Digital Commons Network^™

Improving Patient Safety And Continuity Of Care By Educating Nurses About Standardized Handoffs In The Post-Anesthesia Care Unit: A Quality Improvement Project, Remi Dos Santos

Master's Theses and Capstones

Background: Effective communication during patient handoffs is crucial for ensuring patient safety and continuity of care. The I-PASS handoff tool has been identified as an effective method to standardize communication and reduce errors during these critical transitions.

Local Problem: In the Post-Anesthesia Care Unit (PACU) of a hospital in New England, the lack of standardized procedures for nurse handoffs posed a risk to patient safety and care quality.

Methods: A quality improvement project was conducted using the Plan-Do-Study-Act (PDSA) cycle to implement and evaluate an educational intervention aimed at improving PACU nurses' proficiency with the I-PASS handoff tool. Pre- and …

Academic Integrity Graphic Novel Mini-Cases, Sarah Fischbach

All Faculty Open Access Publications

Academic integrity is a crucial aspect of the educational process, often receiving insufficient attention until a violation occurs. Researchers emphasize the importance of students comprehending academic integrity to foster ethical professionalism. However, there is a lack of resources available to effectively support these conversations. This study aims to assess academic integrity efficacy and the multi-dimensional ethical scale (MES) through the use of a graphic novel mini-case study. The analysis reveals a significant relationship between academic integrity efficacy, MES dimensions (moral equity, relativism and contractualism), and the case studies among undergraduate participants. The combination of quantitative and qualitative findings provides valuable …

The Seven Elements Of Dispute Systems Design, Lisa K. Dicker, Neil Mcgaraghan

Faculty Publications

In this article, clinical instructors at the Harvard Law School Dispute Systems Design (“DSD”) Clinic propose adapting an old analytical framework — The Seven Elements of Interest-Based Negotiation — for a new context, dispute systems design (“DSD”). A relatively young field, DSD is the “applied art and science of designing the means to prevent, manage, and resolve streams of disputes or conflict.” DSD can feel broad and opaque to newcomers and thus is in need of a foundational framework, especially for beginners. The Seven Elements of DSD — alternatives, interests, options, criteria, communication, relationship, and commitment — can serve a …

The 3 C'S Of Leadership, Jennifer Gayle Rogers

Theses and Dissertations

This study aimed to investigate and identify the strategies and best practices employed by elementary school leaders through the teacher's lens to ensure their success. Additionally, the research sought to view school leadership behaviors and practices through the teacher's lens. This approach created collaboration and communication between the school leader and their teachers. Moreover, this qualitative phenomenological study focused on independent school teachers with at least 10 years of teaching experience. The researcher collected data by interviewing 15 teachers from independent schools across Los Angeles County to answer four main research questions through corresponding interview questions. The findings connected to …

European Society Of Intensive Care Medicine Guidelines On End Of Life And Palliative Care In The Intensive Care Unit, Jozef Kesecioglu, Katerina Rusinova, Daniela Alampi, Yaseen M. Arabi, Julie Benbenishty, Dominique Benoit, Carole Boulanger, Maurizio Cecconi, Christopher Cox, Marjel Van Dam, Diederik Van Dijk, James Downar, Nikolas Efstathiou, Ruth Endacott, Alessandro Galazzi, Fiona Van Gelder, Rik T. Gerritsen, Armand Girbes, Laura Hawyrluck, Margaret Herridge, Jan Hudec, Nancy Kentish-Barnes, Monika Kerckhoffs, Jos M. Latour, Jan Malaska, Annachiara Marra, Stephanie Meddick-Dyson, Spyridon Mentzelopoulos, Mervyn Mer, Victoria Metaxa

School of Nursing and Midwifery

The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions …

Telehealth In Emergency Medicine Residency Training: A Model Curriculum, Laura Oh, Rahul Bhat, Michael J. Carr, Aditi U. Joshi, Bruce M. Lo, Ashley C. Rider, Lulu Wang, Michael C. Wadman, Samuel D. Luber

Department of Emergency Medicine Faculty Publications

Emergency physicians are well-positioned to take a leadership role in telehealth, particularly in emerging categories such as triage, direct acute unscheduled care, and virtual observation. However, the growth of telehealth has outpaced curricular development in emergency medicine (EM) residency programs. This manuscript presents a model longitudinal telehealth curriculum, developed by the consensus of education experts, including representatives from the telehealth interest groups from EM's two primary specialty societies: the American College of Emergency Physicians and the Society for Academic Emergency Medicine. The curriculum describes overarching goals and components that may serve as a foundation for individual institutions seeking to train …

Divided Crowns: An Ideological Criticism Of Self-Black Determination And Conflicting Visions Of Wakanda In Black Panther, Alaya E. Hubbard

University of the Pacific Theses and Dissertations

Using an ideological criticism of Hollywood’s Black Panther (2018), this paper analyzes the differing portrayals of the self-Black determination of the film’s main characters, T’Challa and Killmonger, as it relates to their backgrounds, cultural connections, racial identities, power dynamics, and their fights for social justice. Aspects of the film that were analyzed included characters’ actions, dialogue, lore, and presence. Digging deeper into the film’s story once key themes were revealed. This examination included parallels to the real-world, including locations, social movements, and social reformation leaders. The goal of the paper is to show how the film offers insights into broader …

Payday Power-Up: Let's Make A Raise Distribution, Ayse Ozturk

Teaching & Learning Faculty Publications

This study illustrates a problem-solving activity reflective of a real-life situation wherein high school students articulate their reasoning while contemplating the effectiveness and fairness of distributing raises. Study data were gathered via teaching experiment methodology in problem-solving sessions at a mathematics camp for secondary students. Examination of the data indicated that students sought entry points for problem-solving by making assumptions and pinpointing crucial variables. Framing mathematics within the concept of fairness encouraged students to review their work, engage in active listening, and find purpose in mathematical reasoning.

Employability: Skills For Work, Skills For Life, Frannie Bennett, Paula Barnes, Denise Fritsch, Anissa Mcbreen

Pedagogicon Conference Proceedings

At Gateway Community & Technical College, the 10 Essential Skills are embedded in a strategic, multi-faceted manner: in the curriculum, Work-Based Learning Experiences, and Student Events. Since Gateway has designed intentional instruction related to employability skills in multiple environments, students obtain well-rounded support on their journey toward gainful employment.

Internet Addiction: A Growing Threat: A Cross-Sectional Among The Undergraduate Medical Students Of Tertiary Care Hospital, Mysuru, Rakesh M, Diksha Goswami, Sunil Kumar D, Shwethashree M

Digital Journal of Clinical Medicine

Background: The internet has quickly become a part of our lives, impacting every part of our existence. Its use has expanded beyond simply being a communication tool and a source of information. The objective of the study is to assess the prevalence of Internet addiction among the Undergraduate medical students of Mysuru.

Methods: This cross-sectional study was conducted among 255 medical students of a Tertiary care Hospital, Mysuru for three months from September 1^st to November 30^th,2023. Data was collected using a semi-structured questionnaire. The semi-structured questionnaire covered details of demographic data and twenty questions of the …

Theatrical Tools To Support The Community Agreement, Bethany E. Post

Graduate Thesis and Dissertation 2023-2024

When working with a new group of people, it is common practice to create a Community Agreement in pursuit of quality outcomes. This tool uses dialogue to methodically outline the desired educational or creative environment, democratically articulating the commitments and expectations to remain in place throughout the duration of the group's existence and setting all participants in accord with the work to come. However, the Community Agreement can fail to support individual participants during moments of inevitable tension. In such moments, participants may experience unplanned emotional or physical reactions in response to triggering material or ideas. To navigate these reactions …

Exploring Barriers And Pathways To Public Engagement On Climate Change, Monica Mayer

Graduate Thesis and Dissertation post-2024

Despite evidence of its severity and urgency, climate change elicits relatively high skepticism and low concern within the U.S. This study explores psychological barriers preventing people from prioritizing the issue as well as potential strategies to overcome those barriers. Interviews with individuals living in Florida identifying as cautious, disengaged, or doubtful about climate change were conducted between September and October 2023. Participants expressed skepticism over humanity’s impact on the climate. They further conveyed that other nations have a larger impact on climate change than the U.S, that the issue’s criticality is exaggerated, and that observable weather shifts are not the …

Effective Communication With People With Dementia: An Exploratory Study Of Pre-Registration Occupational Therapy Students, Samita Kirve, Lucy Perkins

Journal of Occupational Therapy Education

Dementia is a major global concern, with 50 million people already affected worldwide in 2018, and this number is expected to triple by 2050. Healthcare practitioners, specifically occupational therapists, are responsible for providing care and ensuring the well-being of people with dementia. However, occupational therapy students may not always have the necessary knowledge and skills to effectively communicate and support dementia patients, which could negatively impact the quality of care they provide. To explore this issue, a study was conducted with final-year pre-registration occupational therapy students at a public university in England. The study used a qualitative methodology, with semi-structured …

Essential Collaborations Among Case Managers And Providers Regarding Discharge Processes, Lashawnda Richardson

Doctor of Nursing Practice Projects

Communication is vital between case managers and providers when patients need care coordination post-discharge. This includes but is not limited to facilitating home health services, ordering durable medical equipment, sending referrals to rehabilitation facilities, and sponsorship for uninsured or underinsured patients. This gives case managers the opportunity to educate providers on the discharge needs they ordered for their patients. The collaboration between case managers and providers allows for timely discharge planning and providing patients and their families with accurate information regarding their discharge needs.

Implementing A Strategic Reporting Model Among Public Health Nurse Consultants To Increase Communication, Heather Willis

Doctor of Nursing Practice Projects

Public health has seen a drastic amount of turnover post-pandemic. There was an estimated 44% turnover rate for public health registered nurses, with a vacancy rate that doubled from 12.7% in March 2020 to 23.2% in July 2022 (Skinner, 2022). With this high turnover rate, many nurses are new to North Carolina (NC) public health departments and health districts. Public Health Nurse Consultants (PHNCs) are expected to train and guide these new nursing staff members. With the turnovers continuing at the local health departments (LHDs), new nurses are not given the recommended training because of communication breakdowns. This project helped …

Improving Patient Handoff In The Emergency Department Microsystem, Alahna V. Kinney-Sandefur

Master's Theses and Capstones

Abstract

Background: Gaps in communication in the patient handoff process have been directly linked to patient safety errors and unwanted patient outcomes. The reviewed literature highlights multiple factors impacting the handoff process and unanimously conclude that a standardized handoff process is necessary in maintaining a high standard of patient safety and a minimization of safety errors.

Methods: This intervention took place in an 86-bed, acute care facility, a level III trauma center macrosystem with implementation of this project taking place in the emergency department and medical/surgical microsystems. Utilizing the Plan, Do, Study, Act framework over a total of eight weeks, …

Enhancing Communication Efficiency In An Emergency Department By Employing A Visual Communication System For Lab Results Tracking: A Quality Improvement Project, Julie Burr

Master's Theses and Capstones

Abstract

Background: A Critical Access Hospital in New England faces communication challenges in its Emergency Department, impacting patient flow and safety. The current paper charting system leads to delays and inefficiencies.

Local Problem: The communication gap between ordering laboratory tests and providers reviewing results at the patient’s bedside averages 130 minutes, contributing to delays and potential patient safety issues.

Methods: Using the Plan-Do-Study-Act model, a visual communication system was implemented. Laminated labels indicating pending lab, CT, and radiology reports were affixed to patient folders. Data was collected pre- and post-intervention to measure time from lab order to provider review.

Interventions: …

Wvoice: A Health Science Podcast, Giorgi Morrone

Graduate Student Scholarship

Marginalized groups experience health disparities and stigma from healthcare providers, which negatively impact their quality of life. Occupational injustices occur in marginalized communities due to a lack of accessible and inclusive environments and limited services and support for diverse needs. A creative way to implement interdisciplinary teamwork in healthcare may be podcasting. This study aimed to assess the feasibility of a podcast as a teaching tool for health science students and to increase knowledge related to the social determinants of health and stigma that impacted marginalized groups in West Virginia. A mixed methods approach was utilized to assess the feasibility, …

How Team Engagement Improved Positive Behavior Intervention And Support, Colleen Canty

Antioch University Dissertations & Theses

Positive Behavioral Interventions and Supports (PBIS) are a continuum of behavior intervention strategies designed for implementation across the student population. The implementation of PBIS has demonstrated positive academic and behavioral outcomes, as well as safe and favorable school culture in the public education setting (Ockerman et al., 2012; Sugai & Horner, 2009). However, in the alternative school setting, results have not been as favorable. “Alternative school programs have also moved towards adopting PBIS framework, however, outcomes have been less positive. Although alternative programs are often more restrictive and specialized because of the intensified needs of their youth, they share instructional, …

Gaze Transition Entropy As A Measure Of Attention Allocation In A Dynamic Workspace Involving Automation, Zixin Cui, Tetsuya Sato, Austin Jackson, Sampath Jayarathna, Makoto Itoh, Yusuke Yamani

Psychology Faculty Publications

Real-world work environments require operators to perform multiple tasks with continual support from an automated system. Eye movement is often used as a surrogate measure of operator attention, yet conventional summary measures such as percent dwell time do not capture dynamic transitions of attention in complex visual workspace. This study analyzed eye movement data collected in a controlled a MATB-II task environment using gaze transition entropy analysis. In the study, human subjects performed a compensatory tracking task, a system monitoring task, and a communication task concurrently. The results indicate that both gaze transition entropy and stationary gaze entropy, measures of …

Neuroticism Mediates The Association Between Autistic Traits And Choice Reaction Time Among Young Adults, Kassandra De Jesus Cintron, Xiao Yang

Psychology Faculty Publications

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that influences an individual’s cognitive functions and social interaction. While most studies have focused on children and adolescents diagnosed with ASD, elevated levels of autistic traits in subclinical populations may also influence individuals’ daily functioning. Autistic traits are also linked to the Big Five personality. In particular, neuroticism (emotion instability) has been shown to be positively associated with autistic traits, which may contribute to behavioral symptoms of autistic traits. The present study aimed to investigate the association between autistic symptoms and sensorimotor processing among a subclinical population. One hundred young adults (M …

The Impact Of Technological Innovation On Deaf And Hard Of Hearing Communities, Mickayla Cooper Kwakye-Ndlovu

Honors College Theses

Over the past couple of decades, significant shifts have occurred in technological development. Among these advancements, the smartphone has emerged as an integral part of people’s daily lives, serving as a powerful tool for accessibility and global connectivity. This literature review explores the ways in which everyday communication technology is utilized by Deaf and Hard of Hearing (DHH) individuals and examines the impact of its development on these communities. The goal of the work is to investigate how the evolution of modern smartphones contributes to breaking down communication barriers for DHH communities. This review focuses on smartphone features that enhance …

Exploring Communication Preferences And Experiences Of First-Generation Students: Bridging Psychological Distance With Librarians In Online, Hybrid, And In-Person Library Environments—An Interpretative Phenomenological Analysis, Sabine Jean Dantus

Theses and Dissertations

This applied dissertation explored the preferred communication methods for reducing the psychological distance between librarians and 17 first-generation students (FG004 – FG020), including graduate and undergraduate participants in the University Libraries’ online, hybrid, and in-person environments. Through interpretative phenomenological analysis, eight themes emerged, illustrating how participants' communication preferences, cultural and linguistic demands, financial obstacles, and early library experiences affected their communication expectations with librarians.

The findings revealed a dichotomy between in-person and online communication preferences, with participants valuing both the immediacy and social presence of face-to-face interactions and the convenience of online tools like chat services. Cultural and linguistic familiarity …

Developing International Guidance To Make Impact Assessment Follow-Up Happen–Reflections On An Interactive Design Process, Angus Morrison-Saunders, Jos Arts, Annette Nykiel, Bruce Muir, Richard Morgan, Patricia Fitzpatrick, Ciaran O’Faircheallaigh, Alberto Fonseca, Charlotta Faith-Ell, Ainhoa González, Jan Albert Wessels, Gesa Geißler, Luis Sánchez, Urmila Jha-Thakur, William Ross, John Glasson

Research outputs 2022 to 2026

To advance impact assessment (IA) practice worldwide the International Association for Impact Assessment (IAIA) has long promoted and published a series of international best practice principles, including the recently revised best practice principles for IA follow-up. IA follow-up refers to any kind of undertaking that seeks to ‘understand the outcomes of projects or plans’ that have been subject to IA. To support the implementation of these principles worldwide, a global guidance document has been developed (published by IAIA in 2024). The aims of this paper are to report on the approach undertaken to this guidance, applying a Delphi method, and …

Verbal And Nonverbal Communicative Approaches Used By Reading Teachers To Foster Student Reading For Pleasure In Secondary School, Claire Patricia Smith

Theses: Doctorates and Masters

The benefits of reading for pleasure are diverse. As evidence supporting the value of reading for pleasure grows, so does its legitimacy as a catalyst for positive personal and cognitive development, and as a stand-alone subject in education. Reading for pleasure pedagogy (RfPP), distinct from reading instruction, is evolving in tandem with these findings. This pedagogy is predicated on the profile of a Reading Teacher (RT) as a reader who enjoys reading and is prepared to share their personal reading lives to teach their students to read for pleasure. However, this profile may be an ideal rather than the norm. …

Effectively Communicating With Local Policymakers: A Randomized Trial Of Policy Brief Dissemination To Address Obesity, Elizabeth A Dodson, Renee G Parks, Rebekah R Jacob, Ruopeng An, Amy A Eyler, Nathan Lee, Alexandra B Morshed, Mary C Politi, Rachel G Tabak, Yan Yan, Ross C Brownson

2020-Current year OA Pubs

INTRODUCTION: Evidence-based policies are a powerful tool for impacting health and addressing obesity. Effectively communicating evidence to policymakers is critical to ensure evidence is incorporated into policies. While all public health is local, limited knowledge exists regarding effective approaches for improving local policymakers' uptake of evidence-based policies.

METHODS: Local policymakers were randomized to view one of four versions of a policy brief (usual care, narrative, risk-framing, and narrative/risk-framing combination). They then answered a brief survey including questions about their impressions of the brief, their likelihood of using it, and how they determine legislative priorities.

RESULTS: Responses from 331 participants indicated …

Dishes Of Yesteryear: Memories, Stories, And Representations Of The Past Within Food Media, Diana Willis Bottomley

Electronic Theses & Dissertations (2024 - present)

In 1963, Julia Child revolutionized cooking television. Child’s The French Chef, which ran for ten years on the Boston public television station, WGBH, changed how American’s viewed, produced, and consumed food. And in the sixty years since Child’s debut, food media has grown in scope and popularity, increasingly altering how we communicate identity in and through food and foodways. In this dissertation, I examine the relation between food, media, and memory, with particular attention to: how the past moderates the connection between food and identity; how food media produce a sense of place integral to identity; and how food …

Predictions Of Lattice Parameters In Niti High-Entropy Shape-Memory Alloys Using Different Machine Learning Models, Tu-Ngoc Lam, Jiajun Jiang, Min-Cheng Hsu, Shr-Ruei Tsai, Mao-Yuan Luo, Shuo-Ting Hsu, Wen-Jay Lee, Chung-Hao Chen, E-Wen Huang

Electrical & Computer Engineering Faculty Publications

This work applied three machine learning (ML) models—linear regression (LR), random forest (RF), and support vector regression (SVR)—to predict the lattice parameters of the monoclinic B19′ phase in two distinct training datasets: previously published ZrO₂-based shape-memory ceramics (SMCs) and NiTi-based high-entropy shape-memory alloys (HESMAs). Our findings showed that LR provided the most accurate predictions for a_c, a_m, b_m, and c_m in NiTi-based HESMAs, while RF excelled in computing βm for both datasets. SVR disclosed the largest deviation between the predicted and actual values of lattice parameters for both training datasets. A combination approach …

An Enhanced Real-Time Intrusion Detection Framework Using Federated Transfer Learning In Large-Scale Iot Networks, Khawlah Harahsheh, Malek Alzaqebah, Chung-Hao Chen

Electrical & Computer Engineering Faculty Publications

The exponential growth of Internet of Things (IoT) devices has introduced critical security challenges, particularly in scalability, privacy, and resource constraints. Traditional centralized intrusion detection systems (IDS) struggle to address these issues effectively. To overcome these limitations, this study proposes a novel Federated Transfer Learning (FTL)-based intrusion detection framework tailored for large-scale IoT networks. By integrating Federated Learning (FL) with Transfer Learning (TL), the framework enhances detection capabilities while ensuring data privacy and reducing communication overhead. The hybrid model incorporates convolutional neural networks (CNNs), bidirectional gated recurrent units (BiGRUs), attention mechanisms, and ensemble learning. To address the class imbalance, Synthetic …

The Influence Of Work Experience And Communication On Secretary Performance In Five Star Hotels In Bali, Kasiani Kasiani, I Made Sarjana, Anak Agung Ayu Mirah Kencanawati, Lily Marheni, Upayana Wiguna Eka Saputra

Informasi

The purpose of this study was to examine the impact of work experience and communication on the performance of secretaries at Bali's Five-Star Hotels. This study was quantitative in nature. In this study, the population consisted of 98 secretaries from 50 five-star hotels in Bali that had been registered since 2021. This study's sample consisted of 98 Executive Secretaries and Departmental Secretaries selected using the side saturation or "Sampling Jenuh" technique. The data used were primary data derived from respondents' responses, which were then analyzed using multiple linear regression analysis techniques. The strategy for collecting data consisted of a Google …