Digital Commons Network^™

Postcard: Hand Written Message Regarding Employment

Tim Johnson Postcard Collection

This black and white printed postcard contains correspondence from one man to another regarding potential employment. Handwriting is on the front and the back of the card.

Postcard: Nursing Station At Baylor University Hospital In Dallas, Texas

Tim Johnson Postcard Collection

This color photographic postcard features a nursing station. A receptionist sits at a wrap around desk with glass partitions on top. She is wearing a blue stripped shirt and glasses. There are flower arrangements on each side of her. Two nurses behind the receptionist face each other at their desks. The left nurse is sitting and the nurse on the right is standing. There are cabinets on the right side of the room and a doorway. There is a doorway in the background leading to another room.

Media, National Development And Democracy, Muktari Magaji

Archived Theses and Dissertations

No abstract provided.

Building Assistive Technology (At) Competency In Academic Librarians: Perceptions Of Library Personnel And Students With Visual Impairments From Three Zimbabwean Universities, Jonathan Munyoro, Takawira Machimbidza, Stephen Mutula

Library Philosophy and Practice (e-journal)

This qualitative study reflects on the perceptions of library professionals and students living with visual impairments from three Zimbabwean universities about the need for and ways of creating Assistive Technology (AT) competency in academic librarians. Some of the measures that may be used to increase the AT competencies of academic librarians are discussed. Semi-structured interviews were used to collect data from 19 participants comprising 13 library personnel and six students living with visual impairments. The study highlights important types of AT for individuals living with visual impairments, emphasises the importance of competencies in AT for academic librarians and suggest appropriate …

The Attitude Of Undergraduate Students Towards Plagiarism: The Case Of Bindura University Of Science Education., Stephen Tsekea, Joyce Zivanai, Innocent Madziko

Library Philosophy and Practice (e-journal)

The extent of plagiarism has been rising globally and many universities are trying hard to eradicate this practice. The challenge is being exacerbated by the availability of information due to technological advancements such as the Internet. Researchers and students become exposed to too much information but sometimes disregard the copyright and intellectual issues surrounding use of such. This exposure has contributed to the rise in plagiarism. Students at universities have had difficulties in understanding plagiarism and avoiding it. While most effort has been on designing detection tools and punitive measures, there has been little research on why students practice plagiarism …

Grounded Leadership: Exploring Health And Wellness Strategies Of Exemplary Field Grade Commanders In The California Army National Guard, Christopher G. Schoenwandt

Dissertations

Purpose. The purpose of this explanatory mixed methods study was to identify and describe what exemplary field grade commanders in the California Army National Guard (CA ARNG) do to maintain their physical, emotional, intellectual, social, vocational, and spiritual health.

Methodology. This study used a mixed methods approach relying on the collection of data to provide for a more flexible platform to triangulate multiple data sources and increase the validity of the study’s findings. The study used a quantitative survey to examine how exemplary field grade commanders in the CA ARNG rated their use of grounded leadership strategies combined with follow-on …

Improving Teaching Ict Using Cognitive Competence In Primary Education, Jasur Amirddinovich Mardonkulov

Central Asian Journal of Education

Human society is unthinkable outside of communication. Communication is a necessary condition for the existence of people, without which it is impossible to fully form not only individual mental functions, processes and properties of a person, but also the personality as a whole. The reality and necessity of communication is determined by joint activity: in order to live, people are forced to interact. Always an active person communicates, whose activities intersect with the activities of other people. Communication allows you to organize social activities and enrich it with new connections and relationships between people.

Strategies For Supporting Professional Growth In Early Childhood Team Members, Kristin Goetz

Graduate Teacher Education

Early childhood education (ECE) teachers, including pre-service and in-service workers, have reported the need for ongoing professional development support (Boyer, 2004; Buettner, Hye Hur, Jeon & Andrews, 2016; Brown, Cheddie, Horry, & Monk, 2017). Specific targeted support for professionalism was addressed as a retention strategy for the future of ECE (Boyer, 2004). The lack of consistent minimum qualifications for ECE teachers has contributed to a number of teachers in the field having little understanding regarding professionalism as a whole when teacher careers commence. The quality of learning and teaching in the classroom has been said to be largely determined by …

Evaluating The Impact Of Nursing Assistant Employment On New Graduate Nurse Practice In The Acute Care Setting, Amy Bliemeister

Doctor of Nursing Practice Projects: College of Nursing

Background: New graduate nurses (NGNs) are expected to enter the acute care setting ready to provide safe and quality care in a fast-paced environment filled with high acuity patients, shortened lengths of stay, and difficult nurse to patient ratios (Clark & Springer, 2012). Employers, nursing students, and consumers are setting high expectations all nursing graduates will possess specific skills, knowledge, and competencies upon entry into practice (American Association of Colleges of Nursing, 2020).

Purpose: The purpose of this project was to determine the impact of NA program completion and employment on the NGN during the first year of nursing practice. …

Exemplary Urban Unified District Superintendents Leading With Transformational Strategies During The Covid-19 Global Health Crisis, Sandra Hernandez

Dissertations

Purpose: The purpose of this qualitative multiple case study was to identify and describe strategies exemplary urban unified district superintendents used to lead in crisis using the five critical tasks of strategic crisis leadership (sense making, decision making and coordination, meaning making, accounting, and learning) during the COVID-19 pandemic. In addition, it was the purpose to understand and describe the experiences of exemplary leaders during a time of crisis.

Methodology: In this qualitative multiple case study, interviews were used to secure data from exemplary urban unified district superintendents to identify and describe the strategies they used to lead during the …

Providing Hypertension Education For African Immigrants At A Southern California Congregation During The Covid-19 Pandemic, Esther Oshunluyi

Doctor of Nursing Practice (DNP) Projects

Providing Hypertension Education for African Immigrants at a Southern California Congregation During the COVID-19 Pandemic

Abstract

Background: Hypertension (HTN) is one of the major risk factors for cardiovascular disease and the prevalence is highest among African Americans (AAs) (American Heart Association, 2017). The difference in the management and outcomes of HTN between African Americans and Whites is most disparate with lack of education being a major contributor to uncontrolled HTN among African Americans, especially among African Immigrants (Lackland, 2014).

Problem: According to church leadership at the project setting, the majority of their adult African Immigrant population is believed to have …

Nsfw: Not So Feminist Women - A Media And Cultural Studies Analysis Of Working Women In Popular Media, Josephine Schofield

Honors Projects in English and Cultural Studies

Even though gender diversity of characters has increased in television shows and films, this study hypothesized that female characters who are presented as feminist icons function as feminist backlash and perpetuate negative and harmful stereotypes. This was found to be especially true for career-focused women. Applying a cultural studies approach to reading television and film studies through a feminist lens identified the antifeminist factors that continue to cause the perpetual loop of independent women reverting to dated social roles. This research connects what audiences consume through popular media to how they perceive their female co-workers. The findings of this study …

A Call To Create: Poetry As Healing And One Nurse’S Self-Discovery, Kim Cornett Henry, Kim Cornett Henry

English Theses

Florence Nightingale’s vision for nursing has changed greatly in the past one hundred and fifty years, with nursing’s identity replaced with an emphasis on science over caring. The fast-paced, technologically sophisticated environments, designed to meet the declining health of an American public, have resulted in nurses who are being pulled away from nurse-to-patient caring acts and the reasons they felt called to become nurses. These changes have had detrimental psychological and emotional effects on nurses and are especially evident in Intensive Care nurses. Expressive writing as poetry, autoethnography, and participation in vibrant writing communities offer nurses experiences for healing, voice, …

Streamlining Care For Children With Autism Spectrum Disorder, Siavash Rostami Jafarabad

Doctor of Nursing Practice (DNP) Projects

Background: Autism spectrum disorder (ASD) is a chronic and developmental disorder that affects about one out of every 65 children in California, and one in 59 children in the United States. Children with ASD have difficulty communicating and interacting with others, and experience oversensitivity to new stimuli and environments.

Problem: In healthcare settings, children with ASD experience numerous challenges related to lack of adequate knowledge and education of staff regarding ASD, and lack of appropriate environmental and sensory resources which reduce quality of care provided to this population.

Methods: The project took place in a Psychiatric Emergency Services (PES) Unit …

Evaluation And Improvement Of Nuclear Security Measures At A Radiological Facility In Morocco, Halima Jemmal, Abdelmajid Choukri, Mohammed Mouhib

International Journal of Nuclear Security

Nuclear security combines both concepts of physical security and security culture within a nuclear facility to protect people, property, society and the environment from harmful effects of ionization radiation. Physical security means prevention, detection, and response to unauthorized removal, sabotage, and/or illegal transfer involving radioactive sources and nuclear material. Nuclear security culture is the human factor within the nuclear field which is considered a principal means to support and enhance nuclear security system. This paper presents a study of nuclear security system already established within a radiological facility considering concepts such as: deter, detect, delay, and response layers. This study …

The Resilience Vaccine, Sara Horton-Deutch T. Duffy

Master's Projects and Capstones

Healthcare workers have been working in unprecedented circumstances since the declaration of the COVID-19 pandemic. Caregivers have been taxed with burnout. A large healthcare organization’s 26-bed, medical-surgical, telemetry, COVID-19 overflow unit was significantly impacted. Many healthcare organizations have adopted advocacy for attaining joy in work as an extra dimension of the Institute for Health Improvement’s Triple Aim. Adding this fourth aim supports averting caregiver burnout (CBO) while promoting joy in work.

This quality improvement project examined nurse leaders’ interventions that address CBO, promote healthy work environments, and promote joy in work. From June through August 2021, an 8-week resilience program …

Targeting Nstemi Readmissions: Education To Protect The Hearts Of Our Patients, Gisha Gireesan

Master's Projects and Capstones

Section I: Abstract

Problem: January and February 2021 data showed a rise in readmissions for the NSTEMI population. This is significant as 2020 had a readmission rate of 5.6% and 7.3% in 2019. This sudden increase in readmissions within the first two months of the year is a cause for concern and immediate action is needed.

Context: 2020 had a reduction in cardiac catheterizations due to the multiple canceled cases during the COVID 19 pandemic. As the cases were being rescheduled along with new cases in 2021, the institution experienced an uptake in readmissions.

Interventions: The staff of department 220 …

Reducing The Postpartum Readmission Rate With Standardized Discharge Teaching, Darlene Day-Herzog

Master's Projects and Capstones

Problem: Hospital readmission rates are one of the quality metrics that matter for hospital reimbursements. In a large Northern California healthcare system, the postpartum readmission rate is often above the national average.

Context: The hospital designated as the main location for high-risk deliveries within a 30-mile radius has an Acute Care Obstetric postpartum population where twenty percent of the patients are at an increased risk for readmission.

Interventions: The project implemented the use of a standardized discharge teaching script and educational materials to be used by nursing staff throughout the patient’s hospital stay to see if multimodal standardization leads to …

Servant Leadership Impact: Practical Insights For The Nonprofit Sector, Michael Ohaneson

Master's Projects and Capstones

In an environment often focused on sustainability and doing more with less, this project examines the effectiveness of servant leadership on organizations and individuals in the nonprofit sector. This capstone focuses on a comparative analysis of information collected via literature review and incorporates responses from interviews conducted with experts in the field of servant leadership. The project includes practical implications for the nonprofit sector.

Decreasing Patient Fall Rates In The Microsystem, Kevin Dwayne Sanchez Camaya

Master's Projects and Capstones

Abstract

Problem: Falls are considered never events, yet continuously occur in the inpatient setting. Falls,

especially falls with injuries, impact the patients, the staff, and the hospital. Falls cause extended lengths of stay, affect the morale of the patients and the staff, and are non-reimbursable events.

Context: There have been an increased rate of falls within a medical/surgical/telemetry unit

microsystem at a Northern California hospital despite standardized screening and prevention tools. The unit can house up to 52 patients and is the designated Covid unit of the hospital at the time of this project.

Interventions: The interventions include optimizing the …

Specialty Palliative Care: A Quality Improvement Project, Leticia Ries

Master's Projects and Capstones

Abstract

Problem: Patients identified on the regional database as specialty palliative care (SPC) patients with congestive heart failure (CHF) have not been consulted annually, as expected by evidence-based practice.

Context: Twenty-three percent of patients with a life-limiting illness on the SPC registry were seen year to date. Patients with CHF are vulnerable populations who benefit from an SPC consult to address quality of life, frequent admissions, and suffering.

Interventions: A rapid experiment of two interventions was evaluated for a solution approach. An electronic report identifying hospitalized registry patients and a standardized triage process were the critically assessed interventions to mitigate …

Optimizing Interprofessional Rounds To Reduce Extended Length Of Stay In Complex Patients, Christina May P. Santiago

Master's Projects and Capstones

Problem: Organizations have taken measures to reduce the length of stay by addressing logistical issues such as care coordination across the continuum. This becomes especially important for patients being discharged to skilled nursing facilities (SNF), where placement can be impeded due to complex care needs. In March 2021, the facility accounted for 20% of all extended length of stay (ELOS) patients across the organization. The average ELOS was 36 days, with 42% of these patients being discharged to a SNF.

Context: The Extended Length of Stay (ELOS) team functions at a mesosystem level within twenty-one medical centers across Northern …

Improving Patient Hand-Off Communication By Utilizing The Situation-Background-Assessment-Recommendation (Sbar) Tool Between The Perioperative Services Departments, Maureen Mijares

Master's Projects and Capstones

Problem: The Situation-Background-Assessment-Recommendation (SBAR) patient handoff communication is required when the patient is transferred from one department/unit to the next phase of care. There is no standard SBAR utilized within the perioperative services departments.

Context: There are three types of patient handoff communication utilized in the perioperative services departments; Electronic Health Record (EHR), paper form, and verbal via phone.

Intervention: A standardized SBAR patient handoff communication tool to provide a framework to improve patient handoff communication between nurses within the perioperative services departments.

Measures: The outcome measure for this process improvement project is defined as the number of patient handoff …

Reducing Implicit Bias: Evaluating Cultural Humility And Mindfulness Practices In The Perinatal Microsystem, Charlene Johnson

Master's Projects and Capstones

Problem: In one perinatal microsystem, an assessment revealed 49 reported events that alleged perceived bias occurred over a one-year period. This project aims to address implicit bias and educational solutions to improve communication and create a culture of humility and equity.

Context: The setting was an urban hospital within a large non-profit healthcare organization. The improvement team included registered nurse champions, obstetrical technicians, midwives, physicians, managers, and an educator.

Intervention: A virtual interactive education session for a multidisciplinary volunteer group (n=18) was introduced followed by five weekly follow-up discussions. The education focused on translating the cultural humility …

Increasing Organizational Chemotherapy Competencies, Ruth Manuel Monsalud

Master's Projects and Capstones

Problem: Despite its 21 facilities in Northern California, the organization has limited capability to administer chemotherapy infusion, resulting in both provider and patient inconveniences due to lack of qualified chemotherapy-certified nurses.

Context: The cost of interfacility transfers for 1 year were over $1.7 million, not including decreased provider and patient satisfaction.

Interventions: 12 staff nurses on 6S unit will complete a two-phase individualized training program and earn an Oncology Nursing Society Fundamentals of Chemotherapy Immunotherapy Administration provider card to ensure adequate coverage for patients requiring chemotherapy administration during their hospital stay.

Measures: Training existing nurses in chemotherapy was encouraged. Another …

Preventing Pressure Injuries On Patients Undergoing Treatment With Extracorporeal Membrane Oxygenation (Ecmo), Hediyeh Shakeri

Master's Projects and Capstones

One of the top National Patient Safety Goals by The Joint Commission is to prevent hospital-acquired pressure injuries, which is reiterated by Centers of Medicare and Medicaid as a valuable metric in determining the quality of patient care and safety as well as hospital performance. The Agency for Healthcare Research and Quality reports over 2.5 million patients affected by hospital-acquired pressure injuries per year, costing between $9.1-$11.6 billion per year with the cost of individual patient care ranging from $20,900 to 151,700 per pressure injury (Agency for Healthcare Research and Quality, 2014). Approximately 30% of these cases are related to …

Patient Coordinated Care Response Team, Joshua Fox

Master's Projects and Capstones

Section I: Abstract

Problem: Communication between medical professionals and patients is a critical element to patient satisfaction and safety. The 2020 patient overall satisfaction scores for the local Roseville hospital were 73%. These data demonstrated an opportunity to enhance processes and the culture at the local Roseville hospital to meet the communication needs of its patient population.

Context: A patient coordinated care response team was developed to improve communication for newly diagnosed cancer patients or other life-altering diagnosis patients.

Interventions: A survey was completed to establish the current state of patient satisfaction with communication practices with healthcare providers in the …

Standardization Of Bedside Shift Report In Pediatrics, Edwin Tadeo

Master's Projects and Capstones

Problem: In the pediatric setting, the change-of-shift report does not traditionally happen at the bedside. Medical error is a significant health challenge in the healthcare system, with substantial effects on patient safety, including disability or death. Failure of effective communication during the hand-off process contributes to approximately 30% of all malpractice claims. Furthermore, inadequate hand-offs have been shown to contribute to 1,744 deaths and $1.7 billion in malpractice costs over five years (Joint Commission, 2017).

Context: The microsystem setting for this improvement project is a 32-bed pediatric unit in Northern California. It was concluded that the organization could support any …

Enhanced Recovery After Surgery: Effectiveness Of Real Time Data Tracking Tools, Alatia S. Jentons

Master's Projects and Capstones

Enhanced Recovery after Surgery (ERAS) has been proven by evidence to lower both recovery time and postoperative complication rates while also being cost-effective. It is a new recovery process that consists of several bundles in order to meet adherence. The hospital site where this project was conducted was at a Northern California Medical Center which provides care for in-patient postoperative, urgent and non-urgent cases. On our assigned units, we identified the potential for improvement after observing a lack of standardization of real-time charting for ERAS. This resulted in retro data, which is not an effective way to collect data when …

Clabsi Prevention In The Icu-A New Approach, Shannon M. Hicks

Master's Projects and Capstones

Abstract

The Center for Disease Control and Prevention (CDC) emphasizes that the primary cause of preventable deaths and disabilities among hospitalized patients in the United States are hospital-acquired infections (HAIs). Based on the CDC surgical site infection monitoring, common infections include central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia, and catheter-associated urinary tract infections. This paper primarily focuses on the problem of CLABSI, with an aim to reduce the net occurrences of CLABSIs in the intensive care unit (ICU) through the interventional use of SecurePortIV skin adhesive during the insertion of central lines. Although few researchers have examined the implication of …