Digital Commons Network^™

Pronunciation Lesson Plans For Korean Efl University Instructors, Jeongtong (Justin) Choi

Master's Projects and Capstones

This project helps to create lesson plans for instructors who teach Korean ESL/EFL students in English pronunciation part.

Improving Patient Outcomes Through Use Of The Teach-Back Method In The Post Anesthesia Care Unit, Kathleen Osullivan

Master's Projects and Capstones

The setting for this Clinical Nurse Leader (CNL) project was the Post Anesthesia Care Unit (PACU) at a level I trauma center in the Bay Area. The goal was to improve the discharge education performed by the PACU nurses to improve patient safety and decrease the chance of complications or readmissions to this hospital. With no clear instructions for how discharge teaching should be done, the nurses have many differing styles which leaves room for gaps in discharge planning. This influenced the implementation of the teach-back method during discharge planning in order to ensure proper education and increased patient understanding. …

Safe Patient Handling & No Lift Policy: Reducing The Incidence Of Work-Related Injuries Among Nursing Staff, Marissa N. Scanlon

Master's Projects and Capstones

Background: Patient handling is a major risk factor for work-related injuries among nurses. Inadequate and inappropriate safe patient handling practices contribute to increased work-related injuries, lost/restricted work days, and hospital costs.

Purpose: The focus of this study was to increase the use of mechanical lift equipment and Lift Team to reduce the incidence of work-related injuries among nursing staff involved in patient handling activities on the Medical-Cardiac IICU.

Methodology: The theoretical framework employed for this project was Lippitt’s change theory. Pre-and post-survey self-report evaluations were conducted prior to and following the implementation of the Bedside Mobility Assessment Tool (BMAT) and …

Corante Blogger: ‘Nmr Of A Mass Spec Species’, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

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 …

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 …

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 …

Critical Media Literacy: A Curriculum For Middle School English Teachers, Jennifer J. Hale

Master's Projects and Capstones

This project provides an introductory, critical media literacy curriculum for middle school English teachers, which is designed to build upon students’ academic language proficiency and critical-thinking skills through media-based content. The targeted proficiency level ranges from high-intermediate English language learners to native English speakers.

The curriculum focuses on developing the critical-thinking skills needed to analyze complex media messages. This process helps students to discover how media is socially constructed and how it aims to convey particular messages for particular purposes. The teacher’s goal is to facilitate students’ understanding of media in order for them to become more conscientious of their …

Content-Based Instruction And Corpus Linguistics Curriculum For Early Advanced Efl Saudi Students, Ahmed Alattar

Master's Projects and Capstones

For many years now EFL teaching and learning in Saudi Arabia has suffered from a lack of authentic life-related and meaningful materials. Most of the EFL books available, therefore, pay more attention to form and less attention to meaning. This has resulted in many Saudi EFL students having difficulty improving their L2 proficiency. For this reason, I developed a curriculum that incorporates content-based instruction and corpus linguistics. The curriculum is divided into six units. The units focus on the five basic language skills: Reading, Writing, Listening, and Speaking. Each unit focuses on different content and includes examples form several corpus …

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 …

Development And Implementation Of A Succession Plan For The Nursing Department In A Community Hospital, Nadine Mariotti

Doctor of Nursing Practice (DNP) Projects

This project identifies nursing leadership vacancies in a community nursing department and assisted in the planning and implementation of a succession framework to fill the gaps in the nurse leadership population. Aging nurse leaders are leaving the profession and thus are creating gaps which need to be filled (Stichler, 2008). The unavailability of respective schools and negative perceptions of nurses regarding the healthcare sector leads to the lack of interest in the nursing profession (Nelsey, Brownie, 2012). Factors contributing to burn-out in nursing departments affect the intentions of nurses to leave and lower satisfaction towards their profession. The proposed succession …

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 …

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 …

Does Thorium Have A Place In The Future U.S. Electricity Mix?, Danny West

Master's Projects and Capstones

Thorium is an alternative fuel source for nuclear energy. Coupled with its use in a new reactor design, called a Liquid Fluoride Thorium Reactor, the two have the ability to disrupt the nuclear industry and power sector. Nuclear energy is a clean and reliable source of energy; however, it generates hazardous waste that must be stored away for hundreds of thousands of years and power plants are at risk of a catastrophic incident that can lead to a wide scale release of radiation. These drawbacks to nuclear energy can be mitigated using thorium in a Liquid Fluoride Thorium Reactor. These …

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 …

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 …

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 …

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 …

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 …

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 …

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 …