Digital Commons Network^™

Strategic Thinking And Its Impact On Organizational Compatibility: An Analytical Study In The Iraqi Media Network, Fatima Naeem Hamish, Saadoon Mohsin Salman

Journal of Economics and Administrative Sciences

Purpose: This research aims to achieve the most critical objective: to reveal the relationship between strategic thinking and organizational compatibility in the Iraqi Media Network. Theoretical Framework: In light of what researchers (Srivastava, S., & D’Souza, 2021) and  (Nafei, 2017)have stated, this study provides practical guidelines for improving strategic thinking in the face of challenges and difficulties to enhance organizational compatibility. Design/Methodology/Approach: The study aimed to analyze the data of employees in the Iraqi Media Network (2024) using strategic thinking and its dimensions (organizational thinking, processing divergent ideas, contemplation) on the impact of organizational compatibility and its dimensions (organizational loyalty, …

The Role Of Digital Transformation In Human Resources Flexibility: An Analytical Study At The Ministry Of Communications - General Company For Telecommunications And Information Technology, Ibtihal Ghaleb Ghulam, Ali Hassoun Al-Taie

Journal of Economics and Administrative Sciences

Purpose: The current research seeks to embody its primary objectives in diagnosing the relationship between the research variables (digital transformation, human resources flexibility), as well as defining the role of each of them in the General Company for Communications and Informatics. Theoretical Framework: This study deals with the General Company for Communications and Informatics and presents the latest concepts that previous researchers have reached to contribute to its achievement and expand the company's awareness by adopting any of these models appropriate to its goals and future direction. Design/Methodology/Approach: The study analyzes administrative data within the Ministry (2023-2024), using the dimensions …

Are There Neurological Impacts Of Exposure To A Burned Wildfire Site As It Recovers?, Rubye Strickland

Undergraduate Honors Theses

Wildfires are increasing with climate change, making the human health implications of exposure to burned soils an essential area of research. Metals associated with fire-impacted soils can be inhaled or accidentally ingested by surrounding communities, causing health risks. Several studies have evaluated the health impact of wildfires, but few have done so from a neurological perspective. This study explores metal changes in burned soils over time as a site naturally recovers from wildfire and how these changes may impact human neurological health. Soil samples were collected from the burned area 0, 3, 6, 9, and 12 months after the fire. …

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 …

The Impact Of Adverse Childhood Experiences And Allostatic Load On Premature Birth Rates: A Literature Review, Roxane J. Scherek

Master's Projects and Capstones

This paper examines the relationship between Adverse Childhood Experiences (ACEs), allostatic load, and the likelihood of women giving birth prematurely in the United States and Canada. I searched multiple databases exploring this association, identifying nineteen articles published between 2004 and 2024. The literature highlights that racism and discrimination are a cause of chronic stress, and that this stress, and implicit bias, are both implicated in preterm birth. While ACEs scores have been found to be associated with preterm birth, the results for allostatic load are mixed. The results suggest that more attention should be paid to mitigating the stress associated …

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 …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

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 …

Implementing Donna Wright’S Competency Model For Enhancing Nursing Professional Development In Pediatric Perioperative Units, Justin C. Chu

Master's Projects and Capstones

Background Hundreds of thousands of deaths occur in hospitals annually due to preventable adverse events. As literature shows nurse competency is positively associated with improved patient outcomes, it is the mission of any healthcare organization to continually improve staff competency. Bay Area Children’s Hospital X is looking to adopt the Donna Wright Competency Model (DWCM) to change the way they approach this process, transitioning from traditional methods of manager-selected competencies to a collaborative, shared governance approach. Objectives Utilizing the DWCM, the project goal is to enhance competencies among 90 nurses in pediatric perioperative units. The ultimate goal is to create …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Climate- And Land-Use Change Impacts On Ecosystem Services Provided By Prairie Pothole Wetlands, Alina Mullins

Master's Projects and Capstones

Prairie pothole wetlands are a type of depressional, isolated wetland that can be found in the glaciated landscape of the mid-central United States and portions of southern Canada, also referred to as the Prairie Pothole Region (PPR). The region is consistently recognized for its historic production and support of migratory waterfowl populations among other types of mammals and invertebrates largely due to the variability in pothole wetlands water levels and vegetative structure. Isolated from other waterbodies and lacking surface water connections, the hydrology of prairie pothole wetlands is influenced by the region’s continental climate. Historically, the region receives much of …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Five Key Lessons For Five Core Groups Shaping Place-Based Policy, Kathleen Bolter, Timothy J. Bartik, Brad J. Hershbein, Michelle Miller-Adams, Alfonso Hernandez, Kyle Huisman, Bridget Timmeney

Reports

No abstract provided.

Butte Priority Soils Operable Unit (Bpsou) Final Bpsou Insufficiently Reclaimed Sites Belle Of Butte (Bres No. 8 & Ur-39) Remedial Action Work Plan (Rawp) Request For Change Ir- 2024-Ra-01, Revision 1, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Data Privacy Protection For Zero-Permission Sensors In Iot Systems, Xinyi Liu

Theses

The Internet of Things (IoT) has revolutionized various domains through real-time decision-making and automation, with sensors serving as foundational components. Zero-permission sensors, such as accelerometers and gyroscopes, are widely used in most IoT systems, enabling unrestricted data access without permission. Despite being traditionally perceived as low-sensitivity, recent studies have shown that these sensors can be exploited to infer sensitive personal information, raising serious privacy concerns. Local Differential Privacy (LDP) is a rigorous technique for numerical data privacy protection even when the data collector, such as an IoT service provider, is untrusted. LDP ensures privacy by adding noise to sensor readings …