Mentorship In A Nursing School Program, Samantha I. Gavirati Yamamoto

Master's Projects and Capstones

Problem: A Southern Californian community college associate degree nursing program has a peer-to-peer mentorship program that does not get regularly, objectively evaluated.

Context: The community college nursing program has been implementing the peer mentorship program for years, but it does not have an evaluation tool, outside of grades, to evaluate its peer mentors.

Interventions: Implement new educational training tools about mentorship, and its benefits and the many types of roles that a mentor can take on. Also, to develop and implement a pre and post-survey for the mentors to self-evaluate their mentorship skills at the beginning and end of the …

Reproductive Health: A Literature Review On Reducing Maternal Mortality Rates Among Afghan Women Using A Tiered Process Of Interventions, Shirley C. Lam

Master's Projects and Capstones

This literature review examines the risk factors associated with pregnancy that contribute to high maternal mortality rates in Afghanistan and women’s limited access to adequate health services and education. Some of the factors contributing to high maternal mortality rates are political instability/civil conflict, current policies and legislation, workforce shortages in the healthcare field, as well as socioeconomic levels. The underlying theme which influences each of these factors are Afghanistan’s culture and religion. To reduce the rising maternal mortality rates for Afghan women and girls, there must be a shift in mindset from within the culture. A three-layered tiered intervention which …

Delirium And Staff Injury, John Olague Jr

Master's Projects and Capstones

Abstract

Problem: From April 2021 to January 2022 there were 17 cases of reported patient aggression and staff injury due to patients in the hyperactive state of delirium. In a stroke/tele unit, diagnosis of delirium was delayed due to subjective assessment from the confusion assessment method (CAM) tool. This delay allowed patients to reach the hyperactive state of delirium which poses a threat to patient and staff safety. An objective form of assessment for delirium was needed on this stroke/tele unit.

Context: Through a microsystem assessment and strengths, weaknesses, opportunities, and threats (SWOT) analysis, stakeholders in this performance improvement plan …

Impact Of Montessori-Based Dementia Programming On Engagement And Affect Of Older Adults With Dementia, Meredith S. Sheppard

Master's Projects and Capstones

The COVID-19 pandemic has profoundly impacted the Adult Day Services program and Adult Day programs across the country. As the Adult Day Services program transitions to an in-person format, goals within the organization include developing appropriate programming, increasing group size, and keeping clients entertained. The framework guiding this quality improvement project is Montessori-Based Dementia Programming ® (MBDP). This project aims to increase client engagement, decrease client anxiety, and decrease staff workload. This will be measured by a self-developed staff workload survey, the Menorah-Park Engagement, and the Affect rating scale. Implementation of MBDP at the Adult Day Center did not meet …

Standardizing Handoff Report In A Medsurg Telemetry Floor, Brandon Tyler Thompson

Master's Projects and Capstones

Problem: Hospital A’s 9^th floor telemetry units lacked a standardized method of handoff and required investigation. Current practices were evaluated, and an intervention was designed based on weak communication areas. Context: Using a 5 P’s assessment the key stakeholders included unit nurses, the nursing director, nurse educators, and unit nurse managers, and the patients were medsurg telemetry patients. The process included handoff in care and the pattern evaluated was methods of reporting with the purpose of providing high quality evidence-based patient centered care. A SWOT analysis revealed strong teamwork, interdisciplinary collaboration, and proficiency in health record technologies as strengths …

Reducing Hospital-Acquired Pneumonia By Educating Patient Care Technicians On Route Bundle Care Measures, Munroop K. Thiara

Master's Projects and Capstones

Hospital-acquired pneumonia (HAP) is an infection of the lungs that can lead to severe and sometimes fatal outcomes. HAP can be prevented by oral care interventions, but without proper patient care, treatment can be very expensive. Evidence-proven HAP preventative measures such as the ROUTE bundle and increased patient mobility can significantly lower the risk of pneumonia as well as prevent additional hospital costs. Hospital X is a private nonprofit health care organization in the urban suburbs of a large Northern California city with a current HAP rate of 2.3 and with targeted goals of 2.0. By creating a project that …

Reducing The Risk Of Central Line Associated Blood Stream Infection With Chlorhexidine Gluconate Education, Scarlett Ocon

Master's Projects and Capstones

Problem: A nosocomial central line-associated bloodstream infection is a preventable infection that is costly and potentially fatal. In order to combat bloodstream infections chlorhexidine gluconate wipes have been used as antiseptic. Medical surgical units do not have accessible CHG for bathing purposes. In addition, the staff lacks knowledge of how to use CHG wipes. The current standard bathing practice on this unit consists of using soap and water or disposable washcloths spontaneously without a predetermined time. The aim of this quality improvement project is to educate the registered nurses (RNs) and certified nurse assistants (CNAs) on the benefits of daily …

Improving Nursing Staff Knowledge For Management Of Geriatric Patients With Confusion In The Emergency Department, Kareem G. Carter

Master's Projects and Capstones

Problem: Staff knowledge of effective management of confusion in geriatric patients (>65yo) may be limited and inconsistent with the current goal of establishing a geriatric-friendly Emergency Department (ED) Model of Care. Suboptimal management of this patient population can result in prolonged ED stays, which increases the cost to the hospital and the patient (Han & Wilber, 2013).

Context: An Emergency Department at a large Bay Area urban hospital hopes to obtain Geriatric Emergency Department Accreditation (GEDA) through the American College of Emergency Physicians (ACEP).

Interventions: Create a simplified checklist for nursing staff using mnemonic devices to …

Sepsis Inservice And Video At An Urban Hospital In California, Angela T. Ho

Master's Projects and Capstones

The emergency department at an urban hospital in California was performing below institutional goals related to sepsis protocols over the past few months. This intervention was targeted at nurses and was composed of a PowerPoint in-service on compliance to SEP-1 protocols and follow-along video on using the correct sepsis order set and documentation in the electronic health record (EHR). Goals included increased compliance to the SEP-1 protocol and documentation, (2) reduced time between the onset of symptoms, recognition, and intervention, (3) decline in sepsis rates and mortality rates, and (4) lower cost of care. Data was collected from the EHR …

Implementation Of Staff Education To Standardize Use Of Positions During The First Stage Of Labor, Kelsey Jo Koch

Master's Projects and Capstones

The aim of this project was to assess whether supplemental education on labor positioning for Labor and Delivery nurses would increase the nurses’ confidence in utilizing patient positioning to promote fetal descent and progress labor. Previous research suggests that upright, mobile positions during the first stage of labor have various benefits, including reduced cesarean rates, shorter lengths of labor, and less epidural usage. However, a major barrier to maximizing these benefits is a gap in knowledge among Labor and Delivery nurses, resulting in inconsistent use of various positions. This improvement project addresses this problem at a large community hospital in …

Implementation Of Staff Education To Standardize The Use Of Positions During The First Stage Of Labor, Minh Chau T. Phan

Master's Projects and Capstones

This project aims to educate labor and delivery (L&D) nurses on effective laboring positions that can aid fetal descent during the first stage of labor. In an L&D unit of a south Bay Area County hospital, there is a lack of standardization of knowledge and practices on laboring positions among the nursing staff. Evidence shows that upright positions and frequent mobility are effective in shortening the duration of labor and minimizing unnecessary cesarean deliveries. Based on the evidence, a project was implemented using verbal education of evidence-based laboring positions. An educational handout was also provided along with a recorded video …

Improving Early Sepsis Management Compliance In The Emergency Care Setting, Mckayla Howie

Master's Projects and Capstones

This quality improvement project implements educational materials informed by organization-dependent nursing informatics and SEP-1 campaign metrics to improve early sepsis management compliance in the emergency department setting. The microsystem scored below a 90% compliance target in first vital to lactic acid result within one hour, lactic acid result to antibiotic administration within one hour, and antibiotic order to administration within thirty-five minutes before implementation. Factors identified as contributing to low compliance include rates of timely and accurate sepsis screening, use of a standardized sepsis order set, and intervention documentation. An educational inservice covering correct sepsis workflow in the electronic health …

Decreasing Hospital Acquired Pneumonia In Adult Patients, Samantha M. Flaherty

Master's Projects and Capstones

This Northern California Hospital holds to high-performance standards. It exists to provide high-quality care, aspiring to improve its members' health and lives while continually advancing its practice—pioneering preventive medicine, conducting comprehensive research, and driving innovative care (“Northern California Hospital,” 2022). By gathering and measuring data and analyzing adverse and advantageous patient outcomes, this Northern California Hospital's Quality Outcomes Department is able to identify gaps between the present and the intended goals. The quality department implements changes by working with care teams and providers to minimize the void between goals, making future patient care optimal.

The indicted Northern California Hospital focuses …

Nurse-Led Education On Oral Chemotherapy Medications, Carmen Lucia Glick Alonso

Master's Projects and Capstones

Problem: Breast cancer is one of the leading causes of cancer death among women in the United States. Annually, around 264,000 breast cancer cases are diagnosed in women and 2,400 in men (Centers for Disease Control and Prevention, 2022). According to the American Cancer Society, the risk of a woman in the United States being diagnosed with breast cancer in their life is around 13% (2022).

Context: Along with a cancer diagnosis comes the need to introduce patient education about new oral chemotherapy treatments. As a treatment team member, the oncology nurse plays a vital role in this …

United States Pharmacopeia General Chapter <800>: Improving Safe Handling And Administration Of Hazardous Drugs, Courtney Clark

Master's Projects and Capstones

Problem: This quality improvement project is dedicated to increasing the safe handling and administration of United States Pharmacopeia (USP) General Chapter Hazardous Drugs (HDs) within the Medical/Surgical unit to minimize the risk of exposure to patients, healthcare personnel, and the environment.

Context: The quality improvement project was implemented in two Medical/Surgical units in Hospital A in the San Francisco Bay Area. The patient population of these units has the highest receipt of HDs outside of a traditional Hematology/Oncology unit.

Intervention: The proposed intervention is the use of active and passive observation to assess compliance with USP protocols within the two …

Improving Safe Handling And Administration Of Usp<800> Hazardous Drugs Within The Medical-Surgical Unit, Pavlo Karaputa

Master's Projects and Capstones

Nurses comprise the largest proportion of healthcare providers who make contact with Hazardous Drugs (HDs) during multiple types of clinical activities and have a risk of exposure. Hazardous drugs (HDs) are a class of pharmaceuticals that pose serious health risks to individuals who handle them, including organ toxicity, reproductive and developmental defects, infertility, miscarriage, genetic toxicity, cancer, and even death. This project was implemented in a hospital system within Northern California, on two units that serve medical-surgical, oncology, geriatric, and transplant patients. The Medical Surgical microsystem at this hospital comprises a small group of professionals such as registered nurses (RNs), …

Digital Scholarship Needs Assessment: Binghamton University 2022, Ruth Anne Carpenter

Library Scholarship

As digital scholarship and digital humanities (DS/DH) continue to grow on campus the libraries continue to collaborate with campus communities to ensure faculty, staff, and graduate and undergraduate students’ research, classroom, and learning experiences in these fields are supported. This needs assessment, carried out over the course of the Spring semester in 2022, investigated the current climate for using and teaching digital scholarship tools methods on Binghamton University's campus. While Binghamton's digital scholarship community continues to grow four major needs for support were identified by the community: access to DS/DH resources on campus, building a stronger sense of community, providing …

Interpretable Network Representations, Shengmin Jin

Dissertations - ALL

Networks (or interchangeably graphs) have been ubiquitous across the globe and within science and engineering: social networks, collaboration networks, protein-protein interaction networks, infrastructure networks, among many others. Machine learning on graphs, especially network representation learning, has shown remarkable performance in network-based applications, such as node/graph classification, graph clustering, and link prediction. Like performance, it is equally crucial for individuals to understand the behavior of machine learning models and be able to explain how these models arrive at a certain decision. Such needs have motivated many studies on interpretability in machine learning. For example, for social network analysis, we may need …

An Interdisciplinary Understanding Of The Economic And Political Policies Behind Network Neutrality In The United States, Eli T. Bedford

Whittier Scholars Program

The focus of this paper is to explore the associative benefits to why network neutrality in the U.S. benefits the fundamental principles of freedom of speech and expression. While at the same time gaining a deeper understanding of why politics may incentivize or undermine data collection by billion-dollar conglomerate companies such as Tiktok and other internet service provider companies. In doing so, this paper will review internet privacy regulations on a federal level and examine the history of the FCC’s regulatory practices on ISPs over the last three decades. Lately, this paper will discuss the economics behind network neutrality and …

Model-Based Cross-Correlation Search For Gravitational Waves From The Low-Mass X-Ray Binary Scorpius X-1 In Ligo O3 Data, R. Abbott, H. Abe, Fausto Acernese, Teviet Creighton, Mario C. Diaz, Francisco Llamas, Soma Mukherjee, Gaukhar Nurbek, Volker Quetschke, Wenhui Wang

Physics & Astronomy Faculty Publications

We present the results of a model-based search for continuous gravitational waves from the low-mass X-ray binary Scorpius X-1 using LIGO detector data from the third observing run of Advanced LIGO and Advanced Virgo. This is a semicoherent search that uses details of the signal model to coherently combine data separated by less than a specified coherence time, which can be adjusted to balance sensitivity with computing cost. The search covered a range of gravitational-wave frequencies from 25 to 1600 Hz, as well as ranges in orbital speed, frequency, and phase determined from observational constraints. No significant detection candidates were …

Blockchain For Patient Safety: Use Cases, Opportunities And Open Challenges, Dounia Marbouh, Mecit Can Emre Simsekler, Khaled Salah, Raja Jayaraman, Samer Ellahham

Industrial Engineering: Faculty & Staff Publications

Medical errors are recognized as major threats to patient safety worldwide. Lack of streamlined communication and an inability to share and exchange data are among the contributory factors affecting patient safety. To address these challenges, blockchain can be utilized to ensure a secure, transparent and decentralized data exchange among stakeholders. In this study, we discuss six use cases that can benefit from blockchain to gain operational effectiveness and efficiency in the patient safety context. The role of stakeholders, system requirements, opportunities and challenges are discussed in each use case in detail. Connecting stakeholders and data in complex healthcare systems, blockchain …

Culture Care Values And Beliefs Of Puerto Rican Adults Related To Suicide: An Ethnonursing Study, Griselle Estrada

Electronic Theses and Dissertations

BACKGROUND: Suicide is a public health issue among the growing U.S. Latinx population; however, Latinx subgroups are diverse and represent different cultural backgrounds. Puerto Ricans are the second largest Latinx subgroup in the nation. Although research points to possible mental health vulnerabilities among Puerto Ricans when compared to other Latinx subgroups, there is a dearth of research exploring cultural influences that can impact suicide prevention efforts for Puerto Ricans living in the U.S. mainland. AIMS: This study aimed to explore the culture care values, beliefs, and needs of Puerto Rican adults pertaining to suicide and its prevention. METHODS: The …

Open Educational Resources Adoption Reduces Textbook Costs Without Sacrificing Student Performance In Business And Economics Courses At A Community College, Dorina Tila, Dawn Levy

Publications and Research

This study analyzed the possibility of saving on textbook costs without sacrificing student performance by using Open Educational Resources (OER) at no cost to students as a replacement for high-priced commercially printed books. Approximately two hundred students enrolled in business and economics courses at Kingsborough Community College of the City University of New York from Fall 2016 to Fall 2018 were assessed in this study. Using summative assessments and course grades as a measure of students’ performance, the findings showed that students in courses using OER as compared to students in the same subject area using traditional textbooks perform equally …

After Being Ignored, Autistic Adults Find Their Place On The Spectrum, Leonardo A. Lopez Carreno

Capstones

Autistic adults have been historically ignored by researchers and clinical psychologists when discussing autism spectrum disorder. But the broadening of the diagnosis requirements for the disorder, as well as the perspectives from autistic adults that have been shared on social media, have made it so that autistic adults are being discussed more now than ever before, both in the autism community and among professionals in the field. This project puts together interviews with autistic people who have found communities online and in person, as well as the perspectives of researchers who have published studies about autism.

https://medium.com/@leonardolpezcarreo/after-being-ignored-autistic-adults-find-their-place-on-the-spectrum-6e131fc00796

Tiktok: A Path To Stardom… Sort Of, Giselle G. Medina

Capstones

“TikTok: A Path to Stardom… Sort of” delves deep into one of the top social media apps. TikTok has gone beyond just being the “new vine,” becoming a marketing tool, whether for yourself or a product. This package will address going viral on the app and what it means to be a full-time content creator through gifs, an audio documentary, written words, and of course... TikToks.

https://gisellemedina.github.io/TikTok-A-Path-To-Stardom...-Sort-of/

New York Set High Sights On A Progressive Retail Weed Industry. But The State Now Stands To Fall Short., Trina Mannino

Capstones

Almost a year-and-a-half after New York legalized recreational marijuana, state officials and other industry insiders praise what they view as the country's most socially equitable cannabis industry. But as New York prepares to launch its legal retail dispensary program, rollout details remain murky. The state also faces challenges with the legal industry’s most significant obstacle: illicit sales. If the state doesn’t deliver an equitable and robust market, New York risks winding up with a sputtering legal industry that could cause harm to the very people and communities it intends to lift up.

Link: https://trinamannino9.wixsite.com/mannino-mckinney

Limpieza De Asbestos En La Ciudad De Nueva York, Ariana G. Perez-Castells

Capstones

This is the story of how asbestos is removed in New York City, and who carries out the work. It's unclear how much more asbestos abatement is left in the county, and the U.S. has not completely banned the dangerous material, unlike over 50 other countries across the world. Both of these things could change soon. A new study that the U.S. Environmental Protection Agency will carry out by December 2024 would give us a better picture of how much asbestos there is still in buildings and how much more removal work is to be done. At the same time, …

Some In Corporate America Have Followed Through On Their Commitments To The Black Lives Matter Movement, But The Black Community Has Yet To Be Convinced., Brianna M. Monsanto

Capstones

Nearly three years following George Floyd's murder back in 2020, corporations are continuing to follow up on their commitments to the Black community. However, the Black community has yet to be impressed.

Link to Project: https://briannamonsanto64.wixsite.com/cuny

West 219 Show: Bail Reform, Anslem Michael Joseph

Capstones

Should freedom have a cost? Bail is an amount of money judges order defendants to pay in order to await trial out of jail. The bail system was designed to ensure that defendants would return to court to face their charges. However, criminal justice advocates argued that bail became a form of pretrial punishment as defendants, mostly black and brown people, are ordered to pay high bail costs without being convicted of any crimes. This led to New York legislators taking action in creating a new bail reform law in 2019 which eliminated cash bail for most misdemeanors and some …

Solos Y Juntos: Dos Al Tres Por Ciento De La Población En Los Estados Unidos Tienen Escoliosis. Muy Pocos De Ellos Están Preparados Para Las Tensiones Emocionales Que Trae La Condición., Anacaona Y. Rodriguez Martinez

Capstones

Dos al tres por ciento de la población en los Estados Unidos tiene escoliosis. Muy pocos de ellos están preparados para las tensiones emocionales que trae la condición. Estas son las historias de pacientes que tienen escoliosis y sus viajes en encontrar salud propio (físico y mental) en sus comunidades