Digital Commons Network^™

Implementing Patient Satisfaction Phone Calls To Improve Cahps Communication Scores In A Hospice Setting, Claudia C. Castillo

Master's Projects and Capstones

Problem: A hospice in the San Francisco Bay Area is being advised by The Joint Commission to increase their CAHPS scores. The monthly compliance report states communication with family as of February 2021 is 79%, getting timely help is 67%, and treating the patient with respect is at 95%. Each of these metrics has a goal to be at or above the 95% threshold. These Joint Commission findings require improvement for the next TJC audit.

Context: Priorities include identifying the root causes of low communication scores and implementing new strategies that leave patients and their families feeling that healthcare team …

Cultural Practices, Knowledge, And Beliefs Of Newborn Care And Health-Seeking In Rural Zambia, Julie M. Buser

Dissertations

Decreasing newborn morbidity and mortality remains a serious global health challenge. For this reason, interventions like maternity waiting homes (MWHs) and the Saving Mothers, Giving Life (SMGL) initiative may improve maternal-newborn newborn health and delivery outcomes. The overarching goal of this dissertation was to explore and describe the cultural practices, knowledge, and beliefs of essential newborn care and health-seeking in the context of MWHs and the SMGL initiative in rural Zambia. Guided by the Ecological Systems Theory, this goal was met through three studies with the following aims: (1) Describe knowledge and beliefs of newborn care and illness from the …

A Movement On The Move, Keith Testa

UNH Today Archive

No abstract provided.

Social Determinants Of Health Assessment For Skilled Nursing Patients, Heather Welch

Master's Projects and Capstones

Section I: Abstract

Problem: Skilled nursing facility (SNF) patients are vulnerable, aging, and have complex medical histories. Readmissions from an SNF impact healthcare costs and hospital resources and indicate poorly coordinated transitions home. Patients discharging from SNFs are at risk for higher social determinants of health (SDOH) disparities, such as limited caregiver support, transportation, housing insecurity, and food access. These SDOH risks can significantly increase an SNF patient's risk for hospital readmissions. Assessing and addressing SNF patients' social needs to reduce 30-day post-SNF readmissions can improve health outcomes and positively impact healthcare costs and a patient's financial liabilities.

Context: Frailty, …

Navigating Methodological Concerns At The Data Collection Stage: Lessons From A Qualitative Indian-Irish Adoption Study, Sahana Mitra Dr., Valerie O'Brien Dr.

The Qualitative Report

This paper was written to describe the experiences of the researchers in designing cross-cultural research on the culturally sensitive topic of adoptive parenthood, a field in which there is a dearth of literature. Taking the experience and examples from an Indian-Irish study on domestic adoptive parenthood, the paper details the steps as to how the researchers used their own relationship with adoption, and the different cultural contexts to which they belonged, as a starting point in designing and implementing this research. The discussion utilizes a conceptual framework involving insider-outsider positioning, reflexivity and five philosophical assumptions (ontology, epistemology, methodology, axiology, and …

Introduction To Diversity, Equity, And Inclusion: Self-Assessment, Pamela Saulsberry

University Week

Expected attendees: Deans, Associate/Assistant Deans, and School Directors.
The session will introduce and explore a Diversity, Equity, and Inclusion (DEI) self-
assessment tool that divisions will use during August and September for DEI analysis.

Media Literacy And Its Significance For The Past One Decade: A Study Of Literature Published By Springerlink Database Through Bibliometric Lens, Amit Kumar, Lalduhzuali Pachuau, Manashjyoti Deka, Dibanjyoti Buragohain

Library Philosophy and Practice (e-journal)

The present paper seeks to review the literature, through bibliometric lens, published by SpringerLink for the past decade on the concept ‘media literacy’. This study provides a detailed concept and definition of media literacy and review of related literature. The bibliographic details retrieved from SpringerLink database (https://link,springer.com) by using keywords such as ‘media literacy,’ ‘media’, ‘literacy’. The bibliographical details of literature published were recorded in MS-Excel 2007 sheet. The paper shows that during 2011-2020, different categories of literature have been published and Chapter has occupied the most literature published by Springer Link. This paper also reveals that ranking …

Embodied Injustices: Covid-19, Race, And Epigenetics, Maria Encinosa

PANDION: The Osprey Journal of Research and Ideas

The co-occurrence of the COVID-19 pandemic with the long-lasting effects of systemic racism has been devastating, and results in vast inequities in infection and mortality rates within communities of color. In this article, I analyze the potential for epigenetic research to operationalize the social science theory of embodiment, which describes how the social and material worlds manifest in our physical bodies. Epigenetic modifications can be triggered by environmental stressors, to which minority populations are more likely to be exposed. In turn, these stressors are linked to disorders that increase COVID-19 susceptibility. Thus, epigenetic modifications provide an avenue by which racialized …

An Exploratory Study Of Individuals’ Transition To Adoptive Parenthood, Emily Brandt, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to explore individuals’ transition to adoptive parenthood through an occupational therapy lens. More specifically, this study aimed to investigate how individuals’ performance patterns and daily occupations change through this transition. Ultimately, the purpose of this study was to gain insight into this population’s lived experience to inform occupational therapy services in order to meet the specific needs of the adoptive parent population.

A mix-method study was created using both surveys and semi-structured interviews. The survey contained both open and closed ended questions, as well as Likert Scale questions. There were forty survey participants and …

An Educational Resource For Young Adults With Disabilities, Their Caregivers, And Clinicians In The Driver Learning Environment, Destinee Logan, Missy Bell, Angela Labrie Blackwell

Summer 2021 Virtual OTD Capstone Symposium

Driving and community mobility are essential occupations for growing independence and identity. Young adults who are transitioning into adulthood have a desire to engage in their community, and it is at this time that an interest in driving begins. Driving is a complex occupation that requires in-depth education and experience to safely participate in.

Learning to drive can be challenging, especially for a person with a disability. Young adults with disabilities confront several community concerns that limit their ability to participate in the meaningful activity of driving. Those with disabilities often rely on their support systems to help guide their …

Columbia-Suicide Severity Rating Scale (C-Ssrs) Inpatient Perinatal Clinical Pathway, Kristin M. Schoen

Master's Projects and Capstones

Problem: The potential harm to women and infants due to untreated perinatal anxiety and mood disorders is both a patient safety and a public health concern. Studies show that mental health decline during the postpartum period is associated with increased morbidity and mortality for both the mother and infant. The project aim was to utilize the initial screening of perinatal patients using the Columbia-Suicide Severity Rating Scale (C-SSRS) as the baseline screening tool. The tool will help implement a standardized workflow for patients who screen low, moderate, or high, as this workflow had yet to be developed.

Context: In July …

Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh

Summer 2021 Virtual OTD Capstone Symposium

The usage of arts and crafts played a significant role in the fruition of the profession, but as it adopted more medically- and evidence-based treatment methods, most practitioners steered away from arts and crafts. The overall purpose of this project was to promote the use of art in OT as well as learn about the current use of art in OT through discussions held with practicing and retired occupational therapists and OT students with fieldwork experience. A portion of the project includes conducting a needs assessment at Urban Street Angels (USA), a community-based facility in downtown San Diego, CA that …

Family & Friends, Volume 3, Number 2

Family & Friends, 1998-2006

Anita C. Moyt, Managing Editor. Contributors: J. Shane Wilson, Dana Ferguson, Steven Bradford, Melinda McSparrin, Laine McNeil, Rex Wockner, Gip Plaster, John Anderson, Hal Harmon.

Special thanks to Rhodes College and the Paul Barret Jr. Library for providing initial scanning of this collection.

Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to understand occupational therapist’s impact in current and changing roles and routines for first-time foster parents as well as understanding how to establish, preserve and maintain such meaningful domains. This study allowed for insight into current and changing roles and routines for first-time foster parents. The results from this study allowed for further comprehension on how roles and routines were impacted, and that education and tools can be used to help decrease disruption to these domains. Understanding that taking on a new role as a foster parent means routines will be impacted in one …

Action Research: A Culturally Specific Case Study On Organizational Capacity-Building To Battle Addiction In The Oneida Native-American Community, Anita F. Barber, Mark Gordon

Journal of Sustainable Social Impact

The Healing Society (coded to mask) is a new and developing organization operated by a volunteer board created by Oneida Nation community members. Leaders were seeking strategic direction to build organizational capacity and sustainability for this new organization. They sought to make positive social change after a well-known community member died from an overdose. The purpose of this post-positivist, constructionist qualitative case study was to gather empirical data from the perspectives of internal and external stakeholders through a SWOT analysis. Their answers addressed: (a) the organizational strengths and weaknesses of The Healing Society to ensure short-term strength and long-term growth, …

Family & Friends, Volume 3, Number 3

Family & Friends, 1998-2006

Anita C. Moyt, Managing Editor. Contributors: J. Shane Wilson, Dana Ferguson, Steven Bradford, Melinda McSparrin, Laine McNeil, Rex Wockner, Gip Plaster, John Anderson.

Special thanks to Rhodes College and the Paul Barret Jr. Library for providing initial scanning of this collection.

Motivational Factors And Opportunities To Science, Technology, Engineering, And Mathematics (Stem) Majors Among Native Hawaiian And Other Pacific Islanders (Nhpi), Shanthia Espinosa, Alma M. O. Trinidad

McNair Symposium

Higher education is a contentious space that poses challenges and barriers to the science, technology, engineering, and math (STEM) fields. This study explores the motivational factors and opportunities to STEM fields among Native Hawaiian Pacific Islanders (NHPI). A qualitative method was used in this study, examining public archival data (e.g., videos, recordings, digital information, etc.) of self-identified NHPI scientists, scholar-activists, leaders, and their narratives of entering the STEM fields. Specifically, the portrayal of needs and promotion of NHPI representation and access were examined, including messages that inspire and encourage STEM interest among NHPI youth. This study explores motivation, opportunities, and …

Ronald E. Mcnair Scholars Program Profiles And Abstracts 2021, Mcnair Scholars Program

McNair Symposium

This is the complete event program and provides presentation abstracts and biographies of McNair scholars and their mentors.

Hu Record, Vol 15, No. 2

The Howard University Record

Contents:

I. Editorials

II. Appreciation of Music - Roy W. Tibbs

III. Democracy at Work - Frank H. Wimberly

IV. Shylock the Jew - Leonard Z. Johnson

V. Financial Report

VI. Howard Alumni You Ought to Know

VII. Alumni Notes

VIII. University Notes

IX. Undergraduate Life

X. Counterweights

Enhanced Recovery After Surgery Ambulation Project, Jennifer M. Rose

Master's Projects and Capstones

Abstract

Problem: The enhanced recovery after surgery (ERAS) Ambulation Project aims to increase early ambulation of cesarean section patients in the maternal child inpatient unit. The current data has shown inconsistency with the application of the ERAS program with the maternal population. Instituting standardization of care and documentation, along with increasing patient centered care, has the potential to decrease the hospital length of stay (LOS).

Context: This quality improvement project standardizes the education provided to staff nurses and patients; allotting more time for staff to create meaningful relationships with their patients. A microsystem culture utilizing patient centered care …

August 11, 2021 Faculty Senate Minutes, University Of South Carolina

Faculty Senate

No abstract provided.

A Survey Of Neonatal Nurses Perspectives On Voice Use And Auditory Needs With Premature Infants In The Nicu., Amy R. Smith, Deanna Hanson-Abromeit, Ashley Heaton, Brenda Salley

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Exposure to the voice and language during the critical period of auditory development associated with the third trimester is thought to be an essential building block for language. Differences in the auditory experience associated with early life in the NICU may increase the risk of language delays for premature infants. NICU nurses are fundamental in the care of premature infants; how they use their voices may be important in understanding auditory experiences in the NICU. This study examined voice use behaviors of NICU nurses in the United States and their current knowledge of early auditory development.

METHOD: An opt-in, …

Trauma-Informed Care: An Elementary Perspective, Alexandria Hutchison

Masters Projects

Trauma affects a significant portion of the elementary student population and hinders students' academic achievement, social wellbeing, and emotional health. In fact, almost forty percent of students in the United States have been exposed to a traumatic stressor in their lives (Brunzell et al., 2016). There are numerous effects associated with trauma. Teachers serve as the first line of mental health professionals to support these children; therefore, it is essential that they receive proper preparation in trauma-informed care and classroom sup- ports. This project includes an in-service training program for elementary teachers and a set of classroom lessons that support …

Public Library Online Information Resources To Library Patrons During Covid-19 Pandemic: A Case Of Higher Education Institutions, Jamil Ahmad, Akhlaq Ahmad, Muhammad Shoaib, Bilal Shaukat

Library Philosophy and Practice (e-journal)

The main purpose of this paper is to examine online library resources during the COVID-19 pandemic situation at higher educational institutions in Pakistan. During the current pandemic situations, all the educational activities have been postponed and transformed into online latterly. A cross-sectional study consisting of a sample of 2378 from library patrons of public sector universities in Pakistan. A structured questionnaire has been administered based on different parts using an attitudinal scale of (dis)agreement has been used and pre-tested randomly with the reliability value ranging from .03 to .842. It is pertinent here to mention that during the COVID-19 pandemic, …

Strategy And Pedagogical Mechanisms Of Training Competitive Personnels In Higher Educational Institutions, Alisher Yusufjonovich Umarov Rector

Central Asian Journal of Education

This article deals with conceptual basics of special mechanisms in order to carry out the forming of the competitiveness of graduates at higher education institutions, effective mechanisms of the above mentioned process, their content, as well as the main components and levels of such mechanisms based on latest year reforms.

Distress Evaluation During Chemotherapy: The Real-Time Assessment Strategies For Oncology Nurses Among Asian Population In Outpatient Clinics, Ying Huang

DNP Qualifying Manuscripts

Background: Routine oncology visits failed to identify 50-94% of patient’s distress, which creates a considerable burden, impairs emotional well-being and reduces patients’ quality of life. Limited in-person visits during the COVID-19 pandemic have reduced access to care for many patients, further adding to their emotional distress. Untreated distress also leads to elevated stress levels, systemic inflammation, non-compliance with treatment, and higher mortality rates. Early distress screening and multidisciplinary care are recommended to reduce the impacts of distress.

Objectives: To identify the best outpatient practices to address newly diagnosed cancer patients’ unique needs due to distress.

Methods: Databases searched including CINAHL® …

Secondary Traumatic Stress, Burnout And Resilience In The Child Welfare Workforce: Early Results From Nebraska’S Randomized Controlled Trial Of Resilience Alliance, Quality Improvement Center For Workforce Development

Other QIC-WD Products

A 2018 needs assessment indicated that more than 50% of the child welfare workforce in Nebraska was experiencing elevated secondary traumatic stress (STS). STS refers to the experience of people – generally professionals– who are exposed to others’ traumatic events as part of their work. As a result of this exposure, these professionals can develop their own traumatic symptoms and reactions such as sleeplessness and anxiety. The Nebraska Department of Health and Human Services (DHHS) Division of Children and Family Services (DCFS) in partnership with the Quality Improvement Center for Workforce Development (QIC-WD) implemented CFS Strong, a multi-phased workforce intervention …

Using The 4m Model To Screen Geriatric Patients In The Emergency Department, Martinus Megalla, Roopa Avula, Christopher Manners, Portia Chinnery, Lindsey Perrella, Douglas Finefrock

Journal of Geriatric Emergency Medicine

Several models of specialized geriatric care in the Emergency Department (ED) have been developed since the American College of Emergency Physicians (ACEP) began accrediting geriatric EDs in 2018. There is considerable variability in terms of both design and efficacy in regard to screening older patients in the ED and determining proper interventions The John A. Hartford Foundation and Institute for Healthcare Improvement (IHI) have developed the 4M Model for Creating Age-Friendly Health Systems which aims to provide high quality care to older patients by addressing four critical elements: Mentation, Mobility, Medication, What Matters. This article describes a screening tool for …

‘Missing The Target’ – A Critical Examination Of Policy Frameworks For Aboriginal And Torres Strait Islander Inclusion Into The Allied Health Professions, Andrea Simpson, Tim Pitman

Australian Indigenous HealthBulletin

Objective

This paper focuses on critically examining the inclusion of Aboriginal and Torres Strait Islander people in policy frameworks by regulatory health peak bodies against the backdrop of the Government’s response to the Closing the Gap (2020) report.

Method

Websites of ten allied health professional bodies were searched and analysed as policy as text.

Results

Of the ten professions examined, the search strategy identified 9 professions were signatories or co-signatories on Reconciliation Action Plans (RAP) and three professions made mention of Aboriginal and Torres Strait Islander equity strategies to enter the profession as part of accreditation standards.

Conclusions

Professional bodies …

Aboriginal Health Consumers Experiences Of An Aboriginal Health Curriculum Framework, Petah Atkinson, Marilyn Baird, Karen Adams

Australian Indigenous HealthBulletin

Introduction

In settler colonised countries medical education is situated in colonist informed health systems. This form of colonisation is characterised by overt racism and contributes to the significant health inequities experienced by Indigenous peoples. Not surprisingly, medical accreditation bodies in these countries have mandated the curriculum include content relating to Indigenous peoples. However, what is absent is the Indigenous health consumer worldview of health care and their nuanced lived experience of the delivery of medical care.

Methods

Yarning methods, integral to Aboriginal peoples’ ways of understanding and learning, were utilised. A Yarning guide was constructed with Social Yarn and Research …