Digital Commons Network^™

Mental Health First Aid (Mhfa): Implementing An Evidence-Based Practice Change Initiative In A School Setting, Kate Wachutka Msn, Aprn, Fnp-C

Doctor of Nursing Practice Projects

Background: School-aged children with unidentified mental illnesses experience poor health outcomes and increased medical costs. Successful management of this public health threat requires a collaborative community approach with a focus on enhancing adults’ mental health literacy (MHL) to improve outcomes.

Objectives: The objectives of this project were to implement an evidence-based mental health education (utilizing MHFA) and sustainment program within a school setting for staff and parents supervising children to optimize the adults' MHL over a three month period.

Methods: A pretest-posttest design was used. Participants were recruited from a school in the Western United States. Inclusion criteria consisted of: …

Implementing Sskin Bundle For Pressure Ulcer Prevention In Long-Term Care Facility, Funmilayo Oni

Doctor of Nursing Practice Projects

Background: Pressure ulcers are a major challenge in long-term care (LTC) facilities. Adult patients in LTC setting are at risk for developing pressure ulcers due to chronic medical conditions and comorbidities. Preventing the onset of these wounds is more cost-effective than treating pressure ulcers.

AIM/Objectives: The primary objective was to decrease the number of pressure ulcers by 50% within a three-month period. Secondary objectives were to achieve 100% compliance with completion of mandatory staff education, score on the posttest questionnaire, and compliance with mandatory staff documentation as instructed by the SSKIN protocol.

Methods: This DNP Project used a pretest and …

Antibiotic Stewardship For Asymptomatic Bacteriuria In Older Adults Residing In Long-Term Care At End-Of-Life, Kimberly Madison Agpcnp-Bc

Doctor of Nursing Practice Projects

Background: Differentiating between asymptomatic bacteriuria (ASB) and urinary tract infections (UTIs) in older adults is challenging due to their atypical presentation. There is a critical gap in practice to adhere to clinical guidelines advising against treating ASB with antibiotics.

Objectives: The purpose of this Quality Improvement project was to implement an antibiotic stewardship program at a hospice organization to standardize judicious use of antibiotics at the end-of-life. The outcome measures were designed to evaluate clinician knowledge, prescribing policies and practice changes, the completeness of documentation, the appropriate usage of antibiotics, and clinician antibiotic use attitudes and beliefs.

Methods: Hospice clinicians …

Structured Type 2 Diabetes Education To Improve Self-Monitoring Blood Glucose, Self-Care Management, And Diabetes Knowledge In A Multicultural Family Practice Clinic, Deedee Foster Fnp-C

Doctor of Nursing Practice Projects

Background: The family practice providers at the family medicine residency clinic (FMRC) have neither sufficient time nor continuity of care to provide diabetes education to effectively reduce A1c levels. The FMRC has 500 multicultural type 2 diabetes patients with an A1c >7% that has increased by 23.2% in the previous five months. Multiple studies have demonstrated that structured diabetes education can significantly decrease blood glucose readings, improve self-care management, and diabetes knowledge to attain optimal glycemic control.

Objectives: To implement an evidence-based practice (EBP) project in the FMRC to improve participants blood glucose readings, self-care management, and diabetes knowledge.

Methods: …

Effect Of A Web-Based Educational Intervention In Improving Depression Knowledge And Help-Seeking Behaviour In Women, Chibuzo Efuribe Rn Msn Fnp-Bc

Doctor of Nursing Practice Projects

Background: Depression is of global concern and one of the leading causes of disability in the United States. Based on a needs assessment conducted in a faith-based organization, we noticed a gap in depression knowledge, an unwillingness to seek help, and a lack of open dialogue among the women. Studies have shown that low depression literacy impedes early recognition, prevention, and willingness to seek help (Brijnath et al., 2016; Reavley et al., 2014).

Aims: This study aimed to evaluate the effects of web-based educational intervention in improving depression knowledge and help-seeking behavior among women in a faith-based organization.

Methods: Using …

Effectiveness Of Provider Education To Improve Screening, Diagnosis, And Management Of Postpartum Depression, Gina M. Tytula

Doctor of Nursing Practice Projects

Background: Postpartum depression (PPD) effects approximately 15% of new mothers after the birth of their child which results in feelings of anger, fear and being overwhelmed. In the practice setting for this project there were low rates of PPD screening, leading to missed diagnoses and inadequate management of PPD.

Purpose: The purpose of this project was to implement and evaluate the effectiveness of an education program to increase providers’ perceived knowledge and improve screening, diagnosis and management of PPD for a multicultural patient population at an urban obstetrics practice.

Methods: This pre-post design project evaluated the effectiveness of an educational …

Evaluating Telehealth As A Means Of Communicating With Living Donors And Its Effect On Quality Of Care, Ashley Anne Hamby Rn Msn

Doctor of Nursing Practice Projects

Background: Despite the advantages of living donor kidney transplantation (LDKT), there are barriers that potential donors face that make living donation less appealing. Research supports the use of telehealth as an effective method of enhancing access to care and building efficiencies.

Aims/Objectives: To evaluate access to care, effectiveness, financial impact, and experience after implementing telehealth as a means of communicating with living donors.

Methods: Utilizing a pretest-posttest design, an analysis was performed among medically cleared donors evaluated in-person between January 1, 2019 to December 31, 2019 (Control Group; N=64) and donors evaluated via telehealth (Zoom®) between January 1, 2021 to …

Implicit Bias Training: Improving Racial/Ethnic Disparities In Maternal Care, Marilyn Mapp

Doctor of Nursing Practice Projects

Background: Racial and ethnic disparities persist in the United States leading to adverse maternal outcomes. Nationally, the maternal mortality rates in black women are two to three times higher than white women. Implementing implicit bias training, recommended by the Council on Patient Safety in Women’s Health, is a key intervention that may help to reduce these disparities.

Objectives: This quasi-experimental/mixed methods project evaluated the effectiveness of training on implicit bias to increase awareness of implicit bias among a convenience sample of registered nurses in labor and delivery and postpartum units at two community hospitals.

Methods: Quantitative data was analyzed with …

Blanket Statements, Issue 153, Spring 2022

Blanket Statements: News Publication of the American Quilt Study Group

Blanket Statements, Issue 153, Spring 2022

The Effect Of Scan And Patient Parameters On The Diagnostic Performance Of Ai For Detecting Coronary Stenosis On Coronary Ct Angiography, Rebecca Jonas, Emil Barkovich, Andrew D Choi, William F Griffin, Joanna Riess, Hugo Marques, Hyuk-Jae Chang, Jung Hyun Choi, Joon-Hyung Doh, Ae-Young Her, Bon-Kwon Koo, Chang-Wook Nam, Hyung-Bok Park, Sang-Hoon Shin, Jason Cole, Alessia Gimelli, Muhammad Akram Khan, Bin Lu, Yang Gao, Faisal Nabi, Ryo Nakazato, U Joseph Schoepf, Roel S Driessen, Michiel J Bom, Randall C Thompson, James J Jang, Michael Ridner, Chris Rowan, Erick Avelar, Philippe Généreux, Paul Knaapen, Guus A De Waard, Gianluca Pontone, Daniele Andreini, Marco Guglielmo, Mouaz H Al-Mallah, Robert S Jennings, Tami R Crabtree, James P Earls

Division of Internal Medicine Faculty Papers & Presentations

Objectives: To determine whether coronary computed tomography angiography (CCTA) scanning, scan preparation, contrast, and patient based parameters influence the diagnostic performance of an artificial intelligence (AI) based analysis software for identifying coronary lesions with ≥50% stenosis.

Background: CCTA is a noninvasive imaging modality that provides diagnostic and prognostic benefit to patients with coronary artery disease (CAD). The use of AI enabled quantitative CCTA (AI-QCT) analysis software enhances our diagnostic and prognostic ability, however, it is currently unclear whether software performance is influenced by CCTA scanning parameters.

Methods: CCTA and quantitative coronary CT (QCT) data from 303 stable patients (64 ± …

Comparing The Job Satisfaction Of Virtual School Educators To That Of Traditional Educators, Eric L. Sierra

Doctor of Education (Ed.D)

Virtual education in the K-12 environment is a growing field in the education industry. Not only does virtual education provide new opportunities for students, it also changes how teachers work in the industry and how they perceive the job satisfaction. Using the Teacher Job Satisfaction Questionnaire (TJSQ), this study compares perceived job satisfaction of virtual educators to that of traditional educators in the K-12 environment. Data collected from 112 educators suggested that both virtual and traditional educators were satisfied with their jobs. When teachers in both environments were compared to one another, there was no statistically significant difference in their …

The Confidence Of High School Special Education (Sped) Teachers To Deliver Instruction In A 100% Virtual Learning Environment Due To Covid-19, Darius E. James

Doctor of Education (Ed.D)

The 2020 COVID-19 pandemic had substantially altered others' daily social interactions and the delivery of education globally. From preschool to universities, educational institutions worldwide temporarily closed their brick-and-mortar facilities to prevent the spread of the COVID-19 virus. The transition from in-person to virtual learning was very abrupt, and the transition forced teachers of all experience levels to adapt to a new normal of virtual instruction due to the COVID-19 pandemic. The purpose of this phenomenological study was to explore the perceptions of high school special education teachers’ confidence to deliver virtual instruction to students within a school district that was …

Understanding The Technology Support Needs Of High School Teachers Implementing A Learning Management System, Neil L. Trahan

All Theses And Dissertations

In this study, the researcher explored high school teachers’ perceptions of various types of professional development, training, and support provided to and received by them during the implementation of a learning management system. Additionally, the researcher sought to explore the impact support may have on teachers’ beliefs about technology and its role/impact on their instructional practice. Data were collected on teachers’ perceptions of technology, as well as the most effective types of support (and frequency) they recalled were most useful for their respective skill level with technology. To identify participants’ skill level with technology, the Survey of Preservice Teachers' Knowledge …

A Phenomenological Study: Covid-19 And Administrators At A Christian Higher Education Institution, Robert D. Pocai

Doctor of Education (Ed.D)

The purpose of this qualitative phenomenological study was to describe the lived experience of administrators at a Christian higher education institution during the COVID-19 crisis. The theoretical framework used for this study was revolutionary change theory (RCT). Qualitative data was gathered from structured interviews with executive administrators who led during the COVID-19 pandemic at an evangelical Christian liberal arts university that offered multiple degrees at the associate, bachelor, master, and doctoral levels. Study findings described four main themes that emerged from the data: unpredictability, holistic community disruption, decisive adaptation, and team collaboration. These main themes described the lived phenomenon that …

Kenyon Collegiate - April 1, 2022

Kenyon Collegiate

No abstract provided.

2021-2022 Lindenwood University Honors Convocation, Lindenwood University

Honors Convocation Programs

2021-2022 Lindenwood University Honors Convocation

Finding Aid For The Guy Sterling Collection (Mum00147)

Archives & Special Collections: Finding Aids (alphabetical)

No abstract provided.

The Archives Magazine, 2022, Matthew Bandy, Jenna Sala, Hannah Abatemarco, Michael Alberto, Jakob Lemke, Dillon Hamilton, Gabby Kane, Michelle Kamienski

Kutztown University Archives

No abstract provided.

What They Are Really Saying: An Analysis Of The Messages In Full-Time Virtual School Television-Length Advertisements, Dennis Beck, Seth D. French, Johnny B. Allred, Christian Z. Goering

Curriculum and Instruction Faculty Publications and Presentations

Virtual schooling in America is a complex notion, one riddled with simultaneous claims of provenance coupled with poor achievement results when compared to other forms of schooling. Recruitment practices for virtual schools, specifically available television-length advertisements from a national list of fully online schools, comprised a data set around which this study revolved. We examined how virtual school television-length advertisements represented or misrepresented their approach to schooling by utilizing a cultural studies technique of performing preferred, negotiated, and oppositional readings. Qualitative analysis—including an independent interrater process—led to findings that often directly contradicted the messages present in the television-length advertisements, as …

Law School Record, Vol. 68, No. 2 (Spring 2022), Law School Record Editors

Law School Record

• Message from the Dean
• Global Impact
• Teaching Through the Discourse - The Faculty Podcast Experiments
• "There is No Environmental Law Without Environmental Justice"
• Is This What Democracy Looks Like?
• Enriching the Exchange
• Law School Unveils Oil Paining of Earl B. Dickerson, 1920
• Faculty News: Book published by Aziz Huq, Unraveling an American Story
• Faculty News: Book published by Omri Ben-Shahar, What If We Each Had Our Own Laws?
• Alumni News: Books by Alumni Published 2021
• Development News: A Message from the Associate Dean of External Affairs
• Development: Daniel Daeniker, 96: Collective Philanthropy Motivates Peers and Breaks Giving Day Records …

Otterbein Towers Spring 2022, Otterbein Towers

Towers Magazine

Letter From the President; Bold Beginnings; Rewriting the Rules; A History of Striving to do Things Right; Student Life Traditions: For the Good of Our Students; Athletic Traditions: Champions On and Off the Field; We Are a Smarter Way to Learn; A History of Generosity; The Power of an Otterbein Degree; Class Notes

Association Of Abnormal Findings On Neonatal Cranial Ultrasound With Neurobehavior At Neonatal Intensive Care Unit Discharge In Infants Born Before 30 Weeks' Gestation., Jennifer Helderman, T Michael O'Shea, Lynne Dansereau, Jennifer Check, Julie A. Hofheimer, Lynne M. Smith, Elisabeth Mcgowan, Charles R. Neal, Brian S. Carter, Steven L. Pastyrnak, Bradford Betz, Joseph Junewick, Heather L. Borders, Sheri A. Dellagrotta, Barry M. Lester

Manuscripts, Articles, Book Chapters and Other Papers

Importance: Cranial ultrasound (CUS) findings are routinely used to identify preterm infants at risk for impaired neurodevelopment, and neurobehavioral examinations provide information about early brain function. The associations of abnormal findings on early and late CUS with neurobehavior at neonatal intensive care unit (NICU) discharge have not been reported.

Objective: To examine the associations between early and late CUS findings and infant neurobehavior at NICU discharge.

Design, Setting, and Participants: This prospective cohort study included infants enrolled in the Neonatal Neurobehavior and Outcomes in Very Preterm Infants Study between April 2014 and June 2016. Infants born before 30 weeks' gestational …

Facilitators And Barriers To Pediatric Clinical Trial Recruitment And Retention In Rural And Community Settings: A Scoping Review Of The Literature., Sara E. Watson, Paul Smith, Jessica Snowden, Vida Vaughn, Lesley Cottrell, Christi A. Madden, Alberta S. Kong, Russell Mcculloh, Crystal Stack Lim, Megan Bledsoe, Karen Kowal, Mary Mcnally, Lisa Knight, Kelly Cowan, Elizabeth Yakes Jimenez

Manuscripts, Articles, Book Chapters and Other Papers

Children in rural settings are under-represented in clinical trials, potentially contributing to rural health disparities. We performed a scoping review describing available literature on barriers and facilitators impacting participation in pediatric clinical trials in rural and community-based (nonclinical) settings. Articles identified via PubMed, CINAHL, Embase, and Web of Science were independently double-screened at title/abstract and full-text levels to identify articles meeting eligibility criteria. Included articles reported on recruitment or retention activities for US-based pediatric clinical studies conducted in rural or community-based settings and were published in English through January 2021. Twenty-seven articles describing 31 studies met inclusion criteria. Most articles …

Text Analysis Of Airline Tweets, Essa Altamimi

Theses

By acting as a succinct summary, keywords and key phrases can be a useful tool for swiftly assessing enormous amounts of textual material. A "keyword" is defined as a "word that briefly and accurately characterises the subject, or an aspect of the subject, presented in a text," according to the International Encyclopaedia of Information and Library Science (Bolger et al., 1989) (Feather et al., 1996). People are more likely to complain when they are anxious, according to research (Bolger et al., 1989)(Meier et al., 2013), and moods are affected by time (Ryan et al., 2010). Due to this study, airlines …

Metamodern Strategy: A System Of Multi-Ontological Sense Making, Eugene Louis De Klerk

Full-Text Theses & Dissertations

Multi-ontological sense making in irreducible social systems requires the use of different worldviews to generate contextually appropriate understandings and insights for action in different systems states. While models exist for describing complex dynamics in social systems, no frameworks or aids exist to explain the system of worldviews. This dissertation developed a conceptual scheme that will aid in multi-ontological sense making in social systems. This conceptual scheme has both theoretical and practical implications for visualizing, understanding, and responding to social systems and ultimately to complexity. To develop this new conceptual scheme, a qualitative meta-synthesis approach was adopted to develop theory and …

A Word From The Writing Team (April 2022), Pam Walter, Mfa, Liz Declan, Ma, Mfa

A Word From the Writing Team (Newsletter)

This issue includes:

• Upcoming Workshop
• News from the OPWPC
• Quick Reminder

Dialogue: Spring 2022, Staff And Writers Of Dialogue, Calvin University

Dialogue

Writing

6 The Verge Kipp De Man | 8 A Beer in Nagoya Kate DeHaan | 12 my father’s daughter Celine Sidharta | 14 That Drawer Gabrielle Eisma | 19 a cure Abigail Ham | 21 Autumn Abigail Ham | 26 Incandescent Kate DeHaan | 32 Who Watches the Watchers Haley Prell | 37 Passing Abigail Ham | 39 family is more than blood and teeth Josiah Bostrom | 42 Rules of the Road Abigail Ham | 49 CHILDREN OF BLACK SOIL Grace Toma | 50 collision Celine Sidharta | 55 The Other—Night Ben Plantinga | 58 Finders, Keepers Grace …

2022-April-01-Etsu's Spring Literary Festival Is April 12-13, University Marketing And Communication, East Tennessee State University

ETSU News

JOHNSON CITY, Tenn. (April 1, 2022) – East Tennessee State University’s annual Spring Literary Festival, packed with award-winning and nationally recognized writers, is set for later this month.

Poet Maurice Manning

“This is such a wonderful event, and I could not be happier about the talented writers who will be with us this year,” said Dr. Jesse Graves, ETSU’s poet-in-residence. “We are thrilled to be able to bring our literary community back together in the Reece Museum and the Martin Center.” 

Sponsored by the Bert C. Bach Written Word Initiative and the Department of Literature and Language, the two-day …

Rates Of Physical Abuse Screening And Detection In Infants With Brief Resolved Unexplained Events (Brues), Angela Doswell, James Anderst, Joel Tieder, Henry T. Puls, Brue Research And Quality Improvement Network

Presentations

Background: “Apparent Life-Threatening Events” (ALTEs) have been associated with child physical abuse (CPA). In 2016, “Brief Resolved Unexplained Event” (BRUE) and the development of its clinical guidelines and risk-stratification replaced ALTE. However, it is unknown if there is a similar association between BRUEs and CPA. Hypothesis/Objectives: To determine the rate of CPA in infants presenting with a BRUE, examine differences between infants with and without CPA, and to examine rates of diagnostic testing used to detect CPA. Methods: This study was part of the BRUE Research and Quality Improvement Network, composed of 15 hospitals. Subjects were infants presenting with BRUE …

Patient Attitudes, Perceptions, Knowledge, And Beliefs Regarding Immigration Status In The Healthcare Setting, Anik Patel

Presentations

No abstract provided.