Digital Commons Network^™

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 …

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 …

Bullying In Schools: Exploring The Lived Experiences Of Early-Career Elementary School Principals, Jason Q. Harris

Theses and Dissertations

Since the latter part of the 19th Century, researchers have been studying the bullying phenomenon and the devastating short- and long-term impact it has on children’s lives. In an attempt to reduce bullying incidents that arise in school, many have set up anti-bullying programs. The goal of these programs is twofold: (a) to reduce the number of bullying incidents in school and (b) create a safe and welcoming learning environment for all students. Although principals work tirelessly to establish conditions to sustain learning for others, they receive very little support for their own learning and development. As principals’ on-going experiences …

From Virtual To Physical: Video Game Streaming Communities, Avery Miles

Capstones

This is an exploration of the inner lives of video game streamers, how they interact with their audiences and the social phenomenon of live streaming. It encompasses streamers, viewers, professional eSports athletes and indie game designers.

www.averykmiles.com

Climate Grief Hits The Self-Care Generation, Avichai Scher

Capstones

As the effects of climate change intensify, emotional anguish over the future of the planet is emerging. This piece looks at a 10-step program to deal with climate grief "Good Grief."

At Uplift Climate, a conference on climate change for people under 30 held annually, the creators of Good Grief presented their program. The conference focused on climate justice for Native Americans, who have been dealing with climate grief for a long time.

The setting highlighted the class divide of who is affected by climate change. The effects of climate change are now so strong, that climate grief is hitting …

Caritas Intervention To Reduce Stress And Increase Resilience Among Caregivers, Randy L. Williams Ii

Doctor of Nursing Practice (DNP) Projects

Problem

Workplace stress and burnout consistently rank among the highest concerns in surveys of caregivers. A gap analysis was conducted among a group of patient care coordinators and medical social workers. The gap analysis identified a need for tools to address stress, feelings of being overworked, and irritability.

Context

The setting is an acute care trauma facility providing care to general medical–surgical adult patients, cardiac care, pediatrics, and maternal child care. This facility exists within a larger integrated health care system, consisting of more than 20 acute care facilities in Northern California. The participants were patient care coordinators and medical …

Teamstepps: A Foundation For Shared Governance In A High-Risk Obstetrical/Neonatal Service Line, Genevieve Wright

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem: Declining registered nurse (RN) engagement in the maternal child health (MCH) department, despite improvements in RN staffing, some reductions in nurse-patient ratios, the addition of support staff resources, and a focus on quality and safety.

Context: The project setting is an MCH department of a 184-bed community hospital, part of a large national organization, serving a diverse population in Northern California. The initial stakeholders included RNs, managers, and assistant managers; the team was later expanded as the project developed (see Appendix A).

Intervention: The original aim of this project was to improve nurse engagement among frontline nurses through …

Improving Management Of Obstetrical Emergencies: Using Simulation-Based Training, Amira Amatullah

Doctor of Nursing Practice (DNP) Projects

The aim of this Executive Leadership Doctorate in Nursing Practice project was to assess the effectiveness of simulation-based training as a strategy to ensure patient safety and quality care by improving the knowledge and confidence of obstetric nursing staff. Collateral goals included the development of a simulation-based interactive training program to improve staff response to obstetric emergencies and the establishment of an Interprofessional Simulation Training Center.

The use of simulation-based training is widely accepted ans used in healthcare education. Several benefits of simulation-based training include a learner-centered approach, safe acquisition of technical skills training and development of effective communication skills. …

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.

Increasing Physical Activity To Improve Health Through Primary Care Clinics In Rural Nebraska, Jill Reed

Theses & Dissertations

Addressing the lack of physical activity (PA) in rural adults is vital because of the role it plays in the risk for many chronic diseases. The purpose of the study was to explore the feasibility of conducting a 12-week intervention to increase PA behavior in inactive rural adults recruited from a primary care clinic. Subjects were randomized to the intervention (n=30) or control (n=29) group and wore a Fitbit to track PA. The intervention group completed action plans and received weekly motivational text messages to improve PA behaviors. Semi-structured interviews were conducted with study participants (n=10) and a focus group …

Hearing Loss And Hearing Protection Use Among Midwestern Farmers, Josie J. Ehlers

Theses & Dissertations

Many farmers have noise-induced hearing loss, yet few use hearing protection when working around loud noise. A point source intervention (storing hearing protection devices near sources of noise) was implemented to help farmers overcome accessibility barriers related to using hearing protection. Intervention farmers (n=53) received education and the point source intervention; control farmers (n=36) received education only. During each year of the study, all farmers completed a questionnaire about their perceptions of hearing protection and participated in an audiometric test at their farm. Ambient sound pressure levels were taken during tests. The main objectives of this dissertation were to evaluate …

An Evaluation Of Deferred Time-Out, Abigail Kennedy

Theses & Dissertations

Although substantial research has shown time-out to be an effective treatment for children’s problem behavior, time-out resistance (i.e., failure to go to time-out, escape from time-out, as well as negative vocalizations and aggression occurring between the time-out instruction and the completion of time-out) has the potential to decrease time-out’s suppressive effect, increase use of more intrusive and effortful administrative methods and escape contingencies, and negatively affect parental adherence. The primary purpose of this study was to evaluate the effect of deferred time-out (DTO) on time-out resistance in a clinic and home setting. In addition, this research provided a preliminary evaluation …

Evidence-Based Curriculum And Its Impact On Risky Behaviors And Stress Among Hispanic College Students, Marivic B. Torregosa, Marcus Antonius Ynalvez, Christopher Craddock, Nandita Chaudhuri, David Cabrera, Maria Del Rosaro Benavides, Dora Maria Ramirez

International Nursing Research Congress (INRC)

To present the results of an evidence-based intervention on the risky behaviors and perceived stress among young Hispanic residents in a US southern border city.

Pain And Quality Of Life Of Chinese Patients With Lumbar Spine Degenerative Diseases, Shu-Fen Su, Meng-Shan Wu

International Nursing Research Congress (INRC)

1.The prevalence of LDD is commonly in the Chinese patients who were female, employed as laborer, suffered from pre-surgery back and legs pain, and had hypertension.

2.LDD patients had suffered from high levels of pain intensity and poor quality of life before they came to doctors for lumbar spine surgery.

Multilingual Museums: A Proposal To Increase Linguistic Diversity In Contemporary Art Museums, Jennifer Cha

Master's Projects and Capstones

The U.S. population is becoming more ethnically, racially, and linguistically diverse. It is estimated that by the year 2050, the U.S. will shift to a majority-minority population, meaning that the total minority population will become the majority of the U.S. population. But while the U.S. is diversifying, the current museum visitorship demographic is not representative of or on track to measure up to these changes in the future. If museums are valuable civic spaces with several associated health, social, and educational benefits, and a large percentage of the population have low-English proficiency and cannot access the information, then there is …

Health-Related Quality Of Life Of Parental Caregivers Of Children With Autism Spectrum Disorder, Dawn M. Turnage

International Nursing Research Congress (INRC)

The purpose of this presentation is to delineate the state of the science of health-related QOL of parents of individuals with ASD and discuss implications for future research, clinical practice, and policy.

Under Pressure: Tailored Cpr With Stress Management For Formerly Incarcerated Individuals, Amanda Lee

Master's Projects and Capstones

Purpose: The purpose of this study was to increase rates of Cardiopulmonary Resuscitation (CPR) training and bystander response to Sudden Cardiac Arrest (SCA). This was accomplished by providing a short, one hour adapted CPR course with a stress management component targeting common barriers (e.g. psychological concerns) to bystander response for formerly incarcerated individuals at the Delancey Street Foundation.

Methods: The CPR course was adapted based off a literature review on the learning needs and preferences of this population. Data collection included:1) instructor evaluation of skills based on oral and simulation examination by students (adapted from the standard American Heart Association …

Defying The Gravity Of Falls On Msu, Alvin Joseph Abad

Master's Projects and Capstones

Falls are a leading cause of injury and death for adult males in the United States and have been an ongoing problem on the Medical Surgical Unit (MSU). Therefore, the aim of this project is to increase fall prevention education and communication on MSU in order to ultimately improve fall rates. Although there are currently fall prevention processes already in place, these may not be sufficient as demonstrated by recent fall metrics. Many RNs on MSU are fairly new nurses; and their enthusiasm and adaptability may be an advantage for this evidence-based project. Furthermore, the management team seems to be …

Attitudes Of Sinjari Yezidis In Iraq Regarding The Rape Of Yezidi Women And The Babies Born From Rape During The Isis Genocide, Jordan Greaser

Theses & Dissertations

This thesis evaluated the attitude of acceptance among Sinjari Yezidis toward Yezidi women who were captured and raped by ISIS captors. In addition, attitudes of acceptance were also studied on behalf of the children born due to rape. These attitudes were recorded by a 25-question attitudinal survey and then analyzed on a question by question bases. The outcome of the following study showed an overwhelming acceptance of the women but a mixed acceptance of their children. Based on the study findings, religious beliefs may be the best way to understand the level of acceptance the Yezidi community has toward the …

Pupillometry As A Test Of Infant Word Recognition, Amy Vinyard

Masters Theses, 2010-2019

Pupillometry holds great promise as a tool for infant language research but has not yet been used to probe word recognition. The goal of the described study was to design a functioning method that can later be used to test the possibility of using pupil dilation as a gauge of word recognition in 11-month-olds. To do this, we used the methods of an existing study (The Role of Accentual Pattern in Early Lexical Representation, Vihman, Nakai, DePaolis, & Hallé 2004) with modifications. Our method ran a one-sided head turn preference paradigm with the addition of an eye tracker for pupil …

An Exploration Of A Mentoring Program On The Experiences Of African-American Students At A Predominately White Institution, Cierra Davis

Dissertations, 2014-2019

Many African-American college students face struggles that make a successful college career and retention difficult or impossible. Financial struggles, lack of preparation, racial climate on campus and nationally and absence of faculty of color plague the lives of students. Being an African-American student at a Predominately White Institution (PWI) can pose additional challenges. Many minority students report experiencing various acts of prejudice including lack of nurturing and resources to help them adjust successfully. Students also report the absence or scarcity of minorities in the faculty, curriculum and population as a barrier to connection, knowledge and support. Considering the important role …

The Art Of Couple Satisfaction, Kristy Koser

Dissertations, 2014-2019

ABSTRACT

It is estimated 10-15% of women aged 20-45 or 1 in 4 to 6 couples are unable to get pregnant after one year of trying to conceive. This failure to conceive within 12 months without contraception meets the requirements for a diagnosis of infertility (Association for Reproductive Medicine [ASRM], 2014). With such a large percent of the United States population navigating the world of fertility treatment, the field of mental health must also evolve, offering new areas of specialty to address this specific client population. Couples face significant concerns while undergoing fertility treatment as they cope with complex decision-making, …

Evaluating Rater Effects In The Context Of Ethical Reasoning Essay Assessment: An Application Of The Many-Facets Rasch Measurement Model, Madison A. Holzman

Dissertations, 2014-2019

Performance assessments are an often desired type of assessment due to their potential for alignment between the assessment and reality. However, due to the rater-mediated nature of scoring (Eckes, 2015), performance assessments have psychometric challenges that cannot be ignored in testing and assessment work. Specifically, performance assessment scores are prone to rater effects, or systematic differences in how raters evaluate performance assessment products (Myford & Wolfe, 2003). The purpose of this project was to evaluate ethical reasoning essay scores for rater effects. The Many-Facets Rasch Measurement (MFRM) model was used to evaluate ethical reasoning essay scores for rater leniency/severity effects, …

Rhetoric In Film: Three Explorations Of Influence In Documentaries And Digital Stories, Emily Knapp

Masters Theses, 2010-2019

This thesis is made up of three distinct articles, two written with the intention of publication while the third consists of a digital story and subsequent reflection on the process of creation. The first article serves to answer the question “Do documentary films inspire activism?” by analyzing data gained after surveying 266 members of the James Madison University community. The results suggest that viewers are moved to emotion when witnessing struggle but that they are moved to action when said action directly impacts their own life. The second article is a rhetorical analysis of the 2013 documentary film Blackfish. …

Ud In The News Dec. 1-14, University Of Dayton

News Releases

University of Dayton faculty expertise spread worldwide the first half of December via The Conversation, an international news outlet that features articles by academics, CTV in Canada, Medium.com, Eyewire and the Detroit Free Press.

A Literature Review Of Pharmacotherapy Treatment Outcomes For Comorbid Post-Traumatic Stress Disorder And Stimulant Use Disorder: Methamphetamine Type, Abigail L. Christensen

Nursing Capstones

No abstract provided.

Cnl As Outcomes Manager: Improving Communication During The Er To Icu Handoff, Amy Ho

Master's Projects and Capstones

Emergency room (ER) to Intensive care unit (ICU) handoff reports are often ineffective because the lack of an standardized guideline. The aim of the Clinical Nurse Leader (CNL) improvement project was to improve the nurse satisfaction survey scores in the ER and ICU microsystems within a mid-sized community hospital in northern California. Participates included registered nurses, and ER and ICU managers. The failure mode and effect analysis (FMEA), Strength, weaknesses, opportunities, and threats (SWOT) analysis, and the Plan-Do-Study-Act (PDSA) cycle were used for this project. Literature reviews were conducted to identify effective theories, patterns, and tools for handoff reports. Nurse …

Creating A Culture Of Learning: Improving Patient Mobility In A Medical-Surgical Unit, Camille Cabalsa

Master's Projects and Capstones

Abstract

PROBLEM: Hospitalization, especially among older adults aged 65 or over, can result in decreased mobility and functional decline. This decreased mobility can lead to accelerated bone loss, falls, increased length of stay, and delirium. In this medical-surgical unit, a pattern reflecting lack of adequate patient mobility has persisted over one year.

CONTEXT: Northwest (NW), a 42-bed community hospital medical-surgical unit- part of an integrated regional health care delivery system, has not been maximizing the mobilization of their patients for the past year based on internal data.The improvement project described in this paper focused on creating a culture of continuous …

Emphasizing The Importance Of Cultural Identity Of Second Language Learners In Lesson Plans, Sreyasi De

Master's Projects and Capstones

A sky rocketing trend of one in three United States residents is estimated to be either an immigrant or the child of an immigrant by 2065. How well immigrants and second-generation immigrants are inhabiting in United States is of great significance to the state of being happy, healthy, prosperous, and full of energy and resonance of the United States in general. While economic, political, and social aspects of immigration are frequently contemplated for policy-making, comparatively small investigations have examined the cultural identity of the immigrants. In the review of literature, topics of intercultural competence, cultural competence, and culturally responsive teaching …