Digital Commons Network^™

Development And Implementation Of A Violence Risk Assessment Tool, Mira Aidasani-Diwata

Doctor of Nursing Practice (DNP) Projects

The purpose of this quality improvement project was to provide a means to effectively assess patients as they are admitted to the hospitals and to effectively communicate a patient’s violent tendencies within the healthcare setting. Workplace violence is a serious problem that affects all healthcare professionals. Although serious assaults and homicides attract more media attention, the majority of workplace violence consists of non-fatal assaults. Nurses, aides, and patient care technicians suffer the most non-fatal assaults resulting in injury. Due to the growing incidence of assault and injury among healthcare workers, some states are calling for additional study on workplace violence. …

Patient-Reported Outcomes Screening For Improved Patient Wellness: A Cancer Center Initiative, Alison Morris

Doctor of Nursing Practice (DNP) Projects

Background: People experiencing serious illness have significant unmet physical, emotional, social and spiritual needs. The Quality Oncology Practice Initiative (QOPI) requires patients to be screened for emotional wellbeing and pain by their second oncology visit. This project details one cancer center’s quality improvement initiative to (a) implement electronic screening of every cancer patient by their second oncology visit, (b) design processes for ongoing assessment and intervention of need(s), and (c) develop measurable and sustainable evaluation metrics to ensure that palliative care needs are met. Methods: In June 2015, we launched electronic collection of patient-reported outcomes (PROs) using the Patient Reported …

Improving The Patient Experience By Implementing Patient-Centered Care In A Community Hospital, Richard A. Billingsley Dnp, Mha, Rn

Doctor of Nursing Practice (DNP) Projects

Health care is a complex business currently undergoing extensive reform. These changes require new methods of care deliver and ways in which health care organizations are operating. At the forefront of this change effort is the 2010 Patient Protection and Affordable Care Act, which is transforming health care from a volume-based, fee-for-service process to the delivery of services that have value, improve quality outcomes, increase satisfaction, elicit greater efficiency, demonstrate improved safety outcomes, show cost-effectiveness, promote better access to services, and result in high reliability between providers and organizations. The goal of providing a more positive health care experience is …

Friday Facts, Lehigh Valley Health Network

Friday FACTS

No abstract provided.

State Of Utah, Plaintiff/Appellee V. Kristopher England, Defendant/Appellant, Utah Court Of Appeals

Utah Court of Appeals Briefs (2007– 2019)

Appeal from an order of restitution following a conviction for theft, a third degree felony, in the Third Judicial District, Salt Lake County, the Honorable charlene Barlow presiding

Flaws In The Justice System: Examining The Angel Cordero Case, Rose C. Itzcovitz

Capstones

This article examines a case in criminal law that started 17 years ago and has yet to be resolved. Despite a plethora of mounting evidence, including a confession, more than a dozen witnesses, a proven false alibi, impeaching evidence against police and DNA evidence, Bronx-born Angel Cordero's conviction has yet to be overturned. The article breaks down what went wrong in the initial trial, discusses Cordero's multiple appeals and takes a broader look at what needs to change in today's judicial system.

Outrage Is The New Black, Derek R. Scancarelli

Capstones

In 1964, legendary comedian Lenny Bruce was brought to court on an obscenity charge after years and repeated arrests for using what was then deemed to be sexually vulgar language. Despite the testimony of fellow artists and intellectuals (Allen Ginsberg, Bob Dylan, James Baldwin), Bruce was convicted. The symbolism of what Bruce stood for is way more important than the four months he consequently spent in a workhouse. It proved that comedy has the power to shake the system- make people challenge authority and question the value of parallel thinking. Now – in 2015 – America is obsessed with outrage. …

A Population Health Approach For Community Health Improvement, Sandra Gregg

Doctor of Nursing Practice (DNP) Projects

Providence Health & Services (Providence), a not-for-profit Catholic health care system serving five western states, established an organizational vision of Creating healthier communities, together (Providence Health & Services, 2014). This vision served as the catalyst for the alignment of divisional initiatives to positively impact community health status. To effectively achieve its vision, the organization committed to the incorporation of population health principles in the development of an infrastructure to expand the reach and impact of community investments, along with the establishment of effective processes for inter-divisional collaboration and compliance with community benefit mandates. Thus, in 2015, Providence established a community …

Caution: Line-Of-Sight In Icu Designs, Diane C. Bartos

Doctor of Nursing Practice (DNP) Projects

It has been estimated that by the end of 2015, the U.S. will spend approximately $200 billion in new healthcare facilities construction. Infection prevention, patient and family satisfaction, and technologies influence contemporary designs of critical care units. All of these impacts have created larger patient care units, with a majority of single patient rooms. These larger spaces have created challenges for the clinicians to maintain the line-of-sight. The line-of-sight is one tool clinicians often use to maintain patient safety.

Since the seminal publication by the Institute of Medicine in 1999, patient safety concerns have escalated after revealing numerous deaths in …

Secured Inv. Corp V. Myers Executive Bldg. Appellant's Brief Dckt. 43402

Idaho Supreme Court Records & Briefs, All

No abstract provided.

State V. Herreman-Garcia Respondent's Brief Dckt. 42941

Idaho Supreme Court Records & Briefs, All

No abstract provided.

The Role Of A Psychiatric Mental Health Nurse Practitioner As Part Of A Mobile Health Unit For The Homeless Population, Joan Alviar Fraino

Doctor of Nursing Practice (DNP) Projects

An estimated 2.3 to 3.5 million people are homeless in the U.S., often living with chronic medical and mental illnesses. The underserved population, such as the homeless, continues to experience gaps in services, resulting in poor healthcare outcomes and readmission to the hospital setting. They often present in crisis through the emergency room, contributing to an already overburdened healthcare system. Increased spending and overutilization of healthcare services continues to rise in the United States (U.S.). Due in part to advancements in technology and expanded health insurance coverage, American healthcare continues be one of the most expensive commodities in the U.S. …

The Creation And Implementation Of Guidelines For The Appropriate Termination Of Patient-Provider Relationships, Rowena D. Nolasco

Doctor of Nursing Practice (DNP) Projects

Primary care providers have terminated patient-provider relationships when they deem them no longer therapeutic. Healthcare providers are increasingly considering this an acceptable practice. However, the criteria for this decision remain unclear. As providers discharge challenging or difficult patients from their practices, questions to support this decision arise. Discharged patients face displacement and healthcare is disrupted. This project will (a) describe problematic patient-provider relationships and its effects, (b) identify possible alternatives to the firing of patients, (c) list appropriate reasons for termination, and (d) present recommended procedures to avoid allegations of medical abandonment. The project's product is an Appropriate Discharge or …

Impetus To Transform: Essential Nursing Leadership Development Through Simulation, Mary J. Mette

Doctor of Nursing Practice (DNP) Projects

Abstract

A nurse manager’s ability to effect positive change and inspire others to higher levels of achievement is related to his or her leadership style in the practice setting, as well as the culture present in the organization as a whole. The aim of this Doctor of Nursing evidence-based change in practice project was to create an educational modality that supported training nurse leaders through innovation and creative problem solving in today’s acute healthcare setting.

A survey was administered to 48 frontline managers in a Northern California healthcare system to access the gaps and voids in their ability to integrate …

The Impact Of A Common Approach To Instruction Within A Nebraska Rural School District, Bret Allan Schroder

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this mixed methods study was to examine the instructional understanding and effectiveness of a district wide implementation of a Common Approach to Instruction. This research study provided a greater understanding of the affects that such an implementation had on certified staff regardless of grade level, experience, subject, or gender.

This explanatory, sequential, mixed methods study was conducted during the summer, spring, and fall of 2014-2015. The study initially gathered data using an online survey, based on Marzano’s 41 instructional elements, in a single class-B school district in Nebraska. All certified staff members within this school district were …

Bowling For No Reason, Richard C. Crepeau

On Sport and Society

Are you ready for some football? Are you ready for some mediocre football? Are you ready to watch teams that couldn’t break even have their time in the spotlight at some nondescript bowl game?

Turning An Organic Semiconductor Into A Low-Resistance Material By Ion Implantation, Beatrice Fraboni, Alessandra Scidà, Piero Cosseddu, Yongqiang Wang, Michael Nastasi, Silvia Milita, Annalisa Bonfiglio

Nebraska Center for Energy Sciences Research: Publications

We report on the effects of low energy ion implantation on thin films of pentacene, carried out to investigate the efficacy of this process in the fabrication of organic electronic devices. Two different ions, Ne and N, have been implanted and compared, to assess the effects of different reactivity within the hydrocarbon matrix. Strong modification of the electrical conductivity, stable in time, is observed following ion implantation. This effect is significantly larger for N implants (up to six orders of magnitude), which are shown to introduce stable charged species within the hydrocarbon matrix, not only damage as is the case …

A Hidden Culture Of Carelessness: A Comparative Qualitative Study Of Gender Inequality And Its Implications For African American And South African Black Women Higher Education Administrators, Dawn S. Singleton

Theses and Dissertations

The purpose of this phenomenological study was to explore and compare the lived and career experiences of Black women higher education administrators in the United States and South Africa. This comparative study elucidated the women’s experiences while giving voice to Black women, whose experiences and status are often further marginalized under new managerial practices. This research used the theoretical lenses of intersectionality and carelessness, a new managerial practice within higher education, to uncover the challenges, opportunities, and contexts experienced by these women within gendered, racialized organizational structures and practices. A major finding of the research is that Black women shared …

Examining Employee Knowledge Of The Jennie Edmundson Hospital Active Shooter Policy, Mallory W. Darais

Theses & Dissertations

Nationally, there has been a large increase in the number of active shooter events within healthcare facilities such as hospitals. Due to this increase, government organizations have recently released documents to guide healthcare facilities on implementing active shooter policies and updating emergency operation plans. Currently, recommendations from government entities such as the Federal Bureau of Investigation and the Department of Homeland Security suggest the “Run, Hide, Fight” approach during an active shooter incident. Jennie Edmundson Hospital, located in Council Bluffs, Iowa, and affiliated with the Methodist Health System, currently has an active shooter policy in place. Data was collected from …

Improving Influenza Compliance Using A Reminder System, Beverly N. Motta

Master's Projects and Capstones

Objective: The clinical nurse leader project was to incorporate a reminder system to improve influenza compliance as the large metropolitan hospital is undergoing a decrease in the compliance of screening hospitalized at discharge. Improving the influenza compliance using a reminder system will assist healthcare professionals in implementing a structured screening process, administration of the vaccine, reminders of the importance of vaccination, and provide a standard for the healthcare team to follow. Methods: Create a reminder poster for medical-surgical units to remind nursing staff about influenza season and to vaccinate patients. Nursing rounds were incorporated to remind and educate nurses that …

Supplementing Esl Classroom Activities With Social Media For Young Adult Learners, Clair M. Yeo

Master's Projects and Capstones

The classroom material currently utilized in English as a second language (ESL) classrooms is often disconnected from the real world. Publishers of ESL instructional materials often attempt to bridge this gap by including topics on popular news, films, songs, and famous persons at the time of printing. However, these are often outdated as quickly as they can be printed. As such, many ESL teachers face the challenge of keeping ESL classroom material relevant to the real world while seeking to maintain students’ interests in what they are learning.

The purpose of the project is to make use of social networking …

Digital Lessons For Enhancing Communicative Skills: A Handbook For Turkish Efl Teachers, Hale H. Demirel

Master's Projects and Capstones

It is necessary for English teachers who are interested in exposing their students to the authentic and communicative use of English to have access to model instructional materials. This project sought to develop a handbook and an accompanying website for teachers of English working with intermediate ESL/EFL students at university level. The handbook includes two theme-based lessons that emphasize the development of communicative competence with the help of engaging free digital tools. The content of the handbook can be improvised or modified and adapted to meet the needs of unique teaching-learning situations in case of need.

Increasing Hpv Awareness And 3-Dose Series Compliance Among The Female Population (Ages 11-26) In A Community Health Clinic, Vanessa Orozco

Master's Projects and Capstones

Abstract

The overall goal of this project was to increase HPV 2nd and 3rd dose compliance rates by a combined 10% among the female adolescent population (ages 11-26). This was to be achieved by implementing EBP follow-up calls to not only schedule appointments but also to serve as a reminder for patients to come into previously scheduled appointments. This project was chosen as prior clinic and organization-wide meetings had delineated compliance rates at just 7%. There were various methods employed to implement this project including an initial microsystem assessment, which entailed a Root Cause Analysis, Process Mapping, SWOT analysis, Cost-Analysis, …

Monitoring Biodiversity Of San Francisco Peninsula Grasslands Using Lepidoptera As A Bioindicator, Jonathan B. Sifuentes-Winter

Master's Projects and Capstones

San Francisco Peninsula grasslands have seen an influx of non-native invasive species starting in the 1500’s, threatening ecological stability by reducing biological diversity. To combat these invasive species, multiple public agencies have begun to adopt an integrated pest management (IPM) approach. This ecologically-based approach to pest management utilizes three controversial techniques, which are presently used or are under consideration for use on the San Francisco Peninsula: herbicide application, conservation grazing, and prescribed fire. In this paper, I will evaluate the use of the taxa Lepidoptera as a bioindicator of biodiversity to assess the environmental impacts of these techniques. The application …

Using A Strategic Model For Professional Development: The Importance Of Evidence-Based Competencies As A Foundation For Professional Practice., Peggi B. Winter

Doctor of Nursing Practice (DNP) Projects

Abstract

A nursing professional practice model (PPM) is designed to provide a framework for how nursing practices, communicates, leads, collaborates, and provides the highest quality of care as we navigate the complex healthcare system. An infrastructure for learning, competency, and performance needs to be integrated into this model as a foundation for accelerating business and clinical initiatives, promoting standardization, and sharing successful practices. It is now, more than ever, a necessity to have a well-trained, highly competent nursing workforce. Simply having the knowledge and the skill to do a job is insufficient; rather, it is implied that a competency has …

Computation Of A Virtual Tide Corrector To Support Vertical Adjustment Of Autonomous Underwater Vehicle Multibeam Sonar Data, Lawrence H. Haselmaier

LSU New Orleans Theses and Dissertations

One challenge for Autonomous Underwater Vehicle (AUV) multibeam surveying is the limited ability to assess internal vertical agreement rapidly and reliably. Applying an external ellipsoid reference to AUV multibeam data would allow for field comparisons. A method is established to merge ellipsoid height (EH) data collected by a surface vessel in close proximity to the AUV. The method is demonstrated over multiple collection missions in two separate areas. Virtual tide corrector values are derived using EH data collected by a boat and a measured ellipsoid to chart datum separation distance. Those values are compared to measurements by a traditional tide …

An Actor's Method To Building The Character Of Hamlet In The Tragedy Of Hamlet, Prince Of Denmark, Samuel C. Malone Iii

LSU New Orleans Theses and Dissertations

This thesis will set out to examine the process needed in order to deliver the character of Hamlet as a fully dimensional, complex human being who transcends time periods and class distinctions to connect with any audience of any background. This text will include biographical information about the author, William Shakespeare, as well as historical information about the circumstances and atmosphere surrounding the birth of this play. It will also include information about other performances, which will serve as references for comparison in terms of character development. Included in the scored actor’s script are the Sanford Meisner Techniques of moment-to-moment …

Verve, Stephanie L. Zahareas

LSU New Orleans Theses and Dissertations

No abstract provided.

Correlations Between Quantitative Fat–Water Magnetic Resonance Imaging And Computed Tomography In Human Subcutaneous White Adipose Tissue, Aliya Gifford, Ronald C. Walker, Theodore F. Towse, E Brian Welch

Peer Reviewed Articles

Beyond estimation of depot volumes, quantitative analysis of adipose tissue properties could improve understanding of how adipose tissue correlates with metabolic risk factors. We investigated whether the fat signal fraction (FSF) derived from quantitative fat–water magnetic resonance imaging (MRI) scans at 3.0 T correlates to CT Hounsfield units (HU) of the same tissue. These measures were acquired in the subcutaneous white adipose tissue (WAT) at the umbilical level of 21 healthy adult subjects. A moderate correlation exists between MRI- and CT-derived WAT values for all subjects, R²=0.54, p<0.0001, with a slope of −2.6, (95% CI [−3.3,−1.8]), indicating that a decrease of 1 HU equals a mean increase of 0.38% FSF. We demonstrate that FSF estimates obtained using quantitative fat–water MRI techniques correlate with CT HU values in subcutaneous WAT, and therefore, MRI-based FSF could be used as an alternative to CT HU for assessing metabolic risk factors.

A (Julia) Rholes To Remember, Edwin B. Smith

University of Mississippi News

No abstract provided.