Digital Commons Network^™

Implementation Of A Non-Pharmacological Cognitive Stimulation Therapeutic Activities Protocol As A Delirium Prevention Method For Adults, Jada Hieb

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background/Purpose: Delirium is a complex clinical syndrome comprising a constellation of symptoms, including acute onset, inattention, altered level of consciousness, and disorganized thinking or cognitive dysfunction. Delirium is a common complication often unrecognized, expensive, and preventable. This project's focus was further exploring non-pharmacological delirium prevention strategies (NDPS).
Methods: A NDPS program using a therapeutic activity book (TAB) was implemented in a Midwestern acute care hospital measuring the impact on the number of positive delirium screens, the number of delirium diagnoses, and hospital length of stay (LOS).
Results: A causative relationship or association between the TAB and outcomes could not be …

Implementing The Teach-Back Method On Pessary Utilization In A Urogynecology Clinic, Marissa Eich

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: The effectiveness of pessary patient education using the teach-back method and improving nurse confidence and conviction related to pessary use are essential in improving patient outcomes.
/="/">Local Problem: The current limitations in pessary education stem from constraints in nurse availability and workload distribution.
/="/">Methods: The quality improvement initiative involved conducting surveys to evaluate nurse confidence using surveys adapted from the Agency for Healthcare Research and Quality toolkit before the nurse education session, 1 month into the intervention, and at 3 months, when the implementation period ended. These surveys assessed the effectiveness of the teach-back method.
/="/">Intervention: …

Impact Of Evidence-Based Interventions On Nurse Burnout Among Ambulatory Care Nurses, Haley M. Lupher

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: The physical and emotional demands of the nursing profession often cause increased stress and burnout in nurses. If burnout is not addressed, the negative consequences of burnout are perpetuated by one another. Evidence-based interventions, such as meditation, yoga, and physical activity can help reduce nurse burnout.
Local Problem: This project was completed at an ambulatory dermatology clinic that sees approximately 300 patients a day. In recent years, this department has noticed increased nurse turnover and low nurse morale.
Methods: A convenience sample from approximately 30 nurses was utilized. Burnout was measured using the Maslach Burnout Inventory for Medical Personnel …

Nurses' Knowledge, Confidence, And Compliance With An Ambulatory Surgery Discharge Checklist, Heather Van Marion

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Preventable errors in healthcare are fueling the growth of patient safety cultures. Checklists have been found to increase discharge accuracy and efficiency and detection of patient safety concerns before discharge.
Local Problem: Oversight errors can be traced back to poor communication or outdated workflows. Ad hoc communication and knowledge of physician preferences are no longer sufficient for ensuring complete discharge instructions. Methods & Interventions: A discharge checklist was developed and implemented in an ambulatory surgery department to ensure discharge instructions were complete and accurate. Nurses completed a pre and 3-month post-checklist questionnaire assessing their knowledge and confidence in the …

Implementation Of An Induction Of Labor Protocol, Rebecca A. Erickson

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Nationwide focus has been placed on the reduction of incidence of adverse maternal and neonatal outcomes in nulliparous, term, singleton, vertex (NTSV) patients.
Local Problem: Nursing leaders of a maternal child health unit in the upper Midwest recognized a need to reduce the rate of adverse maternal outcomes with evidence-based practice. The facility does not currently have an induction of labor (IOL) protocol.
Methods: The California Maternal Quality Care Collaboration Toolkit to Support Vaginal Birth and Reduce Primary Cesarean Sections was used to create an IOL protocol to prevent adverse maternal outcomes. Categorical outcome data was compared for 6 …

Implementation Of An Oral Sucrose Protocol For Advanced Practice Providers, Cori Shatto

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background/Purpose: Pain in infancy due to immunization administration often goes untreated. The pain infants experience leads to negative effects on neurodevelopment and pain response. Needle fear develops in infancy and can extend into adulthood, leading to vaccine avoidance and endemic outbreaks. Methods: In a family practice clinic in an upper Midwest state, an oral sucrose protocol was implemented for use by advanced practice providers (APPs). Prior to education on the protocol, a survey was administered to assess the providers’ knowledge, attitudes, and practice (KAP) in relation to oral sucrose. The providers were educated on the benefits and intended use of …

Implementation Of A Daily Protocol To Reduce Central Line Days On A Medical-Surgical Unit, Katherine Wickstrom

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Central line associated bloodstream infections (CLABSIs) are preventable healthcare associated infections (HAI) in the United States. CLABSIs are associated with increased length of hospital stays, mortality, and financial implications for both patients and hospital systems. Extensive research has shown implementing CLABSI prevention bundles can reduce infections and costs. These bundles are often misused, highlighting the importance of bundle compliance and education.
Local Problem: A medical surgical unit in the upper Midwest continues to have delayed central line removal despite a CLABSI prevention bundle. Efforts to decrease central line days were identified as a priority.
Methods: Staff completed education on …

Implementation Of A Prediabetes Risk Assessment And Motivational Interviewing In Adults Ages 35 And Older, Emma Lilleberg

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: The American Diabetes Association (ADA) recommends screening for prediabetes using a validated assessment tool in asymptomatic adults starting at age 35. An effective process to raise screening numbers to identify those at risk of prediabetes and diabetes is needed to provide quality care.
Methods: Nursing staff were educated on use of the risk assessment tool and principles of motivational interviewing (MI). Utilizing the ADA risk assessment tool identified those at risk. Nursing staff completed MI with individuals who scored 5 or higher. A readiness for change survey was completed by patients after receiving MI. Additionally, individuals received education on …

Reducing Emergency Department Decision To Admit To Disposition Time Using The Sydney Triage To Admission Risk Tool, Jolyn Sackmann

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Long emergency department (ED) length of stay (LOS) is associated with increased mortality, delay in care, longer inpatient (IP) stays, readmission risk, poor patient satisfaction, and opportunity for error. Within the ED LOS is a quality indicator measuring the time a provider determines a patient will be admitted to the time the patient leaves the ED for an IP unit, called ED-2. Prolonged ED-2 indicates impaired ED output.
/="/">Local Problem: Despite previous interventions, the ED-2 at a rural Midwest hospital was about 63.5 minutes; the goal set forth by the Centers for Medicare and Medicaid is 35 minutes …

A Biblical Framework For Understanding And Responding To Ai, David J. Mulder

Faculty Work Comprehensive List

This chapter is about developing a biblically informed, theologically sound perspective on what it means to be human in a world where artificial intelligence (AI) seems to be omnipresent and nearly omnipotent. Along the way, we will consider the history of AI, the current state of AI, and a biblical view of AI. However, to land in a place where we have some solid understanding of a biblically informed perspective on the role of technology, we need to begin with our own imaginations.

A Wesley Bibliography: Thirteenth Edition, Kenneth J. Collins

Academic Books

No abstract provided.

Evaluation Of Information Visualization In Digital Intelligence Product, Dejan Ulcej, Anja Podlesek

Journal of Strategic Security

Digital technology has impacted how strategic intelligence products are designed and distributed to political security decisionmakers. Information visualization helps improve the processing of intelligence information. This experimental study investigated whether a prototype digital intelligence report that uses visuals is processed more efficiently and results in a better user experience than a printed intelligence product that contains primarily text. A sample of 72 participants working as decisionmakers in a private company was divided into two equal groups. One group received the digital version of the report, and the other received the printed version. The time it took to read the report, …

Analyzing Archive Transit Multibeam Data For Nodule Occurrences, Mark E. Mussett, David F. Naar, David W. Caress, Tracey A. Conrad, Alastair G. C. Graham, Max Kaufmann, Marcia Maia

Marine Science Faculty Publications

We show that analyzing archived and future multibeam backscatter and bathymetry data, in tandem with regional environmental parameters, can help to identify polymetallic nodule fields in the world’s oceans. Extensive archived multibeam transit data through remote areas of the world’s oceans are available for data mining. New multibeam data will be made available through the Seabed 2030 Project. Uniformity of along- and across-track backscatter, backscatter intensity, angular response, water depth, nearby ground-truth data, local slope, sedimentation rate, and seafloor age provide thresholds for discriminating areas that are permissive to nodule presence. A case study of this methodology is presented, using …

A Community-Academic Partnered Approach To Designing A Virtual Village To Address The Needs Of Older Adults Living With Hiv, Annie L. Nguyen, Andrea N. Polonijo, Jerome T. Galea, Moka Yoo-Jeong, Jeff Taylor, Erik L. Ruiz, Karah Greene, Jasmine L. Lopez, Christopher Christensonf, Brandon Brown

Social Work Faculty Publications

Many older adults living with HIV face unique challenges, including comorbidities, loneliness, and isolation. This community-academic partnered study elicited viewpoints from older adults living with HIV about the characteristics of a digital environment (“Virtual Village”) to combat against loneliness and isolation. We utilized Choice-Based Conjoint Analyses to determine preferred attributes of a Virtual Village. We also conducted focus groups and interviews with older adults living with HIV and used an iterative, data-driven approach to systematically identify emergent themes. Participants (N = 82) were aged 50–82 years and racially/ethnically diverse. The majority were men (78%), gay (66%), and lived with …

The Cypress Dome 2024, Issue 35, The Cypress Dome Society

The Cypress Dome

The Cypress Dome Society (CDS) offers an outlet for artists at UCF. We chose to name ourselves after the beautiful cypress dome ecosystem that exists on the UCF campus. In the same way that cypress domes create an environment based in biodiversity and rich land, we hope to foster a space that promotes diversity and rich creative work for students. We set our roots in the deepest parts of the literary community and surround ourselves with students eager to participate in the arts. Every year, we engage with our community by encouraging students to submit to our literary magazine, The …

Cash Substitution And Deferred Consumption As Data Breach Harms, Lisa Yao Liu, Lior Jacob Strahilevitz

Coase-Sandor Institute for Law & Economics Research Paper Series

Federal courts have long been divided over whether consumers whose data are breached suffer an “injury in fact” that gives them standing to sue under Article III of the United States Constitution. Judicial opinions find no constitutional standing in a narrow majority of such cases, and plaintiffs are likely to lose absent causal links to subsequent identity theft or the disclosure of embarrassing information. Consumers whose data are breached thus are left without a federal remedy, and firms’ incentives to invest in data security are diminished. Our paper identifies a novel injury that results from data breaches. Upon learning about …

The Design Of Emission Taxes In Markets With New Firm Acquisitions, Luis Gautier, Mahelet G. Fikru

Economics Faculty Research & Creative Works

In the 1990s there was a great deal of interest in the study of the role of endogenous market structure under oligopoly in the characterization of emission taxes. This interest was instrumental in providing policy guidance on the design of emission taxes based on market characteristics. However, the literature has been silent on offering policy recommendations on the design of emission taxes under endogenous market structure in the presence of new firm acquisitions. We build a model where new firms enter the market where some are acquired by an incumbent multi-plant firm, altering the initial market structure. In this framework, …

Music Of The Revolution: Corridos, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

An Educator's Guide To Latin American Literature ("House Taken Over"/ "Casa Tomada", Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

An Educator's Guide To Latin American Film "Granito", Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Afro-Latinidad: Mexico ("El Grito De Yanga: Una Pelicula De Veracruz"), Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Primary Documents Of The Mexican Revolution, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

The Sweep And Force Of Section Three, William Baude, Michael Paulsen

Articles

Section Three of the Fourteenth Amendment forbids holding office by former office holders who then participate in insurrection or rebellion. Because of a range of misperceptions and mistaken assumptions, Section Three’s full legal consequences have not been appreciated or enforced. This Article corrects those mistakes by setting forth the full sweep and force of Section Three.

First, Section Three remains an enforceable part of the Constitution, not limited to the Civil War, and not effectively repealed by nineteenth century amnesty legislation. Second, Section Three is self-executing, operating as an immediate disqualification from office, without the need for additional action by …

Constraining Constitution-Making, Adam Chilton, Cristián Eyzaguirre, David Landau, Mila Versteeg

Articles

Whether constitution-making should be constrained has long been debated, but little is known about whether it is possible. We make several contributions to this question. We start by providing a typology of three types of constraints on constitution- making: Substantive, Procedural, and Institutional. We next develop a positive theory of when these constraints are likely to influence drafters’ behavior. We then use a mixed-methods approach to explore these ideas in the context of Chile’s constitutional reform process. In a survey experiment conducted in Chile before citizens voted on the draft constitution, we find that most respondents supported constraints in the …

The New Outlawry, Darrell Miller, Jacob Charles

Articles

From subtle shifts in the procedural mechanics of self-defense doctrine to substantive expansions of justified lethal force, legislatures are delegating larger amounts of “violence work” to the private sphere. These regulatory innovations layer on top of existing rules that broadly authorize private violence—both defensive and offensive—for self- protection and the ostensible maintenance of law and order. Yet such significant authority for private violence, and the values it projects, can have tragic real-world consequences, especially for marginalized communities and people of color.

We argue that these expansions of private violence tap into an ancient form of social control—outlawry: the removal of …

The Natural Law Origins Of Private And Public Law, Richard Epstein

Articles

This article attempts to counter the widespread skepticism that surrounds any appeal to natural law principles, starting with Roman law at one end and the appeal to general law under Swift v. Tyson on the other. It steers a systematic middle course between moral absolutism, which treats all relationships as fixed and immutable, and modern realist positions that insist the infinite variety of legal approaches to most legal problems proves that there is no solid core to either natural law or general law. The natural law positions set out the basic relationships for marriage and family, for alluvion and avulsion …

The General-Law Right To Bear Arms, William Baude, Robert Leider

Articles

No abstract provided.

Layered Constitutionalism, Payvand Ahdout, Bridget Fahey

Articles

No abstract provided.

Asking Gpt For The Ordinary Meaning Of Statutory Terms, Richard Mcadams, Christoph Engel

Articles

No abstract provided.

Evaluating The Refugee Training Program At 1951 Coffee Company, Erik Keifer, Mason Davenport

Miller Center Fellowship

The goal of this research project at 1951 Coffee is to assess the impact of the 1951 Coffee Company refugee training program. Data was gathered through a series of interviews with 30 participants who had completed the barista training program within the past x months. Interviews included questions related to demographic details, experiences with refugee resettlement, and the potential benefits achieved through the training program, such as increased employment opportunities following program participation. Data was collected over four weeks and included interviews with refugees currently working at the 1951 Coffee shop / facility as well as those who had moved …