Digital Commons Network^™

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.

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 …

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.

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 Performance And Energy Efficiency Of On-Chip Memory Systems, Menglong Guan

Master's Theses

No abstract provided.

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 …

State V. Anderes Appellant's Reply Brief Dckt. 41744

Not Reported

No abstract provided.

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.

Transparency Rules In U.S. Elections Need Updating To Reflect 21st Century Realities, Rebecca Green

Popular Media

No abstract provided.

The Ins And Outs Of Metal Homeostasis By The Root Nodule Actinobacterium Frankia, Teal R. Furnholm, Louis S. Tisa

New Hampshire Agricultural Experiment Station Publications

Background: Frankia are actinobacteria that form a symbiotic nitrogen-fixing association with actinorhizal plants, and play a significant role in actinorhizal plant colonization of metal contaminated areas. Many Frankia strains are known to be resistant to several toxic metals and metalloids including Pb2+, Al+3, SeO2, Cu2+, AsO4, and Zn2+. With the availability of eight Frankia genome databases, comparative genomics approaches employing phylogeny, amino acid composition analysis, and synteny were used to identify metal homeostasis mechanisms in eight Frankia strains. Characterized genes from the literature and a meta-analysis of 18 heavy metal gene microarray studies were used for comparison.

Results: Unlike most …

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 …

Applications Of Remote Sensing To The Study Of Estuarine Physics: Suspended Sediment Dynamics In The Columbia River Estuary, Austin Scott Hudson

Dissertations and Theses

Estuarine circulation and its associated transport processes drive the environmental integrity of many near-shore habitats (the coastal ocean, rivers, estuaries and emergent wetlands). A thorough understanding and consideration of this circulation is, therefore, vital in the proper management of these habitats. The aim of this study is to bring together theory and new satellite observations in the Columbia River Estuary to increase our understanding of estuarine circulation and transport. Surface reflectance measurements gathered by the Moderate Imaging Spectroradiometer (MODIS) are first compared to in situ observations to develop an empirical model for remotely derived surface turbidity. Results indicate that MODIS …

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 …

Oligomerization, Conformational Stability And Thermal Unfolding Of Harpin, Hrpzpss And Its Hypersensitive Response-Inducing C-Terminal Fragment, C-214-Hrpzpss., Pradip K Tarafdar, Lakshmi Vasudev Vedantam, Rajeshwer S Sankhala, Pallinti Purushotham, Appa Rao Podile, Musti J Swamy

Department of Biochemistry and Molecular Biology Faculty Papers

HrpZ-a harpin from Pseudomonas syringae-is a highly thermostable protein that exhibits multifunctional abilities e.g., it elicits hypersensitive response (HR), enhances plant growth, acts as a virulence factor, and forms pores in plant plasma membranes as well as artificial membranes. However, the molecular mechanism of its biological activity and high thermal stability remained poorly understood. HR inducing abilities of non-overlapping short deletion mutants of harpins put further constraints on the ability to establish structure-activity relationships. We characterized HrpZPss from Pseudomonas syringae pv. syringae and its HR inducing C-terminal fragment with 214 amino acids (C-214-HrpZPss) using calorimetric, spectroscopic and microscopic approaches. Both …

“Readers’ Disappointed Expectations: Religious Symbols In ‘The Jilting Of Granny Weatherall’”, Rachel I. Gessel

Student Works

The short story “The Jilting of Granny Weatherall” by Katherine Anne Porter is the account of a devout Catholic woman on her death bed who dwells on being jilted at the altar sixty years earlier. It is commonly accepted among scholars that the “jilting” in the title also refers to a second jilting at the end of the story. Although it could be debated that the jilting referred to in the title could only refer to Granny’s jilting at the altar, over ten peer-reviewed articles about this short story suggest or acknowledge that the jilting also refers to Christ jilting …

State V. Austin Respondent's Brief 2 Dckt. 41521

Not Reported

No abstract provided.

Utilizing Computer Programming To Analyze Post-Tonal Music: A Segmentation And Contour Analysis Of Twentieth-Century Music For Solo Flute, Kate Sekula

Doctoral Dissertations

Two concepts will be synthesized in this dissertation: 1) the creation of accessible computer applications for melodic segmentation and contour reduction and 2) the application of segmentation and contour reduction to analyze twentieth-century post-tonal works for unaccompanied flute. Two analytical methodologies have been chosen: James Tenney and Larry Polanski's Gestalt segmentation theory and Robert Schultz's refinement of Robert Morris's contour reduction algorithm. The investigation also utilizes Robert Schultz's concept of diachronic-transformational analysis in conjunction with contour reduction. While both segmentation and contour reduction are invaluable analytical tools, they are meticulous and time-consuming processes. Computer implementation of these algorithmic procedures produces …

Structural Characterization Of Porous Materials: Understanding Mass Transport Through Asymmetric Membranes During Forward Osmosis, Seetha Soundara Manickam

Doctoral Dissertations

Engineered osmosis (EO) is an emerging membrane separations-based technology platform comprising of forward osmosis, pressure-retarded osmosis, and direct osmotic dilution/concentration processes. EO relies on a water flux driven across a semi-permeable membrane as a result of osmotic pressure gradients between two solutions, the relatively dilute feed and a concentrated draw solution. However, the support layer in EO membranes presents a resistance to solute transport resulting in internal concentration polarization (ICP) phenomena which results in the actual driving force being far lower than what is available. Severity of ICP is largely influenced by the structure of the support layer in the …

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 …

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 …