Improving Early Sepsis Management Compliance In The Emergency Care Setting, Mckayla Howie

Master's Projects and Capstones

This quality improvement project implements educational materials informed by organization-dependent nursing informatics and SEP-1 campaign metrics to improve early sepsis management compliance in the emergency department setting. The microsystem scored below a 90% compliance target in first vital to lactic acid result within one hour, lactic acid result to antibiotic administration within one hour, and antibiotic order to administration within thirty-five minutes before implementation. Factors identified as contributing to low compliance include rates of timely and accurate sepsis screening, use of a standardized sepsis order set, and intervention documentation. An educational inservice covering correct sepsis workflow in the electronic health …

Decreasing Hospital Acquired Pneumonia In Adult Patients, Samantha M. Flaherty

Master's Projects and Capstones

This Northern California Hospital holds to high-performance standards. It exists to provide high-quality care, aspiring to improve its members' health and lives while continually advancing its practice—pioneering preventive medicine, conducting comprehensive research, and driving innovative care (“Northern California Hospital,” 2022). By gathering and measuring data and analyzing adverse and advantageous patient outcomes, this Northern California Hospital's Quality Outcomes Department is able to identify gaps between the present and the intended goals. The quality department implements changes by working with care teams and providers to minimize the void between goals, making future patient care optimal.

The indicted Northern California Hospital focuses …

Nurse-Led Education On Oral Chemotherapy Medications, Carmen Lucia Glick Alonso

Master's Projects and Capstones

Problem: Breast cancer is one of the leading causes of cancer death among women in the United States. Annually, around 264,000 breast cancer cases are diagnosed in women and 2,400 in men (Centers for Disease Control and Prevention, 2022). According to the American Cancer Society, the risk of a woman in the United States being diagnosed with breast cancer in their life is around 13% (2022).

Context: Along with a cancer diagnosis comes the need to introduce patient education about new oral chemotherapy treatments. As a treatment team member, the oncology nurse plays a vital role in this …

Teaching English As A Foreign Language In China: A Unit Plan For Educators, Yun Xie

Master's Projects and Capstones

The ultimate goal of English learning is to enable students to communicate in English.

However, English education in China ignores the importance of English communicative ability. The problem lies in the teaching method, that is, solely adopting the Grammar Translation Method; the teaching model, only the “teacher-centered” teaching model is adopted for teaching, thus students do not have enough opportunities to practice spoken English; moreover, the teaching materials lack authenticity, practicality and content of target culture.

These three problems were explored as three themes in this field project and provided a unit plan on how to improve these problems. This …

Digital Scholarship Needs Assessment: Binghamton University 2022, Ruth Anne Carpenter

Library Scholarship

As digital scholarship and digital humanities (DS/DH) continue to grow on campus the libraries continue to collaborate with campus communities to ensure faculty, staff, and graduate and undergraduate students’ research, classroom, and learning experiences in these fields are supported. This needs assessment, carried out over the course of the Spring semester in 2022, investigated the current climate for using and teaching digital scholarship tools methods on Binghamton University's campus. While Binghamton's digital scholarship community continues to grow four major needs for support were identified by the community: access to DS/DH resources on campus, building a stronger sense of community, providing …

An Interdisciplinary Understanding Of The Economic And Political Policies Behind Network Neutrality In The United States, Eli T. Bedford

Whittier Scholars Program

The focus of this paper is to explore the associative benefits to why network neutrality in the U.S. benefits the fundamental principles of freedom of speech and expression. While at the same time gaining a deeper understanding of why politics may incentivize or undermine data collection by billion-dollar conglomerate companies such as Tiktok and other internet service provider companies. In doing so, this paper will review internet privacy regulations on a federal level and examine the history of the FCC’s regulatory practices on ISPs over the last three decades. Lately, this paper will discuss the economics behind network neutrality and …

Introduction: 14(6) 2022: Emerging Scholars Issue

Journal of Comparative & International Higher Education

No abstract provided.

Culture Care Values And Beliefs Of Puerto Rican Adults Related To Suicide: An Ethnonursing Study, Griselle Estrada

Electronic Theses and Dissertations

BACKGROUND: Suicide is a public health issue among the growing U.S. Latinx population; however, Latinx subgroups are diverse and represent different cultural backgrounds. Puerto Ricans are the second largest Latinx subgroup in the nation. Although research points to possible mental health vulnerabilities among Puerto Ricans when compared to other Latinx subgroups, there is a dearth of research exploring cultural influences that can impact suicide prevention efforts for Puerto Ricans living in the U.S. mainland. AIMS: This study aimed to explore the culture care values, beliefs, and needs of Puerto Rican adults pertaining to suicide and its prevention. METHODS: The …

Technological Content Knowledge And Technological Pedagogical Knowledge In Secondary Science Teachers: A Mixed Methods Analysis, Stefanie Graban

Electronic Theses and Dissertations

Teachers in K-12 education are increasingly using technology in their courses. However, teachers may struggle to implement technology effectively in their specific subject areas. Existing research demonstrates that there was a need to better support in-service science teachers’ technological content knowledge. Accordingly, the purpose of this practitioner research study was to examine how, why, and to what extent in-service secondary science teachers report using technology as part of instructional practices. The TPACK framework was used as the theoretical lens for a mixed methods study exploring secondary science teachers’ technological pedagogical knowledge (TPK) and technological content knowledge (TCK). Multiple data sources …

An Assessment Of Improvement Challenges & Lessons Learned From Feeding Students Of A Large Urban School District During The Covid-19 Pandemic, Jamar King

Electronic Theses and Dissertations

This qualitative dissertation study took place in the midst of the COVID-19 pandemic. The purpose of this study was to examine the work of school food service professionals as this has implications for all school food service staff. Specifically, this study focused on the role of the cafeteria managers, through their practices, beliefs, the support needed, and challenges they faced during a complicated reality of meeting student needs, and to contribute to the improvement practices in school food service for future emergencies. The research questions, methods, and data analysis are framed using the first three principles of Improvement Science described …

Adaptive Microlearning: An Empirical Study Among The Students In The Rural Areas Of China, Jingwei Liu

Electronic Theses and Dissertations

Through multiple educational reforms, China has pursued developing well-rounded learners with solid content knowledge, higher-order thinking skills, and the ability to transfer knowledge to real-world problem spaces. The imbalance of learning resources between urban and rural China, however, has caused disadvantages for learners in rural China to gain access to quality educational opportunities necessary for becoming well-rounded learners. Luckily, the quickly growing Internet service coverage in rural China makes educational interventions possible. Online intervention aiming for many qualities of well-rounded learners, such as deeper learning, is particularly promising.

The purpose of this study was to investigate the potential of adaptive …

Digital Historians: Engaging Students In Historical Thinking Through An Interactive Website, Casey O'Donnell-Chavis

Electronic Theses and Dissertations

The purpose of this study was to determine the extent to which students engage in historical thinking through the use of an interactive website, and how the students understood and experienced its various features and how they incorporated technology in their final video project. In the spring of 2022, five students participated in a class workshop focused on historical thinking using their Chromebooks. Following a week of learning about the five elements of historical thinking, students were asked to create a multimedia final video project on a historical figure of their choice. Two students completed the assignment. Thematic coding analysis …

Open Educational Resources Adoption Reduces Textbook Costs Without Sacrificing Student Performance In Business And Economics Courses At A Community College, Dorina Tila, Dawn Levy

Publications and Research

This study analyzed the possibility of saving on textbook costs without sacrificing student performance by using Open Educational Resources (OER) at no cost to students as a replacement for high-priced commercially printed books. Approximately two hundred students enrolled in business and economics courses at Kingsborough Community College of the City University of New York from Fall 2016 to Fall 2018 were assessed in this study. Using summative assessments and course grades as a measure of students’ performance, the findings showed that students in courses using OER as compared to students in the same subject area using traditional textbooks perform equally …

Should I Stay Or Should I Go: The Impact Of Crossing Migrants In Local Communities In Mexico, Norma M. De La Rosa-Bustamante

Whittier Scholars Program

The interactions between migrants and Mexican local communities have positive and negative outcomes. A report by Human Rights First found that more than 630 violent crimes against asylum seekers were reported in the first few months of the “Remain in Mexico” policy. Still, some migrants have been able to assimilate and stay in Mexico, particularly in large cities such as Tijuana, Baja California and Ciudad Juarez, Chihuahua. This research project combines qualitative data collected through interviews with local NGOs between September 2020 to February 2021 and secondary research data. It focuses on the living conditions of migrants who have stayed …

Be Inclusive In The Workplace During The Holiday Season By Following These Strategies And Tips, Staff

Browse All News

No abstract provided.

Diabetes Prevention And Management Education For Punjabi-Sikh Older Adults, Mandeep K. Gill

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: South Asians from Bangladesh, Pakistan, and India have a higher prevalence of diabetes than the general global population and are also more susceptible to developing diabetes due to biological and lifestyle factors. The South Asian diet is high in refined grains and monounsaturated fatty acids, increasing the risk of diabetes.

Local Problem: Congregants of a Sikh gurdwara (place of worship) lacked knowledge of diet and lifestyle in relation to preventing and managing diabetes. Many senior congregants have been diagnosed with diabetes or are at high risk of developing the disease.

Methods: Knowledge of diabetes prevention and management were …

Oleoresin Capsicum Gel: Enhancing Safety For The Home Health Clinician, Lilly Dickens

Doctor of Nursing Practice (DNP) Projects

Problem: Home health clinicians (HHC) are at high risk for workplace violence. Providing necessary health care alone in unpredictable and remote environments are associated with poor outcomes from physical violence. Background: Pepper spray is known for its active ingredient, oleoresin capsicum (OC), as a self-defense tool. OC gel is used worldwide as a non-lethal incapacitating agent. There is an opportunity to expand workplace violence prevention (WPV) in home health by training and allowing HHCs to carry OC gel. Intervention: This DNP QI project implemented a safety intervention for HHCs, including nurses, aides, medical social workers, physical therapists, occupational therapists, and …

Brief Communication: The Hidden Labyrinth: Deep Groundwater In Wright Valley, Antarctica, Hilary A. Dugan, Peter T. Doran, Denys Grombacher, Esben Auken, Thue Bording, Nikolaj Foged, Neil Foley, Jill Mikucki, Ross A. Virginia, Slawek Tulaczyk

Faculty Publications

Since the 1960s, a deep groundwater system in Wright Valley, Antarctica, has been the hypothesized source of brines to hypersaline Don Juan Pond and Lake Vanda, both of which are rich in calcium and chloride. Modeling studies do not support other possible mechanisms, such as evaporative processes, that could have led to the current suite of ions present in both waterbodies. In 2011 and 2018, an airborne electromagnetic survey was flown over Wright Valley to map subsurface resistivity (down to 600 m) in exploration of liquid water. The surveys revealed widespread unfrozen brine in the subsurface near Lake Vanda, Don …

To Destroy Or Transform? Two Fossil Fuel Transitions Offer Glimpse Into Industry’S Future, Chloe Bennett, Sarah Kerson

Capstones

In 2019, the Philadelphia Energy Solutions oil refinery closed after a dangerous explosion. But for years before the accident, members of the local environmental justice organization Philly Thrive had been advocating for its closure. Neighborhood residents who live near the refinery site had been complaining for years of health problems, ranging from asthma to cancer. “Enough is enough,” says Sylvia Bennett, 79, who lives in the Grays Ferry neighborhood near where the refinery is located. Her two daughters have both been diagnosed with cancer.

What will become of the refinery site remains to be seen as conversations between Hilco and …

Navigating Food Affordability In The Two Bridges Neighborhood, Aina S. Izham

Capstones

This report examines a small neighborhood in Lower Manhattan of New York City called Two Bridges and how they're facing gentrification with a focus on food affordability. Ever since an affordable supermarket closed down in 2012, long-time residents have since struggled to get affordable groceries and are forced to face expensive supermarkets that have been on the rise in the area. Incorporating my journey to understand and listen to the community to find ways to support and work with the community, this report demonstrates that the neighborhood is rapidly gentrifying like most black and brown neighborhoods in New York City. …

Decreasing Intent To Leave In Nurse Residents (Nr) With The Addition Of Wellness Interventions: A Quality Improvement Project, Susan Eckman

Doctor of Nursing Practice (DNP) Manuscripts

The US nursing workforce decreased 1.8 percent between 2019 and 2021, marking the largest drop seen in four decades. New nurses or nurse residents NRs) are included in this loss. Many nurses, but particularly new nurses, experience burnout. If workplace stress is not managed, it can become chronic. The first year of employment as a nurse has been shown to be a very vulnerable time. Within the first 2 years of nurses’ employment, there is a reduction in commitment along with increased stress. New graduate nurses’ lack of life experiences, along with the recent pandemic have contributed to more than …

A Process Evaluation On The Health Care Transition Process For Youth With Osteogenesis Imperfecta With Special Health Care Needs, Janet Amirkhanian

Doctor of Nursing Practice (DNP) Manuscripts

With medical, surgical, and technological advances, children with childhood diseases with special health care needs (SHCNs) are surviving and living into adulthood (Cohen et al., 2014). Health care transition (HCT) should be a process through which youth are expected to achieve the skills necessary to manage their health as adults (Sawicki et al., 2017). HCT should be a purposeful, organized, and coordinated process involving the youth, family, and health care team (Stringer et al., 2015; Gabriel et al., 2017; White et al., 2018). Evidence supports that adolescents and young adults with SHCNs are often unprepared for transition (Jensen et al., …

Reducing Risk Factors Of Diabetes Mellitus Type Ii Development In Veterans Post Military Discharge Through The Patient Aligned Care Team Model And The Utilization Of Preventive Programs Involving Lifestyle Changes., Jeni Grundy

Doctor of Nursing Practice (DNP) Manuscripts

Diabetes Type II (T2DM) prevalence is rising in America, becoming a focus for disease prevention. The American Diabetes Association (ADA) has highlighted the need to tackle the increased T2DM precursor, prediabetes, which ultimately leads to T2DM if risk factors remain unaddressed. One group of the American population with a high rate of prediabetes is the 9/11 Veteran cohort. The Veterans Affairs (VA) system has numerous health promotion missions. This system has highlighted its initiatives to address the development of T2DM. Specific to the 9/11 group, their primary T2DM contributory risk factor is obesity paired with the low utilization of already …

Raj Karega Khalsa! - The Evolution Of The Sikh Identity, Vineet Mehmi

Undergraduate Honors Theses

Generally, religion has served as a method of creating a unique identity and history for many groups across history. This concept is especially true for the Sikh community, to the point that they have carved their own niche across the different places they inhabit in the world, whether that be their homeland of Panjab or their extensive population in places like Canada or the United Kingdom. However, this expansion and development of their culture did not come without a cost, formed through countless battles, martyrdom, and revolutions. Chardi Kala, a foundational idea in Sikhi that refers to eternal optimism even …

Decreasing Seclusion And Restraint Events Among Clients Within An Inpatient And Crisis Stabilization Behavioral Health Facility, Karen Lee Richards

Doctor of Nursing Practice (DNP) Projects

Background: Despite global shifts in behavioral health treatment, changes regarding use of seclusion and restraint (S/R) continues to be extremely slow. Local Problem: Increasing S/R events and subsequent staff injuries and financial burden. Methods: A quality improvement project providing education in trauma-informed care (TIC), sensory modulation (SM), and S/R debriefing (S/RD). Interventions: Education and training for S/RD, TIC, and SM using a variety of materials and methods over a 6 to 12-month period was provided to staff within a 16-bed inpatient adult psychiatric health facility (PHF) and a crisis stabilization unit (CSU). Because of positively affecting the use of S/R, …

Improving Home Health Nurses' Knowledge Of Heart Failure Self-Care Management, Nenette Hoffman

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Heart failure results in life-altering and devastating illnesses, predominantly among older adults. Heart failure management is complex, and requires patients and their caregivers to actively monitor symptoms and sufficiently understand care management to maintain health-promoting behaviors. While home health nurses have the primary role as patient educators of their patients with heart failure, evidence from the literature indicates that nurses lack sufficient knowledge to fulfill this role.

Local Problem: Nurses’ inadequate knowledge of heart failure self-care management has been associated with insufficient patient education, the inability of patients to perform heart failure self-care management, worse clinical outcomes, and …

Pueblos Y Ranchos: The Role Of Latino Fathers And Community Leaders In Serving Latino Families In Rural Northwest Iowa And Southern Minnesota, Ruben Viramontez Anguiano, Melissa Martinez, Jorge Chavez, Sarah M. Harrison, Jennifer Jacob Bellowe

Journal of Family Strengths

This ethnography study explored the role of Latino fathers in family life and their children’s education before and during the pandemic. The study also examined the role of Latino leaders and ally leaders in serving Latino fathers and their families in Northwest, Iowa and Southern, Minnesota before and during the pandemic. The sample consisted of 40 Latino fathers from El Salvador, Guatemala, Honduras, Mexico and Nicaragua and 22 leaders of Latino and European American backgrounds. The study utilized different qualitative inquiries including the larger ethnography, testimonios and observations to collect the data. Key findings included that the Latino fathers were …

Advancing Global Equity In Cardiac Care As Cardiac Implantable Electronic Device Reuse Comes Of Age, Daniel Alyesh, Behzad B. Pavri, William Choe, Mam Chandara, Mahmoud U. Sani, Phong Dinh Phan, Aime Bonny, Paul Khairy, Sunil K. Sinha, Uma Srivatsa, Joseph E. Marine, Kim Eagle, Thomas C. Crawford, Dhanunjaya Lakkireddy, Sri Sundaram

Division of Cardiology Faculty Papers

A nation’s health and economic development are inextricably and synergistically connected. Stark differences exist between wealthy and developing nations in the use of cardiac implantable electronic devices (CIEDs). Cardiovascular disease is now the leading cause of death in low- and middle-income countries (LMIC), with a significant burden from rhythm-related diseases. As science, technology, education, and regulatory frameworks have improved, CIED recycling for exportation and reuse in LMIC has become possible and primed for widespread adoption. In our manuscript, we outline the science and regulatory pathways regarding CIED reuse. We propose a pathway to advance this technology that includes creating a …

The Health And Health Care Needs And Experiences Of Mexican Heritage Individuals In A Nonmetro Location: An Ethnonursing Study, Karla Adu

Electronic Theses and Dissertations

Introduction: The population of Mexican heritage individuals has grown significantly in nonmetro, emerging communities. The purpose of this study was to explore the health and health care needs and experiences of this population in the Midwest. Methods: Leininger’s Culture Care Theory and Ethnonursing Research Methods were used as the guiding theory and methodology for the qualitative study. Interviews were conducted with 27 informants. Recordings were transcribed and analyzed according to Leininger’s phases of data analysis. Results: Three themes emerged from the data: 1. living a better life in a nonmetro community with and for family, 2. barriers to understanding …

Revelations In The Blood: Determination Of Biomarkers And Analytes, Jeremiah Jamrom

Electronic Theses and Dissertations

Changes in body chemistry have long been utilized as a tool for medical diagnosis. Whether blood panel, toxin level, antigen testing or any of the myriad other tests performed annually, searching for molecules which confer health status is a long-established practice. These tests give physicians more information and allow them to make a more accurate diagnosis, from which appropriate treatment can stem. Awareness of, and the subsequent search for, biomarkers for disease states have grown substantially in the past years as analytical, biochemical, and instrumental techniques have become more precises and powerful. In an era of increasingly personalized medicine, novel …