Digital Commons Network^™

Patients’ Attitudes Toward Deprescribing And Their Experiences Communicating With Clinicians And Pharmacists, Kaylee Marie Lukacena, James W. Keck, Patricia R. Freeman, Nancy Grant Harrington, Mark Huffmyer, Daniela C. Moga

Sanders-Brown Center on Aging Faculty Publications

Purpose: Developing effective deprescribing interventions relies on understanding attitudes, beliefs, and communication challenges of those involved in the deprescribing decision-making process, including the patient, the primary care clinician, and the pharmacist. The objective of this study was to assess patients’ beliefs and attitudes and identify facilitators of and barriers to deprescribing.

Methods: As part of a larger study, we recruited patients ⩾18years of age taking ⩾3 chronic medications. Participants were recruited from retail pharmacies associated with the University of Kentucky HealthCare system. They completed an electronic survey that included demographic information, questions about communication with their primary care clinician and …

Understanding Across The Senses: Cross-Modal Studies Of Cognition In Cetaceans, Jason N. Bruck, Adam A. Pack

Faculty Publications

Cross-modal approaches to the study of sensory perception, social recognition, cognition, and mental representation have proved fruitful in humans as well as in a variety of other species including toothed whales in revealing equivalencies that suggest that different sensory stimuli associated with objects or individuals may effectively evoke mental representations that are, respectively, object based or individual based. Building on established findings of structural equivalence in the form of spontaneous recognition of complex shapes across the modalities of echolocation and vision and behavior favoring identity echoic–visual cross-modal relationships over associative echoic–visual cross-modal relationships, examinations of transitive inference equivalencies from initially …

Effect Of Vertical Alignment On Elementary, Middle, And High School Music Programs, Tamekia Denise Holliday

Doctoral Dissertations and Projects

This study examined the effects of vertical alignment on elementary, middle, and high school music programs. Thirty-five (n = 35) elementary, middle, and secondary music educators participated in the study. Of the 35 participants, 41% (n = 15) were high school music educators, 25% (n = 9) were middle school music educators, 27% (n = 10) were middle and high school music, and 2% (n = 1) taught elementary, middle, and high school. Analysis of survey data revealed significant relationships related to vertical alignment. The most significant relationship was between vertical alignment and retention (r = .643, p < .01), suggesting that student retention increases as vertical alignment increases. As well, results indicated that as vertical alignment decreases, the number of students “who wish to continue in music classes but cannot” increase (r = -.530, p < .01). Analysis of open-ended survey questions revealed valuable themes related to consistent band participation, music teacher expectations, and the effect of vertical alignment on music programs. Applying the results of this study may improve understanding of the effects of vertical alignment and enhance effective teaching and learning in music.

Exploration Of How Unified Theory Of Acceptance And Use Of Technology Enhances Trust In Communication, Samantha M. Ricciardi

Doctoral Dissertations and Projects

The qualitative study aims to understand the central phenomenon of how trust enhances communication with online grocery shopping for participants who are 25 years and older and are active online grocery shoppers. Venkatesh, Morris, and Davis created a technology acceptance model called Unified created Theory of Acceptance and Use of Technology, which explains the acceptance and use of information systems and communication technology innovations with consumers (Kim et al., 2008; Phillippi et al., 2021). The Unified Theory of Acceptance and Use of Technology is an alternative theoretical model that ties into eight existing user acceptance models: (a) Technology Acceptance Model …

Diversity And Inclusion In International Communications: Applications For Today’S Work World, Kimberley Barker Phd, Redhwan Al-Muntaser, Emily J. Boerman, Joshua Burd, Scott Burns, Stephanie Coleman, Christine R. Day, Ciara Grantham, Paul Katokwe, Heidi Philipsen-Meissner

Global Advances in Business Communication

Verna Myers (2016) advocated that “Diversity is being invited to the party, but inclusion is being asked to dance.” Cultural competence demands a strategic understanding of the importance of harnessing the power of diversity and inclusion in every action in organizations, communities, and nations throughout the world. Today’s work world cannot undervalue the importance of having diverse and inclusive representation in all areas of the organization, especially including international communication. By creating an environment that continually asks questions, values and embraces diversity - then collaborates and reconciles potential solutions to create positive outcomes - creates an inclusive environment in which …

Improved Data Communication With Frontline Staff, David Sprecher

Master's Projects and Capstones

Problem: Frequently, communication from the Quality Department (QD) needs to be filtered through several organizational layers without first-hand knowledge of what message was given to frontline staff. Current mechanisms of communication between the QD and front-line microsystem teams have barriers preventing them from being consistent and reliable.

Context: Research has found that collaborating with and supporting frontline staff was key to establishing a culture that supports change and a focus on safety. Establishing open communication and effective teamwork with individuals on the frontline leads to shared values within a team and better collaboration which drives performance improvement.

Interventions: For trended …

Development Of University-Friendly Cubesat Bus And Ground Station Architecture Using Software-Defined Radios, Jin S. Kang

Small Satellite Conference

The goal of the research and development presented in this paper is to introduce a CubeSat bus and ground station architecture that is made to be much more approachable to schools and universities. The three main pillars of the effort are low-cost, maintaining flexibility, and lowering the bar of entry. The presented CubeSat bus includes PyCubed board which houses most of the core satellite bus components on a single board. The board can handle main processing, data storage, UHF radio communication, telemetry sensors, and power management. This UHF radio is paired with a software-defined radio (SDR) that serves as the …

Test And Evaluation Of Grissom-1 Cubesat Communication Subsystem, Michael J. Bittle, Andrew S. Keys

Small Satellite Conference

The Grissom-1 mission (GM1), slated to launch in September 2022, is the first in a series of 6-Unit CubeSat satellites built and operated by the Air Force Institute of Technology’s (AFIT’s) Center for Space Research and Assurance (CSRA). Mission success for GM1 depends on a comprehensive campaign of testing and assessment to confirm the components, design, and assembly of all systems and subsystems within the satellite. This paper specifically focuses on the testing and analysis of all communication links between the spacecraft, the ground system, and the Satellite Operations Center (SOC) being hosted at the Air Force Instituteof Technology at …

Design, Fabrication, And Tuning Techniques Of Quadrifilar Helix Antennas For Small Satellites, Kelby Davis, Reyhan Baktur

Small Satellite Conference

Quadrifilar helix antennas are also called fractional turn helix is very appealing to spacecraft applications. A quadrifilar antenna offers circular polarization in its radiating hemisphere and its radiation pattern is not severely affected by a ground plane. These properties are important for closing the communication link and make the antenna relatively independent of the CubeSat frame and mounting location, which facilitates modular design of the antenna.

Although it has similar shape as a helical antenna, a quadrifilar helix antenna is fundamentally different. While there exists design theory and calculators for this type of antennas, detailed notes on design, fabrication, and …

Tweeting From The Moon, Nelly Phillips Offord, Sophie Bywater, Alex Da Silva Curiel, Jonathan Friend, Charles Cranstoun, Ben Schwarz, Martin Sweeting

Small Satellite Conference

Lunar Communications Pathfinder is planned to enable small and large satellites and landers to carry out data intensive missions around the moon, without the need for complex and costly on-board communication equipment and access to global ground networks.

From the middle of this decade there are expected to be 5 to 15 active space missions on or around the moon, generating several GBytes of data per day. Lunar Communications Pathfinder is a commercial initiative with ESA and NASA as anchor tenants. The 300kg class small spacecraft is currently in manufacture for launch in 2025, and is aimed at alleviating pressure …

Exploration And Implementation Of Interprofessional Education (Ipe) Initiative, Trevor Blose

Department of Occupational Therapy Entry-Level Capstone Projects

The culminating project for my doctoral capstone experience (DCE) was to use my current knowledge and experience to work with the IPE team in their efforts to continue to adapt and improve the IPE modules and complete any projects that would benefit from the IPE initiative. A literature review was conducted to explore interprofessional education (IPE) and a needs assessment was performed to identify DCE goals. Studies have shown that students who participate in IPE demonstrate increased interprofessional communication skills and the ability to work collaboratively within an interdisciplinary team. The main goal was to update, maintain, and facilitate to …

Simulation Of Single Gimbal Control Moment Gyroscopes (Sgcmg) Cluster For Microsatellite Maritime Surveillance Mission, Ki Hwan Keum, Regina Lee

Small Satellite Conference

The potential for agile missions for small satellites exists through development of single gimbal control moment gyroscopes (SGCMG). An SGCMG cluster comes with additional complexity and volume requirements, but efforts in their development have reduced their overall size while providing higher torque over similarly sized reaction wheels. In this paper, we present a feasibility study of a small satellite using a small volume pyramid SGCMG cluster for coastline monitoring through Simulink. Two realistic torque profiles for sweeping capture of complex coastlines within one minute were generated using STK, requiring maximum torques of 0.190 and 0.218 Nm and rapid slew rate. …

Global Child And Family-Centered Care Fellowship, Education And Mentorship For Pediatric Healthcare Professionals: A Literature Review, Ashley Zheng, Bobbijo Pansier

Patient Experience Journal

Child- and family-centered care (FCC) is increasingly accepted and implemented to optimize the healthcare experience for patients, their families, and healthcare professionals. Standish Foundation for Children, a 501(c)(3) non-profit, has designed and piloted a fellowship to educate pediatric healthcare professionals in FCC & psychosocial care via an inquiry and mentorship model in Tbilisis, Georgia. This review aimed to evaluate and synthesize existing literature on psychosocial and FCC mentorship for pediatric healthcare professionals in four parts: ongoing need, effects on healthcare professionals, effects on children and their families and/or caregivers, and in cross-country healthcare settings. Reviewers searched open-source databases for articles …

Beyond Service Education: Impacting The Human Experience With Sustained Training Utilizing The Experience Model Of Communication, Jennifer S. Packard, Rebecca A. Brustad, Jane M. Hoplin, Sheila K. Stevens

Patient Experience Journal

Patients scheduling or checking in for medical appointments often share with frontline employees’ details of their stories, including their worries, prior negative experiences, and hopes. These interactions require employees to not only complete their task, but also to be mindfully present, picking up on important social cues and showing appropriate emotional congruence and empathic understanding. Based on a review of recorded patient calls, a gap was identified in the communication skills of desk and scheduling staff at this large academic medical center, and a sustained training program was created to fill this gap. The training is centered on an evolving …

Human Experience Is Not A Line Item, Jason A. Wolf

Patient Experience Journal

Our humanity is fundamentally defined in context with others, in our relationships that reinforce or bend who we are, in the interactions through which we wither or grow. It is these interactions that rest squarely at the heart of the healthcare experience. For over a decade, we have defined experience in The Beryl Institute community as the sum of all interactions, shaped by an organization’s culture that influence patient perceptions across the continuum of care. The power of the simple, yet significant nature of these words reinforces the idea that experience happens primarily at the touch point between people. …

Genomics-Informed Nursing Care: A Survey Of Nicu Nurses' Experience And Perspectives Related To Genomic Sequencing, Rachel I. Anderson

Theses and Dissertations

Background: Genomic sequencing is used in the Neonatal Intensive Care Unit (NICU) to diagnose babies with genetic disorders. Purpose: To explore the experiences and knowledge of nurses working in NICUs related to genomic sequencing. Methods: This was a mixed-methods, cross-sectional descriptive survey of NICU nurses attending a national conference. Quantitative data were analyzed using descriptive statistics. Qualitative data were coded into categories and themes. Results: Of 188 NICU nurses, nearly half reported experience with genomic sequencing. Among nurses with experience, 62.7% rated the amount of discussion they had with families about genomic sequencing as "0". Additionally, 72.7% of participants reported …

Private University Library Websites In Dhaka, Bangladesh: An Analysis Of Contents And Features, Md. Abdul Hakim Shah

Library Philosophy and Practice (e-journal)

The purpose of the study is to explore the present status, contents, and features that are used for user communication of private university library websites (PULW) in Dhaka city, Bangladesh. To ensure representativeness, purposively select twenty-two (22) private university libraries that have dedicated websites. A checklist contained sixty-one (61) items divided into ten (10) categories, and interview methods were followed for authenticity and reliability of data. The result of this study has been presented in tabular and figurative forms. The study found that the trend of websites that began a few years ago will become a driving force for library …

Implementation Of Scripted Debriefings Following Neonatal Delivery Room Resuscitations., Kimberly M. Knott

Doctor of Nursing Practice Papers

Abstract

Background: The functioning of neonatal delivery teams can be affected by technical and non-technical skills of individual team members. The team in this project was challenged by varying knowledge and skill levels and did not have a standardized process for debriefing resuscitation events. The literature shows that debriefings can aid in improving knowledge, skills, teamwork, and communication of resuscitation teams.

Purpose: The purpose of this quality improvement project was to implement a scripted, post-resuscitation debriefing with the neonatal delivery team to improve non-technical skills of the resuscitation team and identify challenges to providing optimal care.

Method: Scripted, …

Understanding Parent-School Communication And Involvement Of Children Receiving Title 1 Services, Holly B. Muscoe

All NMU Master's Theses

This qualitative, phenomenological research study was designed to gain an understanding of the experiences of parents of elementary school children receiving Title 1 services with a specific focus on parent-school communication and involvement. This study includes information gleaned from six interviews with parents of elementary students receiving Title 1 services from three separate elementary schools within the Northern Lakes School district (pseudonym), located in the Upper Midwest. Participant responses revealed the following themes:

1. Parental expectation of responsive two-way communication

2. Preference for frequent communication regarding student learning and progress

3. Communication to inform home-based school involvement

4. Parent interviews allow for reflection and …

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Accommodations, Inclusion, And Communication With Students With Disabilities In The Music Classroom, Cora M. Wilson

Music Theses & Dissertations

The purpose of this study was to learn how music educators create inclusivity in their classroom and how to better do that without potentially alienating the students with disabilities. For this study, inclusivity is defined as providing an equal opportunity for participation and education in the classroom. It is also to bring more awareness to disabilities and how they can and should be managed in the classroom. The goal for this study is to aid in informing educators on how to enable students with disabilities to be included without feeling alienated or having undue attention drawn to them.

As the …

Emergency Department Communication In Persons Living With Dementia And Care Partners: A Scoping Review, Christopher R Carpenter, Jesseca Leggett, Fernanda Bellolio, Marian Betz, Ryan M Carnahan, David Carr, Michelle Doering, Jennie Chin Hansen, Eric D Isaacs, Deborah Jobe, Kathleen Kelly, Nancy Morrow-Howell, Beth Prusaczyk, Bob Savage, Joe Suyama, Allan S Vann, Kristin L Rising, Ula Hwang, Manish N Shah

Faculty, Staff and Student Publications

OBJECTIVES: To synthesize published research exploring emergency department (ED) communication strategies and decision-making with persons living with dementia (PLWD) and their care partners as the basis for a multistakeholder consensus conference to prioritize future research.

DESIGN: Systematic scoping review.

SETTINGS AND PARTICIPANTS: PLWD and their care partners in the ED setting.

METHODS: Informed by 2 Patient-Intervention-Comparison-Outcome (PICO) questions, we conducted systematic electronic searches of medical research databases for relevant publications following standardized methodological guidelines. The results were presented to interdisciplinary stakeholders, including dementia researchers, clinicians, PLWD, care partners, and advocacy organizations. The PICO questions included: How does communication differ for …

Patient Preference For Virtual Versus In-Person Visits In Neuromuscular Clinical Practice, Komal Hafeez, Hani Kushlaf, Husam Al-Sultani, Anny-Claude Joseph, Zoya Zaeem, Zaeem Siddiqi, Shannon Laboy, Michael Pulley, Ali A Habib, Nathaniel M Robbins, Sean Zadeh, Muhammad Ubaid Hafeez, Yessar Hussain, Alexandria Melendez-Zaidi, Charles Kassardjian, Kristin Johnson, Holly Leonhard, Suur Biliciler, Jorge E Patino Murillas, Aziz I Shaibani

Faculty, Staff and Student Publications

INTRODUCTION/AIMS: It is unknown if patients with neuromuscular diseases prefer in-person or virtual telemedicine visits. We studied patient opinions and preference on virtual versus in-person visits, and the factors influencing such preferences.

METHODS: Telephone surveys, consisting of 11 questions, of patients from 10 neuromuscular centers were completed.

RESULTS: Five hundred and twenty surveys were completed. Twenty-six percent of respondents preferred virtual visits, while 50% preferred in-person visits. Sixty-four percent reported physical interaction as "very important." For receiving a new diagnosis, 55% preferred in-person vs 35% reporting no preference. Forty percent were concerned about a lack of physical examination vs 20% …

Emergency Department Communication In Persons Living With Dementia And Care Partners: A Scoping Review, Christopher R Carpenter, Jesseca Leggett, Fernanda Bellolio, Marian Betz, Ryan M Carnahan, David Carr, Michelle Doering, Jennie Chin Hansen, Eric D Isaacs, Deborah Jobe, Kathleen Kelly, Nancy Morrow-Howell, Beth Prusaczyk, Bob Savage, Joe Suyama, Allan S Vann, Kristin L Rising, Ula Hwang, Manish N Shah

Department of Emergency Medicine Faculty Papers

OBJECTIVES: To synthesize published research exploring emergency department (ED) communication strategies and decision-making with persons living with dementia (PLWD) and their care partners as the basis for a multistakeholder consensus conference to prioritize future research.

DESIGN: Systematic scoping review.

SETTINGS AND PARTICIPANTS: PLWD and their care partners in the ED setting.

METHODS: Informed by 2 Patient-Intervention-Comparison-Outcome (PICO) questions, we conducted systematic electronic searches of medical research databases for relevant publications following standardized methodological guidelines. The results were presented to interdisciplinary stakeholders, including dementia researchers, clinicians, PLWD, care partners, and advocacy organizations. The PICO questions included: How does communication differ for …

Emergency Department Communication In Persons Living With Dementia And Care Partners: A Scoping Review, Christopher R Carpenter, Jesseca Leggett, David Carr, Michelle Doering, Beth Prusaczyk, Et Al.

2020-Current year OA Pubs

OBJECTIVES: To synthesize published research exploring emergency department (ED) communication strategies and decision-making with persons living with dementia (PLWD) and their care partners as the basis for a multistakeholder consensus conference to prioritize future research.

DESIGN: Systematic scoping review.

SETTINGS AND PARTICIPANTS: PLWD and their care partners in the ED setting.

METHODS: Informed by 2 Patient-Intervention-Comparison-Outcome (PICO) questions, we conducted systematic electronic searches of medical research databases for relevant publications following standardized methodological guidelines. The results were presented to interdisciplinary stakeholders, including dementia researchers, clinicians, PLWD, care partners, and advocacy organizations. The PICO questions included: How does communication differ for …

Impact Of Organizational Climate On Job Performance In Nigerian University Libraries: Perceptions Of Academic Librarians, Chinwendu C. Akpom Dr, Emmanuel Chukwudi Ihekwoaba Dr, Harriet Uche Igbo Dr

Library Philosophy and Practice (e-journal)

The paper examined academic librarians' perceptions of the characteristics that contribute to a favorable organizational climate and those that negatively affect it in Nigerian university libraries. The study concentrated on Nigeria's Southeast and South-South geopolitical zones. The researchers adopted a descriptive survey design for the research. A structured questionnaire was employed to collect the data from the respondents and analyzed using mean and standard deviation. The study population consists of 143 academic librarians in university libraries in the study area. The entire population was used as a sample because it was a manageable number. The result demonstrates that respondents have …

Role Of Communication And Marital Acceptance In Marital Adjustment For Dual Earners Married Under 10 Years, Saraswati Stefannie Doho, Jenny Lukito Setiawan

Makara Human Behavior Studies in Asia

This study aims to determine the role of communication and marital acceptance in marital adjustment for dual earners married under 10 years. A total of 93 respondents are involved in this study. The criteria for selecting respondents are married employees of company X in Surabaya; married under 10 years; have a working spouse. A quantitative research method with a correlational design is used. Communication, marital acceptance, and marital adjustment scales are also used. Multiple linear regression analysis shows that communication and marital acceptance have a significant role in marital adjustment. The contribution of communication and marital acceptance to marital adjustment …

Sexual Health Assessment Is Vital To Whole Health Models Of Care, Alex Uzdavines, Drew A Helmer, Juliette F Spelman, Kristin M Mattocks, Amanda M Johnson, John F Chardos, Kristine E Lynch, Michael R Kauth

Center for Medical Ethics and Health Policy Staff Publications

Sexual health is the state of well-being regarding sexuality. Sexual health is highly valued and associated with overall health. Overall health and well-being are more than the absence of disease or dysfunction. Health care systems adopting whole health models of care need to incorporate a holistic assessment of sexual health. This includes assessing patients' sexual orientation and gender identity (SOGI). If health systems, including but not limited to the Veterans Health Administration (VHA), incorporate sexual health into whole health they could enhance preventive care, promote healthy sexual functioning, and optimize overall health and well-being. Assessing sexual health can give providers …

Family Physician Leadership During The Covid-19 Pandemic: Roles, Functions And Key Supports., Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Judith Belle Brown, Paul S Gill, Madeleine Mckay, Eric Wong, Stephen J Wetmore, Richard Buote, Leslie Meredith, Lauren Moritz, Sarah Spencer, Maria Alexiadis, Thomas R Freeman, Aimee Letto, Bridget L Ryan, Shannon L Sibbald, Amanda Lee Terry

Health Studies Publications

PURPOSE: Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from previous pandemic plans. This study aims to describe the leadership roles and functions family physicians played during the COVID-19 pandemic in Canada and identify supports and barriers to formalizing these roles in future pandemic plans.

DESIGN/METHODOLOGY/APPROACH: This study conducted semi-structured qualitative interviews with family physicians across four regions in Canada as part of a multiple case study. During the interviews, participants were asked about their roles during each pandemic stage and the facilitators and barriers …

Emergency Department Policies To Improve Care Experiences For Older Adults During The Covid-19 Pandemic, Anita Chary, Shan Lliu, Lauren Southerland, Lauren Cameron Comasco, Kei Ouchi, Christopher R. Carpenter Md, Msc, Edward W Boyer, Aanand D. Naik, Maura Kennedy

Journal of Geriatric Emergency Medicine

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Review Of Small Group Communication: Forming And Sustaining Teams, Justin Walton

Communication and Theater Association of Minnesota Journal

Review of Small group communication: Forming and sustaining teams (2021) by Jasmine Linabary and Moon Castro found at https://open.umn.edu/opentextbooks/textbooks/small-group-communication-forming-sustaining-teams.