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The Donna Wright Competency Model In Pediatric Perioperative Nursing Development, Nadia Hamid

Master's Projects and Capstones

Abstract

Background Preventable adverse patient events occur daily in hospitals across the United States which can be significantly decreased by effective nurse competency assessment. Bay Area Children’s Hospital X has adopted the Donna Wright Competency Model (DWCM) to support their institutional goal of Magnet status for excellent nursing care. With the goal of changing the traditional approach of competency achievements by engaging nurses through shared governance. Objective The project seeks to attain a higher level of performance for 90 nurses employed on the perioperative unit (PPU) to provide a safer environment to support patient centered care. Aim By December 1, …

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 …

Hematological Diseases And Heart, Ferda Can

Turkish Journal of Medical Sciences

The heart, main part of the circulatory system, is one of the organs that frequently affected in hematological diseases. Cardiac problems may develop during the course and treatment of benign and malign hematological diseases. Determining cardiac approaches in hematological diseases with knowledge and experience about the development of cardiac involvements with pathophysiological conditions has an important role in the diagnosis and treatment process of patients. In this section, information about hematological diseases and the heart is included, and key points that will help in the diagnosis and treatment process are mentioned.

Enhanced Intellectual Property Protection Mechanisms Towards Collaborative Data Sharing In Metal-Based Additive Manufacturing, Durant Hayes Fullington

Theses and Dissertations

This dissertation aims to develop effective methodologies towards enhanced intellectual property protections for data sharing frameworks in metal-based additive manufacturing (AM). Currently, many small-to-medium sized manufacturers face data availability challenges due to the prohibitive high cost to collect, process, and analyze large amounts of process-related data for AM. Because these manufactures rely heavily on small-scale data, it can be difficult for them to effectively train complex machine learning (ML) algorithms, which are commonly used for AM process monitoring. One popular solution is to develop collaborative data sharing frameworks, where multiple independent AM users can share their data to increase the …

Brief Of Law Scholars As Amicus Curiae In Support Of Appellees And Affirmance, Charles Duan

Amicus Briefs & Court Filings

Amici are law professors and scholars who focus their scholarship and teaching on intellectual property law, property law, regulatory law, and health law.2 They write to address the plaintiff’s, Novo Nordisk Inc., et al. (Novo), overarching contention that the Medicare drug price negotiation program constitutes an unconstitutional price control. Amici submit this brief to provide the Court with the historical and legal background regarding the constitutionality of government price negotiations and price regulations. The amici explain how Courts have historically ruled on these questions, as well as the far-reaching consequences that a ruling in Novo’s favor would have on the …

First-Principles Studies On The Electronic And Optical Properties Of Corundum Samples From The Tanga Region, Esther J. Tarimo Tarimo, Pulapa V Kanaka Rao, F.M. Stanley

Tanzania Journal of Science

The characteristics of corundum are significant as they provide accurate identification supporting its diverse applications, facilitating the development of advanced materials, and ensuring its optimal use across various fields. Corundum alumina (α-Al2O3) samples collected from the Tanga mining region were characterized for crystallographic information using XRD analysis. This crystallographic information was used to build the crystal system of the sample in Biovia Materials Studio modelling and simulation software. The electrical and optical properties of this sample were examined by applying first-principles density functional theory and Generalized Gradient Approximations. For the calculations, a sampling mesh of 6×6×2 k-points, with an energy …

Ready, Set, Woes: A Narrative Inquiry Into Special Education Teacher Attrition By Transfer To General Education, Brent G. Collom

Teacher Education, Educational Leadership & Policy ETDs

Despite the prevalence of unfilled special education teaching positions nationwide, it is fair to ask whether there is truly a shortage of special education teachers (SETs). While SETs leave education at high rates, they are almost twice as likely to transfer to general education positions. Many former SETs are employed in schools yet outside of special education.

This narrative inquiry examined the stories of 10 former SETs who transferred to general education. This study found that former SETs continue to identify as teaching special education. Former SETs want general education teachers (GETs) and administrators to have training in special education …

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 Impact Of Strategic Sensitivity On Organizational Immunity: An Analytical Research In The Iraqi Ministry Of Education, Muhammad Abdullah Amin, Hussam Ali Mhaibes

Journal of Economics and Administrative Sciences

The current business environment is characterized by a set of complex and rapid changes, which requires organizations to respond and adapt to these changes to sustain their performance. By relying on a set of new methods and means that enable it to anticipate problems and sudden changes and develop the necessary solutions to them. This comes through the strategic sensitivity possessed by organizational leaders, which enables them to anticipate the future and seize available opportunities, which contributes to providing distinguished services or products and preserving the organization’s survival and continuity. The current research aims to determine the impact of strategic …

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 …

The Impact Of Customer Capital On Enhancing The Work Environment: An Analytical Study At Rafidain Bank, Anbar And Fallujah Branches, Saif Hamad Al-Ani, Amer Fadous Al-Lami

Journal of Economics and Administrative Sciences

Purpose: This research works to achieve several goals, perhaps the most prominent of which is diagnosing the extent of the bank under study’s interest in applying customer capital and the work environment within it and exploiting the relationship that brings together the variables. Theoretical Framework: Based on what the researchers (Zahedi and Lapierre) mentioned, this study addresses the lack of use of marketing intelligence tools, the lack of investment in information technology, the lack of continuous updating of data, and keeping pace with developments in the external environment. Design/Methodology/Approach: The study analyzed data in banks between the Anbar and Fallujah …

Elementary Teachers’ Knowledge And Application Of Formative Assessment To Improve Instruction, Judy Charles

Walden Dissertations and Doctoral Studies

Many students at the Valley View Primary School (pseudonym) in the Caribbean are not performing according to numeracy and literacy standards on national tests. Administration and teachers wanted to know why changes to formative assessment practices are not increasing students’ achievement levels. The purpose of this qualitative exploratory case study was to examine teachers’ perspectives regarding the importance of formative assessments relating to their instructional practices and knowledge of formative assessments in this primary school. The study was guided by Xu and Brown’s teacher assessment literacy in practice (TALiP). Nine participants were purposefully sampled. Research questions helped guide exploration regarding …

Retrieving The Information Stored In The Donated Organ May Cause The Patient’S Personality To Change After The Transplant Operation, Jamal Al-Karaki, Muhammad Al-Zafar Khan, Phoka Rathebe, Raul Valverde, Alireza Sepehri, Massimo Fioranelli

All Works

The results of some scientific research show that organ transplantation, especially heart transplantation, causes changes in the patient’s personality and even memory. These changes can be due to the recovery of information stored in the donor’s molecules and cells. In fact, as in the orchestrated objective reduction model, information in the form of polarization or spin of molecules, electrons, and photons is stored in microtubules due to the connection between the brain and the heart through blood vessels and nerves, and waves. A copy of the information is stored in molecules and heart cells and possibly through the induction of …

Intramolecular Styryl Diels-Alder (Isda) Reaction For Synthesizing Derivatives Of Anticancer Lignans, Kriti Shrestha

Theses and Dissertations

Intramolecular Styryl Diels-Alder (ISDA) cycloaddition reactions are used widely in synthesizing complex natural products. They help synthesize polycyclic cores and form new chiral centers in the molecule. Among such natural products, lignans are considered important biomedical molecules due to their numerous pharmacological properties, such as antitumor, hepatoprotective, insecticidal, antifungal, antihypertensive, sedative, antioxidant, and antiparasitic. Numerous researchers have published their work in trying to synthesize different lignans for medicinal purposes. However, the lignans are challenging to synthesize because of their complex tetralin cores. This project focuses on synthesizing the polycyclic core for the analogs of anti-cancer compounds with ISDA reaction. The …

Is Home Environment Predictive Of Early Grammar Development?, Michelle White, Frenette Southwood

School of Psychology

Research shows that children’s home environment (e.g., the composition of their householdand the resources available in it) has an impact on children’s language development.However, this research has mostly been conducted among English speakers from theminority world and has often only considered vocabulary size. This exploratory studyinvestigated whether home environment factors are predictive of grammar development inAfrikaans-speaking (n = 117) and English-speaking (n = 102) toddlers in South Africa.Moreover, potential differences between these two language groups were explored. Resultsshowed that home environment factors pertaining to family stability predicted two of thethree grammar scores, namely total grammar and complex phrases. Cluster analysis …

Parent And Primary Care Clinician Perceptions About Pediatric Hypertension, Abbas H. Zaidi, Erica Sood, Sarah De Ferranti, Samuel Gidding, Varsha Zadokar, Jonathan Miller, Anne Kazak

Department of Pediatrics Faculty Papers

IMPORTANCE: Despite published guidelines and a prevalence of pediatric hypertension of approximately 3%, less than 25% of affected children are identified, with 60% not receiving any intervention despite detection. Understanding the knowledge and perceptions of parents or caregivers and health care teams is crucial to identify factors that may contribute to these unacceptably low detection rates.

OBJECTIVE: To examine the knowledge and perceptions of parents and health care teams regarding pediatric hypertension to identify common themes contributing to low hypertension detection.

DESIGN, SETTING, AND PARTICIPANTS: This qualitative study, interviewed parents of children diagnosed with hypertension who did not follow up …

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 …