Digital Commons Network^™

Using Unfolding Case Studies To Develop Critical Thinking In First-Semester Nursing Students, Carol Cook

Doctor of Nursing Practice Projects

There is a crisis in competency among new nurses in the United States. Prelicensure nursing education prepares them to pass the NCLEX-RN, but it does not provide the necessary foundation for sound clinical decision-making. Mistakes in the clinical setting can lead to failure to rescue, resulting in the third leading cause of death: medical error. A radical change is needed to prepare nurses with the clinical judgment skills necessary for patient care. Educators must be mindful of the academic-practice gap and adopt evidence-based improvements, including active learning with unfolding case studies. This quality improvement project involved a four-part unfolding case …

Decreasing Nursing Burnout Post Covid-19 Pandemic Through Complementary Therapies, Linda Martiin

Doctor of Nursing Practice Projects

This quality improvement project aimed to address the problem of nursing burnout post COVID-19 pandemic through complementary therapies. Nursing burnout can be mental, emotional, or physical exhaustion which an excessive amount of prolonged stress can cause. Nursing burnout has affected nursing staff worldwide, directly impacting the care provided to patients and the patient's satisfaction. The Nursing Worklife Model was utilized as the theoretical framework for this project (Appendix A). The literature review exhibits the prevalence of nursing burnout in nursing staff. A quantitative study was utilized for this project. The Oldenburg Burnout Inventory was utilized to establish the participant's level …

Improving Handoff Communication In The Emergency Department, Amy Shepherd

Doctor of Nursing Practice Projects

Ineffective handoff communication has been recognized for years as a practice issue and is the most frequently reported cause of sentinel events in U.S. hospitals (Dufault et al., 2010) and responsible, at least in part, for 30% of all malpractice claims (Fucik, 2019). The development of standardized tools has been identified as a key component to improving handover practice. For this project, a standardized SBAR tool was modified for a local emergency department. The intervention was a process change in the emergency department to utilize an SBAR tool during handoff reports. The project was implemented by educating staff on the …

Increasing Future Health Care Providers’ Understanding Of The Complexity Of Endometriosis To Facilitate Early Diagnosis, Christina Alexander

Doctor of Nursing Practice Projects

The DNP project was designed to improve future healthcare providers’ knowledge on the complexity of endometriosis by providing students with a lunch and learn session on endometriosis. The intent of the project implementation was to improve students’ knowledge on endometriosis to facilitate early diagnosis for patients. Improving provider knowledge of evidence-based endometriosis guidelines is imperative to achieve early diagnosis. The educational session provided students with information regarding symptoms, impact of delayed diagnosis, discerning differential diagnoses, associating timing of symptoms, and identifying endometriosis lesions. The impact of the project implementation was measured using pre/post-survey data evaluating overall knowledge, symptoms awareness, “best …

The Impact Of Palliative Care Education On Acute Care Nurses, Heather Sadler

Doctor of Nursing Practice Projects

The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to improve acute care nurses’ knowledge of evidence-based palliative care interventions utilizing the framework from the End-of-Life Nursing Education Consortium (ELNEC) training modules. Increasing the knowledge, comfort, and competence of acute care nurses has the potential to improve end-of-life care delivery in the acute care setting. A lack of access to specialized inpatient palliative care service teams was identified in a rural county in the Southeastern United States. This county is served by a small, criticalaccess hospital. The frontline nursing staff of this facility regularly provides end-of-life …

Why Doesn't She Just Leave? Improving Identification And Response To Victims Of Intimate Partner Violence In The Emergency Room, Elizabeth Berry

Doctor of Nursing Practice Projects

The purpose of this project was to improve identification and response to victims of intimate partner violence (IPV) presenting to the emergency department. Project participants completed a pre-education questionnaire prior to the project leader providing intimate partner violence educational materials and a presentation entitled Recognizing and Responding to Victims of Intimate Partner Violence in the Emergency Room. The project participants then completed a mirrored post-education questionnaire. Evaluation of the project included a comparison of the participant's responses to the mirrored questionnaires. Project participants reported an increase in the:

• recognition of the prevalence of intimate partner violence among their patients, …

Integrating A Community Mental Health Resource Tool In A Rural Emergency Department Setting, Robert Rash

Doctor of Nursing Practice Projects

Providing effective discharge education to patients who are treated in the emergency department setting remains a very important component of a patient’s visit to an emergency department. Literature confirms although there are various governmental regulatory agencies that set forth regulations and guidelines, there remains a need to continually evaluate and critique the discharge education process to best meet the evolving needs of the patients, stakeholders, and community. Universally understood standards include appropriate reading levels and usability of the discharge education being provided. Discharge education can be very simple to complex creating higher demands on nursing staff to ensure they understand …

Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training, Carmen Mclamb

Doctor of Nursing Practice Projects

Achieving peripheral venous access in patients is one of the first steps in most treatment protocols. Delays or even failures to obtain peripheral venous access can delay lifesaving treatments, prolong hospital stays, and affect patient outcomes. Peripheral venous access can be difficult due to chronic disease processes, scarring of valves from frequent cannulation, limitation due to dialysis fistulas, or due to acute conditions such as hypovolemia and hypotension. Studies have found the use of ultrasound-guided techniques can achieve peripheral venous access quickly and prevent the need for more aggressive procedures (Skulec et al., 2020). However, there is a gap between …

Enhancing Emotional Intelligence In Prelicensure Nursing Students, Aimee G. Motley

Doctor of Nursing Practice Projects

Nursing programs are intended to prepare nursing students to become competent nurses, that can make decisions to promote positive patient outcomes. However, studies suggest that as students transition into clinical practice, they are still lacking decision-making skills. Emotional Intelligence (EI) has been suggested to improve communication skills, problem-solving, and resilience. The purpose of this project was to enhance the emotional intelligence of Baccalaureate prelicensure nursing students. The PICOT statement was: Can formal EI training combined with interactive EI training, influence EI awareness, knowledge, and skills of baccalaureate nursing students as evidenced by scoring 77% or higher on an EI posttest …

Self-Advocacy Training To Support Self-Confidence In Transition To Practice, Debora Shingleton Allder

Doctor of Nursing Practice Projects

Background: The crisis in the competency of newly licensed graduate nurses continues to grow despite the efforts of nursing academia. Transition to practice programs has improved new graduate attrition and narrowed the gap of practice readiness, but much of the responsibility to train graduate nurses falls on nurse preceptors. Many of these preceptors have minimal nursing experience and little to no training in fostering clinical judgment. Furthermore, nurse preceptors must balance providing care for their clients while also guiding novice nurses. They often do not have the time to provide the emotional support, real-time reflection, and timely feedback required to …

Tennessee Farm Bureau News - January 2023, Tennessee Farm Bureau Federation

Tennessee Farm Bureau News

No abstract provided.

صناعة الزجاج في يڤنه، الانطباعات الأولية من نتائج التنقيب في منطقة "L" / Glass Production At Yavne: First Impressions From Area L, Yael Gorin-Rosen, Pablo Betzer, Daniel Varga, Ariel Shatil

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

Numerous glass-production remains were uncovered at Yavne, in all excavated areas (A, B, C, G, L, K, M); however, only in Area L were glass furnaces found in situ, within a built complex termed the “House of Glass”. The importance of this discovery lies in two large rectangular furnaces for the production of raw glass (i.e., primary production) and several small circular furnaces for manufacturing glass vessels and artifacts (i.e., secondary production), which were found in an adjacent room. A large amount of production remains, originating from the walls of the large glass furnaces, was found incorporated in secondary use …

نقش جديد على خرطوش من يامنية (يڤنه) / An Inscribed Sling Bullet From Iamnia (Yavne), Yulia Ustinova, Pablo Betzer, Daniel Varga

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

Salvage excavations conducted at Yavne uncovered a sling bullet dating to the second century BCE, bearing a Greek inscription: “Victory of Heracles and Hauronas”. The sling bullet was found in a pit dating to the Hellenistic period, which was located under the foundations of a Roman building. Heracles mentioned in the inscription is the Greek equivalent of the Phoenician god Melkart, while Hauronas is a Canaanite god known in the ancient Near East and in the Land of Israel as Horon. Prior to this discovery, this divine pair was mentioned only in a Hellenistic inscription from the island of Delos, …

وليكُن تابوتي علامة على الأرض: “مقابر من الفترة الرومانية في يڤنه” / “May My Coffin Be Perforated To The Earth“: Roman-Period Cemeteries At Yavne, Eriola Jakoel, Alla Nagorsky, Pablo Betzer, Daniel Varga

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

The extensive excavations carried out on behalf of the Israel Antiquities Authority east of Tel Yavne exposed tombs dating from the Roman period. So far, five cemeteries of various sizes have been found in Yavne, some located near the city and some, farther away. The cemeteries were in use over a long period of time. Three burial layers were identified: Layer III, dating from the first to the second century CE, included two phases; Layer II, dating to the second and third centuries CE, comprised two phases; and layer I, from the third to the fourth century CE. Some of …

وجودنا: مفاهيم أولية للاقتصاد والصناعة خلال فترة السنهدرين في يڤنه، نظرة من خلال عظام الحيوانات والبقايا الأثرية / Preliminary Insights Into The Economy And Industry Of Yavne In The Roman Period: A Zooarchaeological View, Lee Perry-Gal, Pablo Betzer, Daniel Varga

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

Faunal remains were retrieved from contexts dated to the Early and Middle Roman periods (first century BCE–third century CE) at Yavne, the time when the Sanhedrin operated in the city. These remains suggest the existence of a bone-marrow industry at the site. Donkey and cattle bones were found within an elongated structure and a pool. Based on the bones’ taxonomic and taphonomic traits, they seem to have been used in the production of bone marrow, either for consumption or, more likely, for extracting collagen from the fat, which is known to have been used as a binder in the production …

أدوات من عظام كتف الحيوانات من تل يڤنه: موجودات، استخدامات وإعادة بناء/ Put Your Shoulder To The Wheel: Bone Tools Made From Animal Shoulder Blades From Tel Yavne—Uses And Reconstruction, Inbar Ktalav, Ariel Shatil, Natalia Solodenko, Yotam Asscher, Lee Perry-Gal

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

The physical structure of the shoulder blade (scapula) bone makes it ideal for producing large, flat and strong tools that were used in daily life activities, such as agriculture, the processing of skins and fibers, and writing tablets. We recognized three types of tools that were made from shoulder blades in the archaeological record from Yavne. One type is the Tarvad, a tool used as a scoop, usually associated with the olive oil industry, and recovered mainly from Jewish sites dated to the Roman period. The tarvad is usually made from a cattle scapula, whose neck is used as a …

صناعة كميات كبيرة من الجرار لاستخدامها في تسويق نبيذ يڤنه أفران الحرق، أكوام النفايات وما بينهما / Mass Production Of Jugs For Yavne’S Wine Industry: Pottery Kilns, Waste Piles And The Relations Between Them, Orit Tsuf

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

The excavations at Yavne revealed many piles of production waste near pottery kilns in relation to a large complex of wine presses dating to the Byzantine period. The kilns produced Gaza jars, which are well-known in the wine industry, alongside bag-shaped jars, and whose use was diverse, including the storage and marketing of wine. The waste piles of the pottery jars were discovered near kilns dating to the Late Roman, Byzantine and Umayyad periods. Following the excavation and the analysis of the finds, it is possible to map the location of the waste piles in relation to the distribution of …

الطرق التجارية البحرية شرق البحر الأبيض المتوسط ​​في أواخر الفترات القديمة / Eastern Mediterranean Trade Routes In Late Antiquity, Deborah Cvikel

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

For thousands of years, the Mediterranean Sea has connected the various peoples residing along its shores, as is evidenced in the material culture: ancient coastal cities, ports and anchorages, shipwrecks and their cargoes. The archaeological remains uncovered on the seabed and on seashores are cultural assets of great value, attesting to the interrelationships between man and sea, playing an important part in the study of the history and archaeology of the Mediterranean basin. Between the end of the Byzantine period and the Early Islamic period, important changes were attested in the construction technology of ships sailing in the Mediterranean Sea, …

يڤنه وصناعة نبيذ غزة وعسقلان / Yavne And The Wine Industry Of Gaza And Ashqelon, Jon Seligman, Elie Haddad, Liat Nadav-Ziv

Cornerstone: Journal of Archaeological Sites (حجر الزاوية)

The remains uncovered at Yavne attest to its role in the wine-industry during the Byzantine period: viticulture, wine processing and trade of prestige Gaza and Ashqelon wine. The climate in this area, its soil and environment were ideal for growing vines (terroir). This article examines the wine industry along the southern coast of Israel, followed by a discussion of the literary sources mentioning this industry, the types of facilities used in it and the material findings. We focus on the industrial winepresses recently uncovered at Yavne and the extent of wine production at the site. Furthermore, the pottery kilns uncovered …

Adaptive Leadership In Local Responses To Covi D-19: Cases Of The Cities Of Santa Rosa And Valenzuela, Philippines, Miriam Caryl Carada, Therese Pardo, Aileen Lapitan

Journal of Public Affairs and Development

The Coronavirus Disease (COVID-19) created a disruption to the global landscape that called for the quick response of key governance actors, specifically an adaptive approach by the local leaders. In this study, we analyze strategies of two local chief executives to draw insights about how adaptive leadership practiced in the context of two cities in the Philippines deemed to excel in managing the pandemic at the height of its onslaught. Owing to COVID restrictions at the time of the study, secondary data from various social media accounts, local government portals, and news websites were utilized together with the accounts from …

Analysis Of Competencies Of The Engineering Research And Development For Technology Alumni Of The University Of The Philippines Los Banos, Paulyn G. Micor, Maria Ana T. Quimbo, John Erinorio M. Perez, Ruth Ortega-Dela Cruz

Journal of Public Affairs and Development

In the context of local and global workforce and people skills competitiveness, this study sought to determine whether the Engineering Research and Development for Technology - University of the Philippines Los Banos (ERDT-UPLB) alumni are competent in their chosen employment fields. Using the Likert scale of measurement, the skills, knowledge, and attitude competencies of engineering graduates were compared to the preferred competencies of employers and potential employers. Results showed no significant difference between the existing competencies of the ERDT alumni and the preferred competencies of prospective employers. Moreover, employers and potential employers have indicated a positive and favorable response to …

Moving Towards Sustainable Mining Communities: The Case Of The Community-Led Non-Cyanide Non-Mercury Cold Extraction Method (Clinn-Cem) In Compostela Valley, Philippines, Rowee Joy S. Decena

Journal of Public Affairs and Development

The small-scale mining industry and communities are left behind in terms of development. They are confronted with economic, environmental, and social problems. Thus, to address these problems and move towards sustainable development, this social development research explores how CLINN-GEM, as a technological innovation, contributes to achieving sustainable mining communities. The researcher employs a single case study approach and adopts qualitative methods in data gathering and analysis. Data gathering methods include document reviews, guided tour, key informant interviews with seven informants, focus group discussions with the operations group and the members of the project staff, and a structured learning exercise with …

Agricultural Extension Services And Household Food Security Of Women Rice Farmers In The Ayeyarwady Region Of Myanmar, Yi Mon Thu, Rowena Dt. Baconguis, Myra E. David, Merlyne M. Paunlagui, Pompe C. Sta. Cruz

Journal of Public Affairs and Development

The study aimed to analyze women's households' farming practices towards household food security, particularly in six villages of the Ayeyarwady region. Data were collected from 126 randomized respondents. Findings show that the respondents are respondents who had a mean age of 45 years, married, natives of the study sites, and have attended primary education with an average of four family members. The government is the primary agency that provides training programs, mostly in rice production. They have access to extension worker visitation in which the most common topic discussed is pest management. Less than a fourth of the respondents are …

Emotional Intelligence Training And Professional Salespeople, Tracey Honeycutt Sigler, Charles D. Shepherd Ph.D

Atlantic Marketing Journal

Emotional intelligence (EI) has long been considered a significant success factor, especcially in careers like personal selling that involve considerable social. contact (Goldman, 1995). As a result, a series of studies have investigated the link between EI and sales performance. The results of these studies indicates that EI can positively impact sales performanace. As a result, researchers (Deeter-Schmelz & Sojka, 2003) have called for its integration into sales training programs. However, to this point, no research has established an effective approach to EI training in sales. This study begins to rectify that shortcoming by indentifying best practices in general EI …

Implementing A Short-Term Field-Based Experiential Learning Activity: The Retail Scavenger Hunt, Pam Richardson, Rebeca Perren

Atlantic Marketing Journal

This article introduces the Retail Scavenger Hunt (RSH)—a short-term field-based experiential learning activity. This flexible pedagogical tool enables students to experience first-hand what is commonly referred to in the consumer-packaged goods industry as “the store check.” Although initially designed as an instructor-led activity, the authors adapted the exercise during the pandemic to be executed as a self-directed, app-based field activity. As a result, this research can compare student impressions across implementation modes.

Textbook Publishing For Secondary And Higher Education, Sherry Roberts, Lucy M. Matthews

Atlantic Marketing Journal

Given the number of high school and college students in need of textbooks, there is an opportunity for individuals interested in becoming textbook authors. The process begins with conducting research to determine the appropriate type of book and the market for that book. The research for secondary education includes understanding curriculum standards for the given subject. Understanding the market for the book is important to also determine the appropriate publisher for the proposed textbook. Next, it is time to prepare the items needed for the prospectus. These items include the table of content, end-of-chapter exercises, and likely a few chapters …

Lagrangian Modelling Of Nonlinear Viscous Waves Generated By Moving Seabed Deformation, E. Renzi, S. Michele, A. G.L. Borthwick, A. C. Raby

School of Engineering, Computing and Mathematics

A Lagrangian flow model is used to investigate highly nonlinear, dispersive waves generated by moving seabed deformation (MSD) of an otherwise horizontal seabed. Applications include free surface wave responses to horizontal co-seismic displacements and to novel bed-driven wave making systems used in surfing competitions. This paper considers gravity waves in viscous liquid, without restrictions on wave steepness, dispersion coefficient, and flow regime. Numerical computations are carried out using a Moving Particle Explicit method, which provides a Lagrangian flow description with far fewer particles than existing meshless methods. We show that the MSD speed has different effects in shallow and intermediate …

Anti-Capsular Activity Of Cuo Nanoparticles Against Acinetobacter Baumannii Produce Efflux Pump, Israa M.S. Al-Kadmy, Sarah Naji Aziz, Ahmed Mahdi Rheima, Suhad Abbas Abid, Ahmed Suhail, Israa Hussein Hamzah, Eman N. Naji, Alexandros Besinis, Helal F. Hetta

School of Engineering, Computing and Mathematics

Copper oxide nanoparticles are modern kinds of antimicrobials, which may get a lot of interest in the clinical application. This study aimed to detect the anti-capsular activity of CuO nanoparticles against Acinetobacter baumannii produce efflux pump. Thirty-four different clinical A. baumannii isolates were collected and identified by the phenotypic and genetic methods by the recA gene as housekeeping. Antibiotic sensitivity and biofilm-forming ability, capsular formation were carried out. The effect of CuO nanoparticles on capsular isolates was detected, the synergistic effects of a combination CuO nanoparticles and gentamicin against A. baumannii were determined by micro broth checkerboard method, and the …

Whole-Life Modelling Of Anchor Capacity For Floating Systems: The Rsn Csi Approach, K. A. Kwa, D. J. White, T. Tosdevin, S. Jin, D. Greaves

School of Engineering, Computing and Mathematics

Successive episodes of cyclic loading cause the strength of soft soils to reduce, through pore pressure build-up, and then recover, through consolidation, as shown by model testing, field studies and theoretical considerations. These ‘whole-life’ changes in soil strength affect the capacity of anchoring systems for offshore infrastructure such as floating turbines or platforms. This paper introduces a new macro-model for assessing the through-life changes in seabed strength and anchor capacity as a result of variable cyclic loading and concurrent consolidation. The model combines SN curves for damage accumulation with a critical state soil mechanics framework for changes in soil strength …

Proteomic Analysis Of Genetically Stratified Grade-I Meningioma, Yeasmin Akther

Peninsula Medical School Theses

Introduction: Meningioma is the most common primary intracranial tumour. Although often benign in nature, at least 20% have high rates of recurrence. Surgical resection and radiotherapy are the main therapeutic approach, yet tumour location can hamper complete resection and chemotherapies are ineffective. Therefore, more accurate prognostic biomarkers are needed to improve the clinical management of meningioma. The mutational profile of mutant meningioma is well defined, including in addition to most common NF2 loss, mutations of TRAF7, KLF4, and AKT1. The aim of this study is to identify novel biomarkers and therapeutic targets of genetically stratified meningioma by characterising the proteomic …