• Male Urinary Incontinence: A Critical Appraisal of the Literature With Practice Recommendations

      Forcht, Deborah J. (University of Alaska Anchorage, 2017-05-01)
      Urinary Incontinence (UI) is a debilitating medical condition that affects individuals’ quality of life. People with this condition describe decreased enjoyment of sexual activity, as well as increased risk of experiencing depression, and anxiety. Data show that incontinence is less prevalent in men than women, which may explain the dearth of studies focusing specifically on men. As men age, their rate of suffering from UI increases from 4.8% at ages 19 to 44 to over 21% by the age of 65 years. Additionally, men who suffer from permanent UI are more likely to be institutionalized compared to those without UI and have increased risk for suicide, infections, falls, social isolation, loss of independence and may suffer from life-altering fractures. For many patients, UI may be reversible with medical intervention. A critical appraisal of UI literature found many non-surgical male UI treatments that were effective. The evidence-based information was utilized to provide primary care providers with up to date male-specific interventions for UI.
    • Management of Pain During Intrauterine Device Insertion

      Booysen, Debra (University of Alaska Anchorage, 2016-05-01)
      Increased use of intrauterine contraception is desirable to achieve safe, highly effective, long-acting, and reversible means to prevent unintended pregnancy. For most women, intrauterine device (IUD) contraception is a viable option for protection from an unplanned pregnancy. Fear of pain during insertion is one barrier to IUD use. The aim of this project was to identify best practice evidence for different types of interventions for the management of pain during IUD insertion. Evidence for pain management strategies was critically appraised, and the most recent information synthesized into evidence-based recommendations to promote point-ofcare decisions.
    • A Manual to Improve Efficiency in Contractor-Supplied Quality Control on Asphalt Heavy Civil Construction Pojects on State of Alaska-Owned Roads

      Robson, Alena (University of Alaska Anchorage, 2015-05-01)
      The State of Alaska requires contractors to follow specific quality standards for heavy civil asphalt construction projects. Contractors face financial and scheduling risks if these standards are not addressed effectively and in conformance with necessary criteria. Contractors must complete project work to meet customer requirements and conform to quality standards efficiently and cost effectively. Doing so ensures that the State of Alaska’s quality standards are met and contractors’ financial and schedule targets can be achieved with the most efficient use of scarce resources. Currently, there is an indirect cost savings to the contractor to perform QC in a specific manner because it reduces or in some cases eliminates rework. The desired state is to directly save money by applying efficient quality control methods. This project produced a manual that describes best practices and quality control procedures that can be applied by heavy civil asphalt construction contractors to meet necessary SOA quality standards in a more timely, cost effective and efficient way. The correct application of this manual should result in a savings of 1% on the bid cost per asphalt ton.
    • Math Anxiety in Pre-Licensure Nursing Students: a Pilot Study

      Lindley, Margaret K. (University of Alaska Anchorage, 2015-04-16)
      Background Math anxiety is a common phenomenon among nursing students. A review of the literature has revealed that math anxiety interferes with student cognition which could ultimately lead to patient harm. The purpose of this project is to determine if a basic math tutorial affects levels of math anxiety in pre-licensure students at the University of Alaska Anchorage (UAA). Methods Thirty-five students were randomly assigned to an experimental or control group. Math anxiety was measured with the Abbreviated Math Anxiety Rating Scale (AMARS). The experimental group participated in a math tutorial while the control group quietly waited outside of the classroom. Results There is no evidence that the math tutorial was useful in reducing math anxiety. Conclusions Both groups of participants had a decrease in math anxiety, yet it is uncertain how significantly the math tutorial (Appendix E) affected their math anxiety levels.
    • Maximum Footprint, Minimum Space: A Guide to Small-Lot Residential Accessory Building Construction

      Conner, Edward Michael (University of Alaska Anchorage, 2020-12-01)
      Short of reading several chapters of building codes that lack diagrams, helpful descriptions or layman’s glossary of terms, homeowners are without a starting point when constructing an accessory structure such as a shed, fence or deck on their property. This project evaluated industry best practices, analyzed areas of misunderstanding or misapplication of Municipality of Anchorage (MOA) regulations, and developed a user-friendly pamphlet to reference for design and construction of accessory buildings on shared residential lots. Key stakeholder interviews and community surveys were conducted throughout project planning and execution phases to identify knowledge gaps and pain points. Employing and adapting the pamphlet while constructing a shed that purposefully maximized dimensional limits set forth by MOA and homeowner’s association (HOA) regulations for small residential lots produced a succinct, yet comprehensive guide. Thorough research and site surveys identified a lack of understanding of building code terminology coupled with minimal HOA oversight which ultimately led to structures built too close to others, in violation of zoning easements, and even those that create safety hazards by blocking utility shut-off access. The final academic deliverable is an instructional guide that streamlines the planning process by supplementing building code legalese with detailed diagrams on how to properly position structures, acts a risk mitigation instrument by highlighting common legal exposures, identifies fixed constraints in layman’s terms and underscores hazards common to building accessory structures.
    • Measures of Effect: Near Miss Reporting on Construction Site Injuries

      Mckay, Brian (University of Alaska Anchorage, 2013-05-01)
      A large petrochemical construction project implemented a near miss management program during a phase of heavy construction. The consequent 966% increase in near misses being reported resulted in marginal decreases in reported first aid cases, but also resulted in a significant decrease in OSHA recordable injuries. The correlation statistics between near miss rates and first aid cases were r(30)= -­‐ 0.212, p = 0.05 (exact) and between near miss rate and OSHA recordable injuries r (30)= -­‐ 0.342, p < .05, revealing a significant but moderate inverse effect between the rate at which near misses are reported and OSHA recordable injuries. While construction remains one of the world’s most demanding and dangerous occupations, this practicum research has identified an effective counter measure toward decreasing occupational injuries on construction sites. This report includes details about the project, the near miss program and reports the use of a modified version of the Eindhoven Error Classification scheme operationalized for use on construction specific error types.
    • Medical Respite for the Homeless: Barriers and Facilitators to Implementation in The Municipality of Anchorage

      Dietrick, Beatriz E. (University of Alaska Anchorage, 2014-07)
      By bridging the gap between the discharge of a homeless individual from the hospital to a state of improved health, medical respite (MRs) programs have been shown to contribute to improved health outcomes and decreased healthcare costs. The question does not appear to be whether a MR program would benefit the Anchorage community, rather, what is the perceived need, how can we best implement this intervention, and what form would it take? The purpose of this project therefore was to explore answers to these questions through identification of barriers and facilitators to the implementation of MR services for the homeless in the Municipality of Anchorage. Data was collected through a series of semi-structured interviews with key informants. Reported barriers and facilitators were encompassed by 12 themes and classified according to the framework of Grol and Wensing (2004). The greatest number of barriers were identified within the social context level, while the most facilitators were perceived at the organizational context level. The process of reaching out to community leaders and key informants through the course of this project has contributed to an improved understanding of barriers and facilitators, provided recommendations for implementation, and has engaged key individuals in the MR discussion.
    • Metabolic Syndrome Screening in Seriously Mentally Ill Patients: A Quality Improvement Project

      Moreno, Annabel (University of Alaska Anchorage, 2016-12-01)
      Seriously mentally ill patients who are taking second-generation antipsychotics have a high risk of metabolic complications, including obesity, diabetes mellitus type II, hypertension, and hyperlipidemia. Guidelines to screen for metabolic syndrome were established by the American Diabetes Association, American Psychiatric Association, American Association of Clinical Endocrinologists, and North American Association for the Study of Obesity (Clark, 2004). Compliance with implementing the guidelines to screen and monitor for metabolic syndrome vary from regular monitoring to little or none. This quality improvement project provided an educational intervention on screening and monitoring for metabolic syndrome in patients who were seriously mentally ill. The educational interventions were attended by 21 psychiatric-mental health nurse practitioners. After the educational intervention was completed, there was significant improvement in provider knowledge as well as motivation to screen and monitor patients taking second-generation antipsychotic medications for metabolic syndrome. Education may motivate mental health providers to increase the use of metabolic screening guidelines for patients taking second-generation antipsychotic medications potentially improving long term outcomes for this patient population.
    • A Methodology for the Prioritization of Invasive Plant Management in Alaska

      Blackburn, Brianne N. (University of Alaska Anchorage, Project Management Department, 2014)
      The control of invasive, non-native plants is of increasing concern in ecosystem management as invasive plant species are found to be threatening natural resources through the disruption of biodiversity, habitat structure, and ecosystem processes across the world. State Government leadership in invasive plant management policy is required to ensure efforts are coordinated and cost effective. As resources for managing invasive plants are limited, the need to evaluate and rank non-native species is a primary concern before expensive management is attempted so that the most threatening species may be addressed first. An objective, repeatable and clearly defined methodology for prioritizing invasive plant management within Department of Natural Resources, Division of Agriculture (DOA) was developed. The development process reviewed literature on the philosophy of decision analysis and various case studies in its application to natural resource projects and act as a guide for the development of an initial process framework. Subject matter experts were engaged to develop the decision criteria using a Delphi survey technique to collect information on experts’ current priorities and tolerances for invasive plants. The final product includes a process diagram, a summary worksheet, and a detailed record of the evaluation decision, rationale, and supporting resources.
    • Navigation Paths to Adoption Through the Alaska Foster Care System: A Resource Guide for Potential Adoptive Parents

      Duttle, Tashina (University of Alaska Anchorage, 2016-12-01)
      Alaska has a higher than national average rate of adoption from foster care. While just over 20% of children in foster care nationally are discharged from state custody through adoption Alaska has nearly 30% of foster children discharged from state custody through adoption. There are a number of programs and resources available for foster parents and families interested in adopting through foster care in Alaska. However, there lacks a comprehensive single-point reference guide to explore the various paths. This research was conducted to identify resources available for families interested in learning about paths to adopt from foster care in Alaska as well as what gaps are perceived by families who have begun the process of adopting through foster care. A literature review was conducted and specific adoption program information was reduced to a synopsis or flowchart to generally outline each path to adoption through foster care. The final outcome of the project was a resource guide that outlines basic requirements to adopt through foster care and a number of programs to do so. The paths covered by this guide are the ACRF Adoption Learning Path, Legal-Risk Adoptions, OCS Recruitment of Legally Free Children, Wendy’s Wonderful Kids, ACRF PARKA Program, Alaska Adoption Exchange, and Tribal and ICWA Adoption.
    • Needs Assessment for a Patient Centered Medical Home Model of Care at the Providence Alaska Cancer Center

      Rosiecki, Jeremy (University of Alaska Anchorage, 2015-12-01)
      In order to better understand the needs of cancer patients and allocate resources, the Providence Alaska Cancer Center requested a needs assessment for an oncology focused patient centered medical home (PCMH). A PCMH allows for coordinated and comprehensive care through the use of a teamwork model that centers on the primary care physician. The Providence Alaska Cancer Center staff randomly selected the records of 200 cancer patients between 2010 and 2011, using the cancer tumor registry. Data were analyzed to answer four specific questions that addressed the 1) presence of a Primary Care Physician (PCP), 2) number and type of comorbidities, 3) cancer diagnosis and 4) insurance status impacted emergency room utilization. Individuals tended to utilize the emergency room more if they 1) had a PCP, 2a) had three or more comorbidities, 2b) were diagnosed with hyperlipidemia, chronic obstructive pulmonary disease (COPD) or hypertension, 3) were diagnosed with an “other” cancer as opposed to breast, lung or gynecological cancers or 4) had federal insurance. These data in particular show expected trends such as patients who have more medical complications have higher emergency room utilization rates than patients with less complicated medical history and that certain comorbidities (hyperlipidemia, hypertension and chronic obstructive pulmonary disease) may be predictors of emergency room utilization. These trends may allow providers to create more specialized treatment and care plans for patients at greater risk of emergency room utilization.
    • Needs Assessment for an Adult Day Service Center in Sitka Alaska

      Knuth, Carole L. (University of Alaska Anchorage, 2014-08)
      An adult day service center (A.D.S.C.) provides a coordinated program of professional and compassionate services for adults in a community-based safe group setting primarily during day-time hours. The Senior population (those age 60 and older) in Sitka, Alaska is growing. Options for functionally impaired Seniors wishing to remain home are limited. It was unknown if an A.D.S.C. would be a desirable resource to support the growing Senior population as data did not exist. In collaboration with community partners, a needs assessment for an A.D.S.C. in Sitka was undertaken. Surveys of Seniors, family caregivers and health care providers were administrated from May 2013 through January 2014. The results showed that most people are aware of A.D.S.C. and desire one in Sitka; Seniors wish to remain at home; Seniors and family caregivers would use the service; health care providers would refer to an A.D.S.C.; and most Seniors have funds for services.
    • Non-profit Fundraising Event Plan

      Forner, Carolyn S. (University of Alaska Anchorage, 2016-05-01)
      This project conducts applied research through a fundraising project for the Alaska Institute for Justice (AIJ). Founded in 2005, AIJ is a non-profit agency that provides legal services to immigrants and refugees. It represents people fleeing persecution in their home countries as well as domestic violence and human trafficking crime victims. It provides the only low-fee services of its kind in the state, helping community members who are often isolated, low-income, vulnerable to abuse, and with few other avenues to gain legal representation. AIJ also operates a statewide language interpreter center that provides immigrant and refugee expertise to numerous state and federal agencies dedicated to health care, social services, and law enforcement. The AIJ fundraising project will analyze the effectiveness of project management tools used during planning and execution of a new fundraiser event plan. The project will also apply literature reviews and interviews to assess AIJ’s and other mature Anchorage area non-profits’ familiarity with project management tools and to provide recommended project management tools to improve organizational efficiency. The project’s products include an event plan that consists of immigrant speaker performances and a silent auction. The deliverables are an event checklist and continuity documents to help AIJ repeat this fundraising event annually. In addition, the project will deliver publicity tasks designed to increase awareness of the AIJ mission, expand AIJ’s donor base, and increase its annual donor revenue.
    • Novel 1: Applying Project Management Processes to the Creative Tasks Associated With Writing a Book

      Everett, Adrienna (University of Alaska Anchorage, 2021-05-01)
      The project management body of knowledge is limited in its resources for the management of projects within creative industries such as fine arts, tv, media, performing arts, film and music. The outputs of this project will contribute to the project management body of knowledge by showcasing the challenges, learning opportunities and parallels between traditional project management and creative project management process. This paper will take a deep dive into the requirements that come with managing change in an environment that is more qualitative than quantitative and will highlight the importance of performing integration management to assimilate the many and varied details of a creative project within the bounds of developing a short story or novel. This paper will also seek to explore the dynamics of quality control on abstract tasks such as writing a chapter in a book and measuring the creative process. Utilizing the standard processes in the project lifecycle and applying them to a literary work environment will shed new light and add depth to the creative project management field. By writing the plan and working the plan, this project will document the unique aspects of creative project management by gauging stakeholder engagement, focusing on project integration, and navigating the ever-important principals of change management throughout the project lifecycle within a literary environment.
    • Optimal Portfolio Management in Alaska: A Case Study on Risk Characteristics of Environmental Consulting Companies

      Willingham, Katura (University of Alaska Anchorage, 2016-12-01)
      Sharp declines in global oil prices have led to a marked contraction in Alaska’s natural resource dependent economy. This, coupled with record the State’s budgetary shortfalls and a decrease in incoming federal dollars, has created a climate where environmental consulting companies must accept riskier projects to balance portfolio growth and security. As a result, companies must adopt a risk-based portfolio management approach as both a high level strategy and a core management practice. It is important to specifically identify projects best suited for an organization’s tolerance for risk based off of the supply and demand of the industry in rapidly changing economic conditions. Therefore, the aims of this project report are to help environmental consulting companies identify risk characteristics and manage their portfolio, as well as develop a tool to guide decision-making and selecting projects best suited for a companies’ portfolio strategy. The results of this research may provide Alaska based environmental companies with a clear understanding of the types of projects that offer both development and financial security for an organization. This research paper will present the methodology, results, and an environmental consulting portfolio management tool.
    • An Optimized Approach to Resource Loading Hyperscale Technology Projects to Balance Feasibility, Suitability, and Acceptability

      Barrett, Shane (University of Alaska Anchorage, 2021-05-01)
      In the construction industry, project schedules are invariably dynamic, uncertain, and subject to significant change thru the execution cycle. Therefore, effective planning and scheduling are fundamental activities and correlate closely with the success or failure of a project. Unfortunately, schedule approach invariably focuses on timing, durations, and milestones without equitable consideration to the interconnection between resource availability, capabilities, and schedule feasibility. A project schedule that does not include resource allocations implies that the contractor has unlimited resources and has the flexibility to apply all necessary resources to a project change, without incurring added costs. Unlike traditional scheduling techniques, Resourced Loaded Scheduling captures & integrates the interdependencies between activities and resources and effective utilization. Moreover, it involves the prioritization of activities based on utilization strategies, determination of resource availabilities, and the utilization of alternate resources. By doing so, decisions about capacity are incorporated into the scheduling process. The project hypothesis, which was partially confirmed, stated that depending on project type, parameters and financial thresholds need to be established for Resource Loaded Schedules (RLS) to achieve optimum results. The research included examination of effective Resource Management and Scheduling from literature, peer reviewed article publications, interviews with Subject Matter Experts and a case study implementing Resource Loaded Scheduling on a capacity project, executed in a finite time period.
    • Outpatient education and medication adherence

      Sherwood, Veronica (University of Alaska Anchorage, 2018-02-01)
    • Overweight and Obesity Knowledge Assessment of Alaskan Nurse Practitioners

      Cerutti, Kelly M (University of Alaska Anchorage, 2015-05-01)
      The purpose of this project was to describe Alaskan Nurse Practitioners (NPs) current practice and beliefs regarding overweight and obesity, and to identify barriers that may prevent evidence based management. A descriptive study was conducted using a convenience sample of 116 Alaskan NPs who completed The Treatment of Obesity Questionnaire. Findings revealed which factors NPs considered to determine risk status; their current management strategies; barriers to treatment; and, their beliefs regarding the etiology of obesity. An open-ended question revealed other treatment strategies, barriers, and beliefs regarding the treatment of overweight and obese patients.
    • Pediatric Lead Screening in the United States: A Comparative Analysis

      Sykes, Genevieve (University of Alaska Anchorage, 2015-01-05)
      The purpose of this project is identification of approaches to pediatric lead screening in the United States by each of the fifty states and evaluation of whether best practice is being utilized. Data was obtained from publicly available state based websites and interaction with state departments; there were no participants in this project. The data was compared and contrasted among each of the fifty states and against current screening recommendations from the Centers for Disease Control and Prevention [CDC]. Only one state, Delaware, has screening recommendations current with CDC standards. There is a large amount of variation between how state approaches pediatric lead screening. Several recommendations were proposed for the improvement of pediatric lead screening in the United States, including the following; all test results be reported in every state, states should assess need for screening universally versus screening Medicaid-eligible children only, states update their geographic risk areas yearly, screening recommendations be made available in a single area, and all questionnaire include questions about symptoms, lead sources, hand washing, and children with risk.
    • The Perceptions of Parents of Adolescents Who Have Experienced Non-suicidal self-injury (NSSI) Occurrences: Support and Parental Role

      Costello, Florence (University of Alaska Anchorage, 2016-04-01)
      This descriptive qualitative scholarly project explored the perceptions of parents of adolescents who have experienced non-suicidal self-injury (NSSI). Eight interviews were conducted and transcriptions were produced from digital recordings. A software program was used to organize, analyze, and produce findings from the transcribed interviews. Major themes were feelings of shock and helplessness and thoughts of wanting to know. Sub-themes for shock and helplessness were feelings of guilt, feeling of disbelief, feeling anxious, and feeling frightened. Sub-themes for thoughts of wanting to know about were awareness, parental involvement and available support.