Digital Commons Network^™

Safe Patient Handling And Mobility Olympics, Johnny R. Cortez

MSN Capstone Projects

The focus of this study is the implementation of a Safe Patient Handling and Mobility (SPHM) program titled SPHM Olympics. The study reviews the necessary components and background necessary to implement the project as well as evaluation tools to monitor the impact of the program on the safety of culture at Houston Methodist West (HMW). The program originated from the SPHM committee’s need to improve the utilization of SPHM equipment and techniques by clinical staff throughout the hospital as evidenced by the substantial number of clinical staff suffering from musculoskeletal disorders and HMW clinical staff’s current views that SPHM techniques …

Summit 2021/2022: University Of Alaska Southeast's Collection Of Exceptional Works, Shaelene Grace Moler, Sabrina Croft, Olive Brend, Autumn Daigle, Francesca Johnson, Elise Tomlinson, Braden File, Rhayne Loggins, Jurny Hinz, Jessy Goodman, Randy J. Brannan Jr., Krystal Gray, Carolyn Fenno, Keefer Brown, Elizebeth Tallmadge, Skaydu.Û Jules

Summit

A Note from the Writing Specialist: For me, Summit represents pride. I’m so proud of the Writing Center tutors, who took such ownership of this project and created a remarkable collection of student work. I’m proud of the undergraduate students who submitted the work they’d put so much effort and time into. Proud that they have a place designed especially for them to showcase their writing when not many academic publications honor undergraduate work. I know how proud these students’ professors must be to see a piece of writing go from an outline to an award-winning essay. And, I am …

Uas Academic Catalog 2022/2023, N/A N/A

UAS Academic Catalogs (2011-present)

No abstract provided.

Logic And Pragmatics In Ai Explanation (Chapter), Chun-Hua Tsai, John M. Carroll

Information Systems and Quantitative Analysis Faculty Publications

This paper reviews logical approaches and challenges raised for explaining AI. We discuss the issues of presenting explanations as accurate computational models that users cannot understand or use. Then, we introduce pragmatic approaches that consider explanation a sort of speech act that commits to felicity conditions, including intelligibility, trustworthiness, and usefulness to the users. We argue Explainable AI (XAI) is more than a matter of accurate and complete computational explanation, that it requires pragmatics to address the issues it seeks to address. At the end of this paper, we draw a historical analogy to usability. This term was understood logically …

Benthic Carbon Demand And Community Structure Across The Pacific Arctic Continental Shelves, Brittany Robinson Charrier

Marine Biology

High latitude continental shelves are experiencing rapid environmental change. The Pacific Arctic, which includes the northern Bering and southern Chukchi Sea continental shelves, is undergoing warming temperatures, reductions in sea ice, and changes to the marine ecosystem. Fieldwork was conducted across the northern Bering and southern Chukchi Sea continental shelves in June 2017 and June 2018 on the R/V Sikuliaq. The overall objective of this dissertation was to characterize benthic community structure, function, and carbon demand in the Pacific Arctic to serve as baselines for assessing impacts of environmental change. Spatial patterns of macrofauna and meiofauna were characterized, including abundances, …

Appointment Reminder System Benchmark Study, Anthony Rawlinson

MSN Capstone Projects

The average appointment “no-show” rate is 23% across 105 studies (Dantas et al., 2018). These “no-shows” cost an estimated 150 billion dollars a year to the American healthcare industry (Ruiz-Hernandez et al., 2020). Previous estimates place the cost of one no-show event at a primary office in the range of $125 to $274 (Aysola et al., 2020). These missed appointments not only cause a loss in office revenue, but also harm the patients missing the appointment (Marbouh et al., 2020). Some of the repercussions patients suffer from are longer wait times for appointments, higher Emergency Room (ER) admission rates, and …

Health Literacy In Acute Care Benchmark Study, Micah Duke

MSN Capstone Projects

Poor health literacy levels directly correlate to poor patient discharge adherence and to an increase in repeat emergency department visits and healthcare costs. In addition, poor health literacy levels are directly correlated to a decrease in patient health outcomes. Studies clearly demonstrate that determining patient health literacy levels can be used to develop appropriate discharge instructions and education that will improve patient adherence and health outcomes, thus reducing emergency department readmissions and healthcare costs.

The purpose of this benchmark project is to implement procedures for consistently obtaining patient health literacy levels, along with language preferences, using the HLS-SF12 and to …

Supporting Nurse Residency Programs By Determining Nurse Residency Value, Byron Carlisle

MSN Capstone Projects

There is a strong influence on retention of the new graduate nurse during the first year of a nurse residency program. A positive correlation between nurse residency programs and return on investment were found. The retention of the new graduate nurse is influenced on precepting and mentoring of the new graduate nurse. Standardizing the reporting of interventions should be the focus on future studies as there are many interventions in regards to precepting and mentoring that influence retention.

Resuscitation Of Hypovolemic Trauma Patients: Controlled /Hypotensive Resuscitation Vs. Conventional Resuscitation, Pamala D. Mcgowan

MSN Capstone Projects

The manner in which clinicians have used to resuscitate hemorrhagic trauma patients has been a continuous repetitive cycle over time. The cycle has gone from “run the fluids wide open in the patient” to “less is more in the patient”. As more evidence-based practice (EBP) emerges, reasons for ‘less is more’ become acutely evident. Large fluid volume resuscitation is highly suspicious for the exacerbation of the lethal triad of trauma: hypothermia, acidosis, and coagulopathy, thereby increasing bleeding and mortality (Cotton et al., 2006). The increased risk of bleeding also worsens the complications associated with trauma resuscitation. This all creates a …

Central Line Maintenance Team, Lauren Spears

MSN Capstone Projects

Background: CLASBI infections increase morbidity and mortality rates in intensive care units. Studies have shown that line teams can reduce CLASBI rates by 65% (Cuccaro et al., 2020).

Objective: This narrative review aims to determine if initiation of central line maintenance teams will help reduce CLASBI rates in the ICU.

Summary Databases including CINAHL, PubMed, and Cochrane were searched for randomized control trials (RCT), systemic, qualitative and case control studies to find research study evidence to determine if a dedicated central line maintenance team, specifically for insertion and dressing changes, will help reduce CLASBI rates in the ICU setting. The …

Using Simulation To Develop Clinical Judgment In New-To-Practice Emergency Department Nurses: An Evidence-Based Benchmark Project, Moreno Divine Comiskey

MSN Capstone Projects

In the past 6 months, the Emergency Department at the George Washington University Hospital has onboarded over twice as many new-to-practice nurses as experienced emergency nurses. Studies suggest that these new-to-practice nurses often are deficient in clinical judgment, and our observations at our hospital support these findings. Researchers have found that onboarding programs that include simulation have success in improving clinical judgment, and advocate for its use. Simulation gives another angle to the onboarding program in addition to preceptorship and classroom learning, and allows participants to bridge the gap between theory and practice safely and without fear of harming a …

The Use Of Standardized Patients To Improve Communication Skills: A Benchmark Study, Baylee A. Azbell

MSN Capstone Projects

Effective communication is an important skill set for all nurses to withhold. In the medical field, poor communication skills have been associated with negative patient outcomes, increase in patient dissatisfaction and complaints, faulty treatment adherence, inadequate patient education, malpractice claims and poor patient and healthcare team relationships (Lin et al., 2013). Communication is a learned skill and needs to be taught from the very beginning of nursing school. Nursing schools need to be proactive and prepare their nursing students in promoting clear communication skills to ensure patient safety and satisfaction in care. This issue led to the benchmark project that …

Change Of Policy Regarding Evidence Based Practice Interventions In Postpartum Hemorrhages And Promotion Of Standardization Of Care, Danielle Fulton

MSN Capstone Projects

Postpartum Hemorrhages are occurring at a devastating rate and require intervention, as postpartum women can die from hemorrhages. This project aims to establish interventions that should be a set policy, to help decrease the rate in which postpartum hemorrhages occur and the morbidity rate.

Are Constitutional Rights Enough? An Empirical Assessment Of Racial Bias In Police Stops, Rohit Asirvatham, Michael D. Frakes

Northwestern University Law Review

This Article empirically tests the conventional wisdom that a permissive constitutional standard bearing on pretextual traffic stops—such as the one announced by the Supreme Court in Whren v. United States—contributes to racial disparities in traffic stops. To gain empirical traction on this question, we look to state constitutional law. In particular, we consider a natural experiment afforded by changes in the State of Washington’s rules regarding traffic stops. Following Whren, the Washington Supreme Court first took a more restrictive stance than the U.S. Supreme Court, prohibiting pretextual stops by police officers, but later reversed course and instituted a …

Affirmative Counseling With Lgbqqia Individuals: A Training And Resource Manual For Mental Health Counselors, Tena Prestidge

Dissertations, Theses, and Projects

This article is a review of literature related to issues associated with working with LGBQQIA clients. Although not an exhaustive review, the literature provides evidence of the need for additional training to improve the confidence and competence of counselors working with this population. Further, information is provided on what makes a counselor competent to work with LGBQQIA clients and evidence-based practices that have been shown to be effective in working with them. Following this review, a training and education manual is presented to help fill the need of additional training related to working with this population.

E-Device Purchase And Disposal Behaviours In The Uae: An Exploratory Study, Ayisha Siddiqua, Maisa El Gamal, Waheed Kareem Abdul, Lama Mahmoud, Fares M. Howari

All Works

The United Arab Emirates (UAE) is one of the high-income countries in the Middle Eastern region and is vying for sustainable development in every sector. One of the UAE sustainable development goals is to ensure sustainable consumption and production patterns; hence, the emphasis is on circular economy. UAE is one of largest consumers of e-devices, and their proper disposal is of paramount importance. E-waste disposal awareness leads to better disposal behaviors. Therefore, the purpose of the study was to understand the e-device purchase and disposal behaviour among university communities in the UAE. A survey was conducted among the students and …

Covid-19 Exposure And Health Alerts, Georgia Southern University

Covid-19 Pandemic: News & Publications (Archived)

No abstract provided.

Modern Sentencing Mitigation, John B. Meixner Jr.

Northwestern University Law Review

Sentencing has become the most important part of a criminal case. Over the past century, criminal trials have given way almost entirely to pleas. Once a case is charged, it almost always ends up at sentencing. And notably, judges learn little sentencing-relevant information about the case or the defendant prior to sentencing and have significant discretion in sentencing decisions. Thus, sentencing is the primary opportunity for the defense to affect the outcome of the case by presenting mitigation: reasons why the nature of the offense or characteristics of the defendant warrant a lower sentence. It is surprising, then, that relatively …

Barriers And Resources For Competitive Adaptive Rock Climbing, Amy Griswold, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this project was to (1) identify barriers to participation in competitive adaptive rock climbing for adults with a physical disability and (2) create and distribute virtual educational resources to meet identified barriers. The need for this project was highlighted by athlete and coach self-report of limited ability to engage in competitive adaptive rock climbing, also known as paraclimbing.

The sample consisted of 108 adaptive athletes, adaptive rock-climbing coaches, staff members in rock climbing gyms, and volunteers at adaptive rock climbing events. Participants anonymously completed a ten-minute mixed methods virtual survey using Microsoft Forms.

Statistical analyses suggest recurrent …

Supporting The Transition Out Of The Family Caregiver Role: An Occupation-Centered Approach, Whitney Wilbanks, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Engagement in meaningful and valued occupations can be used as a means to help former family caregivers cope, heal, and grow following the loss of their loved one (Pickens, 2011). Occupational engagement can be used as a means to help former family caregivers reshape their personal identity, experience a sense of wholeness, and reestablish purpose and balance in their lives (Hocking, 2016). The purpose of this doctoral capstone project was to educate hospice care staff on ways to support individuals with transitioning out of the family caregiver role following the death of the care recipient. An educational resource was developed …

Who's Publishing What: Raising Jess, Erma Bombeck Writers' Workshop

Erma Bombeck Writers' Workshop Blog

Vickie Rubin's book Raising Jess: A Story of Hope, tells of a family changed forever by the birth of a child with special needs and their courageous decision to choose hope.

Prison And Jail Civil Rights/Conditions Cases: Longitudinal Statistics, 1970-2021, Margo Schlanger

Law & Economics Working Papers

These tables relating to prison and jail civil rights litigation in federal court update prior-published versions, using data available as of April 6, 2022.

The Tables show longitudinal statistics about case filings, features, and outcomes, for jail/prison civil rights and conditions cases and for the entire federal civil docket, grouped by case category.
List of tables:
Table A: Incarcerated Population and Prison/Jail Civil Rights Filings, FY1970–FY2021
Table B: Pro Se Litigation in U.S. District Courts by Case Type, Cases Terminated Fiscal Years 1996–2021
Table C: Outcomes in Prisoner Civil Rights Cases in Federal District Court, Fiscal Years 1988–2021
Table D: …

The Impact Of An Innovative Simulation On Prelicensure Nursing Student Empathy Levels, Annie Harrison

Articles, Abstracts, and Reports

Empathy is the ability to see oneself in the situation of another and to take actions on behalf of that individual based on that perception. However, empathy has been shown to decrease in nursing education and continues to do so in nursing practice. Importantly, aspects of empathy have been shown to be teachable. This scholarly practice project examined whether an innovative simulation would increase empathy in prelicensure nursing students. This study, guided by self-determination theory (SDT) and designed according to the Plan-Do-Study-Act (PDSA) change model, used a mixed-methods design. The instrument for quantitative data collection was the Toronto Empathy Questionnaire …

Lorena King Fairbank And John King Fairbank: South Dakota Cosmopolitans, Greg Rohlf

College of the Pacific Faculty Books and Book Chapters

No abstract provided.

Analysis Of A Future Dentist, Monica J. Nagy

Honors Projects

My Senior Honors Project at GVSU is centered around the options I will have in front of me once I graduate from dental school. First I researched what the future of dentistry will look like 10 years from now. The COVID-19 pandemic has greatly impacted the dental field, creating better sanitation and procedural changes that will likely last forever. The second part of my project entailed the creation of a Business Model Canvas for owning a private dental practice. The final aspect of my project is a presentation of my potential plans of action. The powerpoint provides the steps for …

Technology Methods In The Bariatric Postoperative Follow-Up Phase Benchmark Study, Haley Rogers

MSN Capstone Projects

Diet and exercise seem to be the safer option for weight loss, but many individuals struggle to achieve maximum weight loss with these methods. Bariatric surgery has become a growing trend to help combat the obesity epidemic that society is now facing. A large increase in sleeve gastrectomy has been utilized and in 2013, there was a documented 468, 609 cases of bariatric surgery performed worldwide (Sherf Dagan et al., 2017). Bariatric surgery has been shown to provide the greatest level of weight loss when compared to traditional methods that include diet and exercise (Khan, 2016). Weight regain has been …

Xxai - Beyond Explainable Ai, Andreas Holzinger Ed., Randy Goebel Ed., Ruth Fong Ed., Taesup Moon Ed., Klaus-Robert Muller Ed., Wojciech Samek Ed., Chun-Hua Tsai

Information Systems and Quantitative Analysis Faculty Books and Monographs

This is an open access book.

Statistical machine learning (ML) has triggered a renaissance of artificial intelligence (AI). While the most successful ML models, including Deep Neural Networks (DNN), have developed better predictivity, they have become increasingly complex, at the expense of human interpretability (correlation vs. causality). The field of explainable AI (xAI) has emerged with the goal of creating tools and models that are both predictive and interpretable and understandable for humans.

Explainable AI is receiving huge interest in the machine learning and AI research communities, across academia, industry, and government, and there is now an excellent opportunity to …

To Use Or Not To Use Oxygen For Mi Benchmark Study, Alexia Celaya

MSN Capstone Projects

It is a common practice for emergency personnel to administer oxygen for a patient diagnosed with a myocardial infarction. It is a well-known practice to place the patient on supplemental oxygen even if they are not hypoxic. The use of supplemental oxygen has been a cornerstone in the treatment of myocardial infarction. The rationale behind the administration of oxygen therapy is to increase oxygen delivery to the myocardium, therefore limiting the infarct size and future complications (Hofmann et al., 2017). The use of supplemental oxygen on normoxic patients has been challenged due to the possibility of causing further injury to …

Apakah Penerapan Desentralisasi Memberikan Dampak Yang Tidak Baik? Studi Permukiman Kumuh Di Jabodetabek, Meila Husna, Muhammad Halley Yudhistira

Jurnal Kebijakan Ekonomi

The implementation of decentralization should have a positive impact on regional progress. Since its implementation in 2001, decentralization in Indonesia has become deeper and wider. Using the slum settlement policy as a study approach, this study will examine the impact of decentralization and how persistent these impacts are. The estimation results using RD-DiD shows that the implementation of decentralization has a negative correlation with the arrangement of slums in the Jabodetabek area. The area of slums is 45% greater than the year before decentralization or a non-decentralized area. Thus, in the aspect of structuring the slums, it can be concluded …

Subgroup-Specific Dose Finding For Phase I-Ii Trials Using Bayesian Clustering, Alexandra Curtis, Brian Smith, Andrew G. Chapple

School of Medicine Faculty Publications

In most models and algorithms for dose-finding clinical trials, it is assumed that the trial participants are homogeneous—the optimal dose is the same for all those who qualify for the trial. However, if there are heterogeneous populations who may benefit from the same treatment, it is inefficient to conduct dose-finding separately for each group, and assuming homogeneity across all subpopulations may lead to identification of the incorrect dose for some (or all) subgroups. To accommodate heterogeneity in dose-finding trials when both efficacy and toxicity outcomes must be used to identify the optimal dose (as in immunotherapeutic oncology treatments), we utilize …