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Social Media Self-Regulation And The Rise Of Vaccine Misinformation, Ana Santos Rutschman Jan 2021

Social Media Self-Regulation And The Rise Of Vaccine Misinformation, Ana Santos Rutschman

All Faculty Scholarship

This essay examines the main characteristics and shortcomings of mainstream social media responses to vaccine misinformation and disinformation. Parts I and II contextualize the recent expansion of vaccine information and disinformation in the online environment. Part III provides a survey and taxonomy of ongoing responses to vaccine misinformation adopted by mainstream social media. It further notes the limitations of current self-regulatory modes and illustrates these limitations by presenting a short case study on Facebook—the largest social media vehicle for vaccine-specific misinformation, currently estimated to harbor approximately half of the social media accounts linked to vaccine misinformation. Part IV examines potential …


Burnout Among Healthcare Providers Of Covid-19; A Systematic Review Of Epidemiology And Recommendations, Mehrdad Sharifi, Ali Akbar Asadi-Pooya, Razieh Sadat Mousavi-Roknabadi Jan 2021

Burnout Among Healthcare Providers Of Covid-19; A Systematic Review Of Epidemiology And Recommendations, Mehrdad Sharifi, Ali Akbar Asadi-Pooya, Razieh Sadat Mousavi-Roknabadi

Department of Neurology Faculty Papers

Introduction: In the current systematic review, we intended to systematically review the epidemiology of burnout and the strategies and recommendations to prevent or reduce it among healthcare providers (HCPs) of COVID-19 wards, so that policymakers can make more appropriate decisions.

Methods: MEDLINE (accessed from PubMed), Science Direct, and Scopus electronic databases were systematically searched in English from December 01, 2019 to August 15, 2020, using MESH terms and related keywords. After reading the title and the abstract, unrelated studies were excluded. The full texts of the studies were evaluated by authors, independently, and the quality of the studies was determined. …


Perceptions Of Covid-19, Information Seeking Behavior, And Political Orientation, Bailey Dodd, Sean Rife Jan 2021

Perceptions Of Covid-19, Information Seeking Behavior, And Political Orientation, Bailey Dodd, Sean Rife

Murray State Theses and Dissertations

COVID-19 was declared an international pandemic in March 2020 and infected millions of people globally in less than six months. Research suggests that a large amount of both accurate and misinformation exists on the pandemic, and it would be expected that an individual’s political orientation would influence their perception of the virus and the information that they endorse. Based on past research, it would be expected that both liberals and conservatives would be equally concerned about the COVID-19 pandemic and endorse similar measures. However, Republicans downplayed the pandemic and were more likely to consider it a hoax, while Democrats exaggerated …


Emotional Dissonance And Exhaustion Among Library Professionals During Covid-19, Mubashir Majid Baba Jan 2021

Emotional Dissonance And Exhaustion Among Library Professionals During Covid-19, Mubashir Majid Baba

Library Philosophy and Practice (e-journal)

The COVID-19 pandemic is having a dramatic impact on societies and economies around the world. The virus is affecting millions of lives worldwide, not only physically but also emotionally in the form of panic attacks, obsessional behavior, anxiety, stress and fear. Library professionals are also exposed to coronavirus disease 2019 (COVID-19) and are facing high levels of stress and anxiety. The aim of this exploratory study was to analyze the association between emotional dissonance and emotional exhaustion among library professionals during COVID-19 and to study the impact of demographics on the variables under study. The data collected were analyzed using …


The Pandemic Of Covid 19 And Role Of Academic Libraries, Navneet Kaur Deol, Khushpreet Singh Brar Jan 2021

The Pandemic Of Covid 19 And Role Of Academic Libraries, Navneet Kaur Deol, Khushpreet Singh Brar

Library Philosophy and Practice (e-journal)

The present article highlights the role of libraries and the library staff to be played during the emergency circumstances of the community spread of the virus of the COVID-19 worldwide. The study proposes that the libraries cannot afford to close down their formal duties of providing information to the users. During the situation of lockdown, the libraries can provide the relevant information and knowledge sources to the information seekers including teachers, students and researchers through various online and web sources. The libraries should be in continuous coordination with the researchers conducting research in the field of the cure of the …


Nutritional Aspects Related To Covid-19: A Bibliometric Analysis Using Scopus Database, Arti Muley Dr, Srujana Medithi Dr Jan 2021

Nutritional Aspects Related To Covid-19: A Bibliometric Analysis Using Scopus Database, Arti Muley Dr, Srujana Medithi Dr

Library Philosophy and Practice (e-journal)

Nutrition therapy has lately gained attention as an effective way of combating the novel Coronavirus 2019 (COVID-19), especially to address the immunity in an individual and their overall health. The present study is a bibliometric assessment of research conducted to understand the role of nutrition in treating COVID-19 which was carried out since the pandemic's sudden outburst during 2020 and 2021 and published in the Scopus database. A total of 93 publications were found, and the results were studied by evaluating these documents. The present analysis identifies the active countries where the research was conducted, various types of documents wherein …


Understanding Stage Management In The 21st Century In Australia: A Preliminary Survey, Ping Sum (Teresa) Fok Jan 2021

Understanding Stage Management In The 21st Century In Australia: A Preliminary Survey, Ping Sum (Teresa) Fok

Theses: Doctorates and Masters

As a vocation that has been around for at least 150 years, stage management has gone through years of evolution in its scope of practice. From existing as a purely mechanical part of the theatre process to becoming vital co-creators in collaboration with Directors, Designers, and Playwrights, the roles and skills of a Stage Manager has expanded beyond the theatre into the events and entertainment industry that includes large sporting events, rock concerts, and corporate productions.

Academic research into Stage Management is presently in its infancy, with a dearth of published literature. This research contributes a timely and critical reflection …


Impact Of Historical Review And Archival Accessibility In Combating Covid-19 Pandemic In Nigeria, Bakare D. Oluwabunmi Dr, Mary Funke Ajayi Mrs Jan 2021

Impact Of Historical Review And Archival Accessibility In Combating Covid-19 Pandemic In Nigeria, Bakare D. Oluwabunmi Dr, Mary Funke Ajayi Mrs

Library Philosophy and Practice (e-journal)

Archives and records management play a central role in understanding the past and aid effective decision-making on current situations. The main objective of this study was to assess the impact of historical review and archival accessibility in combating COVID-19 pandemic in Nigeria. The study was based on a systematic review of existing literature on overview of pandemics in human history, history of pandemic in Nigeria, 1918-1919 influenza in Nigeria, COVID-19 pandemic in Nigeria, and archival accessibility and pandemics. The study was able to identify some major challenges of archival accessibility in Nigeria, which made it difficult to access documents of …


Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh Dec 2020

Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh

Manipal Journal of Medical Sciences

There has been a growing body of evidence highlighting the radical effect of nutrition on the immune system and disease susceptibility. The current COVID-19 crisis awakens an urgent calling for optimum nutrition which boosts immunity and prevents diseases, just like a vaccine. Though there have been several national guidelines regarding diet during COVID-19, there has been sparse research and literature available in this field. This review aims to summarise the existing evidence on various aspects of nutrition and immunity pertaining to the COVID-19 crisis. Literature and search strategy included PubMed and Google Scholar for articles on various aspects of nutrition …


Combating Covid-19 Infodemic In Nigerian Rural Communities: The Imperatives Of Traditional Communication Systems, Joseph M. Lucas, Tordue Simon Targema, Abubakar Jibril, Elkanah Obadiah Sambo, Bako Ali Istifanus Dec 2020

Combating Covid-19 Infodemic In Nigerian Rural Communities: The Imperatives Of Traditional Communication Systems, Joseph M. Lucas, Tordue Simon Targema, Abubakar Jibril, Elkanah Obadiah Sambo, Bako Ali Istifanus

ASEAN Journal of Community Engagement

Since the outbreak of COVID-19 in December 2019, substantial attention has been devoted to combating the infodemic that has come to characterize it with the potential to prevent its effective containment. This is undoubtedly a very difficult task, especially in Nigerian rural communities that are characterized by severe lack of the requisite facilities to access information on modern media platforms, compounded by high illiteracy and poverty rates. This study presents a case for the utilization of people-oriented, traditional communication systems in combatting the infodemic at the grassroots level. It contends that, given the peculiarities of the country’s rural settlements, traditional …


“Why Can Other People Live Normally While I Cannot?”: An Application Of Telecounseling Due To Covid-19, Kusumasari Kartika Hima Darmayanti, Efan Yudha Winata, Erlina Anggraini Dec 2020

“Why Can Other People Live Normally While I Cannot?”: An Application Of Telecounseling Due To Covid-19, Kusumasari Kartika Hima Darmayanti, Efan Yudha Winata, Erlina Anggraini

Makara Human Behavior Studies in Asia

In Nusa Tenggara Barat province, on May 04, 2020, there were 275 cases out of 11,587 total cases in Indonesia. COVID19 not only has an impact on physical health issues, but it also impacts on psychological issues. One of the psychological issues is how society experiences negative emotion (e.g., depression) during the spread of COVID-19. This study aimed to explore the telecounseling process on the individual who had experienced negative emotion especially in the case of depressive disorder in the COVID-19 Nusa Tenggara Barat province. This study used a single-case research design approach, and the collected data were analyzed qualitatively. …


Hubungan Motivasi Belajar Dengan Komunikasi Pembelajaran Sistem E-Learning Pada Mahasiswa Pgsd Di Masa Pandemi Covid-19, Anang Fathoni, Ali Mustadi, Wahyu Kurniawati Dec 2020

Hubungan Motivasi Belajar Dengan Komunikasi Pembelajaran Sistem E-Learning Pada Mahasiswa Pgsd Di Masa Pandemi Covid-19, Anang Fathoni, Ali Mustadi, Wahyu Kurniawati

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This research aimed to determine the motivation of learning, communication of e-learning system, and relationship motivation learning and communication learning system of students of primary teacher Education, University PGRI Yogyakarta at the Covid-19 pandemic. This research used quantitative approaches with associative methods. The location of this research at PGRI University Yogyakarta with respondents amounted to 159 students of 2nd semester, consisting of 25 male students and 134 female students. The collection of research data used a questionnaire with a Likert rating scale. Analysis of data by using the correlation formula of product-moment from Pearson with the help of SPSS version …


Socio-Demographic Determinants Of Indonesian Mothers’ Psychological Distress During Covid-19 Pandemic, Laila Qadariah, Fitri Ariyanti Abidin, Fitri Yustikasari Lubis, Vidya Anindhita Dec 2020

Socio-Demographic Determinants Of Indonesian Mothers’ Psychological Distress During Covid-19 Pandemic, Laila Qadariah, Fitri Ariyanti Abidin, Fitri Yustikasari Lubis, Vidya Anindhita

Makara Human Behavior Studies in Asia

The Indonesian government imposed a large-scale social restriction policy to prevent the spread of COVID-19. This policy affected the community, including mothers, and may have caused psychological strain on them. This study aimed to (i) establish a dataset on the psychological distress reported by mothers in Indonesia and (ii) identify demographic factors and pandemic-related characteristics that determine psychological distress. An online survey was administered from April 20 to April 25, 2020, and 1534 surveys were submitted. Bivariate and multivariate regression models were constructed to examine the associations between sociodemographic variables, depression, anxiety, and stress. The results demonstrated that the level …


3-In-1 Hybrid Learning Environment, Holly Hapke, Anita Lee-Post, Tereza Dean Dec 2020

3-In-1 Hybrid Learning Environment, Holly Hapke, Anita Lee-Post, Tereza Dean

Marketing & Supply Chain Faculty Publications

We propose a learning innovation called 3-in-1 Hybrid environment as a solution for educational institutions to meet the challenge of balancing campus reopening against public health risks amid the COVID-19 pandemic. Our proposed innovation provides students options to attend class synchronously (either face-to-face or remote) or asynchronously (online) in an interactive learning environment that promotes emotional, behavioral, and cognitive engagement. We designed and implemented a large Marketing Management class with over 800 students as a 3-in-1 course. We examined its effectiveness in an empirical study and found that (1) students have a positive attitude toward 3-in-1 Hybrid learning; (2) they …


Gw Covid-19 Intelligence Reports: December 28, 2020, George Washington University Dec 2020

Gw Covid-19 Intelligence Reports: December 28, 2020, George Washington University

GW COVID-19 Intelligence Reports

No abstract provided.


Covid-19’S Complications For Family Law Counsel: Domestic Violence And Threats To The Well-Being Of Children, J. Thomas Sullivan Dec 2020

Covid-19’S Complications For Family Law Counsel: Domestic Violence And Threats To The Well-Being Of Children, J. Thomas Sullivan

The Arkansas Journal of Social Change and Public Service

No abstract provided.


Prevalence Of Depression And Anxiety Symptoms Of High School Students In Shandong Province During The Covid-19 Epidemic, Zeng Zhang, Ailing Zhai, Mingchuan Yang, Junqing Zhang, Haotian Zhou, Chuanming Yang, Shanshan Duan, Cong Zhou Dec 2020

Prevalence Of Depression And Anxiety Symptoms Of High School Students In Shandong Province During The Covid-19 Epidemic, Zeng Zhang, Ailing Zhai, Mingchuan Yang, Junqing Zhang, Haotian Zhou, Chuanming Yang, Shanshan Duan, Cong Zhou

Faculty and Student Publications

© Copyright © 2020 Zhang, Zhai, Yang, Zhang, Zhou, Yang, Duan and Zhou. Background: The coronavirus disease 2019 (covid-19) has brought physical risks as well as psychological challenges to the whole world. High school students are a special group suffering from both the academic pressure and the threat of the epidemic. The present study aims to conduct an online survey to investigate the psychological status of high school students in Shandong Province. Methods: Using a web-based cross-sectional survey, data was collected from 1,018 voluntary high school students assessed with demographic information, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 …


Posttraumatic Growth During Covid-19: A Quantitative Analysis Of Individualist And Collectivist Values, Stephanie Chalk Dec 2020

Posttraumatic Growth During Covid-19: A Quantitative Analysis Of Individualist And Collectivist Values, Stephanie Chalk

Dissertations, 2020-current

The 2019 Coronavirus Disease (COVID-19) pandemic has spurred a major global crisis. Collective trauma is inevitable. Compared to posttraumatic stress, relatively little research has been conducted on posttraumatic growth. This study examined the associations between individualism-collectivism, coping behaviors, and posttraumatic growth in the context of COVID-19. A total of 314 adult participants were recruited to complete a questionnaire on COVID-19 experiences, individualism-collectivism, coping, and posttraumatic growth. Posttraumatic growth was measured globally and across five factors: relating to others, personal strength, new possibilities, appreciation of life, and spirituality. A t-test found no difference in global posttraumatic growth in participants who were …


Leading The Many, Considering The Few - University Presidents’ Perspectives On International Students During Covid-19, Sarah Maria Schiffecker Dec 2020

Leading The Many, Considering The Few - University Presidents’ Perspectives On International Students During Covid-19, Sarah Maria Schiffecker

Journal of Comparative & International Higher Education

No abstract provided.


Does Covid-19 Contribute To Development Of Neurological Disease?, Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, Shasthara Paneyala, Duraisamy Patteswari, Meena K. Sakharkar, Hamdan Hamdan, David M. Ojcius, Srinivasa R. Bolla, Musthafa M. Essa, Saravana B. Chidambaram, M. Walid Qoronfleh Dec 2020

Does Covid-19 Contribute To Development Of Neurological Disease?, Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, Shasthara Paneyala, Duraisamy Patteswari, Meena K. Sakharkar, Hamdan Hamdan, David M. Ojcius, Srinivasa R. Bolla, Musthafa M. Essa, Saravana B. Chidambaram, M. Walid Qoronfleh

All Dugoni School of Dentistry Faculty Articles

Background: Although coronavirus disease 2019 (COVID-19) has been associated primarily with pneumonia, recent data show that the causative agent of COVID-19, the coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect a large number of vital organs beyond the lungs, such as the heart, kidneys, and the brain. Thus, there is evidence showing possible retrograde transmission of the virus from the olfactory epithelium to regions of the brain stem. Methods: This is a literature review article. The research design method is an evidence-based rapid review. The present discourse aim is first to scrutinize and assess the available literature on …


China: Covid 19 Control – A Response For Global Emulation?, Lin Chen Dec 2020

China: Covid 19 Control – A Response For Global Emulation?, Lin Chen

The Journal of Values-Based Leadership

No abstract provided.


Covid-19 & Pregnancy Complication During Early Pandemic: A Narrative Review, Ahmed A. Eladely, Maria Hill, Ahmed Abdelhaleem, Zahid Imran, Ahsan M. Khan, Daisy Sangroula Dec 2020

Covid-19 & Pregnancy Complication During Early Pandemic: A Narrative Review, Ahmed A. Eladely, Maria Hill, Ahmed Abdelhaleem, Zahid Imran, Ahsan M. Khan, Daisy Sangroula

The University of Louisville Journal of Respiratory Infections

Background: Coronaviruses have caused three outbreaks in the past two decades. The novel one is SARS-COV-2, which causes COVID-19. Pregnant women have a somewhat altered immune state, which may make them more vulnerable to COVID-19 and its complications. Extensive research is needed to better understand the clinical course of COVID-19 in this population. This review article discusses the comparison of SARS-CoV-2 with previous coronavirus outbreaks, clinical presentations, and complications in pregnant women and newborns.

Methods: We conducted a literature search for case series and case reports about pregnancy outcomes in pregnant women with COVID-19 during the early phase of pandemic. …


Risk And Protective Factors Associated With Custodial Grandparents’ Psychological Distress In Covid-19, Yanfeng Xu Ph.D., Merav Jedwab, Qi Wu, Sue Levkoff, Ling Xu Dec 2020

Risk And Protective Factors Associated With Custodial Grandparents’ Psychological Distress In Covid-19, Yanfeng Xu Ph.D., Merav Jedwab, Qi Wu, Sue Levkoff, Ling Xu

Faculty and Staff Publications

The fear and anxiety of COVID-19 and its related policy measures have increased individuals’ psychological distress. The objective of this study was to examine relationships between material hardship, parenting stress, social support, and resilience and custodial grandparents’ psychological distress during the COVID-19 pandemic and further investigate the moderating role of kinship license status. A cross-sectional survey was administered to collect data from custodial grandparents (N = 362) in the United States. T-tests, chi-square tests, and logistic regression models were conducted using STATA 15.0. Results indicated that material hardship (OR = 1.77, p < 0.001) was associated with higher odds of psychological distress, whereas custodial grandparents’ resilience (OR = 0.08, p < 0.001) and social support (OR = 0.39, p < 0.001) were associated with lower odds of experiencing psychological distress. Increased parenting stress in COVID-19 was not significantly associated with psychological distress. Kinship license status moderated the relationships between social support (OR = 0.23, p < 0.05), resilience (OR = 5.06, p < 0.05) and psychological distress. To address custodial grandparents’ psychological distress, more allocated emergency funds and tailored financial services should be provided to meet material needs, and interventions with a focus on resilience and social support are particularly needed. Although licensed custodial grandparents were more likely to experience psychological distress due to their pre-existing vulnerability than unlicensed counterparts, parallel services should be provided to all kinship caregivers.


The Experiences And Perceptions Of Practicing Special Education Teachers During The Covid-19 Pandemic, Marci M. Glessner, Shirley A. Johnson Dec 2020

The Experiences And Perceptions Of Practicing Special Education Teachers During The Covid-19 Pandemic, Marci M. Glessner, Shirley A. Johnson

The Interactive Journal of Global Leadership and Learning

This study examined special education teachers’ perceptions and experiences as they transitioned to distance learning during the COVID-19 pandemic. Although there has been much research on preparing teachers to be effective in online environments, there is limited research on the teaching and learning dynamics when teachers are thrust into distance learning without training and preparation (Kormos, 2018; Moore-Adams et al. 2016; Unruh et al. 2016; Vasquez & Serianni, 2012). As described by Steele (1973), environments are affected by six functions: security and shelter, social contact, symbolic identification, task instrumentality, pleasure, and growth. In a classroom setting, these functions work together …


Women Who Dared: Female Entrepreneurs Defy Odds To Start Businesses During Covid-19, Kinza Tahir Dec 2020

Women Who Dared: Female Entrepreneurs Defy Odds To Start Businesses During Covid-19, Kinza Tahir

MSJ Capstone Projects

With leadership roles being increasingly won by women all over the world, society benefits in all aspects especially economically when women earn incomes. In the trying times of the COVID-19 pandemic, many women usually perceived as second class citizens of Pakistan have started their own ventures amidst the pandemic.


Investigation Of Coronavirus Deposition In Realistic Human Nasal Cavity And Impact Of Social Distancing To Contain Covid-19: A Computational Fluid Dynamic Approach, Mohammad Zuber, John Valerian Corda, Milad Ahmadi, B. Satish Shenoy Dec 2020

Investigation Of Coronavirus Deposition In Realistic Human Nasal Cavity And Impact Of Social Distancing To Contain Covid-19: A Computational Fluid Dynamic Approach, Mohammad Zuber, John Valerian Corda, Milad Ahmadi, B. Satish Shenoy

Open Access archive

The novel coronavirus responsible for COVID-19 has spread to several countries within a considerably short period. The virus gets deposited in the human nasal cavity and moves to the lungs that might be fatal. As per safety guidelines by the World Health Organization (WHO), social distancing has emerged as one of the major factors to avoid the spread of infection. However, different guidelines are being followed across the countries with regards to what should be the safe distance. Thus, the current work is an attempt to understand the virus deposition pattern in the realistic human nasal cavity and also to …


Safety Huddles: A Safety Net For Nurses Amid The Covid-19 Pandemic, Miranda Saint-Louis Dec 2020

Safety Huddles: A Safety Net For Nurses Amid The Covid-19 Pandemic, Miranda Saint-Louis

DNP Qualifying Manuscripts

In March 2020, our 31-bed geriatric medical unit was designated the first COVID-19 unit in a teaching hospital located in a New York City COVID-19 hot zone. At the time, little was known about SARS-CoV-2 and the disease it caused. We needed to find a way to keep them calm, assure their safety, and provide competent and compassionate patient care in a situation where best practices had not yet been established. The concepts from this article can be applied to provide support staff in any crisis. Providing a safety net for staff enables a focus on life-saving patient care without …


Creating A Thriving Informatics Culture, Nicholas Webb Dec 2020

Creating A Thriving Informatics Culture, Nicholas Webb

Doctor of Nursing Practice (DNP) Projects

Nurses thrive best when they are empowered to make decisions that can positively impact healthcare delivery. Knowledge and application of nursing informatics principles can influence clinical, quality, operational, and financial outcomes in ways that were not available in previous professional nursing generations.

If nursing informatics is the solution, what is the problem? A survey regarding use and attitudes about nursing informatics was taken of chief nurse executives (CNEs) at an integrated, not for profit healthcare system in the Northern California region, where the author oversees the electronic health record (EHR). The results were surprising. Half said they did not know …


Maintaining Team Vitality In The Asu Pacu During The Covid-19 Crisis, Melissa Eagleton Dec 2020

Maintaining Team Vitality In The Asu Pacu During The Covid-19 Crisis, Melissa Eagleton

Master's Projects and Capstones

Abstract

Problem: COVID-19 has generated issues and concerns in the healthcare field for staff and clinical settings worldwide, especially for this ambulatory surgery unit post-anesthesia care unit (ASU PACU). Although there was no measurable quality gap, there was a concern for a decrease in patient safety, employee satisfaction, and burnout because the staff were required to become critical care nurses to provide care for the critically ill COVID-19 patients.

Context: The ASU PACU was a critical part of the surge plan if the hospital could no longer house the influx of COVID-19 patients. The unit was shut down entirely two …


A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall Dec 2020

A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall

Master's Projects and Capstones

A Systems Approach to Increase the ICU Nursing Workforce During a Pandemic

Abstract

In early March 2020 an intensive care unit (ICU) patient died of COVID-19 in an integrated healthcare system hospital in Northern California. Data from China and the CDC indicated that more healthcare members would require intensive care and could overwhelm the 21 acute care hospital macrosystem. A microsystem pilot program to upskill peri-anesthesia care unit (PACU) RNs to care for ICU patients was initiated. Concurrently the upskill pilot program was reviewed by macrosystem nursing leadership. Over a three-week period, the program was standardized, disseminated and implemented across …