Digital Commons Network^™

Home Blood Pressure Monitoring Bundle For Hypertension Outcomes In Adult Patients Receiving Care In Public Health Clinics, Christine Jennifer Victorian

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (< 140/90 mmHg) compliance.

Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management perspective. …

Impact Of A Discharge Bundle On Boarding Hours In Acute Care Hospitals, Monica L. Herrera

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

The national epidemic of boarding hours in the emergency departments prompted the implementation of a discharge bundle in an acute care hospital. This bundle included an ADT nurse, discharge orders written prior to 11AM, and EVS shifting employee hours. Initial findings indicated a reduction in boarding time by 126 minutes.

Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.

Methods: The descriptive analysis was conducted …

Guideline To Decrease Nursing Turnover In Intensive Care Units, Carol L. Mention

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Turnover rates of registered nurses working in intensive care units continue to increase significantly after the pandemic. Many nurses have left the profession due to the increased workload and stress during and after the COVID-19 pandemic. Having staffing challenges and turnover can affect the outcome of this patient population. Intensive care nurses experience workplace violence at an increasing volume. Also, robust nurse onboarding and training programs can help decrease turnover rates. The current national guideline does not address these concerns about nursing turnover. A guideline project was performed to identify needed recommendations based on evidence for stakeholders to …

Bundle For Left Ventricular Assist Device (Lvad) In The Ed, Tina Morris

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose

Left Ventricular Assist Device (LVAD) is a high-risk, low-volume patient population with admission rates of up to 72%. The purpose of this study was to provide a care bundle to increase the knowledge of the emergency department (ED) staff and decrease the door to consult times to the advanced heart failure (AHF) team for LVAD patients presenting to the ED at a level I trauma center in Texas.

Methods

In collaboration with emergency clinical staff, the project team implemented a bundle that included a pathway for the LVAD patients upon presentation to the ED, targeted education for clinical staff …

Developing Toolkit For Adults With Autism Spectrum Disorder In An Oncology Outpatient Clinic, Brittany J. Johnson Dnp, Fnp-C

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Autistic adults are at higher risk of being diagnosed with co-occurring health conditions, and yet they are a vulnerable group for disparities in access and outcomes. One of the key barriers to better outcomes is poor patient-provider communication. This study the use of AASPIRE’s AHAT communication toolkit as a channel between healthcare workers and autistic adults to facilitate their appointments within the outpatient oncology department, as well as assessing healthcare providers’ knowledge and self-efficacy in caring for the patients. Sixteen healthcare providers (12 registered nurses and four patient care assistants) completed pre and post intervention surveys and utilized the AHAT …

Career Counselors Addressing Social Determinants Of Mental Health In Rural Communities, Kaprea F. Johnson, Alexandra Gant-Howrey, Bisola E. Duyile, Lauren B. Robins, Natese Dockery

Counseling & Human Services Faculty Publications

Career counselors practicing in rural communities must understand and address social determinants of mental health (SDOMH). This conceptual article details the relationships between SDOMH domains and employment and provides evidence-based recommendations for integrating SDOMH into practice through a rural community health and well-being framework. Description of the adaptation of the framework for career counselors in rural communities, SDOMH assessment strategies and tools, and workflow adjustments are included. Conclusions suggest next steps for practice and research.

Social Identity Matters: Lived Experiences Of Latina Teachers In Predominantly White Staff Schools, Oksana Rzhiskiy

Educational and Organizational Learning and Leadership Dissertations

The demographic makeup of student populations is undergoing profound shifts, with Latina/o students constituting a significant percentage. However, the representation of Latina/o educators within school systems remains disproportionately low. This incongruity between student demographics and educator representation may pose multifaceted challenges. To address this disparity, the present study delves into the lived experiences of Latina educators, illuminating the nuanced interplay of their social identities within educational contexts, particularly in relation to their interactions with White staff colleagues. Employing a phenomenological approach and supported by social identity theory and transformational leadership theory, this research endeavors to uncover the salient factors shaping …

Circular Material Usage Strategies And Principles In Buildings: A Review, Paulo Santos, Génesis Camila Cervantes, Alicia Zaragoza-Benzal, Aimee Byrne, Ferhat Karaca, Daniel Ferrández, Adriana Salles, Luís Bragança

Articles

Building construction accounts for a significant proportion of global greenhouse gas emissions, raw material extraction, and waste production. Applying circular economy (CE) principles in the building construction industry would considerably reduce these values. However, uptake by the industry is relatively slow, which is largely attributed to sectoral barriers, including limitations in knowledge and experience. This review paper aims to assess and contribute to diminishing these obstacles by offering a comprehensive review of circular material usage principles and strategies within the construction sector. Opportunities and facilitators of change are also presented, including innovations and emerging technologies in recycling, digitization, robotic systems, …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care For Medically Underserved Community Using A Collaborative Care Model, Christina M. Stephens

DNP Scholarly Projects

Primary care, an extension of family medicine remains a key access point for patients entering the healthcare system. Accessing specialty psychiatric services can be limited in rural communities due to provider shortages and geographical constraints. Primary care providers can facilitate improved access to behavioral health services by introducing a collaborative approach to the traditional medical model. This quality improvement initiative adopted the collaborative care model originally produced by the University of Washington to treat common mental health conditions in the medical setting (2023). A team consisting of a primary care provider, behavioral health case manager and psychiatric consultant served nine …

Horizontal Skill Mismatch Among College Graduates: Analyzing Job Placement For African American In The U.S, Mimla Wardak

Theses - Graduate Programs in Economic Theory and Policy

This study investigates the persistence of horizontal skill mismatches among African-American college graduates in the U.S. labor market and explores the influence of community racial composition on job placement and wage levels. Utilizing data from the American Community Survey (2018-2019), the research constructs a Match Quality Index to assess the alignment between individuals' fields of study and their occupations. The analysis reveals that African-Americans are disproportionately affected by horizontal mismatches, which result in underemployment and wage penalties, despite similar educational backgrounds compared to their counterparts. The findings suggest that larger African-American networks within Metropolitan Statistical Areas (MSAs) correlate with slightly …

Building Resilience, Navigating Crises Since 2019: A Phenomenological Study Of Leadership Factors Influencing Retail Business Owners In Lebanon, Mira Fadel

Theses and Dissertations

The Lebanese population and culture are recognized for their resilience when facing adversity withstanding events such as the Lebanese Civil War, and multiple country invasions. The purpose of this study was to explore the lived experiences of retail business owners from different geographical regions and retail types in Lebanon and to identify the leadership factors that kept them resilient while navigating the compounding crises since 2019. The leadership factors included leadership styles, strategies, and agility. The conceptual framework encompassed all leadership factors, the retail industry, cultural context, and resilience. Data for this hermeneutic phenomenology was collected through semi-structured interviews followed …

The Benefits Of Voluntary Disorienting Dilemmas For A Transformational Life: A Grounded Theory Study In Transformational Learning, Rebecca Bamberger

Theses and Dissertations

Being uncomfortable by choice as a means of personal growth has been touted for hundreds of years among scholars, philosophers, religious leaders, modern pop culture icons, and more. Yet, research pertaining to the benefits of being uncomfortable by choice is sparse. This qualitative, grounded theory study addressed the first step of transformational learning: the disorienting dilemma. Seventy participants located in America participated in extensive interviews to answer this study’s research question, “what if any, are the benefits of voluntary disorienting dilemmas?” Additional research questions, “what is the meaning(s) of voluntary disorienting dilemmas?” and “would subjects repeat their voluntary disorienting dilemmas …

From Command Posts To Corporations: Applying United States Marine Corps Leadership Development To Corporate Organization Development, Paul D. Gowin

Theses and Dissertations

This research investigates the applicability of the United States Marine Corps (USMC) leadership development (LD) to corporate organizational development (OD). Despite significant investment in LD, many corporate programs do not meet expectations, highlighting the need for effective models. The USMC LD approach, emphasizing personal and subordinate leadership skills development, mission accomplishment, and team welfare, presents a unique model for exploration. This study examines the integration of USMC leadership components-traits, principles, and core values-into corporate leadership roles and evaluates the perception of USMC veterans on their applicability in corporate settings. The research employs a mixed-methods approach, combining quantitative surveys of 125 …

Examining The Role Of Cultural Capital In Access And Equity For Female C-Stem Learners Of Color, Tiffany L. Wright

Theses and Dissertations

This study aimed to examine the impact of cultural capital (Bourdieu, 1973; Bourdieu & Passeron, 1977) on the access and equity of C-STEM learners of color under the following four tenets of Yosso’s (2005) Community Cultural Wealth model: aspirational, familial, social, and navigational capital. A theoretical framework of Critical Race Theory (CRT; Crenshaw, 1988) was utilized to frame the study. Research questions explore the impacts of cultural capital upon the perceived access and equity of female C-STEM learners. Qualitative methodology guided the study under the integrated approach of Quantitative Ethnography (QE) which examines qualitative data with the support of statistical …

The Influence Of Leadership Communication On Employee Engagement During Transformational Change: A Case Study Of 123bank, Myrian Barron Garrett

Human Resource Development Theses and Dissertations

This study aimed to understand employee perspectives on how leadership communication efforts impact employee engagement in an organization undergoing transformational change. Kotter’s change management model served as the framework and support for this study. One research question was developed to guide this study, and the qualitative case study approach was used. Data was collected through semi-structured interviews with 26 study participants. The researcher found that most participants had a negative perspective on their leader’s communication efforts during transformational change. Eight main categories were identified, with two to three coded themes each. The findings cannot be generalized to other organizations and …

Firm Performance Feedback And Organizational Impression Management: The Moderating Role Of Ceo Overconfidence, Hazel H. Dadanlar, Manisha M. Vaswani, Marwan A. Al-Shammari, Soumendra Nath Banerjee

Management Faculty Publications and Presentations

We propose that while positive performance feedback is positively related to firm sentiment, negative performance feedback is negatively associated with the firm sentiment. Additionally, overconfident Chief Executive Officers (CEOs) will improve the positive relationship between positive performance feedback and firm sentiment and reduce the negative relationship between negative performance feedback and firm sentiment. Using 7,182 firm-year observations for the 2004−2017 period, we show that positive performance feedback positively affects firm sentiment, and negative performance feedback negatively influences firm sentiment. We also found that higher levels of CEO overconfidence will minimize the negative impact of negative performance feedback on firm sentiment. …

How Does Participation In A Work Request Redesign Impact Individual-Level Outcomes In Interpersonal Skills, Problem-Solving Skills, Team Commitment, Learning And Quality Of Work-Life?, Henry Mason Hughes Iv

Theses and Dissertations

This research examines the emotional impact of individual team members who will revise a process of online requests for assistance between teams in an international high-tech organization. A survey of the team members upgrading the process will assess the impact of the revision on team members’ learning, problem-solving, team commitment, interpersonal skills, and quality of work life to assess satisfaction toward improved work morale.

Retaining Resilient Teachers In Turbulent Times, Rachel N. Capitano, Allison L. Castellano

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Teacher vacancies were at an all-time high. It was time, as Becky Pringle, National Education Association (NEA) President, stated, to address this “five-alarm crisis” (Walker, 2022). The demands on educators were really high during the recent pandemic (Casey, 2022). Emotional intelligence was essential to a leader’s as well as an organization’s success. Having emotionally intelligent leaders had an impact on an employee's job satisfaction and possibly helped with teacher retention at schools.

This study used a two-stage mixed-methods approach to examine whether there was a correlation between a principal’s emotional intelligence rating (EQ) and their teachers’ annual school effectiveness questionnaire …

The Role Of Parental Divorce In Childhood On Depression Among Adults, Amy Stoermer

Graduate Research Papers

The purpose of this study is to assess the relationship between parental divorce and depression in emerging young adults who responded to the 2019 BRFSS study. The 2019 BRFSS utilized a Disproportionate Stratified Sample design to gather data across all states in the U.S. by the Centers for Disease Control and Prevention (CDC). The final number of participants used in this study was 50,804, ranging in age from 18 through 30. The number of male participants was 27,208 and the number of female participants was 23,596. The race of participants consisted of 31,177 white/non-Hispanic, 4,327 black/non-Hispanic, 3,443 Asian/non-Hispanic, and 2,831 …

Subvert The Dominant Paradigm: Reimagining Academic Library Hiring Processes, Xan Arch, Isaac P. Gilman

Library Faculty and Staff Publications and Presentations

For libraries dedicated to diversity, equity, and inclusion, it is crucial to address firmly-held traditions about “correct” hiring practices. This work of revising traditional practices can be a fraught process, as different stakeholders often hold strong opinions about how best to evaluate candidates and conduct successful searches. To move our two academic libraries toward more inclusive hiring practices, we each led internal processes to entirely revise our hiring manuals. We will discuss the challenges and core issues addressed through this work, and the resulting principles that we believe will result in a more equitable, transparent, and candidate-friendly process.

The Relationship Between Secondary Ela Teacher Pedagogical Practices, Student Self-Regulated Learning And Digital Self-Efficacy In A Blended Learning Environment, Melissa K. Miller

Dissertations

In the era of emerging technologies in the 21st Century classroom, secondary English Language Arts (ELA) students may exhibit complications in navigating literacy in blended learning environments. The purpose of this research study focused on addressing a gap in the current literature in these specific areas to investigate the relationship between ELA teachers’ pedagogical practices and elements of secondary students’ learning motivation for ELA. Specifically, this study explored secondary ELA students’ perception of teachers’ classroom practices, self-regulated learning, and digital self-efficacy. The overarching research question in this study examined: What relationship exists between (a) the pedagogical practices of secondary ELA …

Examining The Influence Of Adoptability, Alignment, And Agility Approaches On The Sustainable Performance Of Aviation Industry: An Empirical Investigation Of Supply Chain Perspective, Sonia Nazeer, Hassan Mujtaba Nawaz Saleem, Muhammad Shafiq

International Journal of Aviation, Aeronautics, and Aerospace

In a continuously changing environment, the aviation sector faces the challenge of balancing adaptability to technological changes, alignment with environmental and social considerations, and agility in responding to unforeseen challenges. Keeping in view these challenges this study has explored the impact of the adaptability, alignment, and agility approaches on the sustainable performance of the aviation industry operating in Pakistan. Applying the empirical and quantitative methods the data has been collected from the professionals of the aviation industry supply chain and operations field and assessed the influence of Adoptability, Alignment, and Agility on sustainable performance indicators, including environmental stewardship, social responsibility, …

Workplace Bullying In Louisiana Academic Libraries: Exploring Worker Status And Demographics, Justin Savage, Andrea Hebert, Catherine Baird

University Libraries Scholarship and Creative Works

Bullying is a phenomenon that exists across cultures, societies, and even species. It can be found eveywhere, including the workplace. The present study investigates workplace bullying amongst an approximated census sample of Louisiana academic library workers. Using the Negative Acts Questionnaire—Revised (NAQ-R), the study explores the relationships between experiencing workplace bullying and librarian status, tenure status, years in the profession, age, gender, and race. Although no statistically significant relationships were found between variables, the findings add to a growing body of literature that explores the interrelations of demographic and environmental contexts and bullying experiences.

The 2022 Fifa World Cup As A Catalyst For Labor Standards Of Sport Professionals? A New Institutional Theory Perspective, Ilias Bantekas, Marko Begović

Notre Dame Journal of International & Comparative Law

No abstract provided.

Forging Connections In A Digital World: Are Educational Organizations Maximizing Their Position In The Twittersphere?, Ruoxi Qi, Ana-Paula Correia, Chenxi Liu, Fan Xu, Tianqi Li

Journal of Educational Technology Development and Exchange (JETDE)

This study aims to investigate how educational organizations utilize social media, specifically Twitter, to interact and communicate with their audiences. Using text mining techniques, the researchers analyzed messages from top Twitter accounts of educational organizations in the U.S. The study sheds light on which types of messages receive more engagement on Twitter, such as likes, comments, and retweets. Furthermore, the study examines the characteristics of the most popular tweets. The findings of this research provide insights to educational organizations on how to improve their social media strategy for effective communication and audience engagement.

The Experiences Of Women College Presidents While Leading Through An Institutional Crisis: The Perceived Successes And Failures Of Crisis Communication Strategies, Madison Marie Speck

Graduate Theses, Dissertations, and Problem Reports (ETD)

This multi-site case study explored the uncommonly discussed yet organic intersection between the study of crisis communication and the study of crisis leadership and in turn, what it means in the context of a college presidency. This study has a unique focus on women presidents at small, private colleges and the ways in which they communicate with various stakeholders during a crisis environment. The research is guided by Boin’s Model of Crisis Leadership which guides and assesses crisis leadership performance; however this study introduces nuances to the framework that are suggested as a result of the findings; most of which …

Computer Cravings In 20th Century Schools: From Creativity To Capitalism, Keely E. Amos

College of Graduate Studies: Theses & Dissertations

This dissertation examines the push for computers in education from the early 1980s to the early 2000s. During that time, computers were introduced into schools across America with big promises, in turn creating big dreams. Instead of the cognition, creativity, and collaboration that was envisioned with computers in the classroom, the shifting motivations regarding computers have exacerbated the datafication and standardization of our students (Cuban, 2001). The problems associated with the corporation of computers into the curriculum are widespread (Pinar et. al, 1995/2004). Following the methodology of Historiography, this paper provides a critical examination about what was promised, and by …

2024-2025 Undergraduate Bulletin, Rochester Institute Of Technology

RIT Digital Archives

No abstract provided.

Civil Society Contributions To Improving Learning Outcomes: An Education Out Loud Global Learning Partner Report, Alexander Towne, Sladana Krstic, Desmond Bermingham, Jolanda Buter, Miriam Linder, Sam Boering

International Education Research

This report shares the findings from an action research project conducted on behalf of Global Partnership for Education’s (GPE) Education Out Loud (EOL) programme by the Management for Development Foundation (MDF) and the Australian Council for Education Research (ACER) Consortium, in its capacity as global learning partner (GLP). The project involved working directly with three organisations (grantees) in receipts of EOL funds, across five GPE countries. The Consortium supported them to conduct action research projects, which tested the underlying assumptions of their programme’s theory of change, in order to validate their approaches to advocacy and policy influencing (API) and support …