Digital Commons Network^™

Interprofessional Collaboration For Nurse Leaders: Practical Applications To Enhance Team Effectiveness On Telemetry, Paul Alegria

Master's Projects and Capstones

Abstract

Background: According to the Interprofessional Education Collaborative (IPEC), there are four core competencies that promote team engagement and collaboration among professionals: 1. Establish shared values 2. Clarify roles and responsibilities 3. Effective communication 4. Teamwork. Together, the competencies create structure and team integration that potentiates favorable outcomes in work culture and patient care when operating in complex, quality-based care settings. The setting for this quality improvement project is on a telemetry unit, assistant nurse manager (ANM) team in the greater Sacramento region of California.

Problem: The Gallup Q12 is an employee engagement survey that identifies inter-relational domains of influence …

Indonesia’S Development Strategy: The Path Of State Owned Enterprises Global Expansion, Farahdiba Rahma Bachtiar

Global: Jurnal Politik Internasional

Following the Asian Crisis, many believed that the era of the developmental state model had ended. However, amidst debates of pros and cons, there was a strong tendency to observe that, before the Jokowi administration, several Indonesian government policies were highly interventionist. This article examines the possibility that the developmental state model will no longer continue in Indonesia, which is merely a myth. Using a qualitative research approach that draws on various literature, including data from 2022–2024 and field research findings in Indonesia during the 2015–2021 period, this article argues that the developmental model has evolved toward a more practical …

Age. Cultural Intelligence, Social Media Use And Anxiety, Bill Comstock

Master's Theses & Other Graduate Student Works

This August 2024 Master of Science in Psychology thesis at Lipscomb University study investigated the intricate relationship between social media use, age, cultural intelligence, and anxiety levels, aiming to unravel potential interactions and influences across diverse demographics. In a survey-based approach, 49 participants from various age groups and cultural backgrounds were tested for age, cultural intelligence scores (CQS), anxiety levels (GAD-7), and social media use patterns assessed by the Social Networking Time Use Scale (SONTUS). The central hypothesis posited that age, cultural intelligence, and social media use collectively interact in predicting anxiety levels. To address this, a multiple linear regression …

A Comparative Analysis Of Helical Tomotherapy Planning With Active Versus Total Bone Marrow Sparing Using Dual-Energy Computed Tomography, April E. Premo

Masters Projects

Purpose: This study aims to compare helical tomotherapy (HT) plans using active bone marrow (ABM) sparing contouring versus traditional bone marrow (BM) sparing contouring using dual-energy computed tomography (DECT) in the treatment of gynecologic (GYN) cancers. The goal is to evaluate the effects of using ABM contours in optimization on organs at risk (OAR) and planning target volumes (PTVs).

Methods: The study involved creating HT plans for GYN cancer patients, utilizing both ABM and BM contouring techniques. DECT was used to distinguish between active and inactive bone marrow. Dosimetric comparisons were made between BM and ABM sparing plans. Statistical analyses …

Willie Pearl Coney-Jones

African American Funeral Programs

No abstract provided.

Implementing Joy In Practice And Addressing Nurse Burnout, Courtney Repetto

Master's Projects and Capstones

Abstract

Background: This quality improvement project, a beacon of hope in the face of nurse burnout, examined its effects and how nurse leader engagement and the transformative Joy in Practice Initiative can promote wellness, joy in practice, and significantly improve patient outcomes. Problem: According to the Institute of Healthcare Improvements (IHI) 2019 National Forum on Quality Improvement in Healthcare (IHI, 2019), burnout can be characterized by depersonalization, emotional exhaustion, and lack of personal accomplishment. Since the COVID-19 pandemic, nurse burnout rates have been at an all-time high, posing a significant threat to patient care. This has revealed alarming results: Nurse …

Improving Utilization Of Interqual Among Case Managers/Patient Care Coordinators At Santa Clara Medical Center, Czar Binuya Viesca

Master's Projects and Capstones

Problem: The utilization management department at Santa Clara Medical Center had low compliance with InterQual criteria, at 35%. This resulted in inconsistent care decisions, poor resource allocation, and regulatory penalties, affecting patient care and performance.

Context: The project aimed to enhance InterQual utilization, aligning with Santa Clara Medical Center's goals of evidence-based, patient-centered care. The initiative was guided by Jesuit values and ANA ethical standards, focusing on service, justice, excellence, patient advocacy, and professional responsibility.

Interventions: The project implemented three main interventions: comprehensive training programs, regular audits, and performance recognition. These interventions aimed to address gaps and ensure the …

Improving Patient Care Experience By Increasing Medication Communication, Honey Varghese

Master's Projects and Capstones

Background: Patient [DA1] care experiences profoundly impact a hospital's competitiveness and financial viability. Effective communication about medications and their potential side effects is not just a communication strategy but a powerful tool that signifies safe patient care, leads to improved health outcomes, improves medication compliance, and reduces readmissions related to medication side effects and non-compliance.

Problem: Effective communication about medications and their potential side effects is a significant indicator of safe patient care and improved health outcomes. The cardiac telemetry unit of a medical center in Northern California has not met the regional benchmark related to medication communication.

Context: The …

Promoting Awareness In Nurses: Developing Culturally Competent Hair Care Education To Eliminate The Equity Gap For Bipoc Children In Inpatient Settings, Sharlene S. Lansiquot

Doctor of Nursing Practice Projects

Problem

A survey that was administered to staff members on nine units at a pediatric hospital assessing their awareness of hair care for Black, Indigenous, and people of color (BIPOC) indicated a lack of awareness. This impacts the fundamentals of nursing care, which encompasses cultural sensitivity and promoting health equity. In this survey, 12.18% (n=52) of the 427 patients on the nine participating units between December 12, 2023, and January 19, 2024, identified as BIPOC. Although this was the case, the survey sent out on December 12, 2023, to staff members on nine units which included 491 nurses, with 104 …

Reducing Hapi On A Medical Surgical Telemetry Unit, Emily Nicole Johansen

Master's Projects and Capstones

Abstract

Problem: Hospital-acquired pressure injuries (HAPI) are a global issue that harms patients, prolongs lengths of stay, and increases hospital costs and financial burdens. Because HAPIs are preventable, hospital organizations worldwide are implementing prevention strategies to improve the quality of care and quality of life and decrease costs associated with them.

Context: The 24-bed medical-surgical telemetry unit is one of five adult inpatient units within a Northern California hospital. The patient population includes an increased number of patients who are at risk of HAPI. The unit struggles with HAPI prevention, and the staff is challenged with implementing proper HAPI prevention …

Successful Implementation Of Hourly Rounding To Reduce Falls, Charles Langdon

Master's Projects and Capstones

Abstract

Background: Patient falls in healthcare settings have significant implications, contributing to extended hospital stays, increased medical costs, and adverse physical and psychological effects on patients. This study explores the impact of patient falls, the potential benefits of implementing hourly rounding, and the strategies to reduce falls and improve patient outcomes.

Problem: A northern Californian hospital’s med surge/telemetry unit reported approximately 49 falls over the past two years. A quality improvement project was initiated to reduce falls and improve patient outcomes. The context section includes a microsystem assessment, purpose, and SWOT analysis, providing insights into the microsystem’s strengths, …

Safety And Effectiveness Of Irreversible Electroporation In Lymph Node Metastases, Govindarajan Narayanan, Brian Schiro, Ripal Gandhi, Constantino Pena

All Publications

Purpose: Demonstrating the safety and efficacy of percutaneous irreversible electroporation (IRE) for the treatment of lymph node metastases.

Materials and methods: An IRB-approved, single-center retrospective review was performed on patients with lymph node metastases gastrointestinal, and genitourinary primary cancers. Primary objective safety was evaluated by assessing complications graded according to the Clavien-Dindo Classification, and efficacy was determined by tumor response on follow-up imaging and local progression-free survival (LPFS). Secondary outcome measures were technical success (complete ablation with an adequate ablative margin > 5 mm), length of hospital stay and distant progression-free survival (DPFS).

Results: Nineteen patients underwent percutaneous IRE between June …

Tumour-Intrinsic Endomembrane Trafficking By Arf6 Shapes An Immunosuppressive Microenvironment That Drives Melanomagenesis And Response To Checkpoint Blockade Therapy, Yinshen Wee, Junhua Wang, Emily C Wilson, Coulson P Rich, Aaron Rogers, Zongzhong Tong, Evelyn Degroot, Y N Vashisht Gopal, Michael A Davies, H Atakan Ekiz, Joshua K H Tay, Chris Stubben, Kenneth M Boucher, Juan M Oviedo, Keke C Fairfax, Matthew A Williams, Sheri L Holmen, Roger K Wolff, Allie H Grossmann

Faculty, Staff and Student Publications

Tumour-host immune interactions lead to complex changes in the tumour microenvironment (TME), impacting progression, metastasis and response to therapy. While it is clear that cancer cells can have the capacity to alter immune landscapes, our understanding of this process is incomplete. Herein we show that endocytic trafficking at the plasma membrane, mediated by the small GTPase ARF6, enables melanoma cells to impose an immunosuppressive TME that accelerates tumour development. This ARF6-dependent TME is vulnerable to immune checkpoint blockade therapy (ICB) but in murine melanoma, loss of Arf6 causes resistance to ICB. Likewise, downregulation of ARF6 in patient tumours correlates with …

Is Mild Really Mild?: Generating Longitudinal Profiles Of Stroke Survivor Impairment And Impact Using Unsupervised Machine Learning, Achini Adikari, Rashmika Nawaratne, Daswin De Silva, David L. Carey, Alistair Walsh, Carolyn Baum, Stephen Davis, Geoffrey A. Donnan, Damminda Alahakoon, Leeanne M. Carey

2020-Current year OA Pubs

No abstract provided.

The Bench To Community Initiative: Community-Based Participatory Research Model For Translating Research Discoveries Into Community Solutions, Jazma L. Tapia, Abigail Lopez, D. Bing Turner, Tonya Fairley, Tiah Tomlin-Harris, Maggie Hawkins, Pastor Rhonda Holbert, Lindsey S. Treviño, Dede K. Teteh-Brooks

Health Sciences and Kinesiology Faculty Articles

Methods: Community-based participatory research (CBPR) is an effective methodology for translating research findings from academia to community interventions. The Bench to Community Initiative (BCI), a CBPR program, builds on prior research to engage stakeholders across multiple disciplines with the goal of disseminating interventions to reduce breast cancer disparities and improve quality of life of Black communities.

The BCI program was established to understand sociocultural determinants of personal care product use, evaluate the biological impact of endocrine disrupting chemicals, and develop community interventions. The three pillars of the program include research, outreach and engagement as well as advocacy activities. The research …

Cooperative Extension’S Role In Addressing The Opioid Overdose Crisis: Best Practices From The Heart Initiative Model, Hailey Judd, Alise Williams Condie, Ashley C. Yaugher, Mateja R. Savoie-Roskos, Gabriela Murza, Timothy Keady, Sadie Wilde, Rachel Myrer, Maren Wright Voss

Journal of Extension

Cooperative Extension is in a unique position to address health and wellness concerns across the country, particularly in rural areas with local Extension services. One innovative model, the Health Extension: Advocacy, Research, and Teaching (HEART) Initiative, unites Extension, community organizations, and community members in collaborative activities to address the complex, multifaceted components of substance use disorder. The model utilized a multidisciplinary team and community-based participatory research (CBPR) approach with evidence-based practices to increase Extension’s abilities to guide and tailor programming to local needs and to create significant impacts. Cooperative Extension’s long history of engagement in the community, with state and …

Fantasy In The Anthropocene, Brian Attebery, Marek Oziewicz, Jack Zipes

Mythcon

“Fantasy in the Anthropocene” was inspired by the Fantasy Scholarship finalist from last year, edited by U of MN Prof. Marek Oziewicz, Prof. Brian Attebery and Prof. Teresa Dédinova, a unique collection of mini essays, stories, poetry and artwork. As its description puts it, “Fantasy and myth have long been humanity’s most advanced technologies for collective dreaming. Today they are helping us adopt a biocentric lens, re-kin us with other forms of life, and assist us in the transition to an ecological civilization.” With both Brian and Marek available for this discussion, joined by Prof. Jack Zipes, we want to …

Minicor: Miniature Coronagraph For Heliophysics Research, Angelos Vourlidas, Aaron Magner, James Mason, Luc Gilles, Joe Centurelli, Arnaud Thernisien, Clarence Korendyke, Gabriel Gutierrez, Giogia Casadei, Miguel Pereira

Small Satellite Conference

Coronagraphs are the only instruments that can capture the development of coronal mass ejections (CMEs) throughout the near-Sun space. Thus, they provide critical information for the physics of CME evolution and propagation and consequently for space weather forecasting. It makes strategic sense to lower the technological and logistical barriers for maintaining space-based coronagraphic observations. MiniCOR is an ambitious coronagraph design to address these challenges. The technical goal of MiniCOR is to demonstrate that a low-cost miniaturized 3U coronagraph, can return data with higher cadence and equal or better sensitivity than currently operating full-size coronagraphs. MiniCOR is a funded project under …

The Year In Astronomy, Michael Kauper

Mythcon

This is a slide presentation by Michael Kauper about the developments in Astronomy over the past year, and suggestions of what to watch for in the sky over the next few months, a tradition at Diversicon.

Untangling Safe-Mode Anomalies On The Cute Cubesat, Sebastian Escobar, Arika Egan, Kevin France, Dolon Bhattacharyya

Small Satellite Conference

The Colorado Ultraviolet Transit Experiment (CUTE) is NASA's first 6U NASA Astrophysics CubeSat built by the Laboratory for Atmospheric and Space Physics (LASP). Its primary purpose is to observe the evolving atmospheres of short-period exoplanets in the near-ultraviolet. It was launched in September 2021 into a ~560 km, polar orbit with a 98.5° inclination. The spacecraft bus, featuring avionics and an attitude determination and control system (ADCS) with a single star tracker, was supplied by Blue Canyon Technologies (BCT). Since its launch, CUTE has experienced an unusually high frequency of ADCS-driven safe mode events, occurring up to three times per …

Big Red Sat-1: Mission Overview And Future Opportunities For Perovskites In Low Earth Orbit, Walker S. Arce, Vince Orsi, Nick Wayman, Joel Murch-Shafer, Karen Stelling, Robert Schmidt, Kelly Schutt, Joseph M. Luther, Hadi Afshari, Ian Sellers

Small Satellite Conference

Perovskite solar cells are an emerging technology that holds the promise of reducing the size and weight of solar panels on satellites. While many research laboratories have produced perovskite solar cells and characterized their performance in laboratory conditions, few have endeavored to launch them into space. The Big Red Sat-1 (BRS-1) is one such satellite, designed to incorporate three different perovskite solar cell architectures along with custom curve tracing instrumentation for launch into low earth orbit through NASA's CubeSat Launch Initiative. The curve tracer is realized using a precision resistor ladder with high quality current and voltage measurements. Perovskite solar …

Statistical Anomaly Analysis Of Small Satellite Missions Focusing On Payloads, Alexander Schmidt, Nico Gerster, Johannes Bachmann, Alexander Groß, Roger Förstner

Small Satellite Conference

With the rapid development of space technology, the number of new satellites has expanded rapidly in recent years, and the applications of satellites have gradually expanded into other industries and deeper into academia. While the small satellite category is experiencing significant growth, the behavior of small satellites still requires more in-depth study. A growing number of academic and industrial customers are looking to use satellites to achieve their scientific or business goals without having to develop a full satellite mission, including a satellite platform. Hosting payloads on other satellites or procuring pre-qualified platforms enables new mission flexibility while minimizing the …

Mission Architecture For The Green Propulsion Dual Mode Mission, Kevin Tong, Samuel Wood, Mohit Singh, Conner Awald, Rithvik Nagarajan, Briana Paul, Dev Gujarathi, E. Glenn Lightsey, Nehemiah J. Williams, Christopher G. Burnside, Beau C. Simpson

Small Satellite Conference

Current spacecraft propulsion technologies are broadly divided into chemical and electric propulsion modes, each of which has unique advantages. It is common for both systems to have a place in interplanetary spacecraft, but the size, weight, and power required to carry two separate propulsion systems is extremely limiting for small spacecraft such as CubeSats. The upcoming NASA STMD-funded Green Propulsion Dual Mode (GPDM) mission will demonstrate on-orbit a novel dual-mode propulsion system known as the GPDM Propulsion System that uses the AF-M315E/ASCENT green monopropellant to feed both a chemical 100 mN monopropellant thruster and four electrospray thrusters. GPDM will fly …

Contentcube: A 1u Cubesat To Test Display Screens In Space, Joseph Esser, Jason Jagoda, Steffen Winther, Timothy Mcevoy, Tejas Vinod, Larsen Vanofferen, Dylan Cooper, Kevin Schroeder

Small Satellite Conference

ContentCube is a novel 1U CubeSat developed by inspireFly at Virginia Polytechnic and State University, in collaboration with Bronco Space at Cal Poly Pomona. The mission of ContentCube is to test the performance of the Adafruit breakout board OLED screen in orbit. This mission could pave the way for using display screens in the space environment. Such applications could include astronauts having displays on their suits that they can use to monitor critical information, or robotic systems having complex digital displays. The external display screen will be tested through a novel payload designed and tested at Virginia Tech. This payload …

Harnessing Cubesat Technology For Precision Pesticide Management In Egyptian Agriculture, Motaz El Sayed, Salem Abdou, Abdelhamid Sherif

Small Satellite Conference

This paper presents the development of an autonomous spraying robot designed to optimize agricultural practices through precise pesticide application, facilitated by the integration of real-time satellite data. The robot utilizes multispectral imaging from satellites, including NDVI and thermal data, to assess crop health and identify specific needs for intervention. The system aims to significantly reduce the volume of chemicals used in farming by targeting only the areas that require treatment, thus minimizing environmental impact while maintaining or enhancing crop yield. By employing advanced algorithms for data processing and machine operation, the robot autonomously navigates through fields, delivering pesticides in an …

Overuse Injury Prevention Program For High School And College Flutists, Judy Kim, Cassandra M. Nelson

Summer 2024 OTD Capstone Symposium

College and high school flutists face significant health risks, including a high prevalence of playing-related injuries and associated psychological stress and social pressures to perform despite the pain. The asymmetrical posture and specific hand and arm positions required for playing the flute increase the risk of musculoskeletal injuries due to repetitive, non-ergonomic movements. This program addresses these unique health challenges by integrating occupational therapy (OT) principles, providing comprehensive education, and injury prevention and management strategies. The program seeks to raise awareness of overuse injuries, enhance self-confidence in managing stress, and implement injury prevention techniques. Expected outcomes include a deeper understanding …

Acceptability Of Heart Rate-Based Remote Monitoring Of Smoking Status., Matthew Mitnick, Shelby Goodwin, Mikaela Bubna, Justin S White, Bethany Raiff

College of Science & Mathematics Departmental Research

INTRODUCTION: Digital interventions present a scalable solution to overcome barriers to smoking cessation treatment, and changes in resting heart rate (HR) may offer a viable option for monitoring smoking status remotely. The goal of this study was to explore the acceptability of using smartphone cameras and activity trackers to measure heart rate for use in a smoking cessation intervention.

METHODS: Participants (N=410), most of whom identified as female (75.8 %) with mean age 38.3 years (SD 11.4), were recruited via the Smoke Free app. They rated the perceived comfort, convenience, and likelihood of using smartphone cameras and wrist-worn devices for …

Measuring Program Effectiveness Of The Assistive Social Skills And Employment Training, Alyssa A. Chappel

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Medical Assistants Adherence To The Jnc-8 Guidelines In A Primary Care Clinic, Mary Jacob

Doctor of Nursing Practice Projects

Hypertension (HTN) is currently one of the most common diseases that is underdiagnosed and under-treated in the primary care setting. The identified gap in practice is that medical assistants need to gain knowledge of the current JNC-8 HTN guidelines and, therefore, do not apply the JNC-8 guidelines to patient management. This project aimed to educate medical assistants in a primary care clinic on the Joint National Committee 8 (JNC-8) guidelines to improve their HTN management knowledge over four weeks. The social cognitive theory and Kurt Lewin’s change management theory guided the project. The project adopted a quantitative, quasi-experimental design whereby …

Lindholm-Leary, Kathryn J., San Jose State University

Emeritus and Retired Faculty Biographies

University of California, Los Angeles ,Psychology, Ph.D. 1981

University of California, Los Angeles, Psychology, M.A. 1977

University of California, Santa Barbara, Psychology, B.A, 1976