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Bridging The Gap Between Primary Care And Mental Health: A Quality Improvement Project, Coreyann Fluker

Doctor of Nursing Practice (DNP) Manuscripts

Establishing a robust connection between primary care and mental health services is crucial for fostering a patient-centered healthcare model. This quality improvement project addresses the pressing issue of limited access to mental health services in rural areas of the United States, leading to unmet mental health needs for patients. These challenges were identified within a Federally Qualified Health Center (FQHC) in Southwestern Pennsylvania. Implementing a collaborative care approach seeks to enhance triage practices by facilitating warm handoffs from primary care to mental health providers while integrating an informative triage tool, the SAD PERSONS Scale.

This collaborative approach enhances patient outcomes …

Integrating Health-Related Quality Of Life And Evidence-Based Polycystic Ovarian Syndrome Management: A Quality Improvement Initiative, Kami Beveridge Wast

Doctor of Nursing Practice (DNP) Manuscripts

Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder affecting approximately 10% of women of reproductive age, characterized by symptoms such as irregular menstrual cycles, infertility, and metabolic issues (Fatemeh et al., 2021). Despite its prevalence, the management of PCOS remains challenging due to its manifestations and impact on quality of life. Current treatment paradigms often fail to adequately address the comprehensive needs of this patient population, highlighting a substantial gap in care.

Utilizing the Plan-Do-Study-Act (PDSA) methodology, this quality improvement (QI) project aimed to enhance the management of PCOS and improve the quality of life for patients in a …

A Quantitative Correlational Study Of Job Satisfaction Among Critical Care Nurses In Hawai'i, Hazel Downing

Dissertations

One way of reducing nurse shortage and providing effective patient care within critical care units includes addressing the relationships between job satisfaction and nurse socio-demographics. The current quantitative correlational study identified a moderate level of overall job satisfaction among critical care nurses in Hawaii. The highest level of job satisfaction was in flexibility of scheduling and lowest in child care facilities. Rejection of the null hypothesis for six of the eight hypotheses suggested presence of a relationship between socio-demographics and the subscales of job satisfaction. The linear combination of the 10 socio-demographics does not predict the rewards and the professional …

Case Manager Perceptions Of Trauma-Informed Practice And Policy In Human Service Organizations, Lachandra Brooks Prim

Walden Dissertations and Doctoral Studies

One of the goals of human service organizations is to provide help to victims of trauma, but they are often the cause of retraumatization to those individuals. The problem that was addressed in this study was the negative repercussions of retraumatization such as feelings of being unsafe, anger, guilt, shame, depression, and secondary trauma due to human service organizations not being based in trauma-informed approaches. The purpose of this generic qualitative research study was to describe and understand case managers’ perceptions of trauma-informed practices and policies across organizations and services. Ecological systems theory served as the theoretical framework for this …

A Mind-Body Intervention To Improve Physical Activity For Patients With Chronic Hip-Related Pain: Protocol For A Mixed Methods Study., Kate N Jochimsen, Kristin R Archer, Robin A Pollini, Robert A Parker, Nomin Enkhtsetseg, Cale A Jacobs, Ana Maria Vranceanu

Psychiatry Faculty Publications

BACKGROUND: Pain and dysfunction persist for most patients following hip-related pain treatment. Additionally, individuals with hip-related pain are typically less physically active than individuals without hip pain, despite evidence that regular physical activity reduces chronic musculoskeletal pain. Poor psychological health is common in patients with hip-related pain and further reinforces low physical activity. Mind-body interventions can improve psychological health and activity levels but have yet to be integrated to provide comprehensive, psychologically informed care for patients with hip-related pain. Thus, we are using the NCCIH intervention development framework to develop Helping Improve PSychological Health (HIPS), a novel, multimodal mind-body intervention …

Full Issue

The Bridge

No abstract provided.

Toward An Affective-Rhetorical Approach To Biblical Interpretation, Sophie R. Beal

Yale Divinity School Theses

No abstract provided.

Improving Patient Care For Individuals With Autism Through An Evidence-Based Education Video: A Pilot Feasibility Project, Emily Santillan, Katreena Collette-Merrill, Terisa P. Gabrielsen, Petr Ruda

Student Works

Autism Spectrum Disorder (ASD) affects approximately 1 in 36 children in the United States, presenting challenges in healthcare provision due to varied severity and frequent comorbidities. Despite increased healthcare utilization by individuals with ASD, they often encounter barriers to receiving adequate care, including communication difficulties and untrained healthcare providers. Consequently, there is a pressing need for autism-friendly healthcare environments.

This study aimed to assess the feasibility of improving healthcare provider self-efficacy in caring for patients with ASD through an evidence-based online educational video. Following Bandura's Self-Efficacy Theory, the project developed a video outlining simple accommodations for ASD patients in ambulatory …

Dnp Final Report: Balancing Self-Care And Patient Care: An Intervention To Enhance Well-Being For Acute Care Nurses, Robert V. Rose Jr.

DNP Final Reports

This project delves into the profound impact of the COVID-19 pandemic on healthcare and nursing, focusing on the well-being of nurses within the context of acute care settings. Poor well-being leads to increased levels of burnout and the evidence-based practice project aimed to increase the perception of well-being.

The formulated PICOT question driving this project was: In acute care nurses (P), how does the use of Acceptance and Commitment Therapy (ACT) program (I) compared to no Acceptance and Commitment Therapy (ACT) (C) impact nurses’ perception of well-being (O). The evidence substantiates that ACT interventions effectively elevate perceptions of well-being, as …

An Ethical Leadership Assessment Center Pilot: Assessing And Developing Moral Person And Moral Manager Dimensions, Alexis D'Amato, Vignesh Murugavel, Kelsey Medeiros, Logan L. Watts

Management Faculty Publications

Ethical leaders are those who exemplify moral behavior personally, as well as those who facilitate follower ethical behavior. Although recent attention has been given to the ethical leadership construct, there remains a lack of innovation regarding the assessment and development of ethical leaders in organizations. To address these issues, a pilot study was conducted to examine the convergent validity of an ethical leadership assessment center, as well as the efficacy of using assessment center feedback to foster ethical leadership. Assessees completed a battery of pre tests, a virtual business simulation with a novel exercise, and a set of post tests. …

Addressing Or Reinforcing Injustice? Artificial Amnion And Placenta Technology, Loss-Sensitive Care And Racial Inequities In Preterm Birth, Sophie L Schott, Faith Fletcher, Alice Story, April Adams

Center for Medical Ethics and Health Policy Staff Publications

No abstract provided.

Best Practices In The Care Of Older Adults During An Unplanned Acute Observation Stay, Jonny Macias Tejada, Michael Malone

Journal of Geriatric Emergency Medicine

No abstract provided.

In-Depth Examination Of Financial Accounting: Case Studies Analysis, Gurpreet Singh

Honors Theses

This thesis is a collection of different accounting case studies over 2 semesters. There are eleven cases that make up this thesis including:. There are various topics involved in all these cases including: 102 Minutes that Changed America, Design Your Life – Atlanta, Excel Crash Course, Financial Implications of Covid-19 on Pfizer, Important Influencer Interview – Vince Chamblee, Case Competition – Overview, Case Competition – Audit, Case Competition – Tax, Case Competition – Advisory, Case Competition – Risk, Case Competition – Presentation. All the cases over the two semesters proved to be a great learning for me. Case VI through …

“You Came Back To Me”: A Literary Analysis Exploring Themes Of Displacement And Homecoming In Toni Morrison’S Beloved And Homer’S Odyssey, Amya Franklin

Honors Theses

This thesis is a literary analysis of Toni Morrison’s Beloved and Homer’s Odyssey, using the themes of Beloved to inform the reading and thematic approach to the Odyssey. This work is a part of the larger conversation of how Black literary art adds to classical literature and the literary canon as a whole. This analysis is broken up into two major themes: homecoming and displacement. The creative and literary impact of Beloved redefines and highlights these themes within the Odyssey. This work highlights the conversation and interplay between Beloved and the Odyssey while also highlighting Beloved’s propensity …

The Effects Of Acute Exercise On Retrieval-Induced Forgetting, Anna Katherine Pitts

Honors Theses

This research investigates the relationship between acute exercise on retrieval-induced forgetting. Retrieval-induced forgetting (RIF) is a type of active forgetting that occurs when recalling an item from memory leads to the concurrent forgetting of related items connected to the same memory. Inhibition has been theorized as a potential mechanism behind RIF. Additionally, previous studies have shown that acute exercise can contribute to and enhance cognitive inhibitory processes. Therefore, an exercise-RIF relationship is plausible because the mechanisms that influence RIF, inhibition, are also influenced by exercise. Due to this understanding, the present thesis aims to investigate that when acute vigorous-intensity exercise …

Case Studies In Financial Accounting, Martina C. Gratz

Honors Theses

The thesis is a combination of four case studies that were completed in the 2023-2024 academic year under the supervision of Dr. Victoria Dickinson. The first two cases look at the impact of Chinese markets entering the New York Stock Exchange and the effect Environmental, Social, and Governance legislation will have on Americans and the accounting profession. The third case looks at the beliefs of Dr. Sowell and Dr. Carson and how the implementations of these beliefs can positively impact the United States economy. Finally, in the last case we focus on the Mississippi economy and a project that can …

Minimizing Patient Migration: Enhancing Safety And Comfort For Patients And Caregivers In Bedridden Care, Danielle Pasquini

Honors Theses

Biomedical engineering seniors at the University of Mississippi embark on a senior project aimed at addressing an unmet clinical need. Our team, consisting of Kelsie Hand, Christian Miller, and Danielle Pasquini, identified a prevalent issue of bedridden patients slipping down in bed, leading to increased repositioning by caregivers. This not only impacts patient comfort but also poses risks of complications such as pressure ulcers and caregiver injuries. In our efforts to tackle the issue of patient slippage among bedridden individuals, our team introduced a novel solution comprising a non-slip vest for patients and a corresponding non-slip sheet attachment. This integrated …

Beyond Bars And Bias: Unveiling Misogynoir And The Prison-Industrial Complex In Contemporary Black Women’S Literature, Abigail Myers, Abigail Myers

Honors Theses

This interdisciplinary thesis examines misogynoir through the lens of contemporary Black women’s literature and the prison-industrial complex, specifically centering on the literary work of Fannie Lou Hamer and Assata Shakur, both formerly incarcerated Black women. Misogynoir, a term coined by Black feminist scholar Moya Bailey, encapsulates the intersection of anti-Black racism and misogyny experienced by Black women, Black girls, and gender nonconforming people. This thesis unites the fields of literary studies, gender studies, critical prison studies, and African American studies to reveal Black women as affected by both misogyny and anti-Black racism in the contemporary prison-industrial complex and beyond. Drawing …

In-Depth Examination Of Financial Accounting: Case Studies Analysis, Gurpreet Singh

Honors Theses

This thesis is a collection of different accounting case studies over 2 semesters. There are eleven cases that make up this thesis including. There are various topics involved in all these cases including: 102 Minutes that Changed America, Design Your Life – Atlanta, Excel Crash Course, Financial Implications of Covid-19 on Pfizer, Important Influencer Interview – Vince Chamblee, Case Competition – Overview, Case Competition – Audit, Case Competition – Tax, Case Competition – Advisory, Case Competition – Risk, Case Competition – Presentation. All the cases over the two semesters proved to be a great learning for me. Case VI through …

Beyond The Task: Developing A Tool To Measure Workplace Characteristics That Affect Cognitive Load And Learning, Sarah Blissett, Sebastian Rodriguez, Atif Qasim, Patricia O'Sullivan

Department of Medicine Faculty Papers

PURPOSE: Educators lack tools to measure the workplace characteristics that learners perceive to affect learning. Without a tool that encompasses the social, organizational, and physical components of workplace learning environments (WLEs), it is challenging to identify and improve problematic workplace characteristics. Using echocardiography WLE, this study developed a tool to measure workplace characteristics that cardiology fellows perceive to affect learning.

METHOD: The Workplace-Cognitive Load Tool (W-CLT) was developed, which encompasses 17 items to measure workplace characteristics that could affect perceived cognitive load and learning. Exploratory factor analysis was used to identify the most parsimonious structure. A total of 646 cardiology …

Emotional First Aid Kit Design, Wenxi Qi

Theses

In contemporary society, the shift towards holistic well-being has highlighted the critical importance of emotional health in maintaining overall quality of life. Research indicates that emotional health issues now pose a greater threat to individual well-being and productivity than physical ailments. Despite this, there exists a significant gap in awareness and emphasis between physical and emotional health across various sectors, contributing significantly to the prevalence of mental health issues. This research paper introduces the "Emotional First Aid Kit," a novel design concept aimed at addressing emotional distress in everyday scenarios similar to conventional first aid kits managing physical injuries. The …

Leadership Practices And Instructional Strategies To Advance Student Achievement In Title 1 Elementary Schools, Paula Michelle Watson

Walden Dissertations and Doctoral Studies

This qualitative single case study aimed to explore how administrative team members perceived their leadership practices and instructional strategies that advance student academic outcomes on annual mathematics and literacy state assessments. Transformational leadership was the conceptual framework for data collection and analysis. Three research questions focused on how elementary administrative team members perceived leadership practices to advance student achievement in mathematics and literacy, their perceptions of the effectiveness of the leadership strategies used, and their perceptions of instructional strategies used to advance student achievement in mathematics and literacy. This single case study included the cases of three elementary school administrative …

Physical Activity In Underserved Preadolescents: Characterization Of Accumulation And Patterns, Alma I. Behar, Matthew T. Mahar, Gregory Norman, John P. Elder, Michael Pratt, Patricia Dionicio, Noe C. Crespo

International Journal of Physical Activity and Health

Objectives: The increasing rates of physical inactivity and sedentary behaviors among youth are a significant public health concern. The greatest disparities in physical activity (PA) are experienced by underserved (racial/ethnic minority, low-income) youth. This study aimed to characterize accelerometer-measured PA behaviors in a sample of low-income, predominantly Latino, preadolescents. Methods: Participants wore wrist worn GENEActiv accelerometers for 7 days. PA levels were classified as sedentary (< 50 mg), light (50-150 mg), moderate (> 150-500 mg), vigorous (> 500 mg), and MVPA (≥ 150 mg). Time spent in PA levels and sedentary time (ST), prevalence of meeting MVPA guidelines, and PA volume were estimated from accelerometer data. Three-way …

Cordelia, Kierkegaard, And Coming Of Age In Copenhagen, Kassandra I. Schreiber

The Bridge

No abstract provided.

Understanding State And Community Operated Juvenile Programs In Rural And Urban Communities Throughout Kentucky, Jacob Aaron Howe

Online Theses and Dissertations

This thesis explores the challenges faced by state and community-operated juvenile programs across urban and rural geographies in Kentucky. Through qualitative methods, including interviews and site visits, it uncovers the nuances of program implementation and staff perceptions of their impact on juvenile delinquency. Findings highlight significant differences in resource allocation, community engagement, and programmatic challenges between rural and urban settings, as well as between state and community (non-Department of Justice funded) initiatives. The study reveals that while geographical and operational disparities exist, the commitment to rehabilitation over punishment remains a common thread. Recommendations for policy enhancements and future research directions …

Why Not The School-To-Scholar Pipeline? Changing The Narrative Through School Leadership, Marne Renee Foster

Dissertations

The overrepresentation of Black students in exclusionary practices in public K–12 education, such as detention, suspension, expulsion, and misplacement into special education, contributes to the school-to-prison pipeline (STPP). This phenomenon leads to truancy, academic failure, and involvement in the juvenile justice system. In contrast, the school-to-scholar pipeline (STSP) has an inverse relationship with the STPP and views students as scholars in training, ultimately linking them to careers or college. Research has indicated that school administrators’ mindsets, along with teacher bias, play a significant role in perpetuating exclusionary practices and racial disparities (Gullo & Beechum, 2020; Skiba, Chung et al., 2014). …

Educator Sexual Misconduct: Prevalence And Characteristics In Disciplinary Actions, Yan Shan Yu

Student Theses

In recent years, there has been an increase in the number of reports of educator sexual misconduct (ESM), but the extent of the problem is relatively unknown. A lot of what is known is based on media reports and self-report surveys. There have been few empirical studies examining the scope of this problem based on official reports. Thus, this descriptive study aimed to examine ESM through official reports regarding educator disciplinary actions obtained from the Department of Education website of eight U.S. states. To identify the prevalence and characteristics of ESM across states, information was gathered and coded for a …

"La Experiencia Universitaria"- Asset-Based Community Needs Assessment For Uconn Waterbury’S Hispanic Community, Ilene Garcia

Honors Scholar Theses

An asset-based community needs assessment for the Hispanic community of the University of Connecticut’s Waterbury campus was conducted. The community needs assessment uncovered assets that support students, as well as the need for additional resources to promote success in higher education. Information was gathered from the campus community regarding current documented practices such as informal or formal support to aid Hispanic students in their college experience relating to their wellbeing, academic success, and career development. A town hall meeting for the community of students on campus was conducted to impart the information gathered and gather further feedback from students. The …

Sexual Function After Gender Affirming Surgery, Alicia R. Castellanos, Rachel Pope

Faculty Scholarship

Purpose of Review: Sexual function and satisfaction in the transgender community is a nascent field with a paucity of data due to the fast paced nature of improving upon surgical technique and variety of patient experiences. The authors aim to review the current literature for areas of success as well as areas of improvement in order to better the sexual health of the transgender community. Recent Findings: Gender dysphoria is a feeling of distress experienced by those whose gender assigned at birth is not in line with their gender identity. While social transition to the desired gender can suffice for …

Spectator 2024-05-09, Editors Of The Spectator

The Spectator

No abstract provided.