Digital Commons Network^™

Mindfulness-Based Intervention Program For Nurses, Monica Savage

MSN Capstone Projects

Currently, in most health care facilities across the country, they are experiencing a shortage of nurses. Nurses are taking on heavy loads of patients that are only getting sicker. Many nurses are experiencing symptoms of burnout such as depression and anxiety. Many are also contemplating leaving the bedside because they are unable to cope with the stress they are experiencing.

Although most organizations have employee assistance programs for support, they are not being utilized. Implementing a mindfulness-based program will give nurses the tools they need at a moment’s notice when they need it. Giving nurses the tool to properly take …

Home Blood Pressure Monitoring, Bethany N. Hughes

MSN Capstone Projects

Hypertension is prevalent worldwide and is responsible for nine million deaths annually. Despite its prevalence, a majority of patients go unmanaged or undiagnosed (Kitt et al., 2019). Health complications of hypertension can be life-altering and life-threatening; therefore, if changes are not made to improve community hypertension control rates, worsened population health and financial burden on health systems may persist. Would you believe that an effective tool exists and has been endorsed worldwide to combat hypertension, yet it is not used consistently in practice? Furthermore, can you imagine this specific tool is easy to operate, cheap, and recruits patient involvement in …

Utilizing Simulation To Enhance The Medical Emergency Response Team In Schools, Jennifer Gaskill

MSN Capstone Projects

Modern technology and health care advancements have significantly affected the patient populations encountered across numerous health care and public settings. One such setting is the school systems within the United States where students and staff with complex cardiovascular conditions, who were once restricted due to medical concerns and associated risks, are now actively learning and working among their peers. Though these conditions are typically managed well in this population, their risk of sudden cardiac arrest (SCA) remains, and schools must be equipped and prepared to respond to such emergencies. Many buildings have developed Medical Emergency Response Teams (MERTs) intended to …

Burnout And Fatigue: A Potential Downside Of The Critical Care Nursing Profession, Samantha L. Ford

MSN Capstone Projects

Studies show that burnout and fatigue increase healthcare cost and decreases organizational profit due to increased rates of employee turnover, decreased employee satisfaction, a decrease in the quality of care provided to patients, and the development of a toxic work environment. The three principal factors of job-related burnout and fatigue will be addressed within the context of this paper including emotional exhaustion, depersonalization, and personal accomplishment.

Critical care nurses suffer from feeling emotionally depleted to the point they feel as though they can no longer give anymore of themselves to the patients they care for, which is a result of …

Comparison Of Education Styles For Nursing Students: Team-Based Learning Versus Traditional Lecture, Hannah Gean

MSN Capstone Projects

Nursing graduates are coming into the workforce still lacking in important areas. Nurses need to have cultivated leadership, communication, and satisfaction skills before they start their first job. For this to occur, nursing students need to be prepared with these qualities while they are still in school. It is important for students to not only learn healthcare knowledge but to have practical skills in a variety of areas. When students learn through the traditional lecture method, it is not always possible to assess and support their learning in leadership, communication, and satisfaction. To ensure that students are receiving these values …

Opioid Education Program, Cynthia De Atley

MSN Capstone Projects

Pain management has become a challenging field both for the patients, their families, and providers. The rise of the opioid crisis has made the availability of opioids limited, even for those patients who truly need the life changing medications. Nurses, physicians, and administrators play a vital role in patient education and the education regarding the importance of using opioids safely. Lack of patient education regarding the use, misuse, and side effects of opioids can lead to potential injuries, overdose, and even death.

Providing patients with an educational program would greatly decrease their risk of misuse and abuse of opioids. During …

Pain And Sedation Scales In The Pediatric Intensive Care Unit, Marsha K. Triana

MSN Capstone Projects

In the pediatric Intensive Care Unit (PICU) there is a need for analgesia and sedation to reduce pain and discomfort, allow for interventions, optimize ventilation, decrease the amount of time in the PICU, and improve outcomes including the time after discharge. Adequate management of sedation and pain is the key to healing, duration of hospitalization, as well as a decrease in mortality rates. It is essential to have adequate pain control to maintain healing and stress reduction. Over sedation with mechanically ventilated children in the PICU can have significant complications. Complications include withdrawal, risk for infection and increased the amount …

The Relationship Between Early Discharge Planning And Length Of Stay, Kandiss Hearn

MSN Capstone Projects

Discharge planning (DCP) and early discharge intervention has proven to have a direct effect on reducing hospital length of stay (LOS), reducing readmissions, reducing patient morbidity, improving patient satisfaction and possibly reducing patient healthcare cost. This proposal specifically addresses hospital length of stay but with research it was found that early DCP also has the potential to improve outcomes in several areas adjacent to both the patient aspect and business aspect of health care. The proposed question is as follows: In adult hospitalized patients (P), how does discharge planning within the first 24 hours of admission (I) compared to late …

Medication Error Prevention Strategies, Shana L. Brown

MSN Capstone Projects

The fundamental purpose of every healthcare organization is to enhance patient quality of life through the provision of superior healthcare to produce the best patient outcomes. In the pre-hospital practice setting of helicopter emergency medical service (HEMS) the desire of system leaders and medical staff is to be primarily patient-centered, focused on the safety and wellbeing of patients while at the same time managing the business finances and budget of the organization. Maintaining a healthy environment with safe patient practices is the responsibility of organization administrators, physicians, nurses, paramedics, and all healthcare providers.

One of the primary duties that healthcare …

New Graduate Nurse Satisfaction After Completion Of Nurse Residency Program, Jessica Andrews

MSN Capstone Projects

Transitioning from novice nurse to competent nurse can come with a great amount of stress, anxiety, and apprehension. Many new nurses feel inadequate and leave their first nursing job within one year for various reasons. Research has indicated that new nurse graduates who complete a nurse residency program (NRP) have a better sense of knowledge, critical thinking skills, and sense of belonging. Whereas nurses who do not complete a residency program often feel insufficient and are less prepared.

Although there are various types of general orientation programs available, it is important to educate new graduates on the advantages and significance …

Early Screening Of Postpartum Depression, Mary Ramirez

MSN Capstone Projects

Postpartum depression (PPD) is the most common pregnancy-related complication affecting over half-million mothers each year in the United States and only 50% of these women seek treatment or even receive a mental health evaluation (American College of Obstetrics and Gynecology, 2015; Horowitz & Goodman, 2004). Failure to detect or diagnose PPD can have serious consequences for both mom and baby. Nurses play a key role in discharge teaching and education, which puts them in the perfect position to ensure that adequate referrals are coordinated and to stress the importance of follow-up care to new mothers (Logsdon et al., 2018). Current …

The Clinically Aligned Pain Assessment Tool (Capa) Evidenced-Based Change Project- Benchmark Study, Mary Vitullo

MSN Capstone Projects

Pain is one of the main reasons people seek medical treatment in the United States (National Institutes of Health, 2017). Frequently, pain is inappropriately managed leading to negative patient outcomes that lead to prolonged discharge time that increases hospital costs (Trzeciak et al., 2018). This is due to improper assessment of pain which leads to challenges in pain management interventions, ultimately decreasing patient safety and satisfaction. By nature, pain reporting by patients is subjective. Various scales are utilized in the hospital setting, but these assessment scales only reflect pain intensity and are unidimensional, as opposed to pain experience and multidimensional …

Pregabalin-Induced Myopathy In A Double Lung Transplant Recipient, Vishwajit Hegde, Nidhi Shekar, Filip G. Garrett, Maher A. Baz, Michael I. Anstead

Internal Medicine Faculty Publications

Pregabalin is a gamma-aminobutyric acid (GABA) derivative that was commercially approved by the Food and Drug Administration (FDA) in 2004. It is commonly used in the treatment of diabetic neuropathy, peripheral neuropathy, and spinal cord injury. We present the case of a 36-year-old Caucasian male double lung transplant recipient who presented with an 18-month history of fatigue and muscle weakness. He had elevated creatinine kinase level and his muscle biopsy showed evidence of drug-induced myopathy that improved after the cessation of pregabalin. We present a case of drug-induced myopathy as a rare complication of pregabalin therapy in a double lung …

Boiling Heat Transfer For Aqueous Surfactants Solutions On Flat Surface., Hesham Mostafa

Mansoura Engineering Journal

Experimental study for boiling heat transfer over a flat surface was achieved by using aqueous surfactants solutions and compared wi1h pure water. An experimental lest loop equipped with the required measuring devices was designed and constructed to assess the effects of surfactants type , concentration of aqueous surfactants solutions, and the applied heat flux on the boiling heat transfer process. The tested surfactants are Polyvinyl Alcohol (nonionic surfactant) and Sodium Laury] Sulfate (anionic surfactant). Concentrations of aqueous surfactant solutions varied in this work from zero up to 3000 ppm and the applied heat flux from 15300 to 31230 W/m2. The …

Fit For The Stage: The Function Of A Pre-Performance Warm-Up Routine For College Theatre Students, Emily Sullins

Senior Honors Theses

College theatre programs require students to perform in stage productions that demand a high level of stamina, endurance, strength, and flexibility. This level of athleticism makes injury rates more prevalent with one dance study documenting a 74% injury rate among participants (Chmelar et al., 1987, as cited in Malkogeorgos et al., 2011). In sports programs, warm-up protocols are utilized as injury prevention techniques. Due to the physical demands on college performers, a specific warm-up routine should be designed and implemented for each production. A properly conceived warm-up will include aerobic exercise, dynamic stretching, and movement patterns resembling those in the …

Application Of A Small Unmanned Aerial System To Measure Ammonia Emissions From A Pilot Amine-Co2 Capture System, Travis J. Schuyler, Bradley Irvin, Keemia Abad, Jesse G. Thompson, Kunlei Liu, Marcelo I. Guzman

Chemistry Faculty Publications

The quantification of atmospheric gases with small unmanned aerial systems (sUAS) is expanding the ability to safely perform environmental monitoring tasks and quickly evaluate the impact of technologies. In this work, a calibrated sUAS is used to quantify the emissions of ammonia (NH₃) gas from the exit stack a 0.1 MWth pilot-scale carbon capture system (CCS) employing a 5 M monoethanolamine (MEA) solvent to scrub CO₂ from coal combustion flue gas. A comparison of the results using the sUAS against the ion chromatography technique with the EPA CTM-027 method for the standard emission sampling of NH_{3 …}

De-Mystifying The “Mixifusor”, Anthony R. Absalom, Ann E. Rigby-Jones, Andrew R. Rushton, J. Robert Sneyd

Peninsula Medical School

Total intravenous anesthesia (TIVA) using a mixture of propofol and remifentanil in the same syringe has become an accepted technique in Pediatric Anesthesia. A survey by a group of respected UK anesthetists demonstrated a low incidence of serious complications, related to the pharmacology and dose of the drugs. However, a current guideline for the safe use of TIVA recommends against this practice. Pharmaceutical concerns include the physical stability of the emulsion when remifentanil is mixed with propofol; changes in drug concentration over time; nonuniform mixing of propofol and remifentanil; the risk of bacterial contamination; and the potential for drug administration …

Quantitative Description Of The Pastoral Economy Of Western Tuvan Nomads, Paul L. Hooper

ESI Publications

Nomadic pastoralism persists at a substantial scale in Tuva and neighboring regions of Inner Asia. Tuvan pastoral lifeways reflect adaptations to both local environments and current economic realities. Much of our quantitative understanding of the economics of Tuvan nomads is derived from data collected in the first half of the 20th century. Accordingly, this paper provides an updated picture of the inner workings of nomadic households using data collected in Barun-Khemchik and Bai-Taiga provinces in 2013–2015. It analyzes herd composition and size, and compares the frequency of different animals kept today with values recorded in Tuva in 1916 and 1931. …

A Case Study: School Professionals’ Perspectives On Students Exiting Middle School Entering An Achievement High School, Joy Davis Lee

USF Tampa Graduate Theses and Dissertations

Each year approximately 1.3 million students dropout of high school and an estimated 40% of minority students do not graduate on time (Roybal, Thornton, & Usinger, 2014). In high school, 22% of students repeat 9th-grade classes because students fail to make a smooth transition. This gives the 9th-grade the highest enrollment rate and the highest dropout rate (McCallumore & Sparapani, 2010). In an effort to increase high school graduation rates, the Peabody County Public School District created Achievement schools, an initiative to recruit highly effective administrators, teachers and staff members to support students with the highest academic and nonacademic needs. …

Clinical Prediction Of Coronavirus Disease-2019: How Accurate Can One Be?, Gabriel Aisenberg, Kevin O Hwang

Faculty, Staff and Student Publications

Background Some models based on clinical information have been reported to predict which patients have Coronavirus Disease-2019 (COVID-19) pneumonia but have failed so far to yield reliable results. We aimed to determine if physicians were able to accurately predict which patients, as described in clinical vignettes, had, or did not have this infection using their clinical acumen and epidemiological data. Methods Of 1177 patients under investigation for COVID-19 admitted, we selected 20 and presented them in a vignette form. We surveyed physicians from different levels of training (

Decision In Art. 78 Proceeding - Stokes, Robert (2014-06-09)

Decisions in Art. 78 Proceedings

No abstract provided.

"Keeping Up With My Education Through Covid", Anonymous

Separated from the Pack: The CSUSB/COVID-19 Digital Collection

Student generated description: “These are diaries created about ways that covid affected my education and a reflection of me looking back on it."

"Covid Archive", Anonymous

Separated from the Pack: The CSUSB/COVID-19 Digital Collection

Student generated description: “A document on 20 things I have learned about my 20 year old self in 2020."

"Covid-19 Chronicle Project", Rebecca Hernandez

Separated from the Pack: The CSUSB/COVID-19 Digital Collection

Student generated description: “This project highlights 2020, how the year was impacted by the Covid-19. The project not only goes through important details of the virus but also how the pandemic impacted my family and the world around us."

"Covid-19 Archive Project", Koraima Navarrete

Separated from the Pack: The CSUSB/COVID-19 Digital Collection

Student generated description: “I am using a powerpoint slide on what I have done every month since Covid-19."

There And Back Again: An Educator's Journey, Chrysta Wilson

Master of Arts in English Plan II Graduate Projects

This portfolio includes two research projects, one seminar paper, and one pedagogical project that demonstrate the author's diverse course experiences and growth as a writer and as an educator in the Professional Writing and Rhetoric specialization.

2020-12-05_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Ua94/6/1 Covid-19 Diary, Michaela Snyder

Student/Alumni Personal Papers

COVID-19 diary submitted to WKU Archives by student Michaela Snyder for fall 2020 semester.

2020-12-05_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

Heart Failure 30-Day Readmission Frequency, Rates, And Hf Classification, Yolanda R. Brown, Twonia M. Goyer, Margaret C. Harvey

Doctor of Nursing Practice Projects

30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure

Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who …