Transformational Leadership For Frontline Leaders, Marta L. Hudson

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem. Transformational leadership (TL) represents the gold standard of leadership styles in contemporary healthcare organizations. The transformational leader's ability to motivate, influence, stimulate, inspire, and attend to followers' individual needs is an antecedent to job satisfaction, quality, and patient safety. The project aimed to improve TL constructs among frontline leaders (managers and assistant nurse managers). Based on the results of a needs assessment, these frontline leaders were provided an opportunity to improve their TL style.

Context. Leadership development is a strategic priority for a medium-sized medical center in a healthcare system in Northern California. Frontline leaders within patient care …

Jeffrey Broadhurst V. Citimortgage

2020 Decisions

USDC for the Eastern District of Pennsylvania

2020 Fall Commencement Schedule: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University (WSU) Fall 2020 commencement schedule blog entry. The virtual celebration was on Friday, December 11, 2020. This was a commencement during the COVID-19 pandemic.

The virtual celebration included WSU President Scott Olson and our student speaker Tamra Schneider, a performance by the WSU choir and band, and a special commemorative video made for and by the Winona State Class of 2020.

The 2020 Fall Commencement Announcement and the list of graduates is available as a supplemental document to this record.

The Bison, December 11, 2020

The Bison Newspapers

No abstract provided.

Standardizing The Bedside Shift Report: Improving Nurse-To-Nurse Communication, Deepi Sahota

Master's Projects and Capstones

PROBLEM: The Community Living Center (CLC) reveals an immense concern on shift-to-shift handoff report. Shift-to-shift report is done in the report room, often times unclear information is given and critical information is not appropriately conveyed.

CONTEXT: The project was implemented on a 50-bed unit at the Veterans Affairs. The improvement project was focused on collaborative partnerships, standardized bedside shift report, and utilization of the SBAR tool. in the prevention of communication errors.

INTERVENTIONS: The SBAR tool was utilized to provide a framework for effective communication between nurses. The CNL facilitated an hour in-service on bedside shift report to nurses …

Perinatal Substance Use Screenings In Marin County: A Brief Overview Of Screening Protocols And Identifying Gaps In Care, Breanna Wiliams

Master's Projects and Capstones

Introduction

Perinatal substance use continues to be a major public health issue in women’s health. The purpose of this study was to determine the frequency of substance use screenings in care and assess how well the existing services in Marin County are serving the needs of pregnant and parenting women and identifying the gaps and/or weaknesses in current practice.

Methods

Data for this study was collected via semi-structured interviews with five professionals that worked at the local community clinic, hospital and a non-profit agency. Some questions were slightly modified to be configured toward the participant’s specific profession.

Results

Results from …

Introducing A New 12 Week Education & Simulation Program To Optimize Financial Performance Of Nurse Managers, Melissa Hathcoat

Master's Projects and Capstones

Problem: Several nurse executives (Waxman 2018; Massarweh, 2017; Hunt, 2018) agree that in today's increasingly complex health care environment, the reality of decreasing reimbursements and increasing focus on value-based metrics reflects a crucial knowledge base for nurse managers. Therefore, it is imperative for unit-based nurse leaders to receive education and support to attain and maintain the requisite business competencies to achieve both fiscal and quality targets in their microsystem (McFarlan, 2020). In an integrated managed care delivery system in northern California, no education curriculum exists for nurse managers and assistant nurse managers that addresses gaps in financial knowledge, skills, and …

Nurse Interrupted: Educating Nurses To Reduce Work Interruptions In The Intensive Care Unit, Lelayitu Shiferaw

Master's Projects and Capstones

Background: Interruptions occur in high frequency in the critical care hospital setting.

The purpose of this study is to understand the impact of work interruption for the critical care nurse and to examine ways to mitigate predominant, non-urgent interruptions.

Methods: The nurse interrupted project followed the Lean methodology framework to identify which high-frequency interrupters to address. Baseline assessment of the intensive care unit (ICU) nurses identified alarms and patient family member calls as predominant causes of interruption. A literature review was conducted to understand work interruption for nurses and to identify available solutions.

Intervention: To address the …

A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall

Master's Projects and Capstones

A Systems Approach to Increase the ICU Nursing Workforce During a Pandemic

Abstract

In early March 2020 an intensive care unit (ICU) patient died of COVID-19 in an integrated healthcare system hospital in Northern California. Data from China and the CDC indicated that more healthcare members would require intensive care and could overwhelm the 21 acute care hospital macrosystem. A microsystem pilot program to upskill peri-anesthesia care unit (PACU) RNs to care for ICU patients was initiated. Concurrently the upskill pilot program was reviewed by macrosystem nursing leadership. Over a three-week period, the program was standardized, disseminated and implemented across …

Safeguarding Surgical Technologists And Reducing Costs Related To Upper Extremity Strain Injuries In The Or, Wilhelmina Hofilena

Master's Projects and Capstones

Abstract

Problem: In the operating room (OR), complex procedures and processes are performed under time pressures, which presents unique challenges regarding ergonomic-related injuries. Handling surgical instrumentation trays with awkward postures is one of the high-risk tasks performed in the OR that can result in upper extremity (UE) strain. A healthcare system-based hospital in Northern California had five reported upper extremity strain injuries by the surgical technologists (STs) in workplace safety (WPS) performance year (PY) 2018-2019. The project aims to decrease UE strain injuries among STs by improving the quality of surgical instrumentation trays and promoting the culture of safety through …

Optimizing Transitions Of Care To Reduce Readmission Rates, Karen Calura Bayan

Master's Projects and Capstones

The timeliness of post-discharge outreach, a component of the Transition of Care (TOC) process, is a critical determinant for readmission. The Health Plan (HP) serves over 260,000 residents of a large San Francisco Bay Area county by working with community partners to provide health care services through its Medi-Cal (MC) and Cal MediConnect (CMC or Medicare-Medicaid Plan) insurance plan.

This project aims to reduce the HP’s readmissions by 1.5% to 7.37% from a baseline of 8.87% for CMC members and to 6.8% from a baseline of 8.3% for MC members within one year from the onset of the improved TOC …

Creating A Culture Of Teamwork And Communication, Ikjae Yang

Master's Projects and Capstones

This paper aims to explain an innovative strategy for integrating research processes and quality improvement in a medical/ surgical telemetry unit (2 North). The project is targeted to improve health care team communication regarding patient safety to improve patient outcomes. The PICO question guiding this project stated: Does the implementation of TeamSTEPPS during orientation improve communication and teamwork? CINAHL database searched terms "TeamSTEPPS", "new graduate nurses", "communication", "healthcare", "teamwork", and TeamSTEPPS effectiveness. In addition to CINAHL, Google Scholar and PubMed databases were used to narrow down database searches.

The project includes a TeamSTEPPS planning guide that offers the planning organization, …

Financial Literacy For Latino Immigrants: A Guidebook For Esl Teachers, Anna Braden

Master's Projects and Capstones

Latino immigrants face many financial challenges in the United States. Language barriers exclude them from jobs as well as financial and consumer markets. Lack of familiarity with the U.S. financial system or bad experiences with financial systems in their home countries can create mistrust and lead to Latino immigrants being unbanked or underbanked. Consumer vulnerabilities may also be exploited as immigrants turn to nonbank financial services such as predatory lenders (check cashers, payday lenders, etc.). Lack of access to jobs and marketplaces results in lower income and less wealth accumulation. Over time this results in wealth inequality between Latino immigrants …

Prospectus For Mitigating Loneliness During Quarantine For Older Adults In Long Term Care Facilities, Emily Gines

Master's Projects and Capstones

In 2020 as the COVID-19 pandemic resulted in quarantine safety measures and facility closures, facilities that cared for older adults in particular were hit the hardest. Long term care facilities (LTCFs), specifically those that care for older adults with memory care problems, must find ways to provide high-quality, standard care, despite many regulations and changes. Although infection control is an important aspect of care among this population, we must also consider how we can maintain quality of life and social connection. Loneliness is defined as the subjective feeling of being alone or perceived isolation. It can also relate to the …

That’S Fall She Wrote: Decreasing The Patient Fall Rate On A Medical-Surgical Unit Through An Enhanced Fall Algorithm In The Electronic Medical Record, Lauren A. Fast

Master's Projects and Capstones

All falls, regardless of harm, increase the length of stay for the patient in the hospital (Dunne et al., 2014), and are thus a focus for the Clinical Nurse Leader (CNL) in improving patient outcomes at the microsystem level. This paper will focus on the use of an enhanced fall algorithm (Moskowitz et al., 2020) that combines the use of nursing assessment, medications, laboratory results, and service to assess risk of the patient for falls. This algorithm will be integrated into the electronic medical record (EMR) to aid in clinical decision making and communication between staff and the disciplines. The …

Three Good Things To Extinguish Caregiver Burnout, Justin Haley

Master's Projects and Capstones

Caregiver burnout is a widespread issue in healthcare and institutions should be increasingly concerned about burnout because of the significant impact on quality of patient care, employee health, and financial stability. Many interventions and studies regarding burnout are focused on improving systems issues or removing negative stressors on caregivers. Although such interventions may be necessary to attempt, comprehensive systems-wide changes can be cumbersome and expensive, while removing negative stressors may be an unrealistic goal in a fast-paced, demanding healthcare environment. The Three Good Things method is an evidence-based, effective, simple, low-cost intervention to improve feelings of caregiver burnout in which …

Improving Nurse Competency With Rapid Response Narrator Documentation, Sonam Ghoman

Master's Projects and Capstones

Rapid Response Narrator Documentation tool in Epic electronic health record (EHR) is used for scribing purposes during a rapid response event. The RN’s are the ones that usually scribe during a rapid response team (RRT) event. This new tool is able to make documentation easier and efficient for nurses. The rapid response documentation tool in Epic has been in place for a little less than six years. This tool allows for the replacement of traditional paper scribing. An additional benefit of the rapid response documentation tool is that it allows for the scribing to be in real time and is …

Aiming For Zero: Creating A Culture Of Safety And Improving Cauti Outcomes In The Microsystem, Shiela Escobar

Master's Projects and Capstones

Abstract

Problem: Catheter-associated urinary tract infection (CAUTI) remains the leading cause of hospital-acquired infection (HAI) despite being preventable. CAUTI increases the length of stay, morbidity, mortality, readmissions, and costs. There is also increasing antimicrobial resistance in pathogens causing CAUTI. Thus, reducing HAIs such as CAUTI should be a priority for every institution.

Context: The microsystem for this CAUTI quality improvement project is a 24-bed adult medical-telemetry unit in an acute care teaching hospital with excessive CAUTI. This project aims to improve the unit’s CAUTI standardized infection ratio (SIR) from a baseline of 2.54 to 1.75 by October 2020. A SIR …

Improving Frequency Of Hand Hygiene Education From Providers To Patients, Nancy Moran, Vanessa Hernandez, Christopher Sutton

Master's Projects and Capstones

Hand hygiene compliance is one of the most simplest forms of preventing infection. This paper focuses on improving the frequency and standardizing hand hygiene education to patients delivered by health care professionals from a primary care clinic. The ambulatory suburban community clinic in Oakland primarily serves the underserved population. The target population are the following providers: Physicians, Physician Assistants, Nurse Practitioners, Registered Nurse, Licensed Practical Nurse, and Medical Assistants. A survey was adapted from evidence-based studies, WHO, and CDC to collect data on current hand hygiene education provided to patients from healthcare professionals. An additional survey was given to patients …

Helping New Immigrants Adapt To American Culture: Enhancing Students’ Language And Cultural Competence Through The Use Of The Ellen Degeneres Show, Nuchinun Kluaythong

Master's Projects and Capstones

Adult immigrants face many challenges before they can successfully function in a new country. Beyond learning the new language, adjusting to a different and confusing culture can be difficult and discouraging, often eroding the immigrant’s confidence. These interrelated problems are recognized by the English as a second language (ESL) community, and modern approaches to ESL teaching integrate popular culture and the use of authentic language. It also recognizes that an alert and eager mind is important to learning, so the emphasis is put on developing student interest and confidence by making the class relevant, contemporary, and fun. To accomplish these …

Competent And Confident: Empowering English Language Learners Through Pronunciation Instruction, Faith Pellas

Master's Projects and Capstones

Compared to other language skills such as reading, writing, listening, and speaking, pronunciation is often neglected in ESL and TESOL curriculum planning and material design. Moreover, many English language teachers lack training in pronunciation instruction, therefore these techniques are not often addressed in class. Learning pronunciation is a top priority for many English language students because it enables them to communicate clearly, have better opportunities, and integrate well into Anglophone communities. The literature review discusses second language acquisition and the determining factors of accented and non-accented speech. It also addresses accent discrimination and the obstacles English language learners (ELLs) face …

Improving Quality Of Care Through Discharge Planning, Maria Pasillas

Master's Projects and Capstones

Providing good education for the new mother is key to improving the quality of care for both mom and baby. Since nurses are frontline health care providers who perform the most postpartum education, it is imperative they work to improve discharge education so information provided is consistent, appropriate, and evidence based (Suplee et al., 2016).

The aim of this project is to improve the discharge planning process of a local community hospital utilizing evidence-based research (EBR) with the intent to increase patient satisfaction scores in care transitions to above 65% within 3 months.

The community hospital is a 122-bed acute …

Exploring Reproductive Oppression Among Undocumented Immigrants In Texas, Darci Phillips

Master's Projects and Capstones

Abstract

Reproductive rights (RR) have been defined as all individuals and couples having the basic right to “decide freely and responsibly the number and spacing of their children and to have the information, education and means to do so” (United Nations Population Division, n.d.). Reproductive justice (RJ) was born from combining reproductive rights with social justice (Ross & Solinger, 2017, p. 9) and goes beyond RR by placing a greater emphasis on access. Access takes other factors into consideration such as the disproportionate number of women of color who cannot afford abortion care or are unable to travel long distances …

Amplification Of Legal Advocacy: Public Health Approaches To Releasing Immigrant Detainees At The Otay Mesa Detention Center, San Diego, California, United States, Kaylin Rosal

Master's Projects and Capstones

This paper reviews the current health practices of Immigration and Customs Enforcement (ICE) detention centers, focusing on asylum seekers housed at Otay Mesa Detention Center (OMDC) located in San Diego, California, United States. Many asylum seekers, or foreign nationals who have been confirmed to have a credible fear of persecution in their home countries, regardless of how they enter the United States, are placed into Federal Immigration and Customs Enforcement detention centers. Two avenues for the release of detainees while they wait for their asylum cases to be heard by an immigration judge are bond and parole applications, the basis …

From Team Huddle To Team Cuddle: Rekindling Caring, Self-Compassion, And Joy In Work!, Amerizza Quemada

Master's Projects and Capstones

Problem: The healthcare industry suffers from a high level of burnout and unhealthy work environments, which has been heightened by the COVID-19 pandemic. The consequences of burnout may be expressed in both individuals and teams as a lack of caring, disengagement, incivility, and staff turnover.

Context: One department in an integrated healthcare organization displayed a pattern of annual low employee engagement scores and alleged workplace bullying. Team members also observed that employees failed to speak up when experiencing incivility. The Clinical Nurse Leader (CNL) student determined that an improvement initiative was needed to create a culture of caring to improve …

An Evaluation Of Adolescent Concussion Management And Guidelines By Primary Care Providers In The Outpatient Setting: Dnp Scholarly Project, Mary Beth Newkirk

Doctor of Nursing Practice Scholarly Project

Understanding the pathology of a concussion has been a challenging task for many experts in healthcare. An agreed upon definition has yet to be developed and many health care providers are not properly educated to assess and care for those suffering from a concussion. Management of concussion in adolescents, a vulnerable population, requires even more consideration and training. The purpose of this study was to determine the knowledge current providers in the four-state region regarding sport-related concussion management in the adolescent population, to improve patient care and outcomes, and to improve knowledge learned through exposure to a clinical practice guideline-based, …

Evaluation Of A Fall Prevention Program For Older Adults In A Rural Community, Candice Morris

Doctor of Nursing Practice Scholarly Project

This project set out to evaluate fall prevention interventions for older adults in a rural community. A literature review was performed to identify evidence-based fall prevention programs that could be modified to meet the needs of the community. Stopping Elderly Accidents, Deaths, and Injuries (STEADI), the Otago Exercise Program, and Stepping On were selected as the most appropriate fit for the needs of this project. The researcher combined and modified the programs in order to bring the intervention to participants in the community. The modified fall prevention intervention successfully reduced key fall risk factors in the participants that completed the …

Mtsun, Llc V. Mont. Dep't Of Pub. Serv. Regulation, Ryan W. Frank

Public Land & Resources Law Review

MTSUN, LLC initiated negotiations for a power purchase agreement with NorthWestern Energy in September of 2015 for a potential solar energy facility in eastern Montana. In December of 2016, at an impasse in contract negotiations with NorthWestern, MTSUN filed a petition with the Montana Public Service Commission requesting that the agency exercise its statutory authority to set the terms of the contract for the proposed project. Following MTSUN’s petition, the PSC issued a series of orders and reconsiderations which ultimately reconfigured the entirety of the agreement, including the terms that the parties had previously agreed upon. After exhausting its administrative …

Policy Library- 145 Constitution Of The Faculty Of Indiana State University, Indiana State University. General Counsel

Policy Library

No abstract provided.

Alumna Combines Her Talents With Graphic Design Degree To Publish Magazine, Office Of University Communications

Gardner-Webb NewsCenter Archive

“Sit still, my daughter.” These words from Ruth 3:18 are a constant source of encouragement to Sarah Schurman, a 2019 alumna of Gardner-Webb University. Through life’s chaotic times, this phrase from the Old Testament reminds her to stay calm and trust God.