Digital Commons Network^™

Innovative Workforce Plan: Recently Graduated Nurses As Super Users For Ehr Implementation In A Multi-Hospital Organization, Katherine L. Bullard

Doctor of Nursing Practice (DNP) Projects

A regional health system’s decision to rapidly implement a new electronic health record (EHR) in order to meet Stage 2 meaningful use requirements led to a need for innovative cost-containment strategies. Tapping the local pool of unemployed newly graduated nurses as half the required super user workforce leveraged the technology skills of novice nurses registered nurses as trainers of experienced nurses in five hospitals. The novel workforce migrated from hospital to hospital, thereby reducing the number of experienced nurses reassigned to super user duties in each hospital. This strategy also reduced the amount of contract labor required to backfill nurse …

Racial Justice Study: An Examination Of Ticket Citations In The City Of Mankato, Minnesota, Meagan Hammers, C. J. Hays, Hannah Laniado

Public Sociology Publications and Projects

This study examines if there is racial disparity in policing in the city of Mankato, Minnesota by examining all traffic ticket citations given for a six-month period in 2014. The authors created a data set and examined statistical relationships between the observed race of those receiving tickets and the types of tickets received. This study discovered statistically significant findings of over policing of minorities; while minorities represent roughly ten percent the population in Mankato, they make up approximately 22% of the population cited. Further, minorities were about three times more likely than whites to receive a ticket for administrative offenses, …

Narrowing The Qsen Competency Gap In New Graduate Registered Nurses, Marty Mayhew

Doctor of Nursing Practice (DNP) Projects

This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory^© (NQSSI^©) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. …

December 12, 2014, Council On University Planning And Budget

Minutes

No abstract provided.

Physical Therapy Management Of A Patient After A Subacromial Decompression With Acromioplasty And Bursectomy: A Case Report, Brianne Landholt

Case Report Papers

Background: Subacromial impingement results from repetitive trauma to structures underneath the subacromial arch leading to a decrease in the subacromial space, impingement of soft tissue, and ultimately a decrease in functional abilities. Conservative treatment includes physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteriod injections. If improvements are not observed, there is a surgical option of a subacromial decompression (SAD). Conclusive evidence supporting surgery over conservative measures does not exist1. Literature is lacking regarding SAD without rotator cuff (RTC) repair and performing SAD with both an acromioplasty and bursectomy. Therefore, the purpose of this case report was to investigate the functional outcomes …

Some Observations On Scientific Epistemology With Applications To Conflict Resolution And Constructive Controversy, Judith Puncochar, Don Faust

Other Presentations

An overview, by Judy and Don (published in 2013 in the BULLETIN OF SYMBOLIC LOGIC):

Explorationism is a perspective wherein all of our knowledge is (so far) less than certain, and naturally would come equipped with a base logic entailing machinery for representing and processing evidential knowledge. One such base logic is Evidence Logic, which strives to deal with the phenomenon of the gradational presence of both confirmatory and refutatory evidence. From this perspective, we will address questions surrounding sociological problem areas that we see as deeply infused with substantial epistemological factors. By defining a framework as any theory, …

Measuring Changes In Knowledge And Attitudes Of Neonatal Intensive Care Unit Providers After Receiving An Educational Intervention About The Value Of Human Milk In The Preterm Infant, Frances E. Smith

Regis University Student Publications (comprehensive collection)

Executive Summary Measuring Changes in Knowledge and Attitudes of NICU Providers after Receiving an Educational Intervention about the Value of Human Milk in the Preterm Infant Problem Identification Human milk is proven to decrease morbidities and mortality in extremely low birth weight neonates. Health care providers must approach the mothers of these infants and explain the need for own mother's milk or consent for the use of donor milk in these infants. Providers may lack the knowledge about the importance of human milk in NICU infants, or may hold negative attitudes about human milk's contribution to the health of these …

Installation Of Zentyal; Linux Small Business Server, Olubodunde Agboola

Master of Technology Management Plan II Graduate Projects

This project work is about setting up a server for the Electronics and computer Lab of the ECET department. The current server used in this lab runs OpenBSD 3.3. OpenBSD is a Unix-like operating system which offers services such as mail server, web server, ftp server, DNS server, router, firewall, or NFS file server. However this version of openBSD is obsolete and several versions has been developed over the years, the recent version is openBSD 5.6. Furthermore, openBSD has no graphic user interface (GUI). It accepts and processes command through the command line interface. Hence, it can be defined as …

Francine Judon V. Travelers Property Casualty Co

2014 Decisions

USDC for the Eastern District of Pennsylvania

Bill Williams River Water Rights Settlement Act Of 2014, United States 113th Congress

Native American Water Rights Settlement Project

To direct the Secretary of the Interior to enter into the Big Sandy River-Planet Ranch Water Rights Settlement Agreement and the Hualapai Tribe Bill Williams River Water Rights Settlement Agreement, to provide for the lease of certain land located within Planet Ranch on the Bill Williams River in the State of Arizona to benefit the Lower Colorado River Multi-Species Conservation Program, and to provide for the settlement of specific water rights claims in the Bill Williams River watershed in the State of Arizona.

The Underlying Current: Climate Change And The Fall Of Rome, Matthew Thomas Finnie

Honors Program Theses and Research Projects

Although historians have debated the various causes of the fall of the Roman Empire for centuries, scholars did not consider the impact of environmental change until the early twentieth century. Initially, environmental historians believed that agricultural decline resultant from soil erosion and deforestation played a dominant role; however, scientific and historical evidence can now be utilized to demonstrate that these two factors were much less prevalent during the third through fifth centuries than they had been during the prosperous Pax Romana. In contrast, recent climatological studies, most notably dendrochronological sequences, have established that a combination of cooling and desertification plagued …

Analyzing The Missing Meal Gap Beyond Elementary School, Timothy Loney, Samantha Milheiser, Brittney Wacholz

Public Sociology Publications and Projects

This paper examines ways in which Feeding Our Communities Partners (FOCP) can productively expand on its current work to alleviate hunger in Blue Earth County, Minnesota. This report contains a literature review addressing hunger and food insecurity, a needs assessment of hunger in Blue Earth County, case studies of existing programs, and qualitative interviews with professionals who work with the youth in these programs. We conclude by recommending three potential ways that FOCP can expand their current programs to address hunger among school-aged youth in Blue Earth County.

Reproductive Parameters Of Two Coastal Pelagic Fishes Off Southeast Florida: Blackfin Tuna Thunnus Atlanticus And Little Tunny Euthynnus Alletteratus, Sonia Ahrabi-Nejad

HCNSO Student Theses and Dissertations

The ability to manage a fish stock relies on an understanding of life history characteristics and basic biology of the species. Numerous age-growth studies are facilitated by the relative ease of ageing fishes through hard-part analyses. Determining reproductive parameters for fish populations is equally important for stock assessments and management, and histological examination of gonads provides the most accurate determination of fecundity and spawning periods. Coastal pelagic fishes are often targeted commercially and recreationally due to their easy access by private vessels. However, there are few studies researching the biology and reproduction of recreational fishes in the waters of Southeastern …

Proprioception And Developmental Motor Training: A New Treatment For Chronic-Phase Stroke Patients

Dissertations

With stroke occurrence increasing, along with survival rate, it is imperative to find ways of treating the chronic-phase of stroke. The purpose of this study was to determine if either or both of two interventions, or their combination, could improve functional performance in patients at least four years post-stroke. One intervention was resistance strength training while the other consisted of neurodevelopmental activities that parallel those used with developing children. Six participants, four male and two female, ranging in age from 23 to 60 (M age 44.5), were randomly assigned to one of the interventions. Participants ranged in stroke types and …

Vocal Jazz In Concert, Alexandra Blum, Samantha Dominguez, Samira Kasraie, Megan Mandel, Ashley Kron, Tessa Oliaro, Dina Zangwill, Austin Devone, Brett Gray, Graeme Aegerter, Albert Alva, Alicia Storm Marquis, Carlos Hernandez

Printed Performance Programs (PDF Format)

No abstract provided.

The Impact Of Changing Surface Ocean Conditions On The Dissolution Of Aerosol Iron, Matthew Fishwick, Peter Sedwick, Maeve Lohan, Pau Worsfold, Kristen N. Buck, Thomas Church, Simon Ussher

Marine Science Faculty Publications

The proportion of aerosol iron (Fe) that dissolves in seawater varies greatly and is dependent on aerosol composition and the physicochemical conditions of seawater, which may change depending on location or be altered by global environmental change. Aerosol and surface seawater samples were collected in the Sargasso Sea and used to investigate the impact of these changing conditions on aerosol Fe dissolution in seawater. Our data show that seawater temperature, pH, and oxygen concentration, within the range of current and projected future values, had no significant effect on the dissolution of aerosol Fe. However, the source and composition of aerosols …

Haywood Chavis, Jr. V. Usa

2014 Decisions

USDC for the District of New Jersey

State V. Davis Respondent's Brief Dckt. 41790

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Comparative Genomics Reveals Insights Into Avian Genome Evolution And Adaptation, Guojie Correction Zhang, Cai Li, Qiye Li, Bo Li, Denis M. Larkin, Chul Lee, Jay F. Storz, Agostinho Antunes, Matthew J. Greenwold, Robert W. Meredith, Anders Ödeen, Jie Cui, Qi Zhou, Luohao Xu, Hailin Pan, Zongji Wang, Lijun Jin, Pei Zhang, Haofu Hu, Wei Yang, Jiang Hu, Jin Xiao, Zhikai Yang, Yang Liu, Qiaolin Xie, Hao Yu, Jinmin Lian, Ping Wen, Fang Zhang, Hui Li, Yongli Zeng, Zijun Xiong, Shiping Liu, Long Zhou

Faculty Publications

Birds are the most species-rich class of tetrapod vertebrates and have wide relevance across many research fields. We explored bird macroevolution using full genomes from 48 avian species representing all major extant clades. The avian genome is principally characterized by its constrained size, which predominantly arose because of lineage-specific erosion of repetitive elements, large segmental deletions, and gene loss. Avian genomes furthermore show a remarkably high degree of evolutionary stasis at the levels of nucleotide sequence, gene synteny, and chromosomal structure. Despite this pattern of conservation, we detected many non-neutral evolutionary changes in protein-coding genes and noncoding regions. These analyses …

Whole-Genome Analyses Resolve Early Branches In The Tree Of Life Of Modern Birds, Erich D. Jarvis, Siavash Mirarab, Andre J. Aberer, Bo Li, Peter Houde, Cai Li, Simon Y.W. Ho, Brant C. Faircloth, Benoit Nabholz, Jason T. Howard, Alexander Suh, Claudia C. Weber, Rute R. Da Fonseca, Jianwen Li, Fang Zhang, Hui Li, Long Zhou, Nitish Narula, Liang Liu, Ganesh Ganapathy, Bastien Boussau, Md Shamsuzzoha Bayzid, Volodymyr Zavidovych, Sankar Subramanian, Toni Gabaldón, Salvador Capella-Gutiérrez, Jaime Huerta-Cepas, Bhanu Rekepalli, Kasper Munch, Mikkel Schierup, Bent Lindow, Wesley C. Warren, David Ray, Richard E. Green

Faculty Publications

To better determine the history of modern birds, we performed a genome-scale phylogenetic analysis of 48 species representing all orders of Neoaves using phylogenomic methods created to handle genome-scale data.We recovered a highly resolved tree that confirms previously controversial sister or close relationships.We identified the first divergence in Neoaves, two groups we named Passerea and Columbea, representing independent lineages of diverse and convergently evolved land and water bird species. Among Passerea, we infer the common ancestor of core landbirds to have been an apex predator and confirm independent gains of vocal learning. Among Columbea, we identify pigeons and flamingoes as …

Implementing An Evidence Based Foot Assessment Protocol For Use By Nurses Caring For Adult Diabetic Patients Seeking Care In The Thanh Nhan Hospital Endocrinology Department, Amy Ly

Doctor of Nursing Practice (DNP) Projects

The purpose of this primary care nursing practice improvement project was to implement a diabetic evidence-based protocol for use by nurses caring for adult patients seeking care in the Thanh Nhan Hospital Endocrinology Department (TNH/ED) in Ha Noi, Vietnam.

Prior to project implementation, physicians performed all patient foot assessments. No standardized foot assessment tool existed.

The author made an on-site visit to the clinic to assess current practice. The author then recommended expanding nursing practice by using an evidence-based assessment tool. The author conceived an implementation approach, then designed, developed and presented the plan via an Internet-delivered fully interactive Virtual …

Specimen Labeling Improvement Project: Slip, Traci Hoiting

Doctor of Nursing Practice (DNP) Projects

Blood specimens are labeled at the time of acquisition in order to identify and match the specimen, label, and order to the patient. While the labeling process is not new, it is frequently laden with errors (Brown, Smith, & Sherfy, 2011). Wrong blood in tube (WBIT) poses significant risk. Multiple factors contribute to mislabeling errors, including lax policies, limited technological solutions, decentralized labeling processes, multi-tasking, distraction from the clinician, and insufficient education and training of staff. To reduce blood specimen labeling errors, a large academic medical center implemented an innovative technological solution for specimen labeling that integrates patient identification, physician …

Transitional Care Services: A Nurse-Led Quality Improvement Project, Debra Conroy-Mccue

Doctor of Nursing Practice (DNP) Projects

With the implementation of the Patient Protection and Affordable Care Act of 2010 (PPACA) and a national requirement for health care providers and systems to deliver care that is safe, outcome driven, and cost effective, Dignity Health (DH) as part of the hospital engagement network (HEN) launched an initiative called the “No Harm” campaign to reduce all-cause avoidable hospital readmissions. The project, led by a Doctorate of Nursing Practice (DNP) student and readmission team, sought to achieve a 20% reduction in preventable readmissions by December 2014. After having achieved initial success in implementing transitional care services for patients with heart …

Improving Women’S Health Services By Adding Long-Acting Reversible Contraceptive Methods Into Primary Care-Focused Student Health, Shu-Chen Jennie Cheng

Doctor of Nursing Practice (DNP) Projects

Often resulting from inconsistent contraceptive use, unintended pregnancy among young women between ages 18-24 continues to be an issue in the United States. Long-acting reversible contraceptives, including intrauterine contraceptives and the subdermal contraceptive implant, are safe, effective, long-acting, easily reversible, and non-user dependent contraceptive methods, yet currently are greatly underutilized. Most of the contraceptive methods are provided at our student health services except for the highly effective long-acting reversible contraceptive methods. As family nurse practitioners and health care providers, it is essential to integrate this service into primary care-focused college student health clinics by providing evidence-based information to clinical providers …

Using An Educational Module And Simulation Learning Experience To Improve Medication Safety, Barbara Lynn Durham

Doctor of Nursing Practice (DNP) Projects

The purpose of this evidence-based change in practice project was to provide nurses with an experiential learning opportunity, using simulation, to identify and report near miss events during the medication administration process related to patient-controlled analgesia (PCA) usage. Despite extensive in-service training on a Medical/Surgical (Med/Surg) floor in an acute care hospital, inconsistent, inaccurate and incomplete documentation with use of the new PCA pumps continued to be problematic. A conceptual framework of just culture was used with the quality improvement method of the Plan-Do-Study-Act (PDSA) cycle for testing change. Medication safety education was a valid andragogical strategy to decrease rates …

Krinitt V. Idaho Dept. Of Fish And Game Clerk's Record V. 4 Dckt. 42417

Idaho Supreme Court Records & Briefs, All

No abstract provided.

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 …

Severson V. State Respondent's Brief 2 Dckt. 40769

Not Reported

No abstract provided.