Digital Commons Network^™

Decreasing Risk Of Delirium With Early Progressive Mobility, Donna J. Larson Mrs.

Master's Projects and Capstones

Abstract

The goal to consistently mobilize the mechanically ventilated patient to decrease the risk or progression of delirium is the primary focus of my project. This project took place in two, 12-bed critical care units. One is a cardiovascular, medical, surgical intensive care unit and the other is a neurotrauma critical care unit. The methods for implementation included writing the management of pain, agitation, and delirium policy based upon the recommended bundle from the Society of Critical Care Medicine referred to as the ABCDE bundle. As part of this bundle, the progressive mobility policy was revised so that a physician …

Social Emotional Learning And Mindfulness: Learning To Be Human, Jena-Lee Rogers

Master's Projects and Capstones

I am a teacher. I always have been and always will be. As a little girl, I developed a passionate need to see fairness and justice in my world, which of course outside of my family of origin revolved around my life at school. If one of my friends could not understand something, even if I was not totally sure about it myself, I would endeavor to help them learn it in a way that made sense to them. A small act of friendship helped me learn and develop my own a belief in the oneness that connects all of …

Building Awareness Of The Mental Health Issues Of Asian American College Women, Julie S. Baek

Master's Projects and Capstones

The purpose of this project is to build awareness of the mental health issues of Asian American college women. The National Alliance on Mental Illness (2009) reports among all women between the ages of 15 to 24, Asian Americans have the second highest suicide rates across all racial or ethnic groups whereas only 27 percent of them seek a professional help. Very little is known about what makes this population of students take their own lives at higher rates than their ethnic counterparts because of a model minority myth and lack of studies and attention. The project aims to develop …

Reducing Preventable Emergency Department Visits By Improving Patient Care Access To Primary Care, Lizeth Rodriguez

Master's Projects and Capstones

Abstract

Inadequate access to primary care creates a concern to receive comprehensive medical care. Improving access to a consistent source of care can help to obtain high quality of care, continuity of care, and reduce preventable emergency department (ED) visits. The aim of this project is to reduce preventable ED visits by improving patient care access to primary care. Comparing preventable ED visit rates between patients with access to primary care against those without access to primary care services, essentially focusing on those without access to primary care, which live in a medically undeserved community. The data collected was analyzed …

Staff Education: Nutrition Education In The Intellectually /Developmentally Disabled Community, Claire C. Bradley-Davalos Msn Rn

Master's Projects and Capstones

The objective of my project is to develop staff education regarding a nutrition initiative developed to address the 44% obesity rate among clients in our care. My target population is direct care staff working in the Intellectually/Developmentally Disabled (IDD) community, and high functioning clients who live independently in the community. The staff knowledge was tested pre- and post-education to demonstrate knowledge retained. Staff are required to get a score of 80 or better to pass. Test results are interpreted to see which content areas need further teaching or clarification. Initial results indicate that four areas of education need to be …

Reducing Clostridium Difficile, Norabel V. Zafra

Master's Projects and Capstones

This CNL project aims to reduce the number of laboratory identified Clostridium Difficile Infections (CDI) events by 20% by December 2015. This CNL projects focuses on reducing CDI in an 8 unit bed specifically designated for medically ill geriatric patients above 70 years old residing in the West Texas region. A majority of the geriatric patients living with multiple co-morbidities require maximum assistance with activities of daily living and medication management. The geriatric patients will be discharge to a skilled nurse facility, long-term acute care, rehabilitation, independent living, or home with home health. A variety of methods such as reinforcing …

Reduced A1c Levels Through Diabetes Self-Management Strategies In The Teen Population: A Systematic Review, Nicole O'Neil

Master's Projects and Capstones

This project utilized current evidence-based practices to improve the diabetes education in the endocrine clinic for the adolescent population ages 15-18. Based on a clinic audit, an average hA1C level of 8.1% was revealed. The goal was to decrease these levels from 8.1% to 7.9% within 90 days through the implementation of the revised diabetes brochure. Evidence suggests the following: DSME improves clinical outcomes and quality of life; an A1C level >7% is associated with increased risks of complications ; teaching aimed at lowering glycemic levels have decreased numerous complications; there is a need to ensure age appropriate, family-centered care, …

Reinforcing Teach-Back Method Regarding Pain Management For Non-Verbal Patients And Their Families, Renee Krystle Doll Lazaro

Master's Projects and Capstones

Pain has been known to have physiologic, psychologic and emotional consequences. Education in pain management has been part for standard care for nurses. The purpose of this study was to reinforce teach-back techniques with nurses when delivering pain management education with non-verbal patients in order to improve patient outcomes in the adult ICU. By using the teach-back method, the nurse will be able to hone a more collaborative approach in dealing with pain, encourage autonomy and include the patient/family in making informed decisions regarding treatment for pain. Reinforcement regarding teach-back was focused on teaching points, and rewording teach-back cues to …

Prospectus Elements: Increasing Pediatric Immunization Rates, Catherine Le

Master's Projects and Capstones

There has been a recent outbreak of Measles and the majority who contracted the disease were unvaccinated (CDC, 2015). An increase in pertussis cases from 2013 to 2014 have occurred as well from 28,639 cases to 32,971 in 2014 (CDC, 2015). This is endangering the community, and putting infants and the younger generation at risk. Increasing immunization rates for patients to be fully immunized has become crucial. Being fully immunized not only reduces their chances of getting these diseases, but also helps the rest of the population who are too young to get these vaccines (Daly, Matthew F. & Glanz, …

Utilizing Ecological Connectivity In California Desert Wilderness Preservation, Lauren Kahal

Master's Projects and Capstones

The Wilderness Act of 1964 gave the federal land management agencies—the National Park Service, United States Forest Service, U.S Fish and Wildlife Service, and Bureau of Land Management—the authority to identify, propose, and manage lands as wilderness. Wilderness, once approved by Congress for inclusion in the National Wilderness Preservation System, is offered the highest form of land preservation in the nation. However, the wilderness identification process used by the implementing agencies is based on a half-century old statute with an aging definition of wilderness. While designated wilderness can protect the plant and wildlife communities within its borders from direct anthropogenic …

Barriers Encountered By Nurses And Nursing Assistants That Prevent Purposeful Rounding, Mar Joseph B. Odias

Master's Projects and Capstones

Purpose: The aim of the study was to identify barriers encountered by registered nurses (RNs) and nursing assistants (NAs) that prevent purposeful (hourly) rounding.

Background: The literature has shown that purposeful rounding improves patient outcomes and safety. However, few studies show the barriers encountered by nursing staff that hinder the purposeful rounding process.

Methods: A pre-post test design was implemented on a 25-bed oncology, urology medical surgical unit with a staff of 38 RNs, 9 NAs, and 4 Unit Secretaries (US). A pre-implementation needs assessment survey was completed by 55% (21/38) of RNs, 33% (3/9) of NAs, and 100% (4/4) …

Proactive Environmental Strategies: Managing A Corporate Culture Shift Toward Sustainability, Mark E. Calub

Master's Projects and Capstones

The roles and responsibilities of Environmental, Health and Safety (EHS) professionals have expanded over the last several decades. Initially focused solely on reducing a firm's ecological impact, many EHS professionals are now tasked with managing a firm's cultural shift towards sustainability. EHS professionals need to develop proactive environmental strategies that further interconnect the environmental, social, and economic performance goals of the firm. Using a concept analysis and integrative literature review approach, the research examines the evolving role of corporate environmental management and evaluates strategic management tools for environmental compliance, environmental performance, and corporate sustainability. The research reveals that the role …

College Students' Knowledge About Stuttering: A Preliminary Investigation, Nichole Marie Terry

Student Theses and Dissertations

There is ample research on the public’s perception of individuals who stutter, but little research was found about the public’s knowledge about the definition and etiology of stuttering. The present study attempted to address whether college students in a specific area of study possessed either quantitative or qualitative differences in their knowledge about the definition and etiology of stuttering. Subjects included 80 males and 100 females across 9 different academic colleges to assess their knowledge of stuttering. Five open response questions were presented to each participant. Responses were orthographically transcribed and coded based on the current notions on the etiology …

Transformative Leadership: Building Social Equity Through Individualized Professional Development, Curtis David Gunn

Dissertations

Developing social justice awareness is a challenging task. Many educational institutions have limited discourse related to race and equity. This autoethnography examines one leader’s attempt to become a transformational leader by having ongoing conversations about race and racism, applying the individualized transformative model of professional development during conversations, utilizing a peer advisory group for feedback, and reflecting on the results. Findings reveal the most important element for growth is the act of engaging in the conversation regardless of one’s perceived level of competence. The individualized transformative model of professional development was demonstrated to be an effective approach to professional development.

The Digital Divide Through The Lens Of Critical Race Theory: The Digitally Denied, Stacy Gee Hollins

Dissertations

The purpose of this qualitative research study was to examine African American community college students’ availability to technological resources and how that availability affects their success. In this study, technological resources include access to the internet, software, hardware, technology training, technology support, and community resources. This study included six community college professors and six African American community college students enrolled in a Midwest community college. A major tenet of Critical Race Theory, storytelling, was used to give voice to students who lack sufficient access to technological resources referred to as the digitally denied. Data from this study can create an …

Transformational Learning: An Investigation Of The Emotional Maturation Advancement In Learners Aged 50 And Older, Susan Lorraine Lundry

Dissertations

Human beings have spent much time and effort in trying to understand themselves, others, and their world. Mankind uses intellect when trying to understand life but the majority of people continue to encounter frustration, confusion, and a variety of obstacles when dealing with daily challenges and people. Theorists and researchers understand that successful existence requires more than mere knowledge; it requires a level of understanding, a form of wisdom foreign to the bulk of the populace. The missing ingredient for this kind of wisdom is the ability to ‘know thyself,’ which is the beginning of establishing a higher level of …

Exploring The Factors Of Persistence For African American Senior Nursing Students, Yolanda Nelson

Theses and Dissertations

African American nursing students experience commonalities within their college experience. Often these students may be faced with challenges, barriers, and/or struggles that may place a hindrance on their success in meeting their educational goals. This qualitative study used a phenomenological approach to explore African American female nursing students perceptions of faculty-student relationships and its implications for persistence. Four African American female nursing students and two nursing faculty agreed to participate in this study. This research study offers an examination of past and present research regarding the history of African American nursing students, health disparity, social justice and diversity within the …

Design, Construction, And Optimization Of The Energy Resolution Of A Xenon Tpc Detector, Nicholas E. Destefano

Doctoral Dissertations

PIXeY (Particle Identification in Xenon at Yale) is a two-phase (liquid/gas) xenon prototype detector with 3-kg active mass. The two-phase xenon technology has many applications that include gamma-ray imaging, neutrinoless double beta decay searches, dark matter searches, and medical imaging PET scanners. PIXeY was built to optimize energy resolution, with a number of technological improvements over previous work. Parallel-wire grids, which control the drift and proportional-scintillation fields, are optimized both for light-collection efficiency and field uniformity with optical transparencies between 92% and 97%. High voltage epoxy feedthroughs have been installed with stable operating voltages better than 5 kV on the …

Embedding Elements Of Positive Behavioral Interventions And Supports (Pbis) In A Summer Program, Laura Ruberto

Doctoral Dissertations

Summer programs are one of many out-of-school time opportunities offered to students. Out-of-school time programs are valuable to communities as they offer a supervised environment during times when risky behaviors can be prevalent and have potential to promote academic and socio-emotional growth in the nation’s youth (Zief & Lauver, 2006). Although federal mandates highlight a multitude of academic, enrichment, and family engagement objectives, less emphasis is placed on behavioral needs of students in out-of-school time programs (Afterschool Alliance, 2012). Furthermore, evidence suggests that behavioral support is needed in out-of-school time programs (Connecticut Commissioner on Education, 2008); yet, staff are often …

Hearing Officers' Perceptions Of Their Roles In Welfare Organizations, Karen R. Brown

Doctoral Dissertations

Little is known about the officials who conduct administrative hearings for aggrieved welfare clients. Hearing officers are charged with ensuring due process for welfare clients, called appellants in the hearing process, who believe that mistakes have been made in their cases and who wish to challenge those decisions. Administrative hearings are one of the few vehicles that afford clients the opportunity to contest welfare policies and procedures. This study explored welfare hearing officers and their perceptions of their roles in conducting hearings.

The concepts of role theory, organizational climate and aspects of professional training were used to examine the role …

A Literacy-Level Curriculum For Adult Spanish-Speaking English Language Learners With Limited Formal Education, Kirsten L. Keihl

Master's Projects and Capstones

Many Spanish-speaking adult immigrants in the United States face an immediate need to learn English, but also suffer from a lack of formal education as many did not complete middle school or high school. These learners need a curriculum that is tailored specifically to their needs. This project provides a communicative curriculum for teaching English and Spanish literacy, English speaking and listening skills, and basic classroom skills utilizing native language instruction when helpful using learning strategies and authentic materials that are appropriate for adults. It also addresses sociocultural and sociopolitical concerns of this population and utilizes culturally relevant materials.

Improving Inpatient Influenza Compliance Rates With A Standing Orders Program, Marlee E. Gruber

Master's Projects and Capstones

Influenza vaccinations are recommended yearly as part of a primary care performance measure to prevent and control seasonal influenza. Rates of influenza are steadily increasing and can lead to severe negative impacts and even fatalities with patients. According to the Center for Disease Control (CDC)’s Morbidity and Mortality Weekly Report (MMWR), less than 40 percent of the U.S. population receives the flu vaccine yearly. It is suggested by the CDC that Annual vaccination is the most effective method for preventing influenza virus infection and its complications. The Department of Health and Human Services’ Healthy People 2020 includes a goal of …

Prioritizing The Management Of Arundo Donax: Recommendations For Removal And Revegetation In California Riparian Habitats, Matthew S. Waterworth

Master's Projects and Capstones

The highly invasive grass species, giant reed (Arundo donax), has been a major contributor to riparian habitat degradation in California for over 50 years. Several modes of vegetative reproduction have allowed this alien species to take advantage of fluvial processes and rapidly spread within California watersheds. A. donax dramatically alters hydrologic regimes, displaces native vegetation, and removes food and habitat for native wildlife. It is widely accepted that removal of this invasive on a watershed scale is critical to restore natural riparian processes and facilitate the reestablishment of native flora and fauna. The following study analyzed the efficacy of …

Humanity In Posthuman Literature: The Mind-Body Connection And The Human Experience, Teisha Seaman

Honors Program Theses and Projects

No abstract provided.

Police Contacts And Attitudes Toward Police: A Study Of Race And Policing, Gary Portway

Honors Program Theses and Projects

The way in which police officers engage with general society is often under meticulous watch by countless amounts of citizens. The United States – at an unprecedented point in regards to technological advancement and education – expedites such meticulous watch in a way that it often becomes noticeable criticism. Strategies of policing such as New York City’s “stop-and-frisk” policy have ignited much criticism of police, and have caused the need for many general improvements to the way in which police facilitate. Since the structure of policing often shifts based on changes within general society, it has become a common standard …

Returning To Red Cloud's Vision: An Analysis Of The History Of Native American Education On The Pine Ridge Indian Reservation, Nicholas Machado

Honors Program Theses and Projects

No abstract provided.

Blood Of The Monster: Book 1 In The Covenant Trilogy, Emily Hayes

Honors Program Theses and Projects

No abstract provided.

Optimizing A Game Of Chinese Checkers, Nicholas Fonseca

Honors Program Theses and Projects

Chinese Checkers is a multi-player strategy game in which game play can become surprising complex as the game progresses. In spite of this game's complexity, questions involving games with multiple players have received little research attention. This paper considers the three player case and discusses how to describe short games. By utilizing these tendencies for short games, a heuristic function can be defined which associates a player's possible move with a heuristic value. These heuristic values guide a search algorithm which searches through all the possible moves made in a game. To guide this discussion for three player games, the …

Search & Seizure: Historical Analysis Of The Fourth Amendment, Sarah Cummings

Honors Program Theses and Projects

This thesis is a legal analysis of the history of privacy law in the context of the Fourth Amendment. This historical analysis will focus on landmark United States Supreme Court cases involving searches and seizures from the 1886 Boyd v. United States case to the 2014 Riley v California case. Incorporated is the evolution of the Supreme Court’s analysis from the Trespass Doctrine to the Reasonable Expectation of Privacy Doctrine. Also included is how those doctrines have related to the evolution of technology. Finally, there is a discussion of the possible direction of future U.S. Supreme Court, Fourth Amendment privacy …

Post-Racial Or Racial Plateau?: Pym’S Revisions Of Arthur Gordon Pym’S Racism, Alyssa Amaral

Honors Program Theses and Projects

No abstract provided.