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The Effect Of Providing End Of Life Care On The Mental Health Of Critical Care Nurses, Christy Nelson Jan 2023

The Effect Of Providing End Of Life Care On The Mental Health Of Critical Care Nurses, Christy Nelson

Master's Projects

Critical care nurses are providing care to acutely ill patients now more than ever and may experience moral or emotional distress due to providing end of life care to their patients. The purpose of this literature review is to determine the mental health effects of a critical care nurse providing palliative end of life care. A literature search using PubMed and CINHAL was conducted and fourteen published articles between 2012-2023 were included in this review. Several interventions were identified which may be useful in decreasing burnout and moral distress in critical care nurses. Overall, nurses experienced the most negative mental …


Implicit Racial Bias: A Human Computer Interaction Study Using Eye Tracker, Wenfan Zhang Jan 2023

Implicit Racial Bias: A Human Computer Interaction Study Using Eye Tracker, Wenfan Zhang

Master's Projects

Contemporary Human-Computer Interaction (HCI) research has an increasing emphasis on reducing ethnicity bias. The study presents a new method to explore and reduce biases using detailed experiments. The experimental procedure involves presenting participants with images of ethnically diverse characters across three conditions. The study's results significantly illuminate ethnicity bias in character selection dynamics. Participants exposed to targeted training interventions displayed a significant shift in preferences for characters engaged in intellectual activities. Notably, this shift was influenced by the ethnicity of the characters involved. Interestingly, the eye-tracking data unveiled distinct patterns of cognitive load, characterized by slower response times and greater …


Enhancing Driver Distraction Detection Through The Synergy Of Deep And Traditional Machine Learning, Gowtham Chandrasekaran Jan 2023

Enhancing Driver Distraction Detection Through The Synergy Of Deep And Traditional Machine Learning, Gowtham Chandrasekaran

Master's Projects

Distracted driving is a major contributor to motor vehicle accidents, causing injury and loss of life. It is one of the major factors that affect the overall driving behavior of a person. Insurance companies take into consideration factors like gender, age, etc. to set insurance premiums for their customers. Today, machine learning and artificial intelligence can eradicate this bias. A machine learning model can analyze driving behavior, such as the frequency and severity of accidents, the speed at which they drive, and their habits such as distracted driving. Based on this information, the model can then determine the risk of …


Unlearning Hidden Bias Between Refugees : An Initial Empirical Investigation, Akshay Sunil Gurnaney Jan 2023

Unlearning Hidden Bias Between Refugees : An Initial Empirical Investigation, Akshay Sunil Gurnaney

Master's Projects

The challenges that refugees in various regions encounter are common knowledge. One such challenge is a bias among refugees on ethnocentric grounds. In particular, there are various articles that have pointed out the struggles faced by Syrian refugees in countries like Europe as a result of implicit bias. In fact, the media coverage of Syrian crises and the government responses to the same shed negative light on the refugees themselves. On the contrary, the media coverage of Ukrainian crises is very different with lesser restrictions from the governments.

This research attempts to identify the extent of implicit bias between Ukrainian …


Visual Scene Classification Using Ensemble Of Machine Learning Classifiers, Rahul Ranganath Jan 2023

Visual Scene Classification Using Ensemble Of Machine Learning Classifiers, Rahul Ranganath

Master's Projects

Visual scenes represent the comprehensive visual information observed in a particular environment. Whether natural landscapes, urban settings, or designed interiors, visual scenes encompass the arrangement of elements that individuals perceive through their visual senses. Visual search is perhaps one of the most typical jobs that we carry out several times a day. This is one of the main paradigms for researching visual attention. Many visual task models have been put forward in an effort to better understand visual attention. Fixations and the rapid movement of the eye - saccades, define visual exploration and visual search. When we subject viewers to …


Pygrapherconnect, Shubham Jain Jan 2023

Pygrapherconnect, Shubham Jain

Master's Projects

The evolving landscape of backend computational systems especially in biomedical research involving heavy data operations which have a gap of not being used properly. It is due to the lack of communication standard between the frontend and backend. This gap presents a problem to researchers who need to use the frontend for visualizing and manipulating their data but also want to do complex analysis. CAPRI a python-based backend system specializing in analyzing Evidential Reasoning data also has the same issue. This project offers a solution PyGrapherConnect module acting as a data conversion layer between CAPRI and PyGrapher, its frontend interface. …


Mild Cognitive Impairment And Alzheimer’S Disease Detection And Testing Interface (Mci-Addti) Modeller10.4 Integrating Structure-Function Prediction Modules, Grant Galileo Jacobson Jan 2023

Mild Cognitive Impairment And Alzheimer’S Disease Detection And Testing Interface (Mci-Addti) Modeller10.4 Integrating Structure-Function Prediction Modules, Grant Galileo Jacobson

Master's Projects

In the population of adult human patients who over express Beta and Tau Amyloids, it is unclear why 40% of them do not have Alzheimer’s Disease (AD), when all patients with AD have an overexpression of Beta and Tau Amyloids. The MCI-AD-DTI project’s epigenetic pipeline is an evolving computation tool that seeks epigenetic-related information related to the observed disparity. The MCI-AD-DTI’s epigenetic pipeline’s ability to identify mutations currently relies solely on PyPDB for verification of its protein functionality evaluation. The assessment process of the industry standard application, Modeller10.4, is independent from the current epigenetic pipeline’s protein evaluation algorithm. Thus, this …


Xai-Driven Cnn For Diabetic Retinopathy Detection, Vikas Shenoy Pete Jan 2023

Xai-Driven Cnn For Diabetic Retinopathy Detection, Vikas Shenoy Pete

Master's Projects

Diabetes, a chronic metabolic disorder, poses a significant health threat with potentially severe consequences, including diabetic retinopathy, a leading cause of blindness. In this project, we tackle this threat by developing a Convolutional Neural Network (CNN) to support the diagnosis based on eye images. The aim is early detection and intervention to mitigate the effects of diabetes on eye health. To enhance transparency and interpretability, we incorporate explainable AI techniques. This research not only contributes to the early diagnosis of diabetic eye disease but also advances our understanding of how deep learning models arrive at their decisions, fostering trust and …


Examining The Effect Of Positive Greetings At The Door On Student Academic Engagement And Disruptive Behavior, Abigail Lawson Jan 2023

Examining The Effect Of Positive Greetings At The Door On Student Academic Engagement And Disruptive Behavior, Abigail Lawson

Master's Theses

Positive Greetings at the Door (PGD) is a proactive classroom management strategy designed to assist students’ transitioning from a non-academic environment (e.g., physical education, lunch, hallway) to an academic environment (e.g., classroom instruction). PGD can prepare students to engage in academic behavior (e.g., sitting in seat, working on-tasks) and avoid engaging in nonacademic/disruptive behavior, thereby delaying the start of classroom instruction. Such disruptive behavior can lead to teacher frustration, which may contribute to a negative classroom environment. The current study used a concurrent multiple baseline design to assess the effects of PGD (Cook et al., 2018) on academically engaged behavior …


Twenty-Five Years Of New England Journal Of Entrepreneurship: A Bibliometric Review, Younggeun Lee, Satish Kumar, Andrés Felipe Cortés, Riya Sureka, Weng Marc Lim Jan 2023

Twenty-Five Years Of New England Journal Of Entrepreneurship: A Bibliometric Review, Younggeun Lee, Satish Kumar, Andrés Felipe Cortés, Riya Sureka, Weng Marc Lim

New England Journal of Entrepreneurship

Purpose: In 2023, the New England Journal of Entrepreneurship (NEJE) reached its 25th anniversary.To commemorate this major milestone as well as entrepreneurship’s growth as an academic field, the study employs bibliometric methods to provide key trends and research suggestions for entrepreneurship scholars using all original research published in the journal.

Design/methodology/approach: The authors perform two predominant bibliometric techniques, performance analysis and science mapping, using all 251 articles published by NEJE from1998 to 2022.

Findings: The authors find that the impact of entrepreneurship research published at NEJE is growing consistently and that the challenge of the future will be to maintain …


Novice Advanced Practice Nurses And The Delivery Of Unsatisfactory Health News, Jenny F. Schulte Jan 2023

Novice Advanced Practice Nurses And The Delivery Of Unsatisfactory Health News, Jenny F. Schulte

Graduate Research Projects

No abstract provided.


Increasing Historically Underserved And Underrepresented Student Completion In Stem Pathways At A Hispanic-Serving Institution: An Action Research Study, Inez F. Olive, Kyle J. Winslow, Osurè L. Brown, Eric R. Marshall Jan 2023

Increasing Historically Underserved And Underrepresented Student Completion In Stem Pathways At A Hispanic-Serving Institution: An Action Research Study, Inez F. Olive, Kyle J. Winslow, Osurè L. Brown, Eric R. Marshall

Educational and Organizational Learning and Leadership Dissertations

There is a demand for accountability for higher education institutions to increase student completion, specifically for institutions that enroll many students from historically underserved and underrepresented populations (HUUP). Meanwhile, labor market analysis presents a demand for skilled and diverse workers in science, technology, engineering, and mathematics (STEM) fields. Hispanic-serving institutions (HSI) have an advantage when supporting student completion to meet this workforce demand. This inquiry employed participatory action research (PAR) through a partnership with an HSI in rural Washington State. Using transformative worldview as the theoretical framework, this study aimed to determine the influence of completion planning for STEM students …


Advancing Equity-Minded Leadership Practices To Improve Educational Outcomes For Black Immigrant Students: A Phenomenological Case Study, Charmaine Caroline Marshall Jan 2023

Advancing Equity-Minded Leadership Practices To Improve Educational Outcomes For Black Immigrant Students: A Phenomenological Case Study, Charmaine Caroline Marshall

Educational and Organizational Learning and Leadership Dissertations

As schools become increasingly diverse, there has been increasing demand for accountability for school districts to seek to improve student performance (Portz, 2021). A qualitative phenomenological research study was used to explore how school leaders in Seattle Public Schools were responding to the academic needs of Somali immigrant students, the largest Black immigrant group in the district. By using equity mindedness as the theoretical framework, the research study examined how the response to Somali immigrant students might also promote positive outcomes for other historically marginalized and underserved students. This study recruited participants who were former and current school principals, members …


Mindfulness And Identity Awareness: Tools To Support Teachers And Leaders Towards Diversity, Equity, And Inclusion (Dei) Practices In Schools, Joslyn Williams Jan 2023

Mindfulness And Identity Awareness: Tools To Support Teachers And Leaders Towards Diversity, Equity, And Inclusion (Dei) Practices In Schools, Joslyn Williams

Educational and Organizational Learning and Leadership Dissertations

Black women are too often at the assault of policies that inflict harm and often forced to seek legal redress after exhausting all nonlegal avenues available that are supposed to ensure that learning occurs in harm-free spaces (Ward, Hardaway, and Njoku, 2022). The examination of the place and work of spirituality, reflection, and the power of remembering (Dillard, 2019) is explored through narratives of Black women, highlighting two case studies of educators from perspectives within private and public institutions.

A need exists to explore and describe the experiences of Black women teacher-leaders as they engage with diversity, equity, and inclusion …


ปัจจัยทำนายพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควรของนักเรียนหญิง ชั้นมัธยมศึกษาตอนปลายในโรงเรียนแห่งหนึ่งในจังหวัดปทุมธานี, จิรา ขอบคุณ, วารีวรรณ ศิริวาณิชย์, พรพรรณ พุ่มประยูร Jan 2023

ปัจจัยทำนายพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควรของนักเรียนหญิง ชั้นมัธยมศึกษาตอนปลายในโรงเรียนแห่งหนึ่งในจังหวัดปทุมธานี, จิรา ขอบคุณ, วารีวรรณ ศิริวาณิชย์, พรพรรณ พุ่มประยูร

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์การวิจัย: เพื่อศึกษาปัจจัยทำนายพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควรของนักเรียนหญิงชั้นมัธยมศึกษาตอนปลายในโรงเรียนแห่งหนึ่งในจังหวัดปทุมธานี

รูปแบบการวิจัย: การวิจัยเชิงทำนาย

วิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ นักเรียนหญิงชั้นมัธยมศึกษาตอนปลาย อายุระหว่าง 15-19 ปี จำนวน 120 คน เครื่องมือที่ใช้ในการวิจัยคือแบบสอบถามข้อมูลทั่วไป แบบประเมินความรอบรู้ในการป้องกันการตั้งครรภ์ก่อนวัยอันควร 6 ด้าน และ แบบประเมินพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควร ของกองสุขศึกษา กรมสนับสนุนบริการสุขภาพ กระทรวงสาธารณสุข วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา และสถิติสมการถดถอยพหุคูณแบบขั้นตอน

ผลการวิจัย: กลุ่มตัวอย่าง มีอายุเฉลี่ย16.86 ปี (SD = 0.97)  มีพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควรอยู่ในระดับดีมาก (SD= 5.95) ผลการวิจัยพบว่ามีเพียงตัวแปรเพียงด้านเดียวที่ทํานายพฤติกรรมการป้องกันการตั้งครรภ์ก่อนวัยอันควรได้อย่างมีนัยสําคัญทางสถิติ(p<.05) คือ การตัดสินใจเลือกปฏิบัติที่ถูกต้องเพื่อป้องกันการตั้งครรภ์ก่อนวัยอันควร

สรุป: ผลการวิจัยทำให้ได้ข้อมูลที่มีประโยชน์เพื่อการพัฒนาศักยภาพของวัยรุ่นให้มีความรอบรู้ด้านสุขภาพเพียงพอต่อการตัดสินใจเลือกปฏิบัติที่ถูกต้องเพื่อป้องกันการตั้งครรภ์ก่อนวัยอันควรได้อย่างมีประสิทธิภาพ


ประสบการณ์การเจ็บป่วยของผู้สูงอายุที่ติดเชื้อไวรัสโคโรนา 2019, ชนินาถ ชำนาญดี, จิราพร เกศพิชญวัฒนา Jan 2023

ประสบการณ์การเจ็บป่วยของผู้สูงอายุที่ติดเชื้อไวรัสโคโรนา 2019, ชนินาถ ชำนาญดี, จิราพร เกศพิชญวัฒนา

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาประสบการณ์การเจ็บป่วยของผู้ป่วยสูงอายุที่ติดเชื้อไวรัสโคโรนา 2019

รูปแบบการวิจัย: เป็นการวิจัยเชิงคุณภาพแบบปรากฏการณ์วิทยา

วิธีการดำเนินการวิจัย: ผู้ให้ข้อมูลเป็นผู้สูงอายุที่เจ็บป่วยด้วยโรคติดเชื้อไวรัสโคโรนา 2019 ทำการเก็บข้อมูลภายหลังได้รับการรักษาและอยู่ในระยะที่ไม่สามารถแพร่กระจายเชื้อจำนวน 16 ราย เก็บรวบรวมข้อมูลโดยใช้เทคนิคการสัมภาษณ์เชิงลึก การสังเกต การบันทึกภาคสนามและการบันทึกเสียงสนทนา ข้อมูลที่ได้นำมาวิเคราะห์ข้อมูลเชิงเนื้อหาตามวิธีการของโคไลซี

ผลการวิจัย: อธิบายประสบการณ์ของการเจ็บป่วยเป็น 4 ประเด็นหลัก คือ 1) ประสบการณ์การรับรู้อาการเจ็บป่วย เริ่มแรกไม่ได้คิดว่าตนจะติดเชื้อไวรัสโคโรนา 2019 เมื่อต้องเจ็บป่วยจึงทำให้พบกับความไม่สุขสบายทั้งร่างกายและจิตใจ โดยจะมีอาการเหนื่อยมาก หายใจไม่ออก และเมื่อได้รับการรักษาแล้วพบว่าหลังจากการเจ็บป่วยร่างกายไม่เหมือนเดิม 2) ประสบการณ์ในการเข้ารับการรักษา ผู้สูงอายุรู้สึกว่าตนโชคดีที่เข้าถึงการรักษาแต่รู้สึกไม่ชินกับการรักษาที่ได้รับ ถูกจำกัดให้อยู่แต่ห้อง ทำกิจกรรมบนเตียงและได้รับการดูแลผ่านกล้องวงจรปิดและพูดคุยผ่านลำโพงจึงทำให้ขาดสัมพันธภาพกับผู้ดูแล 3) หลากอารมณ์ หลายความรู้สึกภายในใจ รู้สึกกังวล กลัวว่าจะไม่รอด เมื่อได้รักษาก็รู้สึกว้าเหว่ โดดเดี่ยว เนื่องจากต้องอยู่คนเดียวเพื่อป้องกันการแพร่เชื้อ แต่อย่างไรก็ตามการเจ็บป่วยครั้งนี้ทำให้ผู้สูงอายุรู้สึกปล่อยวาง ยอมรับและเข้าใจสภาพตามอายุที่เพิ่มขึ้น 4)ประสบการณ์ในการกลับเข้าสู่สังคม ภายหลังที่หายจากการเจ็บป่วย พบว่าถูกรังเกียจจากคนรอบข้างมีเพียงคนใกล้ตัวที่ให้กำลังใจ แต่อย่างไรก็ตามการเจ็บป่วยในสถานการณ์ที่มีการแพร่ระบาดของโรคติดเชื้อ ทำให้ผู้สูงอายุต้องปรับตนเองในการดำเนินชีวิต เพื่อป้องกันการติดเชื้อ

สรุป: ผลการวิจัยครั้งนี้ทำให้เข้าใจประสบการณ์การเจ็บป่วยของผู้ป่วยสูงอายุที่ติดเชื้อไวรัสโคโรนา 2019ซึ่งสามารถนำผลการศึกษาไปใช้เป็นแนวทางในการพัฒนาการพยาบาลแบบเป็นองค์รวมที่สามารถตอบสนองความต้องการของผู้ป่วยได้อย่างมีประสิทธิภาพ


ผลของโปรแกรมสนับสนุนข้อมูลผ่านไลน์แอปพลิเคชันร่วมกับการบริหารกาย-จิตแบบชี่กงวิถีไทยต่อความวิตกกังวลก่อนการผ่าตัดในผู้ป่วยมะเร็งเต้านม, วันทนีย์ งามวงศ์, สุรีพร ธนศิลป์ Jan 2023

ผลของโปรแกรมสนับสนุนข้อมูลผ่านไลน์แอปพลิเคชันร่วมกับการบริหารกาย-จิตแบบชี่กงวิถีไทยต่อความวิตกกังวลก่อนการผ่าตัดในผู้ป่วยมะเร็งเต้านม, วันทนีย์ งามวงศ์, สุรีพร ธนศิลป์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบความวิตกกังวลก่อนผ่าตัดมะเร็งเต้านมหลังได้รับโปรแกรมสนับสนุนข้อมูลผ่านไลน์แอปพลิเคชันร่วมกับการบริหารกาย-จิตแบบชี่กงวิถีไทยและเปรียบเทียบระหว่างกลุ่ม

รูปแบบการวิจัย: วิจัยกึ่งทดลอง แบบสองกลุ่มวัดก่อนหลัง

วิธีดำเนินการวิจัย: กลุ่มตัวอย่างคือ ผู้ป่วยมะเร็งเต้านมที่ผ่าตัดในโรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย คัดเลือกกลุ่มแบบเฉพาะเจาะจงเข้ากลุ่มควบคุมและทดลองกลุ่มละ 22 คน จับคู่อายุ ชนิดผ่าตัดและการรับเคมีบำบัดก่อนผ่าตัด กลุ่มทดลองได้รับโปรแกรมฯ 2 สัปดาห์ก่อนผ่าตัด กลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือวิจัย คือ 1) แบบสอบถามข้อมูลส่วนบุคคล 2) แบบประเมินความวิตกกังวลขณะเผชิญ และ 3) โปรแกรมสนับสนุนข้อมูลผ่านไลน์แอปพลิเคชันร่วมกับการบริหารกาย-จิตแบบชี่กงวิถีไทยและเครื่องมือกำกับการทดลอง แบบประเมินความวิตกกังวลมีค่าความเชื่อมั่นสัมประสิทธิ์แอลฟาของคอนบาค .88 วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนาและสถิติทดสอบค่าที (t-test)

ผลการวิจัย: ความวิตกกังวลก่อนผ่าตัดของกลุ่มทดลองหลังได้รับโปรแกรมฯ ต่ำกว่าก่อนได้รับโปรแกรมฯและต่ำกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05

สรุป: โปรแกรมฯนี้สามารถลดความวิตกกังวลก่อนผ่าตัดได้


A Portrait Of The Artist’S Heirs In Mediation: Adr Techniques To Prevent And Resolve Disputes Following An Author’S Death, Nicholas Beudert Jan 2023

A Portrait Of The Artist’S Heirs In Mediation: Adr Techniques To Prevent And Resolve Disputes Following An Author’S Death, Nicholas Beudert

Cardozo Journal of Conflict Resolution

If an author's work is powerful enough, or popular enough, it's likely that at some point someone will want to write about her. For scholars embarking upon these projects, the author's body of published work can provide insight into her psyche, but correspondence and other unpublished materials can also be valuable. Copyright law covers all of these materials, and when the author dies, she can bequest her copyright as she would the rest of her estate (if she hasn't transferred it during her lifetime). The recipient of these copyrights may now treat the copyrights as her own, as though she …


Victim-Offender Mediation: A Missing Component Of A Multi-Pronged Approach To Reduce New York City Subway Crime, Elizabeth Neuburger Jan 2023

Victim-Offender Mediation: A Missing Component Of A Multi-Pronged Approach To Reduce New York City Subway Crime, Elizabeth Neuburger

Cardozo Journal of Conflict Resolution

No abstract provided.


Caring For Fat Bodies: Bridging The Gap Between Intention And Practice In Primary Care, Sadie Pile Jan 2023

Caring For Fat Bodies: Bridging The Gap Between Intention And Practice In Primary Care, Sadie Pile

Doctor of Nursing Practice Projects

Healthcare providers work hard to support patients in optimizing their health. Typical care prioritizes use of the body mass index (BMI) which has widely been criticized for its ineffectiveness at measuring health, and which perpetuates a white European male body as “normal”. From individual care to public health policy, the measurement of health through BMI and thinness has created and enforced weight stigma. Literature over the past 20 years has continued to demonstrate the negative health impacts of weight stigma, not only in harming physiological, psychological, and behavioral health, but also in fact contributing to weight gain. Notably, the research …


At The Heart Of Leviathan: A Hobbesian Reading Of Joseph Conrad's Heart Of Darkness, Bethany Lilleyman Jan 2023

At The Heart Of Leviathan: A Hobbesian Reading Of Joseph Conrad's Heart Of Darkness, Bethany Lilleyman

Theses

This thesis demonstrates how a historical-philosophical reading of Joseph Conrad’s Heart of Darkness (1899) through the lens of Thomas Hobbes’ thought can provide new understandings of Conrad’s critique of empire, by extending existing literature on the novella’s historical and politico-philosophical ideas. As Conrad’s use of a literary-impressionistic style has often left readers debating the text’s meaning, the once-canonical novella has come under the intense scrutiny of both readers and scholars alike. This scrutiny intensified with the rise of postcolonialism in the late 1970s, which focused on the novella’s controversial representations of race and imperialism. Tensions surrounding the text have also …


Outlier State: Elite Rhetoric As A Window To Western Australian Regionalism, David Jones Jan 2023

Outlier State: Elite Rhetoric As A Window To Western Australian Regionalism, David Jones

Theses

Western Australia was the last of the Australian self-governing British colonies to agree to join the Australian Federation in 1900 and voted to secede, by a significant electoral margin, in a referendum held in 1933. Some have even argued the State has been a reluctant member of the Federation since this momentous vote. If this is the case, what evidence is there that can justify this perception, and possibly point to enduring underlying factors supporting this Western Australian regionalism sentiment and identity? Many of the drivers which led to the successful secession referendum in 1933 still exist today. The State …


Opioid Use Disorder Treatment Program: Participant Factors For Retention And Motivation For Treatment, Javier Barrero, Victoria Strickland Jan 2023

Opioid Use Disorder Treatment Program: Participant Factors For Retention And Motivation For Treatment, Javier Barrero, Victoria Strickland

Doctor of Nursing Practice Projects

Purpose: The purpose of this project was to explore OUD patient-reported factors for motivation and retention in a medication-assisted treatment (MAT) program in the Seattle metropolitan area. Method: This mixed methods project collected data via an exploratory, preliminary survey from patients receiving treatment at 11 outpatient medication for opioid use disorder (MOUD) clinics located in three counties in Washington state. The survey contained both qualitative and quantitative questions that addressed factors of motivation, external support, and self-efficacy. The survey was sent via a secure text messaging system. Results: Qualitative analysis developed five themes after coding: supportive factors for retention, health …


Ketamine Assisted Psychotherapy For Mental Health Conditions, Michelle Julseth, Andrea Schneider Jan 2023

Ketamine Assisted Psychotherapy For Mental Health Conditions, Michelle Julseth, Andrea Schneider

Doctor of Nursing Practice Projects

Mental health conditions including depression, anxiety, and post-traumatic stress disorder impact the lives of almost a billion people worldwide. The current standard pharmacological interventions offer limited benefits, but new research in ketamine-assisted psychotherapy (KAP) has shown promising outcomes. This study sought to add to the existing body of research regarding KAP by measuring whether depression, anxiety, and/or spirituality scores improved significantly in participants after one KAP session by measuring Patient Health Questionnaire-9 (PHQ~9) scores, General Anxiety Disqrder-7 {GAD-7), and National Institute of Health Healing Experience of All Life Stressors (NIHtHEALS) scores, respectively. A retrospective chart review performed on clinical data …


Supporting Pregnant People In Prenatal Physical Activity & Exercise: Brief In-Service Training Integrating The 6 Rs Framework To Facilitate Counseling By Healthcare Professionals, Morgan Frazier Jan 2023

Supporting Pregnant People In Prenatal Physical Activity & Exercise: Brief In-Service Training Integrating The 6 Rs Framework To Facilitate Counseling By Healthcare Professionals, Morgan Frazier

Doctor of Nursing Practice Projects

Studies show that physical inactivity in pregnancy is attributed to pregnant people receiving inadequate and incomplete prenatal physical activity and exercise (PAE) counseling from healthcare professionals (HCPs). There is a gap in the knowledge translation of prenatal PAE guidelines and pregnant people are uncertain how to safely engage in PAE. The purpose of this quality improvement project was to evaluate the effect of an online brief in-service training integrating the 6 Rs Framework on Rainier Valley Birth & Health Center HCPs’ (i.e., Certified Nurse-Midwives and Licensed Midwives) attitudes, beliefs, knowledge, and practices pertaining to antenatal PAE. Quantitative data was collected …


Implementing An Educational Intervention Aimed At Nursing Staff To Improve Patient Hand Hygiene, Bonita Moore Jan 2023

Implementing An Educational Intervention Aimed At Nursing Staff To Improve Patient Hand Hygiene, Bonita Moore

DNP Projects

Abstract

Background/Purpose: Healthcare organizations are responsible for ensuring that healthcare workers adhere to effective hand hygiene (HH) protocols, and ample research exists on the best methods for monitoring and encouraging compliance. Despite the importance of HH for infection prevention, there has been little focus on patient hand hygiene (PHH). The purpose of this pilot project was to focus on improving nursing staff’s knowledge and attitudes about PHH with the expectation of showing a correlation between these factors and an increase in the performance PHH.

Methods: The project used a quasi-experimental study that took place on one hospital unit at …


Evaluating The Effectiveness Of Family-Based Treatment Education On Provider's Knowledge, Anticipatory Use, And Attitudes Who Treat Adolescent Patients Diagnosed With Anorexia Nervosa, Treven Back Jan 2023

Evaluating The Effectiveness Of Family-Based Treatment Education On Provider's Knowledge, Anticipatory Use, And Attitudes Who Treat Adolescent Patients Diagnosed With Anorexia Nervosa, Treven Back

DNP Projects

Background. Anorexia Nervosa is a chronic, disabling, and costly disease with a higher mortality rate than any other psychiatric illness. Because of the need for medical, psychiatric, and nutritional care, treatment is complex. The current literature supports Family-Based Treatment as a first-line treatment for adolescent patients diagnosed with Anorexia Nervosa. However, a gap exists between translating family-based treatments into clinical practice. Literature shows that education and understanding providers' attitudes and beliefs are the first steps to successfully implementing family-based treatments.

Purpose. This DNP project aimed to evaluate the effectiveness of a family-based treatment education intervention on providers' attitudes, knowledge, and …


Evaluation Of Universal Depression Screening In A Pediatric Diabetes Outpatient Clinic With The Integration Of A Depression Screening Tool Into An Electronic Health Record, Jenna Westberry Jan 2023

Evaluation Of Universal Depression Screening In A Pediatric Diabetes Outpatient Clinic With The Integration Of A Depression Screening Tool Into An Electronic Health Record, Jenna Westberry

DNP Projects

Background: Depression is a significant problem for adolescents with chronic health conditions. Prevalence rates are two to three times higher in adolescents with diabetes compared to adolescents without diabetes (Badescu et al., 2016). Routine depression screening is not transpiring at rates and frequency recommended by the American Diabetes Association for this population. Implementing use of the Patient Health Questionnaire for all adolescents over the age of twelve years with Type 1 & Type 2 Diabetes Mellitus during routine health visits may improve early identification and diagnosis of depression and improve long-term health outcomes.

Purpose: The goal of this project was …


The Effect Of Mentorship And Social Events On Job Embeddedness And Intent To Stay In Emergency Department Nurses, Kacie L. Albertsen Jan 2023

The Effect Of Mentorship And Social Events On Job Embeddedness And Intent To Stay In Emergency Department Nurses, Kacie L. Albertsen

DNP Projects

Background and Purpose: The COVID-19 pandemic has drastically impacted nurse retention. According to the Kentucky Nurses Association, 57% of surveyed Kentucky nurses are considering leaving their jobs. Best retention strategies are unclear. Job embeddedness (JE) and Intent to stay (ITS) are factors that influence retention. The purpose of this project is to increase JE and ITS at a level one emergency department (ED) by implementing evidence-based mentorship and social event interventions.

Methods: This study utilized a mixed-methods, one group pretest-posttest design. Mentorship pairs were matched by personality type using the Big Five Personality Test. Four mentorship discussion meetings and two …


Depression Management Among Primary Care Providers: Evaluation Of An Educational Intervention, Whitney Hunt Jan 2023

Depression Management Among Primary Care Providers: Evaluation Of An Educational Intervention, Whitney Hunt

DNP Projects

Background: Nearly one-third of patients diagnosed with depression and prescribed an antidepressant medication will stop taking their medication within the first month. Timely follow-up care can improve medication adherence and symptoms for depressed patients on antidepressants however, most patients do not receive timely follow-up. Common system and provider-based barriers to timely follow-up include limited provider time, lack of training, and mental health stigma.

Objective: The purpose of this project was to assess provider attitudes, knowledge level, perceived barriers, and current depression management strategies in a primary care setting.

Methods: In this quasi-experimental one group pre/post-test study a survey was used …