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Can The Implementation Of Interprofessional Rounds Improve Hospital Throughput Efficiency?, Rebecca Howdyshell

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Abstract

Efficient throughput processes are a vital part of providing cost effective, safe, quality patient care. Research has shown interprofessional rounds can have success at improving throughput processes. A rural, not-for-profit, 255 bed hospital in a Mid-Atlantic State was experiencing issues with throughput/patient flow. The aims of this quality improvement project were 1). to implement Interprofessional Rounds on the Progressive Care Unit (PCU); 2). To design and build a working Interprofessional Rounds template into meditech to guide Interprofessional Rounds and streamline discharge documentation; 3). to increase the amount of discharge orders entered between 0700 and 1300 by ten percent; and …

Effects Of A Crisis Intervention Team Assessment Center On Emergency Department Length Of Stay, Carlissa Lam

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Introduction: Emergency departments are overburdened with mental health patients who lack adequate access to behavioral health resources. The influx of patients has led to an increased length of stay in the emergency department for patients who are being evaluated for mental health concerns. Overcrowding can lead to delays in treatment, undesirable medical events, and patient mortality. Crisis Intervention Team (CIT) models bring law enforcement, mental health providers, emergency departments, and individuals with mental illness together to improve care for patients in crisis. They have been instrumental in identifying patients in crisis and transporting them to a Crisis Intervention Team Assessment …

In Translation: An Examination Of Esl Policy On Paper As It Relates To The Realities Of Implementation, Grace M. Cuevas

Senior Honors Projects, 2010-2019

This honors research project explores the features of Title III requirements as they relate to the actual experience of students and their families. This paper synthesizes my experience researching English as a Second Language (ESL) specific supports and policy to inform my time spent accompanying an upper-level administrator for the Harrisonburg City Public School (HCPS) system, and interviewing professionals at an area school. In this paper I outline the results of interviews with 13 service providers. Interviews examined the “letter of the law” and the subsequent “spirit of the law” through application of a social work lens to the different …

2018 Fall - Commencement Program, Office Of The Registrar, East Tennessee State University

ETSU Commencement Ceremonies and Programs

No abstract provided.

2018 Fall Commencement, Harding University

Commencement Programs

Program for the Harding University Commencement on December 15.

Commencement Speaker: Joel Anderson

Making Space For Makerspace: How Adding A Makerspace Can Benefit Art Museum Education Programming, Kaeleigh Thorp

Master's Projects and Capstones

In this capstone project, I advocate for adding makerspaces to art museum education programming. I review the foundational educational concepts of a makerspace which help explain why it is a modern strategy to increasing visitor learning. This includes John Dewey’s theories of experience and education, Howard Gardner’s multiple intelligences theory, George Hein’s studies of museum visitor behavior, and the physiological science of learning. I then propose four key terms essential for visitor learning, and explain how makerspaces successfully incorporate them. The four key terms are: 1. multiple intelligences, 2. direct experience, 3. inquiry based and open ended learning, and 4. …

Identifying Youth At Risk For Problematic Absenteeism Using Nonparametric Modeling: The Impact Of Youth Psychopathology And Family Environment Risk Factors, Mirae Fornander

UNLV Theses, Dissertations, Professional Papers, and Capstones

The best cutoff to differentiate problematic school absenteeism from nonproblematic school absenteeism has yet to be identified in the literature (Lyon & Cotler, 2007). Contemporary classification systems, including Multi-Tiered Systems of Support (MTSS), depend upon cutoffs to clearly define the various tiers (Jimerson, Burns, & VanDerHeyden, 2016). The current study aimed to inform the MTSS approach while also contributing to early identification, assessment, and intervention methods for those youth and families at the highest risk of problematic school absenteeism and its negative consequences. The current study identified subgroups of youth at the highest risk of problematic absenteeism, defined as equal …

A Qualitative Multiple Case Study Of The Transition Experiences Of Parents And Service Providers Of Individuals With Intellectual/Developmental Disabilities (Idd) In A Postsecondary Educational Program, Rebecca S. Rogers

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this qualitative case study was to explore the transition experiences of parents of young adults with IDD who are currently enrolled in a postsecondary educational

program in the Southwest part of the United States. This qualitative multiple-case study used Schlossberg’s transition theory to frame the cases for this report. Schlossberg’s transition theory examines the way in which adults move through various transitions in their lives and what strategies they use to cope with the transitions. The theory identifies three different types of transitions: anticipated transitions, unanticipated transitions, and nonevent transitions. In addition, the theory identifies four coping …

Confirmatory Factor Analysis Of Oppositional Defiant Disorder Within Clinically Referred Youth, Breanna Garcia

UNLV Theses, Dissertations, Professional Papers, and Capstones

Each new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; APA, 2013) has been met with substantial criticism. Particularly, in DSM-5, two disorders were defined by very similar criteria. Oppositional defiant disorder (ODD) was defined as consisting of three dimensions - irritability, noncompliance, and spiteful/vindictive. Additionally, ODD has duration criteria that indicate its symptoms must be present for at least 6 months suggesting the presence of chronic irritability. DSM-5 also included disruptive mood dysregulation disorder (DMDD) as a disorder marked by the presence of chronic irritability in childhood and adolescence. The question of whether chronic irritability (i.e., …

Understanding Adolescent Physical Activity In The Early Nutrition Transitioning Country Of Haiti, Haley V. Becker

Arts & Sciences Graduate Student Theses and Dissertations

The nutrition transition is underway in Haiti, giving rise to the dual burden of malnutrition. Physical activity (PA) plays an important role in mitigating the negative health consequences of nutrition transition and the dual burden, but heretofore this data has been unavailable for Haiti. This dissertation undertook an exploratory needs assessment providing baseline PA data for Haitian adolescents. It evaluated two different PA data collection methodologies: a cross-sectional survey adapted from the IPAQ long-form and objectively measured PA via Actigraph GT1M accelerometers. Next, it identified initial covariates of self-reported and objectively-assessed PA behaviors; data was operationalized as meeting the World …

Illinois State University, One Hundred And Fifty-Ninth Annual Commencement, December 15, 2018, Illinois State University

Commencement Programs

Illinois State University
One Hundred and Fifty-Ninth Annual Commencement
December 15, 2018

Decolonizing Adoption Narratives For Transnational Reproductive Justice, Sung Hee Yook, Hosu Kim

CLCWeb: Comparative Literature and Culture

In their article “Decolonizing Adoption Narratives for Transnational Reproductive Justice,” Sung Hee Yook and Hosu Kim examine narratives emerging from transnational adoption practices, focusing on how birth mothers’ narratives—in which a victim-mother makes choices to give a child for adoption in hopes of a better life for the child, and awaits that child’s return—develop alongside and deviate from the normative orders of motherhood. While birth mothers’ self-transformative narrative illuminates their subjectivities—apart from victimhood, simmering in the latent form of agency—Yook and Kim argue that a compelling narrative of self-mastery produces another discursive trap which renders the numerous less-masterful birth mothers …

Caring For The Whole Clinician: A Body-Based Framwork For Self-Care And Supervision, Aliza Roth

Creative Arts Therapies Theses

The purpose of this program development project was to create a framework for clinical supervision that utilizes yoga and dance/movement therapy in support of the holistic wellness of mental health professionals. Clinicians are at risk for burnout and compassion fatigue, especially when they place more emphasis on their client’s well-being than their own. Research points to the significance of incorporating self-care, stress-management and embodied awareness of self and client into the supervision process; however, there remains an underdeveloped body of knowledge related to body-based frameworks for clinical supervision and how such frameworks relate to clinician self-care. Utilizing the five yogic …

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 …

The Impact Of Wyman’S Teen Leadership Program On College Achievement And Retention, Ryan R.G. Reed, Nicole Thomson, Grace Bramman

eJournal of Public Affairs

Low-income, first-generation college students face a host of obstacles on their journey toward degree completion. Providing effective supports for these students as they navigate their postsecondary experiences is an important determinant of success, the implications of which can be far-reaching. The purpose of the current study discussed in this article was to examine the impact of Wyman’s Teen Leadership Program (TLP) on positive college outcomes for low-income, first-generation students pursuing higher education at Missouri State University (MSU). TLP is a community-based, postsecondary access and success program comprising three developmentally progressive phases that begin when teens are ninth graders and ends …

Art That Heals, Christina Cardona

Capstones

Beryl Brenner was a creative arts therapist for 40 years, and helped veterans heal from war traumas through art all across the city. For the past 11 years, she was at the Brooklyn Campus of the VA NY Harbor Healthcare system in Bay Ridge, where she developed the art therapy program. https://christinacardona1.wordpress.com

The Struggle Is Eternal, Joseph R. Fitzgerald

Civil Rights

Many prominent and well-known figures greatly impacted the civil rights movement, but one of the most influential and unsung leaders of that period was Gloria Richardson. As the leader of the Cambridge Nonviolent Action Committee (CNAC), a multifaceted liberation campaign formed to target segregation and racial inequality in Cambridge, Maryland, Richardson advocated for economic justice and tactics beyond nonviolent demonstrations. Her philosophies and strategies—including her belief that black people had a right to self–defense—were adopted, often without credit, by a number of civil rights and black power leaders and activists.

The Struggle Is Eternal: Gloria Richardson and Black Liberation explores …

2018 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2017 commencement program. Commencement was on Friday, December 14, 2018.

Student Perspectives On Working In Interdisciplinary Teams To Implement Mhealth, Elina Chun

Undergraduate Honors Theses

Interprofessional education of students in healthcare professions can lead to positive outcomes for students that are unique in a university setting. The purpose of this thesis is to describe benefits and challenges students encounter when working with students of other majors. This study used a convenience sample of students working on a university project to implement mHealth. Participants responded to two surveys with quantitative and qualitative questions. Students reported greater appreciation for diversity, the necessity of communication skills, and self-awareness of their own responsibilities in a team.

Use Of Antipsychotic And Mood Stabilizing Medication In Pregnancy, Elizabeth Ann Murphy

Nursing Capstones

No abstract provided.

Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm

Master's Projects and Capstones

Abstract

Problem: Hospital-acquired infections are preventable harm that occurs to patients while in the hospital. Catheter-associated urinary tract infection (CAUTI) is a preventable hospital-acquired infection that continues to plague hospitals nationwide. The Centers for Disease Control and Prevention estimates that there are more than 13,000 CAUTI related deaths in the United States annually (Scanlon, 2017). In addition to the harm caused to patients by CAUTIs, the estimated $500 million yearly cost for CAUTI treatment has created a fiscal burden on healthcare systems (Scanlon, 2017). Decreasing the rate of CAUTI by decreasing overall number of catheters is the goal of this …

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 …

Homeward Bound: The Struggle Senior Dogs Face To Find Their Fur-Ever Homes, An Exhibition Proposal, Natalia Chavez

Master's Projects and Capstones

For this capstone project, I created a proposal for an exhibition centering around animal rights that focuses on the rights of senior dogs in United States animal shelters. Homeward Bound: The Struggle Senior Dogs Face to Find Their Fur-Ever Homes intends to raise awareness of the difficulties senior dogs face in being adopted from animal shelters, while promoting individuals to be active and engaged participants in actions to support the needs of senior shelter dogs.

Senior dogs have the highest probability of euthanasia in shelters.[1] Shelters and rescue organizations provide much needed assistance to senior dogs, supporting their …

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: …

Advanced Roles For Social Work: The Approved Mental Health Professional, K Stone

More Faculty of Health Research

No abstract provided.

Anxiety, A Growing Social Problem: A Systematic Review Of The Literature, Adela Robinson

Electronic Theses and Dissertations

Anxiety disorders as a stand-alone diagnosis are not recognized as a treatable mental health issue within the social services mental health realm. There are mixed results regarding if anxiety disorders are linked to suicide ideation and suicide attempts. The aim of this systematic review was to discover if there is a link between anxiety disorders and suicide ideation and suicide attempts within the current literature. All anxiety disorders were looked at, except for selective mutism and separation anxiety disorder due to these both typically only affecting those in very young childhood. The rest of the anxiety disorders affect those from …

Stress-Buffering Of Social Support On Depressive Problems: Moderation By Parental Depressive Problems, Erica Marie Szkody

Theses and Dissertations

The impact of parental depressive problems on children’s depressive symptoms has been widely studied. The Stress Buffering Hypothesis states that social support acts as a protective factor between the impacts of stress from negative life events on physical and psychological health. The current study examined the stress buffering hypothesis in terms of the relationship between parental depressive problems and emerging adult depressive problems. The differential buffering strength of both perceived social support and received social support between stress from negative life events and depressive problems were examined along with the moderating effects of parent and emerging adult gender. Neither perceived …

Investigating Ethical Dilemmas And Ethical Decision Making In The Field Of School Psychology Using The Multidimensional Scale For Ethics In School Psychology, Umbreen Iqbal

Theses and Dissertations

Ethical standards and principals are one of the most significant part of any professional field. Being an applied practice field, the application of ethical codes and conduct is a critical component for school psychologists. There have been numerous research studies on ethical decision making and ethical dilemmas in many applied fields to help update the ethics principles and codes, same is the case for the field of School Psychology (APA, 2017; NASP, 2010). The purpose of this study was to examine school psychologists’ professional characteristics with regards to managing critical incidents that pose potential ethical violations. An additional purpose was …

Public Perceptions Of Police Interactions With Juveniles, Jillian Orr

Honors Program Theses and Projects

While previous research shows how different people respond differently to situations regarding police use of force on juveniles (Michael Brown, Tamir Rice, etc) this paper delves into what aspect each person has that influences the way they feel the police officer should respond to a juvenile suspect. I surveyed a group of about 300 people and asked them to give their responses to a vignette in which they were the acting police officer. Then, I analyzed the public opinion results through the lens of authoritarianism and compared them to the variables of age, gender, employment, and education.