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

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

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

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

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

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

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

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 …

Staff Perceptions Of Workplace Violence In The Emergency Department; Increasing Safety Awareness And Education, Marissa Hibbs

DNP Projects

Purpose: The purpose of this project was to evaluate nursing staff perceptions of safety and workplace violence and increase safety awareness and knowledge in the emergency department of a level 1 trauma center.

Methods: This study was a single site project that used a descriptive non-experimental survey design to evaluate staff perceptions on workplace violence and safety before and after educational intervention. The study was broken down into three parts. After obtaining IRB approval, an invitation to participate in the pre-survey was distributed via email in a private electronic unit-based list server. Then an educational intervention on workplace safety and …

Impact Of Physical Activity Vital Sign Screening On Physical Activity Counseling And Referrals In Primary Care, Anna Selepina

DNP Projects

Background/Purpose: Physical Activity Guidelines for Americans recommend 150-300 minutes of moderate-intensity physical activity each week for adults; however, half of the adults do not meet this goal, which leads to increased chronic health conditions and poor health outcomes. The physical activity vital sign (PAVS) screening tool is an evidence-based assessment tool associated with increased physical activity counseling, which can lead to increased physical activity and improved patient outcomes.

Objective: The purpose of this study was to examine the impact of PAVS screening on physical activity counseling and referrals in primary care.

Methods: This prospective study took place in a small …

Evaluating The Effect Of A Brief Mindfulness Intervention Designed To Reduce Compassion Fatigue On Staff Mindfulness, Catherine Siegel

DNP Projects

Background: Compassion fatigue is “stress resulting from exposure to a traumatized individual” and is described as “a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment” (Cocker & Joss, 2016, p. 1). Fifty-two percent of mental health workers are experiencing compassion fatigue (The Mental Health of Healthcare Workers in COVID-19, 2020). Behavioral health units have some of the highest turnover rates across hundreds of hospital systems (2019 NSI National Health Care Retention & RN Staffing Report, 2019). Compassion fatigue has been identified as a risk factor for turnover in nurses and statistics …

Evaluating The Effect Of Electronic Health Record Patient Portal Use On Medication Adherence In Adults With Chronic Conditions, Jennifer Averbeck

DNP Projects

Background Medication non-adherence is prevalent among fifty percent of the United States population. This behavior leads to increased morbidity and mortality as well as increased healthcare costs for both the patient and the healthcare system. More than two-thirds of nonadherence exists in those aged over 65 years old who are diagnosed with Multiple Chronic Conditions (MCC). Several studies have researched and trialed interventions to improve rates of adherence, limit poor health outcomes, and decrease overall cost of care. The patient portal is an interactive tool which encourages participation of the patient in their healthcare management. Implementation of this tool has …

Electronic Cigarettes And Young Adults: Use Of Screening Tools And Provider Knowledge, Kayla Erin Chelf

DNP Projects

Background: Electronic Cigarette (e-cigarette) use is now more common than traditional cigarette use in adolescents and young adults (Dinardo & Rome, 2019). There is concern that the lack of screening for use and knowledge about the health consequences of e-cigarette use is driving this growth.

Objective: The purposes of this project were to (1) assess baseline e-cigarette knowledge and screening practices from healthcare professionals, and (2) evaluate changes in knowledge after delivery of an educational intervention about e-cigarettes.

Methods: In this quasi-experimental study a seven-question survey on screening practice and knowledge concerning e-cigarettes in young adults was posted on the …

Improving Nursing Comfort In Relation To Difficult Conversations, Sarah Clifton

DNP Projects

Abstract

Background/Purpose

Conversations between care providers and patients are integral to medicine and are the most performed “procedure” (Luff et al., 2016). In Pediatric Intensive Care Units (PICUs) and Pediatric Cardiac Intensive Care Units (PCICUs), children of all ages with diverse diagnoses and needs are treated for critical illnesses and traumatic events. Therefore, providers frequently have difficult conversations with patients and their families. Pediatric critical care nurses are often invited to participate in these discussions. However, their role during, and after, these conversations is not always clear. The goal of this project was to evaluate the impact of an educational …

Implementation Of A Death Anxiety Screening Protocol Specific To Patients With Advanced Cancer In An Outpatient Palliative Care Setting, Olivia M. Sasdi

DNP Projects

Abstract

Background: Recent studies have shown that upwards of 80% of patients with advanced cancer suffer from death anxiety resulting in increased physical and psychological suffering. Despite death anxiety’s ubiquitous nature and negative impact, the literature regarding this condition consistently indicates that it remains under-identified and undertreated in patients with advanced cancer. The “Death and Dying Distress Scale” (DADDS) is a clinically validated tool used to identify, measure, and guide effective treatment modalities for death anxiety specifically in patients with advanced cancer, but is scarcely used routinely in practice. Incorporating this screening tool to be used regularly could improve identification …

Female Lawyers Don’T Need Pity; They Need A Paycheck, Meagan S. Bilodeau

Pell Scholars and Senior Theses

Whether it's pity or patronization female lawyers have often been criticized. They're visualized on the lower level of the patriarchal hierarchy system in the Hollywood courtroom. However, women that hold emotional intelligence don't need pity. Emotional intelligence encompasses how to set boundaries, stay motivated, hold healthy relationships inside and outside the courtroom, as well as maintain self-regulation. Through analysis of the biographical films Erin Brockovich, On the Basis of Sex, and The Mauritanian this study explores how extensively psychological resilience subfactors are depicted, proving whether or not female lawyers are emotionally prepared to succeed in their noteworthy cases.

Schizophrenia And The Role Of Artificial Intelligence In Detecting And Treating It: Cognitive Frontiers, Mohanad G. Yaseen, Saad Abas Abed

Mesopotamian Journal of Artificial Intelligence in Healthcare

A persistent mental illness that changes thoughts, feelings, behaviour, and communication with people is schizophrenia. Delusions, hallucinations, distorted thinking, lack of motivation, and fear of society are often its hallmarks. Although there is currently no cure for schizophrenia, patients can greatly benefit from early diagnosis and treatment. The field of artificial intelligence (AI) is very promising for the diagnosis and treatment of schizophrenia. Artificial intelligence systems can scan and analyse vast amounts of data, including genetic and hereditary data, brain scans, and medical records, and predict when a person might develop schizophrenia if the factor is hereditary. This can help …

The Modern Impact Of Artificial Intelligence Systems In Healthcare: A Concise Analysis, Habeeb Omotunde, Mourad R. Mouhamed

Mesopotamian Journal of Artificial Intelligence in Healthcare

Artificial intelligence systems are receiving significant attention in the healthcare domain because they have a considerable impact on the development of patients' electronic medical records (EMRs). Artificial intelligence systems have the ability to develop healthcare institutions and assist physicians in making the proper decisions. These systems have the ability to perform diagnosis, provide appropriate treatment, and perform administrative tasks in hospitals. Healthcare institutions seek to integrate hospital systems with computer systems and construct large warehouses to store data and medical records for each patient. These methods allow machine learning and deep learning algorithms to analyse diseases, predict and determine new …

Black History In Adult Education In The United States: A Historical Review And Historiographical Critique, Jeremy William Bohonos, Chaddrick James-Gallaway, Arcasia D. James-Gallaway, Francena F.L. Turner

College of Humanities and Social Sciences

This article pushes towards the integration of the history of Black Adult Education (AE) into the broader history of AE literature and it contributes a critique of the field’s general omissions and misrepresentations of Black history. The purpose of this paper is twofold: (1) to critique the white-dominated history of AE texts and (2) to provide a historiographical essay that highlights works focused on the Black history of AE. In doing so, we offer a historical counternarrative rooted in the secondary historical literature that addresses the history of Black education. Ultimately, this paper critiques historiographical essays focused on AE, situates …

Making Justice Available For Victims Of Sexual Misconduct Within The Prison System, Emma L. Bruder

Cardozo Journal of Equal Rights & Social Justice

The note advocates for amending the Prison Rape Elimination Act (PREA) to include a private cause of action, enabling survivors of sexual misconduct in confinement to seek judicial remedies. This amendment would enforce their Eighth Amendment rights and address the limitations imposed by the Prison Litigation Reform Act (PLRA), which hinders access to justice for incarcerated individuals.

Physical Scars Are Not The Only Evidence: Crucial Expansion Of New York's Penal Law To Define Coercive Control And Technological Abuse As Domestic Violence, Bailey D. Appel

Cardozo Journal of Equal Rights & Social Justice

The note argues that New York's domestic violence laws are insufficient as they fail to recognize non-physical forms of abuse, specifically coercive control and technological abuse. It emphasizes the need to expand the legal definition of domestic violence to include these forms, particularly in light of the increased prevalence during the COVID-19 pandemic, which trapped victims at home with their abusers.

Combating False Election Information In A Section 230 Protected World: To Moderate Or Not To Moderate, Caitlin Muraca

Cardozo Arts & Entertainment Law Journal

The note examines the challenges of combating false election information on social media platforms, focusing on the role of Section 230 of the Communications Decency Act. It argues that while Section 230 is crucial for protecting online speech, its current form is inadequate in addressing the spread of misinformation in the modern digital landscape. The note evaluates various proposals for reform, including the repeal or modification of Section 230, and suggests a balanced approach that maintains its protections while incentivizing improved content moderation to combat false election information.

Making Reflection Critical: Structural And Historical Attributions For Inequity, Esther Burson, Erin B. Godfrey, Riana M. Brown, Deanna A. Ibrahim

Psychology: Faculty Books

Book Abstract: Critical consciousness represents the analysis of inequitable social conditions, the motivation to effect change, and the action taken to redress perceived inequities. Scholarship and practice in the last two decades have highlighted critical consciousness as a key developmental competency for those experiencing marginalization and as a pathway for navigating and resisting oppression. This competency is more urgent than ever given the current sociopolitical moment, in which longstanding inequity, bias, discrimination, and competing ideologies are amplified. This volume assembles leading scholars to address some of the field's most urgent questions: How does critical consciousness develop? What theories can be …

Pursuing Professional Learning By Using Social Media: How Do Instructional Designers Apply Self-Regulated Learning?, Pauline Salim Muljana, Tian Luo

STEMPS Faculty Publications

The instructional design and technology field are dynamic, requiring instructional designers to stay abreast through timely professional learning. Social media offers characteristics to collapse the time, geographical, and financial limitations of informal professional learning, but challenges exist. Continuous professional learning requires proactive actions, wherein self-regulated learning (SRL) plays an important role. How-ever, not all professionals know the effective strategies to promote SRL skills. This study examines instructional designers' (N = 17) experiences of professional learning on social media through an SRL lens. Data collected through semi-structured inter-views were analyzed using thematic analysis. Findings include SRL strategies con-ducted by instructional designers …

The Theory Of Learning In Micro: Context & Explanation, Irene A. Bal, Mohammad Shams Ud Duha, Okan Arslan, Jessica Collier, Paula Marcelle, Annetta Dolowitz, Jamie Brernhardt, Meg Swanson, Monalisa Dash, Bohdana Allman (Ed.), Heather Leary (Ed.), Royce Kimmons (Ed.)

STEMPS Faculty Publications

The Theory of Learning in Micro is a proposed theory on how people micro-learn. This theory is based on the hypothesis that learning is a continual process better supported with smaller, more focused learning resources and activities. Based on two main beliefs, knowledge and design, The Theory of Learning in Micro was crafted as a foundation for how people learn in micro, providing a set of beliefs and assumptions for the microlearning design and development community.

Culturally Responsive Librarians: Shifting Perspectives Toward Racial Empathy, Elizabeth A. Burns

STEMPS Faculty Publications

Libraries are charged with being inclusive spaces for all patrons. Library (library and information science [LIS]) preparation programs, by extension, must prepare the next generation of librarians to meet the needs of an increasingly diverse population. It is imperative that today’s librarians are equipped to infuse diversity, equity, and inclusion (DEI) theory with best practice when establishing policy and procedure for the library environment, staff, and programing. With little research and no established protocol in LIS education, it is unclear how pre-service librarians are trained in DEI to meet the needs of all users. This exploratory study used a participatory …

Comparing The "Value Of Information Services" For Providers And Vulnerable Patrons: A Mixed-Methods Study With Academic Libraries And Students With Disabilities, Devendra Potnis, Kevin J. Mallary

STEMPS Faculty Publications

Introduction. This multi-year, mixed-methods study compares (a) the reasons administrators and librarians of academic libraries invest in assistive technology for delivering information services to students with disabilities, with (b) the benefits that influence these students’ intention to use AT.

Method. In the first phase, 50 library administrators and 22 librarians from 186 public universities across the US shared their top-three reasons for investing in assistive technology through a qualitative survey. In the second phase, 322 students with disabilities from the same institutions completed a quantitative survey, in which respondents shared individual-level benefits that influence their intention to use assistive technology. …

Universal Design For Learning Implementation In Higher Education: Survey Of Faculty And Instructional Designers, Breanne A. Kirsch, Tian Luo

STEMPS Faculty Publications

Universal design for learning (UDL) is an inclusive design framework. Faculty and instructional designers were surveyed to investigate UDL implementation in higher education. This survey was based on one used by Westine et al. (2019). Results about how faculty and instructional designers learn about UDL, how instructional designers train and support faculty in UDL, and why and how participants choose to employ UDL are shared. The results from this study have provided new findings in relation to faculty and instructional designer UDL implementation efforts in higher education that have implications for training and supporting faculty with UDL application efforts.

2023 Jan Term Course Catalog, Saint Mary's College Of California

Jan Term Course Catalog

No abstract provided.

Implementing War Torts, Rebecca Crootof

Law Faculty Publications

Under the law of armed conflict, no entity is accountable for lawful acts in war that cause harm, and accountability mechanisms for unlawful acts (like war crimes) rarely create a right to compensation for victims. Accordingly, states now regularly create bespoke institutions, like the proposed International Claims Commission for Ukraine, to resolve mass claims associated with international crises. While helpful for specific and politically popular populations, these one-off institutions have limited jurisdiction and thus limited effect. Creating an international “war torts” regime—which would establish route to compensation for civilians harmed in armed conflict—would better address this accountability gap for all …