Digital Commons Network^™

Root Cause Analysis To Improve Incident Reporting In An Ambulatory Care Setting, Lisa Ann Duncan

Doctor of Nursing Practice (DNP) Projects

Problem: The subject organization (SO) is a Federally Qualified Health Center (FQHC) with an internally developed incident reporting system. The SO wanted to improve patient and employee safety using data from incident reports, but the incident reporting system did not give enough information to recognize patterns and develop countermeasures.

Context: Supervisors welcomed the opportunity to learn more about incident report follow-up and conducting root cause analysis (RCA). Members of the Safety Committee were eager for data to use to develop countermeasures to improve patient and employee safety. Decreases in employee injuries can save the SO from increases in the …

Effectiveness Of High-Fidelity Human Patient Simulation In Learning To Manage Medically-Complex Infants, Erin Clinard

Dissertations, 2014-2019

Survival of preterm and medically-complex infants has dramatically increased over the past thirty years due to significant advances in medical care and technology, however the developmental costs of survival are substantial. Comprehensive care of premature babies is critical and there is a need for more neonatal therapists, including speech-language pathologists (SLPs), with the knowledge and confidence to provide that care.

Students in graduate SLP programs often receive little clinical experience or dedicated coursework in pediatric feeding and swallowing, especially with medically-complex infants. However, hands-on and experiential learning can support the development of the necessary foundational knowledge and confidence of students …

Documenting Fifth-Grade Band Students’ Experiences In A Kodály-Centered Beginning Band Curriculum, Elisabeth Henderson Dhillon

Masters Theses, 2010-2019

ABSTRACT

Based on the work of Hungarian composer and educator Zoltán Kodály, the Kodály method, a sound-to-symbol approach to music-making and literacy stemming from an aural and auditory entry point, forms an integral aspect of many elementary level general music curricula in the United States. In this process-oriented, experiential approach, students hear and explore music kinesthetically, aurally and through folk and art song before visual concepts in the form of notes in formal notation are introduced.

In contrast, traditional beginning band methodologies tend not to incorporate a sound-to-symbol approach, teaching the intricacies of a complex new instrument in conjunction with …

Long Term Outcomes Of On-Pump Cabg Versus Off-Pump Cabg, Christopher Fetrow, Jessalyn Dickerson

Physician Assistant Capstones, 2016 to 2019

Objective: Assess the long-term outcomes including mortality, revascularization and myocardial infarction events to determine whether off-pump CABG is more effective for patients compared to on-pump CABG procedures.

Methods: Studies were found using PubMed with the search term, “on and off pump CABG” which yielded 1736 studies. After assessing for records within 5 years the search was narrowed to 370 articles and then down to 353 because some articles were not available in full-text. Our search was then divided into first looking at randomized control trials and meta-analysis availability from the 353 articles meeting our criteria. After narrowing our search for …

Where No Fandom Has Gone Before: Exploring The Development Of Fandom Through Star Trek Fanzines, Jacqueline Guerrier

Masters Theses, 2010-2019

Where No Fandom Has Gone Before: Exploring the Development of Fandom Through Star Trek Fanzines is a digital archive and exhibit project centered around a collection of forty earlyStar Trek fanzines. The website serves two functions: primarily to archive these fanzines, and secondarily to showcase their viability as research tools which can provide valuable data. Through the use of several digital exhibits, this project supports the argument that fanzines had an integral role in the development of early Star Trek fandom and served as a primary means of communication between fans. The website project can be found at: https://guerrijd.wixsite.com/wherenofandomhasgone

Arab Nationalism In Interwar Period Iraq: A Descriptive Analysis Of Sami Shawkat’S Al-Futuwwah Youth Movement, Saman Nasser

Masters Theses, 2010-2019

Abstract

Historiography of Iraqi Arab nationalism has studied the Iraqi Futuwwah Youth Movement of the interwar period in relation to the European fascist youth model of the post-World War I era. Moreover, the futuwwah is limited by linking its objective to training high school students of Iraq in the area of paramilitary exercises. By re-reading the futuwwah lectures of Sami Shawkat, the Director General of Education and founder of the futuwwah in Iraq, this thesis demonstrates how the movement was rather at the core of Iraqi Arab nationalism. The lectures appear in Shawkat’s book Hadhihi Ahdafuna (These are Our Goals), …

Stealth Democracy: Authoritarianism And Democratic Deliberation, Peter Muhlberger

University of Nebraska Public Policy Center: Publications

In Stealth Democracy, Hibbing and Theiss-Morse seek to show that much of the American public desires "stealth democracy"--a democracy run like a business with little deliberation or public input. The authors maintain that stealth democracy beliefs are largely reasonable preferences, and the public does not want and would react negatively to a more deliberative democracy. This paper introduces an opposing "authoritarian stealth democrats thesis" that suggests that stealth democracy beliefs may be driven by authoritarianism and a variety of related orientations including poor political perspective taking and low cognitive engagement. These orientations may be ameliorated through democratic deliberation. Hypotheses are …

Wadsworth Reese, Pllc V. Siddoway & Company, Pc Appellant's Brief Dckt. 46126

Idaho Supreme Court Records & Briefs, All

No abstract provided.

David Pinckney V. Essex Probation Child Support

2018 Decisions

USDC for the District of New Jersey

Usa V. Linda Todd

2018 Decisions

USDC for the Eastern District of Pennsylvania

Todd Davender V. Warden Fairton Fci

2018 Decisions

USDC for the District of New Jersey

Post-Traumatic Stress Disorder Screening Project For Adult Males From The Middle East And Afghanistan, Ricky Norwood

Master's Projects and Capstones

Current research indicates a significant rise in PTSD signs and symptoms of adult males arriving from the Middle East and Afghanistan. In an effort to increase the awareness of Post-Traumatic Stress Disorder (PTSD) in clinical personnel and adult males from the Middle East and Afghanistan, the Sacramento Refugee Health Clinic implemented a PTSD Screening Project. This project was designed to ensure the maximum number of the adult males from the Middle East and Afghanistan would be appropriately screened for PTSD and provided additional opportunities to meet the mental and acute primary care needs of these patients in an adequate and …

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In …

Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson

Master's Projects and Capstones

Abstract

Problem: Heart failure (HF), also known as congestive heart failure (CHF), is the number one diagnosis-related group (DRG) for people 65 years of age and older in the United States. This disease group is complicated and debilitating, requiring frequent hospitalizations with high mortality rates. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has identified CHF as an area for improvement in hospitals.

Context: This was a quality improvement project for an integrated medical center in the Central Valley, California with over 19,000 HF patients. In 2018, for patients 65 years and older, HF is the third-most admitted DRG …

Health Care Improvement Initiative: Outcomes And Impact Of An Academic-Practice Partnership Between A Large Integrated Health System’S Nurse Scholars Academy And The University Of San Francisco School Of Nursing And Health Professions, Ryan Fuller

Master's Projects and Capstones

By December 2018, a large integrated health system’s Nurse Scholars Academy (NSA) will have financially-sponsored 64 registered nurses to return to school through a strategic academic-practice partnership program at the University of San Francisco (USF). Referred to as ‘Nurse Scholars,' health system employees elected to return-to-school through NSA. As a five-year initiative, NSA was at risk for not receiving additional funding beyond 2020 without a thorough outcomes analysis that articulated the outcomes to executive leadership.

This health system employs more than 23,000 registered nurses in Northern California (NCAL). The NSA is a region-wide effort to accelerate academic progression, leadership development, …

Music Education And Its Impact On L2 Learning, Johanna Nilsson

Master's Projects and Capstones

English Language Learners are disproportionately underrepresented in secondary music classes in the United States. They are systematically excluded due to overly restrictive schedules, high emphasis on test scores and academic remediation, real and perceived cost of participation, and the types of courses that are offered at most secondary schools. At the same time, musical intervention research has revealed that musical ability is linked to literacy, pronunciation, and vocabulary retention, all aspects of second language acquisition. By excluding English Language Learners from music education, we could be denying them a tool that could positively impact their language acquisition. However, most of …

Power In Plain Sight: Exploring The Class Privilege At In Curriculum At Wealthy High Schools, Miriam Gross

Master's Projects and Capstones

While secondary education has moderately improved in its approach of racial and gender issues in the classroom, social class remains an undiscussed topic, especially in school communities serving students of the highest social classes where financial privilege often intersects with racial privilege. The lack of discussion of social class is considered against the role schooling is meant to play in creating good citizens and the different ways that is construed. Taking into account research into the identity formation of wealthy adolescents, the hidden curriculum in secondary schools that supports the current social order, and pedagogical practices that could be used …

Policy Library- 840 Use Of Electronic Mail, Indiana State University. General Counsel

Policy Library

No abstract provided.

Transient Seepage In A Variably Saturated Levee: Laboratory Testing, Field Monitoring And Numerical Modeling, Xavier Arnaldo Rivera-Hernandez

Theses and Dissertations

Several hydraulic loadings impose earthen levees to time-dependent variably saturated seepage conditions. The main objective of this study is to improve the analysis of levees under transient seepage with the use of unsaturated soil mechanics. An extensive set of laboratory testing, field monitoring and numerical modeling are performed to analyze a silty sand setback levee located near Seattle, WA. In-situ data obtained from field monitoring are used to monitor suction and effective stress within the levee’s embankment and foundation over the past two years. Soil samples taken from the site are used to perform index, water retention, and unsaturated multi-stage …

Views From Above: Recent Forest History In The Far North Of Madagascar, Nathanael R. Bartosch

Honors Theses

This study is a spatial analysis of the forests west of Mt. d’Ambre National Park in the far northern portion of Madagascar. This area has little spatial, ethnographic, or historic data pertaining to the environment. After a research trip to this area from June to August 2017, the need for a temporal study of forest change materialized. Utilizing Landsat data, NDVIs were generated to assess forest cover density from 1978 to 2018. This spatial analysis saw deforestation across the study area. Deforestation in this area is mainly caused by agriculture, large foreign companies, recent immigration, and local exploitation of timber …

School-Based Suicide Prevention Program Implementation: Improving Awareness Among Parents And Faculty, Nicole Neuman

Doctor of Nursing Practice (DNP) Projects

The health development and critical transition period of preteen to adolescence are subject to adverse experiences and prevalent risk behaviors that may negatively influence mental health. Emerging issues of depression and suicide among school-aged youths present a global epidemic. Well-designed interventions, such as school-based programs, align with national strategies and health initiatives to reduce suicide rates and facilitate treatment of concerning symptoms. Database searches for school-based, suicide, depression, prevention, and screening literature from 2012-2017 identified 12 relevant studies selected for review. Mental wellness and suicide prevention curricula must successfully improve wisdom, enhance coping skills/resilience, and foster relationships which support help-seeking …

Using Games To Teach English In Chinese High School Classroom, Wenyu Zhu

Master's Projects and Capstones

In the 20th century, English played an important role in international communication as an international language. English is a bridge between countries' economies, cultures, and trade. However, current English education in Chinese high schools is still test-oriented which is ineffective, and students are tired of it. Moreover, teachers also have trouble engaging students in the class. The purpose of this project is to create a curriculum for high school English teachers in China to use games to teach English language skills. Krashen’s (1982) Theory of Second Language Acquisition contains five main hypotheses which support this project. The project includes twenty-three …

Community, Preservation, And Street Art: A Proposal For San Francisco’S Mission District, Marissa Nadeau

Master's Projects and Capstones

The Latinx community is an integral part of San Francisco’s rich history. From Mexican missions in the late 1700s to an influx of immigrants from various Latin countries starting in the early 1900s, the Mission District (‘the Mission’) of San Francisco has served as a hub for this mix of residents, fondly called “Raza,” emphasizing the people of a community rather than the country they have come from. Wars and issues dealt in their homelands were close to the hearts of the entirety of the Latinx population of the Mission, and their voices and opinions were heard through a type …

Secondary Organic Aerosol Production From Local Emissions Dominates The Organic Aerosol Budget Over Seoul, South Korea, During Korus-Aq, Benjamin A. Nault, Pedro Campuzano-Jost, Douglas A. Day, Jason C. Schroder, Bruce Anderson, Andreas J. Beyersdorf, Donald R. Blake, William H. Brune, Yonghoon Choi, Chelsea A. Corr, Joost A. De Gouw, Jack E. Dibb, Joshua P. Digangi, Glenn S. Diskin, Alan Fried, L. Gregory Huey, Michelle J. Kim, Christoph J. Knote, Kara D. Lamb, Taehyoung Lee, Taehyun Park, Sally E. Pusede, Eric Scheuer, Kenneth L. Thornhill, Jung-Hun Woo, Jose L. Jimenez

Faculty Publications

Organic aerosol (OA) is an important fraction of submicron aerosols. However, it is challenging to predict and attribute the specific organic compounds and sources that lead to observed OA loadings, largely due to contributions from secondary production. This is especially true for megacities surrounded by numerous regional sources that create an OA background. Here, we utilize in situ gas and aerosol observations collected on board the NASA DC-8 during the NASA–NIER KORUS-AQ (Korea–United States Air Quality) campaign to investigate the sources and hydrocarbon precursors that led to the secondary OA (SOA) production observed over Seoul. First, we investigate the contribution …

The Cult Of Names, Shaydanay A. Urbani

Capstones

The Mormon church keeps extensive records of its members. This is a personal story about how I tried to get my record removed, 15 years after leaving the church, as well as a short history of naming, women, and theology.

Island Of Harm Reduction, Trevor T. Boyer

Capstones

New York City's Rikers Island has a medically assisted treatment (MAT) program for detainees who are addicted to opioids, providing buprenorphine or methadone. For many locked up there, though, Rikers is only a way station before a trip upstate to prison. Even now, over 30 years after its treatment program began, only six other correctional facilities in New York offer pilot opioid treatment programs, which are available only to limited segments of their respective populations.

So for those taking medication in the form or methadone or buprenorphine on Rikers Island pretrial and awaiting sentencing, they're tapered off their doses to …

Telling The Good News, Allyson R. Escobar

Capstones

In light of recent clergy abuse scandals, cover-ups and leadership shake-downs, it is a divided time in the Catholic Church: but this isn’t the whole story. My final capstone project is a critical essay of how Catholicism (and religion overall) is represented in mainstream media--particularly in secular news publications and entertainment (horror films) in the United States. By examining the coverage and how conversations differ within members of the Catholic Church--from journalists and critics to active Catholics, religious men and women--this project calls for greater accountability, fairness, faith representation in all media, and the overall claim that there are Catholic …

Security Investor Fund Llc V. Crumb Respondent's Brief Dckt. 45969

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Drawing The Line: Ancient Hominins And The Species Question, Erin Hurley, Carolyn Dillian

Honors Theses

he present paper asserts that groups such as Neandertals and Denisovans should be considered subspecies of H. sapiens. This contention is based upon the biological species concept and the fact that these groups interbred to create viable offspring. It is also stated that introgression from these groups made several positive contributions to the evolution of H. sapiens and their genome that may have served to promote the persistence of H. sapiens in Eurasia.

Corrosion Of Hydraulic Steel Structures And Preventive Measures, Jackson Daniel Hinton

Theses and Dissertations

Hydraulic steel structures (HSS) are key components of U.S. Army Corps of Engineers infrastructure and are subject to corrosive environments, unpredictable loadings, and extreme conditions. Corrosion can take many forms and can cause costly damage to HSS due to inadequate design of protective measures. There are numerous forms of corrosion that have a negative effect on HSS, as well as material properties that need consideration when design HSS preventive measures. Understanding corrosion and providing proper preventive measures is crucial for HSS. Proper maintenance and repair of these protection systems also play a significant part in corrosion control of HSS.