Patient Care Sitter Reduction And Fall Safety Improvement, Timothy J. Bock

Doctor of Nursing Practice (DNP) Projects

The financial constraints imposed upon operational budgets by the frequent use of patient care sitters is well known among hospital leadership. Despite the high labor costs associated with direct and continuous observation, this intervention is routinely deployed by frontline care teams in an effort to preserve patients from harm, particularly from accidental falls. This reality creates an opportunity where significant budget savings can be achieved by supplanting the use of patient care sitters with more effective fall prevention strategies. This quality improvement (QI) project implemented a non-psychiatric sitter reduction and fall prevention initiative in two high volume adult acute care …

Innovation Through An Academic Practice Partnership: A New Clinical Nurse Leader (Cnl) Implementation Model, Nancy P. Taquino

Doctor of Nursing Practice (DNP) Projects

Problem

The IOM reports (1999, 2001) were catalysts for development of a new nursing role - the Clinical Nurse Leader (CNL). Academic practice partnership models are needed to integrate the CNL role in health care systems.

Context

A large integrated health care system in Northern California and a university Clinical Nurse Leader (CNL) program initiated a formal academic practice partnership, establishing a hospital based MSN CNL program.

Intervention

A CNL implementation model was developed that includes (a) academic practice partnership advisory charter; (b) academic practice partnership roles (MSN CNL program director, MSN CNL faculty liaison, and hospital-based CNL …

Improving Employee Engagement Through The Development Of An Enterprise Performance Management System, Carlton D. Abner

Doctor of Nursing Practice (DNP) Projects

There is ample evidence of our health care delivery system relying heavily on value-based outcomes. The increased focus on outcomes has required health care organizations to adjust how they approach data and how they successfully implement performance management systems. These performance management systems help the organization identify, measure, and report the organization’s performance at an enterprise level using key performance indicators clearly linked to the organization’s overall strategy. As one organization began implementing an enterprise performance management system, the goal of this project was to show how participating in projects with that level of strategic impact can lead to improved …

The Development, Implementation, And Evaluation Of A Transgender Health Resource Bundle, Lovejeet Kaur

Doctor of Nursing Practice (DNP) Projects

Transgender populations experience disproportionate social and health disparities that can negatively impact quality of life. Healthcare barriers due to gender based discrimination and lack of medical insurance and culturally competent providers contribute to low levels of access to preventative health care screenings, resulting in sub-optimal health outcomes. The unique health circumstances of transgender individuals have been understudied in the literature. As a result clinicians are often under-informed of their specific health maintenance needs and screening guidelines. To help address this disparity, a Doctor of Nursing Practice (DNP) student at the University of San Francisco facilitated the collaborative assessment, development, implementation …

An Architectural Framework For Evidence-Based Practice Diffusion, Dissemination, And Institutionalization, Betty C. Lopez Dnp,Mpa,Rn,Cenp

Doctor of Nursing Practice (DNP) Projects

Technology, innovation, and a demand for the safest, value-added healthcare have led to the proliferation of research studies. Unfortunately the evidence from most of those studies has yet to be applied to evidence-based practice (EBP) projects. Much of this research and many of EBP projects remain waiting to be retrieved, analyzed, translated, and applied to everyday practice. A finding from the Agency for Healthcare Research and Quality (AHRQ) is that it takes approximately 10 years to integrate research evidence into practice (Rogers, 2009). Recent studies recognize nurses as a vehicle to shorten the research-to-practice 10-year journey; nurses are realized as …

Nursing Student Work-Study Internship: Partnering To Bridge The Education-To-Practice Gap, Jonalyn M. Wallace

Doctor of Nursing Practice (DNP) Projects

Abstract

Discussed for decades, the need for transitional experiences bridging educational and practice settings gained momentum in the mid-1970s with the release of Kramer’s groundbreaking book Reality Shock: Why Nurses Leave Nursing. Nursing student internship programs were developed in the 1970s as one effort to address this issue. The Northern California Region of Kaiser Permanente partners with five universities to conduct the Nursing Student Work-Study Internship Program (WSP). The program provides senior level nursing students with a paid internship in clinical practice settings, working under the supervision of RN preceptors. The aim of the program is to improve the …

Development Of A Toolkit To Enhance Nursing Education Of Veteran Health Concerns, Carlee Y.S. Balzaretti

Doctor of Nursing Practice (DNP) Projects

Abstract

U.S. Veterans are a vulnerable patient population, more prone to health disparities as compared to the general population. There are 21.8 million Veterans currently in the United States, with the majority receiving their healthcare outside of the Veteran Health Administration. Veterans form a culture that is steeped in military tradition and it is essential that healthcare providers have knowledge regarding this vulnerable population to provide care that is culturally appropriate. In response to the Veteran healthcare crisis, the Department of Veteran Affairs initiated the Veteran Affairs Nursing Academy Partnership (VANAP), a joint venture between VHA medical centers and schools …

Gardner-Webb Student To Serve As Primate Field Researcher In Madagascar, Africa, Office Of University Communications

Gardner-Webb NewsCenter Archive

A Gardner-Webb senior received some exciting news just in time for the Christmas holiday. Christopher Lile, a biology and psychology double major from Waynesville, N.C., recently applied to participate in the Omaha Zoo’s Department of Conservation Genetics lemur monitoring project in Madagascar, Africa. On Dec. 14, he was offered a position on their research team for the October – December cohort.

WGWG: GWU Undergraduate Research Scholar Christopher Lile

The Role Of Diaphanous In Ring Canal Development In Drosophila Melanogaster, Alexandra M. Kindred

Undergraduate Honors Thesis Collection

Infertility is a widespread condition that does not always have a known cause, and for which we often do not have a cure. One potential cause of infertility is defects in gametogenesis, or the formation of sperm and egg. During gametogenesis in most organisms, the developing sperm and egg are connected to each other or to supporting cells through intercellular bridges, allowing transfer of materials between cells. Defects in these connections can lead to infertility. The developing fruit fly egg is an excellent model system to study intercellular bridges, or ring canals. Rich in f-actin and actinbinding proteins, ring canals …

Drug Trafficking And The Presidential Family In Venezuela: The Narco Nephews, Daniela Castro

Capstones

An explosive combination of political turmoil, a deep economic crisis and critical security situation has Venezuela on the verge of collapse. Despite the alarming situation in the country, not everyone is doing so bad, especially those close to the ruling power. Ferraris, access to private aircrafts and bodyguards are only some of the privileges that only few can get access to in this impoverished South American nation.

Efrain Antonio Campo Flores, 30, and Franqui Francisco Flores de Freitas, 31 -- the nephews of the Venezuelan Presidential couple -- were found guilty of conspiring to import hundreds of kilograms of cocaine …

How Drugs And Incarceration Tore One Family Apart, Deonna Anderson

Capstones

My capstone project follows the life of a mother and her children after her addiction to drugs and a prison sentence. It explores the impact of the criminal justice system on women and families.

Link to capstone project: http://deonnareports.com/2016/12/12/how-drugs-and-incarceration-tore-one-family-apart/

Libertarian Party Grows...And So Do Its Critics, Nicole Andrea Ashley

Capstones

The Libertarian Party, which calls itself “The Party of Principle,” seems to have had a special appeal during the 2016 presidential election—a campaign in which the two major party candidates started out with historically low approval numbers.

Supporters of the party, such as Doug Braff, a film student from NYU, remained loyal to the party even after the election season was over. These supporters have received backlash from disappointed Hillary Clinton supporters who believe that Clinton could have won the presidency if she had garnered the votes that, instead, went to Gary Johnson, the Libertarian candidate.

Here is a link …

The Psychology Of Single-Sex Classrooms, Jenna E. Bagcal

Capstones

Single-sex classrooms have been a hallmark of Catholic and private schools, but they are gaining popularity in American public schools. Proponents of single-sex classrooms believe that boys' and girls' brains are different and they therefore need specialized teaching methods and classroom conditions. For example, boys are competitive and are better at STEM subjects, while girls are cooperative and thrive in English and the arts. Detractors of single-sex classrooms in public schools like the ACLU say that these classrooms are based on pseudoscience and reinforce gender stereotypes. Follow the story of Jenna Bagcal through an all girls Catholic school and her …

Why The Business Of Love Is Bull$Hit, Deanne Gaston

Capstones

This is a narrative piece about the experience I had when I became a love guru/advice columnist.

Link: https://deannegaston.atavist.com/why-the-business-of-love-is-bullshit

American Milk: The Raw Deal, Dan Heching

Capstones

This report takes a look at the difficulty in procuring raw milk, an increasingly desired alternative to processed dairy, in New York City. It also tells the story of one woman's journey to tasting raw milk for the first time, despite reservations.

link: https://social.shorthand.com/MoodyHeching/uyYgLmuoNp6/american-milk-the-raw-deal

Life Coaching -- Rising In Popularity Should It Be Regulated? A Look Into The Life And Work Of Emerging Life Coaching Star Gina Devee, Victoria R. Edwards

Capstones

The lifestyle and business coaching field is an international industry that grosses more than $2 billion, but it has no outside regulation. Some critics worry that without regulation harm can be brought to clients, but others say regulation would bring too much restriction into this growing industry.

Toxic Toys, Bad Vibrations, Samantha Lee

Capstones

The global sex toy industry is worth a full $15 billion, and approximately half of America's adult population have previously incorporated a vibrator into sexual play. And yet, despite sex toys’ ubiquity in the boudoir, no local or federal authorities have taken on the mantle of regulating the safety of sex toys -- some of which have been reported to break during use, electrocute its user, or even leach poisonous chemicals.

In the absence of regulatory strictures, can sex educators, toy manufacturers, and adult store owners ensure adult products are safe enough for a growing customer base?

This narrative takes …

Homeless Hotels In New York: Who Benefits From The Industry’S Side Business?, Suman Bhattacharyya

Capstones

One in ten of New York City’s 60,000 homeless population lives in a commercial hotel. Commercial hotels are part of a parallel shelter system run by non-profits acting on behalf of the city’s homeless services department. The move to house homeless New Yorkers is a direct outgrowth of the city’s homeless crisis, the severity of which many say the city hasn’t seen the likes of in decades. Based on a review of publicly-available 990 filings, recent comptroller audits and interviews with key stakeholders, this study examines how the city runs the parallel commercial shelter system and which entities stand to …

Overmedicated: Foster Kids In Crisis, Mary E. Wilson

Capstones

Nearly one in four foster children across the county is taking at least one psychotropic medication-- more than four times the rate for all children.

Psychotropic drugs are chemical substances that act primarily upon the central nervous system where they alter brain function, resulting in temporary changes in perception, mood, consciousness and/or behavior.

Over the last decade the use of psychotropic medications amongst children has more than doubled. It has yet to be determined what permanent affects such drugs have on children as they age, due to a limited number of studies.

http://marywilson1.wixsite.com/overmedicated

A New Era Of Islamophobia: Muslim Women Fight To Find Place After Trump Fueled Hate, Doha Madani

Capstones

"A New Era of Islamophobia: Muslim Women Fight to Find Place After Trump Fueled Hate" focuses on the trend of violence and harassment against Muslim women from 2015 to 2016. The story weaves personal stories and expert opinions about the trend, which seemingly sparked from Donald J. Trump's campaign rhetoric regarding Muslims and minorities.

https://dohamadani.atavist.com/a-new-era-of-islamophobia

Tracing The Rise Of Food Mash-Ups, Jennifer Mennella

Capstones

Tracing the Rise of Food Mash-ups

In 2013, Chef Dominique Ansel gave the world something it had never seen before -- the Cronut. The cross between a donut and a croissant sent shockwaves that rippled through the New York City culinary scene and through food culture across the country. People waited in line for hours and even sold their Cronuts on the black market. While the line for the dessert has simmered down in recent years, the effort to follow suit has not. Restaurateurs, fast-food establishments and food bloggers quickly made efforts to construct new dishes with strange food combinations, …

A Long And Pricey Road To Freedom For New York's Aging Prisoners, Khorri Atkinson

Capstones

This character-driven capstone examines the impact New York’s growing aging inmates – defined as those over 50 – have on the criminal justice system.

The stories of those who are in and have been through the system, suggest that reform effort is still dragging slowly. The sentencing policies and healthcare costs continue to have lasting consequences for inmates, their relatives and taxpayers. And early release programs, such as commutation, pardon and parole, also tend to shy away from people serving decades in prison for violent crimes because of the lingering tough-on-crime era.

https://nyagingprisoners.atavist.com/capstone-project-

The Pop Behind Pop-Ups, Lauren Klose

Capstones

Small businesses on Long Island have been suffering due to a variety of reasons including taxes and regulations on small businesses. Despite this, one entrepreneur, Howie Frank, has decided to fight back and start a small business that is only open for six months out of the year: Everything Christmas. He cashes in on the most profitable time of the retail season, and has since grown his company in the past eight years to four locations and four franchise locations. His intent is to continue this expand this business which he dedicates all of his time to, year round.

http://www.laurenklose.com/

No Place Like Home: Tenant Harassment And The Frailty Of Housing Court, Adam M. Shrier

Capstones

Residents across New York City—particularly those living in rent-stabilized or rent-controlled apartments—are subject to concerted, persistent harassment at the hands of landlords determined to replace them with higher-rent paying tenants or tenants who will remain compliant in response to the landlords’ negligence or illegal actions. Although tenant harassment is illegal in New York City, the laws and penalties of New York City Housing Court have proven to be an ineffective system for tenants and insufficient deterrent against landlords who stand to make significant financial gains from deregulating apartments and who often get slapped with little to no fines for their …

The Blurred Lines Of Cultural Appropriation, Jaja Grays

Capstones

For centuries, fashion designers, music artists and other celebrities alike have borrowed elements or styles from other cultures for personal gain. In my piece, "The Blurred Lines of Cultural Appropriation," I demonstrate the countless ways celebrities have appropriated different cultures whether at high-end fashion shows or live music performances. Cultural appropriation refers to a privileged culture borrowing or stealing from a marginalized culture-- striping elements of the culture to use it as a prop or for profit. I also discuss how to avoid cultural appropriation and engage in respectful cultural appreciation.

The Rise And Fall Of Airbnb In New York, Nomin J. Ujiyediin

Capstones

The homesharing website Airbnb has been a controversial presence in New York City and New York state for years. This capstone explores the company's political contributions, lobbying and public relations strategies in the city and the state.

A link to the project can be found here: http://nominuj.com/airbnb

Migrant Surveillance: How The Federal Government Monitors Asylum Seekers, Roshan Abraham

Capstones

The federal government has funded electronic monitoring of undocumented immigrants awaiting deportation hearings since 2005, but a spike of refugees from Central America since 2014 have lead the program to be used more and more on women with children fleeing gang violence in the Northern Triangle. The program is run by a private prison company that also handles electronic monitoring for parolees. Advocates believe this brings up ethical questions about surveillance technologies that should be addressed, but officials claim it is a cheap and more humane solution than detention.

Crossing Borders, Jarrett Lyons

Capstones

The United State Supreme Court declared the right to marry for LGBT people under “equal dignity in the eyes of the law,” on June 26th, 2015. The front pages of virtually every newspaper that day highlighted that proclamation. Exactly a week prior, another United States federal agency made an official declaration that didn’t make the front pages but also affected LGBTQ politics. U.S. Immigration and Customs Enforcement (ICE) issued a Transgender Care Memorandum, detailing policies for treatment trans migrants in detention facilities. The facilities have a noted history of mistreatment of transgender detainees.

Ishalaa Ortega is a transgender woman who …

The Assault On Medicaid Could Endanger Millions Of Americans, Jeremy S. Smith

Capstones

Since 1965, Medicaid has been the forgotten child of the federal entitlement programs, even though it costs less and covers more people than Medicare. And in 2010, the Affordable Care Act expanded the program to give millions of more people coverage. But Republicans in Congress, and Trump, are on the precipice of radically altering the program in a way that could cost tens of millions people their health insurance.

http://jeremysilksmith.com/the-assault-on-medicaid-could-endanger-millions-of-americans/

Takun J Fought The Gbagba, Zach E J Williams

Capstones

Liberia's most famous rapper has embarked on a quest to save democracy in Africa's oldest republic. This challenge faces Jonathan "Takun J" Koffa after a nine-year reign as the king of HiCo — a local form of Hip Hop music defined by the local patois. A local form of corruption called "Gbagba" makes for a formidable enemy, but Takun J has a plan to defeat it.

Link to capstone project: https://zachjournalism.com/2016/12/12/takun-j-fought-the-gbagba/