Digital Commons Network^™

Weaving Resistance: Indigenous And Mestizé Women In Peru’S Political Uprisings, Isabella Benjamin-Quintana

Tapestries: Interwoven voices of local and global identities

This qualitative research paper investigates how race, gender, and political agency intersect in the lived experiences of Peruvian Indigenous and Mestizé women as they engage in political organizing and protest. This paper focuses on their roles, perspectives, and experiences during the 2022–2023 popular uprisings in Peru, highlighting the unique challenges and contributions of these women in a period of intense social and political upheaval. This paper first uncovers what catalyzed these movements into action, particularly after the impeachment of Peru’s former President, Pedro Castillo. Then this paper will explore race and gender construction in Peru, through pre-colonial, colonial and post-colonial …

The March Toward Indian Black Solidarity, Tara Marella Weber

Tapestries: Interwoven voices of local and global identities

This essay explores Indian Americans’ nuanced identity, privilege, and historical relationship to Black Americans. Today, Black and Indian American racial identities are often isolated from one another due to the effects of White Supremacy and Anti-Blackness within the Indian American diaspora. This paper assumes that complicity and conflict are not the end, but anti-racism and solidarity are possible within the diaspora. The paper will begin with a brief explanation of terms and phrases concerning my paper. I will attempt to answer two major research questions: What systems were put into place by White Supremacist Institutions to position Indian Americans as …

Optimizing Services And Processes: An Industrial And Systems Engineering Approach To Addressing Homelessness, Matthew Martin

School of Engineering: Student Scholarship

Being an Industrial and Systems Engineering Student with a foot in volunteer work, I have seen how ISYE can be used to optimize industry and systems that companies have in place, and figured its processes could also be applied to look into the systems being used to solve the homelessness crisis. In this paper, I plan to discuss the data and statistics behind homelessness, the solutions currently in place, how ISYE is currently being used and how it can be applied more efficiently, as well as explore how we as engineering students and as a society can use our education …

Leadership Lessons For Aspiring College Presidents: Essential Tools, Skills, And Strategies For Success, Quincy Martin Iii

Journal of Research on the College President

College and university presidents today face an increasingly complex set of challenges, demanding not only traditional leadership skills but also a nuanced understanding of the unique dynamics in higher education. With heightened financial pressures, technological advances, and evolving student expectations, college presidents must be equipped with the right tools, skills, and strategies to navigate their roles successfully. This article explores leadership lessons for aspiring college presidents, providing a comprehensive overview of the essential competencies required to lead effectively. Drawing from recent leadership theory, case studies, and trends in higher education, this article offers practical guidance for current and future higher …

Stress And Trauma-Related Concerns Among Law Enforcement, James Hughes

Master of Arts in Human Services

Law enforcement personnel work in environments with routine exposure to high stress and trauma which can lead to increased risk for mental health conditions such as posttraumatic stress disorder (PTSD). The purpose of this study was to learn about the prevalence and effects of PTSD and related mental health issues among law enforcement (LE) officers and how psychological issues are managed within the LE system. An explanatory sequential mixed methods design strategy was used that involved collecting quantitative data first and then explaining the results with in-depth follow-up qualitative data. In the first quantitative phase of the study, data was …

Black Like Me: Black College Student Perceptions Of Racially Similar College Presidents, David V. Tolliver Iii, Michael T. Miller, Jennifer M. Miles

Journal of Research on the College President

There is a strong interest in higher education to enroll a diverse student body, including groups from historically underrepresented populations. This is particularly true within the Black American community, where Black women have increased their presence in higher education yet Black men continue to account for only a small fraction of all college enrollment. To help increase the enrollment of Black men, some institutions have explored and put into place mentoring programs and have looked to symbolically demonstrate that higher education is a welcoming place by spotlighting college presidents who share similar demographic characteristics. The current study was designed to …

The Politics Of 9/11 Memory At Ground Zero And Shanksville: How Two National Memorials Were Debated, Negotiated, And Created, Emily Mundt

History Student Work

On the morning of September 11th, 2001, four United Airlines flights took off on the East Coast bound for California. Each plane carried passengers, crew, and...undetected hijackers. With four hijacked planes, two crashed into the Twin Towers of the World Trade Center, one crashed into the Pentagon, and the other crashed into a rural field in Shanksville, Pennsylvania. September 11th, 2001, has become known as 9/11 — the day many of us would never forget. Those old enough to remember seeing the loss of buildings and bodies unfold live on television on that day created individual memories of 9/11. But …

Improving Immunization Rates In Children Under Two Years Of Age In Linn County, Kansas Through Nursing Education, Heather L. Webber

Doctor of Nursing Practice Scholarly Project

Immunizations are one of the most beneficial preventive health measures available to children under two years of age. Failing to receive these preventative immunizations during these crucial years could result in the child developing serious diseases that may lead to long term disability or even be fatal. By increasing immunization rates, children will be more protected against common childhood diseases which will allow them to grow and thrive. The purpose of this scholarly project was to identify ways to improve vaccination rates in children under two years of age at specific clinics in Linn County, Kansas, using healthcare professional education. …

Improving Nursing Deployment Readiness, George Mcenroe

Doctor of Nursing Practice (DNP) Projects

Improving Air Force Nursing Deployment Readiness

Abstract

Background. Air Force nurses must be prepared for deployment to support military missions on short notice. During deployments, they may be asked to practice in demanding and austere wartime environments. The required competencies for deployment include the care of multi-trauma patients, mass casualty care, and military-specific skills.

Problem. Air Force nurses are required to maintain an annual Comprehensive Medical Readiness Program (CMRP) checklist, a list of clinical skills based on their nursing specialty. Assessing and maintaining deployment readiness is an ongoing challenge. The Air Force does not currently use any …

2024-12-13, Board Of Regents, Murray State University

Board of Regents Meeting Minutes

No abstract provided.

2024 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2024 commencement program. Commencement was on Friday, December 13, 2024.

Infant Mortality Data: Missing Pieces To Prevention In Lesotho, Jacinda Croissant

Master's Projects and Capstones

Lower-middle-income countries (LMICs) like Lesotho lack complete and quality infant mortality data. Without infant mortality data, it can be challenging to develop public health education, programming, and policies to address preventative infant deaths in specific populations (Rao et al., 2004). A literature review identified strategies to improve infant mortality data in LMICs. Through a community engagement model and digital storytelling, community members can gain awareness, begin an ongoing conversation about local public health issues, and participate in an improved data collection system. Infant mortality is often used as an indicator of health for a population; improved infant mortality data can …

Improving Health Equity: Integrating Mental Health Services Into Mobile Health Clinics For Unhoused And Low-Income Populations In The United States, Tiffany Lynn Wong

Master's Projects and Capstones

Mental health disparities among homeless and low-income populations in the United States highlight significant challenges in access and quality of care. This literature review explores the integration of mental health services into Mobile Health Clinics (MHCs) as a promising recommendation to address these disparities. I used various search engines, extracting 10 articles published from 2013 to 2023 focused on the U.S. MHCs show its effectiveness in improving healthcare access and quality of care, covering different services like mammography, reproductive health, COVID-19 testing, and diabetes care. Building on these successful models, this paper proposes extending MHCs to include mental health screenings, …

Reducing Heart Failure Readmissions Through Standardized Daily 1:1 Education, Neil R. Carlos

Master's Projects and Capstones

Problem: In 2023, a Northern California hospital's Cardiac Procedure Unit (CPU) admitted 100 heart failure patients, with 24 readmissions primarily due to inadequate self-management education. These admissions cost over $8.4 million, highlighting the urgent need for better patient education to reduce readmissions and healthcare expenses.

Context: A quality improvement initiative was launched in the CPU that handles pre- and post-cardiac care, including for heart failure patients. The unit's focus on urgent care and other priorities resulted in insufficient patient education regarding heart failure.

Intervention: From January to June 2024, the initiative implemented daily personalized teach-back education sessions on self-management. These …

Beat The Clock: Improving First Case On-Time Starts (Fcots) In The Ambulatory Surgery Unit (Asu), Myrna M. Bernardo

Master's Projects and Capstones

Abstract

Problem: A local Bay Area hospital Ambulatory Surgery Unit (ASU) strives to maintain the first case on-time starts (FCOTS) at 90%. Optimal FCOTS compliance enhances operating room (OR) efficiency, resource utilization, and patient outcomes. Data from January 2022 to December 2023 shows that ASU’s FCOTS remains at a monthly average rate of 67%. This project focuses on closing the 23% gap by achieving 73% FCOTS compliance in the first quarter to progressively achieve the unit 90% goal or higher.

Context: The five ASU ORs handle a daily volume of 25-35 cases. An interdisciplinary team conducted a root cause analysis …

Maternal Health Care In Rural South Africa: Risk Factors Impacting The High Maternal Mortality Rate, Ngozi Okemiri

Master's Projects and Capstones

Abstract

Objective: This paper examines the barriers that inhibit woman from accessing comprehensive maternal health care services in rural areas of South Africa.

Methods: I used multiple databases (PubMed and Google Scholar) to extract literature that explored the factors pertaining to maternal health service delivery and utilization, disparities, and perspectives. I identified 10 articles that met the inclusion criteria and utilized a qualitative, quantitative or mixed methods approach.

Key Findings: A thematic analysis determined that inequities in maternal health care services, inconsistent leadership and resources in district hospitals and low maternal health literacy among women in rural areas played a …

A Home Is A Human Right: Homelessness In Sacramento, Alexa Renée Colvin

Master's Projects and Capstones

Homelessness is a public health crisis in California and needs to be addressed. Homelessness directly impacts health outcomes through increased barriers of care and unmet needs. It affects people in all walks of life, but the risk of experiencing homelessness increases within marginalized communities. The solution to end homelessness is not straightforward, and requires collaboration across federal, state, and local organizations. A literature review was conducted to understand what the homelessness crisis looks like broadly in California, and more specifically in Sacramento, and create informed recommendations. This literature found that implementing a structured and collaborative housing first approach is a …

Advancing Health Promotion In Older Adults Through An Education Technology Program, Cinthya Chavez

Master's Projects and Capstones

Problem Older adults often need a foundational understanding of technological use and how it may be utilized to enhance health promotion. Facility A needs to have a technology program to help residents learn and build upon technology use skills. Research suggests that a continuous technological program with continual support for participants can result in increased long-term use of technology which ultimately helps older adults live more independently with a higher quality of life. To address the problem at Facility A, a technology educational program with a focus on health promotion will be implemented to increase technology use and resident engagement. …

Optimizing Fall Prevention: A Quality Improvement Initiative To Enhance Documentation And Intervention Accuracy Using The Hester Davis Scale In Medical-Surgical Units, Kiana Conn, Brooklin Hunter-Johnson, Jashan Kahlon, Adrian Paz

Master's Projects and Capstones

Falls among hospitalized patients remain a critical safety concern, particularly in medical-surgical units caring for geriatric and oncology patients. This quality improvement project aimed to evaluate and address gaps in adherence to fall prevention protocols by utilizing the Hester Davis Scale (HDS) in two medical-surgical units at a large metropolitan hospital in Southern California. The project focused on auditing current practices to identify inconsistencies in documentation and intervention implementation, emphasizing areas such as bed alarm activation, fall risk signage placement, and armband use. Weekly audits were conducted from October 3 to October 29, 2024, to establish baseline data and inform …

Improve Health Promotion In Older Adults Through An Educational Technology Program, Jennifer Velasquez Cayanan

Master's Projects and Capstones

Problem Engagement in educational workshops is important for older adults as it provides spaces to connect, learn, and continue independent living. Aim This quality improvement project aimed to increase resident engagement by 10%, raising it from 4.4% to 4.8%, during a 5-week period from October 16, 2024 to November 13, 2024. Methods A 5P Microsystem Assessment, in partnership with key stakeholders, recognized small numbers of resident engagement in educational-related programs produced by the staff. Master of Nursing (MSN) students conducted a survey to assess needs in the community, upon reviewing the survey, there was an educational interest and thus the …

Baby-Friendly Hospital Initiative: Becoming Baby-Friendly Designated, Joann Chu Zheng

Master's Projects and Capstones

Problem Global breastfeeding rates remain low despite numerous breastfeeding benefits, which poses significant challenges and contributes to adverse infant health outcomes. In response, the Baby-Friendly Hospital Initiative (BFHI) was established to advocate, defend, and uphold breastfeeding encouraging healthy infant development from birth through early childhood. Context Hospital A is in the East Bay with a perinatal unit seeking BFHI certification. A microsystem assessment identified the need to ensure that postpartum nurses deliver accurate and consistent BFHI-aligned education to meet designation requirements. Intervention A standardized patient checklist conforming to baby-appropriate education guidelines was developed to improve the quality and thoroughness of …

Improving Anesthesia Technician Workflow: Implementation Of A Standardized Checklist And Formal Handoff Communication Tool To Enhance Management Of The Pediatric Portable Anesthesia Lockers Recommendation, Megan Shayna Sosnick Msel, Rn

Master's Projects and Capstones

Objective: The surgical department of a well-known Bay Area medical center faces substantial challenges in supply management. These challenges include inconsistent stocking, disorganized storage, and an inefficient ordering process. These logistical issues impact patient care negatively, increase supply costs, and weaken team morale and communication. U.S. hospitals spend $83 billion annually on medical supplies, with $25.4 billion wasted on preventable material expenses (Balkhi et al., 2022). Aim and Methods: This quality improvement project aims to train 80% of anesthesia technicians in proper stocking procedures for portable pediatric anesthesia lockers within three months. Interventions include the implementation of a standardized …

Reducing The Incidence Of Nosocomial Aspiration Pneumonia In The Adult Oncology Population Through Improved Compliance With Oral Hygiene Protocols, Kenneth R. Brown

Master's Projects and Capstones

Objective

Oncology patients receiving chemotherapy are at risk of complications such as mucosal barrier injuries (MBI) and aspiration pneumonia, and aspiration pneumonia rates are higher than desired. Improved oral hygiene protocols and compliance in this population reduces the incidence of these complications.

Context and Background

The microsystem assessed includes six oncology units at Hospital A, a large California academic hospital. Aspiration pneumonia, commonly associated with MBI, is a life-threatening challenge that increases costs and complications in oncological treatment settings. An aspiration pneumonia task force focused on six oncology acute care units is committed to reducing the incidence of hospital acquired …

Transforming Care: Elevating Oral Hygiene Compliance To Combat Nosocomial Aspiration Pneumonia In Adult Oncology Patients, Karina Larrea

Master's Projects and Capstones

Objective Aspiration pneumonia is a preventable, yet common complication in oncology patients undergoing chemotherapy, steered by suboptimal compliance with oral hygiene protocols and elevated susceptibility due to mucosal barrier injuries. Despite its major impact on healthcare costs and morbidity, compliance with evidence-based practices remains inadequate. Aim This project aimed to decrease nosocomial aspiration pneumonia rates from 1.5% to 1.3% by enhancing oral hygiene compliance from 41% to 70% over a 12-week period. Methods Proposed interventions included implementing paired oral hygiene order sets into electronic medical records, once-per-shift cues, staggered patient education sessions, and staff education on standardized protocols. Pre-intervention data …

Healing Words: The Power Of Patient-Centered Communication In Bedside Reports, Sin Yee Lai

Master's Projects and Capstones

Objective In the healthcare setting, using language that is not patient-centered can result in lower patient satisfaction, increased miscommunication, and heightened anxiety for patients. Hospital A currently lacks education on the use of patient-centered language within the peripartum mesosystem, despite being required to conduct bedside reports. Hospital A is an urban tertiary hospital in San Francisco, whose peripartum mesosystem is divided into two levels with a total of 35 beds. Aim The project aimed to increase patient satisfaction by implementing patient-centered language during bedside reports for peripartum nurses from 70% to 80% during labor and delivery (L&D) to postpartum (PP) …

Implementation Of A Food Security Program To Reduce Hypertension At A Primary Care Clinic, Maribel Ballesteros

Master's Projects and Capstones

The food security program aims to reduce hypertension and food insecurity by increasing access to fresh fruits and vegetables. Although food insecurity is a growing public health issue, the food security program experienced significantly low enrollment compared to projected values. The quality improvement project was conducted in an adult medicine department in a primary care clinic in San Francisco serving the Latinx community. To address the issue of low program enrollment, a comprehensive educational food security program flyer was developed containing program information, including frequently asked questions. The flyer aimed to increase program enrollments by increasing program education. Fifty flyers …

Redefining Bedside Communication: Patient-Centered Language In Peripartum Care, Brasheed Ganjeh

Master's Projects and Capstones

Objective The lack of patient-centered language can lead to miscommunication between nurses and patients, decreased patient satisfaction, and increased patient anxiety. Hospital A has been given a regional mandate to conduct nursing reports at the bedside, but the peripartum microsystem lacks educational resources on the use of patient-centered language during transfers from labor and delivery (L&D) to postpartum (PP). Aim The QI project aims to increase patient satisfaction from 70% to 80% through nurse utilization of patient-centered language during bedside reports when transferring patients from L&D to PP between October 28 to November 15. Methods A patient-centered language guide was …

Optimizing Peripartum Bedside Reports Through Patient-Centered Communication, Harpreet Kaur

Master's Projects and Capstones

Abstract

Background Effective patient-centered communication (PCC) during bedside shift reports (BSR) is crucial in peripartum care, where patients face physical recovery and emotional adjustment. However, communication gaps during transitions from labor and delivery (L&D) to postpartum (PP) units can lead to patient dissatisfaction and misinterpretation of care instructions. Hospital A, an urban tertiary care medical center in San Francisco, operates a peripartum mesosystem across two floors with 35 dedicated beds. Aim The project aims to increase patient satisfaction by implementing patient-centered language in bedside reports for peripartum units from 70% to 80% for a three-week period. Methods Stakeholder engagement, a …

Travel English For Japanese Third Age Learners: A Communicative Model, Yoshiko Okamura

Master's Projects and Capstones

The goal of this curriculum project is to effectively develop the English communicative skills of a small group of Japanese third age English language learners. The term, third age learners (TALs), represents learners who are generally in their mid-60s through early 80s, retired, healthy, active, and motivated to learn something new. When it comes to English language learning strategies, one size does not fit all. An effective curriculum must be built on the theories and approaches that fit the specific needs of the target learners. The first three chapters of this project report describe the theories, approaches, and methods applied …

Delays In Care Due To Inaccessibility Of Essential Medical Items In Surgical Unit, Puleiaava Basil Thomsen

Master's Projects and Capstones

Abstract

Objective/Background

This project aims to establish efficient access to medical supplies in operating rooms, essential for timely patient care and preventing adverse outcomes, using evidence-based guidelines. Poorly stocked or disorganized pediatric anesthesia carts lead to safety risks, workflow disruptions, and unclear restocking responsibilities. Despite efforts to improve cart management at Hospital C, challenges persist, including inconsistent inventory practices, outdated systems, and a lack of baseline data for evaluation. Resolving these issues is critical to aligning the unit's practices with hospital-wide goals for efficiency and patient safety.

Aim

This quality improvement project aims to train 80% of anesthesia technicians in …