Digital Commons Network^™

Bridging The Gap: Optimizing Outpatient Care Delivery In Rural Kenya Through A Telemedicine Workflow Training Initiative, Elizabeth K. Bennett

Doctoral Dissertations and Projects

Access to timely, high-quality outpatient care in rural Kenya is constrained by workforce shortages, geographic barriers, and inefficiencies in care delivery. This Doctor of Nursing Practice project evaluated the impact of implementing a structured telemedicine workflow and training program for a regional mission hospital in the highlands of Western Kenya and its satellite outpatient clinic. Guided by the Iowa Model of Evidence-Based Practice, Kotter's Change Theory, and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework, the project employed a quasi-experimental, pre-post design, with eight medical providers participating in structured workshops, interactive telemedicine simulations, and workflow integration exercises. Impacts were …

2022u_Nhp27_Approved_Nc_Oesh-4343-Process-Safety_Rev1, Undergraduate Curriculum Committee

All Approved Curriculum

No abstract provided.

2022g_Ebs51_Approved_Pm_Ed.D.-P-12-Administration, Graduate Council

All Approved Curriculum

No abstract provided.

2022g_Ebs50_Approved_Pm_Ed.D.-Ed-Lead-Degree-Program, Graduate Council

All Approved Curriculum

No abstract provided.

2021g_Ebs29_Approved_Ne_Eds_Higher-Education-Leadership, Graduate Council

All Approved Curriculum

No abstract provided.

2021g_Ebs26_Approved_Nc_Hied 8333-Organizational-Change-In-Higher-Education, Graduate Council

All Approved Curriculum

No abstract provided.

Notes From The Field - Transfer Of Training: The Study Of A Municipality's Leadership Development Program Effectiveness, Kyle Bradley Stone, Christi Sanders-Via, Kristen Mcgee, Beth Mcgrath

Mountain Plains Journal of Business and Technology

The study examined how the Grand Valley Leadership Academy (GVLA) training affected participants' performance and its application in their organizations. Surveys of GVLA participants and employers showed that coaching and leadership skills improved, with high satisfaction from managerial support, peer support, and pre-training. Employers' feedback highlighted evolving leadership needs post-pandemic. The research stresses a supportive environment's role in translating training into practice and suggests leadership development must adapt to organizational changes and workforce flexibility.

Rebuilding Oneida: Ideology, Architecture, And Community Planning In The Oneida Community Limited, 1880-1935, Thomas A. Guiler

Communal Societies

No abstract provided.

Cv: Keith Lavine (Industrial/Organizational Psychology), Keith Lavine

Psychology Department Faculty Curricula Vitae

No abstract provided.

Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu

Walden Dissertations and Doctoral Studies

The transition from graduate education to clinical practice marks a pivotal point in the professional journey of advanced practice registered nurses (APRNs). Despite rigorous preparation, many APRN MSN graduates struggle to adapt to the complex expectations of autonomous practice. The lack of structured mentorship, inconsistent orientation processes, and unclear performance expectations contribute to high stress, role confusion, and early turnover. This Doctor of Nursing Practice Executive Leadership project addressed this critical issue by evaluating whether an interprofessional team could achieve consensus on developing a best practice program to guide APRN MSN graduates’ transition to independent clinical practice. This initiative was …

Preparing Aspiring School Administrators For Data-Informed Decision-Making, Brandi March

UNLV Theses, Dissertations, Professional Papers, and Capstones

School leaders significantly impact student outcomes based on their ability to influence school culture, climate, and student engagement. They are essential for driving school achievement and instructional improvement. As educational policies increasingly emphasize data usage, leaders must utilize various data sources in a problem-solving process known as datainformed decision-making (DIDM) to effectively guide their school improvement plans. Using DIDM effectively can enhance instruction and student achievement when school administrators and teachers have access to quality training that builds a strong foundation in data literacy skills. It is critical for administrators to provide high-quality professional development for teachers on DIDM to …

A Mixed Methods Study Of Teacher Job Satisfaction And Principal Support In Private Jewish Day Schools Through The Lens Of Self-Determination Theory, Abigail E. Moyal

UNLV Theses, Dissertations, Professional Papers, and Capstones

This mixed methods study investigated how principal support influences teacher job satisfaction in private Jewish day schools through the lens of Self-Determination Theory (SDT). SDT asserts that motivation and well-being depend on the fulfillment of three basic psychological needs: autonomy, competence, and relatedness. Using an explanatory sequential design, quantitative data were first collected from 68 teachers across five Jewish day schools in the Southwestern United States using the Teaching and Learning Survey (TALIS) Teacher Job Satisfaction Scale (TJSS) and the Principal Support Scale (PSS). Results showed moderate to high satisfaction levels and a strong positive correlation between principal support and …

A Competency Based Pressure Injury Management Program, Madina Qadir

UNLV Theses, Dissertations, Professional Papers, and Capstones

This project aims to implement a simulation-based wound management program to address critical gaps in nurses’ competencies for managing pressure injuries (PIs). The initiative seeks to enhance nurses’ knowledge, clinical skills, and confidence in wound assessment and advanced therapies, fostering evidence-based practice and consistent care delivery. Effective PI management is vital for improving patient outcomes, reducing healing times, and minimizing complications. Yet, nursing education and competency gaps often lead to inconsistent care and increased healthcare costs. A structured competency-based pressure injury management (CB PIM) program integrates evidence-based didactic lectures and interactive simulation-based skills stations to cover essential topics, including wound …

Isomorphism And Network Governance:A Reflection Of The Thai Elderly Quality Of Life Development And Career Promotion Centers, Ratchaphon Amsuk, Piyamart Tupmongkol, Phengkamon Marnarath, Siriprapa Promma

Asia-Pacific Social Science Review

This study aims to examine isomorphism, network governance, and the spectrum of participation, as classified by the International Association of Public Participation, in the management of the elderly quality of life development and career promotion centers (EQCCs). This study applied the concepts of isomorphism from institutional theory, network governance, and spectrum of participation as defined by the International Association for Public Participation (IAP2), as the instruments for analysis. The findings revealed that EQCCs’ isomorphism emerged before and after the establishment. The three isomorphism mechanisms—coercive, mimetic, and normative—affected the isomorphism of the EQCCs, leading to organization homogenization. However, the management of …

A Cross-Sectional Study On Patient Safety Attitudes And Their Determinants Among Medical Staff In Malaysian Public Specialist Hospitals, Sharifah Balqis Sayed Abdul Hamid, Aniza Ismail, Saperi Sulong

Makara Journal of Health Research

Introduction: This study aimed to assess the baseline level and mean scores of patient safety attitude domains among doctors and nurses in Malaysian public hospitals and to identify determinants associated with these attitudes across six domains: teamwork, safety climate, working conditions, job satisfaction, stress recognition, and perception of management.

Methods: A cross-sectional study was conducted using the Safety Attitudes Questionnaire (SAQ) among 142 doctors and 231 nurses from three public tertiary hospitals. Participants were selected through proportionate stratified random sampling. Data were analyzed using descriptive, bivariate, and multivariate methods.

Results: The study achieved an 81% response rate. …

A Program Evaluation Of Universal Screening For Depression In The Primary Care Setting, Samantha W. Burns

Doctoral Projects

Depression is a chronic condition affecting millions of Americans annually and is often associated with poor clinical outcomes, multiple co-morbidities, a negative economic impact, and an increased mortality rate. Many primary care settings have implemented universal depression screening programs following the recommendations of governing healthcare entities such as the United States Preventive Services Task Force (USPSTF) and Center for Medicare and Medicaid Services (CMS). Due to positive benefit, universal depression screenings have now been included as a quality measure in the Merit-based Incentive Payment System (MIPS) to increase organizational reimbursement. The Patient Health Questionnaire-9 (PHQ-9) is a widely used screening …

Behind The Badge: Effects Of Stress And Trauma In Policing -- Understanding The Importance Of Evidence-Based Prevention, Early Intervention, And Wellness Programs, Jessica Rolshouse

Master of Arts in Human Services

Law enforcement officers are exposed to occupational stress and trauma routinely and at rates that far exceed the general population. This chronic exposure places them at risk for physical and psychological injury and negative outcomes to include mental health disorders including burnout, anxiety, depression, and PTSD. Prolonged exposure to occupational stress and trauma also increases the risk of suicidal ideation and dying by suicide, the most tragic outcome of the stress law enforcement officers face. This literature review focuses on individual risk factors, occupational stress, and trauma, and the development of mental health disorders in law enforcement officers. It also …

176th Commencement, Fall

Commencement Programs

Commencement program (graduate and undergraduate exercises) for fall 2025

Knowledge Production As Identity Expression: A Third-Space Perspective On Sustainable Careers, Alicja Syska

School of Law, Humanities and Social Sciences

This conceptual paper advances our understanding of sustainable careers by focusing on the knowledge creation activities of third-space practitioners in higher education. Specifically, we apply and extend the Process Model of Sustainable Careers to examine how different forms of knowledge production in three different institutional and national contexts – writing for publication, practice-based expertise, and curriculum development – contribute to career sustainability at the intersection of academic and professional/administrative roles and domains. The critical element of this extension is ‘identity expression’ in the form of knowledge production, which acts as an integrating mechanism that flows through and connects the original …

Mentoring Through A Cultural Lens: Faculty Mentorship Experience In The Bunche Fellows Undergraduate Research Program, Audrey Devost, Passion Lord, Kiana Billot-Vasquez, Zeyna Faucette, Ketema Paul, Walter Allen

Journal of Access, Retention, and Inclusion in Higher Education

This manuscript explores the significance of faculty mentorship in underrepresented student success within a culturally engaged on-campus research program. Drawing on data derived from the Pathways Through Research case study, a mixed-methods empirical study of the Bunche Fellows Program at the University of California, Los Angeles, this paper centers student voices to better understand the manifestations of cultural engagement among faculty mentoring experiences, and how these cultural experiences shape student development among the program’s alumni. Guided by Critical Race epistemology and the Culturally Engaging Campus Environments (CECE) Model, this research highlights the effectiveness of mentoring relationships within a structured on-campus …

Improving Staff Satisfaction And Flu Vaccine Uptake Through Standardized Workflow Tools, Salma Adriana Blanco

Master's Projects and Capstones

Objective: Insufficient workflows can cause documentation to be confusing, which ultimately

limits staff engagement. This has led to staff dissatisfaction and a low vaccination uptake in

outpatient clinics. The implementation of a standardized workflow tool and proper staff

education and training can improve staff satisfaction and vaccination adherence, as indicated by

a review of literature. Aim: The purpose of this quality improvement project is to implement a

change in workflow in the electronic health record and staff training in an urban community

health clinic primarily serving low income and Latino patients. This intervention seeks to

increase medical assistant user satisfaction …

Reimagining Nurse Education: Virtual Reality & Didactic Education For Better Nurse Handoff And Documentation, Haley M. Whalen

Master's Projects and Capstones

Setting: The pediatric perianesthesia unit (pre-operative and post-anesthesia care unit). Problem: Gaps in perianesthesia documentation contribute to poor handoff communication, leading to adverse events and increased hospital costs. Additionally, inconsistent documentation reduces clarity and consistency during handoffs. Context: Staff in the microsystem reported low confidence scores with required OP-Time documentation, inconsistent workflows, and I-PASS handoff expectations. These factors contribute to incomplete charting and a lack of standardization across providers. Interventions: A two-part educational intervention was conducted, consisting of eight sessions. The first component is a Virtual Reality (VR) simulation that demonstrates an accurate perianesthesia I-PASS handoff. The second …

Ripples Of Impact: A Journey In Social Work Practice, Talisa Marie Hides

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio, Ripples of Impact: A Journey in Social Work Practice, reflects my academic and professional development throughout the Master of Social Work program at the University of Montana. It demonstrates the integration of theory, research, and practice across diverse contexts, including trauma-informed care, rural and Indigenous communities, and pediatric behavioral health. The narrative highlights my progression from foundational knowledge to advanced competencies in ethical practice, cultural humility, advocacy, and leadership. Through practicum experiences, collaborative projects, and community engagement, I have strengthened my ability to assess, intervene, and evaluate at micro, mezzo, and macro levels. This work underscores my …

Learning, Becoming, And Practicing: My Msw Portfolio, Mario G. Colucci

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus

Master's Projects and Capstones

This quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project …

Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis

Walden Dissertations and Doctoral Studies

A lack of successful strategies can lead to a high failure rate among small businesses. Women small business owners often express concerns about identifying successful strategies, which research shows are a key predictor of business sustainability. Grounded in entrepreneurship theory and participative leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that some women small business entrepreneurs use to sustain their businesses beyond 5 years. The participants were five women small business owners from different sectors in the East Coast region of the United States who had sustained their businesses beyond 5 …

Improving Pressure Injury Prevention With Educational Programs For Caregivers And Nurses, Michella B. Kahanding

Master's Projects and Capstones

Problem: Pressure injuries are preventable with adequate interventions and knowledge by healthcare staff; however, skilled nursing facilities struggle with pressure ulcer prevention (PUP). Patient suffering and associated costs with treating these injuries are considerable.

Context: Staff education in knowledge regarding PUP is lacking, and annual PUP education is ineffective in reducing the number of pressure injuries in these facilities.

Interventions: Staff education on prevention strategies includes education, pre- and post-knowledge assessments, return demonstration and product use will be implemented

Measures: Results from the baseline knowledge of appropriate PUP in caregivers, pre- and post-test for knowledge retention, teach back techniques to …

Improving Efficiency In Volunteer Onboarding, Madeline Ly Bredehoft, Samantha Nicole Contreras

Master's Projects and Capstones

Project Access, a nonprofit organization serving residents of affordable housing communities, depends significantly on volunteers and student interns to deliver health, education, and employment programming. The current onboarding process lacks standardization, resulting in inconsistent training quality, delayed volunteer readiness, increased staff workload, and reduced engagement and retention. This quality improvement (QI) project aims to address these deficiencies by developing and implementing a standardized onboarding toolkit. The toolkit will include orientation modules, a learning agreement, defined deliverables, and digital resources to facilitate communication and clarify expectations. The project is guided by a PICOT question focused on efficiency and engagement, a structured …

From Fear To Familiar: Alleviating Technology Anxiety In Older Adults Through A Community-Based Mentorship Program, Inyoung Jang

Master's Projects and Capstones

This quality improvement project was implemented in a senior residential facility in Richmond, California, catering to older low-income adults who frequently experience elevated levels of technology anxiety. Aim This project aims to reduce the mean modified technology-anxiety score among residents aged 65 and older by at least 25% from baseline by November 5, 2025. Methods The Abbreviated Technology Anxiety Scale (MTAS) was modified to consider the cognitive, linguistic, and experiential differences among target population. The original 11-item instrument, which was validated primarily within college-aged populations, used terms and repeated items irrelevant to older people. The adapted tool included five simplified …

Implementing A Standardized Doula Awareness Tool To Improve Team Collaboration And Patient Understanding, Stephanie Wong

Master's Projects and Capstones

Setting: 22-bed, Labor and Delivery (L&D) unit in the Bay Area serving diverse birthing patients. Problem & Context: The unit lacks a standardized model to introduce doulas, clarify their roles, or communicate their value. Evidence shows that doulas feel unseen by other hospital staff (Kett et al., 2022) and report that their role can be misunderstood, undervalued, or unrecognized, creating barriers to effective partnership (Louis-Jacques et al., 2024). Pre-survey: Only 19.2% of the participating volunteer doulas felt patients understood their role as a doula, and 11.5% felt patients were only slightly knowledgeable. In terms of collaboration, just 15.4% felt consistently …