Digital Commons Network^™

Institutionalizing Community Engagement: The College Within A University As A Missing Organizational Link, John Saltmarsh, Michael Middleton, Melissa Quan

eJournal of Public Affairs

This article examines the kinds of organizational change that can be implemented at level of a college in a university to institutionalize community engagement as a core value of the college.

Self-Assessment Rubric For The Institutionalization Of Community Engagement At The Level Of The College Within A University, John Saltmarsh

eJournal of Public Affairs

No abstract provided.

Expanding Magnetic Resonance Imaging Access For Patients With Cardiovascular Implantable Electronic Devices, Rosalie Geronimo

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem. Patients with non-conditional cardiovascular implantable electronic devices (CIEDs), which lack magnetic resonance imaging (MRI) components, are unable to undergo MRI.

Context. The Heart Rhythm Society guidelines for patient device management and Centers for Medicare and Medicaid Services requirements for persons with specific expertise in implanted permanent devices to manage CIEDs during MRI spurred policy, procedure and staffing changes.

Interventions. The evidence-based change-of-practice project comprised of workflow development, policy and procedure changes, implementation of required staffing support to manage the CIED during an MRI.

Measures: The outcome measure was to improve access to MRI for patients with CIEDs, measured …

Larc Method Appropriateness In Substance Use Treatment: A Quality Improvement Project For Integrated Care, Malia Johnson Dnp, Fnp, Alexa Curtis Phd, Fnp-Bc, Neda Afshar Dnp, Fnp-C, Msn, Cgrn

Doctor of Nursing Practice (DNP) Projects

Problem: Individuals with substance use disorder (SUD) have disproportionately higher rates of unintended pregnancy when compared to the general population, estimated to be 85% (Heil et al., 2011). Not only are poor maternal and fetal outcomes associated with unplanned pregnancies, but pregnancies in women with SUD are further complicated by additional risks and adverse outcomes (Black & Day, 2016).

Context: Addiction treatment centers and programs are primed with opportunity to offer family planning services, when contact with medical providers is increased for substance use treatment. In response to the opioid crisis and unprecedented rates of unintended pregnancy, this project …

Improving Identification Of Ssi In Snf, Jennifer Teng Yuan Yu

Master's Projects and Capstones

Educational deficit in basic wound assessment can lead to failure to recognize early signs of infection or wound deterioration. Despite many challenges towards wound care, there are potential opportunities to reduce patient injury and clinical outcomes through continuing education. The purpose of this paper is to review literature on current wound care knowledge in nurses and assess existing wound care knowledge in nurses at a skilled nursing facility. A 10-question pre-test wound assessment quiz based on the Bates-Jensen Wound Assessment Tool (BWAT) selected by the Wound Care Coordinator (WCC)/Wound Care Specialist (WCS) was given to 22 nurses: 5 Registered Nurses …

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 …

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 …

[2019-12-12] Meeting Of The Board Of Visitors Of Virginia Commonwealth University, Virginia Commonwealth University. Board Of Visitors

VCU Board of Visitors Minutes

Official minutes of the VCU Board of Visitors and its Executive Committee.

The Implementation Of The Ecn+ Directive In Hungary And Lessons Beyond, Katalin J. Cseres

Yearbook of Antitrust and Regulatory Studies

In order to facilitate national competition authorities (NCAs) in their application of EU competition rules, the EU legislator adopted Directive 2019/1/EU. The Directive’s aim is to empower the competition authorities of the Member States to be more effective enforcers of competition law and to ensure the proper functioning of the internal market. The so-called ECN+ Directive introduces minimum harmonisation rules allowing competition authorities to have common investigative, decision-making (notably fining decisions) and enforcement powers. The Directive, furthermore, sets minimum safeguards for the NCAs’ independence, accountability and resources as well as harmonizes leniency programmes including the coordination of national leniency programmes …

Relationship Of Transformational Leadership And Organizational Change During Enterprise Agile And Devops Initiatives In Financial Service Firms, Christopher J. Kuiper

Doctoral Dissertations and Projects

The rate of organizations adopting Agile and DevOps methodologies has grown in recent years, with researchers observing the impact of leadership styles and methodology adoption, presenting challenges with sustaining and scaling change initiatives. Where organizations within the marketplace today reveal the significance of leadership in influencing change, while findings signal deficiencies with having leaders who are ready. The purpose of this quantitative correlational research examines the increased probability of failure organizations face when engaging in enterprise Agile and DevOps transformational change initiatives. Through investigating the relationship between transformational leadership behaviors, readiness for change, and organizational citizenship behavior exhibited by management …

Strategies Exemplary Unified School District Superintendents Use To Work With The Political Styles Of School Board Members, Bradley Tooker

Dissertations

Purpose: The purpose of this sequential explanatory mixed-methods study was to identify the political styles of superintendents and school board members as perceived by unified school district superintendents. In addition, it was the purpose to identify and explain the political strategies unified school district superintendents use to work with the different political styles of school board members.

Methodology: This sequential explanatory mixed-methods study analyzed quantitative surveys to identify the political styles of superintendents and school board members and qualitative interviews to identify political strategies using a political styles framework.

Findings: The major strategies exemplary unified district superintendents used to work …

Negotiating Through A Huskie, Edgar E. Lopez

Honors Capstones

Everyone will negotiate at least once in their lifetime, and some people negotiate every day. The aim of Negotiating Through A Huskie is to compare effective negotiation techniques used in practice as well as theoretical techniques used by leaders experiencing change management across different offices and departments. Change management significantly impacts individual and team performance in a company or organization. When experiencing organizational change, leaders must be willing to redirect or redefine the processes for a company or organization. Using effective negotiation techniques helps two or more parties reach a beneficial outcome which in turn facilitates organizational change. I analyzed …

2019-12-06 Minutes & Appendices, Longwood University

Board of Visitors Meeting Minutes 1964-

No abstract provided.

Exploring Relationships Among Environmental And Intrapersonal Variables And Evidence-Based Practice Implementation, Amanda N. Canada

Nursing Theses and Dissertations

Evidence-based practice (EBP) is not consistently implemented within healthcare settings; although many organizations claim it is how they deliver care in the 21^st century. In a review of the literature, multiple intrapersonal variables were found to impact the inconsistency with which EBP is applied and the success of its implementation within nursing practice. Organizational culture and perceived stress can influence the uptake of EBP beliefs and can affect EBP implementation. Clinicians who have more confidence in their EBP knowledge and skills are expected to implement best practices. Underpinned by Social Cognitive Theory, a model was developed to guide study …

Re-Engage Students With “Check And Connect”, Tara Davis, Tony Feldmann

Georgia Association for Positive Behavior Support Conference

One of the most effective dropout prevention programs is Check & Connect. Check and Connect is for K-12 students that show signs of disengagement with school and who are at risk of dropping out. The foundation of Check & Connect (C&C) is building a trusting relationship between the student and a caring mentor. A mentor builds a strong relationship with students, systematically “Checks” on students, “Connects” with students, and partners with parents/families, functioning as a liaison between home and school and striving to build constructive family-school relationships.

Check & Connect is empirically supported through rigorous research and has shown to …

Practicing Leadership Skills Through Peer Mentoring And Teaching: The Lived Experience Of Bsn Students, Alicia Bright

Nursing | Faculty Scholarship

Although leadership theory is introduced in baccalaureate nursing curriculum, opportunities to practice and develop leadership skills are limited for undergraduate nursing students. This study explores the experience of advanced nursing students who provided mentoring and tutoring to beginning nursing students. The experiences they describe are interpreted in light of literature on leadership education in undergraduate nursing schools, as well as that of peer mentoring and peer teaching. These advanced students described opportunities to practice and reflect on leadership skills and attributes. Peer mentoring and peer teaching programs may be an effective and efficient way of helping nursing students gain leadership …

The Impact Of A Competitive Healthcare Environment On Cost And Quality, Maureen E. Buckley

Dissertations

A descriptive longitudinal (1988-1993) case study design, with the Resource Dependence Theory as the conceptual framework, was used to investigate the effect of a competitive health care market on the cost and quality of hospital care. The secluded geographic area in which the three study hospitals were located served to minimize the influence of additional competitors. The Resource Dependence theory emphasizes the adaptation of an organization to changes in the environment or competitive market.

Increasing Adult Annual Wellness Visits, Martha Caceres

Doctor of Nursing Practice

The purpose of this quality improvement project was to increase adult annual wellness visits in a high-volume family practice clinic. The significance of an adult annual wellness exam is health maintenance, disease prevention, early disease detection, and management of chronic diseases. Approximately 133 million Americans are diagnosed with at least 1 chronic disease, including cancer, diabetes, and heart disease, and 1 in 4 adults are diagnosed with multiple chronic diseases (Raghupathi & Raghupathi, 2018). In 2011, the Affordable Care Act mandated insurance companies to remove deductibles for preventative health services, relieving the financial burden of out-of-pocket expenses (Borsky et al., …

Implementing The Patient-Centered Care Paradigm In An Academic Research Environment, Fernando Orgas

Theses & Dissertations

Research Focus. The healthcare landscape is transitioning from a provider-centered care model toward greater emphasis on patient-centered care (PCC). The shift to PCC reflects efforts to increase the quality of healthcare and the care experience. The current state of research within healthcare remains focused on how to provide high-quality and sound research that will bring new equipment, procedures, and verify strategies that may benefit healthcare globally. However, changes in the healthcare atmosphere bring a new perspective to research. How is the paradigm shift to patient-centered care implemented in an academic research environment? Does this holistic mindset fully cross into …

Contextual Influences On Human Resources Development: Considerations And Evaluations On The Various External And Internal Factors That Shape And Influence Hrd In Organisations, Charles Alves De Castro

Articles

This article aims to briefly understand and evaluate the main external and internal factors that impact directly on human resources development area within the organisations, mainly related to multinational companies. Also, it discusses the various aspects and influences on HRD-(Human Resources Development) such as societal, organisational/local, global, that impacts on costs, environment, regulations, policies, culture, beliefs, technology and values. This research was carried out by way of a literature review. This is important to demonstrate, explain and evaluate the current existent literature about this specific theme covered in this article. Furthermore, through this review we compared previous research on HRD. …

Family And Consumer Sciences Extension Agent Receptivenessto Innovative Caregiving Programming, Kristopher M. Struckmeyer, Gina Peek, Paula J. Tripp, Alex J. Bishop, Sarah R. Gordon

Faculty Publications - Teaching and Educational Leadership

Communities can adapt to residents' needs through innovative citizen-led initiatives. Extension can facilitate these innovation initiatives, but are Extension agents always receptive to such change? We conducted a study to examine the association between organizational change and personal factors and Extension family and consumer sciences agents' innovativeness regarding caregiving programming. Respondents rated their receptiveness to change and answered questions regarding psychosocial health factors. We found that years in current position, leadership self-efficacy, interoffice support, and social support were significant predictors of innovativeness. Results suggest that personal factors rather than organizational change factors may be the more crucial mechanisms for driving …

Change Effort Organizational Communication Effectiveness And Work Locus Of Control Influence On Change Fatigue In The Workplace, Kady B. Pietz

Dissertations

Approximately 70% of change management initiatives fail (Beer & Nohria, 2000; Kotter, 2007; Pasmore, 2011; Warner, 2018), and employee reactions to change are critical in forecasting successful change efforts (Connell & Waring, 2002). Predicting and implementing successful change serves as a critical component in addressing failed change. Change fatigue as an employee experience, among other factors, results in adverse outcomes for organizations through change. Addressing contributing factors of change fatigue to avoid the onset of and potentially harmful implications of change fatigue could also improve change management initiatives (Perel, 2015). To better understand how to successfully implement change in organizational …

Finding Place For Printing, Ian Duncan

Tutor's Column

This column examines the benfits and drawbacks of printed papers and digital essays in tutoring scenarios. It considers their roles in the learning of students, and it suggests a compromise by finding the value of both mediums of writing.

Improving Human Rights Compliance In Supply Chains, Kishanthi Parella

Notre Dame Law Review

Corporations try to convince us that they are good global citizens: “brands take stands” by engaging in cause philanthropy; CEOs of prominent corporations tackle a variety of issues; and social values drive marketing strategies for goods and services. But despite this rhetoric, corporations regularly fall short in their conduct. This is especially true in supply chains where a number of human rights abuses frequently occur. One solution is for corporations to engage in meaningful human rights due diligence that involves monitoring human rights, reporting on social and environmental performance, undertaking impact assessments, and consulting with groups whose human rights they …

Alumni Journal - Volume 90, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | Guest Editorial: Tiffany C. Priester '04
4 | From the President
7 | From the Dean

News
8 | This and That
10 | APC Preview
12 | School of Medicine News
14 | Students
15 | Wedding Announcements
16 | Alumni News

Missions
18 | Missions Feature - inspiring stories from the mission field

Features
45 | Alumni Spotlight - Lloyd Rudy Broomes '66
46 | Canadian Rockies Alumni Trip
50 | Department Report: Otolaryngology
53 | The Storm of Our Shores [Book review]

In Memoriam
53 | Featured Obituary - Stanley G. Sturges '55
54 …

Distance Education To Improve The Quality Of Asthma Treatment In Primary Health Care, Rudi Roman, Karine Margarites Lima, Maria Angela Fontoura Moreira, Roberto Umpierre, Lisiane Hauser, Dimitris V. Rados, Alvaro Vigo, Marcelo Goncalves, Sotero Serrate Mengue

Project ECHO Bibliography

Objective: The mere dissemination of standard care recommendations has been insufficient to improve clinical results in patients with asthma. The objective of the present study was to evaluate the clinical effectiveness of a multifaceted asthma distance education for primary care providers. Methods: Cluster randomized controlled trial. Full primary care teams were included if they had access to telehealth support and free basic asthma treatment. Before randomization, selected teams indicated asthma patients between 5-45 years old for inclusion. The intervention group received three interactive online sessions, printed educational material, reminders, booklet for patients, and frequent stimulus to use consulting services. The …

Possibilities And Constraints Of Fostering Deeper Study Abroad Experiences: The Lived Experiences Of 50 Years Of Us Students In Japan, Sarah R. Asada

Journal of Comparative & International Higher Education

Special Issue

Quality Improvement Initiative To Increase Comprehensive Eye Exams In Patients With Diabetes, Julia Khoury

Doctor of Nursing Practice

Diabetic retinopathy is the most common microvascular complication associated with poorly controlled diabetes. Yet, only 60% of the diabetic population receives an annual eye examination by an eye specialist. Retinal imaging increases surveillance of retinopathy, however, it does not take the place of a comprehensive eye examination by an ophthalmologist or optometrist. The aim of this quality improvement project was to increase comprehensive eye examinations in patients with diabetes aged 18 to 75 years in a family practice that recently purchased a retinal imager. This quality improvement project occurred over a 10-week period. Project objectives included increasing comprehensive dilated eye …

An Examination Of Oregon Department Of Education's Implementation Processes And Practices, Beth Maruka Wigham

Doctor of Education (EdD)

The purpose of this study was to examine state-level implementation practices and processes of current initiatives or programs through personal interviews with implementation managers at the Oregon Department of Education. This study used a qualitative research design for gathering individual perspectives on their effective and ineffective processes and practices for implementation and identified commonalities across implementation managers and departments. This study answered three research questions: (1) What are the practices and processes described by implementation managers in this study as effective for the implementation of their initiative or program?; (2) How are implementation elements conceptualized, enacted, and measured by implementation …

How Ecommerce Is On The Rise, Kayla Smith

Honor’s College Freeman Research Journal

In this paper I will observe how the development of new technologies (that have seen extreme changes) has led to a lot of changes in the way products are manufactured, services are offered, and money is transacted and the products delivered. Due to changes in consumer demands in the market, technology has been manipulated over the years, giving rise to multinational billion dollar organizations that keep adapting overtime to keep up with the rapidly changing consumer needs. In particular, with communication, the rise of the mobile phone network and the Internet have particularly revolutionized the way business is done entirely. …