Digital Commons Network^™

Reproductive Health: A Literature Review On Reducing Maternal Mortality Rates Among Afghan Women Using A Tiered Process Of Interventions, Shirley C. Lam

Master's Projects and Capstones

This literature review examines the risk factors associated with pregnancy that contribute to high maternal mortality rates in Afghanistan and women’s limited access to adequate health services and education. Some of the factors contributing to high maternal mortality rates are political instability/civil conflict, current policies and legislation, workforce shortages in the healthcare field, as well as socioeconomic levels. The underlying theme which influences each of these factors are Afghanistan’s culture and religion. To reduce the rising maternal mortality rates for Afghan women and girls, there must be a shift in mindset from within the culture. A three-layered tiered intervention which …

Impact Of Montessori-Based Dementia Programming On Engagement And Affect Of Older Adults With Dementia, Meredith S. Sheppard

Master's Projects and Capstones

The COVID-19 pandemic has profoundly impacted the Adult Day Services program and Adult Day programs across the country. As the Adult Day Services program transitions to an in-person format, goals within the organization include developing appropriate programming, increasing group size, and keeping clients entertained. The framework guiding this quality improvement project is Montessori-Based Dementia Programming ® (MBDP). This project aims to increase client engagement, decrease client anxiety, and decrease staff workload. This will be measured by a self-developed staff workload survey, the Menorah-Park Engagement, and the Affect rating scale. Implementation of MBDP at the Adult Day Center did not meet …

Standardizing Handoff Report In A Medsurg Telemetry Floor, Brandon Tyler Thompson

Master's Projects and Capstones

Problem: Hospital A’s 9^th floor telemetry units lacked a standardized method of handoff and required investigation. Current practices were evaluated, and an intervention was designed based on weak communication areas. Context: Using a 5 P’s assessment the key stakeholders included unit nurses, the nursing director, nurse educators, and unit nurse managers, and the patients were medsurg telemetry patients. The process included handoff in care and the pattern evaluated was methods of reporting with the purpose of providing high quality evidence-based patient centered care. A SWOT analysis revealed strong teamwork, interdisciplinary collaboration, and proficiency in health record technologies as strengths …

Reducing Hospital-Acquired Pneumonia By Educating Patient Care Technicians On Route Bundle Care Measures, Munroop K. Thiara

Master's Projects and Capstones

Hospital-acquired pneumonia (HAP) is an infection of the lungs that can lead to severe and sometimes fatal outcomes. HAP can be prevented by oral care interventions, but without proper patient care, treatment can be very expensive. Evidence-proven HAP preventative measures such as the ROUTE bundle and increased patient mobility can significantly lower the risk of pneumonia as well as prevent additional hospital costs. Hospital X is a private nonprofit health care organization in the urban suburbs of a large Northern California city with a current HAP rate of 2.3 and with targeted goals of 2.0. By creating a project that …

Analyzing The Effects Of Climate Impacts In El Salvador And How They Influence Pollution, Ecosystems And Communities, Veronica Norio-Tomasino

Master's Projects and Capstones

Due to projections of rising temperatures and increased frequency and severity of extreme weather events, the rate at which climate change is impacting nations is devastating. However, developing countries and vulnerable communities are not the primary contributors to climate change, but they are at a greater risk for climate impacts by industrialized nations. As a result of increased human activity, developing nations such as El Salvador are particularly susceptible to climate-related events. Deforestation, water pollution, and human health risks are some activities that have contributed to El Salvador's vulnerability to climate change, drastically affecting rural communities suffering from multidimensional poverty. …

Improving Nursing Staff Knowledge For Management Of Geriatric Patients With Confusion In The Emergency Department, Kareem G. Carter

Master's Projects and Capstones

Problem: Staff knowledge of effective management of confusion in geriatric patients (>65yo) may be limited and inconsistent with the current goal of establishing a geriatric-friendly Emergency Department (ED) Model of Care. Suboptimal management of this patient population can result in prolonged ED stays, which increases the cost to the hospital and the patient (Han & Wilber, 2013).

Context: An Emergency Department at a large Bay Area urban hospital hopes to obtain Geriatric Emergency Department Accreditation (GEDA) through the American College of Emergency Physicians (ACEP).

Interventions: Create a simplified checklist for nursing staff using mnemonic devices to …

Implementation Of Staff Education To Standardize Use Of Positions During The First Stage Of Labor, Kelsey Jo Koch

Master's Projects and Capstones

The aim of this project was to assess whether supplemental education on labor positioning for Labor and Delivery nurses would increase the nurses’ confidence in utilizing patient positioning to promote fetal descent and progress labor. Previous research suggests that upright, mobile positions during the first stage of labor have various benefits, including reduced cesarean rates, shorter lengths of labor, and less epidural usage. However, a major barrier to maximizing these benefits is a gap in knowledge among Labor and Delivery nurses, resulting in inconsistent use of various positions. This improvement project addresses this problem at a large community hospital in …

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 …

United States Pharmacopeia General Chapter <800>: Improving Safe Handling And Administration Of Hazardous Drugs, Courtney Clark

Master's Projects and Capstones

Problem: This quality improvement project is dedicated to increasing the safe handling and administration of United States Pharmacopeia (USP) General Chapter Hazardous Drugs (HDs) within the Medical/Surgical unit to minimize the risk of exposure to patients, healthcare personnel, and the environment.

Context: The quality improvement project was implemented in two Medical/Surgical units in Hospital A in the San Francisco Bay Area. The patient population of these units has the highest receipt of HDs outside of a traditional Hematology/Oncology unit.

Intervention: The proposed intervention is the use of active and passive observation to assess compliance with USP protocols within the two …

Improving Safe Handling And Administration Of Usp<800> Hazardous Drugs Within The Medical-Surgical Unit, Pavlo Karaputa

Master's Projects and Capstones

Nurses comprise the largest proportion of healthcare providers who make contact with Hazardous Drugs (HDs) during multiple types of clinical activities and have a risk of exposure. Hazardous drugs (HDs) are a class of pharmaceuticals that pose serious health risks to individuals who handle them, including organ toxicity, reproductive and developmental defects, infertility, miscarriage, genetic toxicity, cancer, and even death. This project was implemented in a hospital system within Northern California, on two units that serve medical-surgical, oncology, geriatric, and transplant patients. The Medical Surgical microsystem at this hospital comprises a small group of professionals such as registered nurses (RNs), …

Reduction Of Embodied Carbon In Buildings Through Use Of Low Carbon Strategies And Standardization And Enforcement Of Life Cycle Assessment, Bhargavi Sai Sudhakar

Master's Projects and Capstones

The building and construction industry is energy intensive and as of 2021, this industry is responsible for 37% of the total global greenhouse gas emissions. In previous studies of conventional buildings, the operational energy of a building contributed to 80% and the embodied energy contributed to 20% of the total life cycle energy. With increase in policies and standards that focus on reducing the operational energy, low energy and certified green buildings have emerged where the operational energy has considerably reduced. The relative and absolute share of embodied energy in these energy efficient buildings have increased due to excessive use …

Evaluating Equity In Transportation Greenhouse Gas Emission Reduction Strategies In Local Climate Action Planning In Oakland, California, Eliza J. Kane

Master's Projects and Capstones

Emissions from California’s transportation sector contribute to global climate change and impact local air quality and public health. Forty-one percent of California’s greenhouse gas emissions in 2019 were from transportation. Transportation emissions are also a source of many health-harming air pollutants such as carbon monoxide, volatile organic compounds, and particulate matter. Disadvantaged communities in California experience disproportionate impacts from transportation emissions and suffer worse health effects, including higher incidences of asthma, cardiovascular disease, and premature death. Cities have led the way in policymaking to mitigate and adapt to climate change, including creating Climate Action Plans (CAPs) to propose strategies to …

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 …

Interpretable Network Representations, Shengmin Jin

Dissertations - ALL

Networks (or interchangeably graphs) have been ubiquitous across the globe and within science and engineering: social networks, collaboration networks, protein-protein interaction networks, infrastructure networks, among many others. Machine learning on graphs, especially network representation learning, has shown remarkable performance in network-based applications, such as node/graph classification, graph clustering, and link prediction. Like performance, it is equally crucial for individuals to understand the behavior of machine learning models and be able to explain how these models arrive at a certain decision. Such needs have motivated many studies on interpretability in machine learning. For example, for social network analysis, we may need …

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.

Contributions Of Capitals To Chinese International Graduates’ Employability In Australia

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 …

Assessments Of Water Chemistry And Fish Community Structure In The Buffalo Creek Watershed, Tributary To The Allegheny River In Armstrong And Butler Counties, Pennsylvania, Kathleen Wilson

Electronic Theses and Dissertations

The Buffalo Creek watershed has experienced water quality impairments for various reasons, including but not limited to, agricultural influence, abandoned mine drainage (AMD), on-site wastewater malfunction, and stormwater. The source and cause of the most prevalent impaired areas remains unknown. The goal of this study was to analyze water chemistry using state water quality standards and mass ratio analysis, then to conduct fish community analysis. We found toxic metal pollution across the watershed, with iron, cadmium, copper, and selenium frequently exceeding criteria. We determined which streams are polluted by resource extraction activities by conducting mass ratio analysis. We found conventional …

Description Of A New Species Of Aleuroparadoxus Quaintance And Baker (Hemiptera: Aleyrodidae) From Guatemala, José Francisco García Ochaeta, Anil Kumar Dubey

Insecta Mundi

Puparia of a new whitefly, Aleuroparadoxus marisae García-Ochaeta and Dubey, new species (Hemiptera: Aleyrodidae), collected on leaves of Brosimum alicastrum Sw. in Santa Ana, Petén, Guatemala, and on Pimenta dioica (L). Merr. in Calzada Mopán, Dolores, Petén are described and illustrated. Drawings of morphological structures and differential diagnosis of the puparium are provided, and differences from congeners are discussed. A key to puparia of the Aleuroparadoxus Quaintance and Baker species is included.

The Usability And Feasibility Of A Nursing Evidence-Based Comorbidity Educational Website For An Urban Mental Health Assertive Community Treatment (Act) Program, Andrea Brudigan, Laurie Sewell-Muller, Kokuvi Sena Tsogbevi

Doctor of Nursing Practice Projects: College of Nursing

Objective: Serious mental illness (SMI) causes an increased risk for comorbidities like heart disease, obesity, metabolic syndrome, and diabetes. Many times, these comorbidities are due to side effects of antipsychotics and poor self-management from low insight and other symptoms of mental illness. This project aims to enhance client care enrolled in an Assertive Community Treatment (ACT) program by providing evidence-based resources tailored to clients with SMI, providing ACT team members with support to promote healthy behaviors in clients.

Methods: A website was developed that provides printable, easy-to-read, evidence-based resources that address physical comorbidities. The ACT team integrated these resources into …

2022-12-16_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

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 …

After Being Ignored, Autistic Adults Find Their Place On The Spectrum, Leonardo A. Lopez Carreno

Capstones

Autistic adults have been historically ignored by researchers and clinical psychologists when discussing autism spectrum disorder. But the broadening of the diagnosis requirements for the disorder, as well as the perspectives from autistic adults that have been shared on social media, have made it so that autistic adults are being discussed more now than ever before, both in the autism community and among professionals in the field. This project puts together interviews with autistic people who have found communities online and in person, as well as the perspectives of researchers who have published studies about autism.

https://medium.com/@leonardolpezcarreo/after-being-ignored-autistic-adults-find-their-place-on-the-spectrum-6e131fc00796