responds to the world’s worst humanitarian crises and aids displaced individuals in rebuilding their lives in new countries by providing support in health care, finance, education, infrastructure, and resettlement.

I worked as a Health Access/Intensive Case management Intern. As a Health Access Program Intern, it was my job to ensure that refugees coming to the United States had a place to seek medical care, advice, and preventative services. In order …