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Increasing Communication Of Patient Daily Goals During Interdisciplinary Rounds In An Inpatient Pediatric Cardiac Unit, Sage Bailey

Doctor of Nursing Practice Projects: College of Nursing

Introduction: Ineffective communication between interdisciplinary team members in a pediatric inpatient setting results in poor documentation compliance and decreased staff satisfaction of daily goals. The use of a standardized patient daily goal sheet improves effective communication among interdisciplinary team members. The primary aims of this study were to improve RN satisfaction and knowledge regarding interdisciplinary communication, improve verbalization of patient daily goals in daily rounds, increase the number of daily goals verbally discussed and improve the quality of documentation in the electronic medical record (EMR). Methods: Data were collected on a pediatric academic 30-bed cardiac care unit involving 100 nurses. …

Implementing An Emr System In A Small Psychiatric Practice, Brandy Mccrudden

Doctor of Nursing Practice Projects

Electronic medical records (EMRs) can aid in improving surveillance, monitoring, adherence to practice guidelines, improving communication, and reducing medical errors. The adoption of EMRs in psychiatry and mental health settings has been slow despite the offered benefits. This project aimed to develop an implementation and training plan to successfully transition from paper charts to EMRs in a psychiatry practice. An extensive literature review was conducted on the adoption of EMRs in mental health settings, and a guideline for implementation was created to overcome identified barriers. Implementation guidelines included a planning phase, staff training plan, and rollout using a phase-in approach. …

Improving Depression Remission Screening Compliance, Crystal Wingerter

Doctor of Nursing Practice Projects

Depressive disorders are widespread in the United States and are diagnosed and treated in the primary care setting. In 2019, there were an estimated 19.4 million adults that had at least one major depressive episode. The purpose of this project was to improve follow up and depression remission assessment for patients with a diagnosis of depression at a metropolitan family care practice clinic. The Patient Health Questionnaire (PHQ–9) was utilized for remission assessment. Front desk staff and providers were trained and granted access to the quality information system (QIS) in the electronic medical records (EMR) system which allowed easy identification …

Tranexamic Acid Protocol For Lower Extremity Total Joint Arthroplasties, Autumn Cullison

Doctor of Nursing Practice Projects

Abstract

Bleeding is a risk associated with surgery, and complications, such as hypotension, anemia, and decreased oxygen-carrying capacity, can occur. Blood transfusions have been the mainstay treatment for excessive surgical blood loss; however, transfusion has associated risks including infection, volume overload, immunological reactions, and increased morbidity and mortality (Sahu et al., 2014). Interventions to decrease surgical blood loss are essential components to improving surgical outcomes. The antithrombolytic, tranexamic acid (TXA), decreases surgical blood loss and blood transfusion requirements, thereby decreasing transfusion-related complications (Gausden et al., 2017). Despite frequent use, variance exists surrounding the administration of TXA. Current evidence and guidelines …

Splitting Deceased Donor Livers To Double The Transplant Benefits: Addressing The Legal, Ethical, And Practical Challenges, Evelyn M. Tenenbaum, Jed Adam Gross

Health Matrix: The Journal of Law-Medicine

Liver transplantation is different from transplanting other solid organs because some recipients can achieve good long-term outcomes with only half of a donor’s liver (or less). This means that some deceased donor livers can be split, saving two lives instead of one. However, although more than 10 percent of cadaveric livers meet the criteria for splitting, only about 1.5 percent are actually split in the United States. This article identifies a set of ethical, legal, and logistical challenges to a more extensive use of split liver transplantation (SLT) within existing legal frameworks. We then discuss how each of these challenges …

Faculty Senate Meeting Minutes May 4, 2023, University Of Rhode Island Faculty Senate

Faculty Senate Meeting Minutes

No abstract provided.

Faculty Senate Meeting Agenda May 4, 2023, University Of Rhode Island Faculty Senate

Faculty Senate Meeting Agendas

No abstract provided.

Improving Health Prevention Screening In A Rural Health Clinic, Shawn M. Mcnally

Masters Projects

Background: Health prevention screening has recently been highlighted in many initiatives from leading countries around the world. Breast cancer screening, cervical cancer screening and osteoporosis screenings are among the highest objectives for many of these initiatives as national health agencies focus on reducing morbidity and mortality by early detection.

Local problem: Baseline quality metrics reported for one clinic show the appropriate ordering of these health screenings is below the national benchmarks and the organizational benchmarks.

Methods: The project was designed as a quality improvement project based in a critical access region serving a rural population.

Interventions: The project intervention …

Telehealth Monitoring For Non-Hospitalized Covid-19 Positive Patients In A Rural Setting, Rebekah Leann French

Doctor of Nursing Practice Scholarly Projects

Purpose

This quality improvement project evaluates the efficacy of an outpatient COVID-19 telehealth monitoring program intended to increase access to care, decrease emergency room/urgent care visits, and hospital admissions among telehealth observed adult patients in a rural area while providing safe home monitoring during acute illness.

Rationale/Background

Prior to COVID-19 pandemic, healthcare systems within the United States encountered several challenges including healthcare inequality and decreased healthcare access, particularly in rural communities. These gaps became more apparent when a novel COVID-19 pandemic emerged straining healthcare systems in the United States and throughout the world. Challenges ranged from overwhelmed emergency room (ER) …

In-House Counsel, The Adoption Of Artificial Intelligence, And Legal Ethics, Dr Felicity Bell, Prof. Michael Legg

Indian Journal of Law and Technology

In-house counsel have become a large and influential group of lawyers in many jurisdictions. When it comes to transactional and regulatory work, they play a key role. Nevertheless, in-house counsel are also under pressure to create efficiencies in legal work, with tightening legal budgets and ever-growing volumes of regulation. Artificial intelligence (AI) applications are often suggested as a means of creating these cost savings. There is a strong business case for using AI in this context as routinised work lends itself to economies of scale. But what are the implications of using AI, for the in-house lawyer? They must ensure …

Assessment Of Community College Shared Governance: The Relationship Between Shared Governance And Institutional Performance, Shalee Hodgson

Doctorate in Education

Community colleges rely on shared governance to connect the people closest to institutional work, administrators, faculty, and staff, with the decisions that shape it. However, the relationship between shared governance and institutional performance remains underexamined, and the role of staff in particular has received limited scholarly attention. This qualitative case study examined employee perceptions of shared governance and institutional performance at one community college in the northwestern United States, exploring how shared governance supported institutional effectiveness and how the college sustained its assessment through committee operations and the strategic planning process. Data were collected through document review and semi-structured interviews …

Improving Depression Screening Completion Rates For Medicare Patients In A Primary Care Setting, Kenneth J. Haluska

Evidence-Based Practice Project Reports

The United States Preventative Services Task Force recommends screening the general adult population for depression (Siu et al., 2016). Despite increasing clinical practice guidelines recommending depression screening, only 40-50% of depressed older adults are recognized and treated (Phoh et al., 2017). The purpose of this evidence-based practice (EBP) project was to implement a medical assistant (MA) depression screening protocol, using the PHQ-9 and staff education, to improve depression screening completion rates in Medicare patients in a primary care setting. An exhaustive literature search of eight databases yielded 14 pieces of evidence that made recommendations for best practice. The evidence was …

Impact Of Talent Management And Succession Planning On The Organizational Competitiveness In The Uae Public Sector, A. Al. Bedwawi, R. A. Mutalib, V. Senasi

Journal of Statistics Applications & Probability

The study aimed to measure the impact of talent management and succession planning on organizational competitiveness in the UAE public sector and close the gap in improving the competitiveness of government sector institutions in the United Arab Emirates, including the Federal Authority for Human Resources. In this regard, several researchers admitted that the plans did not correspond to the actual. So this study is divided into a review of previous literature and related studies to answer the questions and research objectives and illustrate the impact of talent management and succession planning on organizational competitiveness.

Application Of Interaction Methods And Multigroup Analysis In Structural Equation Modeling Using The Warppls Approach (Study On Bank X Housing Loans), Mamlu’Atul Marchamah, Adji Achmad Rinaldo Fernandes, Solimun, Atiek Iriany, Ni Wayan Surya Wardhani

Journal of Statistics Applications & Probability

This study aims to determine the role of the moderating variable of mindfulness as the effect between service quality and lifestyle on willingness to pay and on time to pay House Ownership Credit Bank X customers. The moderating variable analysis uses two approaches, namely the interaction method and multigroup analysis. This study uses primary data obtained from questionnaires regarding the variables of service quality, lifestyle, mindfulness, willingness to pay, and on time to pay distributed to house ownership credit Bank X customers with a sampling technique using purposive sampling. The analysis technique uses SEM to examine the effect of the …

The Effect Of Strategic Change On Total Quality Management Case Study: Emirates Post Group (Au), E. K. Ibrahim, N. R. Al Salhi

Journal of Statistics Applications & Probability

The aim of the study is to conduct an empirical analysis of the relationship between total quality management (TQM) practices, with the strategic change (SCH). The data for the study came from a survey of 341 members of the Emirates Post Group (EPG), which is considered one of the government-owned entities responsible for the transportation industry in the United Arab Emirates, Dubai. The results of the study revealed that strategic change has a direct impact on TQM practices. This study makes a novel contribution by offering a detailed and deeper understanding of the relationship between strategic change, and total quality …

Development Of Nonparametric Truncated Spline At Various Levels Of Autocorrelation Of Longitudinal Generating Data, Ananda Ajeng Puspitasari, Adji Achmad Rinaldo Fernandes, Achmad Efendi, Suci Astutik, Eni Sumarminingsih

Journal of Statistics Applications & Probability

The purpose of this study is to obtain the best approach in longitudinal data using Path Nonparametric Truncated Spline with PLS and PWLS approach. The data used in this study is longitudinal generation data. There are three variables, five levels of autocorrelation, and the data does not meet the assumption of linearity. The degree of autocorrelation is divided into very low autocorrelation (|0.01-0.20|), low (|0.21-0.40|), moderate (|0.41-0.60|), high (|0.61-0.80|), and very high (|0.81-1.00|). The analysis used is path nonparametric truncated spline with PLS and PWLS approach. The result of this research is the estimation of nonparametric path function using PLS …

Adaptive Study Of Agile Transformation In Small, Start Up And Self Employed It Business - Do We Really Need Agile?, Yibo Zhang

School of Professional Studies

No abstract provided.

Involving Athletes: Implementing A Human Resource Development Approach Among The Ncaa And Member Institutions, Angela D. Carter, Sarah Stokowski, Chris Corr, Skye G. Arthur-Banning

Publications

No abstract provided.

Concurrent Study Of The Impact Of An Institutionalized Diversity Plan On The Perceived Sense Of Academic Achievement, Sense Of Belonging, And Program Completion Among African American Students In A Midwest Community College, Tyianna Thompson

Dissertations

This dissertation explored how an institutionalized diversity plan impacts perceived academic achievement, sense of belonging, and program completion among African American students. The concurrent mixed-methods methodology followed a single case study design to explore the impact of an institutionalized diversity plan in a Midwest community college. Both quantitative and qualitative data were gathered and analyzed. The results of this study revealed that although diversity and inclusion programs are somewhat effective in higher education, more needs to be done to satisfy the needs of minority students in higher education. According to the findings of this study, most students felt a sense …

Faculty Senate Monthly Packet May 2023, Portland State University Faculty Senate

Faculty Senate Monthly Packets

The May 1, 2023 Monthly packet includes the May agenda and appendices and the Faculty Senate minutes and attachments from the meeting held April 3, 2023.

Reviving The Boeing Project By Using Project Management Methodologies, Aashay Mhatre, Chandrakant Kamble, Anjali Shah, Shehzad Malim

School of Professional Studies

No abstract provided.

Leaders' Virtual & In-Person Communication: The Impact Of Employee Preference On Job Satisfaction, Adalin Mcdaniel

Masters Theses & Specialist Projects

Communication between supervisors and subordinates has consistently been viewed as a primary element of leadership, and a factor that is important in the leader-subordinate relationship via Leader-Member Exchange (LMX) theory. Recently, with the massive shift to virtual working, leadership communication has gained greater prominence in research and practical settings. Therefore, examining the role that virtual leadership communication plays in employee job satisfaction is an important first step in beginning to understand the shift to predominant work settings from home. I examined the influence of employee perceptions and preferences of leadership communication on job satisfaction via a panel design in which …

Using Transformative Leadership To Understand White Male Community College Presidents And Their Efforts To Improve Outcomes For All Students, Ruthanne Keenan Orihuela

Dissertations

This critical constructivist study was grounded in the belief that there is an urgent need to address attainment gaps between White students and students of color at community colleges, that equity-minded leadership is needed to address these gaps, and that the call for transformative leadership must be answered not solely by leaders with minoritized identities alone but also by leaders with privileged social identities who comprise the majority of community college presidents. The intent of this study was to examine the ways in which White male community college presidents come to understand their privilege and navigate their roles as leaders …

School Leadership Initiatives: To Promote Equitable And Inclusive Family Engagement Practices For English Language Learners, Lillian M. Holley

Doctoral Dissertations

This qualitative case study aimed to understand and document changes that coincided with a planned district-wide initiative, especially from the perspectives of the school system leadership team and families of English language learners (ELL). The following research questions were addressed in this study: How did school leaders experience the initiative to increase equitable family and inclusive family engagement practices for English Language Learners? How did the parents of ELL students experience change through the initiative? The findings of this study revealed that to work effectively with parents of ELL students, school systems must understand the experiences and needs of these …

Decisions Athletic Directors Face When Allocating Funds In An Athletic Department, Joseph Mueller

Leadership Education Capstones

The purpose of this study is to understand the decision-making process athletic directors use when allocating funds within an athletic department. The research is intended to identify the decision-making process athletic directors use when dealing with finances in their department. Athletic directors have a large role in an athletic department and are the driving force for their institution’s athletics, especially regarding the finances related to athletics. Using a qualitative research method using interviews, surveys, and document review, themes of budgeting plans, fundraising, and benchmark analysis emerged.

(Un)Hidden Whiteness: A Critical Policy Analysis On Race-Related Education Policies, Kerry Foraker Green

Educational Leadership & Policy Studies Dissertations - Archive

Over the last three years (2020-2023), many state legislatures responded to grassroots campaigns for social justice by enrolling legislation that explicitly and implicitly bans Critical Race Theory (CRT) and controls race-related instruction and training. This study examines race-related educational policies enacted by Iowa, Texas, and Florida legislation as leading examples of these efforts. The research question guiding this study was how educational school policies related to CRT in Texas, Florida, and Iowa are framed in state documents. The legislative frame includes the process and language that is utilized in crafting these bills to reveal the policies origins and goals. Three …

Lost In Your Halo: The Influence Of Group Attractiveness And Diversity On Perceived Group Performance Ratings, Jade C. Chacon

Psychology Theses - Archive

Research on attractiveness suggests that more attractive individuals are assumed to have superiority on several traits, such as happiness and extraversion. This is termed the halo effect. Additionally, within the diversity literature, although inconsistent, there is evidence supporting the importance of diversity within a team to promote better group performance and to foster creativity and innovation. This study examined, for the first time, whether the physical attractiveness halo effect applies to groups. Particularly, overall group attractiveness, group diversity, and their interactive influence on perceived group creative performance were examined. This experiment manipulated both the attractiveness and the diversity of the …

A Multi-Agent Modeling Social Network Analysis Of Cooperative Learning Groups Within A Simulated Adult Education Classroom Learning Environment, Leverett Bruner

All Dissertations

Illiteracy and a lack of a high school diploma are impediments to a fulfilled and meaningful life. Low or reduced literacy and non-attainment of a high school diploma are significant problems in the United States. Adult education can be a vehicle to address these ever-present issues. A disproportionate number of students in adult education are minorities, members of lower socioeconomic statuses and traditionally marginalized groups who lack effective literacy skills and/or a high school diploma. Adult education and its related entities can serve as a vehicle to address these pervasive issues, but adult education as a program type is a …

Cybereducation-By-Design™: Developing A Framework For Cybersecurity Education At Secondary Education Institutions In Arizona, Paul Wagner

Masters Theses & Doctoral Dissertations

Most survey results agree that there is a current and ongoing shortage of skilled cybersecurity workers that places our privacy, infrastructure, and nation at risk. Estimates for the global Cybersecurity Workforce Gap range from 2.72 million (ISC2, 2021) to 3.5 million (Cyber Academy, 2021) for 2021 and the United States estimates range from 465,000 (Brooks, 2021) to over 769,000 (Cyber Seek, 2022) open jobs as of November 2022. The most optimistic estimates still demonstrate a critical issue. As cybersecurity threats continue to grow in sophistication, scope, and scale, the ability to secure the United States from these threats lies in …

Development & Validation Of A Scale Of Diversity, Equity & Inclusion, Alexander Davy

Masters Theses & Specialist Projects

Diversity, equity, and inclusion (DEI) are important to organizations and their employees. However, confusion in conceptualization and operationalization hinders the development of DEI research and application. The purpose of this study was twofold. First, I conceptualized DEI as a composite construct of three interrelated but differentiated components, that is, diversity, equity, and inclusion. Possible relationships among the three constructs were discussed. Second, I developed a three-dimensional scale to measure diversity, equity, and inclusion as separate constructs. The scale showed acceptable reliability, with Cronbach’s alpha levels for the overall scale and subscales range from .81 to .94. Convergent and divergent validity …