#Leadershipaccelerated: A Coach Mindset Focused Leadership Development Program, Diane Rindlisbacher

Doctor of Nursing Practice (DNP) Projects

Problem: Developing leaders to lead in environments that are dynamic, complex, and ambiguous is an area of focus for healthcare leaders. How leaders lead and how organizations develop leaders is tied to the outcomes they achieve (Development Dimensions International [DDI], 2019; Moldoveanu & Narayandas, 2019; Till, Dutta, & McKimm, 2016). To create a climate of trust and safety where teams succeed requires leaders to embed key attributes and competencies into their day-to-day work.

Context: A leader’s ability to create a climate of trust and safety and to adopt and apply a coach mindset to their work is intended to help …

Illicit Substance Use In Acute Care Hospitals: Creating A Safe Environment, Christina Sanford

Doctor of Nursing Practice (DNP) Projects

Problem: In January 2019, a medium-sized acute care hospital in Northern California reported new safety concerns related to patients using illicit substances in the hospital.

Context: Leaving the hospital AMA is an increasing problem in acute care hospitals among patients who use illicit substances, with a rate of 25% to 30% (Ti & Ti, 2015). Grewal et al. (2015) conducted a study of over 1,000 illicit substance users who had experienced a hospitalization, where 43.9% reported use of illicit substances while in the hospital.

Intervention: The project was the creation, implementation, testing, and evaluation of multiple interventions to improve …

Application Of Sustainability Framework For Quality Improvement In An Integrated Health System, Cristine Lacerna

Doctor of Nursing Practice (DNP) Projects

Problem: Sustaining improvement in quality and patient safety is a critical challenge confronting healthcare today (Lennox, Maher & Reed, 2018). Failure to sustain the gains achieved with the improvement and results in harmful patient outcomes, wasted resources, and impact future improvement work (Lennox et al., 2018). Context: To address this challenge, the organization for this DNP project was a large, integrated healthcare system with 21 medical centers in Northern California with a redesigned a regional quality program to focus primarily on supporting the sustainability of patient safety initiatives that have been successfully implemented and spread. Interventions: Two frameworks from the …

Implementing Virtual Sitters To Reduce Falls And Sitter Costs, Asia Quovadis Williams Plahar

Doctor of Nursing Practice (DNP) Projects

The setting for this DNP project was a 326-bed, suburban hospital in Northern California that was facing challenges with preventing falls with injury and rising sitter costs. Between May 2018 and June 2019, there were four sentinel events related to falls with significant injuries. This hospital was financially impacted by the growing cost of the expanding sitter program caused by the rising elderly patient population, with demographics requiring one-to-one, in-person sitters to observe them visually. There is ample research demonstrating the utility of video monitoring systems to improve patient safety by reducing falls, enhancing staff safety by reducing workplace injuries …

Workplace Violence: An Urgent Call For Integrated Staff Education In Acute Care Hospitals, Nicole Bellisario

Doctor of Nursing Practice (DNP) Projects

Problem: Type II workplace violence (WPV) in acute care hospital settings has become an epidemic of costly proportions in the United States. Regulatory mandates and healthcare accreditation standards increasingly require healthcare employers to provide a safe and healthy healing environment for patients and a safe work environment for staff. Implementation of a comprehensive WPV prevention program depends largely on organizational culture, participation and commitment from key stakeholders, and readiness for change.

Context: The patient-clinician relationship has drawn urgent attention, as healthcare organizations around the world implement key components of WPV prevention programs. The clinical management of patient aggression …

Large Global Variations In Measured Airborne Metal Concentrations Driven By Anthropogenic Sources, Jacob Mcneill, Randal V. Martin, Nofel Lagrosas, 35 Co-Authors

SOSE Affiliate: Manila Observatory

Globally consistent measurements of airborne metal concentrations in fine particulate matter (PM_2.5) are important for understanding potential health impacts, prioritizing air pollution mitigation strategies, and enabling global chemical transport model development. PM_2.5 filter samples (N ~ 800 from 19 locations) collected from a globally distributed surface particulate matter sampling network (SPARTAN) between January 2013 and April 2019 were analyzed for particulate mass and trace metals content. Metal concentrations exhibited pronounced spatial variation, primarily driven by anthropogenic activities. PM_2.5 levels of lead, arsenic, chromium, and zinc were significantly enriched at some locations by factors of 100–3000 compared …

An Online Self-Directed Learning Module For Regional Stroke Survey Success, Winchell Rodriguez Kuttner

Doctor of Nursing Practice (DNP) Projects

The lack of a standardized education for stroke coordinators focusing on The Joint Commission (TJC) standards and requirements in preparation for the stroke program disease-specific care (DSC) certification survey every two years has led to undue added stress prior to survey. The development of tools and resources has been identified to address the current educational gap in stroke coordinator orientation. This project addressed the gap by creating an online, self-directed learning module to assist the stroke coordinators in knowledge acquisition of the stroke standards and requirements.

A stroke coordinator plays a critical role in stroke care delivery. An educational module …

Using Simulation For Oncology Nursing Competency Evaluation In Hospitals, Dana Littlepge

Doctor of Nursing Practice (DNP) Projects

Problem Oncologic patients requiring acute nursing care are usually admitted to the designated oncologic medical surgical nursing unit, these care settings often have low admission volumes of oncologic patients that require chemotherapy and or post-therapy care (Muehlbauer, Parr, & Perkins, 2013). Nurses in these environments have reported decreased professional confidence and not feeling safe enough to administer chemotherapy, monitor, and care for cancer patients (Muehlbauer, Parr, & Perkins, 2013).

Context: The current education structure for many hospitals in an integrated healthcare system, does not consistently provide all the components needed for an onsite oncologic nursing competency validation program. Developing a …

A Noninvasive Genetic Technique Using Guano For Identification Of Corynorhinus Townsendii (Townsend’S Big-Eared Bat) Maternity Roosts, Kelly E. Williams, Richard E. Sherwin, Kaci K. Vandalen, Antoinette J. Piaggio

Western North American Naturalist

The use of DNA from fecal samples can allow for a better understanding of the ecology of a species without capturing and handling the animals. This is particularly useful for cryptic and elusive animals, such as bats. Being able to identify critical habitat, such as maternity roosts, for bat species in areas where they depend on abandoned mines that could be slated for closure is necessary to enact appropriate protections for such roosts. In particular, Corynorhinus townsendii commonly uses abandoned mines for maternity roosts. Further, maternity roosts are difficult to identify through visual surveys when only one or a few …

Late Quaternary Voles From Persistence Cave, Black Hills, South Dakota, Christopher N. Jass, Jim I. Mead, Sandra L. Swift

Western North American Naturalist

Excavations at Persistence Cave (Black Hills, SD), produced a large sample of Quaternary microfauna including a diverse assemblage of arvicoline rodents. Identifiable lower first molars (n = 367) include specimens referred to heather vole (Phenacomys sp.), muskrat (Ondatra sp.), southern bog lemming (Synaptomys cooperi), red-backed vole (Myodes sp.), sagebrush vole (Lemmiscus curtatus), prairie vole (Microtus ochrogaster), and a form of meadow vole (Microtus sp.). Direct radiocarbon dating of specimens of Lemmiscus curtatus is consistent with previous records from the Nelson–Wittenberg Site and indicates that sagebrush voles inhabited …

Kenyon Collegiate - December 11, 2020

Kenyon Collegiate

No abstract provided.

Bringing Batavia Armory Building Back To Life – Community Center Adaptive Reuse Design, Jiangcheng Li

Theses

Built in 1963 and situated on a 4.6-acre lot in the City of Batavia, the Batavia Armory once housed tank battalions A and B of the Genesee National Guard, but has now remained vacant for decades. Instead of demolishing the armory buildings, providing them with a new role could alleviate the environmental impact, reduce construction time, and lower the cost of investment. At the same time, new features could be brought into the existing building from aesthetic and functional perspectives, and be beneficial to the community. Currently, we are facing the COVID-19 pandemic, and the virus impacts our lives and …

Global Hypermethylation Of Intestinal Epithelial Cells Is A Hallmark Feature Of Neonatal Surgical Necrotizing Enterocolitis, Misty Good, Tianjiao Chu, Patricia Shaw, Lora Mcclain, Austin Chamberlain, Carlos Castro, Jamie M Rimer, Belgacem Mihi, Qingqing Gong, Lila S Nolan, Krista Cooksey, Laura Linneman, Pranjal Agrawal, David N Finegold, David Peters

2020-Current year OA Pubs

BACKGROUND: Necrotizing enterocolitis (NEC) remains one of the overall leading causes of death in premature infants, and the pathogenesis is unpredictable and not well characterized. The aim of our study was to determine the molecular phenotype of NEC via transcriptomic and epithelial cell-specific epigenomic analysis, with a specific focus on DNA methylation.

METHODS: Using laser capture microdissection, epithelial cell-specific methylation signatures were characterized by whole-genome bisulfite sequencing of ileal and colonic samples at the time of surgery for NEC and after NEC had healed at reanastomosis (n = 40). RNA sequencing was also performed to determine the transcriptomic profile of …

Evaluating The Implementation Of The Switch® School Wellness Intervention And Capacity-Building Process Through Multiple Methods, Gabriella M Mcloughlin, Priscila Candal, Spyridoula Vazou, Joey A Lee, David A Dzewaltowski, Richard R Rosenkranz, Lorraine Lanningham-Foster, Douglas A Gentile, Laura Liechty, Senlin Chen, Gregory J Welk

2020-Current year OA Pubs

BACKGROUND: School wellness programming is important for promoting healthy lifestyles and academic achievement in youth; however, research is needed on methods that can help schools implement and sustain such programs on their own. The purpose of this study was to investigate factors within and outside the school environment that influenced school capacity for implementation and potential sustainability of wellness programming.

METHODS: As part of the School Wellness Integration Targeting Child Health (SWITCH®) intervention, elementary school wellness teams (N = 30) were guided through a capacity-building process focused on promoting the adoption of healthy lifestyle behaviors in students. Data on implementation …

An Innovative Approach Using Virtual Sitter Video Monitoring For Fall Reduction In The Medical-Surgical Microsystem, Roman Kutu

Master's Projects and Capstones

Abstract

Problem: Although many fall prevention protocols have been utilized across hospital settings, the patient fall rate in one acute care medical-surgical microsystem continues to be a significant safety problem. Despite many safety precautions, including external bed and chair alarms, twelve falls were recorded in 2019, and fifteen falls occurred in this unit's 2020 fiscal year.

Context: Despite identifying risk factors for falls and employing several fall prevention protocols, patient falls are the most common adverse and challenging patient safety event for hospitals. One of the most common interventions to reduce falls has been the utilization of in-person sitters; …

Board Of Trustees Minutes, December 11, 2020, Coastal Carolina University

Board of Trustees Meeting Minutes

No abstract provided.

Does Change In Binge Drinking Reduce Risk Of Repeat Sexual Assault Victimization? Evidence From Three Cohorts Of Freshman Undergraduate Women, Leah C. Butler, Bonnie S. Fisher, Bradford W. Reyns

Criminology and Criminal Justice Faculty Publications

Many college students who experience sexual assault experience subsequent (i.e., repeat) sexual assault incidents. There is also an established relationship between sexual assault and binge drinking. The “once bitten, twice shy” (OBTS) hypothesis suggests that those who experience alcohol- or drugrelated (AOD) sexual assault would reduce how frequently they binge drink in an effort to avoid repeat victimization. We test this hypothesis by analyzing two years of survey data collected from a panel of three cohorts of freshmen women. Supportive of OBTS, our analyses reveal that students who experienced an AOD-related sexual assault at time 1 only reduced the number …

The Impact Of Gratitude On Body Image, Exercise, And Eating Behaviors, Alisha M. Wenger

Doctor of Psychology (PsyD)

Individuals with higher body dissatisfaction have higher disordered eating, excessive exercise, mental health concerns, and lower self-esteem. Gratitude interventions have been used to decrease body shame (objectified body consciousness), body dissatisfaction and increase positive body image. Gratitude interventions have primarily focused on changing state gratitude, leading to quick short changes. Individuals with long term, trait gratitude may have lower levels of excessive exercise, disordered eating, and a more positive body image. The current research is focused on better understanding the relationship between trait gratitude, body image, excessive exercise and disordered eating. In total 268 students from a university lifelong fitness …

Translating Evidence-Based Guidelines Into Practice—Are We Getting It Right? A Multi-Centre Prospective International Audit Of Nutrition Care In Patients With Foregut Tumors (Inform), Merran Findlay, Judith D. Bauer, Rupinder Dhaliwal, Marian De Van Der Schueren, Alessandro Laviano, Adrianne Widaman, Lisa Martin, Andrew G. Day, Leah M. Gramlich

Faculty Research, Scholarly, and Creative Activity

Malnutrition is highly prevalent in patients with foregut tumors comprising head and neck (HNC) and esophageal (EC) cancers, negatively impacting outcomes. International evidence-based guidelines (EBGs) for nutrition care exist; however, translation of research evidence into practice commonly presents considerable challenges and consequently lags. This study aimed to describe and evaluate current international nutrition care practices compared with the best-available evidence for patients with foregut tumors who are at high risk of malnutrition. A multi-centre prospective cohort study enrolled 170 patients commencing treatment of curative intent for HNC (n = 119) or EC (n = 51) in 11 cancer …

Disentangling Devries: A Manufacturer’S Duty To Warn Against The Dangers Of Third-Party Products, David Judd

Louisiana Law Review

The article discusses the ruling by the U.S. Supreme Court in the case Air and Liquid Systems Corp. v. DeVries to examine issues on the product manufacturers' duty to warn against the dangers of third-party products.

Confronting The Bias Dichotomy In Jury Selection, Brooks Holland

Louisiana Law Review

The article examines the intractable dichotomy of bias in jury selection in the U.S. and some tips on how to resolve bias like the elimination of peremptory challenges.

Board Of Trustees Meeting Minutes, December 11, 2020

Board of Trustees Minutes

Minutes from the Wright State University Board of Trustees Meeting held on December 11, 2020

Minority Student Food Insecurity In Higher Education, Joe Sevillano

Master's Theses

The minority student population in higher education has been affected by food insecurity at a disproportionate rate. Several studies have captured some of the issues associated with the material deficit but fail to identify more in-depth contributing factors. Using the theoretical framework of intersectionality, the researcher examines the experience, interpretation, and navigation of food insecurity in a medium-sized university located in a major city on the west coast. The researcher interviewed three students that self-identified as having multiple minority identities and experiencing some level of food insecurity while pursuing a degree. Findings from three rounds of interviews gave further context …

Effects Of Eye Imagery On Criminal Justice And Forensic Students Cheating In Online Testing, Kortni Larue

Theses

Crime Prevention Through Environmental Design (CPTED) is a well-established subsection of environmental criminology in which aspects of the environment are altered in order to prevent crimes before they happen. This is primarily accomplished in two ways: physical and psychological. CPTED strategies often utilize both in order to prevent crime, but there is a lack of primarily psychologically based research in circulation. This includes the manipulation of the biopsychological response to gaze detection in order to increase prosocial behavior. Additionally, there is a lack of studies indicating if CPTED strategies are effective in a classroom setting and even less concerning online …

Judges Behaving Badly . . . Then Slinking Away, Maureen Carroll

Reviews

A federal judge is accused of misconduct and an investigation begins. Before the investigation has concluded, though, the judge leaves her post. What happens next? Does it create an accountability gap, and if so, how much should that concern us? These are the questions that Veronica Root Martinez takes up in Avoiding Judicial Discipline.

To Impute Or Not To Impute: Independent Insurance Adjuster Liability In Louisiana, Braxton A. Duhon

Louisiana Law Review

The article discusses issues on the imputation of independent insurance adjuster liability to insurers in Louisiana and the possible legislative and judicial remedies to resolve the ambiguities in state law.

An Unbroken Thread: African American Exclusion From Jury Service, Past And Present, Alexis Hoag

Louisiana Law Review

The article examines the historical exclusion and contemporary underrepresentation of African Americans from jury service in the U.S. as of October 2020, and proposes legal and policy solutions to increase their representation in jury pools.

Is The #Metoo Movement For Real? Implications For Jurors’Biases In Sexual Assault Cases, Mary Graw Leary

Louisiana Law Review

The article discusses the emerging research on the #MeToo movement and its possible effects on the population of potential jurors in the U.S., particularly in sexual assault cases.

The Surprising Views Of Montesquieu And Tocqueville About Juries: Juries Empower Judges, Renée Lettow Lerner

Louisiana Law Review

Both Montesquieu and Tocqueville thought that an independent judiciary was key to maintaining a moderate government of ordered liberty. But judicial power should not be exercised too openly, or the people would view judges as tyrannical. In Montesquieu's and Tocqueville's view, the jury was an excellent mask for the power of judges. Both Montesquieu and Tocqueville thought that popular juries had many weaknesses in deciding cases. But, as Tocqueville made clear, the firm guidance of the judge in instructions on law and comments on evidence could prevent juries from going astray and make the institution a "free school" for democracy. …

Reasons For The Disappearing Jury Trial: Perspectives From Attorneys And Judges, Shari Seidman Diamond, Jessica M. Salerno

Louisiana Law Review

The article discusses the results of a national survey of U.S. attorneys and judges on the possible reasons behind the disappearing jury trials in the country and the potential system effects on the decline of jury trials.