Digital Commons Network^™

Nurse Driven Early Mobility In The Intensive Care Unit: Mobility Protocol And A Designated Mobility Champion, Intensive Care Unit, Newark-Wayne Community Hospital, Newark, Ny

Nursing Research and EBP Day 2022

Decreased mobility in hospitalized patients can lead to various health consequences, including increased morbidity and mortality. In the Intensive Care Unit (ICU), patients are not mobilized as frequently or as often as possible. Barriers to mobilization include limited resources such as time and staffing, perceived risk, and insufficient training in safe patient handling. This quality improvement initiative aimed to increase out-of-bed mobility in ICU patients, address activity orders at interdisciplinary rounds, and trial a designated mobility champion. The America Association of Critical-Care Nurses (AACN) Early Progressive Mobility (EPM) protocol and Bedside Mobility Assessment Tool (BMAT) were adopted and used to …

A Depression Screening Protocol For Acute Stoke Patients: A Quality Improvement Project, Celia Mcintosh

Nursing Research and EBP Day 2022

Background: Depression after stroke is common and is associated with poor functional recovery, suicidal ideation, decreased quality of life, and increased mortality. Despite this knowledge, poststroke depression (PSD) is often underdetected and thus undertreated. PSD is clinically important for the caregiver, the family, and the stroke survivor. Inconsistencies in screening and treatment practices may further contribute to these negative outcomes.

Purpose: The purposes of this evidence-based clinical scholarship project were to (1) determine the efficacy of an evidence-based depression screening protocol in improving early detection and treatment of PSD and (2) identify if there were any relationships between the protocol …

Rn Managed Warfarin Therapy Improves Patient Outcomes, Beth Ormsby, Stacee Marvin, Viktoria Leblanc, Ashley Harris

Nursing Research and EBP Day 2022

Warfarin, an oral anticoagulant, is a “high-risk” medication with narrow therapeutic range and risks for serious complications if not carefully managed. Therapeutic effect is determined using a blood test called the International Normalized Ratio (INR). Evidence shows a higher percentage of Time in Therapeutic Range (TTR) decreases the risk of adverse events including bleeding, hemorrhagic stroke, and death. An optimal TTR is 60 – 70% or higher. Improving TTR by 2.5 - 5% could significantly impact outcomes.

It was hypothesized that an algorithm based approach to Warfarin management by a consistent team of RN’s would improve TTR and outcomes.

To …

Immune-Related Adverse Event Management For Oncology Patients, Mary Beth Casselbury, Lori Davis, Sharon Wilson

Nursing Research and EBP Day 2022

Rapid advances in cancer immunotherapy using Immune Checkpoint Inhibitors have led to significantly improved survival of patients. Immunotherapy is also associated with multiple immune-related adverse events (irAE’s). The purpose of this research is to determine if reinforced patient education regarding early recognition/management of side effects/adverse events decreases serious immune-related events. It is hypothesized that utilizing a patient education plan may determine if these interventions can manage immune-related adverse events and thereby decrease the severity of these events.

Our team reviewed literature addressing follow-up care for Oncology patients receiving Immunotherapy. To promote efficient management of immune-related adverse events several major oncology …

Licensed Practical Nurses Working To Maximum Scope Of Practice, Lindsey Sippel, Lauren Sicker, Jessie Schiffhauer, Kristee Aliten

Nursing Research and EBP Day 2022

BACKGROUND: Nurses on 4800, a medical-surgical unit, were feeling overwhelmed by an increasing patient load due to Registered Nurse (RN) vacancies. No not only was staff morale at a low, but the staff was concerned about the impact on patient care. Nursing staff on 4800 consists of RNs as well as Licensed Practical Nurses (LPNs). As the team contemplated the high nurse:patient ratio, they identified that LPNs were not working to the full scope of their practice. The team began to wonder if ensuring that LPNs could work at the highest level of their scope of practice if this would …

The Safe Stay Program: For Care Of The Pediatric Patient Boarding In The Emergency Department, Kellie Rorke

Nursing Research and EBP Day 2022

The purpose of this evidence-based project was to explore alternative methods to address the process for admitted patients boarding in the pediatric emergency department. It was hypothesized that creating an intentional program of vigilance for safe care of the boarding pediatric patient via a pediatric admission care RN (PAC-RN), supported by interventions including on time medication administration, monitoring, and admission process education. Could reduce adverse events, total inpatient length of stay, morbidity and mortality and improve overall patient/family satisfaction.

A systematic literature search to review patient boarding in the emergency department was conducted. The literature reviewed supported the implementation of …

Early Mobilization For Critically Ill Adults: An Integrative Review, Jarvis Mcgrath

Nursing Research and EBP Day 2022

Objectives: Despite emerging evidence on the health benefits of early mobilization (EM) among critically ill patients, immobility and perceived barriers to EM persists. This integrative review aimed to summarize existing data on nurse-led EM, including how EM is defined, how EM protocols were developed, and key components of their protocol.

Methods: The protocol for this integrative review was developed in consultation with a trained librarian. A comprehensive search was conducted using the databases CINAHL, Embase, and ProQuest Nursing and Allied Health in April 2021. 6% of results were independently screened by 2 reviewers and the remaining were screened by a …

Evidence-Based Practice Liaisons: Supporting Ebp Across The Health System, Tami A. Hartzell, Susan Stell

Nursing Research and EBP Day 2022

No abstract provided.

Development Of Share: Supportive Holistic Anxiety Reducing Experience In Critical Care, Benjamin Lindsay, Judith V. Treschuk

Nursing Research and EBP Day 2022

The purpose of this research/EBP was to develop an evidence-based Interdisciplinary Family-Centered Communication and Support Program in the Surgical/Neuro Intensive Care Unit intended to provide the support that family members and patients need when admitted to the Surgical/Neuro Intensive Care Unit.

It was hypothesized that there is a way to support patients and their family members during their admission to the RGH SICU/NCCU through evidence-based practice decreasing their anxiety and dissatisfaction with communication with the interdisciplinary team. To test the hypothesis, an electronic literature review was completed in March 2021 and May 2021 for the most current research on family-centered …

Nicu Discharge Readiness, Sarah Kiley, Megan Adams, Jennifer Pacheco-Leyva, Paula Sedita, Brooke Swinton, Michele Wells

Nursing Research and EBP Day 2022

After days, weeks or months in the neonatal intensive care unit (NICU), families can be overwhelmed by the discharge preparation and the transition to home. Literature supports that inadequate preparation for discharge from the NICU increases family anxiety, risk for hospital readmission and emergency room visits, as well as infant care issues at home such as feeding difficulty. This quality improvement project was identified to improve and enhance discharge readiness in the NICU.

The project started with the development of a discharge readiness committee. After reviewing the literature, the committee met to identify areas in need of improvement which included …

Estimation Of The Bubble Point Pressure Of Multicomponent Reservoir Hydrocarbon Fluids, Benjamin Sunday Usen, Chidi Obi

Makara Journal of Science

This study developed a novel C-sharp (C#) programming language for the estimation of bubble point pressure (BPP) of various hydrocarbon mixtures at equilibrium state. The methodology was based on vapor–liquid equilibrium calculation using Peng Robinson equation of state implementation, thermodynamic equilibrium calculation and Newton-Raphson’s method for the successive substitution of the unknown variables. The equal fugacity constraint can be satisfied by obtaining the equilibrium which serves as a criterion for two or more phases to exist at equilibrium. The problem was resolved by searching for a pressure that will satisfy the two constraints. Complex calculation was performed by successively substituting …

Development And Optimization Of An Immunoassay For The Detection Of Antibodies Against Sars-Cov-2 With In-House Recombinant Rbd Protein, Safira Pinaka Pramestika Ratu, Silmi Mariya, Rachmitasari Noviana, Uus Saepuloh, Huda Salahudin Darusman

Makara Journal of Science

COVID-19 caused by SARS-CoV-2 poses a major threat to the global community, particularly in Indonesia. Countermeasures to prevent the spread of this disease have also been implemented, including the implementation of a vaccination program. An immunoassay technique that can be used to analyze antibodies that might develop following vaccination is the indirect enzyme-linked immunosorbent assay (ELISA). We produced the recombinant spike protein used in this study. The optimization comprised adjusted concentrations of spike recombinant protein (5 and 10 ng/mL), blocking agent (2.5% and 5%), and conjugate (1:1000 and 1:5000). The optimal conditions in this study included a spiked concentration of …

Modulation Of The Nf-Κb Activation Pathway By Phycocyanobilin From Spirulina Platensis: An In Silico Study, Febriana Catur Iswanti, Hastuti Handayani S Purba, Ani Retno Prijanti, Fadilah Fadilah, Linda Herlina, Reni Paramita

Makara Journal of Science

Several studies have predicted the molecular interactions of the active ingredient of Spirulina platensis as an anti-inflammatory compound. However, these interaction studies did not review the modulation of the NF-κB activation pathway, which involves various factors. This study demonstrated the potential of the bioactive compounds of S. platensis for modulating immune function by reducing inflammation through the inhibition of the NF-κB activation pathway. Phycocyanobilin was predicted to have good potential for molecular docking with multisubunit IκB kinase (IKK)1/IKKA, IKK2/IKKB, NF-κB-inducing kinase, and the IκBα/NF-κB complex. Furthermore, β-carotene exhibited good potential for interactions with NF-κB essential modulator/IKK and the NF-κB complex, …

Synthesis Of Alginate/Hydroxyapatite Beads For Acetaminophen Delivery, Anesylvia Angan, Nonni Soraya Sambudi

Makara Journal of Science

Conventional drug delivery systems usually involve the intake of multiple drugs, which could amplify the risk of overdosing. Acetaminophen is a widely used pain relief substance that is prone to accidental overdosing. Hence, a controlled drug delivery system is needed to ensure its efficacy. A nanocomposite hydroxyapatite/alginate system that was used as a drug carrier for acetaminophen was synthesized through the sol-gel method, and the mechanism underlying its controlled drug delivery was investigated. Spherical nanocomposite bead samples were synthesized by incorporating 5 wt%, 10 wt%, and 15 wt% hydroxyapatite into mixtures containing alginate. The mixtures were then dropped into calcium …

Comparative Photovoltaics Of P3ht:N2200 And P3ht: Small-Gap Fullerene Ethyl-Nipecotate Bulk Heterojunction Structures, Md. Nasir Uddin, Rafiqul Islam, Muhibur Rahman, Nazia Chawdhury

Makara Journal of Science

This work deals with the study on the optical absorption and photoluminescence spectra of a p-type organic semiconducting polymer, regioregular poly 3-hexylthiophene-2,5-diyl (P3HT) and the absorption spectra of an n-type fullerene-based small-gap fullerene-ethyl nipecotate (Fullerene-EN) and a non-fullerene-based polynaphthalene bithiophene (N2200) semiconducting materials. The band gap of P3HT, N2200, and small-gap fullerene-ethyl nipecotate are 2.42, 1.65, and 1.51 eV, respectively, calculated from experimental results through the Tauc equation. Active layers with blends of P3HT and small-gap fullerene-ethyl nipecotate and P3HT and N2200 have been used to fabricate bulk heterojunction (BHJ) structures. The P3HT:N2200 BHJ structure follows the current density versus …

Metabolite Signature Of Fresh And Long-Term Stored Coffee Pulp And Husk, Wahyu Lestari, Kartini Hasballah, Muhammad Yulianto Listiawan, Sofia Sofia

Makara Journal of Science

Every product from the food and agriculture industry produces waste that can cause environmental pollution when carelessly discarded. Coffee husk and pulp are the main wastes generated by coffee processing. The secondary metabolites in these wastes can still be utilized, but their level can be affected by long storage. This research aims to determine the differences in the compounds obtained from old and fresh Gayo Arabica coffee pulp and husk. Coffee husk and pulp samples from Gayo Arabica coffee are extracted for GC-MS analysis to determine similarities between fresh and long-term stored Gayo Arabica coffee husk and pulp. Results show …

Choosing The Best Method For Estimating The Survival Function Of Inverse Gompertz Distribution By Using Integral Mean Squares Error (Imse), Mustafa A. Hashim, Suhail Najim Abood

Journal of Economics and Administrative Sciences

In this research, we study the inverse Gompertz distribution (IG) and estimate the survival function of the distribution, and the survival function was evaluated using three methods (the Maximum likelihood, least squares, and percentiles estimators) and choosing the best method estimation, as it was found that the best method for estimating the survival function is the squares-least method because it has the lowest IMSE and for all sample sizes.

The Role Of Internal Audit In Assessing The Risks Of Management Decisions Regarding Strategic Operations (Acquisition), Najat Saleem Yousif, Safaa Ahmed Mohammed Al-Ani

Journal of Economics and Administrative Sciences

The research aims to verify the Role of Internal Auditing in Assessing the Risks of Strategic Operations (Acquisition) and then reflect on management decisions. Since all corporations wish to expand, growth and domination of the market may expose them to multiple risks that lead to failure. The research assumes two main hypotheses. First, there is no role for internal audit in evaluating the strategic operations (acquisition). Second, there is no relationship between internal auditing in assessing the risks of strategic operations (Acquisition) and management decisions. The data was collected by using a questionnaire distributed to a group of private bank …

The Role Of Gri Standards In Reporting The Dimensions Of Sustainable Development - An Applied Study In A Number Of Local Companies On The Iraq Stock Exchange, Suaad Adnan Al-Shammari

Journal of Economics and Administrative Sciences

The current research aims to shed light on the Global Reporting Initiative (GRI), which helps to report financial and non-financial information by economic units in general and listed on the Iraq Stock Exchange in particular. The research was based on a main premise that apply the criteria of the Global Reporting Initiative (GRI) would provide useful information to users to help them make appropriate decisions. To achieve the goal of the research, the descriptive analysis method was used, and quantitative analysis was used. At the level of the descriptive analysis method, a desk survey was conducted. As for the quantitative …

The Role Of Ambidextrous Leadership' Behaviors In Enhancing Organizational Energy': An Analytical Research General Al-Faris Company, Zaid Khawam Mahmood

Journal of Economics and Administrative Sciences

The current research aims to identify the impact of ambidextrous leadership behaviors on organizational energy in Al-Faris Company. The descriptive analytical method was used as a research approach. Adept leadership includes two dimensions (open leadership behaviors and closed leadership behaviors), and organizational energy includes three dimensions (emotional energy, physical energy, and cognitive energy ). The research sample included all the administrative leaders (General Manager, Associate General manager, Department Manager, Division Official ) in AL-Faris Company / the Iraqi Ministry of Industry. The researcher distributed (74) valid questionnaires after retrieving (53) questionnaires, and the research relied on the statistical package (SPSS). …

The Role Of Strategic Flexibility In Achieving Organization Effectiveness: Analytical Research In The Directorates Of The Ministry Of Education, Sarah Hussein Abdul Hussein, Saadoon Mohsin Salman

Journal of Economics and Administrative Sciences

This research aims to know the role of strategic flexibility in achieving organizational effectiveness by studying the dimensions of strategic flexibility (capacity flexibility, resource flexibility, information flexibility, and coordination flexibility) on the dimensions of organization effectiveness (environmental adaptation, productivity and achieving goals) through an analytical study conducted in six directorates in the office of the Iraqi Ministry of Education. The research problem was represented in the form of questions, the most prominent of which was "What is the role of strategic flexibility in achieving organization effectiveness?" The descriptive analytical approach was relied on in applying the research, as the questionnaire …

Comparison Of Some Methods For Estimating The Survival Function And Failure Rate For The Exponentiated Expanded Power Function Distribution, Maysam Sajit Khdair, Emad Hazim Aboudi

Journal of Economics and Administrative Sciences

We have presented the distribution of the exponentiated expanded power function (EEPF) with four parameters, where this distribution was created by the exponentiated expanded method created by the scientist Gupta to expand the exponential distribution by adding a new shape parameter to the cumulative function of the distribution, resulting in a new distribution, and this method is characterized by obtaining a distribution that belongs for the exponential family. We also obtained a function of survival rate and failure rate for this distribution, where some mathematical properties were derived, then we used the method of maximum likelihood (ML) and method least …

The Impact Of Digital Leadership In The Effectiveness Of Organizational Crisis Management By Mediating Strategic Vigilance, Noor Kareem Hassan, Suheir Adel Hamed

Journal of Economics and Administrative Sciences

The current research aims to verify the impact of digital leadership as an independent variable, in the effectiveness of crisis management as a response variable through centralizing strategic vigilance in the faculties of the University of Baghdad and its departments, and to investigate the level of interest of its leaders and subordinates in research variables, as well as coming up with recommendations that contribute to strengthening the practices of the three variables. In the university under study, and based on the researcher’s interest to diagnose the influence relationship between the variables, because of their importance in the university’s headquarters and …

The Quality Of Audit Work Under Expert System, Eman Jasem Mohammed, Salman Hussin Abdullah

Journal of Economics and Administrative Sciences

The research aims to extrapolate the repercussions of the use of expert systems in the work of the external auditor on the quality of audit, as the research problem was that despite the use of these techniques in audit work, there is a problem related to the efficiency and effectiveness of these technological systems used in audit work, the feasibility of their use and the extent of their impact: The quality of the audit process. The researchers adopted the questionnaire as a tool for collecting study data from a community composed of auditors in auditing offices and companies in Iraq, …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Teaching Satisfaction As A Mediator In The Relationship Between Principal’S Support And Teachers' Intent To Leave In Basic Education Schools In Oman, Yasser Al-Mahdy, Khalsa S. H. Al-Harthi

Journal of Educational and Psychological Studies

The study aimed to explore the impact of the principal's support on teachers ’satisfaction and their intention to leave work in Oman, in addition to whether teachers ’satisfaction plays a mediating role in the relationship between the principal's support and the teacher’s intention to leave. Data were collected from a sample of 398 basic education teachers. The study used structural equation modeling to test a hypothetical model. The results revealed that teachers ’perceptions of principal support were high level but their satisfaction and their intention to leave were in the moderated level. Furthermore, our results showed that the principal support …

The Effectiveness Of An Eclective Counseling Training Program In Enhancing Self-Regulated Learning Skills Among Female Students With Academic Learning Disabilities, Safaa Istanbuli, Nasser S. Abdelrasheed, Mosleh M. Almajali

Journal of Educational and Psychological Studies

The current study aimed to investigate the effectiveness of an eclective counseling training program (ECTP) in enhancing self-regulating learning skills (SOLS) among female students with academic learning disabilities (ALD). The study population consisted of (197) female students who were diagnosed with learning disabilities in one or more of the basic academic subjects. The experimental study sample consists of (16) female students, and was distributed randomly into two equivalent groups: the control group and the experimental group, (8) female students in each group. The experimental approach (Quasi-experimental design) was used with experimental and control groups and pre-test and post-test. SOLS questionnaire …

Lymph Node Dissections And Survival In Sublobar Resection Of Non-Small Cell Lung Cancer ≤ 20 Mm., Shinkichi Takamori, Takefumi Komiya Md, Mototsugu Shimokawa, Emily Powell Phd

PCI Publications and Projects

BACKGROUND: A randomized trial of lobectomy versus segmentectomy for small-sized (≤ 20 mm) non-small cell lung cancer (NSCLC) showed that patients who had undergone segmentectomy had a significantly longer overall survival (OS) than those who had lobectomy. More attention is needed regarding the required extent of thoracic lymphadenectomy in patients with small-sized NSCLC who undergo sublobar resection.

METHODS: The National Cancer Database was queried for patients with clinically node-negative NSCLC ≤ 20 mm who had undergone sublobar resection between 2004 and 2017. OS of NSCLC patients by the number of lymph node dissections (LNDs) was analyzed using log-rank tests and …

ريادة الاعمال ودورها في تحقيق الاداء المصرفي المستدام: دراسة تحليلية لآراء مجموعة من قادة مصارف القطاع العام, كمال كاظم طاهر

Muthanna Journal of Administrative and Economics Sciences

سعت الدراسة الحالية الى استشراف الدور الذي تمارسه ريادة الاعمال بأبعاده (الابداع، المخاطرة و الاستباقية او المبادرة) في الاداء المستدام بأبعاده(الاستدامة الاقتصادية، الاستدامة الاجتماعية، الاستدامة البيئية و الاستدامة الاخلاقية) في المنظمات المبحوثة (مصارف القطاع الحكومي في الجنوب والفرات الاوسط) التابعة الى وزارة المالية, وكانت عينة البحث قصدية تضمنت (200) عضواً مجلس الادارة ( مدير عام , معاون مدير عام , مدير قسم). استعملت الدراسة الحالية الاستبانة كأداة رئيسة لجمع البيانات، وباستخدام مجموعة من التحليلات الاحصائية المتمثلة بالتحليل العاملي التوكيدي ومعادلة النمذجة الهيكلية باستخدام تحليل المسار وباستعمال البرامج الاحصائية (AMOS v.24 & SPSS v.24) اختبرت فرضيات الدراسة الرئيسة. وقدمت الدراسة مجموعة …

حكم البيع عن طريق الانترنيت في الشريعة الإسلامية ومدى إستجابة المجتمع الإسلامي لتطبيقها ) دراسة ميدانية في محافظة أربيل في أقليم كردستان العراق كنموذج بإستخدام الاختبار الانحدار اللوجستي, خوشى عثمان عبد اللطيف, اميرة ولي عمر, سمية محمود نجم الدين

Muthanna Journal of Administrative and Economics Sciences

الإنترنت هو أحد تطورات الثورة التكنولوجية ومظهر من مظاهر العولمة الاقتصادية ، والتي هي باختصار تقارب إرادة البائع والمشتري للتسويق من خلال الاتصال غير المباشر بين أطراف العقد والمعاملة عبر الإنترنت .إن زيادة مساهمتها في التجارة الخارجية ، وكذلك تطوير قطاعاتها الإنتاجية والتسويقية المحلية ، وتوفير فرص كبيرة للنمو الاقتصادي ، من المتطلبات الملحة والتنموية. يشجعنا ديننا الإسلامي على الاستفادة من كل ما هو جديد لمواكبة العصر، ولكن كل هذا يجب أن يتم وفقًا لإرشادات ومعايير الشريعة الإسلامية. الكثير من الأشياء ممنوعة بموجب االشرع ، كالربا ، والغرروالخداع والاحتيال ، على سبيل المثال لا الحصر في شريعتنا الإسلامي أفضل الإجابات …