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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 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, …

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 …

Nature Nurturers Sustainability And Journalism Club, Bruce Baker, Shelby Rickert

Honors Program: Expanded Learning Clubs

Afterschool club that teaches basic sustainability and journalism knowledge to kids in a fun, hands-on, and engaging way. Kids will learn over the course of several weeks and then make posters about their environmental interests.

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 …

Liberating Children, Or Breaking The Backbone Of Our Democracy? A Book Review Of Hostages No More: The Fight For Education Freedom And The Future Of The American Child, Jeffrey Frenkiewich

Democracy & Education

In Hostages No More, former Secretary of Education Betsy DeVos provides a 10-chapter memoir in which she argues for school privatization, including the expansion of government funding of charter schools. DeVos argues that the modern public education system, supported by an “establishment” of government bureaucracies, the education industrial complex, and teacher unions, holds American children, especially poor Black and Hispanic children, “hostage” (DeVos, 2022, p. 261) and that her life’s work has been a civil rights struggle to help parents and their children obtain their “education freedom” (p. 216). However, many of her claims are supported with misleading information, and …

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 …

Implementing Ethics Education For Nurse Managers, Mona L. Lateyice, Rachel E. Marzec

Doctor of Nursing Practice Scholarly Projects

Background: Every day, nurses are faced with making decisions for patient care and may come across complicated ethical decisions. Ethical practice is essential in every health care organization in providing care and how they conduct themselves (ANA, 2015). Nurse managers are responsible for ensuring ethical standards are met by nursing staff.

Problem: Nurse managers are faced with ethical problems more than fifty percent of their work time (Aitamaa, 2019). There are studies that show nurse managers and nurses have difficulty solving ethical problems because they lack understanding of ethical principles (Huang, et al., 2020). Evidence shows nurses are deficient in …

Chapter 26- Staff Mentoring And Development At Arizona State University, Karen Engler-Weber

Making Connections

Most university structures provide extensive mentoring and support for students and faculty, but the mentoring of university staff is often a neglected area within university systems, despite the clear need to support staff professional development, career advancement, and retention. At Arizona State University (ASU), the Commission on the Status of Women (CSW) has developed an extensive university-wide staff mentoring and development program model that pairs staff mentees with mentors, providing the space and opportunity for mentees to identify their strengths and consider their long-term career trajectory at ASU. Through mentoring, participants learn more about specific skills, university areas, and career …

Chapter 3- Cultivating Diverse Forms And Functions Of Mentoring Relationships Within Academia, Audrey J. Murrell, Gloria O. Onosu

Making Connections

While mentoring is shown to have several positive benefits within academia, it is necessary to focus on the range of different high-quality relationships that are a necessary yet complex aspect of mentoring relationships. Thus, mentoring represents a complex, dynamic, and diverse range of mutually beneficial developmental relationships across diverse functions (career and psychosocial) and types (hierarchical, peer, group, and reverse) of mentoring. The impact of mentoring within academia demonstrates that these relationships are essential for developing a wide range of knowledge, skills, and abilities and developing social relationships and networks that are significant for learning, development, success, and well-being. Our …

Chapter 5- Needs Assessment And Data Analytics: Understanding Your Constituencies, Neal Legler

Making Connections

Needs assessment is an important early step in the development of a mentoring program because it helps ensure that program resources go toward improving prioritized institutional results. Needs assessment should involve key stakeholders, organized into a needs assessment committee, and then follow a systematic process to collect and analyze quantitative and qualitative data and identify existing organizational needs. Needs are defined as the gap between desired organizational results and current results. They should be considered holistically and at all levels of the organization. As needs are identified, the needs assessment committee works with stakeholders through a combination of group management …

Chapter 8- Outlining The Goals, Objectives, And Outcomes Of The Mentoring Program, Lisa Z. Fain, Jamie Crites

Making Connections

Even when institutions already have a mentoring culture, a mentoring program is not an end in itself. Rather, mentoring is a tool to achieve a broader outcome, be it at the institutional, department, or individual level. While these outcomes may vary, it is critical that a mentoring program is carefully crafted in service of the outcomes. It must meet the needs and objectives of not only the mentees and mentors but also the institutions and the field. In this chapter, authors Lisa Fain and Jamie Crites will use a case study to discuss how to craft goals, and objectives that …

Chapter 11- Preparing The Effective Mentee, Dionne Clabaugh

Making Connections

The purpose of this chapter is to help the mentoring program director create, implement, and evaluate academic mentoring programs after identifying structures that can effectively prepare their mentors and mentees for a successful mentoring experience. Some of the considerations explored are mentor program structures that are relationally based, goal-oriented, and grounded in autonomy supportive strategies. This chapter opens with the author’s lens in order to describe a human development approach to mentoring and then how to prepare mentees to be self-directed. The third section portrays mentoring program structures that promote self-directed mentees. This chapter concludes with generalizable findings and recommendations …

Chapter 10- Preparing The Effective Mentor, Natasha Mickel

Making Connections

Mentoring is a central component of teaching and learning in academia that involves mentors ranging from novice to advanced mentoring experience. Mentoring has been found to play a crucial role in successful career development at every professional level in academia. Consequently, it’s imperative that institutions design and implement mentoring programs that prepare mentors, regardless of background, to establish, build, and maintain positive mentoring relationships.

This chapter begins by discussing mentoring and its role in academia. As institutions strive to retain faculty, staff, and students, it serves institutions well to understand how the successful implementation of effective mentoring programs can close …

Implementation And Evaluation Of A Diabetic Education Program, Brianna Cole

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to help create and evaluate a diabetes education program that was accessible to diabetic patients over the age of 18. This project was conducted through Enhanced Healthcare of the Ozarks clinic with the guidance and approval of the American Diabetes Association. There is currently one other diabetic education program available in Northwest Arkansas. The theme of this project was to provide education in individual and group settings regarding medication use, emergency situations, nutritional choices, and self-management techniques. These patients learned meal planning strategies, proper nutrition choices, functions of the body, self-management techniques, emergent situation …

A Pre And Post Survey Of How Teaching Interventions Of Anticoagulant/Antiplatelet Medications Affect Patient Outcomes In The Primary Care Setting, Renee Roth

Doctor of Nursing Practice Scholarly Project

With the elderly population expanding in the United States, primary care providers are having to place more emphasis on managing multiple disease etiologies and medication modalities in the outpatient clinic setting. Patients and providers struggle to overcome educational communication barriers that facilitate proper medication adherence and monitoring. The specific aim of this study was to evaluate whether antiplatelet management education increased the patients’ knowledge of medication understanding and possible adverse outcomes. Evaluation of antiplatelet knowledge was conducted in a rural health clinic in Columbus, Kansas. The study utilized an individual pretest-posttest design to patients who received self-management and monitoring education …

Mental Health Literacy Training For Elementary Educators, Anna Joyce

Dissertations, Theses, and Projects

Young school children struggle with mental illness at a high rate, but often do not receive treatment or referral to mental health resources (Paula et al., 2014). Because of their age, their support systems are the first line of defense toward recognizing and reporting concerning symptoms of mental illness. Educators act as one of these support systems, but research shows mental health education for teachers is lacking in comprehension and adequacy (Dix et al., 2019). This literature review and training focuses on Mental Health Literacy (MHL), which promotes positive mental health education and literacy through encouraging help-seeking, recognition of mental …

Trauma-Informed Training For Educators, Kristin White

Dissertations, Theses, and Projects

The occurrence of childhood trauma in the school setting is an ongoing and pervasive issue. Students impacted by trauma frequently display challenging and problematic behavior, and educators lack the trauma-informed care needed to help them heal. These students often go untreated, and their trauma continues to impact them and those around them. This project aims to review the current literature on childhood trauma and how educators can better support students affected by trauma. The trauma-informed training associated with this project will offer tools, curricula, and resources that educators can implement on their campuses.

Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study explored the ways in which education policy and practices within public schools are addressing the needs of minoritized populations with a particular focus on LGBTQIA+ students. This study first employed a document analysis to investigate the federal, state, and district-level equity practices that are mandated or elective in addressing the needs of marginalized populations and LGBTQIA+ students. Secondly, a critical discourse analysis was conducted to examine the specific language, word choices, and symbols found within the public documents that signify equitable practices pertaining to minoritized student populations and the LGBTQIA+ community. Ultimately, the goal of this study …

Adverse Childhood Experiences And Their Correlation To College Major, Rachel Ling Xiu Held

Helm's School of Government Conference - 2021-2024

The term adverse childhood experiences or ACEs for short, is well known in many fields of study including criminal justice, psychology, social work, and education. There are a multitude of studies that compare ACEs with other risk factors, use ACEs as a comparison tool with other behavioral issues, as well as linking ACEs to criminality, mental health disorders, and physical health. Adverse childhood experiences (ACEs) have been identified as a key risk factor for a range of negative life outcomes, including a strong correlation in juvenile delinquency and crime. Despite many works regarding adverse childhood experiences and the ACE test, …

The Value Of Zoos And Aquariums; A Perspective Via The Bronx Zoo And New York Aquarium, Reiariel D. Garcia

Student Theses 2015-Present

Zoos and aquariums have always been a controversial topic. The image of animals behind bars is synonymous with zoos and aquariums from all over the world and that's all most people see. Zoos and Aquariums go much deeper than that negative perception and the notion that we are “locking away” animals solely for our selfish entertainment clouds zoos and aquariums higher purposes. Chapter 1 focuses on the histories of zoological parks, it brings to light some of the environmental problems zoos and aquariums are striving to fix while revealing to us why zoos possess such stereotypes. Chapter 2 dives into …

Southern Sustainability: An Examination Of Waste Management Mechanisms Within The University Of Mississippi Community, Haley Clift

Honors Theses

The purpose of this thesis is to analyze and study local mechanisms surrounding waste management at The University of Mississippi. The research study gathers quantitative and qualitative research to make conclusions about sustainability and recycling practices on The University of Mississippi's campus. The thesis discusses whether those practices are effective for those in The University of Mississippi's community based on the data collected and research conducted. The researcher also offers proposals for the University of Mississippi community based on the research conducted.

The gap that exists in the waste management processes at The University of Mississippi was addressed by blending …

Social Pathologies As Educational Injustices, Esther Neuhann

Emancipations: A Journal of Critical Social Analysis

For Axel Honneth, not all social problems can be understood as injustices. Therefore, he introduces the additional diagnostic concept of social pathology. In his book Freedom’s Right (FR), it is defined as an accumulation of persons’ inability to adequately participate in social institutions due to misunderstanding them. In contrast, injustices consist in the denial of access to social institutions for certain groups. According to the aim of presenting an ‘extended’ theory of justice in FR, Honneth intends to reconstruct all institutions necessary for realizing individual freedom in a liberal-democratic society. Like in the historical model of his project (Hegel’s Elements …

Accessible And Functional Visualizations For Exploring And Analyzing The Writing And Programming Process, Shaney Flores

Theses

Background. Developing easily decodable and insightful visuals is a challenge in the field of data visualization. This challenge becomes more pronounced when the data is of a complex nature. Good visualizations clearly convey their data using designs with appropriate encoding, visual attributes (i.e., color, shape, size, etc.), and accessibility features (e.g., distinctive colors for color-blind individu- als). One area where well-designed visualizations can make a significant impact is elucidating the learning process. Users ranging from self-taught individuals to students enrolled in coursework could use such visuals to detect problematic areas in their process of learning skills such as writing …

Examining The Effectiveness Of Using Video Modeling On Increasing Positive Social Interaction In Academic Settings In Students With Learning Disabilities In Saudi Arabia, Ayman Abdullah Alamri, Ayman Abdullah Alamri

Electronic Theses and Dissertations

Video Modeling (VM) is a widely used intervention strategy to promote academic learning and positive social interactions in children with disabilities by watching a video clip modeled by a peer (peers) demonstrating the desired behavior. Limited research has been conducted on this topic to examine VM’s effectiveness on promoting positive social interactions in academic settings involving children with learning disabilities (LD). This study employed a single subject research design, specifically, a multiple baseline across participant design, to fill the void in the literature. The researcher invited three elementary students between 4^th to 6^th grade who met the inclusion …

Post-Partum Deprssion: An Educational Intervention For Nursing Staff In A Rural Hospital Obstetrics, Tonya Jewell

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Postpartum depression (PPD) is a type of depression that has occurred in women during pregnancy or after the delivery of a child. In the United States, approximately 13.2% of postpartum women were diagnosed with postpartum depression. Research indicated that early identification of PPD led to the best outcomes for postpartum mothers. Routine postpartum depression education and screening for postpartum depression did not exist in the perinatal unit at a Southeast Georgia rural hospital. Lack of nursing knowledge and skill were two barriers identified to screening patients for PPD and providing discharge education. The study provided an educational intervention to provide …

Expansion Of Heart Failure Education From Hospital To Clinic, Abigail M. Fischer

Doctor of Nursing Practice Projects

Heart failure education is vital to the long-term management of this condition. Education recommendations for heart failure are given by the American Heart Association (AHA) and the American College of Cardiology (ACC). Recommendations include verbal instruction and written materials regarding the patient’s medication plan, recognition of symptoms, what to do when symptoms occur, and the importance of daily weights.

This project aimed to provide outpatient clinic providers and staff with resources and education necessary to educate heart failure patients. The project expanded use of an inpatient heart failure education packet for outpatient use. This was accomplished by conducting educational sessions …