Digital Commons Network^™

Jason Jones Se Propone Acabar Con La Ley De SodomíA En El Caribe, Maite Hernandez, Isvett Verde

Capstones

Este proyecto ofrece una mirada a la situación de inseguridad para la comunidad LGBT en los países pertenecientes al Commonwealth británica en el Caribe y lo que supone desafiar las leyes para esta comunidad.

What Can We Learn From Rapper And Provocateur, Azealia Banks?, Robert A.R. Dozier

Capstones

Rapper Azealia Banks' name is synonymous with controversy, known for her feuds with celebrities and internet personalities. And her reputation has certainly impacted her career. But the trajectory of Banks' life in the public eye speaks to a larger issue of the treatment of "difficult" women in the music industry. http://robardzr.net/capstone/

Canada’S Tariffs On American Consumer Goods Linger, Despite Appearance Of Trade Truce, Willa Rubin

Capstones

Months after a trade war erupted along the northern border, Canada’s efforts to counter Trump's efforts are in disarray. Despite the announcement of a new North-American trade agreement, tariffs on American and Canadian goods remain in effect, and Canada’s efforts to build political support for its position in the US have failed.

“Canada did the best they could on sensitive states to the companies that are dominating in those states,” said Gary Hufbauer, senior fellow at the Peterson Institute of International Economics. But “you’ve got an administration which is very nationalistic. There are a lot of firms they don’t pay …

Plus Ça Change: A Century-Old Removal For Cause, Michael E. Herz

Online Publications

Lots of ink has been spilled over when Congress can give federal officials for-cause protection. One would think that a necessary antecedent to that discussion would be a determination of exactly what for-cause protection entails. What is “inefficiency, neglect of duty, or malfeasance in office”? Yet no one knows; the debate over the permissibility of that restriction proceeds in blissful uncertainty as to its scope.

Impacts Of Globalization: Educational Reforms Shifts The Public Into A Recurrent Devalued Socioeconomic Era For Minorities, Jacqulyn Washington

Master's Theses

This article delves into the breakdown of the impact globalization have on the success of minorities in urban centers. While expanding on the many factors that contribute to the success of minorities, it informs the reader how education, being a huge indicator of success, has been underserved to the poor and minorities. Lacking many resources, this blockage has been further strained through the local government, multinational corporations, educational reforms, and Translocal politics.

Medication Error Prevention: Improving Patient Health Outcome, Brigitta Van Ewijk

Master's Theses

Medication administration errors were reported to have an error rate of 60% in early research mainly in the form of the wrong dose, time, or rate. Working conditions were found to be one of the main contributors to these errors. Recognizing and reporting medication errors are key to the implementation of the reduction of this critical health problem (Hughes & Blegen, 2008). DataRay Inc. (n.d.), states that almost one in five medication doses administered in hospitals is given in error. The two most common errors were (1) dispensing medicine at the wrong time (43% of incidents) and (2) omitting a …

Reexamining Overuse Of Frequent Observation For New Admissions On Psychiatric Units To Increase Nurse/Patient Engagement, Samuel Novela

Master's Theses

People in California who suffer from mental health conditions are often admitted involuntarily to hospitals on 72 hour psychiatric evaluation holds if they are deemed imminently dangerous to themselves, or others, or are gravely disabled. Observational patient safety checks are performed and based on patient acuity and hospital standards. Variations exist among different clinical settings with regard to best practices and the patient subpopulations that may warrant less frequent safety checks. Nurses experience different levels of satisfaction with regard to frequency of safety checks because there is no national consensus on which subsets of patients may require them. A senior …

Dietary Polyunsaturated Fatty Acids Regulate Mammary Tumor Growth And Metastasis By Modulating Tissue Microenvironments, Saraswoti Khadge

Theses & Dissertations

Omega (ω)-6 and ω-3 polyunsaturated fatty acids (PUFAs) are essential fatty acids (FAs) and the precursors of pro- and anti-inflammatory mediators respectively. Epidemiological studies have shown a lower incidence of breast cancer (BC) in the countries where long-chain (LC)-ω-3FAs consumption is higher; however, the role of ω-3FAs in BC growth and metastasis is poorly understood. We used isocaloric, isolipidic ω-6 and ω-3 (contains LC-ω-3FAs) diets and a pair-fed model to evaluate the effects of dietary PUFAs in mammary tumor metastasis. Our studies have resulted in several novel observations including that dietary LC-ω-3FAs modulate mammary gland (MG) microenvironments in non-tumor bearing …

An Assessment Of Preparations Made In The United States For Highly Hazardous Communicable Diseases Following The 2014-2016 Ebola Virus Disease Epidemic, Jocelyn J. Herstein

Theses & Dissertations

The 2014-2016 Ebola virus disease (EVD) epidemic in West Africa was unprecedented in magnitude and scope. The threat of imported cases of EVD in the United States prompted the Centers for Disease Control and Prevention (CDC) to establish a tiered network of hospitals to enhance domestic isolation capacity, including the designation of select hospitals as Ebola treatment centers (ETCs). As of spring 2015, no information existed on the capacity, physical infrastructure, staffing models, or infection control protocols of these newly-established ETCs, nor was there information on other highly hazardous communicable diseases (HHCDs) these units would admit. Moreover, no documentation was …

The Neuromodulatory And Hormonal Effects Of Transcutaneous Vagus Nerve Stimulation As Evidenced By Salivary Alpha Amylase, Salivary Cortisol, Pupil Diameter, And The P3 Event-Related Potential, Christopher M. Warren, Klodiana D. Tona, L. Ouwerkerk, Jeroen Van Paridon, Fenna Poletiek, Henk Van Steenbergen, Jos A. Bosch, Sander Nieuwenhuis

Psychology Faculty Publications

Background

Transcutaneous vagus nerve stimulation (tVNS) is a new, non-invasive technique being investigated as an intervention for a variety of clinical disorders, including epilepsy and depression. It is thought to exert its therapeutic effect by increasing central norepinephrine (NE) activity, but the evidence supporting this notion is limited.

Objective

In order to test for an impact of tVNS on psychophysiological and hormonal indices of noradrenergic function, we applied tVNS in concert with assessment of salivary alpha amylase (SAA) and cortisol, pupil size, and electroencephalograph (EEG) recordings.

Methods

Across three experiments, we applied real and sham tVNS to 61 healthy participants …

Lindenwood Digest, December 14, 2018, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been a digital employee newsletter since 2009.

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 …

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 …

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 …

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, …

Reducing Inpatient Readmissions Through Early Follow-Up Appointment Planning: A Quality Improvement Project, Isabella Cuenco

Master's Projects and Capstones

Problem: Inpatient readmissions have a highly negative impact on healthcare systems. Not only do these hospitalizations have a detrimental effect on patient outcomes they also are accompanied by a prohibitive financial burden to the hospitals.

Context: Follow-up appointment with a primary care provider after discharge has been demonstrated as a viable strategy to reduce the risk of readmissions.

Interventions: Create a volunteer program to schedule patient appointments with a primary care provider within seven days of discharge.

Measures and Results: Compare the number of patients that were discharged with a follow-up appointment after the intervention to before the intervention, and …

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 …

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 …

Calls For Action: Exhibition Interactives As Method To Promote Civic Engagement In Community-Centered Museums, Angeera Khadka

Master's Projects and Capstones

This Capstone explores the potential for museums to be agents of social change in their communities through exhibition interactives that promote civic engagement. Derived from two linked movements of the progressive education pedagogy and the community-centered museum, these interactives allow museums to take an active role in their communities. Three recent case studies that encouraged and empowered their visitors to take action in their communities are analyzed. This analysis reveals key factors that enabled the three institutions to collaborate and co-create with community members to create these interactives. The implementation of such interactives presents the museum studies field …

Identification Of Perioperative Barriers To Enhanced Recovery After Surgery In Colorectal Surgical Populations, Leah Marshall

Master's Projects and Capstones

Enhanced recovery after surgery (ERAS) has evolved over the past 30 years through evidence-based interventions. Enhanced recovery after surgery uses a multidisciplinary and multimodal evidence-based approach to maximize patient recovery. Perianesthesia nurses are critical to its success and have an obligation to understand and participate in the process to optimize patient outcomes. Despite proving to decrease complications and duration of stay in colorectal surgery patients without following colorectal surgery, the implementation of ERAS in colorectal pathways have been met with barriers (Alawadi et al., 2015). Subramaniam & Horgan (2016) describe ERAS pathways as evidence-based interventions that eliminate dated practices based …

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 …

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: …

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

More Faculty of Health Research

No abstract provided.