Scholarship & Research
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Item The effect of peer ratings on nonprofit contributions: evidence from charity navigator(Montana State University - Bozeman, College of Agriculture, 2024) Pela, Tavio Aleksandrs; Chairperson, Graduate Committee: Andrew HillNonprofit rating organizations publish third-party assessments of nonprofit organizations for current and prospective donors. Using charity-level yearly financial and ratings data for organizations rated by Charity Navigator, a prominent nonprofit rating organization, I employ a regression discontinuity design to investigate whether a charity's total contributions are impacted by changes in the ratings of its competitors. I find a negative relationship between current-period peer rating and current-period contributions, which is consistent with peer ratings being used to inform donation decisions between comparable organizations. However, difficulty substantiating a key identifying assumption of the RDD raises doubts that these findings identify a causal relationship.Item Effectiveness of trauma nurse practitioner-led patient-centered discharge plan: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2023) Stricker, Lisa Genevieve; Chairperson, Graduate Committee: Alice RunningTrauma Nurse Practitioners (TNPs) in Trauma Centers have been shown to expand the multidisciplinary team approach in caring for that patient population. TNPs create opportunities for increased patient throughput, decreased length of hospital stay, increased staff support for TNP collaboration, and the development of a comprehensive, detailed, patient-centered discharge plan. To evaluate peer-reviewed evidence-based articles assessing the impact of TNPs in developing a patient-focused, detailed discharge plan, a review of current literature (2007-2022) was completed by searching CINAHL, Google Scholar, PubMed, and Web of Science using mesh terms "trauma nurse practitioner," "trauma," "staff satisfaction," "throughput times," and "patient-centered plan of care." Thirty-nine articles were found and, of those, 28 are included in this review. Evidence supports the TNP's role in developing patient-focused discharge plans leading to increases in communication, increased focus on planning for unmet needs, efficiency in rounding, and decreases in length of stay. These changes result in increased satisfaction from physicians and nursing staff related to the TNP-centered role in discharge plan development. TNPs can be a valuable addition to trauma services as they coordinate the development of a comprehensive, individualized plan of care for patients throughout the hospital stay, allowing for a successful transition of care.