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Implementation Of A Suicide Prevention Program In A Rural School, Mackenzie Wieser

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Suicide is a leading cause of death among today's youth. One in six youth have seriously considered attempting suicide, and one in 13 have attempted suicide at least once. Timely identification of those at risk and connection with appropriate help are critical. Elementary, middle, and high school teachers are ideally positioned to act as gatekeepers through early recognition of students in psychological distress and timely response and referral when appropriate.
Evidence Summary: Teachers report a sense of responsibility for providing indirect mental health services to youth but have a lack of sufficient training and preparedness. Kognito online simulations have …

Implementing A Walking Program For Sedentary Patients In A Weight Management Clinic, Bailey Tetrault

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Promoting physical activity in weight management patients promotes better patient outcomes.
Methods: Weight management clinic patients were enrolled in the 6-week Walk with Ease (WWE) program. At the first session, each participant’s walking distance was measured over a 20-minute timeframe using pedometers. WWE group met 3 times weekly for six weeks for walking activities and with education on movement, mobility, and strength. At each session, the walking distance of participants was measured over 20 minutes. Race, gender and age descriptive were also collected.
Results: Statistical tests included the Friedman Test, ANOVA, and linear regression were calculated at the 5% …

Implementation Of A Venous Thromboembolism Protocol And Its Impact On Nurses’ Attitudes And Knowledge, Mikelle Eliason

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Venous thromboembolism (VTE) is a leading cause of preventable death following a surgical procedure in the United States. To reduce this risk, it is crucial that nurses are able to recognize VTE risks, perform a VTE risk assessment, and follow appropriate prophylactic recommendations.
Methods: Nurses received VTE education and the Caprini risk assessment model (RAM) was initiated at a rural outpatient surgery center. A pre- and postquestionnaire approach was utilized to evaluate nurses’ attitudes and knowledge on VTE risk assessment. Utilization of the Caprini RAM was tracked. Results: There were 8 nurse participants. At a 5% level of significance, …

Development Of An Evidence Based Surgical Site Infection Bundle In Patients Undergoing Colorectal Surgery: A Quality Improvement Initiative, Jessica Mcbee

DNP Scholarly Projects

BACKGROUND: Surgical site infections (SSI) are among the leading healthcare-acquired infections that negatively impact patient outcomes and increase total cost of healthcare and the patient’s length of stay. At a community hospital in West Virginia, trends in SSI rates and the standardized infection ratio (SIR) increased for patients undergoing colorectal surgery. The purpose of this quality improvement project was to identify and implement permanent evidence-based practice changes to reduce SSI rates in colon surgery patients.

METHODS: Baseline rates of SSI and the SIR for the facility was calculated from October 2021 to September 2022. Colon surgery SSI reduction …

A Quality Improvement Initiative: Addressing Workplace Violence Toward Nurses To Promote A Culture Of Safety In An Inpatient Psychiatric Facility, Ernestina Danso

DNP Scholarly Projects

This quality improvement initiative aimed to address workplace violence against nurses in inpatient psychiatric facilities and promote a culture of safety. The QI project involved 27 participants, including inpatient psychiatric nurses and mental health counselors from Cahill 4 and 7 West units at the Cambridge Campus. The primary objective was to identify challenges that hindered the effective utilization of the Broset Violence Checklist (BVC) tool for referring patients to sensory modulation rooms.

Pre- and post-intervention surveys were conducted to assess participants' self-reported knowledge and barriers to BVC and sensory room utilization. Educational sessions covering workplace violence, debriefing techniques, and the …

Improving Mental Health Psychiatric Nurse Practitioners’ Knowledge And Confidence To Assess Decision-Making Capacity In Geriatric Psychiatric Patients In Acute Settings, Lolita Brown

DNP Scholarly Projects

Abstract

In this quality improvement project, I aim to enhance the knowledge and confidence of psychiatric mental health nurse practitioners (PMHNPs) in completing Decisional Capacity Mental Assessments (DMCAs). I use qualitative and quantitative methods to measure the intervention’s success, emphasizing PMHNPs’ role in ensuring ethical DMCAs while maintaining patient autonomy. The education-based intervention significantly improves PMHNPs’ knowledge and confidence levels following the pre-education survey. These findings highlight the significance of DMCA training for health-care professionals, underscoring the necessity of standardized assessments alongside improved dialogue during capacity evaluations. Limitations include limited sample sizes and dependence on self-reported measures, which may introduce …

Exploring & Mitigating Workplace Incivility At A Rural Community Hospital, Jacquelyn Ethier

DNP Scholarly Projects

Workplace Incivility (WI) is a well-known challenge in healthcare, with decades of mounting evidence showing the effects on workplace culture, healthcare worker retention and patient safety. The nursing workforce has become increasingly vulnerable to all stressful elements of the work environment. Organizational leadership must develop and deploy mitigation strategies to minimize the negative consequences of these behaviors for nurses, and the entire healthcare team. The purpose of this quality improvement project is to assess the current state of nurse perceptions of WI at a rural community hospital and deploy evidence-based education on strategies to address and mitigate WI. The method …

Improving Social Bot Detection Through Aid And Training, Ryan Kenny, Baruch Fischhoff, Alex Davis, Casey I. Canfield

Engineering Management and Systems Engineering Faculty Research & Creative Works

Objective: We test the effects of three aids on individuals' ability to detect social bots among Twitter personas: a bot indicator score, a training video, and a warning. Background: Detecting social bots can prevent online deception. We use a simulated social media task to evaluate three aids. Method: Lay participants judged whether each of 60 Twitter personas was a human or social bot in a simulated online environment, using agreement between three machine learning algorithms to estimate the probability of each persona being a bot. Experiment 1 compared a control group and two intervention groups, one provided a bot indicator …

Beliefs About False Allegations Of Sexual Violence: Intergroup Contact Theory And Rape Myth Acceptance At A Rocky Mountain University, Alexandra Marie Buscaglia

Graduate Student Theses, Dissertations, & Professional Papers

False allegations of sexual assault represent approximately 2% to 10% of all sexual assault allegations reported to law enforcement (Lisak et al., 2010). Despite this low prevalence rate, people tend to overestimate the occurrence of false allegations, and give false allegations excessive weight in arguments about rape myths and policy-making decisions. This excessive weight is given despite a lack of research evidence that false reports of sexual violence occur more frequently than those of any other crime (Ask, 2010; McMillan, 2018; Stabile et al., 2019). This overestimation is likely influenced by the overrepresentation and sensationalization of false allegations in the …

Beyond The Business Case: Moving From Transactional To Transformational Inclusion, Jamillah Bowman Williams

Georgetown Law Faculty Publications and Other Works

While workplace diversity is a hot topic, the extent to which the diversity management movement has effectively improved intergroup relations and reduced racial inequality remains unclear. Despite large investments in diversity and inclusion training and other company wide initiatives, historically excluded groups remain vastly underrepresented in leadership and the most lucrative careers, such as finance, law, and technology. This calls the efficacy of diversity, equity, and inclusion (DEI) efforts into question, particularly with respect to reducing racial inequality in the workplace.

This Article explains why it is time for organizational leaders to move beyond the transactional case for diversity and …

Advancing Racial Justice Through Civil And Criminal Academic Medical-Legal Partnerships, Yael Cannon, Vida Johnson

Georgetown Law Faculty Publications and Other Works

The medical-legal partnership (MLP) model, which brings attorneys and healthcare partners together to remove legal barriers to health, is a growing approach to addressing unmet civil legal needs. But MLPs are less prevalent in criminal defense settings, where they also have the potential to advance both health and legal justice. In fact, grave racial health inequities are deeply intertwined with both civil and criminal injustice. In both spheres, health justice is racial justice. Building on the experiences of the authors in their respective civil and criminal law school clinics at Georgetown University in Washington, D.C., this Article argues that academic …

Abila Keynote Address: Beyond International Law? A Dangerous Time, Gregory Shaffer

Georgetown Law Faculty Publications and Other Works

In this keynote address for the 2023 International Law Weekend conference of the American Branch of the International Law Association (ABILA), I first address the dangers of the conference theme “beyond international law” at a time when challenges to international law and institutions increase and aim to constrain international law’s normative force. We have been here before. The world today recalls that of the interwar period, a time of growing economic insecurity and inequality that helped to catalyze the rise of authoritarian movements. During that period, Carl Schmitt was a leading legal theorist who eventually became a member of the …

Problems With Authority, Amy J. Griffin

Georgetown Law Faculty Publications and Other Works

Judicial decisionmaking rests on a foundation of unwritten rules—those that govern the weight of authority. Such rules, including the cornerstone principle of stare decisis, are created informally through the internal social practices of the judiciary. Despite the central role of such rules in judicial decisionmaking, we lack a good account of how they are created, revised, and enforced. There is something paradoxical and troubling about the notion that the rules of the game are determined by the players as they play the game according to those rules. Because weight-of-authority rules are largely informal and almost entirely unwritten, we don’t even …

"We Give Them The Most Important Thing Possible. We Give Their Dreary Lives Excitement”: Toward A Theoretical Model Of Narrative Parasocial Engagement, Dominic Delbert Meyers

Electronic Theses and Dissertations

Video game narratives and characters are some of the most enjoyable and persuasive components of the video game industry. While narratives and character relationships within video games have been examined separately, there is no working model and little research attempting to bridge the connection between narratives and character relationships. This research combines Narrative Paradigm Theory and Parasocial Relationships to understand how narratives and character relationships influence each other in video game environments. This was done through rhetorical field methods, utilizing a focus group and narrative rhetorical analysis on the transcript of the focus group. Results provide a working model coined …

Theoretical Motivations For Posting In #Metoo, Shannon Pappas

Electronic Theses and Dissertations

In 2017, actress Alyssa Milano shared a tweet encouraging survivors of gendered violence to write “me too.” A media storm ensued as survivors answered her call in the millions. Anyone can look back at what survivors posted during the height of #MeToo, but we still don’t know why they felt the need to post in the first place. To answer this question, the social identity model of deindividuation effects and spiral of silence were utilized. The social identification, perceived anonymity affordances, and willingness to self-censor scales were used for this research, along with a perceived deindividuation scale that was created …

Exploring Disparities In Prenatal Smoking And The Role Of Adverse Childhood Experiences, Patricia Da Rosa

Electronic Theses and Dissertations

Cigarette smoking is the most common cause of premature death, killing half of its users. During pregnancy, smoking continues to be the leading cause of premature death for both mothers and newborns. Research has consistently demonstrated smoking is not randomly distributed across populations; it is, instead, socially patterned. Women from lower socioeconomic backgrounds, those experiencing mental health issues, and rural area residents are disproportionately affected. The life course framework emphasizes the impact of exposures in early life on shaping health inequities. Eliminating health inequities, including risky behaviors such as smoking, requires an understanding of the pathways that generate these inequities. …

Language And Culture In Context: A Primer On Intercultural Communication, Robert Godwin-Jones

Open Textbooks and Course Materials

For the classroom-friendly version of this book, please view the website version of this text of this text. This version is intended to serve as a preservation copy of the website.

This textbook on intercultural communication takes a collaborative and interdisciplinary approach: incorporating views and experiences from scholars and sources of diverse global backgrounds, integrating research findings from other disciplines, and developing a multicultural and multi-linguistic approach.

What Is Your Why? A Qualitative Study About Motivational Differences Of Latinos/Hispanics And African American/Black In A Computerized Cognitive Training Program To Prevent Alzheimer’S Disease, Lizbeth C. Vera Murillo

UNF Graduate Theses and Dissertations

Recruitment of diverse populations is a major barrier in advancing clinical research (Areán & Gallagher-Thompson, 1993; Areán & Alvidrez, 2003). The need to increase racial diversity is imperative due to the substantial growth of historically marginalized racial communities in the United States (Weinstein et al., 2017). Despite researchers’ efforts to increase racial/ethnic representation in clinical trials, there is still a lack of understanding of the best practices to recruit racial/ethnic minorities in clinical trials. The current study explores the qualitative motivations of why research participants (aged 65+ years old) volunteered for an Alzheimer’s Disease (AD) prevention clinical trial. Racial/ethnic differences …

That’S Why We Drink: Effects Of Undergraduate Stress During The Covid-19 Pandemic On Alcohol Behaviors, Skylar St Clair

UNF Graduate Theses and Dissertations

Previous literature has shown that undergraduates’ alcohol use is often affected by their perceived stress, especially when there is a significant disruption to their typical college lifestyle. The primary goal of the study was to demonstrate that there is a relationship between perceived undergraduate stress and alcohol behaviors mediated by anxiety during the COVID-19 pandemic. The secondary goal was to determine if there were any significant moderating variables on the aforementioned mediation, specifically characteristics of personality. A self-report Qualtrics survey was conducted to assess perceived stress, anxiety, alcohol use, and personality domains along the Big Five Inventory for 244 students. …

Gender And Race Influence Young Adults' Impressions Of People With Dementia, Angel Collie

UNF Graduate Theses and Dissertations

Alzheimer’s Disease and Related Dementias (ADRD) are becoming more common among older adults around the United States, including African Americans, who are twice as likely to be clinically diagnosed with Alzheimer’s Disease. Though it is counter-intuitive, young adults are important when examining the future projections of ADRD because they will be the future caretakers of older adults. The current study investigated whether impressions of people with dementia are influenced by the interaction of gender and race among young adults. In Phase 1, young adults (N = 157, ages 18-25, median age = 20) completed a reverse correlation task where they …

Motivation Differences Of Males And Females In The Pact Study: An Exploratory Study, Maria E. Vander Meulen

UNF Graduate Theses and Dissertations

A cure for Alzheimer’s disease (AD) is not yet a reality, however, research on preventative interventions for AD has demonstrated promise. An issue this research has encountered and will continue to contend with is the recruitment of a generalizable sample. There are several randomized clinical trials (RCTs) in various disciplines that do not reach their target sample or must extend their recruitment period to reach their sample size. Challenges like this will aid in the delay of finding an AD prevention method. That impedes the help it could provide future generations. The current study explores research participants’ (2,617) open-ended responses …

The Effect Of Testing On New Learning Of Related And Unrelated Text Sections, Katie Ingram

UNF Graduate Theses and Dissertations

When individuals are presented with a variety of materials, including word lists, face-name pairs, text passages, and more, the presence of a test between sections can enhance future section learning, a phenomenon called the forward testing effect (FTE). In addition to the FTE, studies have suggested that a decrease in the relatedness of the subject matter units can increase learning of the material. The current study examined the interaction between the presence of a test and the relatedness of material using text sections and cued-recall questions. Participants were 119 individuals assigned to a related test, related no-test, unrelated test, or …

In God's Hands: Faith Healing, Epilepsy, And The Question Of Human Rights, Marisa L. Pechillo

UNF Graduate Theses and Dissertations

This thesis highlights the historical link between people with epilepsy (PWE) and demonic possession. The discussion traces origins of these views from antiquity to the contemporary era, foregrounding media and scholarship that emphasizes the negative perceptions of PWE developed through Christian teaching and imagery. It explores the question of whether the social isolation, abuse, and violence committed against PWE, through Christian faith healing practices such as exorcism, developed in relation to these stigmatizing views and whether these constitute a human rights violation in accordance with conventions put forth by the United Nations.

Thermal Temperatures And Social Network Position In Bonobos, Dain Rust

UNF Graduate Theses and Dissertations

In a variety of species, the maintenance of stable social connections is associated with lower levels of stress in individuals. Understanding how physiological stress responses interact reciprocally with social connections in bonobos, humans closest living relative, can provide useful information about both the emergence of social connections in our own species, as well as provide guidance for animal welfare procedures. Infrared thermography (IRT) has been shown to be a reliable non-invasive measure of stress response in some species, specifically non-human primates. The current study examines the relationship between baseline facial temperatures, social network position, and demographic variables in a population …

Illness Stigma, Social Connectedness, And Health In People Living With Chronic Illness: A Structural Equation Model, Abigail Brooke Crawford

UNF Graduate Theses and Dissertations

The complexity of chronic or unexplained conditions may lead to potential stigma for those suffering long-term symptoms as they do not follow the expected pattern of recovery following diagnosis and treatment. Experiencing such illness-related stigma has potential for leading to a belongingness identity of detachment with implications for health across physical, social, and psychological dimensions. This study aimed to examine the relationship between stigma, social connection, mental health, physical health, and social functioning in a group of 231 participants with ongoing symptoms of chronic illness through structural equation modeling. The fit indices all suggest that the model reasonably fits the …

Internal Mental Representations Of The Self And The Typical College Student In Regards To Race, Self-Esteem And Belongingness, Celina Deloris Johnson

UNF Graduate Theses and Dissertations

The higher prevalence of white students on college campuses may influence how minority students see themselves within the academic setting. In essence, minority students may not feel like they belong on college campuses and this may harm their self-esteem. In particular, discrepancies between minorities' internal representations of themselves and their representations of a typical college student may drive feelings of not belonging and decrease self-esteem. The present research consisted of two phases and was designed to investigate how internal mental representations of the self and the typical college student are related to self-esteem and their sense of belonging. In Phase …

Examining Predictors Of Academic Success Among Stem And Non-Stem College Students, Sydney C. Barrett

UNF Graduate Theses and Dissertations

Nationally, approximately 40% of students drop out of college, with one third of all college freshman dropping out before they enter their second year (Hanson, 2021). Previous research (van der Zanden et al., 2018) has examined predictors of student success that range from institutional variables (e.g., policies, academic supports) to student characteristics (e.g., academic preparation, emotional well-being, motivation, self-evaluation). The primary goal of the present research was to add more insight into the variables that might affect academic success by examining differences in college students’ implicit theories of intelligence, achievement goals, academic self-concept, and academic success at two different levels …

The Influence Of Time And Location On Moral Dilemmas Based On A Driving Simulator Study, Jacqueline Nicole Miller

UNF Graduate Theses and Dissertations

How humans make decisions in dangerous driving situations like moral dilemmas can contribute to developing acceptable ethical principles for autonomous vehicles (AVs). This study investigates whether drivers make utilitarian choices (choices that maximize lives saved and minimize harm) in unavoidable automobile accidents under different time pressure conditions and collision subject locations with a driving simulator. Thirty-one undergraduates participated in this study using a STISM driving simulator in which participants responded to two types of driving moral dilemmas (pedestrian and vehicle related). Participants generally made utilitarian choices. However, the percentage of utilitarian choices varied with time pressure in the vehicle scenarios …

Reentry For Registered Sex Offenders: Navigating Stigma Post-Release, Emily N. Friedman

UNF Graduate Theses and Dissertations

Registered sex offenders (RSOs) experience extreme stigmatization and monitoring even after they are released from incarceration. This is due, in part, to sex offender registries which perpetuate high levels of stigma and can contribute to false narratives about reoffending, victimization, and the homogeneity of sex offenders. As a result of societal level stigma, RSOs often struggle to locate and maintain employment, secure suitable housing, and establish positive, prosocial relationships. This current study utilized a qualitative approach using in-depth interviews with eight RSOs to explore how offenders experience and navigate this stigma during reentry. Findings support the notion that RSOs experience …

The Impact Of A Face To Face Sports Nutrition Session On Athletes' Nutrition Knowledge And Disordered Eating Attitudes, Jill M. Snyder

UNF Graduate Theses and Dissertations

The primary objective of this study was to determine the impact of a face-to-face nutrition education session on college athletes’ nutrition knowledge and disordered eating attitudes. One hundred and thirteen student athletes attended a 60-minute face to face education session related to sports nutrition and disordered eating, created by a registered dietitian. One hundred and three athletes completed the pre and post surveys to determine nutrition knowledge and disorder eating attitudes. A paired t test determined the sports nutrition knowledge post test scores were higher than the pretest scores (M = 3.92, SE = .86), t (102) = -9.024, p …