Digital Commons Network^™

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 …

Launching A Virtual Decision Lab: Development And Field-Testing Of A Web-Based Patient Decision Support Research Platform, Aubri S. Hoffman, Hilary A. Llewellyn-Thomas, Anna N. A. Tosteson, Annette M. Oconnor

Dartmouth Scholarship

Over 100 trials show that patient decision aids effectively improve patients’ information comprehension and values-based decision making. However, gaps remain in our understanding of several fundamental and applied questions, particularly related to the design of interactive, personalized decision aids. This paper describes an interdisciplinary development process for, and early field testing of, a web-based patient decision support research platform, or virtual decision lab, to address these questions.

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 …

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 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 …

An Evaluation Of Mental Health And Methadone: Anxiety, Depression, And Drug Use, Gursimran Khahera

Master's Projects and Capstones

As a part of the Masters of Science in Behavioral Health field placement, an evaluation was conducted of the integrated treatment plan in mental health and substance abuse at Bay Area Addiction Research and Treatment (BAART) programs. The goal of the BAART programs are to provide comprehensive mental health and substance abuse outpatient recovery services, as well as on-site primary health care services for substance users, mainly opioid use. There is a link between increased substance abuse and increased rates of depression and anxiety. These disorders use the same neuro chemical pathway and are highly codependent upon one another. Because …

Beyond The Economic: The Freedoms, Capabilities, And Social Capital Of Latin American Women Entrepreneurs In San Francisco, Melia M. Vilain

Master's Theses

In light of the scholarly debate surrounding the goals and mixed effects of development programs, particularly in recent years in relation to microfinance, this study investigates the effects of economic development programs on Latin American women entrepreneurs in San Francisco’s Mission District. It demonstrates that microfinance, when combined with education, can provide important non-economic benefits that contribute to increased freedoms and capabilities for immigrant women entrepreneurs. Drawing on qualitative interviews with ten business owners, as well as a review of the existing literature surrounding development, immigration, and gender, this research argues that owning a business in the US can produce …

Combating Hiv/Aids In Marginalized Communities: Papua And West Papua Provinces, Indonesia, Bani Cheema

Master's Theses

My study focuses on foreign aid and local initiatives for HIV/AIDS prevention in eastern Indonesia using the provinces of Papua and West Papua as a case study. The two provinces are home to indigenous tribal groups that are socioeconomically marginalized and most affected by the epidemic. My research investigates behavior change communication as a principal strategy undertaken by multiple organizations for HIV/AIDS prevention in this region. I take a qualitative approach by examining the effectiveness of this strategy in local communities and by revealing social and cultural barriers that impede success. Obstacles that negatively impact prevention efforts include structural violence, …

Effect Of Formulation Variables On Preparation Of Celecoxib Loaded Polylactide-Co-Glycolide Nanoparticles, Dustin L. Cooper, Sam Harirforoosh

Pharmacy Faculty Articles and Research

Polymer based nanoparticle formulations have been shown to increase drug bioavailability and/or reduce drug adverse effects. Nonsteroidal anti-inflammatory drugs (e.g. celecoxib) reduce prostaglandin synthesis and cause side effects such as gastrointestinal and renal complications. The aim of this study was to formulate celecoxib entrapped poly lactide-co-glycolide based nanoparticles through a solvent evaporation process using didodecyldimethylammonium bromide or poly vinyl alcohol as stabilizer. Nanoparticles were characterized for zeta potential, particle size, entrapment efficiency, and morphology. Effects of stabilizer concentration (0.1, 0.25, 0.5, and 1% w/v), drug amount (5, 10, 15, and 20 mg), and emulsifier (lecithin) on nanoparticle characterization were examined …

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 …

Effect Of Formulation Variables On Preparation Of Celecoxib Loaded Polylactide-Co-Glycolide Nanoparticles, Dustin L. Cooper, Sam Harirforoosh

ETSU Faculty Works

Polymer based nanoparticle formulations have been shown to increase drug bioavailability and/or reduce drug adverse effects. Nonsteroidal anti-inflammatory drugs (e.g. celecoxib) reduce prostaglandin synthesis and cause side effects such as gastrointestinal and renal complications. The aim of this study was to formulate celecoxib entrapped poly lactide-co-glycolide based nanoparticles through a solvent evaporation process using didodecyldimethylammonium bromide or poly vinyl alcohol as stabilizer. Nanoparticles were characterized for zeta potential, particle size, entrapment efficiency, and morphology. Effects of stabilizer concentration (0.1, 0.25, 0.5, and 1% w/v), drug amount (5, 10, 15, and 20 mg), and emulsifier (lecithin) on nanoparticle characterization were examined …

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.

How Disgust Affects Romantic Attraction: How Our Moods Affect Our Judgments Of Attractiveness, Nicholas Phelan

Theses

Facial attractiveness is an important part of our initial judgments of people and in our ability to determine their compatibility as a mating partner. Just as mating is evolutionarily important, the emotion disgust is one of the most evolutionarily beneficial emotions as it helps keep us away from poisonous and possibly infectious substances or foods. We instinctively avoid people with facial scars and other facial deformities because these are seen as a sign of illness or generally poor well-being. Facial attraction is one component of how we choose a mate. The current experiment examined whether or not being disgusted created …

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 …

The Effect Of Topical Estriol On Human Inner Foreskin, Cheryl L. Bell

Doctoral Dissertations

Human immunodeficiency virus (HIV) is a global health concern prompting an urgent need to develop simple, effective, economical preventive measures. The research described in this thesis evaluated the potential for topical estriol to induce keratinization of the inner foreskin, the primary site of HIV entry in uncircumcised males.

We found that topical estriol can induce keratinization of the human inner foreskin by up-regulating the production of keratins per cell, and not through increased skin proliferation. Furthermore, the quantity and position of HIV target cells in the foreskin were not adversely affected by the treatment.

Estrogen receptors (ERs) are transcription factors …

The Interaction Model Between Street-Level Bureaucrats And The Public In Health Service Provision At Puskesmas, Abdul Mahsyar

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

This research aims at studying and explaining forms of coping behaviors and public respond to coping behaviors as shown by health service officers at street-level bureaucrats in Puskesmas (Public Health Center). The research was conducted in six Public Health Centers in Makassar, employing qualitative approach and naturalistic method. The data were gained from informants, i.e. Puskesmas officers and public patients visiting the Puskesmas as the primary data source, and the secondary data were gathered from documents available in the concerned institutions. Research data were collected through in-depth interviews, direct and participative observations. The research data were then analyzed qualitatively through …

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 …

Prevention Of Medication Errors During The Transcription Process, Angela Huang

Master's Projects and Capstones

Medication administration is a multistep process that involves prescribing, transcribing, dispensing, and administering drugs. The transcription of medication orders during patient admissions have been described as an error prone process by nurses on the unit. An FMEA analysis and unit surveys indicated a need for improvement. The specific aim for this project is to improve the mediation transcription process for new patients with 100% participation from all staff by December 1, 2014. Based on the microsystem system analysis and the research on evidence, strategies approved for testing include mandating the double checking new mediations with another nurse, omitting the use …

Increasing Patient Participation In The Medication Reconciliation Process, Andrea Idudhe

Master's Projects and Capstones

It is estimated, that ambulatory care settings have a 25% adverse drug events (ADEs) rate, and 39% of those event were preventable errors (Taché, Sönnichsen, and Ashcroft, 2011). Considering many adverse drug events are related to medication errors, preventing medication errors is fundamental to improving patient safety and outcomes. Medication reconciliation is the process of identifying and resolving medication discrepancies that occur, during transitions in care. Patient participation is a key component to the medication reconciliation process. With the intent to improve patient participation, a patient awareness intervention was implemented in the cardiology outpatient clinic. Data was collected using microsystem …

Reversing The Trend Of Large Scale And Centralization In Manufacturing: The Case Of Distributed Manufacturing Of Customizable 3-D-Printable Self-Adjustable Glasses, Jephias Gwamuri, Ben T. Wittbrodt, Nick C. Anzalone, Joshua M. Pearce

Department of Materials Science and Engineering Publications

Although the trend in manufacturing has been towards centralization to leverage economies of scale, the recent rapid technical development of open-source 3-D printers enables low-cost distributed bespoke production. This paper explores the potential advantages of a distributed manufacturing model of high-value products by investigating the application of 3-D printing to self-refraction eyeglasses. A series of parametric 3-D printable designs is developed, fabricated and tested to overcome limitations identified with mass-manufactured self-correcting eyeglasses designed for the developing world's poor. By utilizing 3-D printable self-adjustable glasses, communities not only gain access to far more diversity in product design, as the glasses can …

Biofilm Microenvironment Analysis Systems For Medicine And Agriculture, Jinzi Deng

Doctoral Dissertations

Biofilms are aggregated bacteria embedded in extracellular polymeric substances (EPS). Biofilms are the dominant growth form of bacteria in most natural environments, and are also important in many industrial and in vivo settings. The function of a biofilm system is inherently different from the function of the same cells dispersed in liquid culture. Existing methods to study biofilm either do not maintain the essential biofilm architecture or do not capture the dynamic nature of their responses. This research describes the development of a set of biofilm microenvironment analysis systems that maintain the essential micro-scale structure of biofilms. These systems are …

“Une Image Vaut Bien Mille Mots”: Recherche Sur L’Iconographie Des Textes Allégoriques De Christine De Pizan, Marie-Josee Marquis

Doctoral Dissertations

The following research paper is an iconographic analysis of six allegoric works of Christine the Pizan, including: Epistre Othea, Livre de la Cité des Dames, Livre des Trois Vertus, Livre du Chemin de long estude, Livre de la mutacion de Fortune et Livre de l’advision Cristine. These medieval writings will be analyzed in conjunction with their illuminations allowing as such a more complete understanding of the various details buried within the images. Iconography, codicology and paleography are the three analytic methods utilized in this comprehensive study of selected Christine de Pizan’s allegoric works. Furthermore, this study will illustrate the …

Improving Patient Outcomes And Nurse Satisfaction By Reducing Avoidable Interruptions During Medication Administrations, Roberta Howard

Master's Projects and Capstones

Medication administration is an important part of nursing duties in acute-care settings. The nurse is responsible for prioritizing safe quality care when administering medications but errors do occur. This project addressed interruptions as one of the challenges of safe medication administration. The aims of this project are 1) to determine a standardized medication administration process 2) to identify perceived and actual interruptions on the unit and 3) to address and reduce the avoidable interruptions of calls, pages and call lights at the nurse station. The purpose of this project is to improve patient outcomes, nurse satisfaction and nurse workflow by …

Teaching Health Literacy In Conjunction With Esl, Dora Lee

Master's Projects and Capstones

In the United States, many English as a Second Language (ESL) speakers who have limited English proficiency also have low levels of health literacy. The purpose of this project is to create a curriculum that ESL teachers can implement to improve the English language proficiency and the health literacy skills of adult ESL speakers with limited English proficiency residing in the United States. The curriculum is designed for teachers who work with ESL speakers who may be having trouble obtaining, processing, communicating, or managing health information due to language barriers.