Digital Commons Network^™

Enhancing Communication And Reducing Near Misses Through Comprehensive Handoff Tools At A Residential Nursing Facility, Sabrina Guralnik, Sophia Nguyen, Gabriela Benelyahu, Giselle Peyus

Master's Projects and Capstones

Our quality improvement project at Regina House addresses communication gaps during patient handoffs, which have led to missed or delayed care. The research underscores the critical role of effective communication in patient safety, particularly for vulnerable populations in nursing homes. Current handoff practices at Regina House are inconsistent, especially among Certified Nursing Assistants, resulting in frequent reporting errors and communication disparities.

To enhance patient safety and care continuity, this project introduces a standardized handoff tool and an incident reporting system, aligning with Regina House’s goal of improving care quality. Over three months, CNAs will receive training on the tool, with …

Improving Documentation Compliance And Patient Mobility Using The Bedside Mobility Assessment Tool, Hayley M. Bernard

Master's Projects and Capstones

Objective: Patient immobility during hospitalization contributes to avoidable complications including increased length of stay, pressure injuries, thromboembolic events, reduced functional capacity, and increased rates of discharge to rehabilitation facilities. The Bedside Mobility Assessment Tool (BMAT) was developed to empower Registered Nurses to safely assess and mobilize patients without a physical therapy evaluation. Aim: This quality improvement projects aims to enhance nurse compliance with BMAT documentation by 10% in three medical-surgical units of a 244-bed Northern California Hospital. Preliminary findings indicate an average daily patient census of 23.7 of which only 31.3% are assessed using the BMAT. Methods: Across a six-week …

Improving Food Security To Decrease Hypertension At An Urban Community Clinic, Christine S. Villalta

Master's Projects and Capstones

Diet and lifestyle changes have been proven to reduce blood pressure in patients with hypertension, and a key dietary approach aligned with this recommendation is the DASH diet, which includes consuming fruits and vegetables. Food insecurity, defined as lacking enough safe, nutritious food to maintain an active and healthy life, is a growing crisis in the United States, affecting 13.5% of U.S. households in 2023. This is especially significant for those whose chronic disease management depends on the accessibility of healthy food. An urban community clinic implemented a Food Security Program to decrease food insecurity and reduce hypertension among their …

Implementing The Donna Wright Competency Model In Pediatric Perioperative Units For Nursing Professional Development, Benjamin Amezcua

Master's Projects and Capstones

Background Each year, preventable adverse events in hospitals lead to numerous deaths. Research consistently indicates a strong correlation between nurse competency and improved patient outcomes, emphasizing the importance of healthcare organizations prioritizing the continuous development of their staff's skills. Bay Area Children’s Hospital A is taking a proactive step by adopting the Donna Wright Competency Model (DWCM), changing from the traditional approach competencies to a collaborative, shared governance model that incorporates the input and perspectives of the nursing staff. Objectives The project aims to utilize the DWCM to enhance the competencies of 90 nurses in the pediatric perioperative units at …

Has K-Pop Lost Its Koreaness?, Madison J. Gusler

Capstones

Since the 2010s, the global expansion of K-pop has been undeniable, with music from Korean idol groups resonating with fans around the world. We’ve seen the industry adapt to cater to this global audience, placing emphasis on non-verbal aspects of performance such as choreography and set design, and integrating more English lyrics in their songs. K-pop has always had multinational, multicultural influences in its production, yet the music has remained distinctly Korean. But as the industry expands into new markets, faces new challenges, and adapts to convey greater global appeal, the public must contend with the idea of a K-pop …

Community-Based Approaches To Promote Uptake Of Sulfadoxine-Pyrimethamine For Intermittent Preventive Treatment Of Malaria In Pregnancy: Midline Findings From Kisumu And Migori Counties, Dennis Matanda, Zoe Nakuya, Stephen Kizito, Francis Obare

Sexual and Reproductive Health, Rights, and Choices

No abstract provided.

Leading Through Language: Understanding How Presidential Leaders At Faith-Based Institutions Issue Sensegiving Statements Within A Social Justice Context, Benjamin Gibbs

Journal of Research on the College President

The landscape of leadership in higher education is becoming increasingly complex (Gagliardi et al., 2017; Jaschik & Lederman, 2016; Wesley et al., 2021). Significant instances of racial violence and geopolitical unrest have instigated conversations and ongoing movements towards greater social justice in American society and on university campuses. With these movements, higher education leaders at faith-based institutions have been called on to communicate and lead within a social justice context, through the act of sensegiving. This qualitative study investigated the perspectives and roles of presidential leaders who have provided communication regarding social justice topics. The purpose of the study was …

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. …

A Comparison Of Discrete-Trial Techniques On Direct Service Provider Productivity, Mackenzie Mansel

Electronic Theses & Dissertations

Early intensive behavioral intervention (EIBI) is one way to remediate social deficits, skill detriments, and problematic behaviors of children diagnosed with ASD (e.g., Cohen et al., 2006; Lovaas, 1987; Smith, 2001; Waters et al., 2020). Effective EIBI includes fast-paced instruction, 35-40 average treatment hours a week, and an early age at the start of intervention (Lovaas, 1981). Positive outcomes of EIBI include fine and gross motor skill acquisition, placement in a typical education classroom, increased language, and decreased problematic behaviors (e.g., Cohen et al., 2006; Lovaas, 1987; Smith, 2001; Waters et al., 2020). One method of EIBI with very little …

Addressing Alcohol Use Disorder In The Outpatient Indigenous Health Clinic Setting, Kylie M. Timmerman

Doctor of Nursing Practice (DNP) Projects

Background: Alcohol use disorder disproportionately impacts American Indian and Alaska Native (AIAN) populations at higher rates of disease morbidity and mortality. In the primary care setting, few treatment resources are available to patients outside of medication-only options.

Local Problem: While the intervention site (rural Tribal Federally Qualified Health Center [FQHC]) was known to have a well-established medication-assisted treatment (MAT) program for opiate use disorder (OUD), the was a need for alcohol use disorder (AUD) resources.

Methods: A review of current evidence was conducted to explore best practices for addressing AUD in the AIAN outpatient clinic setting.

Intervention(s): A quality improvement …

Bridging The Gap: Technology Education For Health Advancement In Older Adults, Shannah M. Gozo

Master's Projects and Capstones

Problem Educational workshops are essential for helping older adults gain the knowledge and skills to live independently. However, at Independent Living Facility A, a lack of resident participation in these workshops was identified through a microsystem assessment with key stakeholders. Engaging more residents is critical for the facility to secure funding for these programs. Aim This project aimed to improve resident engagement in educational workshops by 10%, increasing it from 4.4% to 4.8%, over a 5-week period from October 16, 2024, to November 13, 2024. Methods A 5P Microsystem assessment highlighted resident participation in workshops. To address this, Master of …

Journey To Baby-Friendly Designation: Standardizing Infant Feeding Education, Jasmine Geronimo Ibay

Master's Projects and Capstones

Problem The influence of formula companies in hospitals has caused a decrease in national breastfeeding rates, increasing risks of adverse health outcomes among infants. In response, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) launched the Baby-Friendly Hospital Initiative (BFHI) in 1991 to support breastfeeding practices for infant development and eliminate commercial interests of formula companies from hospitals. Context The quality improvement (QI) project was conducted at Hospital A’s Birth Center, serving a diverse population of patients in the greater East Bay of Northern California. The microsystem has 24 labor beds, 13 antepartum beds, and 33 …

Chronic Disease Screening And Detection In Vulnerable Populations, Courtney J. Seman, Hussein Hadid, Tania Jaimes, Robert Walls

Master's Projects and Capstones

This quality improvement project aims to address gaps in chronic disease screening by implementing standardized protocols for diabetes, hypertension, vision impairment, and scoliosis within the University of San Francisco (USF) Nurse-Led Clinic in Orange County. Problem: The clinic identified a lack of screening practices, which limited early detection and intervention for two specific vulnerable populations. Context: The clinic serves two high-risk groups: older adults, including formerly homeless individuals, and children in two local grade schools. These populations face significant healthcare disparities, making early detection of chronic conditions critical. Interventions: Guided by Kotter’s Change Theory, the project developed and implemented evidence-based …

Reducing The Incidence Of Nosocomial Aspiration Pneumonia In Adult Oncology Patients Through Improved Compliance With Oral Hygiene Protocols, Rickey Maung

Master's Projects and Capstones

Objective: Oncology patients undergoing chemotherapy are at increased risk of mucosal barrier injuries and aspiration pneumonia, with current aspiration pneumonia rates exceeding target levels. Enhanced oral hygiene protocols and improved compliance have been shown to reduce these complications in this vulnerable population.

Context: The microsystem under review comprises six oncology units within Hospital A, a major medical center in California. Aspiration pneumonia, frequently linked to mucosal barrier injuries, poses a significant threat to patient safety and increases treatment costs and complications in oncology care. Recognizing the critical need to address this issue, an aspiration pneumonia task force has prioritized efforts …

Improving Performance And Documentation Of The Bedside Mobility Assessment Tool, Joseph P. Chellew

Master's Projects and Capstones

Objectives: Decreased patient mobility is associated with negative health outcomes including decreased functional capacity, pressure injuries, deep vein thrombosis, and bloodstream infections (Yasmeen et al., 2020). Early and increased mobilization mitigates these complications and is associated with positive outcomes (Wang et al., 2020). The Bedside Mobility Assessment Tool 2.0 (BMAT) is a mobility assessment that guides the selection of equipment to safely mobilize patients (Boynton et al., 2020). Aim: This quality improvement project aims to increase BMAT documentation compliance by 10% in three medical-surgical units at Hospital A where only 31.3% of patients were assessed per day using the BMAT. …

Increasing Access To Fresh Fruits And Vegetables At An Urban Clinic: A Quality Improvement Project, Jordan Michael Leahy

Master's Projects and Capstones

The microsystem setting for this quality improvement project is an adult health unit at one of five safety net clinics housed within a macrosystem in a large urban setting in Northern California serving a low-income, predominantly Hispanic population. Professionals involved in the delivery of the food security program include patient support services, medical assistants, case managers, health promoters, registered nurses, and providers. With enrollment in clinic’s food security program significantly lower than program goals, clinical site stakeholders sought to identify and address gaps in delivery. This quality improvement aimed to improve the screening process to increase the percentage of eligible …

Improving Mood Scores With Social Robot Dog ‘Pupper’ In Pediatric Cardiovascular Patients, Alyssa Lopez

Master's Projects and Capstones

Objective Pediatric hospitalization has been shown to increase the risk of developmental delays, social isolation, and mental health disorders. Consequently, decreased happiness also results from hospitalization, leading to reduced motivation and less engagement in their care. Aim The aim of this project is to improve the mood of pediatric patients aged 3-25 years by 50% from the patient’s baseline level within one month, from October 16, 2024 to November 13, 2024, on a pediatric cardiac step down unit by utilizing a social robot dog to motivate patients in engaging in their care. Methods Twelve participants between the ages 4-18 years …

Sleep To Heal: Creating A Quiet At Night Environment, Victor Marie V. Blardony

Master's Projects and Capstones

Problem: Noise in hospitals disrupts patient well-being, recovery, and satisfaction. A 120-bed community hospital in South San Francisco consistently scored below the national average for nighttime quietness (Medicare, 2023).

Context: Over six months, a multidisciplinary committee launched the Quiet at Night (QAN) Program, focusing on the high-acuity telemetry unit. The program utilized Kotter’s 8 Steps Model and the Institute for Healthcare Improvement Model for Improvement (MFI) to tackle nighttime noise issues.

Interventions: Quiet hours were established from 8:30 p.m. to 6:00 a.m. Patients were provided an “Enhanced Sleep Menu” that included a sleep sound machine and “sleep kits” (eye masks …

Applying Engagement Journalism Methods To Reach Young People In The South Bronx, Christine M. Zeiger Mrs., Judith Marks

Capstones

During the fall of 2024, engagement journalism students Christine Zeiger and Judith Marks met with more than 60 teens in the South Bronx. They also distributed digital questionnaires, which garnered 26 responses from teens and adults between the ages of 14 and 22. These questionnaires were distributed after in-person sessions we organized to gather feedback on topics we wanted to learn about more deeply.

The project’s initial goal was to understand how South Bronx teens and young adults were engaging with the November elections and use their feedback to inform election coverage for the Mott Haven Herald and Hunts Point …

What's It Like To Vote Without Privacy?, Cullen Fagan

Capstones

My capstone is an audio and data project focusing on voting rights for people with disabilities in the United States — specifically how accessibility in voting has changed over time and how it rights have been violated in the recent past. The audio component is a podcast episode I co-produced with another student. It tells the story of how Kathy Collins and Dr. Sharon McLennon Wier, two disability and voting rights activists, have voted over the years, leading up to the 2024 election. The data component is a table detailing the history of disability voting rights cases in the United …

A City Feeling Electrified Growing Pains, Noah R. Kolenda

Capstones

The following project is an analysis of public charging infrastructure for electric vehicles in New York City compared to the registered electric vehicles. This project aims to highlight both the slow development of this infrastructure, but also how it's not being built out in an equitable manner. To come to this conclusion, I analyzed the number of chargers available from the state's OpenData portal and compared it to the number of registered electric vehicles that operate in the five counties that make up New York City using a python script. I found a significant imbalance between where the people are …

Campaigns, Climate, And Congestion: Reporting From The Hudson For Newmark's "Audio Files", Jesse King

Capstones

"Audio Files" is an annual news podcast series by students at CUNY's Craig Newmark Graduate School of Journalism, producing stories to "inform, help, and delight" New Yorkers. This capstone includes a collection of political news stories and science features written for this program, all of which are based in New York's Hudson Valley. The first is a political piece breaking down how Congressional races in the suburbs could impact overall control of the House in the 2024 election. The second focuses on the Metropolitan Transportation Authority's approval of a new congestion pricing plan in Manhattan, as proposed by New York …

How Will Ai Impact Knowledge Sharing Within Construction Clustering? Bringing Back The Conversation On Social Contagion Within Construction Clusters, Oluwasegun O. Seriki, Mark Mulville, Ruairi Hayden

Conference Papers

Construction clusters and innovation systems play a crucial role in enhancing competitiveness and fostering sustainable development in the construction sector. These clusters facilitate knowledge sharing, interactive learning, and collaborative innovation among firms, institutions, and other stakeholders. The success of construction clusters depends on numerous factors, including firm size, economic climate, and attitudes towards innovation. While some clusters transform into innovation systems by becoming tacit-knowledge intensive, there is not much data or investigation into how they may adapt to changing demands spurred by advances in artificial intelligence (AI). There is some preliminary research highlighting the lack of dispersed innovation networks within …

Stress Management Education Module For Nursing Students, Valentina Loreto-Ashley

Doctor of Nursing Practice (DNP) Projects

Abstract

Background. Stress refers to a state of mental tension caused by a difficult situation. Research indicates that stress negatively affects university students.

Problem. Researchers have found that 30% of undergraduate nursing students have symptoms of burnout resulting from an overaccumulation of stressors and 97.8% were at moderate risk for developing burnout.

Approach. An educational module consisting of a 15-minute YouTube videos was designed, developed, and implemented to increase awareness about stress, reduce feelings of anxiety, and identify integration potential of such a module in nursing education to promote student well-being. Participants completed an online survey before …

Using Genomics And Transcriptomics As A Tool To Understand Unique Phenotypes Of Hemipteran Insects That Are Relevant To Agriculture And Public Health, Hunter Kelly Walt

Theses and Dissertations

In the past couple of decades, advances in genomic sequencing technology have caused an unprecedented increase in biological data. Because of the quantity and size of these datasets, the need for biologists with computational expertise also increased, and using these large genomic datasets has revolutionized the way we can answer biological questions. In this dissertation, I apply genomic and transcriptomic data to answer questions about insects of the order Hemiptera that are relevant to agriculture and public health. My dissertation mainly focuses on stink bugs (Hemiptera: Pentatomidae), many of which are agricultural pests, and bed bugs (Hemiptera: Cimicidae), which are …

Educators’ Perceptions Of World Language Curriculum Models, Curriculum Coherence, And Student Learning In New Jersey High School Spanish Programs, Thomas David Pratz

Theses and Dissertations

This mixed-methods explanatory sequential study aimed to identify the most commonly used World Language curriculum models in New Jersey high schools, assess the level of curriculum coherence in Spanish programs, and examine their impact on student learning. Surveys and interviews with high school Spanish teachers revealed that, while theoretical curriculum coherence exists in most programs, it is not significantly associated with teacher or district characteristics such as experience, tenure, region, or type. A disconnect was also observed between the World Language curriculum models, perceived curriculum coherence levels, and their effects on student learning. Several themes that emerged from the qualitative …

How Do Religious Women Cope With Marital Conflict And Hardship? Article 2, Elizabeth M. Lyman, Loren D. Marks, David C. Dollahite, Chelom E. Leavitt, Tamara M. Chamberlain, Christina N. Cooper

Faculty Publications

Frequent and unresolved conflict is a significant relationship risk factor for divorce, but it has also been shown that religion strengthens marriages, specifically in ways that give direction and motivation for couples in resolving marital conflict or other marital hardships. Thus, a study of how successful religious couples resolve conflict is pertinent in helping us better understand how to strengthen marriages and families. Our qualitative study of 113 highly religious women of diverse faiths and races found that women’s perceived relationship or connection with God reportedly impacted conflict resolution and coping with marital hardship. Results suggest greater reconciliation and unity …

Cardiac Effects And Comorbidities Of Neurological Diseases, Bi̇lgi̇n Öztürk

Turkish Journal of Medical Sciences

Neurological disorders encompass a complex and heterogeneous spectrum of diseases affecting the brain, spinal cord, and peripheral nervous system, each presenting unique challenges that extend well beyond primary neurological symptoms. These disorders profoundly impact cardiovascular health, prompting an intensified exploration into the intricate interconnections between the neurological and cardiovascular systems. This review synthesizes current insights and research on cardiovascular comorbidities associated with major neurological conditions, including stroke, epilepsy, Parkinson’s disease, multiple sclerosis (MS), and Alzheimer’s disease.The cardiovascular sequelae of these neurological disorders are multifactorial. For instance, strokes not only predispose individuals to arrhythmia and heart failure but also exacerbate pre-existing …

Black Mothering: Experiences Of Black Mothers In Safety Conversations With Black Sons, Theresa Libios

Walden Dissertations and Doctoral Studies

Black mothers raising Black sons in the United States face the immense challenge of preparing their Black sons for a society where police violence pose significant threats to their safety. The critical safety conversations, commonly referred to as "The Talk," highlight the need for culturally informed interventions to address the psychological toll on Black mothers. This study explored the lived experiences of Black mothers navigating these safety conversations, with the goal of fostering empathy and developing culturally competent mental health services. This qualitative hermeneutic phenomenological study, grounded in intersectionality theory, examined the interconnected influences of race, gender, and systemic oppression …

Exploring Strategies To Reduce Physician Turnover And Costs During The Covid-19 Pandemic, Ne'kecha Pellam Brabham

Walden Dissertations and Doctoral Studies

Hospitals face the risk of adverse business outcomes due to physician turnover, which can lead to increased costs and poorer patient care. C-suite executives, in collaboration with human resources managers (HRMs), are struggling to develop strategies to reduce turnover and burnout, while also enhancing key factors like job satisfaction and employee engagement. Grounded in the job demands-resources theory. The purpose of this qualitative pragmatic inquiry was to explore the strategies employed by HRMs in the healthcare industry to effectively reduce physician turnover and associated costs during the COVID-19 pandemic. The participants were 13 HRMs in the health care industry in …