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Now showing 1 - 5 of 17

Recent Submissions

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    Title I Principals as Leaders: How Their Practices and Responsibilities Affect School Culture
    (Creighton University, 2025) Giles, Taneia LaTrice
    The purpose of this qualitative, multi-site case study was to examine the practices and responsibilities of Title I principals and how they affect school culture. A positive school culture allows students and staff to engage in productive learning where all stakeholders feel safe and connected to the school. Since school environments are heavily impacted by school administrators, investigating and acknowledging this influence is crucial in Title 1 schools, which support disadvantaged students in meeting high academic standards by providing funding from the U.S. Department of Education. This qualitative, multi-site case study explored how Title I administrators shape climate and culture within the elementary school setting by examining the practices and responsibilities of three Title I principals. Analysis of data collected from interview transcripts, visual evidence, and artifacts allowed four themes to emerge: transformational leadership practices, community involvement, vision and mission, and diversity in population. The researcher identified similarities between each Title I principal and their responsibilities and practices in their Title I schools. These findings, supported by literature reviewed, informed the researcher’s creation of evidenced based, best-practice recommendations for Title I school principals, which include professional development, school community feedback, and collaborative practices. All three recommendations empower Title I principals in effectively utilizing Title I funding and supports to positively affect school culture.Keywords: Title I, principal/administrator, school culture, transformational leadership
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    Fostering Appropriate Ordering of Colorectal Cancer Screenings Among Primary Care Providers
    (Creighton University, 2025-03-12) Sovde, Abby
    Background/significance: Colorectal cancer is among the highest rates of cancer- related morbidity and mortality in the United States (ACS, 2024d). the USPSTF (2021) recommends starting CRC screening at age 45. The five-year CRC survival is 90-91% when treated early as opposed to 13-17% when treated in advanced stages (ACS, 2024d). The national, state, and local screening rates remain lower than the goal of 80% that the National Colorectal Roundtable has set for each community (American Cancer Society National Colorectal Roundtable, 2024). Guidelines related to CRC screening exist but are not strictly followed due to lack of recommendation from healthcare providers, knowledge of screening intervals, and patient awareness of importance of screening (Knight, et. al., 2015; Zhu, et. al., 2021). Purpose: The purpose of this quality improvement project was to improve the number of CRC screening tests that are ordered by providers closer to the recommended 80% benchmark over a 12-week period for patients aged 45-75 at all visit types to identify and educate patients who are due to encourage acceptance of the ordering of a CRC screening test. Design/methods: A toolkit containing current CRC screening guidelines, a CRC screening assessment form to identify those due for screening and to assist providers with ordering screening, an educational patient handout, and a patient reminder with contact numbers for questions related to scheduling, finances, and insurance was implemented. Data was collected from the CRC screening assessment forms weekly to identify adherence and rate of tests ordered. A post intervention survey was conducted to the staff involved to determine sustainability. Results: A total of 822 patients aged 45-75 were seen in the 12-week intervention. Overall, 68% (n=559) had their CRC screening status reviewed. Of the 559 patients that were reviewed, 24% (n=135) were due for a CRC screening. Of the 135 patients that were due for a CRC screening test, 36% (n= 49) had screening tests ordered, 57% (n=78) received the educational handout, 54% (n=74) received a reminder slip, and 61% (n=83) had their health maintenance updated accordingly. Of the 49 CRC screening tests that were ordered, 30 colonoscopies (61.22%, 95%CI = 46.24% - 74.46%), and 17 Cologuard tests (34.69%, 95%CI = 22.06% - 49.71%) were ordered. The most common reason a test was not ordered was patient refusal (36/86, 41.86%). Sustainability survey showed disagreement with continued use of the CRC screening assessment form but an increase in comfort with ordering CRC screenings. Conclusion: This QI project aimed to support primary care providers with ordering CRC screening tests in eligible adults. While CRC screenings were not ordered to the targeted goal, participants of the QI project found the educational handouts and the reminder slips to be beneficial. Future suggestions include tracking through the EHR, mandatory update of health maintenance before signing the chart, and to continue to use assistive staff, provider and patient education, and reminder slips for cost effective and timely ways to promote CRC screening.
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    Primary Prevention of Falls Using the Stopping Elderly Accidents, Deaths & Injuries (STEADI) Toolkit
    (Creighton University, 2025-05-16) Windisch, Emily
    Fall prevention has been the subject of research for multiple decades due to the continued increase in occurrence rate in the older adult population (age 65+) and the high economic burden it places on healthcare systems internationally (World Health Organization [WHO], 2021). The purpose of this Doctor of Nursing (DNP) Quality Improvement (QI) project was to decrease the number of fall occurrences in older adults at a senior living community in Austin, Texas by incorporating the Stopping Elderly Accidents, Deaths & Injuries (STEADI) algorithm as the primary tool for fall screening. The STEADI algorithm helps screen patients for fall risk in a timely manner, assess modifiable risk factors, and create individualized interventions in their plan of care. A total of seventeen patients met the inclusion requirements during the 3-month project implementation and were screened for falls utilizing STEADI algorithm. Of those screened, 11.8 % (n=2) were found not be a fall risk, while 88.2% (n=15) screened for a positive fall risk. All fifteen were able to develop a fall plan of care (FPOC). Results showed that five patients reported a mechanical fall within the last year and the one-month post screening phone calls reported 14.2% (n=2) patients who had a new fall since their screening. Longer monitoring of the patients that have been screened will be necessary to determine if the number of falls has truly reduced since implementing the tool.
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    Creighton University School of Law Conferral of Doctoral Hoods 2013
    (Creighton Unviersity, 2013-05-17)
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    Creighton University School of Law Conferral of Doctoral Hoods 2012
    (Creighton University, 2012-05-11)
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