• 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.
    • Perceptions of UAA Culinary Medicine Curriculum by Dietetics Students

      Hillen, Allison Michelle (University of Alaska Anchorage, 2020-05-01)
      Participation in culinary medicine courses has resulted in significant health benefits to both medical personnel and students taking part in these courses, as well as the patients they subsequently treat. As culinary medicine curriculums are implemented across the country, evaluating outcomes becomes necessary. The primary objective of this study was to evaluate and identify which components of the University of Alaska Anchorage culinary medicine curriculum were most and least beneficial in supporting the achievement of course student learning outcomes (SLOs) and a resulting sense of competency in culinary medicine among students. Determining qualitative outcomes of education and comparing these with expected SLOs helps to further develop the culinary medicine curriculum. Adding to the established literature strengthens the basis for culinary medicine’s expansion. Outcomes indicate that the courses’ major project, the Community Culinary Nutrition Intervention (CCNI), had the greatest impact on the student learning experience. Students’ culinary skills were strengthened as was their creativity. Students experienced what they referred to as an “eye-opening” look at their communities, seeing them in a new light after completing the CCNI. A small study size as well as limited diversity in demographics limit the generalizability of this study. The findings of this study help to inform faculty with making modifications to the existing course framework.
    • Physical Assessment of Children With FASD: Evidence Based Practice

      Waller, Tabitha (University of Alaska Anchorage, 2015-12-01)
      Fetal Alcohol Spectrum Disorder (FASD) is the leading preventable cause of developmental delay worldwide. Early diagnosis and intervention are vital to the prevention of secondary disabilities for those with FASD. Current diagnostic guidelines fail to identify the many physical malformations associated with prenatal alcohol exposure and recommendations for diagnostic differentials vary between guidelines. A critical appraisal of the literature and review of current guidelines was conducted to create an evidence-based physical anomaly checklist and differential diagnostic table. The critical appraisal consisted of 27 articles and resulted in 85 physical anomalies associated with prenatal alcohol exposure. The review of current guidelines resulted in five guidelines and four supportive articles that identified 20 different genetic disorder differentials and four exposure related differentials. A Plan-Do-Study-Act (PDSA) quality improvement model was used to implement education on the reference tools and encourage practice implementation in a North American FASD diagnostic team. All providers directly participating in the diagnosis of FASDs must be aware of the many physical anomalies associated with prenatal alcohol exposure and should have a working knowledge of potential differential diagnoses. The physical anomaly checklist and differential diagnoses tables help to provide this information in a clinically practical way.
    • Pilot Project: A Script About Health and the People of Juneau, Alaska

      Henderson, Audra (University of Alaska Anchorage, 2015-05-01)
      This paper contains a comprehensive report for the Masters of Public Health Project Practicum, Pilot Project: A Script about Health and the People of Juneau, Alaska. The goal of the project was to use health theory, health research methods, and television writing elements to explore how people living in Juneau, Alaska practice healthy behaviors. The aim of this project was to create a sample script of the first episode and a brief synopsis (i.e., treatment) of a show entitled Health Around the World. Using qualitative research methods of purposive sampling and key informant interviews, the expected outcomes were increased knowledge of the health behaviors of people living in Juneau, Alaska. Findings suggest that outdoor activity, a sense of community, access to nature and natural beauty are the top reasons why people live in Juneau; and involving one’s self within the community and taking advantage of the natural resources, such as engaging in outdoor activity, are factors directly related to the health and wellbeing of Juneau residents. The completed script and treatment will be sent to television networks and producers until purchase.
    • PMIAK Chapter Volunteer Handbook

      Baatarbileg, Badam (University of Alaska Anchorage, 2018-12-01)
      Volunteers are the foundation and strength of Project Management Institute Alaska Chapter (PMIAK). To ensure continued growth and future success of the Chapter, proper guidance needed to be developed to recruit, retain, and recognize Chapter volunteers. Volunteering provides chapter members with an opportunity to influence and promote the project management profession, and to contribute to development of the Chapter. The purpose of this project was to create a PMIAK Chapter Volunteer Handbook with efficient processes to assist leadership engaging with volunteers. The Volunteer Handbook provides Chapter leadership with information related to recruitment, retention and recognition with step-by-step guidance for using a Volunteer Relationship Management System (VRMS). Research for development of the handbook included a literature review, best practices of Volunteer Handbooks from other Chapters, and surveys and interviews with PMIAK Chapter leadership and active volunteers.
    • Polycystic Ovary Syndrome Metabolic Comorbidities: A Critical Appraisal of the Evidence With Practice Recommendations

      Christopherson, Rhianne (University of Alaska Anchorage, 2016-05-01)
      Polycystic ovary syndrome (PCOS) is a complex metabolic and reproductive disorder that affects an extensive number of women of reproductive aged. The purpose of this project was to critically appraise current evidence regarding the metabolic comorbidities associated and their impacts on women with PCOS with goals of identifying what evidence based assessment, evaluation, and treatment options are available to health care providers treating women with PCOS. The results of this critical appraisal and consensus statements from The Endocrine Society and the American Society of Reproductive Medicine [ASRM] concluded that women with PCOS have an increased risk of developing type 2 diabetes, cardiovascular disease, and metabolic syndrome (Akbarzadeh et al., 2012; ASRM, 2012; Legro et al., 2013; Moran, Misso, Wild, & Norman, 2010; Tao, Shengxian, Zhao, Mao, & Liu, 2012; & Yilmaz, Isaoglu, Delibas, & Kadanali, 2011). An evidence based practice algorithm was developed from the results of this critical appraisal and consensus between both The Endocrine Society and ASRM on the diagnosis and treatment of PCOS. The results of this critical appraisal and evidencebased algorithm will assist Advanced Practice Nurses (ANPs) in continued health promotion and the prevention of the comorbidities associated with PCOS.
    • Postpartum Depression Screening of Women Veterans in Alaska Quality Improvement Project

      Brown, Elizabeth L. (University of Alaska Anchorage, 2017-05-01)
      Postpartum depression screening guidelines were updated by the American College of Obstetricians and Gynecologists and the United States Preventive Services Task Force in 2015 and 2016, respectively. Universal postpartum depression screening is recommended where previously it was not. Postpartum depression screening is relevant to the rapidly growing population of women Veterans served by the Veterans Health Administration (VA) as part of their comprehensive health care benefits. Little information was available on the postpartum depression screening practices within the Alaska VA Healthcare System. Using a quality improvement methodology, the author identified postpartum depression screening as a topic of interest. Current practice was assessed through a retrospective chart audit of all maternity consults placed during the fiscal year 2014. The chart audit revealed an 81% postpartum depression screening rate. Incomplete data limited a full statistical analysis; however, all women who returned to an Alaska VA clinic, received screening and treatment. An informational brochure was developed for women and their health care providers highlighting postpartum depression screening and treatment resources.
    • Practices of Nurse Practitioners in Screening for Hepatitis C

      Thompson, Jordin A. (University of Alaska Anchorage, 2015-05-05)
      The purpose of this project was to determine both hepatitis C virus (HCV) screening rates and the percentage of cases diagnosed among adults born between 1945 and 1965 in a general practice clinic staffed by nurse practitioners (NPs). A descriptive study was conducted using a chart review of all patients born between 1945 and 1965 seen by NPs in a primary care clinic during a three month period of time. Data was collected on the total number of patients in the target group, those born between 1945 and 1965, as well as each patient’s gender, birth date, if screened for HCV, result of screening, and the reason for screening. Findings revealed that screening rates were suboptimal, with only six out of 178 patients in the target group having been screened for HCV. Age and gender did not appear to be a factor in whether or not a patient was screened.
    • Preoperative Smoking Cessation Intervention: A Critical Appraisal of the Evidence With Practice Recommendations

      Townsley, Casta (University of Alaska Anchorage, 2015-12-04)
      Smoking is the single most important risk factor in the development of postoperative complications. Daily smoking increases the risk of postoperative complications by a factor of two to four. Smoking cessation preoperatively is beneficial in increasing rates of cessation and therefore reducing the incidence of complications postoperatively. As a result, smoking cessation should be recognized as a core element of care for the preoperative management of the surgical patient. Although the benefits of smoking cessation are well established, as is substantial evidence demonstrating that brief interventions are effective in increasing cessation rates among users, clinicians fail to consistently address the issue of tobacco use or provide smoking cessation interventions. Referral to elective surgical procedures provides an excellent opportunity for primary providers to promote smoking cessation interventions.
    • Program Evaluation of the Living Well With Diabetes Program of Prince William County, Virginia

      Fitzgerald, David C. (University of Alaska Anchorage, 2016-05-01)
      Approximately 25.8 million US residents are living with diabetes. Research has demonstrated that healthy lifestyles can significantly reduce the onset of diabetes. Various community-based programs have been implemented nationally to address diabetes through lifestyle changes. One such program is the Living Well with Diabetes (LWwD) program of Prince William County, Virginia. The goal of this project practicum was to conduct a process evaluation of the Living Well with Diabetes (LWwD) Program of Prince William County, Virginia. Semi-structured interviews were conducted with LWwD program educators. Qualitative data analysis on secondary, post-course evaluations was performed using a thematic method to coding on all short string responses. Results indicate that the intended delivery of the program curriculum resulted in positive changes in the knowledge, attitudes, and applied behaviors of the LWwD program participants. Overall, the continued support of the LWwD program goals would significantly improve the public health and safety of the community.