Digital Commons Network^™

Recommending An Eras Guideline For Patients Undergoing Total Joint Arthroplasty, Kahl Knapke

Doctor of Nursing Practice Scholarly Projects

Enhanced recovery after surgery (ERAS) is a comprehensive guideline that guides patients' care throughout their surgical journey. ERAS is intended to reduce the body’s response to the many stressors of surgery. ERAS is proven effective in various specialty surgical areas, including orthopedics. Orthopedic surgery rates increase parallel with the patient population ages, indicating a need for more joint replacements. Implementing an ERAS guideline reduces healthcare costs to the patient and hospital facility by reducing the length of stay (LOS) and complications postoperatively. The investigation revealed a lack of consistent direction of care, and the developed approach for patients undergoing joint …

Guidelines For The Optimal Assessment Of Airway To Predict Difficult Intubation, Morgan Kleinfelder

Doctor of Nursing Practice Scholarly Projects

Managing the airway is the cornerstone of anesthesia care. However, difficult airway or intubation is not clearly defined. A major complication with a difficult airway is a cannot intubate, cannot ventilate (CICV) situation, which is reported to be as high as 10%. In addition, according to the American Society of Anesthesiologists (ASA) Closed Claim Study, "Adverse respiratory events are the most common type of injury, with difficult intubation [DI] and ventilation contributing to most of the cases. Twenty-eight percent of all anesthesia deaths are related to a CICV situation. As anesthesia evolves, basic airway assessments were developed and include mallampati …

Evaluating Nurses’ Turnover Intention And Organizational Commitment Following Stroke Unit Staffing Changes: An Evidence-Based Quality Initiative, Heather M. Tatusko Phiri

Doctor of Nursing Practice Scholarly Projects

Nurses are known to be overworked, overwhelmed, undervalued, and understaffed at dangerous levels throughout various inpatient hospital units across the United States (U.S.). Hospital registered nurse (RN) turnover is a significant issue that has accelerated since the COVID-19 pandemic, resulting in economic impacts and other burdens for organizations, individuals, and communities. Evidence suggests that evaluating Registered Nurses’ Turnover intention (NTI) and Organizational Commitment (OC) can help maintain a ready and capable team of skilled RNs; however, most healthcare organizations (HCOs) do not collect or analyze NTI and OC data and focus on staffing numbers and monetary incentives to get adequate …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

Development Of A Rotem-Guided Transfusion Algorithm In Cardiothoracic Surgery Patients, Kourtney Jane Snyder

Doctor of Nursing Practice Scholarly Projects

Abstract

Cardiothoracic surgical patients are at an increased risk for bleeding complications for various reasons, including induction of hypothermia, initiation of the coagulation cascade, degradation of the coagulation factors, mechanical destruction of platelets, and a systemic inflammatory response due to cardiopulmonary bypass (CPB). The American Society of Anesthesiologists recommends rotational thromboelastometry (ROTEM)-guided transfusion algorithms for perioperative blood management; however, there remains a heavy reliance on conventional coagulation laboratory values. Utilization of the following PICOT question will guide this project: In cardiothoracic surgical patients, how does the use of ROTEM versus traditional coagulation laboratory tests (PT, INR, aPTT, ACT, platelet count, …

A Curriculum Development For Writing A Personal Narrative In A French Immersion 5th Grade Class., Aliou Sall

Masters Theses/Capstone Projects

The purpose of this curriculum development project was to address the need of more writing in elementary French immersion school in grade five French class through the fusion on the writing workshop and the ECRI model (Reasoned and Coherent Writing in Immersion). The writing workshop is proven to work in schools teaching students writing in L1 and the Ecri model was developed by teachers who are experienced in teaching in an immersion setting to help students write in L2. A new framework was developed based on those two frameworks above to support fifth graders in a French immersion school to …

Development Of Evidence-Based Clinical Practice Guidelines For The Prevention Of Peripheral Neurological Injury During Robotic-Assisted Prostatectomies For Patients In The Steep Trendelenburg Position, Tyler Wolpert

Doctor of Nursing Practice Scholarly Projects

Robotic-assisted surgery (RAS) is becoming more prevalent in modern surgical practice and is currently being utilized in a range of surgical specialties from colorectal and gynecological procedures to bariatrics and orthopedics. Every surgical procedure has potential risk to patients, however robotic-assisted laparoscopic prostatectomies (RALP) in the steep Trendelenburg (ST) position poses unique risk for peripheral nerve injury (PNI). Despite attempts to reduce the incidence rate of PNI during RALP, injuries are still occurring to patients causing patient harm and anesthesia provider litigation. The implementation of a CRNA based safety checklist may reduce the incidence rate of PNI and provider litigation …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

Lindenwood University Spring Fashion Show And Market (April 28, 2024), Lindenwood University

Fashion Show Event Programs & Related Items

Program for the Lindenwood University Spring Fashion Show and Market (April 28, 2024).

Association Of School Instructional Mode With Community Covid-19 Incidence During August–December 2020 In Cuyahoga County, Ohio, Pauline D. Terebuh, Jeffrey M. Albert, Jacqueline W. Curtis, Kurt C. Stange, Jill E. Miracle, Wail Yar, Prakash R. Ganesh, Heidi L. Gullett, Johnie Rose

Faculty Scholarship

Remote and hybrid modes of instruction were employed as alternatives to in-person instruction as part of early mitigation efforts in response to the COVID-19 pandemic. We investigated the impact of a public school district’s instructional mode on cumulative incidence and transmission in the surrounding community by employing a generalized estimating equations approach to estimate the association with weekly COVID-19 case counts by zip code in Cuyahoga County, Ohio, from August to December 2020. Remote instruction only (RI) was employed by 7 of 20 school districts; 13 used some non-remote instruction (NRI) (2–15 weeks). Weekly incidence increased in all zip codes …

Aso Author Reflections: Outcomes Of Hepatic Artery-Based Therapies And Systemic Multiagent Chemotherapy In Unresectable Colorectal Liver Metastases: A Systematic Review And Meta-Analysis, Lee M. Ocuin

Faculty Scholarship

No abstract provided.

Continuous Glucose Monitoring For Glycaemic Control And Cardiovascular Risk Reduction In Patients With Type 2 Diabetes Not On Insulin Therapy: A Clinical Trial, Joseph Reed, Tony Dong, Sanjay Rajagopalan, Ian J. Neeland

Faculty Scholarship

Aim: To evaluate the impact of the Dexcom G6 continuous glucose monitoring (CGM) device on glycaemic control and cardiometabolic risk in patients with type 2 diabetes mellitus (T2DM) at high cardiovascular risk who are not on insulin therapy. Materials and Methods: Adults with T2DM with glycated haemoglobin (HbA1c) >7% and body mass index (BMI) ≥30 kg/m2 not using insulin were enrolled in a two-phase cross-over study. In phase 1, CGM data were blinded, and participants performed standard glucose self-monitoring. In phase 2, the CGM data were unblinded, and CGM, demographic and cardiovascular risk factor data were collected through 90 days …

Education Of The Effects Of Obesity Medications And A Stepwise Approach To Mitigate Prevalence And Encourage Lifestyle Medicine For Primary Care Physicians, Kiely M. Curran

Department of Nutrition Student Projects

My Capstone project is an Educational Manual that emphasizes a healthcare team approach to the treatment and management of obesity. The Educational Manual consists of a standardized protocol in management of obesity in patients and a document with summarized references for primary care providers; and a simplified document for patient education. There is a growing interest in the usage of obesity medications. The purpose of my Capstone project is to provide a simplified manual for the primary care provider to reference to make knowledgeable and patient-centered decisions in the prescription of obesity medications and decisions in weight-management. My methodology included …

Jtc 24: Playing The Long Game, Megan Black

University of Mississippi News

This story is part of the 2024 Journey to Commencement series, which celebrates the pinnacle of the academic year by highlighting University of Mississippi students and their outstanding academic and personal journeys from college student to college graduate.

Just “Getting By” – Understanding Resource Deficits And Barriers To Medical Interpretation From The Perspectives Of Spanish-Speaking Patients And Emergency Department Nurses, Magdalena Scribner Briggs

Undergraduate Honors Theses

Introduction: Professional medical interpretation has been found to improve communication quality and health outcomes for patients with LEP. There are over 16 million LEP Spanish-speakers in the United States, yet the literature indicates that professional interpretation is lacking and underutilized in many clinical settings. Study Aims: Based on gaps in the literature pertaining to the perspectives of nurses and the cultural factors that influence patient experience, this study aims to qualitatively analyze the matter from the perspectives of both nurses and Spanish-speaking patients. The purpose of this study is to identify barriers to the utilization of professional interpreters, especially by …

Sequence Learning In A 6-Ohda Mouse Model Of Parkinson’S Disease, Ani Gribbin

Neuroscience Honors Projects

Parkinson’s disease (PD), a neurodegenerative disorder originating in the dopaminergic cells of the basal ganglia, is characterized by severe motor impairments such as tremors, bradykinesia, and postural instability. However, non-motor symptoms impacting sensory systems and cognition are consistently pointed to as more greatly affecting quality of life for PD patients. Cognitive impairments in PD can include changes in reward processing, depression, apathy, and increases in risk-taking behavior. Additionally, learning and memory deficits are seen in PD, specifically in motor sequence learning. Often, the neural correlates of sequence learning impairments are traced to the substantia nigra. However, there is some evidence …

Junior Recital: Rosalie Truback, Bassoon; Peter Gao, Piano; April 28, 2024, Rosalie Truback, Peter Gao

School of Music Programs

Kemp Recital Hall
April 28, 2024
Sunday
12:00 p.m.

Senior Recital: Brian Hershey, Cello; Lu Witzig, Piano; April 28, 2024, Brian Hershey, Lu Witzig

School of Music Programs

Kemp Recital Hall
April 28, 2024
Sunday Afternoon
3:00 p.m.

A Survey Of Nurse Preceptor Preferences Regarding Training Topics: A Descriptive Study, Janice Yao Valadez

Doctoral Projects

Background: The nurse preceptor role can be as challenging and demanding as it is critical in the context of nursing shortages and burnout. The improvement of nurse preceptor training, based on preferences expressed by the nurses fulfilling this role, therefore represents a potentially important part of the solution to these problems.

Methods: A modified version of the +RN Learning Needs Assessment tool was administered to 24 nurse preceptors who precepted in the nurse residency program on two campuses of a not-for-profit Western US hospital, regarding their preferences for topics to be covered in preceptor training, as well as the sequence …

You're So Vein, Jerry Zezima

Erma Bombeck Writers' Workshop Blog

Romance is in my blood. And I recently proved it by taking my wife for bloodwork.

Improving Student Engagement Despite Lowering Attention Spans In The Classroom, Kaycee Lee

Senior Honors Theses

Attention spans have been decreasing throughout society for many years, partially due to the constant increase of technological advances. The average human attention span of eight seconds is particularly concerning to teachers and others in the classroom. It does not seem that the average attention span is ever going to increase, so teachers must implement intentional methods and strategies within their classroom to keep their students’ attention. Physical activities, technology and hands-on supports, small group instruction, shorter lessons, making intentional mistakes, flexible seating, and differentiated instruction are all strategies supported by research to improve student engagement within the classroom. Every …

Singing Sad Songs To The Savior: An Examination Of And Argument For Biblical Lament Songs, Kaden Hofheins

Senior Honors Theses

Christian lament songs play an important role in the context of the local church. There are several key differences between Christian lament and secular “sad songs” that are due to Christianity’s perspective of suffering that revolves around the hope of Jesus Christ. Christian songwriters have been writing lament songs through the lens of biblical hope in Christ throughout church history. Due to the nature of lament songs and how they give voice to negative emotions, which can help people to process their grief, and the communal nature of corporate worship, it is important that local churches ensure they use lament …

Sex-Related Differences In Reaction Time During Normobaric Hypoxic Hypoxia In Physically Active University Students, Danielle Passburg

Senior Honors Theses

Limited research has been completed on the sex-related differences in reaction time during hypoxic hypoxia. This is concerning due to the importance of reaction time during hypoxic hypoxia in aviation (particularly within the realm of military aviation). The purpose of this study was to examine the sex-related differences in reaction time during hypoxic hypoxia in university students. The study used a normobaric oxygen device to simulate hypoxic states and Delphi computer software to test reaction time. Subjects were physically active university students (10 females, 10 males). The results of the study showed no significant differences between sexes in reaction times …

The Impact Of Testimonies On Partner Development Strategies: Mission Work In Europe, Kimberly Witte

Senior Honors Theses

This study seeks to answer how first-world missionaries can utilize research findings on the effectiveness of testimonials and apply that knowledge to partner development strategies. Research trends demonstrate that most missionaries are being sent to countries with the largest practicing Christian populations, such as those in Africa or South America, and are more likely to receive financial partnerships. Europe has a high rate of non-practicing Christians and is a cultural intersection due to the refugee crisis, leading to a need for mission work. This research will culminate in the creation of a prayer guide, highlighting testimonies of individuals impacted by …

Implementing Effective And Meaningful Environmental Graphic Design Within Modern Protestant Church Buildings In The U.S., Hannah Gilmer

Senior Honors Theses

The Church, the body of Christ, is filled with people gifted in visual arts, which should present boundless creative opportunities to encourage the body and glorify Christ. However, many modern Protestant churches in the U.S. do not reflect this creative potential in their interior spaces. Christian graphic designers have the unique gift of bringing all the visual arts together into a whole solution that communicates the message of the gospel with richness, power, and beauty. This thesis will show the process of creating environmental graphic design solutions that are intended to encourage a local church and glorify the Lord, building …

Metropolitan Chorale Presents Brahms Ein Deutsches Requiem, April 28, 2024 [Program], University Of Northern Iowa. School Of Music.

Music Recital Programs

Program of a music recitals given by faculty, students, or guest artists from the School of Music at the University of Northern Iowa.

New Music Ensemble // Laptop Ensemble Concert, April 25, 2024 [Program], University Of Northern Iowa. School Of Music.

Music Recital Programs

Program of a music recitals given by faculty, students, or guest artists from the School of Music at the University of Northern Iowa.

Uni Horn Day, April 28, 2024 [Program], University Of Northern Iowa. School Of Music.

Music Recital Programs

Program of a music recitals given by faculty, students, or guest artists from the School of Music at the University of Northern Iowa.

Plagioclase Megacrysts In Mesoproterozoic Amphibolites From The New Jersey Highlands, Usa: Indicators Of Mixed-Source Magma And Fractionation Interruption In Anorthosite-Dominated Terrains, Matthew L. Gorring, Richard A. Volkert, William H. Peck

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Rare amphibolite in the New Jersey Highlands containing plagioclase megacrysts ≤13 cm long forms bodies 0.5 to 2 m thick that preserve a penetrative metamorphic fabric and have sharp, conformable contacts against Mesoproterozoic country rocks. The megacrystic amphibolites were emplaced as thin dikes along extensional faults between 1160 and 1130 Ma. Amphibolites contain weakly zoned, subhedral andesine megacrysts (An29–44) in a matrix of plagioclase (An18–38), magnesio-hastingsite, biotite, diopside, Fe-Ti oxides, and apatite. The whole-rock major oxide composition of the megacrystic amphibolite matrix has high TiO2 (2.07 wt.% ± 2.0%), Al2O3 (17.03 wt.% ± 0.87%), and Fe2O3t (12.84 wt.% ± 3.2%) …

Harnell, Alice, Caitlin Omey

Bronx Jewish History Project

Alice Harnell was born in Detroit, Michigan in 1930, coinciding with the Great Depression. Harnell's father was born in Russia and emigrated with his family to New York City during the pogrom of the early 1900s. Once arriving in the United States they settled on the Lower East Side, joining a community of other Jewish immigrant families. Harnell's mother was the first American-born in her German family. Harnell's father and mother moved to Detroit for her father's job as a pharmacist. However, at the age of 5 the family moved back to New York City and settled in the West …