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1895 - Decisions Of The Department Of Interior And General Land Office, July 1 - Dec. 30, 1894

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1890 - Decisions Of The Department Of Interior And General Land Office From January To June 30, 1890

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1891 - Decisions Of The Department Of Interior And General Land Office From January To June 30, 1891

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1892 - Decisions Of The Department Of Interior And General Land Office, Jan 1 - June 30, 1892

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1893 - Decisions Of The Department Of Interior And General Land Office From June 30 To December 31, 1892

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1894 - Decisions Of The Department Of Interior And General Land Office In Cases Relating To Public Lands From Jan. 1 To June 30, 1894

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States public land laws.

1891 - Decisions Of The Department Of Interior And General Land Office, June 30 - Dec. 31, 1890

US Government Legislation and Statutes

A compilation of the decisions of the Department of Interior and General Land Office concerning the administration of the United States land laws.

Health Care Economics: Policy And Ethics Nur 412, Joanna Burkhardt

Library Impact Statements

No abstract provided.

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 …

Examining Barriers To Receiving Home Care In A Medical Program, Mariah Martinez

Master's Projects and Capstones

Introduction: In Home Supportive Services is a Medi-Cal program serving low-income seniors and adults with disabilities. IHSS clients, or “consumers” are responsible for finding, hiring and supervising their IHSS home care worker. IHSS workers provide services such as feeding, bathing, bowel and bladder care, meal preparation and clean-up, laundry, and paramedical care. This project was created to identify why a high number of IHSS clients have not been able to hire and retain an IHSS care worker. The aim of the study was to understand the consumers interactions with IHSS and identify points at which consumers experience challenges in …

The Destruction Of Unesco World Heritage Sites Aleppo And Palmyra In Syria Due To Civil War: Accessioning And Cataloging The Satellite And Drone Imagery Into A Museum Collection, Colette P. Militello

Master's Projects and Capstones

This Museum Studies capstone will discuss the civil war inside Syria, and the destruction of UNESCO World Heritage Sites Aleppo and Palmyra. This paper will examine the historical importance of these sites, and the drone and satellite imagery data used to confirm the destruction. This paper will argue that for full preservation of these cultural heritage sites that this imagery data should be accessioned into a museum collection with the use of professionally-trained registrars. This paper will explore this idea further by arguing that this imagery data collected by companies and governments should be handed over with full copyright to …

Mdr Matters! Improving Primary Nurse Participation In Multidisciplinary Rounds, Alma Alcantara

Master's Projects and Capstones

Abstract

Problem: The current model of multidisciplinary rounds (MDR) in a 40-bed medical-surgical unit within a Northern California community hospital has demonstrated low participation rates from primary nursing. The primary nurse attendance in MDRs is consistently at 50% participation, below the target goal of 80%. This lack of engagement leads to ineffective communication and fragmented care coordination resulting in suboptimal quality care and cost outcomes.

Context: An intervention strategy to standardize the MDR model was implemented over three months. A literature review revealed that effective and consistent MDR practices can directly influence primary nurse participation. This change management project focus …

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 …

Improving The Staff Responsiveness By Bundling Care, Practicing Proactive Authentic Hourly Visits, And Using The Four P’S, Robert Vega

Master's Projects and Capstones

Abstract

Problem

Staff responsiveness is an important Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Star Rating composite tool that hospitals monitor because it is consumer-driven information. The intent is that the HCAHPS composite promotes patient satisfaction, contributes to the prevention of harm, and can save millions of dollars (Danaf et al., 2017). On admission, the patient is orientated to their room, provided a nurse call light button to use, and told not to get out of bed alone and to wait for their nurse (Mitchell et al., 2014). On Three North, a gap exists in the delay it …

English For Baking: Lessons For Kitchen Workers Using On-Site Learning, Christopher Torossian

Master's Projects and Capstones

Today, the back of house staff in culinary kitchens is comprised largely by migrant workers whose native language is something other than English. At times this can create issues among workers due to communication errors or complete lack of communication all together, posing issues for not only cooking, but it can also be a threat to kitchen safety as well. Additionally, due to native speaker stigma surrounding non-native speakers of English, many workers are often denied the chance at a higher position in the workplace simply because of their low communicative competence, despite their actual talents and skills in the …

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 …

Improving Nursing Communication Outcomes Through The Tell-Us Card, Nina Park, Laura Le, Brittney Pilker, Jillian Cule, Maricarmen Reyes, Jeffrey Salao

Master's Projects and Capstones

Nursing communication plays a pivotal role in patient-centered care. However, statistics have shown that failures in communication exist in more than 20% of all hospital settings (Sethi & Rani, 2017). Within the explored microsystem, a gap in patient communication was identified through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Reports revealed that the microsystem was performing at 69%, which is 11% below the national average for nursing communication (Centers for Medicare and Medicaid Services [CMS], 2018). After performing a microsystem assessment, there was a measurable communication opportunity between the patients and nurses. It was determined that …

Asian America And Empathy: Understanding The Chinese American Experience Through The Art Of Flo Oy Wong, Brienne Wong

Master's Projects and Capstones

This capstone examines how the work of Chinese American artist Flo Oy Wong could be an impetus for dialogue for creating empathy for the Asian American experience. The capstone briefly discusses Chinese American history as the Chinese are one of the earliest immigrant groups to the United States and Asian American art history which demonstrates the role of art for Asian Americans. It also describes the importance of empathy in society and how some museums today are trying to apply empathy to serve their communities. Within this framework, I discuss artist Flo Oy Wong whose ability to tell stories about …

Staff Retention Through Standardized Training Materials In Adult Primary Care Clinic, David Smith

Master's Projects and Capstones

As non-profits, community health clinics face a unique set of challenges. Primary amongst these is a shortage of financial resources. Staff turnover, including Registered Nurses (RNs) and Medical Assistants (MAs), can result in avoidable increased wage costs related to training of newly-hired RNs/MAs (clinical staff). Retention of experienced RNs/MAs can be directly correlated with job satisfaction, the obverse of which is job frustration. The intent of this RN/MA training and orientation project is to ameliorate frustration related to a lack of informational resources and clear competency expectations. Upon completion and implementation, project efficacy will be assessed via four longitudinal measures: …

The Human Right To Science And Foundational Technologies, Andrea Boggio, Calvin W. L. Ho

History and Social Sciences Faculty Journal Articles

Feeney et al. (2018) make a valid argument for restrictions on the exclusivity of foundational technologies such as CRISPR. The issue of balancing intellectual property right with access to scientific and technological advancements is certainly not new. In our commentary, we argue that the human right to science offers a more concrete basis for governments to balance their competing commitments in promoting scientific development on the one hand, and ensuring benefit-sharing on the other, in ways that advance social justice under non-ideal conditions.

Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis

Doctor of Nursing Practice (DNP) Projects

Changing the process of professionally developing nursing preceptors to meet the growing and changing needs of the nursing profession is critical. This evidence-based project leveraged an advanced preceptor education program for inclusion of basic emotional intelligence tenets and transitioning them into preceptor self-awareness, leadership recognition, and return on human capital investment. A large integrated healthcare system in Northern California identified a strategic need for preceptor development and within the system two acute care hospitals and one home health/hospice agency were selected to participate. The intervention included the development of a six-hour curriculum delivered through an interactive and innovative in-person learning …

Frontline Focus: A Nurse Manager's Employee Engagement Toolkit, Christen Straw

Doctor of Nursing Practice (DNP) Projects

Abstract

Average hospital turnover rates in the US reached 18.2% in 2017. Turnover rates for registered nurses (RNs) were also at an all-time high of 16.8%. RN turnover can cost up to $61,100 per nurse resulting in the average hospital loss of $5.7 million per year (NSI, 2018). Employee engagement and job satisfaction levels are predictors of nursing turnover and patient outcomes and should be a top priority for nurse leaders. A disengaged workforce not only affects team morale and organizational spending, but it also impacts the quality of patient care. Multiple studies suggest that employee engagement is the number …

Implementation And Evaluation Of A Nurse-Driven Protocol For Urinary Catheter Management, Analynn Cisneros

Doctor of Nursing Practice (DNP) Projects

Problem Description: Hospitals compromise quality care and the health of its patients by subjecting the patients to risks that are preventable, such as nosocomial infections (IOM, 1999). The most preventable infection is a catheter-associated urinary tract infection (CAUTI) (Tenke, Meizei, Bode, and Koves, 2016). CAUTIs remain prevalent in the acute care setting (CDC, 2016).

Context: Prior to the implementation of this DNP project, the organization of focus did not have a nurse-driven protocol in place to guide urinary catheter management. Joint Commission mock surveyors recommended a protocol be implemented. A nurse-based protocol would benefit this Magnet hospital. Implementing …

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 …

A Graduate Recital In Voice, Patrick O'Halloran

Electronic Theses & Dissertations

This graduate thesis consists of a vocal recital and the accompanying program notes. The recital includes a compilation of traditional Neapolitan songs, “5 Songs of Laurence Hope” by the H.T. Burleigh, and selections from the French opera “Werther” by Jules Massenet,. The program notes for each selection will include biographical information, musical analysis, performance history and culture, as well as other pertinent information

Toward An Understanding Of Grb Prompt Emission Mechanism. Ii. Patterns Of Peak Energy Evolution And Their Connection To Spectral Lags, Z. Lucas Uhm, Bing Zhang, Judith Racusin

Physics & Astronomy Faculty Research

The prompt emission phase of gamma-ray bursts (GRBs) exhibits two distinct patterns of the peak energy (E p ) evolution, i.e., time-resolved spectral analyses of νF ν spectra of broad pulses reveal (1) "hard-to-soft" and (2) "flux-tracking" patterns of E p evolution in time, the physical origin of which still remains not well understood. We show here that these two patterns can be successfully reproduced within a simple physical model invoking synchrotron radiation in a bulk-accelerating emission region. We show further that the evolution patterns of the peak energy have, in fact, direct connections to the existence of two different …

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 …

Raising Oas Cahps Scores: Using Patient Education, Katrina Pangilinan

Master's Projects and Capstones

At the Golden Gate Endoscopy Center (GGEC), the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) survey results on patient satisfaction have been below the 50th percentile for the last three quarters of 2018. Patient satisfaction scores are a quality measure for the patient care experience and important for the success of the organization and its providers. Based on patient comments from previous surveys, patients feel that the center does not explain the possible side effects of the anesthesia in a way they can understand. Other patient comments and concerns included confusion regarding dietary restrictions …

Building Engagement Through Developing Students’ Sense Of Self-Control, Natalia Sanchez Gonzalez

Master's Projects and Capstones

Students who enter public schools in the United States in the latter part of their academic career may lack the English language proficiency or capital necessary to successfully participate in mainstream content courses. Students such as these, known as late arrivals, face even greater difficulties when they enter academic institutions that or not equipped to provide language supports that ensure students can access content. Arriving at a later age and grade level, places additional pressure on educators and students to enter mainstream language classrooms. With little control or access to be active participants in the new academic settings, these students …