Digital Commons Network^™

Caring Communication With Failing Students: A New Simulation Application For Graduate Education, Diane S. Aschenbrenner, Roxanne Moran

General Submissions: Presentations (Oral and Poster)

Purpose: The National League for Nursing in 2014 noted the lack of qualified faculty obstructs the preparation of new nurses (Nurse Educator Shortage Fact Sheet). One necessary role of faculty is addressing student failure in caring ways (Sitzman & Watson, 2014). The literature on using simulation to help prepare future nurse educators is scarce. Practicing difficult conversations within the context of simulation is one method to enhance role development. This presentation will explore the infusion of caring science approaches within a graduate nursing education simulation of student failure.

Methods: Two simulations, one clinical failure and one didactic failure, were created …

Strategies To Improve Interdisciplinary Communication In An Acute Care Inpatient Pediatric Unit, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

MaineHealth Maine Medical Center

Interdisciplinary patient rounding has been shown to improve patient and family satisfaction as well as reduce patient length of stay and readmission rates. In an acute care inpatient pediatric unit, baseline metrics demonstrated that 100% of the time, nursing was not included in these rounds thus resulting in sub optimal communication.

The goal of this performance improvement project was to attain increased nursing participation. Data collection demonstrated several reasons for lack of participation and corrective actions were instituted. After undertaking this KPI goal and utilizing operational excellence, 95% of the time, nurses were called to morning rounds with the medical …

Communication Of Medication Side Effects In An Acute Care Hospital, Deb Bachand, Rachel Caiola, R6 Neurology Med-Surg Unit, Haley Pelletier, Brendan Lilley, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

MaineHealth Maine Medical Center

COMMUNICATION OF MEDICATION SIDE EFFECTS IN AN ACUTE CARE HOSPITAL

Effective patient education of prescribed medication side effects improves patient safety and reduces overall risk. On an acute care hospital unit, nursing staff felt previous attempts at this education had been ineffective as demonstrated by their HCAHPs scores for communication about medications.

A root cause analysis demonstrated some flaws and several countermeasures were instituted. The goal of this KPI project was to attain a higher than national average for the specific HCAHPs score.

Post KPI inception, the unit’s HCAHPs data showed steady improvement. Within one month, the goal of an …

Interdepartmental Rounding, Peggy Anderson, Carrie Strick, R3 Med-Surg Unit, Haley Pelletier, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Maine Medical Center Operational Excellence

MaineHealth Maine Medical Center

STRATEGIES FOR IMPROVING COMMUNICATION BETWEEN DOCTORS AND NURSES IN AN ACUTE CARE HOSPITAL

Effective interdisciplinary communication is imperative for safe patient care in an acute care hospital environment.

A surgical unit used their HCAHPs scores to assess how often patients perceived there was good communication between different doctors and nurses during their hospital stays. The data demonstrated that this occurred 22% less often than the national average.

As a result of a root cause analysis, a number of countermeasures were initiated with the goal of achieving scores greater than the national average. Post KPI inception in the second quarter of …

Speech Class Syllabus (No Textbook), Norman Kagan

Open Educational Resources

A syllabus for Speech Class without a textbook. Includes Motivation, Class Basics, Learning Outcomes and Topics. The author has taught Speech for many years and worked in the film and television industries.

Improving Cubesat Downlink Capacity With Active Phased Array Antennas, Jonathan Klein

Engineering

Power budgets on small satellites are restricted by the limited surface area for solar panels. This limits the power available for radio communications, which constrains the downlink budget. The limited transmit power translates to low downlink data rates on small satellites. Antenna gain from directive antennas may be a power efficient way of improving the downlink budget, thereby increasing the downlink rate of small satellites. This project focuses on the design and development of a prototype low-power, electrically-steered S-band phased array RF front-end suitable for a CubeSat that could efficiently increase the EIRP, permitting higher data rates. A prototype of …

Communication In A Palliative Care Setting: The Use Of Shadow Box As A Strategy, Sufia Turner, Nicole Harder

General Submissions: Presentations (Oral and Poster)

Communicating with palliative patients and families is a fundamental yet difficult skill for nursing students to acquire. While many nursing programs didactically instruct palliative theory, actual hands on application comes with challenges. Gillett, O'Neill and Bloomfield (2016) found intrinsic and extrinsic factors were contributing to student's inability to communicate effectively with patients and families. Intrinsic factors were those such as a lack of self-confidence and discomfort with the emotional aspect of the communication. Whereas extrinsic issues could be nurses in the field barring students from caring for palliative patients as a way to mitigate how and what is said to …

Networks Of Change: Extending Alaska-Based Communication Networks To Meet The Challenges Of The Anthropocene, Richard E. Hum

Communication

The Anthropocene is a contested term. As I conceptualize it throughout this dissertation, the Anthropocene is defined by an increased coupling of social and environmental systems at the global scale such that the by-products of human processes dominate the global stratigraphic record. Additionally, I connect the term to a worldview that sees this increased coupling as an existential threat to humanity's ability to sustain life on the planet. Awareness that the planet-wide scale of this coupling is fundamentally a new element in earth history is implicit in both understandings. How individuals and communities are impacted by this change varies greatly …

Market Analysis, Management Consulting, And Miscommunication, Brian W. Stout

Marriott Student Review

This article attempts to inform the audience of the importance of market analysis in management consulting. The article states that consulting firms can utilize the power of market analysis as they commit to understand technology, collaborate with researchers to conduct action research, and align market strategies within the consulting firm. This article concludes that by doing these steps consulting firms will lead in their market.

Improving The Quality Of Bedside Shift Report Behavior: Implementing A Standardized Bedside Report Tool On The Medical-Surgical Floor At Woodland Healthcare, Amanda Waggoner

Master's Projects and Capstones

Abstract

Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of …

The Effects Of Therapeutic Horseback Riding On Communication In Children And Adolescents With Developmental Disorders, Shelby Anne Holm

Theses and Dissertations

This mixed-methods study examined the effects of participation in a 10-week therapeutic horseback riding program on communicative behaviors in participants diagnosed with Autism spectrum disorder or Down syndrome. Certified Therapeutic Riding Instructors utilized the Naples Equestrian Challenge Participant Initial Evaluation to complete a pre-evaluation prior to the first riding session and a post-evaluation during the last session. Following the post-evaluation, the researcher collected qualitative data through conducting parent interviews. The study included 16 participants (M = 12.62; age range 5-23 years old, 8 females and 8 males). Change scores for each participant were calculated and an aggregated mean for pre- …

Every Word, Every Gesture, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Two nonverbal patients teach a novice clinician the power and often hidden impact of the physician-patient relationship.

Crisis Communication In Higher Education, Andrea L. Northam

Leadership Education Capstones

No abstract provided.

Perspectives And Experiences Of Deafblind College Students, Ju-Lee A. Wolsey

The Qualitative Report

DeafBlind individuals are resilient human beings who face significant and complex challenges in all aspects of life. Challenges include access to information, communication, academics, social activities, identity, independence, mobility, and moving around in the world. Recently, more DeafBlind students are attending higher education institutions. Therefore, this study focuses on discovering experiences and perspectives of DeafBlind college students who attend a bilingual and bicultural university for sighted Deaf students, where there are a limited number of DeafBlind students. Personal interviews and observations are used to explore how DeafBlind adults navigated college life and what coping strategies they used to overcome academic …

Improving Pharmacy Student Communication Outcomes Using Standardized Patients, Chris Gillette, Michael Rudolph, Nicole Rockich-Winston, Robert B. Stanton, H. Glenn Anderson Jr.

Pharmacy Practice & Administration

Objective. To examine whether standardized patient encounters led to an improvement in a student pharmacist-patient communication assessment compared to traditional active-learning activities within a classroom setting.

Methods. A quasi-experimental study was conducted with second-year pharmacy students in a drug information and communication skills course. Student patient communication skills were assessed using high-stakes communication assessment.

Results. Two hundred and twenty students’ data were included. Students were significantlymore likely to have higher scores on the communication assessment when they had higher undergraduate GPAs, were female, and taught using standardized patients. Similarly, students were significantly more likely to pass the assessment on the …

The Perceptions Of Father Involvement In Elementary Schools, Myles J. Hebrard

Electronic Theses and Dissertations

The purpose of this phenomenological study was to understand the perceptions of father involvement in elementary schools. The focus of the study was to allow the researcher to develop a greater understanding of perceptions of father involvement, from both a father and teacher perspective. Data was collected from teachers and fathers through surveys and interviews. Specific content areas of the father survey included communication, activities fathers engaged in, training opportunities provided at the school, parent conferences, when events were offered, availability, and suggestions for school staff. Specific content areas of the teacher survey included communication, activities fathers engaged in, training …

Evaluating Effective Communication Methods: Improving Internal Communication, Amber L. Suthers

Electronic Theses and Dissertations

Relaying information from a Chief Communications Officer (CIO), or centralized communications departments to hospital employees is not always efficient or effective. Employees may not be informed of important changes to department protocols or hospital policies. The purpose of the study was to determine the most efficient and effective forms of internal communications in the hospital setting.

A total of 83 surveys were mailed to communication officers working in Tennessee hospitals in and east of Nashville. Sixteen communication officers responded. This low response rate may be attributed to poor designation of communication responsibilities and an abdication of responsibilities to an off …

A Social Marketing Plan For The Children's Safety Center, Morganne Kaylyn Rhodes

Graduate Theses and Dissertations

The Children’s Safety Center (CSC) is a nonprofit organization in Springdale, Arkansas, that advocates for child abuse victims in Northwest Arkansas. This thesis project includes a social marketing plan that aims to increase the overall awareness of the CSC and its new prevention programs used to decrease the number of child abuse victims in Northwest Arkansas. The social marketing plan also aims to create behavioral changes that increase participation in prevention programs and social media engagement, in addition to volunteers and donors. The plan was developed based on research on effective nonprofit social marketing plans, research on efficient communication efforts …

The Impact Of Social Situations On College Students’ Perceptions Of Sexual Consent, Casey Jane Ward

Graduate Theses and Dissertations

The majority of research examining sexual consent among college students focuses on how young adults communicate sexual consent during interactions immediately preceding a sexual encounter. However, preliminary research suggests that college students perceive that individuals begin to communicate sexual consent within social settings (e.g., at a bar) and through nonsexual interactions (e.g., text messaging); this has been labeled “outside the bedroom” consent. In order to further explore “outside the bedroom” consent, college students (n= 789) were randomly assigned to read four of sixteen vignettes. Within each vignette, four variables were manipulated: gender of the initiator (male or female), the social …

Communication And Family Identity: Toward A Conceptual Model Of Family Identity And Development Of The Family Identity Inventory, Kaitlin Elizabeth Phillips

Department of Communication Studies: Dissertations, Theses, and Student Research

Families serve as a primary socializing agent in the lives of individuals (Soliz & Rittenour, 2012), and the first social identity individuals have in their lives. Given the complexity and importance of identity—and family identity specifically, the goal of this study is to identify the various dimensions of family identity that scholars and practitioners should account for in their work. Through a two-study exploratory sequential mixed-method design I investigate what constructs comprise a conceptual model of family identity, and I develop a corresponding inventory of Family Identity. Through this process, I will also assess the relationships among these communicative processes, …

Creating Sustainable Supply Chains: Influencing Sustainable Practices In The Supply Chain, Saif Mir

Graduate Theses and Dissertations

Organizations worldwide are reporting their commitment to create sustainable supply chains. Ultimately, supply chain professionals are the drivers of change within their respective organizations, so this dissertation examines the role of communication as a tool to persuade supply chain professionals to create sustainable supply chains. The three studies within this dissertation employ different methodologies to examine the role of communication in the development and implementation of sustainability initiatives. The first study, a grounded theory investigation, highlights the network, communication, and structural factors that provide a strong business case for the development of sustainability initiatives. A strong business case influences the …

How To Effectively Improve Nurse-Physician Communication, Savannah R. Lacoste

Honors Theses

A study of the issue of Nurse-Physician communication, its causes, effects, importance, and possible improvements through research. The results suggest both physicians and nurses agree that nurse-physician communication is an important problem, and can be effectively improved in many ways including: a required nurse-physician communication class for pre-medical and pre-nursing students at an undergraduate level, improved and structured communication tools, and inter-professional education (IPE) between nurses and physicians. The research provides the outlooks of twenty-five nurses and twenty-five physicians independently, as well as demonstrating the nurse-physician disconnect through data comparison and analysis.

Creating Cultures Of Thinking: The 8 Forces We Must Master To Truly Transform Our Schools, Sharon F. Dole

Interdisciplinary Journal of Problem-Based Learning

No abstract provided.

Catholic Relief Services: Information And Communication Technology In Monitoring And Evaluation, Nguyen Tuan Phong, Ta Thi Hai Yen

The Journal of Conventional Weapons Destruction

In February 2015, Catholic Relief Services (CRS) Vietnam initiated a new project to support the reintegration and rehabilitation of survivors of accidents involving landmines and explosive remnants of war (ERW). With funding from the Office of Weapons Removal and Abatement in the U.S. Department of State’s Bureau of Political-Military Affairs (PM/WRA), CRS’ Access and Reintegration (A&R) project takes a comprehensive approach to serving the needs of 3,219 survivors of landmines and unexploded ordnance (UXO) in Quang Binh and Quang Tri provinces. Through collaboration with the Government of Vietnam’s provincial Department of Labor, Invalids and Social Affairs (DOLISA), CRS provides survivors …

The Dauntless Nurse: Communication Confidence Builder, Arna K. Robins

International Nursing Research Congress (INRC)

Assertive communication is a vital skill nurses must possess. Without these skills, nurses doubt themselves, putting both themselves and their patients in danger. This presentation will focus on knowledge and skills to confidently address situations that leave you feeling uncertain, to build professional relationships, and to create new thinking patterns.

19th Annual Open Government Summit: Access To Public Records Act & Open Meetings Act, 2017, Department Of Attorney General, State Of Rhode Island

School of Law Conferences, Lectures & Events

No abstract provided.

Lack Of Patient Involvement In Care Decisions And Not Receiving Written Discharge Instructions Are Associated With Unplanned Readmissions Up To One Year, Kyle A. Kemp, Hude Quan, Maria J. Santana

Patient Experience Journal

This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) telephone survey within 6 weeks of hospital discharge in Alberta, Canada. Survey data were linked to corresponding inpatient records. Independent variables included selected demographic characteristics, clinical variables, and five survey questions: a) patient involvement in care decisions, b) receiving written information at discharge, c) understanding the purpose of taking medications, d) understanding responsibility for one’s health, and e) discussing help needed when …

Intuition In Healthcare Communication Practices: Initial Findings From A Qualitative Inquiry, Elizabeth L. Angeli, Lillian Campbell

English Faculty Research and Publications

This brief paper reports on how healthcare providers negotiate stages of care and communication by using intuition. This focus shifts attention away from the product-patient records-and towards the process of medical communication. To support this claim, the paper presents preliminary findings from qualitative analysis of two individual ethnographic research projects with live-action clinical nursing simulations and emergency medical services. Using a grounded theory analysis that identified intuitive moments in the writing practices of healthcare providers, this brief paper demonstrates how intuition manifests in all five stages of care-anticipate, assess, plan, act and reassess, and document-and grounds medical assessment and decision …

Social Context-Dependent Activity In Marmoset Frontal Cortex Populations During Natural Conversations, Samuel U. Nummela, Vladimir Jovanovic, Lisa De La Mothe, Cory T. Miller

Psychological Sciences and Counseling Faculty Research

Communication is an inherently interactive process that weaves together the fabric of both human and nonhuman primate societies. To investigate the properties of the primate brain during active social signaling, we recorded the responses of frontal cortex neurons as freely moving marmosets engaged in conversational exchanges with a visually occluded virtual marmoset. We found that small changes in firing rate (∼1 Hz) occurred across a broadly distributed population of frontal cortex neurons when marmosets heard a conspecific vocalization, and that these changes corresponded to subjects' likelihood of producing or withholding a vocal reply. Although the contributions of individual neurons were …

Learning From A Complex Communications Experiment In My Own Home, Carolyn Massiah

UCF Forum

I am living in what I believe is the most complex communications experiment that could be designed by researchers.