Digital Commons Network^™

A Pilot Project For Tuberculosis Education In College Students, Sarah Williams

Doctor of Nursing Practice Final Manuscripts

Background: San Diego’s Tuberculosis (TB) incidence is more than double the national rate. The majority of cases of active TB are due to the progression of latent TB infection (LTBI).

Objectives: This evidence-based practice (EBP) project aimed to increase knowledge, awareness, and improve attitudes and practices regarding TB among college students.

Participants: Twenty Community College Students in San Diego participated in the project.

Methods: Students attended an in-person educational session. A pre-post knowledge, attitudes and practices (KAP) questionnaire measured the impact.

Results: The intervention improved knowledge and attitudes. The average post-intervention TB knowledge score was 95.8% compared to 57% …

Improving Care For Children And Adolescents With Down Syndrome In The Military Health System, Katherine B. Arrogante

Doctor of Nursing Practice Final Manuscripts

Background: Down syndrome (DS) is the most common chromosomal disorder worldwide. In the United States, DS occurs in one out of every 700 births. Children with DS have an increased risk of developing serious health conditions. In the military health system, children with DS face many barriers such as frequent relocations and poor access to specialty care. Primary care providers (PCPs) do not consistently follow published guidelines for health supervision.

Purpose: This project aims to improve the care for pediatric patients with DS in the military health system by increasing the knowledge and confidence of PCPs.

Methodology: An educational program …

Implementation Of Clinical Institute Withdrawal Assessment: Alcohol Revised (Ciwa-Ar) Education Program In A Crisis Stabilization Unit, Amanda Dehart

Doctor of Nursing Practice Final Manuscripts

Background: At this time the crisis stabilization Units do not currently utilize the Clinical Institute Withdrawal Assessment: Alcohol Revised tool with patients who may experience Alcohol Withdrawal Syndrome. Patients with alcohol use disorders have a high comorbidity rate with psychiatric disorders (Butterfield, et al, 2020). The Clinical Institute Withdrawal Assessment: Alcohol Revised or CIWA-Ar is currently the most widely used assessment tool in the psychiatric setting when assessing patients who may be experiencing Alcohol Withdrawal Syndrome (Pribék, et al, 2021) .

Purpose of Project: The purpose of this project is to measure pre and post -education knowledge of the registered …

The Intersection Of Gender And Negotiation: A Comprehensive Look At The Literature, Kelsey England

Pepperdine Journal of Communication Research

According to the majority of literature it appears there are differences in specific advantages and disadvantages genders are exposed to in negotiations. This article aims to further introduce and break down the literature in order to provide a comprehensive overview of the intersections of negotiation and gender in regards to general negotiation practices, negotiations within the workplace, and what can be done to level the playing field in regards to disadvantages placed on certain genders. This article also addresses the remaining gaps in the literature and suggests where the research should move in future studies.

Designs For Coping: Integrating Coping Strategies In Children's Medical Picture Books, Elizebeth Nicole Jones

Masters Theses

This study uses design to create a children’s medical picture book that is presented in first-person perspective through illustrations and text that teach children coping strategies for going to a medical visit. Many children fear what they do not understand. Children’s medical picture books are a useful tool to teach children coping strategies as well as what to expect from a visit to a doctor.

The Grade Is The Message: An Analysis Of The Grading Structure’S Effects On Student Grade/Learning Orientations, Grant Lynn Rye

Masters Theses

This qualitative study was undertaken to study the medium of the grade in education contexts under the assumptions made within the field of media ecology. The goal of this study was to build on previous research that has identified that learning-oriented students are better set up for success in the classroom than grade-oriented students. With this in mind, this study aims to identify, from the student perspective, what different aspects of the grading system communicate to students that they should value in the classroom, especially in regard to grade-oriented or learning-oriented mindsets. After conducting interviews with current students from a …

Parental Perspectives On The Role Of Music As A Core Subject, Justine M. Hansen

Doctoral Dissertations and Projects

Despite the designation of music as a core subject by federal and many state education policies, instructional time for elementary music classes is disproportionately less than that allocated to other core subjects. The perceptions held by parents of elementary school children may indicate the extent to which elementary general music education is valued by the public, affecting the allocation of instructional time. At present, no research exists examining the views held by parents concerning the designation of music as a core subject and its role in a well-rounded education. The purpose of this study was to examine the perceptions held …

From Rags To Riches: Examining Teacher Perceptions Of The Influence Of Financial Literacy On The Psychological Well-Being Of Military-Connected Students In Kindergarten Through Grade Twelve, Cynthia Fletcher Davis

Doctoral Dissertations and Projects

The purpose of this quantitative study was to examine teacher perceptions as related to the influence of financial literacy on the psychological well-being of military-connected students in kindergarten through grade twelve. Financial literacy among students serves a vital function in the development of financially literate adults. A lack of financial resources has been linked to depressive symptoms, marital discourse, and suicide. Financial literacy includes the knowledge and skills required to make enlightened and effective decisions with money. The theory guiding this study was Constructivism as formulated by Jean Piaget. Constructivism provides for the incorporation of new information within existing constructs …

A Team-Based Approach To Increase Initiation Of Self-Management Goals In Adult Patients Diagnosed With Hypertension With The Use Of A Self-Management Goal Toolkit, Kristel Danette Ramsay

Doctoral Dissertations and Projects

Due to the high risk of cardiovascular disease and other negative complications, it is imperative that patients in the primary care clinic diagnosed with hypertension control blood pressure levels. The purpose of this scholarly project was to increase the initiation of self-management goals (SMGs) among adult males and females age 30 to 60 diagnosed with hypertension. These patients were active duty military, reservists, and dependent beneficiaries who receive care at the Navy Medicine Readiness Training Unit–Memphis. The practice change took the onus of introduction and education about SMGs off the provider and added key responsibilities to support staff, who provided …

Sel And Community Engagement Strategies For The Recruitment And Retention Of Suburban Middle School Band Students, Gina Marie Vingara

Doctoral Dissertations and Projects

Research has not yet found a correlation between community engagement and social-emotional learning (SEL) in a manner that benefits the recruitment and retention of suburban middle school band students. Teachers who create community engagement initiatives can boost the number of student recruits as the program becomes more widely recognized as a valuable asset of the school. This explanatory sequential mixed methods design study examined strategies regarding community engagement and SEL for recruiting and retaining middle school instrumental music education students. Perspectives on community engagement and SEL benefiting recruitment and retention of middle school band students emerged. Research revealed a connection …

'Shad' Never Made Them Happy: Pandemic And A Dis-Abling Educational System - Case Of Iran, Negin Hosseini Goodrich, Abouzar Samiei

International Journal on Responsibility

As the pandemic began, Iran quickly faced the worst outbreak in the Middle East during the winter of 2020. Traditional schools were consequently transferred to an online education without implementing appropriate adaptations, and restrictive policies of low-speed Internet and censorship negatively affected the quality of online education. The situation became even worse for Iranian students with disabilities. The Ministry of Education designed a new application, named Shaad (means happy), which was and remains inaccessible for people with disabilities. This qualitative research study explores the educational challenges of the Iranian students with disabilities during the pandemic. The authors argue physical and …

Developing A Creative Community Workshop For Educators During The Covid-19 Pandemic: A Community Engagement Project, Alexa Licata

Expressive Therapies Capstone Theses

A community engagement project was created and implemented, comprised of a one-time workshop utilizing expressive arts therapies to address the impact of covid-19 on educators. In this thesis, there is a review of the literature regarding collective healing within communities and addressing the needs of educators within the changing education system, with a particular focus on expressive arts therapies. The workshop engaged educators in a creative process to identify where they find meaning and purpose in their lives and how they identify themselves within their community of educators. Results suggest that community engagement using the arts can be an effective …

The Relationship Between Instructed Non-Immersion Additional Language (Lx) Learning And Student Outcomes Of Diversity-Equity-Inclusion (Dei)-Focused Education For U.S. High School Students, Congmin Zhao

Educational Studies Dissertations

Research has found that teaching about diversity, equity, and inclusion (DEI) can raise U.S. high school students’ awareness about DEI-related topics and develop their critical thinking skills to analyze DEI-related issues. But the achievements of DEI-focused education are limited. Thus, DEI-focused education needs complementary efforts to enhance student outcomes. Research has also found that learning an additional language (LX) may heighten students’ interest in learning about other cultural communities, nurture students’ cross-cultural empathy, and elicit culturally responsive behaviors. The juxtaposition of these findings signifies the potential for LX learning to complement DEI-focused education to improve learning outcomes. However, the value …

Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Spencer Forest

Master's Projects and Capstones

Problem: This quality improvement project aims to increase SEP-1 sepsis bundle compliance among nursing staff at a 16-bed emergency department through targeted continual staff education on sepsis screening and best practices. Currently, the unit is experiencing cases of sepsis fallout and is not meeting the 90% threshold on three treatment metrics as defined by the institutional sepsis bundle time goals. Bundle compliance that adheres to the time goals decreases incidences of sepsis fallout and overall days in the hospital, while increasing positive patient health outcomes.

Context: A microsystem assessment was completed along with a staff gap survey to determine areas …

Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis Bundle Elements, Amanda H. Tran

Master's Projects and Capstones

Problem: According to a pre-survey collected, approximately six percent of medical-surgical nurses report expert knowledge with the “Inpatient Handoff Sepsis Bundle Checklist,” a checklist that details interventions to be taken when a patient is diagnosed with sepsis. About thirty-five percent of these nurses also report expert confidence levels in caring for sepsis patients. Therefore, there is an opportunity to provide education so that nurses may confidently and competently care for sepsis patients.

Context: A medical-surgical unit at Hospital A affiliated with a large, non-profit, integrated healthcare system located in the San Francisco Bay Area.

Intervention: Create an educational handout to …

Early Sepsis Recognition Saves Lives:Optimizing Sepsis Care In A Medical-Surgical Telemetry Unit, Genevieve Kales

Master's Projects and Capstones

Abstract

Problem: This Quality Improvement project aims to improve sepsis bundle education to reduce mortality and morbidity rates related to septicemia in a Medical-Surgical Telemetry Unit at a San Francisco Bay Area Hospital, Hospital Z.

Context: The Quality Improvement project occurred in a Medical-Surgical Telemetry unit at Hospital Z. This Unit is a 32 beds unit with an increased mortality and mobility rate with decreased sepsis bundle compliance.

Intervention: Collect active and passive observational data in the microsystem. Data collection was conducted through anonymous self-administered questionnaires to the registered nurses on the unit. No intervention was implemented at this time. …

Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Jillian J. Abinader

Master's Projects and Capstones

Problem: A sepsis protocol and bundle has been implemented in an urban Emergency Department to help screen patients and treat sepsis efficiently and effectively. The benchmarks from the bundle are not being met consistently every month and are below the targeted 90%.

Context: A microsystem assessment and a gap survey sent out to nurses, helped determine that there is room to improve nurses’ knowledge and confidence about sepsis and the sepsis bundle workflow. Sepsis is one of the most expensive and burdensome conditions in U.S. hospitals. Literature supports staff education to improve sepsis bundle compliance.

Intervention: A video was created …

Educating Nursing Staff On Evidence-Based Maternal Positioning To Promote Fetal Descent During The First And Second Stages Of Labor, Daniela Gonzalez Acosta

Master's Projects and Capstones

This project aims to educate labor and delivery nurses on evidence-based maternal labor positions that promote fetal descent in the first and second stages of labor. In a labor and delivery unit in the San Francisco Bay Area Silicon Valley region, there is a gap in nurse knowledge relating to labor positions. Evidence supports upright and flexible sacrum positions, along with frequent repositioning promotes shorter labor duration, decreased vaginal tearing, and decreased rate of cesarean section deliveries.

A quality improvement project was conducted through education implementation using evidence-based practices utilizing a PDSA cycle for a semester. Educational content was created …

Improving Health Outcomes For Lgbtq+ Youth Through Provider Education, Marissa Simko

Doctor of Nursing Practice (DNP) Projects

Background and Problem: LGBTQ+ adolescents and young adults (ages 12-25 years) are known to have higher rates of physical and mental health concerns compared to heterosexual and cisgender youth. Within the LGBTQ+ youth community, rates of suicidality, substance misuse, homelessness, and STIs are higher than in the general population. LGBTQ+ youth have greater challenges accessing healthcare and higher rates of healthcare discrimination. This paper presents a quality improvement project focused on improving evidence-based practices in LGBTQ+ healthcare through the development and implementation of a LGBTQ+ youth centered educational workshop for healthcare providers.

Methods: This project was organized in …

Effects Of Leadership Education And Mentoring For Assistant Nurse Managers, Karen T. Descent

Doctor of Nursing Practice (DNP) Projects

Background: Nurse manager knowledge and leadership styles influence quality of care, patient satisfaction, staff engagement, and retention. Dissatisfaction with the assistant nurse manager (ANM) role can lead to high job turnover with negative influences on patient satisfaction, quality of care, workforce engagement, and achievement of organizational goals.

Local Problem: Two hospitals and one free-standing ambulatory surgery unit of a large integrated healthcare organization experienced high ANM turnover due to role dissatisfaction, ANM frustration with low-quality care in the units they oversaw, and patient satisfaction metrics below the 65th percentile. The regional healthcare system leadership team recognized the need to increase …

Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval

Doctor of Nursing Practice (DNP) Projects

Background: Adverse childhood experiences (ACEs) negatively affect childhood development and long-term health outcomes. Latino children face multiple adversities and social determinants of health compounded by ACEs. Community Health Workers (CHWs) have access to work with families to improve resilience and mitigate the effects of ACEs in this population.

Local Problem: In the Central Valley of California, CHWs provide support and resources to a largely Latino population with increased poverty rates, low educational attainment, lack of health insurance, and many chronic health issues, putting families at a higher risk for ACEs exposure. CHWs need further training to apply ACEs knowledge to …

Reducing 30-Day Heart Failure Hospital Readmissions Through The Implementation Of A Telehealth Education And Screening Program, Madison Geib, Jo Loomis, Maria (Dupi) Gomez Cogan

Doctor of Nursing Practice (DNP) Projects

Heart Failure (HF) is a difficult disease to manage. It requires knowledge on weight monitoring, diet, exercise, medications, and symptom management. With this difficulty, there is a high incidence of HF patient readmissions into the hospital, especially in the first 30-days after discharge, showing that patients are not well equipped to manage their HF on their own at home. A review of the available literature found that some of the most common reasons for readmission include poor discharge planning, a lack of continuation of care, as well as a lack of education and adherence to their medications (Mathew & Thukha, …

Early Sepsis Recognition: Improving Sepsis Education In A Medical-Surgical/Telemetry Unit, Kathileen Tran

Master's Projects and Capstones

Problem: This quality improvement project aimed to increase sepsis education and bundle compliance within the medical-surgical/telemetry unit to improve sepsis mortality and morbidity rates.

Context: A microsystem assessment was completed by Clinical Nurse Leader (CNL) students in the medical-surgical/telemetry unit at Hospital X located in the San Francisco Bay Area. This microsystem cares for patients diagnosed with sepsis, congestive heart failure (CHF), electrolyte imbalance, and alcohol withdrawal.

Interventions: Due to time constraints, an intervention was not implemented; however, the students provided recommendations for interventions to the leadership team for follow up. The recommended interventions encompass implementing sepsis protocol reference cards, …

Integrating Data Science With Reliability Engineering: A Study Of Crucial Knowledge And Skills, Altricia Jordan

Theses and Dissertations

Data science, as a discipline can be used in any area. However, in order to utilize data science techniques, data scientist must be taught domain knowledge, referred to as a partner discipline, in the area with which the techniques are to be utilized. Using a quantitative analysis of publicly available information and survey methodology, this research developed recommendations for training data scientist in the partner discipline of reliability engineering. A text analysis was performed on reliability engineering job requisitions resulting in a set of knowledge and skills topics that organizations desire in reliability engineering hires. Using the results of the …

Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis Bundle Elements, Christopher N. Guinto

Master's Projects and Capstones

Problem: Results from a voluntarily anonymous pre-survey about sepsis revealed that a majority of the seventeen nurses assessed themselves below an "expert knowledge '' level. The survey results present an opportunity to improve the nurses’ knowledge and confidence in nursing response and improve patient outcomes with sepsis.

Context: The quality improvement (QI) project was conducted on a medical-surgical unit in a large Northern California hospital.

Intervention: A QI team initiated evidenced-based practice research and created an educational sepsis handout for nurses to increase sepsis knowledge and confidence.

Measures: The self-assessment pre-survey would be compared to the responses from the post-survey. …

Slack In Education: A Voice Platform For Quiet Students A Personal Reflection Using Drawings, Emma M. Corby

English

In this thesis, I will be exploring how Slack can be used as a platform for quiet students in the classroom. I do this by referring to barriers I faced as a quiet student myself. These barriers include the competitive atmosphere of learning, unheard communications for help, unread and unanswered emails, and limited connections with my teachers. The scholarship on Slack's presence in education hasn't yet researched the topic of Slack as a platform for quiet students to find their voice. In this thesis, I explore my own experiences as a quiet student and as a teacher using Slack; I …

Democratic Disagreements. A Book Review Of Lived Democracy In Education. Young Citizens’ Democratic Lives In Kindergarten, School And Higher Education, Sonja Helkala, Julia Jaakkola, Tuukka Tomperi

Democracy & Education

As the title Lived Democracy in Education suggests, the predominantly Norwegian writers of the book share a deep and robust vision of democracy. Drawing on deliberative democratic theory and many other theoretical perspectives, the authors blend theory, practice, and empirical case studies to illuminate these modes of “lived democracy” in educational contexts. In particular, the book’s chapters examine different communicative interactions between children and young people, presenting these as examples of learning to live with controversies in communities of disagreement. The book contains valuable perspectives on democratic discussion in education. As several authors are experts in mathematics and science education, …

Navigating Context Collapse: A Strengths-Based Approach To Building Youth Civic Empowerment. A Response To “Blended Spaces: Reimagining Civic Education In A Digital Era”, Ellen Middaugh, Mariah Kornbluh, Mark Felton

Democracy & Education

In the article “Blended Spaces: Reimagining Civic Education in a Digital Era,” the authors joined a new area of research on "civic media literacy," or the capacity to use media with civic intentionality. Building on previous scholarship that examined how to support youth capacity for effective civic inquiry, dialogue, expression, and action in the digital age, the authors contributed to this literature by usefully elaborating on the phenomenon of “context collapse” and the challenges this blurring of the boundaries between public and private spheres may present, particularly in the liminal spaces where the shifting boundaries most clearly depart from the …

Deliberative Facilitation In The Classroom: The Interplay Of Facilitative Technique And Design To Make Space For Democracy, Kei Nishiyama, A. Wendy Russell, Pierrick Chalaye, Tom Greenwell

Democracy & Education

Widespread global interest and adoption of deliberative democracy approaches to reinvigorate citizenship and policymaking in an era of democratic crisis/decline has been mirrored by increasing interest in deliberation in schools, both as an approach to pedagogy and student empowerment and as a training ground for deliberative citizenship. In school deliberation, as in other settings, a key and sometimes neglected element of high-quality deliberation is facilitation. Facilitation can help to establish and maintain deliberative norms, assist participants to deliberate productively, and enable collective goals. By participating in facilitated deliberation, students can develop awareness, skills, and voice that empower them to engage …

Creating Inclusive Interface And Online Learning Environments, Grace Mosher

Education | Master's Theses

This study seeks to examine educational learning environments with a focus on new platforms of learning, course design, equity, inclusion, and user interface (ex: seeing impaired, cultural differences, gender) that includes the perspectives of students with disabilities. The evolution of learning from singular multi-age classrooms through institutional schools and into dynamic online platforms has radically reshaped the educational ecosystem (Sarkar, 2020), and there have been calls for a deeper understanding of inclusive learning practices to meet the needs of diverse students (Philips & Salem, 2021). Adams (2017) also outlines how the aesthetic interface of each learning environment impacts the quality …