Bridging Gaps In Safety: A Team-Based Approach To Reducing Falls Among Older Adults, Enzali Min

Master's Projects and Capstones

A skilled nursing facility in the San Francisco Bay Area is experiencing fall rates surpassing the national average throughout the year. Falls among elderly residents lead to multi-level complications, from minor bruising to major injuries such as fractures, head injuries and hospital transfer, and in the most severe cases, higher mortality rates. To address the issue of high fall rates at the nursing facility, the post-fall huddle protocol was developed on the unit. The team intends to reduce the facility's fall rate by 25% over the next five weeks, from October 1 through November 5, 2025, along with improving the …

The Pressure Is On: A Quality Improvement Project To Educate Nurses On Hospital Acquired Pressure Injuries, Lance Ward

Master's Projects and Capstones

Objective Hospital acquired pressure injuries (HAPIs) are injuries developed by admitted patients, from treatment interventions that they encounter during their hospital stay. If a patient acquires a HAPI during their stay, the hospital is required to cover all expenses related to the injury. An in-patient trauma unit at a large medical center wishes to improve patient care by educating nursing staff on preventive measures of HAPIs. A review of relevant literature on HAPIs from the past five years was conducted to identify HAPI preventions tools, such as the Braden Scale and SKINS bundle, as well as the best methods to …

From Fear To Familiar: Reducing Technology-Induced Anxiety In Seniors, Justin Kyle V. Manalang

Master's Projects and Capstones

Abstract

This quality improvement project focuses on reducing the average technology-induced anxiety score among senior community members through 1:1 mentorship sessions. Aim During an eight-week period from September 10, 2025, to November 5, 2025, this project will reduce the severity of technology-induced anxiety by 25% from the established baseline. Methods: A 5P Microsystem assessment was conducted alongside an initial questionnaire to gauge the residents’ interests and concerns regarding technology use. From the results, focused mentorship sessions were conducted once a week and pertained to the chief complaint the resident had for eight weeks. The mentorship sessions were one-to-one and individualised …

Enhancing Psychotropic Medication Documentation Through Staff Education To Promote Increased Compliance Rates And Patient Safety, Matalyn F. Kirkes

Master's Projects and Capstones

Objective: Inappropriate psychotropic medication use and documentation poses a risk to patient safety and health as well as premature death while also leading to regulatory noncompliance (Bednarczyk et al., 2022). Improving nurse documentation can help patients maintain safe and adequate prescriptions and doses. Context: Baseline data collected within our microsystem revealed gaps in nurse comfort and knowledge around documentation requirements. The nursing staff (LVNs/RNs), who we received the baseline data from, are responsible for assessments, documentation, and patient monitoring, for which there is significant variability in understanding the required expectations. Interventions: The education for the skilled nursing staff as well …

Stop, Look, And Save A Spot! Implementing The Hapi Prevention Tool, A Visual Cuing System That Aims To Reduce Hospital-Acquired Pressure Injuries In Acute Care Units, Jada Baldoza

Master's Projects and Capstones

Objective: Hospital-acquired pressure injuries continue to be a major challenge in many healthcare settings as it poses increased risk in patient safety. Additionally, it creates a significant financial burden on hospitals as it increases operational costs that can increase strain on healthcare resource demands. Nurses play a major role in mitigating these injuries through practicing quality patient care and utilizing prevention strategies that have been proven effective. Aim: A quality improvement project was conducted by introducing a visual cueing system, the HAPI Prevention Tool to investigate its potential sustainability on reducing HAPI rates in the medical-surgical unit. Methods: The QI …

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 …

California Water Reuse: State Of The Industry As Direct Potable Reuse Comes Online, Guy Gutterman

Master's Projects and Capstones

Since the early 1900’s, California has found ways to reuse its wastewater, and in 2023 the state added a new method, Direct Potable Reuse (DPR), to its toolkit. DPR allows for advanced treated wastewater to be sent directly to a drinking water system, without an environmental buffer. Through a synthesis of the literature and related government documents of the state's water reuse history, an analysis of regional water recycling trends, and a survey of water utility professionals, this paper aims to understand DPR's future role in securing California's water supply. Historically, public perception has delayed adoption and development of California's …

Evaluation Of Remote Sensing Technologies For Bull Kelp Detection In The Greater Farallones National Marine Sanctuary, Melina Shak

Master's Projects and Capstones

The Greater Farallones National Marine Sanctuary (GFNMS), located off the coast of Northern California contains approximately 90% of the region’s bull kelp. Bull kelp is a foundational species that provides food and shelter supporting diverse marine ecosystems, but due to recent anthropogenic stressors, 90% of kelp forests along the California coast have been lost. The Greater Farallones Association (GFA) is actively working on restoration efforts, where monitoring is essential for assessing recovery success. My research addresses GFA’s need to reduce reliance on intensive, time-consuming Unmanned Aerial Systems (UAS) surveys by identifying accurate, cost-effective, and scalable remote sensing technologies for kelp …

Enhancing Fall Prevention Through Post-Fall Huddles In A Skilled Nursing Facility, Eliza R. Galimba

Master's Projects and Capstones

Objective: Falls in skilled nursing facilities increase the risk of injury, readmissions, and higher healthcare costs. This facility’s rates remained high due to inconsistent post-fall protocols, no standardized review process, and insufficient communication. Seventy-five falls were documented in the first eight months of 2025, exceeding the national benchmark of 3–5 per 1,000 patient-days (AHRQ, 2024). Aim: This quality improvement project will occur over a 5-week period from October 1, 2025, to November 5, 2025, and aims to decrease the fall rate by 25%, from 4.3 falls per 1,000 patient-days to 3.3 falls per 1,000 patient-days, through improved team communication and …

Decarbonizing California Wine: Navigating Scope 3 Emissions Challenges And Opportunities, Olivia Regalia

Master's Projects and Capstones

Climate change is already impacting the California wine industry through increases in extreme weather, such as prolonged heatwaves and atmospheric rivers. For the industry to survive, it is important for California wineries to mitigate the effects of climate change and adapt to current and future impacts. Scope 3 greenhouse gas emissions (i.e., emissions generated throughout the supply chain) from glass packaging make up 29% of a typical California winery's carbon footprint, representing both the largest Scope 3 climate impact and greatest opportunity for reductions. This research examined key factors shaping California wineries’ Scope 3 emissions reductions efforts. A mixed-methods approach …

What We Can Learn From Comenius About Why We Educate, David I. Smith

University Faculty Publications and Creative Works

As we wrangle repeatedly over the purposes of schooling and who gets to define them, what might we gain by taking a moment to listen to a thoughtful voice from a place and time not defined by our own mix of prejudices? I invite you to listen to such a voice, one speaking from a different era amid different anxieties and in a different idiom yet addressing questions that remain pressing. It is a voice shaped by a lifetime of educational engagement and reflection in the constant shadow of violence, yet, to the last, invested in the pursuit of delight. …

Policy Library- 147 University Curriculum, Assessment, And Student Success Committees, Indiana State University, General Counsel

Policy Library

Policy 147 University Curriculum, Assessment, and Student Success Committees

Exploring The Association Between Nurse Characteristics And Intent To Leave Their Current Position In Counties With Rural Hospital Closures, Caroline A. King

2025 Fall Honors Capstones Projects - Archive

Increased rural hospital closures and nursing burnout may lead to greater morbidity/mortality for rural residents. Current literature fails to capture whether rural hospital closures influence nurses’ intent to leave their current position. In this cross-sectional study, descriptive and correlational statistical analyses were conducted on survey responses from a sample of nurses who lived in a rural county that experienced a hospital closure. 66% of nurses stated that, at one point, they had considered leaving their primary nursing position. Logistic regression model results revealed that nurse-reported age and gender were significant predictors of a nurse’s intention to leave their current position. …

Microbial Metabolism Amplified Warming In Three Phanerozoic Hyperthermal Events, Yuyang Wu, Haijun Song, Daoliang Chu, Ying Cui, Jacopo Dal Corso, Genming Luo, Huyue Song, Li Tian, Hanchen Song, Enhao Jia, Jinnan Tong

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

The ocean’s biological carbon pump (BCP) plays a crucial role in climate regulation by facilitating long-term removal of atmospheric CO2. However, BCP changes during past hyperthermals remain poorly understood. Here we use the vertical carbon isotope (δ13C) gradients between surface and mid-waters to trace the BCP changes during the Permian−Triassic, early Toarcian, and Palaeocene−Eocene hyperthermals, detecting a two- to three-fold increase in the vertical δ13C gradients. We found that enhanced organic matter remineralization, driven by increased microbial respiration under warming, are the primary trigger for increased vertical δ13C gradients. Warming-induced enhancements in microbial metabolism caused a two- to six-fold reduction …

Gender Gaps And Economic Growth: Why Haven't Women Won Globally (Yet)?, Patrick Agte, Orazio Attanasio, Pinelopi K. Goldberg, Charles Gottlieb, Aishwarya Lakshmi Ratan, Rohini Pande, Michael Peters, Charity Troyer Moore, Fabrizio Zilibotti

Discussion Papers

Globally women’s labor force participation lags that of men and women, on average, have lower labor market earnings than men. Does economic growth reduce gender disparities in labor market outcomes between women and men? Conversely, do gender inequalities in the labor market impede growth? To inform these questions, we conduct two analyses. First, we estimate regressions using harmonized data on gender gaps in a range of labor market outcomes from 153 countries spanning two decades (1998-2018). Second, we conduct a systematic review of the recent economics literature on gender gaps in labor markets, examining 16 journals over 21 years. Our …

The Relationship Between Light Physical Activity And 10-Year Weight Change In 2,868 U.S. Adults: A National Health And Nutrition Examination Survey Investigation, Chloe Diane Cory

Theses and Dissertations

The prevalence of obesity has steadily increased over the past several decades. About 13.4% of Americans aged 20-74 had obesity in 1960-1962 and the prevalence has steadily increased to 40.3% in 2021-2023--more than a 3-fold increase. PURPOSE: The aim of this study was to evaluate the relationship between time spent in light physical activity (LPA) and 10-year weight change in a random sample of 2868 women and men representative of the U.S. adult population. METHODS: Data were used from the National Health and Nutrition Examination Survey (NHANES) from the 2003-2006 data cycles. Participants were limited to non-pregnant U.S. …

Recovery Of High Energy-Value Materials From Mine Wastewater, Zainab Nasrullah

Graduate Theses & Non-Theses

The increasing global demand for high-energy-value materials (HEVM), such as rare earth elements (REEs), copper (Cu), nickel (Ni), cobalt (Co), and lithium (Li), coupled with their limited availability and environmental concerns associated with traditional mining methods, necessitates the development of alternative and sustainable recovery strategies. Wastewater streams from industrial processes, mining operations, and electronic waste treatment represent untapped reservoirs of these valuable materials. Research is proposed to develop sustainable, cost-effective, and scalable methods for selectively recovering HEVM from mine wastewater (Berkeley Pit, Montana). Two innovative approaches, the adsorption process using functionalized adsorbent and solvent extraction (SX) using organic or hydrophobic …

Geologic And Geochemical Investigation Of The Ruby Graphite Deposit, Mikayla Taylor

Graduate Theses & Non-Theses

The Ruby Graphite project (RGP, also known as the Crystal Graphite deposit) is located in the southern Ruby Mountains, Beaverhead County. The deposit contains coarse-grained and highly crystalline graphite, which is a sought-after critical commodity in today’s global economy. The graphite is hosted by high-grade meta-sedimentary and meta-igneous rocks that reached peak metamorphism during the ~ 1.7 Ma Big Sky Orogeny. In this study, samples were collected from outcrops, mine dumps, and new (2023) drill core from the Ground Hog and Bird’s Nest locations. Rock types include calcitic marble, biotite-garnet schist, pegmatite, diopside-rich skarn, altered ultramafic intrusions, and a possible …

Recycling Ndfeb Magnets I: Production Of Ree Fluorides By A Novel Lpc Process, Isaac Joseph Cobbinah

Graduate Theses & Non-Theses

Neodymium-iron-boron (NdFeB) magnets account for over 60% of global magnet sales and are widely used in high-tech, military, and clean-energy applications (Ormerod, 2022). However, they contain critical rare earth elements such as Nd, Pr, and Dy which poses supply chain and geopolitical risks for country like the United States, which rely extensively on foreign sources. Recycling end-of-life NdFeB magnets provides a sustainable solution that diminishes environmental impact, strengthens supply security, and supports stable domestic production of important rare earth elements. A three-stage process has been developed for recycling the REE-content of NdFeB magnets. While the focus is on neodymium (Nd), …

Aqueous Geochemistry Drives Microbial Cu, Fe, And Zn Uptake Rates In Yellowstone, A Continental Hydrothermal System, Eva Carolina Andrade-Barahona

Graduate Theses & Non-Theses

Microbial uptake of trace metal cofactors such as copper (Cu), iron (Fe), and zinc (Zn) is governed by biogeochemical processes in hydrothermal systems where metal bioavailability varies widely. In situ microbial metal uptake rates were quantified by applying metal stable isotope probing (MSIP) in the Yellowstone hydrothermal system across diverse geochemical conditions in hydrothermal springs. The findings in these studies revealed that pH exerts a dominant influence on microbial copper uptake rate, also enhanced by increased Cu²⁺ ion availability and dissolved oxygen. Microbial iron uptake, in contrast, displayed a broad tolerance to environmental variability, occurring across a pH range of …

Women Made By Oscar Wilde, Lia Fowler

Departmental Honors & Graduate Capstone Projects

This analysis examines Lady Windermere’s Fan and An Ideal Husband, arguing that Oscar Wilde categorizes women within restrictive moral binaries of “good” and “bad.” Both plays depict women navigating social expectations, private honor, and the idea of a pure marriage; however, despite their central roles, female characters are not portrayed as empowered with appropriate agency. Wilde renders the women as contradictory, dangerous, shifty figures if they try to operate outside of marital bounds. While Wilde’s plays foreground women in prominent positions, they largely reinforce, rather than challenge, the gendered stereotypes of late Victorian society.

Growth Of Porang (Amorphopallus Muelleri) Seedlings As Influenced By Seed Maturity And The Presence Of Sarcotesta, Indri Fariroh, Restiani Sih Harsanti, Aminatun Nisa, Didik Pudji Restanto, Rizky Anugerah Putra

Jurnal Kultivasi

Porang seed maturity based its position on spadix position significantly impacts germination. The presence of the seed coat (sarcotesta) also influenced germination and initial seedling growth. This study aimed to explore the effect of seed maturity and the presence of sarcotesta to the seedling growth. The experiment was conducted from January to June 2023. A two factor Randomized Complete Block Design was employed, examining three maturity levels based on spadix position (physiological maturity seed from the tip spadix (red colour), half physiological maturity seed from the middle spadix (orange colour), and immature seed from the base spadix (green colour)), and …

Enhancing Flu Vaccination Rates Through Improved Electronic Health Record User Workflow Training, Grace Sayre

Master's Projects and Capstones

A quality improvement project was implemented at an urban community health clinic primarily serving low-income, underinsured, and Latinx individuals. The site had a history of poorly organized flu vaccine rollout and low vaccination rates among the patient population. Seasonal influenza infects millions of people across the US each year, resulting in hundreds of thousands of deaths (Garza et al., 2023), and vaccination is the best prevention. Electronic health record training has been shown to reduce user burnout and improve efficiency (Gordon et al., 2022). The QI project aims to increase medical assistant satisfaction with the flu vaccine rollout by 15%, …

Improving Chemotherapy Patients' Confidence And Preparedness Through Dual-Format Teaching, Jasmine Esther Aminpour, Harshpreet Kaur, Ana Ruvalcaba, Sarah Muwanas

Master's Projects and Capstones

Section I: Abstract

Objective

Chemotherapy initiation is widely recognized as a period of heightened anxiety and cognitive overload for oncology patients, often limiting their ability to retain essential information during traditional one-time, nurse-led education sessions (Gucuyener & Karabacak, 2025; Howell et al., 2020). This quality improvement (QI) project sought to address gaps in comprehension, preparedness, and digital engagement within an outpatient oncology infusion microsystem by integrating evidence-based digital chemotherapy education with structured follow-up support.

Aim

The project aimed to determine whether a nurse-guided walkthrough of a digital chemotherapy education platform, paired with standardized follow-up calls, would improve patient comprehension, confidence …

Enhancing Patient Safety In A Skilled Nursing Facility With A Post-Fall Huddle Protocol: A Quality Improvement Initiative, Evelin Yajaira Dominguez Dominguez

Master's Projects and Capstones

Objective To implement a post-fall huddle guide at a San Francisco Bay Area skilled nursing facility to address the 75 resident falls that occurred over an eight-month period. The literature emphasized the positive impact of huddles on staff communication, awareness, and collaboration which ultimately created a safe environment. Aim By November 4, 2025, the overall fall rates among patients in a San Francisco Bay Area SNF will decrease by 25%, from 4.8 falls per 1,000 patient days to 3.6 falls per 1,000 patient days. Methods Pre-implementation and post-implementation surveys were completed by LVNs and CNAs to assess knowledge of post-fall …

Beyond Compliance: How Targeted Education Improves Psychotropic Medication Documentation And Patient Safety In Skilled Nursing Facilities, Dyani Williams

Master's Projects and Capstones

Psychotropic medications are routinely prescribed in skilled nursing facilities to manage behavioral and psychological symptoms, but inadequate documentation poses risk to patient safety and leads to regulatory noncompliance. Objective: This project aimed to improve nursing staff knowledge and confidence in documenting psychotropic medication use in order to safeguard patient safety and follow Center for Medicare and Medicaid Services (CMS) guidelines. Aim: A targeted education session and standardized flowsheets were developed to enhance documentation adherence and staff confidence in psychotropic medication administration. Methods: To assess knowledge, comfort, and adherence to documentation standards a pre- and post-intervention survey were administered to nursing …

A Visual Nudge Toward Safer Skin: Reducing Hospital-Acquired Pressure Injuries (Hapi) At The Bedside, Iris Quach

Master's Projects and Capstones

Objective: With the increasing prevalence of hospital-acquired pressure injuries (HAPIs) among trauma patients at Highland Hospital, a quality improvement initiative was developed as a call to action. The overarching goal of this project was to design and implement a Quality Assurance and Performance Improvement (QAPI) intervention that was both feasible and cost-effective to address existing gaps and disparities during hospitalization at Highland Hospital, part of Alameda Health System in the Bay Area. Aim: The project aimed to evaluate whether a bedside visual cueing system could strengthen nursing compliance with pressure-injury prevention protocols and improve the consistency of communication among interdisciplinary …

Shattering The Silence: The Path To Maternal Equity In Texas, Karah Renfroe

The Scholar: St. Mary's Law Review on Race and Social Justice

The Black maternal mortality crisis reflects the persistence of institutionalized racism embedded in the U.S. healthcare system. In Texas, Black women account for just 11% of births yet represent 31% of maternal deaths—a mortality rate more than twice that of their white counterparts. This staggering disparity has persisted, even as statewide initiatives have improved maternal outcomes for non-Black women. This Comment situates the current crisis within a broader historical continuum: from the coerced medical experimentation on enslaved Black women by figures such as J. Marion Sims, through the codified racism of the Jim Crow era, to present-day inequities ingrained in …

The Evil Historical Twin: How The Requirement Of A Historical Analogy Could Result In Further Discrimination In The Law, Bryanna Mall

The Scholar: St. Mary's Law Review on Race and Social Justice

In 2024, the Supreme Court decided the case of United States v. Rahimi. The Court, unpersuaded by Rahimi’s objection regarding federal law which prohibited an individual subject to a domestic violence restraining order from possessing a firearm, decided the restriction was constitutional. While the holding of this case represents a win for survivors of domestic violence, the legal reasoning plants itself of flimsy concepts of history. The Court utilized a historical analysis test and looked to precedent rooted in social customs, legislation, and court holdings. The first major issue of this test is the dueling interpretation between a historical …