Digital Commons Network^™

A Formal Hcahps Teaching Program Targeting Communication Improves Hcahps Scores, Bobbie Davis

Master's Projects and Capstones

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey given to patients after discharge from an inpatient unit is a validate tool used to determine the level of patient experience. Organizations across the country, including the Northern California Academic Medical Center, have implemented many initiatives aimed at improving these scores. HCAHPS scores for the hematology/oncology unit at this medical center remain low even after previous education efforts. The aim of this quality improvement project was to improve the patient experience, as evidenced by HCAHPS scores, with the implementation of an HCAHPS teaching program for nursing staff, focusing on …

Offering Medical Providers Capacity And Competence In Caring For Transgender And Non-Binary Patients: Evaluation Of A Pilot Digital Training Program, Lexis Manzara

Master's Projects and Capstones

Purpose: Stigma and discrimination in health care settings contribute to health disparities for transgender and non-binary (TGNB) people. Evidence suggests that a lack of training on the care for transgender and non-binary TGNB patients in medical school curricula has contributed to providers feeling unprepared to provide quality care for this population. Health care providers have the opportunity to play a key role in the reduction of health disparities for TGNB patients.

Methods: Twenty-five health care providers completed the eight-module digital training program. Pre- and post-tests assessed provider knowledge, self-efficacy, preparedness, and behavior. Paired samples t-tests were conducted to compare pre-and …

Preparing Healthcare Staff For Cardiac Arrest Codes In The Outpatient Clinical Setting: Code Drill Training Improves Patient Outcomes, Rowan Edwards, Rn

Master's Projects and Capstones

Preparing Healthcare Staff for Cardiac Arrest Codes in the Outpatient Clinical Setting: Code Drill Training Improves Patient Outcomes

The acuity of care provided in outpatient clinical settings across the United States continues to rise. It is estimated that more than 350,000 cardiac arrests occur outside of a hospital each year (AHA, 2019). For the purpose of this clinical nurse leader (CNL)-lead quality improvement project, the relevant focus is directed towards improving the knowledge, physical skills and perceptions of healthcare staff within an urgent care center (UCC) regarding the application of advanced rescue skills. It is important to note that the …

Assessment Of Trauma-Informed Care In Sonoma County Through Aces Connection, Rosco Gordon

Master's Projects and Capstones

Adverse childhood experiences (ACEs) are stressful or traumatic events that include abuse and neglect. These events also include household dysfunctions such as domestic violence and substance abuse disorders within a household. Other events that fall under ACEs include sexual abuse, physical abuse, emotional abuse, parental separation, intimate partner violence, etc. (SAMSHA, n.d.). Multiple studies have shown that adverse experiences that result in trauma are linked to poor long-term health outcomes. Trauma-informed care practices are essential to aiding victims in building resilience to trauma. The Road to Resilience (n.d.) defines resilience as the ability to adapt or cope with trauma, adversity, …

Art-Based Health Education For Homeless And Marginally Housed Women In San Francisco, Trineca R-N Godfrey

Master's Projects and Capstones

San Francisco currently has the highest rate of unsheltered homeless persons in the United States. Between limited resources and stigma many women included in this most vulnerable population are left with little to no support. Cis women as well as trans and non- binary people are at high risk for negative mental health outcomes due to violence (physical and psychological), stigma, lack of social support, societal marginalization, and the lack of healthcare. Lyon-Martin Health Services and the Women’s Community Clinic, in San Francisco’s Mission Neighborhood, caters to this community through its Outreach Department. Following a staff and outreach client needs …

Transitions Of Care: Raising Awareness And Improving Identification Of The Social Determinants Of Health, Stephanie Le

Master's Projects and Capstones

Problem: Hospital readmission rates have steadily climbed in the United States and the cost of unplanned readmissions can be detrimental. It has been identified that greater discharge preparation and quality care coordination greatly impacts the patient’s plan of care and reduces the risk of unplanned 30-day readmissions. Transition programs help reduce the psychosocial barriers that prevent patients from being able to self-manage their conditions outside the acute setting and help patients effectively navigate the through the continuum of care.

Context: Research has shown that when the social determinants of health (SDOH) barriers are identified appropriately and early-on, this can decrease …

Improving Discharge Medication Education On A Sepsis Unit: A Quality Improvement Project, Maria Noguez

Master's Projects and Capstones

Ineffective discharge education plays a role in increased readmission rates, adverse drug events, and worsened patient outcomes post-hospitalization. When combined, the resulting financial burden on America’s healthcare system is exorbitant, as is the physical and mental toll on unsuspecting patients. To close the current gaps in discharge teaching, this project is incorporating the teach-back method and utilizing updated medication handouts.

Starting on the sepsis unit of a large, local medical center – the Clinical Nurse Leader (CNL) interns employed assessment tools to identify areas for improvement. The data revealed rushed, incomprehensive discharge medication education and reflected in low HCAHPS scores …

Collaborative Drama For The Adult Esl Classroom: A Guidebook For Engaging Adult English Language Learners In Their Oral Language Production Through A Television Series, Molly Mccarthy

Master's Projects and Capstones

ABSTRACT

This field project addresses the lack of engagement in oral language production of adult English as a Second Language (ESL) students in the classroom. To address this issue, this project identifies the reasons behind the lack of engagement in oral language production and suggests the ways in which drama techniques can improve engagement of adult ESL students in their oral language production. This project looks specifically at the positive effects that teaching ESL through the use of a television series will have on students’ engagement of oral language production. With a lens on lowering students’ affective filter, increasing collaboration, …

"Rise And Shine" Early Ambulation In Surgical Patients, Bhapinder Thiara

Master's Projects and Capstones

Abstract

An assessment done in a hospital unit established low rates of early ambulation for patients in postoperative care. At the same time, early ambulation after surgery has been shown to improve clinical outcomes and patient satisfaction. Some of the factors for the low rates of early ambulation include inadequate nurse staffing, poor teamwork, and the inability to utilize technology effectively. Consequently, a project was designed to empower nursing staff, promote interprofessional collaboration, and obtain technologies for ambulation. It is expected that the project will improve rates of early ambulation and lower hospital length of stay.

The Museum Of The Infinite Scroll: Assessing The Effectiveness Of Google Arts And Culture As A Virtual Tool For Museum Accessibility, Megan K. Udell

Master's Projects and Capstones

As technology evolves, the concept of the virtual museum continues to come into focus. Google Arts and Culture (formerly the Google Art Project) has been a leading platform in virtual exhibitions and digital collections since 2011. Arts and Culture presents itself as a democratic platform that allows any museum, regardless of size or resources, access to the same new digital technologies. However, its model tends to favor institutions with more staff time to spend on their virtual presence. By analyzing Google Arts and Culture within the context of larger museum trends in virtuality and interviewing museum professionals responsible for their …

Use Of A Prevention Bundle To Reduce Colon Surgical Site Infections, Stephanie Kimberly Leong

Master's Projects and Capstones

Site Infections (SSIs) are the second highest amongst healthcare-associated infections (HAIs). SSI rates are disproportionally higher among colon surgeries, resulting in significant complications with adverse clinical and economic impacts (Keenan et al., 2014). The overall upward trend in SSI rates, including the increase colon SSI rates in 2018 called for immediate action in a 120-bed community medical center. A multidisciplinary team was assembled to implement an improvement initiative using evidence-based guidelines. An evidence-based care bundle was designed and implemented to prevent and reduce colon SSI rates. There are seven process measures: the use of chlorhexidine wipes preoperatively, hair clipping outside …

Policy Library- 922 Sexual Misconduct, Indiana State University. General Counsel

Policy Library

No abstract provided.

Policy Library- 310 Faculty Duties And Responsibilities, Indiana State University. General Counsel

Policy Library

No abstract provided.

Research On Corridor Setting Based On Pedestrian Simulation Of Social Groups, Yiting Xu, Zhang Rui

Journal of System Simulation

Abstract: As the connector of each space in the hub, the rail transit hub corridor plays the role of transition and buffer. The existence of social groups makes an important impact on pedestrian traffic and its simulation. The paper supplements the consideration of pedestrian traffic related studies on social groups travel, analyses the characteristics of social groups in rail transit hub corridor, improves Moussaïd social group force model, and redevelops AnyLogic micro-simulation platform based on Python language. Taking a subway station in Beijing as an example, fully considering the influence of social groups, it is obtained that the optimal channel …

Policy Library- 125 Bylaws Of The Isu Board Of Trustees, Indiana State University. General Counsel

Policy Library

No abstract provided.

Interpreting The Speech Of A Child With Autism Spectrum Disorder Using Discourse Analysis: A Qualitative Study Of An Asd Idiolect, Eleni Riris

Departmental Honors & Graduate Capstone Projects

This study uses a one-subject, in-depth analysis model to investigate how a 13-year-old child with autism communicates, using the analytical lens of discourse analysis. Using data from five 20-40 minute-long recordings of natural speech, the research subject's use of language in unique or unexpected ways came to be understood as a systematic, consistent, and rich idiolect. These findings challenge pervasive prejudices about individuals with autism and indicate that the most interesting aspects of autistic speech are overlooked by neurotypical listeners. They also demonstrate the importance of discourse analysis as a method for studying autism and language.

Information Literacy In Place-Based Interdisciplinary Teaching And Learning, Anne E. Leonard

Publications and Research

This chapter explores the role of information literacy in virtual or hybrid place-based interdisciplinary courses. Whether teaching as a guest lecturer or as a co-instructor, I infuse information literacy competencies into assignments, relying on the Framework for Information Literacy for Higher Education. Four of the six frames of the Framework map especially well to interdisciplinary teaching and learning: information has value, authority is contested and contextual, research as inquiry, and searching as strategic exploration. Through searching in special collections and archives and integrating digitized primary sources into research projects students engage in a virtual exploration …

Is More Investment Needed In Solar And Biogas Energy Sources In Rwanda?, Herve Christian Kabanda

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

The Rwanda Third National Communication Under the United Nations Framework Convention on Climate Change mentions that Green House Gas (GHG) emissions per capita increased from 532.39kg (2006) to 676.23kg (2015) with an annual increase of 2.46%. As of 2015, the dominant emissions are from agriculture (70.4%) followed by energy (20.11%). Urea application in agriculture have increased from 1,246,400 to 2,559,000 tons of CO2 eq. Charcoal or wood being the primary source for cooking; emissions from domestic energy use has increased from 626,800 to 741,400 tons of CO2 eq. If such trends continue severe health issues, deforestation, soil erosion and droughts …

2019-December-13-Class Of '70 Reunion Agents Needed, University Marketing And Communications, East Tennessee State University

ETSU News

No abstract provided.

Multiliteracies In Rural Schools: The “Revuelto Y Mezclada” Of Home And Community Literacy Practices Of Midwestern Emergent Bilingual Families, Trish Morita-Mullaney, Haiyan Li, Jennifer Renn

The Rural Educator

Multiliteracies is a paradigm for language and literacy, in which all languages and literacies are valuable, meaningful, and serve a purpose in meeting the needs of the learner within their social contexts. Multiliteracies are enacted and negotiated through different languages, technologies, and modalities and are represented in homes and communities of English Learners (ELs) or emergent bilinguals (EBs), representing their bi- or multilingual identities. Within rural communities, these family multiliteracies differ from the predominantly English-monolingual contexts found within schools, but have the potential to reshape rural educators’ conceptions of literacies. Redefining literacy holds significance in rural communities where resources, including …

From Sharks To "The Big Ugly", Kristin Rearden, Joy Bertling

The Rural Educator

This longitudinal case study explored one rural elementary art teacher’s praxis for two years after she participated in professional development sessions on place-based education (PBE). These sessions focused specifically on PBE within the discipline of art for K-12 art educators in a geographically-large southeastern school district. Through surveys, observations, interviews, and document analysis of curricular materials, the researchers investigated the teacher’s experiences with PBE as she taught art in a rural area of the district. Her curricular decisions transitioned from a focus on art reflecting her personal knowledge base to art that built on students’ expressions of, experiences in, and …

Leadership Challenges Of The Rural School Principal, Barbara Klocko, Riley J. Justis

The Rural Educator

As stress impacts the organization and operations of a school, leader stressors may be determined by the setting, years of experience of the leader and the greater educational landscape in which the principal must lead. The researchers sought to differentiate between the perceived stress and joy of urban and rural school principals. Findings derived from this time series design inquiry suggest that despite external influence, there is limited change in reported stress of rural school principals. Though the leadership in any setting is complex and multi-faceted, the researchers identified and assessed contributing factors.

Perceptions Of Educators Teaching Inclusion Classes In An Urban Secondary Environment, Nicole Bellomo

CUP Ed.D. Dissertations

School systems across the United States have integrated students with disabilities into the general education classroom creating an inclusive environment where general and special education students can learn side by side. Within the inclusion classroom, general education and special education teachers collaborate to design and implement instruction for all student learners. Therefore, it is critical to understand the attitudes of general and special education teachers and reveal the factors that influence the beliefs they hold regarding the inclusion classroom. The beliefs held by inclusion teachers are a crucial factor to the success of students with disabilities in the inclusion setting …

Lived Experiences Of Novice Public School Adapted Physical Education Teachers: A Phenomenological Study, Joyce M. Sakai

CUP Ed.D. Dissertations

The purpose of this phenomenological study was to investigate the lived experiences of novice public school adapted physical education (APE) teachers and how their experiences affected their self-efficacy and job satisfaction. This dissertation is an original independent research project that contributes to the field of educational practice and knowledge. Five male and five female APE teachers who have taught in public schools for three years or less within California represented the population of this study. Bandura’s (1986) theory of self-efficacy and Knowles’s (1984) theory of andragogy was the foundation for the conceptual framework of this study because they represent factors …

Beneficial Approaches To Working With Migrant Students, Pete Cade

CUP Ed.D. Dissertations

The migrant student population in the United States continues to rise. This increase in numbers places this unique group of students in thousands of classrooms across the country. Their mobility rates can significantly increase the number of classrooms affected and the number of teachers who must understand their plight. This single qualitative case study explored migrant students’ academic experience, for the purpose of establishing best practices for the educational system to best support them. Using Maslow’s hierarchy of needs and multicultural education as the theoretical framework, the researcher analyzed the perceptions of effective practices from twelve college-educated professionals who were …

English Teachers’ Perceptions And Opinions On The Use Of Instructional Technologies In The Inclusive Classroom, Zachary Caldwell

Departmental Honors & Graduate Capstone Projects

Research has shown that instructional technologies can be harnessed by educators as powerful tools to both create and enhance forms of differentiation in order to provide a more engaging and interactive inclusive classroom for students with and without disabilities. However, these technologies are often under-utilized for students with disabilities in the inclusive classroom and are instead used as simple substitutes for printed assignments. The objective of this study was to learn how English teachers at the secondary level use and understand instructional technologies and how they differentiate instruction in an inclusive classroom. An online survey was conducted to obtain data …

Retour Et Maintien Durable En Emploi Après Un Trouble Musculosquelettique : Pistes D’Action Pour Le Superviseur, Iuliana Nastasia, Marie-France Coutu, Romain Rives, Jessica Dubé, Sarah Gaspard, Audrey Quilicot

Rapports de recherche scientifique

Les troubles musculosquelettiques (TMS) demeurent un problème majeur de santé au travail dans les pays industrialisés. Les conséquences de l’incapacité au travail représentent un fardeau important pour les travailleurs et leurs familles, mais aussi pour les organisations. Même si plusieurs études sur l’incapacité au travail soulignent le rôle important du superviseur dans le contexte de différents programmes de retour au travail, peu se sont intéressées spécifiquement au rôle de celui-ci, à ses responsabilités ainsi qu’à ses actions pour faciliter la réintégration des travailleurs qui ont eu une blessure musculosquelettique reliée au travail.

L’objectif général de cette étude est de proposer …

Burnout, Depression And Suicide Prevention For Nursing Staff In High-Intensity Settings, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Nurses working in high-intensity settings experience burnout at higher rates than in other nursing areas. Burnout in healthcare is a problem estimated as high as 70% by the Agency for Healthcare Research and Quality. Burnout can lead to depressive symptoms, which can lead to suicidal ideation in affected healthcare providers, which makes early identification and treatment of utmost importance to the mental and physical wellbeing of these nurses.

The purpose of this project is to examine burnout in nursing staff working in high-intensity areas of the hospital in order to help identify burnout and/or depressive symptoms before they lead to …

Increasing Utilization Of Motivational Interviewing To Promote Pediatric Oral Health, Ulyses Reamico

Doctor of Nursing Practice (DNP) Projects

Prevalence of early childhood caries (ECC) remains high even in developed countries such as the United States. An interprofessional education (IPE) project between University of San Francisco (USF) School of Nursing and Health Professions and the University of the Pacific (UoP), Arthur A. Dugoni School of Dentistry was initiated four years ago to enhance nurse practitioner (NP) and dental students’ pediatric oral-systemic health assessment and health promotion communication skills. Since then, USF NP students received pediatric oral health assessment training and spent clinical rotations at UoP to provide pediatric oral care alongside dental students. This doctor of nursing (DNP) project …

Applying The Model Of Interrelationship Environments And Outcomes To Simulation For Nurse Leaders To Enhance The Professional Practice Work Environment: Creating A Mile One Nurse Leadership Simulation Toolkit, Alicia Garcia-Cisneros

Doctor of Nursing Practice (DNP) Projects

In nursing leadership, defining a culture of accountability is pivotal to ensure patient safety and achieve optimal patient outcomes. Nurse leaders play a significant role in transforming the professional environment, work culture, and professional behavior to deliver the highest-quality patient care. Often, nurse leaders are challenged in developing workplace environments and structures that encourage professional autonomy, advocacy, and culture climates as well as in motivating nursing staff to feel engaged. Despite an abundance of evidence underscoring the importance of staff engagement, a Gallup study revealed that only 30% of U.S. employees and 13% of employees worldwide are engaged in their …