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(1 - 20 of 31,085)
Pages
- Title
- Deciduous shrubs of the M.A.C. campus
- Creator
- Chadsey, George E.
- Date
- 1901
- Collection
- Electronic Theses & Dissertations
- Title
- Tree studies
- Creator
- Baker, Hugh P. (Hugh Potter), 1878-1950
- Date
- 1901
- Collection
- Electronic Theses & Dissertations
- Title
- A study of trees and shrubs of the Michigan Agricultural College campus
- Creator
- Tower, G. Eugene (Gordon Eugene)
- Date
- 1901
- Collection
- Electronic Theses & Dissertations
- Title
- Ornamental trees and shrubs
- Creator
- Love, Lyman R.
- Date
- 1896
- Collection
- Electronic Theses & Dissertations
- Title
- Study of trees upon the M.A.C. campus as regards their spring activity for 1900
- Creator
- McCue, C. A. (Charles Andrew), 1879-
- Date
- 1901
- Collection
- Electronic Theses & Dissertations
- Title
- Autumn tints of trees & shrubs on the campus
- Creator
- Sly, Frances W.
- Date
- 1902
- Collection
- Electronic Theses & Dissertations
- Title
- Friedrich Heinrich Himmel's grande sonate pour deux pianoforte : a performance edition
- Creator
- Schults-Berndt, Elfie Diana
- Date
- 1986
- Collection
- Electronic Theses & Dissertations
- Title
- The board of directors and strategic planning : a survey of board chairmen
- Creator
- Henke, John W. (John William)
- Date
- 1982
- Collection
- Electronic Theses & Dissertations
- Title
- The archaeology of the Nanook site : an explanatory approach
- Creator
- Arundale, Wendy Hanford, 1945-
- Date
- 1976
- Collection
- Electronic Theses & Dissertations
- Title
- The quest for Afro-Brazilians' equal opportunity : the articulations of affirmative action policies and programs by Afro-Brazilian advocacy organizations and the state in Brazil, 1990-2004
- Creator
- Benedito, Vera Lúcia
- Date
- 2005
- Collection
- Electronic Theses & Dissertations
- Title
- The upper Devonian and lower Mississippian sediments of the Michigan Basin and Bay County, Michigan
- Creator
- LeMone, David V., 1932-
- Date
- 1964
- Collection
- Electronic Theses & Dissertations
- Title
- Microwave plasma assisted chemical vapor deposition of ultra-nanocrystalline diamond films
- Creator
- Huang, Wen-Shin
- Date
- 2004
- Collection
- Electronic Theses & Dissertations
- Title
- The adult part-time student role as experienced by some students in extension programs at the University of Alberta, 1970-71
- Creator
- Zelmer, Amy Elliott, 1935-
- Date
- 1973
- Collection
- Electronic Theses & Dissertations
- Title
- Increasing cervical cancer screening in a rural population through a multifaceted educational intervention
- Creator
- Boss, Whitney
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
The purpose of this quality improvement (QI) project was to design and implement a multicomponent evidence-based educational intervention for the patients and providers in a rural health clinic in Mid-Michigan with the goal of increasing the proportion of CCS performed and increasing the amount of CCS appointments being made in women ages 21-64.
- Title
- Virtual reality as complementary treatment after spinal fusion
- Creator
- Krueger, Emily (Emily Ann)
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
Background and Significance: The number of lumbar spinal fusion patients increases each year nationwide. The amount of opioid pain medication used can affect the outcomes, patient satisfaction, and quality of recovery. In this project, emphasis was placed on implementing and using non-pharmaceutical interventions to assist in the management of postoperative pain. Purpose: The purpose of this project was to implement the use of virtual reality to supplement the current postoperative care...
Show moreBackground and Significance: The number of lumbar spinal fusion patients increases each year nationwide. The amount of opioid pain medication used can affect the outcomes, patient satisfaction, and quality of recovery. In this project, emphasis was placed on implementing and using non-pharmaceutical interventions to assist in the management of postoperative pain. Purpose: The purpose of this project was to implement the use of virtual reality to supplement the current postoperative care protocol to minimize the length of stay, increase pain control, and lower opioid usage. Methods: The project was implemented in a neurological unit at a midwestern trauma two hospital. All patients admitted after lumbar spinal fusion surgery performed by the employed neurosurgeons were included in the intervention. Evaluation: Pain scores, length of stay, readmission rates, and morphine milligram equivalencies were documented and compared to patients who had undergone similar surgical procedures before the addition of postoperative virtual reality.
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- Title
- A project plan : healthy work environment and unit culture
- Creator
- Woltschlaeger-Brooks, Susanne A.
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
Background and Review of Literature: A Healthy Work Environment (HWE) has broad implications impacting wellness and retention of team members, recruitment, quality and safety of care delivered, and the overall organizational culture. A review of the literature demonstrates various factors contribute to the presence or absence of a HWE. Purpose: The purpose of this evidence-based quality improvement project is to improve the HWE and ultimately decrease team member churn, increase team member...
Show moreBackground and Review of Literature: A Healthy Work Environment (HWE) has broad implications impacting wellness and retention of team members, recruitment, quality and safety of care delivered, and the overall organizational culture. A review of the literature demonstrates various factors contribute to the presence or absence of a HWE. Purpose: The purpose of this evidence-based quality improvement project is to improve the HWE and ultimately decrease team member churn, increase team member belonging and engagement as well as likelihood to recommend on a neuroscience clinical unit within a large midwestern Magnet ® designated hospital. Methods: Key interventions were implemented focusing on the fundamental core components of the IHI Framework for Improving Joy in Work: camaraderie and teamwork, choice and autonomy, meaning and purpose, and physical and psychological safety. Implementation Plan / Procedure: Following the IHI Framework for Improving Joy in Work, "What matters to you?"208Aconversations to identify impediments to joy at work were held with team members. Targeted strategies to address impediments were developed and implemented. Results/Interpretation: Effectiveness of the IHI Framework for Improving Joy in Work was evaluated by comparing pre and post implementation data for rolling twelve month transfer and churn percentage, engagement and belonging scores, and likelihood to recommend. The twelve month rolling transfer and churn percentage decreased from August 2021 to January 2022. Belonging and engagement scores decreased from July 2021 to November 2021. Likelihood to recommend decreased from August 2021 to January 2022. Implications/Conclusion: The COVID-19 pandemic impacted the implementation of the IHI Framework for Improving Joy in Work as it proved to be a significant disruption impacting overall stress, staffing levels, and tested the resilience of healthcare organizations across the nation. It is recommended that the neuroscience clinical unit consider continued application of the IHI Framework for Improving Joy in Work as a strategy to recover from the COVID-19 pandemic.
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- Title
- Providing nurses with a structured approach to emotional support during COVID-19
- Creator
- Martel, Michael (Michael J.)
- Date
- 2021
- Collection
- Doctor of Nursing Practice Projects
- Description
-
The increased demands on healthcare facilities as a result of the COVID-19 pandemic have taken an emotional and physical toll on Healthcare Workers (HCW) including nurses, who are on the front lines of patient care. HCW are at an increased risk of mental health disorders, including depression, anxiety, and post-traumatic stress disorder (PTSD), as a result of repeated exposure to traumatic events, long working hours, workplace violence, and repeated exposure to death and suffering....
Show moreThe increased demands on healthcare facilities as a result of the COVID-19 pandemic have taken an emotional and physical toll on Healthcare Workers (HCW) including nurses, who are on the front lines of patient care. HCW are at an increased risk of mental health disorders, including depression, anxiety, and post-traumatic stress disorder (PTSD), as a result of repeated exposure to traumatic events, long working hours, workplace violence, and repeated exposure to death and suffering. Additionally, nurses have a higher risk of suicide than the general population. A literature review was conducted and identified resilience interventions as a theme. Interventions identified were small group resiliency training, a multiple intervention approach, structured debriefing, and peer-to-peer support. The purpose of this Doctor of Nursing Practice (DNP) project is to implement a strategy to promote resilience with the goal of alleviating fatigue, depression, burnout, anxiety and stress, and mental/physical quality of life. The Battle Buddy intervention consists of a structured process of peer-to-peer support. The Battle Buddy program is widely used by the U.S. Army and was recently implemented in the hospital setting by the University of Minnesota as a response to the COVID-19 pandemic. The Anticipate, Plan, Deter (APD) model and strategies to promote resilience and emotional well-being were made available to the participants. The intervention was piloted with Advanced Practice Registered Nurse (APRN) students in the graduate program of a large Midwestern College of Nursing. The intervention was implemented in phases that include assigning Battle Buddy pairs, providing resources, and structured (optional) Battle Buddy Workshops. An informal Battle Buddy workshop survey was administered following each workshop. The Well Being Index (WBI) was used to survey the APRN students at baseline, six, and 12 weeks after implementation. Despite limited survey responses, the quantitative and qualitative data show that participants benefitted from being able to connect on their own time with a peer who understood their struggles.
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- Title
- Intraoperative blood glucose management : a quality improvement project
- Creator
- Baker, Jake (Nurse)
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
Perioperative hyperglycemia is associated with a myriad of post-surgical complications including an increased incidence of surgical site infections and prolonged hospital stays. The use of an evidence-based perioperative blood glucose management protocol reduces morbidity and mortality in adult patients undergoing surgical procedures. The project team describes a cost-effective quality improvement initiative aimed at improving protocol adherence by integrating an easy-to-use protocol...
Show morePerioperative hyperglycemia is associated with a myriad of post-surgical complications including an increased incidence of surgical site infections and prolonged hospital stays. The use of an evidence-based perioperative blood glucose management protocol reduces morbidity and mortality in adult patients undergoing surgical procedures. The project team describes a cost-effective quality improvement initiative aimed at improving protocol adherence by integrating an easy-to-use protocol algorithm, order sets, and practice reminders into an existing electronic health record system.
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- Title
- Improving pediatric influenza vaccination rates in the primary care setting
- Creator
- Kositzke, Channan M. (Channan Marie)
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
Background and Significance: Caregiver vaccine hesitancy (VH) is a barrier to pediatric health. Current pediatric vaccination rates nationwide fall below the national recommendations. Understanding contributors to individualized hesitancy while employing motivational interviewing (MI) techniques can reduce caregiver hesitancy, improve influenza vaccination rates, decrease pediatric disparities, improve community health, and reduce healthcare costs. Purpose: The purpose of this quality...
Show moreBackground and Significance: Caregiver vaccine hesitancy (VH) is a barrier to pediatric health. Current pediatric vaccination rates nationwide fall below the national recommendations. Understanding contributors to individualized hesitancy while employing motivational interviewing (MI) techniques can reduce caregiver hesitancy, improve influenza vaccination rates, decrease pediatric disparities, improve community health, and reduce healthcare costs. Purpose: The purpose of this quality improvement (QI) project was to reduce caregiver influenza vaccine hesitancy through provider education and the use of MI techniques with the MOTIVE-Flu (Motivational Interview Tool to Improve Vaccination Adherence) algorithm point of care tool. The intended outcome goal was to increase seasonal influenza vaccination rates by 10% when comparing the participating providers 2020 (without the intervention) to the 2021 (with the intervention) vaccination acceptance rate. Methods: A literature review guided the selection of the tools and techniques selected, which substantiated the effectiveness of MI within the pediatric population in the primary care setting. De-identified aggregate data was reviewed and provided by the organizational data manager and the participating Medical Assistant (MA). Statistical analysis was provided via Michigan State University (MSU). To assist with MI techniques and the MOTIVE-Flu tool use education was completed by the participating MA's, provider, and nurse practitioner student. Implementation: Implementation occurred from October 2021 to December 2021 within peak influenza vaccine administration season. The intervention occurred during all pediatric primary care visits for children aged six months through seventeen years. The Knowledge into Action Framework guided the development and monitoring process with bi-weekly clinical staff progress, evaluation, and support. Implications: Practical implications include reducing pediatric influenza morbidity and mortality, reducing the spread of influenza within the community, and decreasing healthcare costs. Keywords: Vaccine, Hesitancy, Motivational Interviewing, Pediatric, Primary Care.
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- Title
- Utilization of a transitional care team for medication reconciliation in geriatric primary care
- Creator
- Brooks, Tanya
- Date
- 2022
- Collection
- Doctor of Nursing Practice Projects
- Description
-
Background and Significance: According to the Institute of Medicine (IOM), medication-related errors lead to mortality and adverse effects such as allergic reactions, avoidable side effects, drug interactions, and unnecessary cost (IOM, 2000). Even with the predominant use of computerized provider order entry (CPOE) and clinical decision support systems (CDSS), medication discrepancies are still problematic today. There is substantial evidence available to demonstrate the benefits of using a...
Show moreBackground and Significance: According to the Institute of Medicine (IOM), medication-related errors lead to mortality and adverse effects such as allergic reactions, avoidable side effects, drug interactions, and unnecessary cost (IOM, 2000). Even with the predominant use of computerized provider order entry (CPOE) and clinical decision support systems (CDSS), medication discrepancies are still problematic today. There is substantial evidence available to demonstrate the benefits of using a transition of care (TOC) team for timely, appropriate medication reconciliation (MR) utilizing multiple intervention modalities. Purpose: This quality improvement (QI) project attempted to determine if the implementation of a TOC team utilizing a telephone-based MR system in a geriatric primary care setting improved identification of medication discrepancies and improved seven-day follow-up (FU) appointments following an inpatient admission. Methods: The TOC team at the geriatric primary care clinic was educated about the improved MR intervention tool and data collection process via a PowerPoint presentation. The data was collected via an Excel spreadsheet and analyzed for improvement upon identified medication errors and follow-through with timely FU appointments. The plan-do-study-act (PDSA) cycle was utilized for implementation. Results: A QI project was implemented in a geriatric primary care setting including 74 patients, 18 of which received the intervention. The implementation was carried out over a total of 12 weeks. Error identification increased from 0.71 errors per patient in the control group to 1.22 in the intervention group. Of the patients contacted via MR phone calls, 88.8% scheduled FU appointments; only 38.8% were within the goal time frame of seven days. The average time to FU during the implementation period was 9.1 days. Conclusion: The TOC team utilizing a telephonic MR improved identification of medication errors and overall FU rates. However, the TOC team did not positively impact the seven-day FU during MR from an inpatient hospitalization visit back to the outpatient setting. Results also indicated an improvement in the time spent per phone call. Keywords: care transition, transition of care team, medication reconciliation, seven-day follow-up, outpatient/ambulatory primary care.
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