Medicine and Health Sciences Commons^™

The Santa Clara, 2018-05-17, Santa Clara University

The Santa Clara

No abstract provided.

Building The Foundation Of A Mentoring Program For Chief Nurse Executives, Patricia Gooch

Doctor of Nursing Practice (DNP) Projects

The chief nurse executive (CNE) is the senior leader whose primary responsibility is to assure quality of care and patient experience in acute care hospitals. Uncertainty in the political arena and further changes to the Affordable Care Act (ACA) highlight the need for hospitals to maintain continuity of leadership for the executive closest to patient care – the CNE. In a large and complex health system, the role of the CNE can be an overwhelming responsibility for seasoned professionals – and especially daunting if you are new to the role of CNE or new to an organization as an experienced …

Commissioning Ceremony Dr. Kiran C. Patel College Of Osteopathic Medicine In Conjunction With Hpd, Nova Southeastern University

NSU Commencement Programs

No abstract provided.

College Of Optometry Senior Awards Dinner Dance, Nova Southeastern University

NSU Commencement Programs

No abstract provided.

The Nova Southeastern University College Of Health Care Sciences Nu Sigma Upsilon Chapter Of The Alpha Eta Honor Society Induction Ceremony May 17 2018, Nova Southeastern University

NSU Commencement Programs

No abstract provided.

Nova Southeaster University College Of Pharmacy Senior Awards Dinner Dance, Nova Southeastern University

NSU Commencement Programs

No abstract provided.

Creating A Healthy Work Environment Using Communication And Recognition, Rachel A. Coicou

Doctor of Nursing Practice (DNP) Projects

Working in a healthy environment is of interest to nurses at every level of employment. Whether a frontline nurse or a nurse executive, it just feels better to wake up each morning and go to work in a place that respects clear communication and recognizes the great work that is being done. Working in such an environment is engaging and encourages employees to thrive (Shirey, 2006). Teamwork, camaraderie, and work satisfaction will increase in a healthy environment (Hall, Doran, & Pink, 2008). Thus, nurse leaders’ imperative is to meet the obligation of creating a healthy work environment (HWE) for the …

Instructor And Librarian Collaboration On A Course Without A Textbook, Stacey Knight-Davis, Lauri Deruiter-Willems

Faculty & Staff Research & Creative Activity

We describe collaboration between a health promotion professor and librarian to design a course in the learning management system D2L that does not use a textbook. Instead of a textbook, materials from professional and governmental organizations, supplemented with library materials are used. This approach encourages critical thinking to integrate information from multiple sources. Students also become familiar with information sources they will use after graduation

What We Do Not Know About Fungal Cell Adhesion Molecules, Peter N. Lipke

Publications and Research

There has been extensive research on structure and function of fungal cell adhesion molecules, but the most of the work has been about adhesins in Candida albicans and Saccharomyces cerevisiae. These yeasts are members of a single ascomycete order, and adhesion molecules from the six other fungal phyla are only sparsely described in the literature. In these other phyla, most of the research is at the cellular level, rather than at the molecular level, so there has been little characterization of the adhesion molecules themselves. A catalog of known adhesins shows some common features: high Ser/Thr content, tandem repeats, N- …

Successful Use Of Balloon Tamponade In The Management Of Postpartum Hemorrhage In A Case Of Bicornuate Uterus, Erum Saleem, Ayesha Basharat

Department of Obstetrics & Gynaecology

Worldwide 50%–70% of all cases of maternal morbidity have been attributed to postpartum hemorrhage. This report discusses a case of bicornuate uterus in a term pregnancy. The delivery was by cesarean section, which was followed by massive postpartum hemorrhage, managed successfully with balloon tamponade. This is the second reported case of successful management of post partum hemorrhage in a bicornuate uterus with balloon tamponade. A 22-year-old primigravida at 39 weeks of gestational age presented with vaginal leaking of clear fluid. Cesarean section was done due to meconium stained liquor in early labor; with an incidental finding of bicornuate uterus followed …

College Of Dental Medicine Senior Awards Dinner Dance, Nova Southeastern University

NSU Commencement Programs

No abstract provided.

Prise En Charge De La Sst Dans Les Mines Souterraines : Témoignages De Cadres Et De Représentants Des Travailleurs : Étude Exploratoire, Élise Ledoux, Sylvie Beaugrand, Martin Chadoin

Rapports de recherche scientifique

Cette étude exploratoire vise à mieux connaître les rôles des cadres et représentants des travailleurs de mines souterraines québécoises, les éléments du contexte qui peuvent agir comme leviers ou obstacles à leurs actions en SST et à amorcer des réflexions sur ce qui peut les soutenir dans leurs rôles. Cette étude s’appuie sur une exploration de la littérature et sur une analyse secondaire des données recueillies lors d’un projet de recherche portant sur les conditions d’intégration des nouveaux travailleurs dans les mines (Ledoux, Beaugrand, Jolly, Ouellet, et Fournier, 2015).

Le projet de recherche a été réalisé grâce à la …

Development Of An Advanced Practice Provider Onboarding Structure, Amy Ziegler

Doctor of Nursing Practice (DNP) Projects

Advanced practice providers, also referred to as nurse practitioners and physician assistants, are increasingly being employed to function in a variety of healthcare settings. As organizations grow their advanced practice provider staff, they must develop a distinct advanced practice provider orientation and onboarding program. Finding the right staff is only half the battle; if you do not orient and onboard staff properly the will not stay (National Systems Contractors Associations [NSCA], 2017). Administrators, certainly directors of advanced practice providers, are pursuing unique and dynamic ways to facilitate credentialing, privileging, orientation and onboarding of these individuals. The director for advanced practice …

Building The Business Case For Clinical Nurse Leader Integration Into A Hospital Staffing Model, Shelley Johnson

Doctor of Nursing Practice (DNP) Projects

The Clinical Nurse Leader (CNL) is a newer role in the nursing profession. This generalist Registered Nurse (RN) role was designed to help address fragmented healthcare delivery and care coordination, emphasize and facilitate evidence-based practice, and improve patient quality outcomes at the microsystem level (AACN, 2011). This paper describes a Doctor of Nursing Practice (DNP) project that took place from January through December 2017 focused on making the business case to incorporate CNLs into a hospital staffing model. The CNLs focused on reducing hospital acquired infections (HAIs). The CNLs’ work reduced HAIs by 48% in 2017 as compared to 2016 …

On-Line Simulation In Clinical End User Training, Genoveffa Devers

Doctor of Nursing Practice (DNP) Projects

Abstract

In today’s ever-changing, do more with less environment, nurses and clinicians must be thought of as adult learners who are self-motivated with a need to know and master the technology they are using. In busy hospital and clinical environments, training nurses and clinicians in the traditional classroom setting can be both difficult and costly. On-line simulation training provides access to all staff to gain hands on end-user experience before new equipment is implemented. As hospitals look to embrace new technologies in this complex healthcare environment, assuring staff training is a required part of the vendor selection process and incorporated …

Ethics Education To Empower Nurses To Effectively Consult The Hospital Ethics Committee, Elaine L. Ware

Doctor of Nursing Practice (DNP) Projects

Nurses interacting with patients and family members need support when the course of the patient’s care becomes uncertain or conflicted leading to ethical concerns. Educating nurses about the purpose of the Hospital Ethics Committees (HEC) may support nurses with ethical concerns, alleviate moral distress and improve job satisfaction. Utilizing the HEC for ethically challenging care situations enhances the professional practice and supports the code of ethics for nurses. HECs which are often underutilized can provide valuable resources for nurses. This DNP project sought to increase the number of nurses’ ethics consultations to the HEC after providing ethics education using a …

Implementation Of The Win Workforce Stability Tool Kit, Ellen Katherine Kuhnert

Doctor of Nursing Practice (DNP) Projects

Precise and accurate staffing is vital to healthcare organizations. Comprehensive workforce planning is the foundation for successful staffing. Healthcare leaders need workforce data and tools that provide visibility and actionable intelligence to drive the best possible resource decisions. A workforce tool kit that nurse leaders can use to maintain visibility into their overall workforce picture can drive cost savings and provide operational wins. Lack of visibility into workforce metrics and tools drove the development of a tool kit that would aid in addressing some of these issues. The tools included provided real-time, market-specific data that was used to drive decisions …

Promoting Transgender Cultural Awareness And Sensitivity Through Education: It Starts With A Pronoun, Jacob Adkison

Doctor of Nursing Practice (DNP) Projects

Background: Health and social disparities affect the quality of life of transgender and gender nonconforming people in a negative manner as opposed to that of their cisgender counterparts (James et al., 2016). Gender discrimination, the lack of medical insurance, and a shortage of culturally competent providers contribute to some of the healthcare barriers in this population. The absence of supportive education for healthcare practitioners for providing culturally sensitive care impacts the transgender and gender nonconforming persons’ desire to seek routine health maintenance due to stigma, which can result in poor health outcomes (Bauer et al., 2009).

Methods: To help fill …

Enhancing Health Literacy Using Teach Back Method To Increase Patient Adherence, Tram Mendoza

Doctor of Nursing Practice (DNP) Projects

Health literacy is an important component of successful health care delivery and relies on both individual and systemic factors to achieve. For individuals not trained in the medical field, health literacy can be a complicated and perplexing web of information to navigate. Patients can have varying degrees of health literacy affecting their understanding of health conditions, especially the elderly, immigrants, minorities, and the low-income populations. Limited health literacy can pose risks on a patient’s well-being, interfere with their self-care and health maintenance, and possibly create obstacles for the patient if health instructions are not clearly understood. One proven model of …

An Assistant Nurse Manager Leadership Laboratory Program And Its Effect On Nursing Outcomes, Alexandra Wiggins

Doctor of Nursing Practice (DNP) Projects

Aim: This paper summarizes the project development, implementation and outcomes of an Assistant Nurse Manager leadership laboratory program and elements involved in the coursework. Through lecture, simulation, and mentoring components, noted change in leadership ability of novice/advanced beginner Assistant Nurse Managers were assessed over a six-month period and monitored the effects on quality and financial metrics, as well as the self-confidence of the Assistant Nurse Managers. Evaluation conducted included both quantitative and qualitative outcome assessment.

Background: The literature shows that quality leadership produces quality nursing outcomes (Houser, 2003). Leadership style (Wong & Cummings, 2007), communication skills (Vogus & Sutcliffe, 2011), …

Manager Leadership: Beginning At Novice, Kathy Bay

Doctor of Nursing Practice (DNP) Projects

To meet the current and anticipated nursing leadership gaps, there is a critical need for tools and programs to develop of future leaders. Unfortunately, there is a deficiency related to the preparation and readiness of novice nurse managers which impacts turnover, burnout, and the quality, safety and cost of care for patients. The aim of this Doctor of Nursing evidence-based change in practice project was to create an online training program that integrated two national nursing leadership competencies to assist the development of novice nurse managers as they transition to a formal leadership role.

A video-based module system with active …

Advanced Access: Creating An Infrastructure For Success In Primary Care, Kimberly D. Perris

Doctor of Nursing Practice (DNP) Projects

The Humboldt Independent Practice Association (IPA) has sought to improve the health of Humboldt County through practice transformation efforts. To date, Humboldt IPA’s primary care practice, the Priority Care Center, is building a foundation toward an Advanced Access model of care with an overarching aim of effectively improving access to quality care in Humboldt County. The 10 Building Blocks of High Performing Primary Care Practices framework set the stage for the intervention and was used as a roadmap to build an infrastructure for success. Team-based care was highlighted as the project relied on having systems and processes that empower the …

Decreasing Environmental Health Risks In The Philippines: Implementation Of A Culturally Appropriate Screening Tool, Alyssa Samson

Doctor of Nursing Practice (DNP) Projects

Objectives: The purpose of this DNP project was to increase the knowledge of environmental health risk factors in the Philippines among nurses and doctors located within that healthcare system. The overall goal was to educate providers on local environmental health risks, provide training for the use of a screening tool (Tagalog Environmental Health and Safety Assessment Tool [TEHSAT]), and provide resources aimed at increasing screening of at risk populations and provide opportunities for education and health promotion.

Methods: This project included a two-part educational training session. The first part included a preliminary presentation on environmental health and the use of …

Ethics Education To Empower Nurses To Effectively Consult The Hospital Ethics Committee, Elaine L. Ware

Doctor of Nursing Practice (DNP) Projects

Nurses interacting with patients and family members need support when the course of the patient’s care becomes uncertain or conflicted leading to ethical concerns. Educating nurses about the purpose of the Hospital Ethics Committees (HEC) may support nurses with ethical concerns, alleviate moral distress and improve job satisfaction. Utilizing the HEC for ethically challenging care situations enhances the professional practice and supports the code of ethics for nurses. HECs which are often underutilized can provide valuable resources for nurses. This DNP project sought to increase the number of nurses’ ethics consultations to the HEC after providing ethics education using a …

Deletion Of Endo-Β-1,4-Xylanase Vmxyl1 Impacts The Virulence Of Valsa Mali In Apple Tree, Chunlei Yu, Ting Li, Xiangpeng Shi, Muhammad Saleem, Baohua Li, Wenxing Liang, Caixia Wang

Plant and Soil Sciences Faculty Publications

Valsa mali, a parasitic fungus, is a destructive pathogen of apple tree that causes heavy economic losses in China. The pathogen secretes various cell wall-degrading enzymes (CWDEs) that degrade plant cell-wall components, and thus facilitate its entry into host cells. Therefore, functional analysis of the genes encoding CWDEs is necessary to understand virulence of V. mali toward apple tree. Here, we identified and cloned an endo-β-1,4-xylanase gene, VmXyl1 in V. mali. The full-length cDNA of VmXyl1 is 1626 bp containing 5′- and 3′-non-coding regions, as well an open reading frame of 1320 bp that encodes a protein with …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Leadership for Health Professionals: Theory, Skills, and Applications.

Increasing Early Mobility Of Patients In The Intensive Care Unit, Wendie Gilliam

Master's Projects and Capstones

Abstract

This project occurred in a 35-bed intensive care unit at a level II trauma center in central California. The purpose of this project was to strengthen the implementation of evidence-based initiatives promoted by the Society of Critical Care Medicine. The Society of Critical Care Medicine has a set of initiatives for the intensive care units nationwide to improve the outcomes for patients. One of the initiatives is the ICU Liberation, which includes six different bundles labeled: A, B, C, D, E, & F (Society of Critical Care Medicine ,2013). Their studies showed a significant improvement in the outcomes for …

Exploration Of Statistics Anxiety Among Doctoral Students In Health Sciences Related Disciplines, Quincy Chau

Seton Hall University Dissertations and Theses (ETDs)

This study explored the statistical anxiety levels of doctoral students in health sciences related disciplines, i.e. Doctor of Nursing Practice (D.N.P.) and Doctor of Philosophy (Ph.D.). This study also explored the differences in statistics anxiety levels between professional doctoral students (i.e. D.N.P.) and research doctoral student (i.e. Ph.D. in Rehabilitation Sciences, Health Sciences, Nursing, Environmental and Occupational Health, Human Movement Sciences Concentration and Kinesiology & Rehabilitation.) 403 doctoral students responded to the online survey and 312 of them completed 100% of the Statistical Anxiety Rating Scales (STARS) instrument and 100% of the social demographic questions. Statistics anxiety scores achieved internal …

Placement Of Lumen-Apposing Metal Stents To Drain Pseudocysts And Walled-Off Pancreatic Necrosis Can Be Safely Performed On An Outpatient Basis: A Multicenter Study, Douglas G. Adler, Janak Shah, Jose Nieto, Kenneth Binmoeller, Yasser Bhat, Linda Jo Taylor, Ali A. Siddiqui

Division of Gastroenterology and Hepatology Faculty Papers

Backgrounds and Objectives: No study on the use of lumen-apposing fully covered self-expanding metal stent (LAMS) to drain pancreatic fluid collections (PFCs) has evaluated outcomes of patients in the outpatient setting. The objective of this multicenter study was to evaluate the clinical outcomes, success rate, and adverse events of the LAMS for endoscopic ultrasound (EUS)-guided transmural drainage of patients with symptomatic PFCs on an inpatient versus an outpatient basis.

Methods: This was a multicenter, retrospective study conducted at 4 tertiary care centers. Results: We identified eighty patients with PFCs in whom EUS-guided transmural drainage using the LAMS was performed. The …

Improvements On Fall Risk Assessment To Promote Patient And Employee Safety, Christopher Haupt

Master's Projects and Capstones

Cohort 22 of the University of San Francisco’s MSN, Clinical Nurse Leader (CNL) program conducted a study focusing on the implementation of the Hendrich II Fall Risk Model and the Patient Mobility Assessment Tool (PMAT) at an urban California Bay Area hospital. Assessments were performed on 74 patients (n = 74) between January 2018 and April 2018. Cohort 22 determined that the Hendrich II test with introductions took an average of 01:49 minutes to conduct. It was also determined that it took and average of 03:12 minutes to conduct the PMAT. 88.19% (66/74) patients correctly estimated their level of mobility. …