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2025

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Scaling Ai In Decision-Based Learning: A Data-Driven Evaluation For Resource Optimization, L. Ashley Schumacher Dec 2025

Scaling Ai In Decision-Based Learning: A Data-Driven Evaluation For Resource Optimization, L. Ashley Schumacher

Instructional Psychology and Technology Graduate Student Projects

This project evaluated a AI Assistant built inside ChatGPT to support faculty in creating Decision-Based Learning (DBL) expert decision models in the Conate DBL software. The evaluation addressed a persistent training bottleneck: faculty experienced high cognitive load and significant time loss when navigating a documentation-heavy workflow that required repeated movement between training guides, ChatGPT, and the DBL platform, including extensive copy-and-paste steps. The AI Assistant was developed to replace much of the manual prompting process by providing structured protocols that guide model creation (e.g., exploring possible DBL models, creating paths, generating scenarios, and drafting learning modules) while faculty still build …


Enhancing Flu Vaccination Rates Through Improved Electronic Health Record User Workflow Training, Grace Sayre Dec 2025

Enhancing Flu Vaccination Rates Through Improved Electronic Health Record User Workflow Training, Grace Sayre

Master's Projects and Capstones

A quality improvement project was implemented at an urban community health clinic primarily serving low-income, underinsured, and Latinx individuals. The site had a history of poorly organized flu vaccine rollout and low vaccination rates among the patient population. Seasonal influenza infects millions of people across the US each year, resulting in hundreds of thousands of deaths (Garza et al., 2023), and vaccination is the best prevention. Electronic health record training has been shown to reduce user burnout and improve efficiency (Gordon et al., 2022). The QI project aims to increase medical assistant satisfaction with the flu vaccine rollout by 15%, …


Charting The Course: Improving Psychotropic Medication Documentation Through Staff Education To Promote Patient Safety And Cms Compliance, Anne J. Bertram Rn Dec 2025

Charting The Course: Improving Psychotropic Medication Documentation Through Staff Education To Promote Patient Safety And Cms Compliance, Anne J. Bertram Rn

Master's Projects and Capstones

The University of San Francisco master’s level nursing program culminates with a clinical nurse leader (CNL) quality improvement project. The objective of this project is to reinforce the program’s didactic CNL classes by allowing students the opportunity to design, implement, and analyze a quality improvement project in a microsystem. SETTING: Skilled nursing facilities often prescribe psychotropic medications to help manage residents’ behavioral and psychological symptoms. Due to the possibility of side effects and increased sedation, there are concerns for patient safety and quality of life. Inadequate management of these patients and symptoms compromises patient safety and breaches state and federal …


From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus Dec 2025

From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus

Master's Projects and Capstones

This quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project …


Beyond Compliance: How Targeted Education Improves Psychotropic Medication Documentation And Patient Safety In Skilled Nursing Facilities, Dyani Williams Dec 2025

Beyond Compliance: How Targeted Education Improves Psychotropic Medication Documentation And Patient Safety In Skilled Nursing Facilities, Dyani Williams

Master's Projects and Capstones

Psychotropic medications are routinely prescribed in skilled nursing facilities to manage behavioral and psychological symptoms, but inadequate documentation poses risk to patient safety and leads to regulatory noncompliance. Objective: This project aimed to improve nursing staff knowledge and confidence in documenting psychotropic medication use in order to safeguard patient safety and follow Center for Medicare and Medicaid Services (CMS) guidelines. Aim: A targeted education session and standardized flowsheets were developed to enhance documentation adherence and staff confidence in psychotropic medication administration. Methods: To assess knowledge, comfort, and adherence to documentation standards a pre- and post-intervention survey were administered to nursing …


A Visual Nudge Toward Safer Skin: Reducing Hospital-Acquired Pressure Injuries (Hapi) At The Bedside, Iris Quach Dec 2025

A Visual Nudge Toward Safer Skin: Reducing Hospital-Acquired Pressure Injuries (Hapi) At The Bedside, Iris Quach

Master's Projects and Capstones

Objective: With the increasing prevalence of hospital-acquired pressure injuries (HAPIs) among trauma patients at Highland Hospital, a quality improvement initiative was developed as a call to action. The overarching goal of this project was to design and implement a Quality Assurance and Performance Improvement (QAPI) intervention that was both feasible and cost-effective to address existing gaps and disparities during hospitalization at Highland Hospital, part of Alameda Health System in the Bay Area. Aim: The project aimed to evaluate whether a bedside visual cueing system could strengthen nursing compliance with pressure-injury prevention protocols and improve the consistency of communication among interdisciplinary …


Association Between Gonial Angle And Mandibular Residual Ridge Resorption In Implant-Overdenture Patients, Pl Ranganayakidevi S Palaniappan, Norsiah Yunus, Norliza Ibrahim, Siti Fauzza Ahmad, Anitha Krishnan Dec 2025

Association Between Gonial Angle And Mandibular Residual Ridge Resorption In Implant-Overdenture Patients, Pl Ranganayakidevi S Palaniappan, Norsiah Yunus, Norliza Ibrahim, Siti Fauzza Ahmad, Anitha Krishnan

Journal of Dentistry Indonesia

Objectives: The gonial angle could be one of the contributing factors for the continuous bone resorption in edentulous persons. This study aimed to examine the association between the gonial angle and RRR in edentulous patients receiving mandibular implant-supported overdenture (ISOD) and to compare different gonial angle measuring techniques. Methods: Twenty-three individuals with opposing mandibular ISOD and maxillary full dentures were recruited. The proportional area index was used to calculate the posterior RRR. Orthopantomographs (OPGs) pre- and four years post-implant insertion were compared. Comparison of the gonial angle measurements was made on 5 patients using four measurement methods: (i) Two different …


The Evil Historical Twin: How The Requirement Of A Historical Analogy Could Result In Further Discrimination In The Law, Bryanna Mall Dec 2025

The Evil Historical Twin: How The Requirement Of A Historical Analogy Could Result In Further Discrimination In The Law, Bryanna Mall

The Scholar: St. Mary's Law Review on Race and Social Justice

In 2024, the Supreme Court decided the case of United States v. Rahimi. The Court, unpersuaded by Rahimi’s objection regarding federal law which prohibited an individual subject to a domestic violence restraining order from possessing a firearm, decided the restriction was constitutional. While the holding of this case represents a win for survivors of domestic violence, the legal reasoning plants itself of flimsy concepts of history. The Court utilized a historical analysis test and looked to precedent rooted in social customs, legislation, and court holdings. The first major issue of this test is the dueling interpretation between a historical …


Process Intensification For Rare Earth Elements Adsorption By Resonant Vibratory Mixing (Rvm), Mehran Saddat Dec 2025

Process Intensification For Rare Earth Elements Adsorption By Resonant Vibratory Mixing (Rvm), Mehran Saddat

Graduate Theses & Non-Theses

Rare earth elements (REE) are crucial to the advancement of modern technologies. REE applications include electronics, defense systems, wind turbines, catalysts, magnets, and aircraft. Bastnasite, monazite, and xenotime are the primary resources, while the secondary resources, including coal ash, E-waste, and acid mine drainage, are for REE extraction. The primary processing techniques are chemical leaching, ion exchange, chemical precipitation, pyrometallurgy, solvent exchange, biosorption, and adsorption. Adsorption technique is simple, cost-effective, and environmentally friendly, with higher efficiency but at the cost of a longer mixing time. Therefore, there is a pressing need for an optimized mixing technique to improve the adsorption …


Structured Ai Conversations On Ethical Reasoning In Introductory Psychology, Brianna Mccartney Dec 2025

Structured Ai Conversations On Ethical Reasoning In Introductory Psychology, Brianna Mccartney

Teaching Repository of AI-Infused Learning

This strategy integrated structured AI conversations using Perplexity into an introductory psychology course to strengthen students’ ethical reasoning. Guided prompts led students through analyzing historical unethical studies, applying APA and Belmont principles, and proposing ethical redesigns while receiving immediate feedback. The activity concluded with a final paper and AI acknowledgment, fostering both deeper ethical understanding and responsible use of AI in academic work.


Application Of Theoretical Frameworks To Maternal And Infant Nutrition Case Study Discussion Board, Tiffany Hylton Dec 2025

Application Of Theoretical Frameworks To Maternal And Infant Nutrition Case Study Discussion Board, Tiffany Hylton

Teaching Repository of AI-Infused Learning

This assignment integrates AI into graduate-level maternal and infant nutrition coursework by requiring students to generate recommendations from an AI tool, then verify, analyze, and refine them using evidence-based resources and theoretical frameworks. The strategy emphasizes critical thinking, professional judgment, and ethical responsibility in applying AI within healthcare education.


Ai Research Project: Rhetorical Analysis Of Llm Output, Laura M. Dumin Dec 2025

Ai Research Project: Rhetorical Analysis Of Llm Output, Laura M. Dumin

Teaching Repository of AI-Infused Learning

Students are asked to work in teams to look at the output from an LLM and to identify patterns in how language is used and information is being presented.


Misconceptions About Nursing In High School Students Of Color: Promoting Diversity In Nursing, Veronnica D. Pham Dec 2025

Misconceptions About Nursing In High School Students Of Color: Promoting Diversity In Nursing, Veronnica D. Pham

Doctor of Nursing Practice (DNP) Projects

Background: Equitable and culturally competent care can reduce health disparities among underserved populations; yet the nursing shortage the US faces does not allow for better patient outcomes. One barrier is how the profession can be negatively viewed among high school students of color.

Methods: A comprehensive literature search was performed to identify how perception of nursing affects a student’s career choice and what influences these perspectives. Three databases were utilized for this search: The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus. Six articles were selected for this review. The following themes have been identified: misconceptions, …


Are We Leaving Donors Behind? An Evaluation Of Accessibility Of Higher Education Donor Webpages And Leadership Priorities, Lauren E. Baldwin Dec 2025

Are We Leaving Donors Behind? An Evaluation Of Accessibility Of Higher Education Donor Webpages And Leadership Priorities, Lauren E. Baldwin

Electronic Theses & Dissertations

This study investigated the web accessibility and readability of U.S.-based nonprofit higher education institutions (HEIs) across the Foundation home, donation, and contact pages of selected websites. Utilizing a combination of manual verification and computer-automated analysis techniques, this study analyzes (n=101) institutional websites. Quantitative analysis reveals these webpages frequently contain WCAG 2.1 Level AA accessibility error types that are likely to affect the perceivability, operability, and understandability of the user’s experience, especially for individuals with disabilities or limited English proficiency. Further, these tests reveal significant differences by sector across multiple WCAG 2.1 Level AA accessibility error types, indicating that …


Study Of Isocyanate-Free Vegetable Oil-Based Polyurethane Coating With A Silicon-Based Compound For Coating Properties, Ajay Kumar Dec 2025

Study Of Isocyanate-Free Vegetable Oil-Based Polyurethane Coating With A Silicon-Based Compound For Coating Properties, Ajay Kumar

Electronic Theses & Dissertations

The development of sustainable and environmentally friendly polyurethane coatings has garnered significant attention in recent years. This research focuses on the development of isocyanate-free coatings derived from carbonated soybean oil (CSBO) using a solvent- and catalyst-free approach. The coatings were synthesized by reacting CSBO with ethylenediamine (EDA) and varying weight percentages of 3-aminopropyltriethoxysilane (APTES), which were added to enhance the coating property, as it contains silicon in it, to evaluate their mechanical and thermal properties. Fourier Transform Infrared Spectroscopy (FTIR) confirmed the successful formation of urethane linkages, with a significant reduction in C=O peak intensity after 10 days of curing, …


Suprasegmentals And Small Talk Skills: An Adult Esl/Efl Teacher Training And Curriculum Design, Katya Davida Landau Dec 2025

Suprasegmentals And Small Talk Skills: An Adult Esl/Efl Teacher Training And Curriculum Design, Katya Davida Landau

Master's Projects and Capstones

There is inadequate education and training for Adult ESL teachers on how to teach pronunciation, especially the essential suprasegmental feature of intonation. This leads to the perpetuated issue of lowered intelligibility amongst ESOL learners, which limits their opportunities in English-speaking settings. Through the provision of innovative curriculum and teacher training videos that share pedagogical content knowledge (PCK) on the subject of suprasegmental phonemes, these issues can be addressed.

Any curriculum developed to teach suprasegmentals must consider the role of creative and engaging activities to inspire learners, comprehensibility and intelligibility, embodied pronunciation techniques, and the impact of explicit, communicative, and task-based …


Cv: Huma Zia (Criminal Justice, Paralegal Studies), Huma Zia Dec 2025

Cv: Huma Zia (Criminal Justice, Paralegal Studies), Huma Zia

Justice, Law, and Public Safety Studies Department Faculty Curricula Vitae

No abstract provided.


Developing An Ai-Assisted Grading System Using Large Language Models, Andrei Modiga Dec 2025

Developing An Ai-Assisted Grading System Using Large Language Models, Andrei Modiga

MS in Computer Science Project Reports

We present a grading system that accelerates evaluation of open-ended student work across scanned and digital workflows. The system crops answer regions from PDFs, assigns submissions via OCR on identity regions only, and groups answers by visual semantics using a vision LLM. Instructors review and edit groups, apply rubric items once per group, and export grades from an on-screen table. The solution integrates Ghostscript rasterization, PdfPig page orchestration, SkiaSharp region extraction, Tesseract identity OCR, and GPT-4o Vision for grouping. We detail the architecture, token-budgeted batching strategy, and persistence design, then describe testing results for grouping quality, time-on-task, and usability. The …


How To Describe A Massacre? A Collaborative Metadata Justice Project, Bailey Hoffner, Eugene Albin, Jennifer Watson, Jay Shorten, Jacquelyn Slater Reese, Todd Fuller, Karie Antell Dec 2025

How To Describe A Massacre? A Collaborative Metadata Justice Project, Bailey Hoffner, Eugene Albin, Jennifer Watson, Jay Shorten, Jacquelyn Slater Reese, Todd Fuller, Karie Antell

Collaborative Librarianship

Throughout the summer of 2020 and into the following fall, a cross-unit working group at the University of Oklahoma Libraries (OU Libraries) collaborated to compile and submit a proposal to change the Library of Congress Subject Heading (LCSH) Tulsa Race Riot, Tulsa, Okla., 1921 to Tulsa Race Massacre, Tulsa, Okla., 1921. The working group members situated this project in the context of the metadata justice movement, which seeks to correct problematic descriptions. They also see this proposal as part of the broader work undertaken over many decades by Tulsa activists and community leaders. This successful proposal required working group …


Archivist, Subject Librarian, And Education Faculty Collaboration: Co-Instruction In History Of Education Classes, Laura Cameron, Kara Flynn Dec 2025

Archivist, Subject Librarian, And Education Faculty Collaboration: Co-Instruction In History Of Education Classes, Laura Cameron, Kara Flynn

Collaborative Librarianship

In many academic libraries, primary source instruction happens in a vacuum, and students don’t always make connections between the skills they learn in a primary source instruction session and skills they may have already learned in information literacy-focused library instruction that they have participated in previous courses. This case study describes the design and objectives of an instructional partnership formed between an Education & Engagement Archivist, Education Librarian, and History of Education professor at a public, four-year university. The Education & Engagement Archivist and Education Librarian worked in tandem to develop interconnected lesson plans, allowing the Education & Engagement Archivist …


Welcoming New Leadership And Elevating Collaboration, Jesse Koennecke, Nina Mchale Dec 2025

Welcoming New Leadership And Elevating Collaboration, Jesse Koennecke, Nina Mchale

Collaborative Librarianship

This editorial marks a pivotal transition for Collaborative Librarianship as Jesse Koennecke (Binghamton University Libraries) and Nina McHale (University of Denver Libraries) assume the role of co-editors, following the dedicated leadership of Chris Robinson-Nkongola and Carrie Forbes. The issue underscores the journal’s enduring mission to foster reflection, innovation, and connection within the library profession. Volume 15, Issue 1 highlights diverse examples of collaboration: the sustainability of Archives West through community-driven infrastructure; a metadata justice initiative addressing ethical challenges in descriptive practices; interdisciplinary co-instruction between archivists, librarians, and faculty; and creative engagement through showcasing student artwork in academic libraries. As an …


Enhancing Academic Efficiency Through Ability Grouping And Remedial Classes: The Cases Of India And Vietnam, Samwel Lwiza Dec 2025

Enhancing Academic Efficiency Through Ability Grouping And Remedial Classes: The Cases Of India And Vietnam, Samwel Lwiza

Journal of Humanities and Social Sciences

Improving the performance of academically weak students remains a major challenge in developing countries, particularly in the context of the ‘leave no one behind’ agenda. This study examines the roles of ability grouping and remedial classes in enhancing academic efficiency among students in India and Vietnam. Drawing data from 17,866 students in the 2016/17 Young Lives School Survey, this study estimated efficiency scores by using the order-alpha partial frontier approach, and their determinants were assessed through a bootstrap truncated regression model. The findings indicate that ability grouping increases students’ efficiency by 3%, whereas remedial classes decrease it by the same …


Determinants Of Farmers’ Choices Of Adaptation Strategies In Rural Semi-Arid Agricultural Communities Of Tanzania: A Case Study Of Mwanga And Same Districts In Kilimanjaro Region, Bahati Ally Magesa Dec 2025

Determinants Of Farmers’ Choices Of Adaptation Strategies In Rural Semi-Arid Agricultural Communities Of Tanzania: A Case Study Of Mwanga And Same Districts In Kilimanjaro Region, Bahati Ally Magesa

Journal of Humanities and Social Sciences

Climate change is a global phenomenon that poses a significant threat to agricultural farming and the livelihoods of farmers, particularly in semi-arid regions of Sub-Saharan Africa. Since agriculture is the primary source of employment in the region, enhancing the sector’s adaptive capacity has become increasingly important. This paper examines the key determinants influencing farmers’ choices of adaptation strategies to climate change impacts in the Mwanga and Same Districts of Tanzania. A total of 200 farmers participated in a household survey conducted using a simple random sampling technique. A binary logistic regression model was employed to analyse the association between selected …


The Interplay Of Morphology, Syntax, And Semantics In Kuria Verb Extensions Within The Mara Region, Mary Charwi Dec 2025

The Interplay Of Morphology, Syntax, And Semantics In Kuria Verb Extensions Within The Mara Region, Mary Charwi

Journal of Humanities and Social Sciences

Verb extension morphological affixes that significantly alter verb meaning are a defining characteristic of Bantu languages. This paper investigates the morphosyntactic behaviour, semantic implications, and functional roles of extensions within Kuria, a Bantu language of Tanzania. The study adopts Hyman’s morphocentric approach, specifically the CARP template (Causative-Applicative-Reciprocal-Passive), as its foundational framework to test whether Kuria adheres to this pan-Bantu default ordering. The data were collected in Tarime District (2014-2015) using a mixed methods approach, comprising questionnaires, semi-structured interviews, and video stimuli with 13 rural and urban speakers, and text analysis (the Kuria Bible). Through rigorous morphosyntactic parsing, the analysis reveals …


The Syntax And Semantics Of Reciprocal Constructions In Chibarwe: A Lexical Mapping Account, Tendai Chirimaunga Dec 2025

The Syntax And Semantics Of Reciprocal Constructions In Chibarwe: A Lexical Mapping Account, Tendai Chirimaunga

Journal of Humanities and Social Sciences

Bantu languages have a robust structure, which is usually stated to be agglutinative, accommodates affixations of a wide range of morphemes both as prefixes (to the left of the root), as well suffixes (to the right of the root) before placing the terminal vowel. In their verbal morphology, the reciprocal is one of the many derivational affixes that have, however, not gained similar prominence as the study of the applicative and the causative construction. The thrust of this study is to investigate the syntax and semantics of reciprocal constructions in ChiBarwe, a marginalised cross-border language spoken in Zimbabwe and Mozambique. …


A Rodent Model Of Enhanced Anticipation Of Positive Events: Sex-Specific Modifications In Cognitive Bias And Emotional Resilience, Sarah C. Hartvigsen, Megan Hooper, Olivia Harding, Evelyn Barringer, Aditya Narayanan, Brendan Crockett, Yulia Shatalov, Paean Luby, Braden Wixted, Molly Kent, Kelly Lambert Dec 2025

A Rodent Model Of Enhanced Anticipation Of Positive Events: Sex-Specific Modifications In Cognitive Bias And Emotional Resilience, Sarah C. Hartvigsen, Megan Hooper, Olivia Harding, Evelyn Barringer, Aditya Narayanan, Brendan Crockett, Yulia Shatalov, Paean Luby, Braden Wixted, Molly Kent, Kelly Lambert

Psychology Faculty Publications

While it is known that chronic unpredictable stress and negative events adversely affect neurobiological outcomes, much less is known regarding the neurobiological impact of positive emotions such as chronic anticipation of appetitive events. From a translational perspective, an enhanced understanding of the impact of extended exposure to positive emotions may provide novel insights into effective non-pharmacological, behavior-based approaches to enhance mental resilience. Here, we investigate a novel rodent model of chronic Unpredictable Positive Event Response (UPER) training in male and female Long Evans rats to examine behavioral, neural, and endocrine effects of enhanced anticipation of positive events. Rats were exposed …


Jmu Libraries Magazine: Volume 3, Jenne M. Klotz, Emily D. Blake, Kristen S. Shuyler Dec 2025

Jmu Libraries Magazine: Volume 3, Jenne M. Klotz, Emily D. Blake, Kristen S. Shuyler

Faculty Scholarship

Volume 3 of the biennial JMU Libraries magazine, highlighting services, events, awards of the JMU Libraries.


The Diamond, December 12, 2025, Dordt University Dec 2025

The Diamond, December 12, 2025, Dordt University

Dordt Diamond

  • Front Page: Dordt TPUSA Chapter Stuck in Approval Process; The Future of Christian Colleges in Light of Trinity's Closure; Hoyt Reinalda - A Life of Dedication and Improbability
  • Feature: "Rivers in the Desert" - Dordt Student Releases Creation Care Podcast; The Dordt Barber Boom - Student Hair Cuts Surge; Dordt Places Second in Esteemed National Finance Competition; The Church and the Crescent - Understanding Islam; Student Visas - How Proposed Legislation May Affect International Students at Dordt; The Word Became Flesh - Music Department Presents "Historic" Choral Christmas Concert
  • News: Celebrating the Retirement of Librarian Tricia Kok; …


The Cost Of Conviction: A Constructivist Analysis Of U.S. Interventions In Guatemala, 1954-1999, Savannah L. Sinor Dec 2025

The Cost Of Conviction: A Constructivist Analysis Of U.S. Interventions In Guatemala, 1954-1999, Savannah L. Sinor

Departmental Honors & Graduate Capstone Projects

The U.S. continuously intervened in Guatemalan domestic politics from 1954 to 1999 without achieving its stated goals of stability, democratization, or development. Although the threat of communism offered an initial justification for U.S. involvement, traditional geopolitical explanations failed to adequately account for the persistence of intervention.

Through the lens of constructivism, this research examines these interventions, with special attention paid to political, economic, and humanitarian factors. It focuses on the American identity as democratic, capitalist, and later, a protector of human rights, and how the need to protect and exhibit that identity motivated the U.S. to intervene. These identities and …


Improving Staff Satisfaction And Flu Vaccine Uptake Through Standardized Workflow Tools, Salma Adriana Blanco Dec 2025

Improving Staff Satisfaction And Flu Vaccine Uptake Through Standardized Workflow Tools, Salma Adriana Blanco

Master's Projects and Capstones

Objective: Insufficient workflows can cause documentation to be confusing, which ultimately

limits staff engagement. This has led to staff dissatisfaction and a low vaccination uptake in

outpatient clinics. The implementation of a standardized workflow tool and proper staff

education and training can improve staff satisfaction and vaccination adherence, as indicated by

a review of literature. Aim: The purpose of this quality improvement project is to implement a

change in workflow in the electronic health record and staff training in an urban community

health clinic primarily serving low income and Latino patients. This intervention seeks to

increase medical assistant user satisfaction …