Digital Commons Network^™

Empowering Nurses To Go The Extra Mile Through Ethical Leadership: A Covid-19 Context, Kaleem Ullah Irfan, Talat Islam

Asia-Pacific Social Science Review

This study attempts to investigate how ethical leadership enhances nurses’ in-role and extra-role performances with the mediation of psychological empowerment. We used a cross-sectional time-lag design and collected data from 371 nurses and their immediate supervisors through a questionnaire-based survey. The data on ethical leadership and psychological empowerment were collected from nurses at T1, whereas data on in-role and extra-role performance were collected from their immediate supervisors at T2. The results revealed positive associations of ethical leadership with psychological empowerment, in-role, and extra-role performance. Further, hierarchical regression confirms the mediating role of psychological empowerment between the associations of ethical leadership …

Empowering Nurses To Go The Extra Mile Through Ethical Leadership: A Covid-19 Context, Kaleem Ullah Irfan, Talat Islam

Asia-Pacific Social Science Review

This study attempts to investigate how ethical leadership enhances nurses’ in-role and extra-role performances with the mediation of psychological empowerment. We used a cross-sectional time-lag design and collected data from 371 nurses and their immediate supervisors through a questionnaire-based survey. The data on ethical leadership and psychological empowerment were collected from nurses at T1, whereas data on in-role and extra-role performance were collected from their immediate supervisors at T2. The results revealed positive associations of ethical leadership with psychological empowerment, in-role, and extra-role performance. Further, hierarchical regression confirms the mediating role of psychological empowerment between the associations of ethical leadership …

Fostering Pediatric Resilience In Outpatient Primary Care: An Evidence-Based Practice Improvement Project, Susan C. Schreiber, Tami Bland, Allyson Neal

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Introduction: Resilience is not a singular trait. Techniques can be learned and/or promoted to increase one’s capacity for resilience. These skills can attenuate both short- and long-term detrimental impacts to a child’s stability, development, and health outcomes. For best outcomes, resilience should be promoted throughout all stages of neuropsychological and physical development. Methods: An educational intervention on resilience techniques was provided to advanced practice registered nurses (APRNs). Pre- and post-intervention APRN knowledge data was collected. The APRNs then integrated resilience techniques into clinical practice during a school semester. Immediately after an APRN implemented resilience techniques into a patient encounter, the …

A Modest Proposal: Leveraging Private Enforcement Mechanisms And The Bayh-Dole Act To Reduce Drug Prices In The U.S. Healthcare Industry, Brittany Day

Duke Journal of Constitutional Law & Public Policy Sidebar

The United States healthcare system is one of the most expensive in the world. Unlike other products, when drug prices skyrocket, people may die. While advocating for various solutions, both the Biden and Trump administrations have recognized the importance of halting the rise of prescription drug prices. Most of the solutions advanced are focused on government-side initiatives, such as allowing Medicare to directly negotiate with pharmaceutical companies. Yet, the "march-in rights" built into the Bayh-Dole Act create an opportunity to set up a mechanism that would invite private actors to sue pharmaceutical companies for unconscionable drug pricing. The Bayh-Dole Act …

How To Compromise On Saving The Most Lives: A Commentary On Hellman And Nicholson, “Rationing And Disability”, David Wasserman

Washington and Lee Law Review Online

Deborah Hellman and Kate Nicholson’s “Rationing Disability” is a skillfully integrated analysis of the legal and ethical challenges of avoiding disability discrimination in setting priorities for the allocation of scarce lifesaving resources. Their analysis goes beyond the important but narrow question of what it means to wrongfully discriminate against people with disabilities in this context to the broader question of how to find a principled compromise between the consequentialist goals of public health and the potentially conflicting public value of “equal concern and respect” for each person. I will focus on this broader issue.

I agree with much …

The Healthcare Changemakers Podcast And Existing Conditions .Press, Emily Lowinger

Capstones

A podcast made from live interviews with healthcare changemakers.

http://existingconditions.press/podcast

License To Heal: Understanding A Healthcare Platform Organization As A Multi-Level Surveillant Assemblage, Handan Vicdan, Mar Pérezts, Asım Fuat Fırat

Management Faculty Publications and Presentations

Platform organizations bring renewed attention to power disparities and risks in the rise of surveillance capitalism. However; such critical accounts provide a partial understanding of the complexity of surveillance phenomena in such shifting socio-technical and digital environments.The findings from a netnographic investigation of a healthcare platform organization, PatientsLikeMe, unravel how platforms become the locus where multi-level flows of surveillance converge, thereby constituting what we identify as a surveillant assemblage. We develop a comprehensive approach for understanding how platforms constitute a dynamic crossroads of micro-, meso- and macro-surveillance phenomena within and beyond the online communities they create.This study highlights this surveillant …

Single-Rail Adiabatic Logic For Energy-Efficient And Cpa-Resistant Cryptographic Circuit In Low-Frequency Medical Devices, Amit Degada, Himanshu Thapliyal

Electrical and Computer Engineering Graduate Research

Designing energy-efficient and secure cryptographic circuits in low-frequency medical devices are challenging due to low-energy requirements. Also, the conventional CMOS logic-based cryptographic circuits solutions in medical devices can be vulnerable to side-channel attacks (e.g. correlation power analysis (CPA)). In this article, we explored single-rail Clocked CMOS Adiabatic Logic (CCAL) to design an energy-efficient and secure cryptographic circuit for low-frequency medical devices. The performance of the CCAL logic-based circuits was checked with a power clock generator (2N2P-PCG) integrated into the design for the frequency range of 50 kHz to 250 kHz. The CCAL logic gates show an average of approximately 48% …

The Therapeutic And Psychosocial Effects Of Pets On Individuals In The Usa, Ashley Lytle

Honors Projects

The prevalence of animals in people's lives is ever growing. Many pet owners see their pets as members of their family. Animals can improve one's well being both physically and mentally. They have been used in therapeutic practices, both in one-on-one sessions and group settings. While there are several benefits to owning a pet, they can cause barriers to accessing healthcare and housing, and can be a deterrent to leaving abusive situations. The two roles pets play in people's lives creates a dynamic that is prevalent to several professional fields including social work. Social workers have already begun to acknowledge …

Yoga As An Intervention For Nurse Burnout, Taylor Baugh

MSN Capstone Projects

Nursing is a demanding career, both mentally and physically, so finding ways to decompress and cope with such a job is essential. The main objective of this review is to discover the best evidence available to determine the effect of yoga on burnout in nurses. Outcomes from all keeper studies conclude that implementing yoga into practice increases nurses’ mindfulness, self-care, and coping ability while decreasing emotional exhaustion, burnout, and stress, consequently, increasing the quality of patient care provided. It is imperative that hospitals and healthcare administrators prioritize nurses’ physical and mental health, for nurse retention, cost savings related to decreased …

Mental Health In The Undocuqueer Community, Cailan Cordwell

Biennial Conference: The Social Practice of Human Rights

Trauma is increasingly experienced by people in transit as border militarization increases migrants’ exposure to violence and forces them into more precarious situations. For queer migrants, this includes situations where they are more likely to experience persecution and sexual violence. This presentation explores the availability of care for queer undocumented migrants in the United States after surviving a precarious and potentially deadly journey from their country of origin to the US, as well as forms of alternative care developed by the undocuqueer community. In particular, I focus on access to care for LGBT migrants, who face stigmatization on multiple levels …

Exploring The Experiences Of Transgender And Gender Diverse Adults In Accessing A Trans Knowledgeable Primary Care Physician, Shanna K. Kattari, Jarrod Call, Brendon Holloway, Leonardo Kattari, Kristie L. Seelman

SW Publications

Transgender and gender diverse individuals face a variety of barriers when attempting to access healthcare, from discrimination to lack of access to lack of knowledgeable providers. Using data from the 2015 United States Trans Survey (N = 27,715), this study looks at the differences within the TGD population regarding having seen a doctor in the past year, having a primary care provider, and having a primary care provider who is knowledgeable about trans health. Logistic regressions indicate that even within an all transgender and gender diverse sample, a variety of identities and experiences are related to increased or decreased likelihood …

Fair And Efficient Consensus Protocols For Secure Blockchain Applications, Golam Dastoger Bashar

Boise State University Theses and Dissertations

In blockchain technology, consensus protocols serve as mechanisms to reach agreements among a distributed network of nodes. In this work, we propose three novel protocols for permissioned, healthcare, and supply chain blockchain.

(1) Proof of Queue (PoQ), for private blockchains, combines the lottery strategy of PoET with a specialized round-robin algorithm where each node has an equal chance to become a leader with equal access. PoQ is relatively scalable without any collision. Like PoET, PoQ uses Intel SGX, a Trusted Execution Environment, to generate a secure random waiting time to choose a leader and fairly distribute the leadership role to …

Occupational Injuries Associated With Workplace Violence In An Academic Medical Center, Rebecca J. Bonacci

Capstone Experience

Violence is a major source of workplace injury in the medical profession. Peer reviewed literature is lacking for workers that have injuries through violence from clients who have intellectual disabilities. Literature for hospital security is also lacking. In this study of workplace violence, we compared injuries among the occupational groups at an academic medical center from 2017-2020. We hypothesized that violence will be similar across the years. Occupational injury and illness data was obtained from an academic medical center. The number of violence cases was divided by the total number of injury cases and reported as a percentage. We found …

The Distrust Of Experts, Noah Smith

Student Scholar Symposium Abstracts and Posters

This paper will compile demographic data and analyze their correspondence with trust of expert opinion in order to develop a profile of individuals who mistrust expert opinions. I will be using the American National Election Survey of 2020 as the central data source for this paper. I will also be using supplementary data from research into trust of expertise to create my profile. The mistrust of expert opinions has been an issue simmering in the background of American politics for quite some time. Previously its largest impact was on the discourse and policy surrounding climate change. Now it is also …

Aspects Of The Physical Work Environment And Nursing Work, Yolanda Keys

Nursing Theses and Dissertations

Objective: The purpose of this body of work is to inform nurse leaders and design professionals of opportunities to leverage the physical environment to enhance the overall work environment for nurses.

Background: The environments in which nursing work takes place need to support the staff who work within them. Healthy work environments have been shown to improve outcomes for patients, nurses, and organizations; however, the contribution of the built environment to the overall work environment for nurses is not fully understood.

Methods: Included in this portfolio are three studies: 1) a descriptive study exploring the experiences of …

Exercise Prescription Practices In University Counseling Centers: Testing The Information-Motivation-Behavioral Skills Model, A'Naja M. Newsome

USF Tampa Graduate Theses and Dissertations

The co-occurence of physical inactivity and poor mental health in the college student population can lead to chronic health issues that have negative short-term (e.g., academic success and weight gain) and long-term (e.g., obesity, serious mental illness, and premature mortality) impacts. Integrating exercise prescription into the mental health treatment plan of college students could enhance the holistic care model described by The American College Health Association (ACHA) and Healthy Campus task force. Understanding the knowledge, attitudes, and skills that mental health professionals (MHPs) hold regarding exercise prescription is important for policy formation and program development for college student health. The …

Internet Of Things In Healthcare: A Review, Faton Kabashi, Lamir Shkurti, Hizer Leka, Vehbi Sofiu, Nazmi Misini

UBT International Conference

In the current era, there is a requirement of a system with connected devices, persons, time, places, and networks, which is completely incorporated in what is called as Internet of Things (IoT). IoT is developed toward making the objects smart and connectable using recent development in miniaturizing and communication technologies. IoT can change the way human being live their life by making it their more convenient and smart. IoT has wide application domains one of them is healthcare. Healthcare is one of the application domains in IoT that draws enormous interest from industry, the research community, and the public sector. …

Pharmacy Students As Volunteer Medical Staff For American Diabetes Association Summer Camp, Emily Harvath

Purdue Journal of Service-Learning and International Engagement

For children living with a diagnosis of diabetes, com-munity support and education about proper disease management are critical for the mental and physical health of the child and their family. The experiences offered at summer camps hosted by the American Diabetes Association address both of these needs for the pediatric diabetes community. These camps provide children with the opportunity to participate in a traditional camp experience—swimming, rock climbing, tubing, and more—while giving parents peace of mind in the knowledge that their child’s diabetes will be closely monitored by a team of health care professionals. During my time as volunteer medical …

Who To Choose? Rating Broker Best Practices In The Medicare Advantage Industry, Darwin R. Hale

USF Tampa Graduate Theses and Dissertations

The purpose of this study is to help navigate the U.S. Healthcare system in a way that maximizes value and minimizes risk to Medicare Beneficiaries. We do this through the creation of a tool that will aid in the selection of an independent health broker. Brokers are the trusted resource who have the responsibility and expertise to optimize client value through needs analysis, education, and expectations setting. Beneficiaries need help with life impacting health and wellness decisions and ongoing support across the continuum of care. The qualitative research included interviews of industry experts with combined Medicare experience of more than …

Restoring Balance, Daniel R. Villanueva Toby

be Still

As a medical student who has received half of their education during the COVID-19 pandemic, I wanted to portray the internal struggle of medical providers in trying to care for the sick and disabled. A great deal is expected of doctors in this day and age. That stress of expectations versus the innate desire to help others led me to write this poem.

Physician’S Assistants As Agents Of Change: Advocating For Bilingual And Culturally Competent Health Care Resources In The Central Kentucky Hispanic Latino Community, Britany Guerrero

Honors Theses

The Hispanic Latino population is the fastest growing ethnic population that is experiencing barriers to receive healthcare. Throughout my Honors Thesis I will identify: the lack of resources in Central Kentucky pertaining to healthcare, the flaws in our healthcare system that are affecting our Latino Community, the need for healthcare professionals with bilingual competency, and how PA’s can better serve our Latino Community. I will be using research and my experience through service learning with a Physician Assistant in the local Latino community to critically analyze the current situation and provide data-driven solutions. The purpose of bringing this topic to …

Pubh 7090 03f: Quality Improvement In Healthcare & Pubilc Health, Linda Kimsey

Jiann-Ping Hsu College of Public Health Syllabi

This course is an overview of the application of quality improvement (QI) in healthcare and public health settings. In both healthcare and public health, creating and maintaining a culture of continuous improvement is an essential component of an organization’s performance and is vital to achieving the Institute of Healthcare Improvement’s Triple Aim principles. After covering the history and theory of QI, this course introduces Lean, Six Sigma, and PDSA frameworks as well as the tools and techniques associated with the components of each. Practical application of tools will be emphasized using an A3 problem solving template with a case study …

We Won't Go There: Barriers To Accessing Maternal And Newborn Care In District Thatta, Pakistan, Muhammad Asim, Sarah Saleem, Zarak Hussain Ahmed, Imran Naeem Abbasi, Farina Abrejo, Zafar Fatmi, Sameen Siddiqi

Community Health Sciences

Accessibility and utilization of healthcare plays a significant role in preventing complications during pregnancy, labor, and the early postnatal period. However, multiple barriers can prevent women from accessing services. The aim of this study was to explore the multifaceted barriers that inhibit women from seeking maternal and newborn health care in Thatta, Sindh, Pakistan. This study employed an interpretive research design using a purposive sampling approach. Pre-tested, semi-structured interview guides were used for data collection. The data were collected through eight focus group discussions with men and women, and six in-depth interviews with lady health workers and analyzed through thematic …

Rationing And Disability: The Civil Rights And Wrongs Of State Triage Protocols, Deborah Hellman, Kate M. Nicholson

Washington and Lee Law Review

The COVID-19 pandemic and the unprecedented natural disasters of 2020 remind us of the importance of emergency preparedness. This Article contributes to our legal and ethical readiness by examining state “Crisis Standards of Care,” which are the standards that determine how medical resources are allocated in times of scarcity. The Article identifies a flaw in the policy choice at the heart of the standards: the standards focus on saving as many lives as possible but, in so doing, will predictably disadvantage the ability of people with disabilities and racial minorities to access life-saving care.

To date, scholarly attention has focused …

Code Gray Response Team, Charlie A. Brizzee

IPS/BAS 495 Undergraduate Capstone Projects

This video presentation addresses the declining feeling of safety by frontline clinical staff due to the recent escalation of combative patients and workplace violence in the healthcare setting, identified through Emotional intelligence and the approach created to address it. This project was crafted as an innovative and creative approach to addressing the issue in the clinical setting without adding additional staff or additional expense to the organization. Additionally, the approach had to be innovative and creative as the author does not own the current process, and knowing to receive stakeholder acceptance, the ownership had to remain with the current stakeholder. …

Freedom Without Opportunity: Using Medicare Policy And Cms Mechanisms To Anticipate The Platform Economy’S Pitfalls And Ensure Healthcare Platform Workers Are Fairly Paid, Kim A. Aquino

Brooklyn Law Review

The rapidly aging population, along with the demand for innovative Medicare delivery models such as bundled payment programs have incentivized the use of technology in healthcare because of its potential to cut costs and improve quality of care. Like many industries embracing technological strides to automate and digitize services, the healthcare industry has welcomed new labor markets like the platform economy to facilitate connections between patients and workers with ease. Along with streamlining connections, the platform economy also promises workers flexibility and autonomy over their own schedule. The platform economy’s promise of freedom, however, is not enough to prevent the …

Re-Imagining Possibilities Of Governance For Global Health, Alicia Ely Yamin

Georgia Journal of International & Comparative Law

No abstract provided.

Data Analytics (Ab)Use In Healthcare Fraud Audits, Jared Koreff, M. Weisner, S. G. Sutton

School of Business Faculty Research

This study explores how government-adopted audit data analytic tools promote the abuse of power by auditors enabling politically sensitive processes that encourage industry-wide normalization of behavior. In an audit setting, we investigate how a governmental organization enables algorithmic decision-making to alter power relationships to effect organizational and industry-wide change. While prior research has identified discriminatory threats emanating from the deployment of algorithmic decision-making, the effects of algorithmic decision-making on inherently imbalanced power relationships have received scant attention. Our results provide empirical evidence of how systemic and episodic power relationships strengthen each other, thereby enabling the governmental organization to effect social …

Ethical Decision Making In Nursing Practice: The Impact On Moral Distress, Anthony W. Green

Doctoral Dissertations and Projects

There is significant research that indicates nurses working in a hospital setting experience moral distress while caring for their patients. While there are many barriers that prevent nurses from overcoming moral distress and moving toward moral resilience, this research project focused on eliminating barriers that nurses face in making good ethical, moral, biblical decisions. The research methodology for this project was qualitative, interpretive, and longitudinal. There was an initial interview with five participant nurses at Ellis Medicine regarding their knowledge of ethics in healthcare and moral distress. The researcher then provided an education program for participant nurses to increase their …