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Articles 201211 - 201240 of 1739118
Full-Text Articles in Entire DC 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 …
Implementation Of A Prediabetes Risk Assessment And Motivational Interviewing In Adults Ages 35 And Older, Emma Lilleberg
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 …
Impact Of An End-Of-Life Simulation On Nurses’ Attitudes, Self-Confidence, And Communication Skills, Amanda Scofield
Impact Of An End-Of-Life Simulation On Nurses’ Attitudes, Self-Confidence, And Communication Skills, Amanda Scofield
Doctor of Nursing Practice (DNP) Practice Innovation Projects
Background: New graduate nurses (NGNs) often lack exposure to end-of-life (EOL) care. Simulation experiences offer a safe place for learning and reflection. Implementation of an EOL simulation has the potential to increase NGNs attitudes, selfconfidence, and communication skills.
Methods: Forty-one NGNs in a nurse residency program participated in an EOL simulation. Attitudes toward EOL, self-confidence regarding EOL care, and EOL communication were evaluated using a pretest posttest format.
Results: Following the simulation, mean self-confidence scores increased, however the increase was not statistically significant (p = 0.53). Mean scores increased for 1 of 2 categories related to attitude toward EOL, however …
Impact Of Evidence-Based Interventions On Nurse Burnout Among Ambulatory Care Nurses, Haley M. Lupher
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 …
Implementation Of A Daily Protocol To Reduce Central Line Days On A Medical-Surgical Unit, Katherine Wickstrom
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 …
Improving Preventive Care Tasks In Adults Aged 50 And Older With Pre- Visit Planning In Primary Care: Review Of Literature, Destinee Rice
Improving Preventive Care Tasks In Adults Aged 50 And Older With Pre- Visit Planning In Primary Care: Review Of Literature, Destinee Rice
Doctor of Nursing Practice (DNP) Practice Innovation Projects
Introduction: Primary care providers are seeing an increased number of elderly patients with several chronic health issues. The time required to address multiple chronic health issues during an appointment impedes timely completion of preventive care tasks. Previsit planning can aid in closing this gap in preventative care by having all necessary information prepared before a patient’s visit.
Evidence Summary: A literature search was conducted in Cumulative Index to Nursing and Allied Health Literature and PubMed using subject headings and MeSH terms. The search was refined to include articles within the last 10 years. Articles were further narrowed down by their …
Implementing The Teach-Back Method On Pessary Utilization In A Urogynecology Clinic, Marissa Eich
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: …
Reducing Emergency Department Decision To Admit To Disposition Time Using The Sydney Triage To Admission Risk Tool, Jolyn Sackmann
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 …
Reduction Of Pressure Injury Development In Long-Term Care Residents Using A Pressure Injury Prevention Plan And Communication Alerts, Joseph Osazee
Reduction Of Pressure Injury Development In Long-Term Care Residents Using A Pressure Injury Prevention Plan And Communication Alerts, Joseph Osazee
Doctor of Nursing Practice (DNP) Practice Innovation Projects
Background: Accurate communication of changes in residents' skin condition and the provision of appropriate intervention in long-term care is key to ensuring patient safety and well-being through the prevention of pressure injury (PI) development. Effective use of a PI prevention plan and communication tools by certified nursing assistants (CNAs) and nurses can help in this regard.
/="/">Methodology: Thirty-three nursing staff attended an initial I -hour education session on how to identify changes in skin conditions and report them using the as needed (PRN) skin check tool or custom alert tool and implement interventions to prevent PI progression. The Pieper-Zulkowski …
Evaluation Of A Novel Corn Fermented Protein Ingredient, Probiotics, And Postbiotics On Nursery Pig Growth Performance And Gut Health, Juan F. Castillo Zuniga
Evaluation Of A Novel Corn Fermented Protein Ingredient, Probiotics, And Postbiotics On Nursery Pig Growth Performance And Gut Health, Juan F. Castillo Zuniga
Electronic Theses and Dissertations
Weaning is a necessary step in pig production. After weaning, pigs are subjected to various nutritional, psychological, and environmental stresses. The weaning period is an important period for the intestinal development of the pig. During this time, digestion, immunity, metabolism, and various other aspects of the pig change rapidly. Therefore, providing high-quality feed ingredients is crucial to encourage the newly weaned pig to start consuming solid feed. Two independent studies were conducted to determine if the inclusion of: 1) corn fermented protein (CFP) or 2) probiotics or postbiotics impact nursery pigs' growth performance and gut health. The first experiment utilized …
Evaluating Deterministic Approaches To Forecast Population By Educational Attainment In The United States, Wei Gu
Electronic Theses and Dissertations
Forecasting population by educational attainment not only benefit government planning on allocating educational resources, labor market demand, and long-term human capital and overall well-being of society (Lutz et al. 2008), but also help predicting size and structure of future population (Lutz and KC 2011). To seek effective method to produce precise results with limited resources, this dissertation compared the Cohort Component Method (CCM) and Hamilton Perry (HP) method to forecast population that are 25 years and older with Associate’s degree and above, and evaluated how factors may impact the accuracy, and how factors interact with each other to influence the …
Anemia In Highly Prolific Sows: Implications On Piglet Outcomes, Farrowing Complications, And Longevity Considerations, Katlyn A. Mcclellan
Anemia In Highly Prolific Sows: Implications On Piglet Outcomes, Farrowing Complications, And Longevity Considerations, Katlyn A. Mcclellan
Electronic Theses and Dissertations
No abstract provided.
Identification And Characterization Of Three Novel Rumen Bacterial Species In Sheep Fed A Concentrate Diet, Reid Frederick Anema
Identification And Characterization Of Three Novel Rumen Bacterial Species In Sheep Fed A Concentrate Diet, Reid Frederick Anema
Electronic Theses and Dissertations
Sheep production in the United States is a popular venture for both small farmers and large enterprise owners, as there is a market for end products such as wool and meat. One major factor of raising sheep is nutrition as an adequate diet will allow an animal to reach its full genetic potential for growth. With that in mind, the composition of the diet must be formulated to benefit the animal. Ruminants have the ability to use a variety of plants that are often inedible for humans to create products that humans can consume. These varying feedstuffs, whether they include …
Development And Characterization Of Transparent Soil Using Biodegradable Polysaccharides, Said Badshah
Development And Characterization Of Transparent Soil Using Biodegradable Polysaccharides, Said Badshah
Electronic Theses and Dissertations
No abstract provided.
Overcoming The Effects Of Oily Contaminants On Dna Extraction Efficiency Using Dna Iq™ System, Elizabeth G. Gillece
Overcoming The Effects Of Oily Contaminants On Dna Extraction Efficiency Using Dna Iq™ System, Elizabeth G. Gillece
Master of Science in Forensic Science Directed Research Projects
In forensic science DNA extraction and purification are crucial to DNA analysis as evidentiary items vary in DNA quantity and quality. In casework the goal to is maximize DNA yield, remove PCR inhibitors, and develop a full profile while preserving evidence. Extraction methods are developed to target the DNA for optimal isolation. Solid-phase extraction is advantageous as it can extract DNA from a variety of tissue types, it is amenable to automation, and it provides quick and efficient purification of DNA. Solid-phase extraction methods may have complications with contaminants that hinder the quantity and quality of the DNA recovered. In …
Quantitation And Visualization Of Epithelial Cells On Cartridge Cases, Paige Kibler, Christopher Ehrhardt, Katherine M. Philpott, Jody H. West, Stephanie Walcott
Quantitation And Visualization Of Epithelial Cells On Cartridge Cases, Paige Kibler, Christopher Ehrhardt, Katherine M. Philpott, Jody H. West, Stephanie Walcott
Master of Science in Forensic Science Directed Research Projects
Fired cartridge cases are a common type of evidence submitted to forensic DNA profiling but are challenging to analyze because they usually contain only trace amounts of biological material. As such, there is a significant need in caseworking units for new screening techniques to determine if biological material is present and is in high enough quantity to attempt DNA profiling. The goal of this study was to test a new method for quickly visualizing biological material on cartridge cases. Biological deposits were created by handling fired and unfired cartridge cases through a series of conditions. The biological material was collected …
Abundance And Habitat Associations Of Bivalves In Mosquito Lagoon, A Preliminary Survey, Mariam Sonbol
Abundance And Habitat Associations Of Bivalves In Mosquito Lagoon, A Preliminary Survey, Mariam Sonbol
Honors Undergraduate Theses
This study investigates the understudied abundance and habitat associations of bivalves in Mosquito Lagoon. Seagrass habitats were found to support the highest diversity of mollusks in earlier surveys (Mikkelsen et al., 1995). Twelve sites, including seagrass-vegetated, unvegetated, and seagrass-restored areas, were sampled in March and May 2024. Habitat characteristics, such as sediment composition and seagrass cover, were analyzed alongside bivalve populations. Across all sites, 6 genera were identified among 44 individuals. Overall abundance and diversity of bivalves collected were low in all sites, and most individuals were juveniles. Sediment characteristics influenced differences in diversity across site types, with restored sites …
The Effect Of Mating Pheromone 2,6-Dichlorophenol On Gene Expression In Male Lone Star Ticks (Amblyomma Americanum), Mitchell E. Dyen
The Effect Of Mating Pheromone 2,6-Dichlorophenol On Gene Expression In Male Lone Star Ticks (Amblyomma Americanum), Mitchell E. Dyen
Honors Undergraduate Theses
Lone star ticks (Amblyomma americanum) are tick species known for their generalist feeding habits, pursuing blood meals with little preference for specific host species. They are found in the southern and midwestern United States but have been rapidly expanding northward due to climate change and white-tailed deer population expansion. Since they are a zoonotic disease vector, their increased abundance has caused the concurrent increased prevalence of a variety of tick-borne illnesses such as tularemia, heartland virus disease, alpha-gal syndrome, ehrlichiosis, and southern tick-associated rash illness (STARI), which effect both humans and animals alike. This increased prevalence of tick-borne …
No-Fault Compensation Plans In Negligence Cases: Is The Exclusive Remedy Constitutional?, Elizabeth A. Wyman
No-Fault Compensation Plans In Negligence Cases: Is The Exclusive Remedy Constitutional?, Elizabeth A. Wyman
Honors Undergraduate Theses
The Florida Birth-Related Neurological Injury Compensation Act has been the subject of intense scrutiny regarding its efficacy, constitutionality, and ethical implications, specifically as it relates to the widespread practice of patients agreeing to its terms prior to providing them with prenatal care. This research investigates the potential unconstitutionality of the Neurological Injury Compensation Association (NICA) as an exclusive remedy, questioning the legality of the bill under the Fourteenth Amendment due to potential violations of patient rights to litigation. Through a comprehensive analysis of relevant case and statutory laws as well as secondary sources, this paper addresses the ethical and legal …
Coping With Creativity - The Relationship Between Depression/Anxiety And Creative Coping In College-Aged Students, Nelly M. Dragu
Coping With Creativity - The Relationship Between Depression/Anxiety And Creative Coping In College-Aged Students, Nelly M. Dragu
Honors Undergraduate Theses
The relationship between creativity and mental illness has been established in the literature. There are multiple possible explanations for how mental illness and creativity are connected, and creativity has shown to be an effective treatment for different mental illnesses (for example, through art therapy). Despite this, there is limited research on which creative activities those with mental illnesses naturally use to cope. Information on the type of creative coping that the mentally ill naturally gravitate to and find most effective can further inform possible treatment plans and suggestions. This study aims to address gaps in the literature concerning how college-aged …
Epitope Mapping Novel Monoclonal Antibodies Against Borrelia Burgdorferi Surface Proteins Ospc And Bmpa, Eliza M. Doyle
Epitope Mapping Novel Monoclonal Antibodies Against Borrelia Burgdorferi Surface Proteins Ospc And Bmpa, Eliza M. Doyle
Honors Undergraduate Theses
In response to the progressive nature of Lyme disease, direct diagnostic testing of Borrelia burgdorferi surface proteins was proposed as a quicker and more sensitive alternative to the current indirect detection methods. To determine the ability of novel monoclonal antibodies to detect the surface lipoproteins BmpA and OspC, recombinant fragments of these proteins were created. These fragments were tested against the putative diagnostic antibodies via western blotting as a means to map the epitope of each of the proteins that the respective antibodies recognize. All BmpA fragments with deletions on the N-terminal end exhibited reactivity, indicating that the epitope is …
Investigating Various Personality Factors As Predictors Of Poor Belief Updating Regarding Controversial Political Issues, Eric E. Haseman Jr
Investigating Various Personality Factors As Predictors Of Poor Belief Updating Regarding Controversial Political Issues, Eric E. Haseman Jr
Honors Undergraduate Theses
Belief updating is a research area investigating how individuals refine or fail to refine their preexisting beliefs when confronted with corrective sources. Understanding the various drivers of poor belief updating in a political context is essential to maintaining an informed democracy, as the ideal voter in a democratic nation updates political misconceptions and false beliefs when presented with corrective sources. Despite the importance of this topic, the literature examining potential factors that could contribute to poor belief updating in a political context remains particularly limited. I aimed to address this limitation by recruiting undergraduates from the University of Central Florida’s …
The Effect Of Intermittent Fasting, Caloric Restriction And Exercise On Aging And Longevity: Systematic Review, Romi Hardin
The Effect Of Intermittent Fasting, Caloric Restriction And Exercise On Aging And Longevity: Systematic Review, Romi Hardin
Honors Undergraduate Theses
The purpose of this study was to gain a better understanding of the effects of caloric restriction, intermittent fasting, and exercise on human longevity and aging, and explore their practical applications and inclusions into a healthy lifestyle. By reviewing the existing research and studies, this literature review focuses on identifying and explaining the biological mechanism behind these practices and exploring whether combining practices can be advantageous in extending not only lifespan but health span. The results generally indicate that following either caloric restriction or intermittent fasting and participating in regular exercise have immense results on promoting healthy aging in an …
The Role Of Multiteam Systems In Prescribed Fire Operational Incidents, Kevin Llanos
The Role Of Multiteam Systems In Prescribed Fire Operational Incidents, Kevin Llanos
Honors Undergraduate Theses
The purpose of this thesis is to study how multiteam systems (MTS) are implicated in prescribed fire operations and enhance an interdisciplinary understanding of occupational demands in the industry to mitigate worsening environmental challenges. We study publicly accessible sources through a mixed-methods approach applying I/O psychology and discuss relevant literature. Land management plan documentation is reviewed to explore the structural and functional components of prescribed fire teams. We apply theory-driven coding to analyze prescribed fire incident documentation as we study MTS system processes and develop thematic findings. Lastly, industry job listing content and occupational demands are reviewed. Through this archival …
Health Equity Policy In Colombia: Improving Equal Access To Health Care Services For Individuals With Low-Income, Marian Marin
Health Equity Policy In Colombia: Improving Equal Access To Health Care Services For Individuals With Low-Income, Marian Marin
Honors Undergraduate Theses
In 1993, the last health reform “Law 100” was introduced in Colombia. It has been over 30 years since its implementation, and there have been many changes to the healthcare system in Colombia ever since. The policy increased health insurance coverage to almost 95% of the population, providing better and more affordable patient care. However, increasing the availability of resources does not necessarily make them accessible to all of Colombia’s residents. This study aims to analyze the outcomes of “Law 100” to the system and studies critical obstacles that halt healthcare equity in Colombia, particularly for those in rural and …
Reinforcement Learning From Human Feedback For Ethically Robust Ai Decision-Making, Marco M. Plasencia
Reinforcement Learning From Human Feedback For Ethically Robust Ai Decision-Making, Marco M. Plasencia
Honors Undergraduate Theses
The emergence of reinforcement learning from human feedback (RLHF) has made great strides toward giving AI decision-making the ability to learn from external human advice. In general, this machine learning technique is concerned with producing agents that learn to work toward optimizing and achieving some goal, advanced by interactions with the environment and feedback given in terms of a quantifiable reward. In the scope of this project, we seek to merge the intricate realms of AI robustness, ethical decision-making, and RLHF. With no way to truly quantify human values, human feedback is an essential bridge in the learning process, allowing …
The Effect Of Different Music Genres On Listeners' Emotions, Benjamin N. Rosenberg
The Effect Of Different Music Genres On Listeners' Emotions, Benjamin N. Rosenberg
Honors Undergraduate Theses
Music has been shown to have definitive effects on the emotions of listeners, but the effects of different genres of music have been less frequently studied. The purpose of this study was to examine three different genres of music (pop, metal, and EDM), and the different effects on listeners’ emotions that they would have. College students (n = 191), completed a questionnaire assessing genre preference and emotions, before listening to a selection of songs from one of the three genres. Afterwards, they reported their emotions once more. Metal music was found to cause an increase in negative emotions, while …
Violence Against Women And Abortion Access: A Content Analysis Of The Impact Of The Overturning Of Roe V. Wade On Victims Of Domestic And Sexual Violence, Salika Vummarao
Violence Against Women And Abortion Access: A Content Analysis Of The Impact Of The Overturning Of Roe V. Wade On Victims Of Domestic And Sexual Violence, Salika Vummarao
Honors Undergraduate Theses
On June 24, 2022, Roe v. Wade was overturned, effectively eliminating the federally protected right to an abortion. Following the overturning, several state-specific restrictions or bans on abortion were passed, creating increasingly difficult conditions for people seeking an abortion. Research shows that abortion bans and restrictions disproportionately affect victims of sexual and domestic violence. Hence, this study aims to understand the specific impact of the overturning of Roe v. Wade for victims of domestic and/or sexual violence by analysis of news articles. This issue has not been researched in depth, creating a gap in our understanding. The database NexisUni was …
Examination Of The Morphological Changes And Genotoxic Effects Of Sodium Benzoate On Neuro-2a Cells In Vitro, Emily S. Larson
Examination Of The Morphological Changes And Genotoxic Effects Of Sodium Benzoate On Neuro-2a Cells In Vitro, Emily S. Larson
Honors Undergraduate Theses
Sodium benzoate is a food preservative present in sodas, fruit juices, and other acidic foods and beverages [1]. Its acceptable daily intake is 0-20 mg/kg body weight [2], and it is generally recognized as safe [1, 3]. However, sodium benzoate has been linked to hyperactivity in children [4, 5] and adults [6] and to deficits and behavioral changes in rodents [7-10], indicating potential negative impacts on the nervous system. Sodium benzoate has also induced genotoxic effects in human lymphocytes [11, 12] and Chinese hamster fibroblast cells [13] in vitro and in rat liver tissue in vivo [14]. The effect of …
Investigating Influences On Muslim-American Identity Development, Ruqayyah Adam
Investigating Influences On Muslim-American Identity Development, Ruqayyah Adam
Honors Undergraduate Theses
The purpose of this study was to understand how the childhood experiences, perceived discrimination, and Islamophobia experienced by Muslim-American college students have played a part in their identity development and overall well-being. Participants completed the RYFF Psychological Well-being Scales, Rosenberg Self-Esteem scale, Centrality of Religiosity Scale, GAD7, Identity Distress Survey, Multi-Ethnic Identity Scale, as well as a narrative questionnaire that asked about their childhood experiences. After carefully analyzing the results of my study, results indicated that while Muslim-Americans faced extra difficulties due to discrimination, Islamophobia, and the integration of multiple cultural identities, they still experienced higher well-being and self-esteem despite …