Digital Commons Network^™

Not Woman Enough: How World Athletics’ Treatment Of Women With Differences In Sexual Development Violates The Olympic Charter And The Un’S Conventions Against Racial Discrimination And Discrimination Against Women, Rachel Crass

Denver Journal of International Law & Policy

In 1966, in response to growing fears that men would attempt to pose as women to win medals in elite competition, the International Olympic Committee (IOC) began gender testing all female athletes through various visual and gynecological evaluations. These tests were quickly deemed to be too invasive and were replaced by other chemical and genetic tests as scientific capabilities advanced. The new tests led to the disqualification of dozens of elite female athletes after results revealed latent Y chromosomes in women with androgen insensitivity conditions. After multiple leading medical societies and international sports governing bodies called for an end to …

Examining Information Systems Use To Facilitate The Workplace Accommodation Process, Shiya Cao

Statistical and Data Sciences: Faculty Publications

BACKGROUND: The workplace accommodation process is often affected by ineffective and inefficient communications and information exchanges among disabled employees and other stakeholders. Information systems (IS) can play a key role in facilitating a more effective and efficient accommodation process since IS has been shown to facilitate business processes and effect positive organizational changes.

OBJECTIVE: Since there is little to no research that exists on IS use to facilitate the workplace accommodation process, this paper, as a critical first step, examines how IS have been used in the accommodation process.

METHODS: Thirty-six interviews were conducted with disabled employees from various organizations. …

Land For Whom? Diversity, Land Trusts, And Farmers And Gardeners From Marginalized Backgrounds In New England, U.S., Julie C. Keller, Blake Harrison, Corey Lang

Environmental and Natural Resource Economics Faculty Publications

Land trusts in the U.S. play an important role in preventing the loss of farmland to development. Farmers seeking affordable land may benefit from these conservation efforts. Yet the distribution of these benefits across farmer groups is unclear. This study asks: To what extent are land trusts meeting the needs of farmers and gardeners from marginalized backgrounds? Interviews with land trust staff and focus groups with marginalized farmers and gardeners in New England, USA reveal discrepancies in how diversity and land access are discussed. Access to adequate, affordable land was a serious concern among farmers and gardeners, yet few land …

Improving Black Maternal Outcomes In Christian County, Ky: A Social Marketing Approach To Perinatal Provider Change, Ariel A. Arthur

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Compared to other states in the country, Kentucky has historically poor population health outcomes. While the statewide maternal mortality rate is 16.1 per 100,000 live births, this statistic belies the stark racial disparities that exist. In 2018, the pregnancy-related death rate for Black women was 40.2 per 100,000 live births compared to 13.1 for White women. This pattern is persistent even after controlling for socioeconomic status, prenatal care, and other protective factors. Research shows that institutional and interpersonal racism when receiving obstetric care contributes to poor childbirth and postpartum outcomes for Black women. Additionally, geography and rural status may compound …

Good Deeds Gone Wrong: How Leader Self-Sacrifice Morally Licenses Followers Counterproductive Work Behaviors, Christopher Matthew Chow

CGU Theses & Dissertations

Leader self-sacrifice (LSS) plays a key role for many companies today. It involves the leader temporarily forgoing their own interests and privileges for the sake of the collective. By modeling self-sacrificial behavior, leaders hope to create a trickle-down effect, encouraging similar behavior within their workforce. While LSS is typically perceived as a positive behavior that inspires ethical conduct and teamwork, not all employees may respond positively. According to social identity theory, group members might take on the attributes of their close others’ behaviors, as if they had done the behavior themselves. Furthermore, based on moral licensing theory, good behavior may …

Answering The “Now What?”: The Development Of A Transdisciplinary Breast Cancer Survivorship Nonprofit Organization, Vir-Iaesta Maniquiz Vergel De Dios

CGU Theses & Dissertations

Although patients are living longer or are surviving breast cancer, the side effects of treatment still leave patients struggling with quality-of-life issues. The lack of whole-person care leaves patients unequipped after treatment is complete, searching for answers and a way to survive on their own. The unintended consequence becomes a dramatic shift from the weekly/daily medical appointments during active treatment to a silence that can be daunting for many to navigate. Living Your Truth Empowered, shortened to LYTE Foundation, is an antiauthoritarian minded and anti-hierarchal nonprofit created to address the needs of the growing breast cancer survivor population. LYTE is …

Dacmm - A Data Analytics Capability Maturity Model For Small And Medium Enterprises, Robert Karl Marohn

CGU Theses & Dissertations

This dissertation details the development and application of a prescriptive Data Analytics Capability Maturity Model (DACMM), specifically designed for Small and Medium Enterprises (SMEs). Despite their need for effective data analytics for growth and competitiveness, SMEs often face challenges such as limited resources and lack of technical expertise. Traditional Capability Maturity Models (CMMs), mainly tailored for larger organizations, often fall short in addressing the specific needs and constraints of SMEs. To bridge this gap, the DACMM provides a comprehensive guide to help SMEs advance their analytics capabilities from nascent stages to more sophisticated, data-driven operations, tailored to …

Nudging Diversity: Merging Law And Behavioral Science To Reduce Workplace Discrimination And Increase Diversity, Leora F. Eisenstadt, Todd Haugh

Emory Law Journal

Today’s employers find themselves in a complicated bind when it comes to workplace diversity and antidiscrimination initiatives. On one side is the lasting confluence of the #MeToo and Black Lives Matter movements, which rightly caused many organizations to reevaluate and reinvigorate their diversity and inclusion efforts. On the other side is employment law’s increasing inability to support such efforts. As workplace discrimination has moved from overt, intentional manifestations of prejudice to unconscious bias and structural discrimination, traditional employment law solutions have become less effective. The Supreme Court’s recent affirmative action decision striking down virtually all race-based considerations in college admissions—and …

“I’M Especially Sorry To Those Impacted”: Conventional Visions Of Leadership In The 2022/2023 Tech Layoffs, Jared J. Watkins

Student Theses and Dissertations

In 2022 and 2023, over 400,000 employees in the technology sector were laid off. This study conducted a thematic analysis using coding on memos announcing layoffs sent by leaders at Meta, Google, and Microsoft in late 2022 and early 2023. This study also conducted an analysis of layoff memos sent by leaders of Google and Microsoft in 2009 for comparison. Key findings include that writing to multiple stakeholders in the 2022/2023 memos produced novel contradictions and paradoxes that may impede employee sensemaking, that 2022/2023 memos used more passive and distancing language that disconnected the leader from the layoff decision and …

Lncreasing Clinical Judgment And Critical Thinking Skills Using The Ncsbn Clinical Judgment Measurement Model In Licensed Nursing, Kathryn Roberts

Doctor of Nursing Practice Projects

Licensed nurses are having problems with critical thinking and using clinical judgment when caring for patients (Rogers & Franklin, 2023). There has been increased emphasis on critical thinking and clinical judgment in nursing school curriculum but not in hospital/orientation curriculum (Dickison et al., 2019). This quality improvement project aims to address the gaps in critical thinking and clinical judgment skills among licensed nurses by focusing on integrating the NCSBN-CJM, and cues into the prebriefing of the Respiratory Distress/Oversedation Scenario within the project hospital orientation program. The project utilized a quasi-experimental study design to investigate the cause-and-effect relationship by integrating the …

Utilizing Health Literacy Universal Precautions And The Teach-Back Method To Improve Hospitalized Patients' Experience With Medication Education: A Quality Improvement Project, Kathleen Meyer

DNP Scholarly Projects

BACKGROUND: Patients, especially the elderly, are at high risk for post hospital complications related to poor medication adherence. Addressing health and medication literacy limitations during their inpatient encounter closes critical gaps in a patient’s understanding of their medication regimen. The project goal was to improve the patient experience related to communication about medicines during their inpatient encounter. The intervention implemented was the introduction of health literacy universal precaution concepts and teach-back methodology for medication education.

METHODS: Interdisciplinary educational sessions were created and implemented for nurses, hospitalists, and respiratory therapists. Additionally, at the elbow support was provided throughout the implementation phase …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care Using A Collaborative Care Model, Christina Stephens

DNP Scholarly Projects

Primary care, an extensive of family medicine remains a key access point for patients entering the healthcare system. Accessing medical care and specialty psychiatric services is limited in rural communities. Patients often find exhaustive wait times, untimely referrals, and reliance on emergency services for crisis management. The primary care provider is able to help their community improve access to behavioral health care by using a collaborative approach. This quality improvement initiative used the framework produced by the AIMS Center at the University of Washington and adopted for use creating an 8-week intensive program in a family medical practice located in …

Enhancing Safety Surveillance During Clinical Trials: The Development Of A Safety Data Review Handbook To Support Pharmacovigilance Clinicians, Lauren Wilson

DNP Scholarly Projects

Abstract

BACKGROUND: Pharmacovigilance (PV) Sciences include activities related to safety surveillance of pharmaceutical products, and is critical for developing safe and effective medications, vaccines and medical devices. Safety monitoring starts with preclinical research and continues through clinical trial and post marketing phases. PV scientists ensure patient safety during clinical trials through regular review and analysis of safety data. Regulations have become increasingly complex, leading to inadequately defined methods for reviewing large clinical trial safety datasets. Inconsistent safety data review (SDR) practices can result in delayed detection of adverse drug reactions (ADRs) or safety signals.

METHODS: This quality improvement project used …

Using The 4ms Framework To Prevent Falls, Gina L. Edgeworth

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Hospital falls are rising in inpatient facilities, requiring analysis and a plan of action to address the ongoing falls. A strategy taken among facilities is implementing a 4Ms Framework that allows the nurse to address what matters to the patient and assess their mentation, medications, and mobility upon admission. With an increase in falls on a med-surg unit, it was found that there was no straightforward process for addressing the needs and concerns of patients and no assessment of medications, mobility, or mentation for those aged 65 years and older. This knowledge gap prevents nurses from providing a structured framework …

Home Blood Pressure Monitoring Bundle For Hypertension Outcomes In Adult Patients Receiving Care In Public Health Clinics, Christine Jennifer Victorian

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (< 140/90 mmHg) compliance.

Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management perspective. …

Impact Of A Discharge Bundle On Boarding Hours In Acute Care Hospitals, Monica L. Herrera

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

The national epidemic of boarding hours in the emergency departments prompted the implementation of a discharge bundle in an acute care hospital. This bundle included an ADT nurse, discharge orders written prior to 11AM, and EVS shifting employee hours. Initial findings indicated a reduction in boarding time by 126 minutes.

Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.

Methods: The descriptive analysis was conducted …

Guideline To Decrease Nursing Turnover In Intensive Care Units, Carol L. Mention

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Turnover rates of registered nurses working in intensive care units continue to increase significantly after the pandemic. Many nurses have left the profession due to the increased workload and stress during and after the COVID-19 pandemic. Having staffing challenges and turnover can affect the outcome of this patient population. Intensive care nurses experience workplace violence at an increasing volume. Also, robust nurse onboarding and training programs can help decrease turnover rates. The current national guideline does not address these concerns about nursing turnover. A guideline project was performed to identify needed recommendations based on evidence for stakeholders to …

Bundle For Left Ventricular Assist Device (Lvad) In The Ed, Tina Morris

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose

Left Ventricular Assist Device (LVAD) is a high-risk, low-volume patient population with admission rates of up to 72%. The purpose of this study was to provide a care bundle to increase the knowledge of the emergency department (ED) staff and decrease the door to consult times to the advanced heart failure (AHF) team for LVAD patients presenting to the ED at a level I trauma center in Texas.

Methods

In collaboration with emergency clinical staff, the project team implemented a bundle that included a pathway for the LVAD patients upon presentation to the ED, targeted education for clinical staff …

Developing Toolkit For Adults With Autism Spectrum Disorder In An Oncology Outpatient Clinic, Brittany J. Johnson Dnp, Fnp-C

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Autistic adults are at higher risk of being diagnosed with co-occurring health conditions, and yet they are a vulnerable group for disparities in access and outcomes. One of the key barriers to better outcomes is poor patient-provider communication. This study the use of AASPIRE’s AHAT communication toolkit as a channel between healthcare workers and autistic adults to facilitate their appointments within the outpatient oncology department, as well as assessing healthcare providers’ knowledge and self-efficacy in caring for the patients. Sixteen healthcare providers (12 registered nurses and four patient care assistants) completed pre and post intervention surveys and utilized the AHAT …

Career Counselors Addressing Social Determinants Of Mental Health In Rural Communities, Kaprea F. Johnson, Alexandra Gant-Howrey, Bisola E. Duyile, Lauren B. Robins, Natese Dockery

Counseling & Human Services Faculty Publications

Career counselors practicing in rural communities must understand and address social determinants of mental health (SDOMH). This conceptual article details the relationships between SDOMH domains and employment and provides evidence-based recommendations for integrating SDOMH into practice through a rural community health and well-being framework. Description of the adaptation of the framework for career counselors in rural communities, SDOMH assessment strategies and tools, and workflow adjustments are included. Conclusions suggest next steps for practice and research.

Social Identity Matters: Lived Experiences Of Latina Teachers In Predominantly White Staff Schools, Oksana Rzhiskiy

Educational and Organizational Learning and Leadership Dissertations

The demographic makeup of student populations is undergoing profound shifts, with Latina/o students constituting a significant percentage. However, the representation of Latina/o educators within school systems remains disproportionately low. This incongruity between student demographics and educator representation may pose multifaceted challenges. To address this disparity, the present study delves into the lived experiences of Latina educators, illuminating the nuanced interplay of their social identities within educational contexts, particularly in relation to their interactions with White staff colleagues. Employing a phenomenological approach and supported by social identity theory and transformational leadership theory, this research endeavors to uncover the salient factors shaping …

Circular Material Usage Strategies And Principles In Buildings: A Review, Paulo Santos, Génesis Camila Cervantes, Alicia Zaragoza-Benzal, Aimee Byrne, Ferhat Karaca, Daniel Ferrández, Adriana Salles, Luís Bragança

Articles

Building construction accounts for a significant proportion of global greenhouse gas emissions, raw material extraction, and waste production. Applying circular economy (CE) principles in the building construction industry would considerably reduce these values. However, uptake by the industry is relatively slow, which is largely attributed to sectoral barriers, including limitations in knowledge and experience. This review paper aims to assess and contribute to diminishing these obstacles by offering a comprehensive review of circular material usage principles and strategies within the construction sector. Opportunities and facilitators of change are also presented, including innovations and emerging technologies in recycling, digitization, robotic systems, …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care For Medically Underserved Community Using A Collaborative Care Model, Christina M. Stephens

DNP Scholarly Projects

Primary care, an extension of family medicine remains a key access point for patients entering the healthcare system. Accessing specialty psychiatric services can be limited in rural communities due to provider shortages and geographical constraints. Primary care providers can facilitate improved access to behavioral health services by introducing a collaborative approach to the traditional medical model. This quality improvement initiative adopted the collaborative care model originally produced by the University of Washington to treat common mental health conditions in the medical setting (2023). A team consisting of a primary care provider, behavioral health case manager and psychiatric consultant served nine …

Horizontal Skill Mismatch Among College Graduates: Analyzing Job Placement For African American In The U.S, Mimla Wardak

Theses - Graduate Programs in Economic Theory and Policy

This study investigates the persistence of horizontal skill mismatches among African-American college graduates in the U.S. labor market and explores the influence of community racial composition on job placement and wage levels. Utilizing data from the American Community Survey (2018-2019), the research constructs a Match Quality Index to assess the alignment between individuals' fields of study and their occupations. The analysis reveals that African-Americans are disproportionately affected by horizontal mismatches, which result in underemployment and wage penalties, despite similar educational backgrounds compared to their counterparts. The findings suggest that larger African-American networks within Metropolitan Statistical Areas (MSAs) correlate with slightly …

Building Resilience, Navigating Crises Since 2019: A Phenomenological Study Of Leadership Factors Influencing Retail Business Owners In Lebanon, Mira Fadel

Theses and Dissertations

The Lebanese population and culture are recognized for their resilience when facing adversity withstanding events such as the Lebanese Civil War, and multiple country invasions. The purpose of this study was to explore the lived experiences of retail business owners from different geographical regions and retail types in Lebanon and to identify the leadership factors that kept them resilient while navigating the compounding crises since 2019. The leadership factors included leadership styles, strategies, and agility. The conceptual framework encompassed all leadership factors, the retail industry, cultural context, and resilience. Data for this hermeneutic phenomenology was collected through semi-structured interviews followed …

The Benefits Of Voluntary Disorienting Dilemmas For A Transformational Life: A Grounded Theory Study In Transformational Learning, Rebecca Bamberger

Theses and Dissertations

Being uncomfortable by choice as a means of personal growth has been touted for hundreds of years among scholars, philosophers, religious leaders, modern pop culture icons, and more. Yet, research pertaining to the benefits of being uncomfortable by choice is sparse. This qualitative, grounded theory study addressed the first step of transformational learning: the disorienting dilemma. Seventy participants located in America participated in extensive interviews to answer this study’s research question, “what if any, are the benefits of voluntary disorienting dilemmas?” Additional research questions, “what is the meaning(s) of voluntary disorienting dilemmas?” and “would subjects repeat their voluntary disorienting dilemmas …

From Command Posts To Corporations: Applying United States Marine Corps Leadership Development To Corporate Organization Development, Paul D. Gowin

Theses and Dissertations

This research investigates the applicability of the United States Marine Corps (USMC) leadership development (LD) to corporate organizational development (OD). Despite significant investment in LD, many corporate programs do not meet expectations, highlighting the need for effective models. The USMC LD approach, emphasizing personal and subordinate leadership skills development, mission accomplishment, and team welfare, presents a unique model for exploration. This study examines the integration of USMC leadership components-traits, principles, and core values-into corporate leadership roles and evaluates the perception of USMC veterans on their applicability in corporate settings. The research employs a mixed-methods approach, combining quantitative surveys of 125 …

Examining The Role Of Cultural Capital In Access And Equity For Female C-Stem Learners Of Color, Tiffany L. Wright

Theses and Dissertations

This study aimed to examine the impact of cultural capital (Bourdieu, 1973; Bourdieu & Passeron, 1977) on the access and equity of C-STEM learners of color under the following four tenets of Yosso’s (2005) Community Cultural Wealth model: aspirational, familial, social, and navigational capital. A theoretical framework of Critical Race Theory (CRT; Crenshaw, 1988) was utilized to frame the study. Research questions explore the impacts of cultural capital upon the perceived access and equity of female C-STEM learners. Qualitative methodology guided the study under the integrated approach of Quantitative Ethnography (QE) which examines qualitative data with the support of statistical …

The Influence Of Leadership Communication On Employee Engagement During Transformational Change: A Case Study Of 123bank, Myrian Barron Garrett

Human Resource Development Theses and Dissertations

This study aimed to understand employee perspectives on how leadership communication efforts impact employee engagement in an organization undergoing transformational change. Kotter’s change management model served as the framework and support for this study. One research question was developed to guide this study, and the qualitative case study approach was used. Data was collected through semi-structured interviews with 26 study participants. The researcher found that most participants had a negative perspective on their leader’s communication efforts during transformational change. Eight main categories were identified, with two to three coded themes each. The findings cannot be generalized to other organizations and …