Digital Commons Network^™

Reporting And Addressing Sexual Harassment At Four Institutions Of Higher Learning In Zambia: A Quantitative Study Of Related Attitudes And Perceptions, Earlymay Chibende

Dissertations

Problem

Sexual harassment is a social ill that exists across nations, socio-economic backgrounds, races, nationality, ethnicity, age groups, and sex. Although both male and female members of society experience sexual harassment, research shows that a greater percentage of sexual harassment victims are women (Whitley & Page, 2015; CharterJee, 2018). A comparison of the prevalence of sexual harassment at workplaces and educational institutions shows that sexual harassment is more widespread at institutions of learning than at workplaces. Research on the prevalence of attitudes and or perceptions toward sexual harassment in institutions of higher learning shows that between 10%- 68% of female …

Contractual Landmines, Robert E. Scott, Stephen J. Choi, Mitu Gulati

Faculty Scholarship

Conventional wisdom is that the standardized boilerplate terms used in large commercial markets survive unchanged because they are an optimal solution to the contracting problems facing parties in these markets. As Smith and Warner explained, “harmful heuristics, like harmful mutations, will die out.” But an examination of a sample of current sovereign bond contracts reveals numerous instances of harmful landmines — some are deliberate changes to standard language that increase a creditor’s nonpayment risk, others are blatant drafting errors, and yet others are inapt terms that have been carelessly imported from corporate transactions. Moreover, these landmines differ from each other …

Manipulating Citadel: Profiting At The Expense Of Retail Stock Traders' Market Makers, Merritt B. Fox, Lawrence R. Glosten, Sue S. Guan

Faculty Scholarship

This Article considers whether securities market strategies designed to profit at the expense of so-called “internalizers” should properly be considered illegal manipulation. An internalizer acquires from a brokerage firm the right to be the market maker for the broker’s full order flow from its retail customers, promising in return to execute each order at a price slightly better than the best price available on any exchange (“price improvement”) as well as to pay the broker a fee for each executed order (“payment for order flow”). Almost all retail trading — about 29% of the country’s total share volume — is …

2024 Conference Program, Georgia Southern University

Southeast Conference on School Climate

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Front Matter

Intercultural Human Rights Law Review

Front Matter includes Masthead, advisors, and Table of Contents for the Intercultural Human Rights Law Review Volume 19 (2024).

Perception Model For Mobile Robots Assisting Humans In Decision-Making During Complex Situations, Sheuli Paul, Marius Silaghi, Veton Këpuska, Akram Alghanmi

Electrical Engineering and Computer Science Faculty Publications

Perception, the process of comprehending and deriving meaning from one’s surroundings, is fundamental to human decision-making. In this context, we explore the development of a robust perception model designed for mobile robots to facilitate effective human-robot communication and decision-making in dynamic and intricate scenarios. Achieving localization without GPS in a network of roads using stratified sequential importance sampling where the stratification levels are based on semantic object spaces in the map and on the running time, we articulate and describe the proposed development and experimentation environment, demonstrating the potential of our perception model. Copyright © 2024 by the authors.

Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley

Antioch University Dissertations & Theses

Young adults in college experience significant rates of mental health difficulties. The mental wellness of young adults has shown to have a substantial link to future success, health, and well-being. Individuals with marginalized sexual and gender identities (SGM) often hold additional mental health difficulties due to having identities that typically defy societyʼs assumptions and expectations, and these assumptions/expectations are presented to youth from a young age. The distress experienced by SGM individuals can often be relational in nature due to living in and relating to a heteronormative, cisgender society that stigmatizes and oppresses SGM individuals. University Counseling Centers (UCC) typically …

Chieftaincy In A Lappa: Portraiture Leadership Of Black Women, Lynne E, Washington

Antioch University Dissertations & Theses

The dissertation examined African American women with chieftaincy titles in Yoruba culture and how they exercised their leadership in both Yorubaland and America. It explored their leadership, authority, and training. The presence of African American women with chieftaincy titles is increasing in the American landscape. The methodology was qualitative using narrative inquiry and portraiture from Sarah Lawrence-Lightfoot and Jessica Hoffman Davis (1997) with five African American women. My research included observations in Nigerian, pre-Osun festival, the Osun festival, and post-Osun festival. Observations also included three women Nigerian Chiefs. The research questions answered their qualifications to lead, their sense of knowing …

Narratives That Perpetuate, Narratives That Disrupt, And Narratives That Heal: One Teacher’S Exploration Of Decoloniality, Alison Packwood Henry

Antioch University Dissertations & Theses

The initial question was innocent enough, at least on the surface: How do scholars and practitioners define child centered, developmentally appropriate, culturally responsive education in places distant from my home in the US? I was originally inspired to ask this question by my graduate students—aspiring and practicing Waldorf teachers—who were wrestling with the Eurocentric nature of the curriculum. In researching this question, I never imagined that I would find myself asking questions about the decolonization and indigenization of education, much less about coloniality. In fact, even as I completed the literature review, I was still so unfamiliar with the word …

Developing Resources To Foster Farmed Animal Agency In Sanctuary Education, Emily Tronetti

Antioch University Dissertations & Theses

Farmed animal sanctuaries provide lifelong care to formerly farmed animals. Many strive to educate their community about farmed animals and promote more compassionate lifestyles, such as veganism. Important to this is cultivating empathy and concern for the well-being of individual farmed animals. Essential to well-being is agency, which is the capacity of a living being to engage with their environments and to make choices for themselves. Farmed animals outside of sanctuaries have had their agency systematically suppressed and denied. Sanctuary educators can bring awareness to this and inspire alternative, agency-centered relationships with not only farmed animals but all living beings. …

Cultivating Culturally Responsive Early Childhood Educators: An Examination Of Practices, Perspectives, And Reform Efforts, Kamiesha Vann

Antioch University Dissertations & Theses

This dissertation research reports on the development and implementation of a pre-pilot for early childhood preservice teachers based on seven specified learning modules on Culturally Responsive Anti-Bias Education (CRABE). In accordance with Pennsylvania’s Regulations, Professional Learning Standards, and Quality Rating Improvement Systems (QRIS), the learning modules were designed to prepare preservice teachers to teach diverse populations of students. This research has high implications for higher education, which plays a role in supporting preservice teachers through coursework and field experience. The topics of the learning modules are Demographics: There’s a Shift in Education, Preparing Preservice Teachers Through The Course Catalog, Introduction …

The Lived Experiences Of Sex Offenders: Perceptions Of Pedophilic Offenders Regarding Engagement In Community Treatment, Ali K. Madrid

Antioch University Dissertations & Theses

Pedophilia is a complex, multifaceted disorder that has existed, in some form, throughout all of human history. It was not until 1952, with the inception of the Diagnostic and Statistical Manual of Mental Disorders (DSM-1), that it was officially characterized as a psychiatric disorder. Treatment options have included surgeries, medications, cognitive behavior therapy, combined treatments (antiandrogenic drug and psychotherapy), and preventative programs. Pedophilic offenders released to the community must complete approved treatment. The community treatment may be manualized, evidence-based and likely to be effective. However, the offender must be willing and able to access the treatment resources. Participation in community …

My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester

Antioch University Dissertations & Theses

The present study investigates the phenomenon of climate denial through a new theoretical framework of privilege. The analysis utilizes a feminist orientation that builds on a historical interpretation through the lens of colonialism. Through the dissection of current multidisciplinary understandings of climate denial and new concepts discovered in the review of academic literature and popular media, a compilation of theory, relationship, and connection is made. Systems of power and privilege are examined and connected to the mechanisms and maintenance of climate denial. The resulting analysis illuminates that settler colonialism, supported by connected ideologies of White supremacy, ableism, and patriarchy inform …

Cps Workers’ Perspectives On Mst-Ipv And Other Interventions For Child Maltreatment And Intimate Partner Violence: A Reflexive Thematic Analysis, Malea Lash

Antioch University Dissertations & Theses

Although the co-occurrence rate of intimate partner violence (IPV) and child abuse and neglect (CAN) is about 40% (Appel and Holden, 1998; Herrenkohl et al., 2008), little research currently exists on integrated treatment for these concerns. Furthermore, no known published studies investigate child protective services (CPS) workers’ perspectives on such treatment. The present study explores the perspectives of CPS workers on treatment for co-occurring IPV and CAN, specifically focusing on Multisystemic Therapy for Intimate Partner Violence (MST-IPV). A total of 18 Connecticut CPS workers participated in semi-structured interviews. Seven participants had experience working with MST-IPV treatment providers, while 11 participants …

The Influence Of Highly Visual Social Media Engagement On The Body Image Of Cisgender Heterosexual Emerging Adult Men. A Grounded Theory Approach, Isaac Cheng

Antioch University Dissertations & Theses

The effects of highly visual social media (HVSM) on the body image of users is a widespread concern amongst consumers and popular topic of research. While numerous studies have explored the effects of HVSM on women's body image, the literature on men's body image, particularly among cisgender heterosexual men, is comparatively sparse. The present study utilized constructivist grounded theory methodology to develop an explanatory model illustrating how HVSM engagement by cisgender heterosexual emerging adult men influences their body image. Data analysis revealed how specific HVSM platform attributes, a user’s behavior on an HVSM platform, a user’s perception of an ideal …

The Anatomy Of Physician Fulfillment: Strategies Beyond Burnout, Brook Hale

Antioch University Dissertations & Theses

The persistent tension and power struggle between healthcare executives and physicians is a prevalent issue in healthcare organizations, often leading to a culture of organizational mistrust. This dynamic stems from perceived conflicting goals: executives are frequently seen as primarily focused on financial outcomes, while physicians are viewed as resistant to change. This study explored how physician fulfillment is experienced at work, with the ultimate goal of identifying potential interventions to bridge the gap between these groups. There is vast research and literature available regarding burnout in healthcare; this research focused on understanding what physicians find fulfilling in their work and …

Implementing Change: Training For Adult Emergency Assessment, Recognition, And Stabilization For Novice And Non-Critical Care Nurses, Shannon C. Clancy-Burgess

Master's Theses and Capstones

Abstract

Background At a macrosystem in New England hospital nurses are requesting more training for better preparedness in situations of clinical deterioration in the patient. Current education offerings were focused on cardiac and respiratory arrest situations. Review of the literature reveals the need for training in recognition and response to clinical deterioration. Simulation training can be a useful training tool.

Methods Several assessments were conducted to determine the need for a new course that focuses on recognition and response for stabilization. These assessments included an AHRQ Gap Analysis, a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis, Stakeholder feedback using Qualtricsä, …

Increasing Education And Staff Knowledge Of Delirium Care: An Evidence-Based Quality Improvement Project, Serena Martinath

Master's Theses and Capstones

Introduction At a small, community hospital in Massachusetts a gap analysis was conducted leading to a quality improvement project to increase staff education and knowledge regarding delirium and evidence-based best practices for delirium care. Delirium is a growing, often under recognized medical condition that occurs in hospitalized patients (Loftus & Wiesenfeld, 2017). Delirium is characterized by acute changes in congnition, level of consciousness, and attention (Loftus & Wiesenfeld, 2017). A better understanding of this condition is expected to result in improved patient care.

Methods The clinical microsystem studied in this gap analysis project was assessed by using the AHRQ Gap …

Using Education To Confidently Identify And Report Concerns Of Child Abuse And Neglect: A Qualitative Improvement Initiative Through Staff Development, Sarah E. Neilson

Master's Theses and Capstones

BACKGROUND: Pre-licensure education on child abuse and neglect is crucial for nurses in the healthcare field. It helps to equip them with the knowledge and skills necessary to effectively identify, report, and intervene in cases of child abuse and neglect. Having this education available and understanding the signs and effects of child abuse and neglect, empowers nurses to take quick and decisive action in early intervention and prevention. Within the microsystem of a local Operating Room (OR), this quality improvement (QI) project will determine the muchneeded addition to the healthcare curriculum.

METHODS: The Plan, Do, Study, Act (PDSA) framework was …

Improving Discharge Education Quality In Urgent Care Settings: A Quality Improvement Project, Brielle N. Patscheider

Master's Theses and Capstones

BACKGROUND:

Effective discharge education is vital for improving patient care by enhancing health outcomes and reducing hospital readmission. When patients receive thorough and personalized discharge instructions, they are better able to manage their health, follow treatment plans, and identify symptoms needing further attention. This not only boosts patient satisfaction and safety but also reduces the strain on healthcare systems by decreasing preventable readmissions.

LOCAL PROBLEM:

Urgent care facilities serve diverse populations with a range of common, non-emergency ailments. The rapid service and walk-in availability often lead to a high volume of patients with diverse and complex medical needs. To eliminate …

Enhancing Inpatient Sleep Quality In Patients On An Intermediate Care Unit Through Healthcare Staff Education: A Quality Improvement Project, Avery B. Drouin

Master's Theses and Capstones

Background

In the Intermediate Care Unit (IMCU), patients often suffer from poor sleep quality due to continuous overnight care and inherent hospital environment noise. Poor sleep can adversely affect recovery, especially for cardiac patients, who constitute a significant portion of the IMCU population. Improving sleep quality in these patients is essential for their recovery and overall well-being.

Local Problem

Despite the importance of adequate sleep, only 47% of patients in the hospital that houses the microsystem reported a quiet environment at night using the Hospital Compare online survey platform. Disruptions from alarms, phones, and care activities significantly impact sleep quality, …

Improving Postpartum Depression Education Within The Microsystem, Mackenzie A. Sturdevant

Master's Theses and Capstones

BACKGROUND: Postpartum depression (PPD) is a significant mental health issue affecting a substantial percentage of new mothers, ranging from "baby blues" to severe forms like postpartum psychosis. Maternity nurses play a crucial role in early detection and education due to the gap in postpartum care follow-up appointments, which can delay necessary interventions.

LOCAL PROBLEM: Despite the critical role of maternity nurses, there is variability in their preparedness to educate and support patients regarding PPD during the immediate postpartum period. This study aims to enhance maternity nurses' knowledge and confidence in providing PPD education through a quality improvement (QI) project within …

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, …

Improving The Postpartum Depression Discharge Education To Increase Quality And Safety Of Care: A Quality Improvement Initiative, Amanda Lucia

Master's Theses and Capstones

Background: Postpartum depression (PPD) is the most prevalent psychological condition to affect mothers following childbirth which can have detrimental consequences on the physical and mental health of the mother, child, and spouse (Wang et al., 2021). Globally, postpartum depression affects 17.2% of the world population, and in the United States 1 in 8 women who recently gave birth reported symptoms of PPD, and 1 in 10 women reported experiencing a major depressive episode within a year following delivery (CDC, 2023). Patients’ spouses and family members are in a unique position to identify early manifestations of PPD which can lead to …

A Quality Improvement Initiative To Redefine The Process Of Instrument Decontamination From The Surgical Field In The Operating Room To The Sterile Processing Department., Nicole Dannett Denton

Master's Theses and Capstones

Background: The Operating Room (OR) faces a significant challenge with the increasing presence of bioburdens on instruments. Research-based on evidence has demonstrated the critical role of precleaning at the point of care with sterile water in reducing bioburden incidence. While current practices recommend the use of an enzymatic solution post-procedure to spray instruments, it is clear that a more comprehensive approach is needed to effectively manage bioburdens and reduce the risk of Surgical Site Infections (SSI).

Methods: Utilizing the Plan-Do-Study-Act (PDSA) model to create a Quality Improvement (QI) solution, the project leader recommended using sterile water at the point of …

Improving Quality Of Documentation In Perianesthesia Care Units To Increase Nurse Satisfaction And Patient Safety: A Quality Improvement Project, Anja Novcic

Master's Theses and Capstones

Abstract

Background: Quality documentation in healthcare settings is essential to ensure nurse satisfaction and patient safety. Documentation templates for patient charting should be in a format that follows best practice nursing care and captures all necessary assessments and interventions ordered by providers for patient care. A quality improvement was conducted in a PACU to evaluate the nurse satisfaction with the use of a new and revised documentation template for pain block procedures.

Local Problem: Within the perianesthesia care unit (PACU) of a Same Day Surgery center, a problem was identified regarding the nurse dissatisfaction with the template in place for …

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: …

Sensory Modulation Training To Reduce Restrictive Interventions On An Acute Inpatient Psychiatric Unit At A Secure Psychiatric State Hospital: A Clinical Nurse Leader Quality Improvement Project, Fionna Norman

Master's Theses and Capstones

Abstract

Background: Symptoms of severe mental illnesses can result in Personal Safety Emergencies (PSE’s) in the acute in-patient psychiatric setting. As part of treatment of PSE’s, restrictive interventions such as seclusion are utilized in current practice to maintain the safety of the patient, peers, staff, and the environment. Evidence-based research has shown restrictive interventions can cause physical and psychological harm to both patients and staff. Reducing restrictive interventions continues to be a priority to create the most therapeutic environment possible. Evidence-based research has shown that sensory modulation is a non-restrictive intervention that can reduce the use of restrictive interventions, decrease …

Using The Stop5 Debriefing Model To Increase Utilization Of Debriefing Practice In The Emergency Department: A Quality Improvement Project, Hallie Chancey

Master's Theses and Capstones

Abstract Background: The practice of debriefing has been an important process in critical care settings to promote team unity as well as best care practices. Literature has shown that debriefing can not only influence quality care and improved operations, but the process can also influence the emotional support staff receive. These implications are particularly important for nurses that work in critical care settings as the job can often be stressful and lead to moral distress as well as the need for evidence-based care practices is crucial when a patient’s life is on the line. Literature supports that any form of …

Re-Educating Proper Blood Culture Collection With Emphasis On Initial Blood Waste To Decrease Contamination Rates: A Quality Improvement Project, Samantha A. Dickinson

Master's Theses and Capstones

Background: A critical access hospital in New England experienced an increase in blood culture contamination rates within the Emergency Department (ED). There was a disconnect between the current standardized collection protocol within the ED and the action of staff collecting which has led to an increase of blood contamination (BCC) rates.

Local Problem: The disconnect between the current collection standard and staff collecting caused the Emergency Department to rise above 3.0% in blood cultures contaminations. This rise in contamination rates contributes to longer patients stays and unnecessary treatments.

Methods: Using the Plan-Do-Study-Act model, an educational flyer was implemented to remind …