Digital Commons Network^™

Frailty Knowledge, Training And Barriers To Frailty Management: A National Cross-Sectional Survey Of Health Professionals In Australia, Leila S. Hanjani, Sarah Fox, Ruth E. Hubbard, Emily Gordon, Natasha Reid, Sarah N. Hilmer, Rosemary Saunders, Danijela Gnjidic, Adrienne Young

Research outputs 2022 to 2026

Objective(s): To understand Australian health professionals' perceptions of their knowledge and previous training about frailty, as well as barriers to frailty assessment and management in their practice. Methods: A cross-sectional online survey was developed and distributed to health professionals (medical, nursing and allied health) engaged in clinical practice in Australia through convenience and snowball sampling techniques from March to May 2022. The survey consisted of five sections: frailty training and knowledge; confidence in recognising and managing adults with frailty; the importance and relevance of frailty; barriers to assessing and managing frailty in practice; and interest in further frailty training. Responses …

Further Development Of The Reflective Practice Questionnaire, Shane L. Rogers, Lon Van Winkle, Nicole Michels, Cherie Lucas, Hassan Ziada, Eduardo J. Da Silva, Amit Jotangia, Sebastian Gabrielsson, Silje Gustafsson, Lynn Priddis

Research outputs 2022 to 2026

Background: This article provides an update of the Reflective Practice Questionnaire (RPQ). The original RPQ consisted of 40-items with 10-sub-scales. In this article, the RPQ is streamlined into a 10-item single reflective practice construct, and a 30-item extended version that includes additional sub-scales of confidence, uncertainty/ stress, and work satisfaction. Methods: A total of 501 university students filled out an online questionnaire that contained the original Reflective Practice Questionnaire, and two general measures of reflection: The Self-Reflection and Insight Scale, and the Rumination-Reflection Questionnaire. Results: Based on factor analysis, the RPQ was streamlined into a brief 10-item version, and an …

Survei Kebutuhan Edukasi Pasien Lupus Eritematosus Sistemik, Jennifer Josephine, Alvina Widhani, Rahmat Cahyanur, Teguh Harjono Karjadi

Jurnal Penyakit Dalam Indonesia

Introduction. Patients with systemic lupus erythematosus (SLE) who suffer from chronic illness, need tailored education to better manage their condition. As nowadays education through internet and social media contributes significantly. This study aimed to assess internet usage related to lupus, educational needs, and education sources preferences among patients.

Methods. This study was a cross-sectional study conducted on adult SLE patients at Allergy and Clinical Immunology Clinic, Internal Medicine Department, Cipto Mangunkusumo Hospital, Jakarta, between July-August 2023. Respondents completed a set of questionnaires regarding their internet usage related to lupus, education platform preferences, and educational needs assessment tool (ENAT). …

Education For Primary Care Providers On Advance Care Planning: A Systematic Literature Review, Lindsey Ward

DNP Qualifying Manuscripts

Background: Healthcare providers in primary care treat patients at various stages of life. As patients age, it becomes necessary for providers to support their older patients throughout the aging process and address patient care even into life’s end stages. Primary care providers (PCPs) are well-positioned to provide this support and can do so through incorporating end-of-life (EOL) conversations in practice. Such discussions are called advance care planning (ACP). Though PCPs can play a crucial role in their patients’ EOL care decisions, providers report their limited knowledge of ACP as a barrier to its application.Consequently, further education for providers on utilizing …

Harm Reduction In Undergraduate And Graduate Medical Education: A Systematic Scoping Review, Kelsey R. Smith, Nina K. Shah, Abby L. Adamczyk, Lara C. Weinstein, Erin L. Kelly

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Substance use increasingly contributes to early morbidity and mortality, which necessitates greater preparation of the healthcare workforce to mitigate its harm. The purpose of this systematic scoping review is to: 1) review published curricula on harm reduction for substance use implemented by undergraduate (UME) and graduate medical education (GME) in the United States and Canada, 2) develop a framework to describe a comprehensive approach to harm reduction medical education, and 3) propose additional content topics for future consideration.

METHODS: PubMed, Scopus, ERIC: Education Resources Information Center (Ovid), and MedEdPORTAL were searched. Studies included any English language curricula about harm …

Book Review: Inequality In America: Causes And Consequences, Eya Mahouachi

The Journal of Values-Based Leadership

Inequality in America: Causes and Consequences is a recent book authored by Rycroft (economics, Univ. of Mary Washington, Fredericksburg, VA) and Kinsley (business law, Univ. of Mary Washington, Fredericksburg, VA) and was written by scholars, advanced graduate students, and expert practitioners. Their book attempts to bridge the gap in scholarship and practice by incorporating the causes and consequences of history, the current state of inequality in the United States, and future consequences if left unresolved. This book is structured according to fundamental topics such as education, healthcare, housing, environmental issues, and the justice system. Using an effective approach to teaching …

Media Literacy Policy In Morocco: A Strategic Milestone Missing, Abderrahim Chalfaouat, Karim Essoufi

Journal of Media Literacy Education

In the digital age, diverse walks of human life have reconfigured profoundly. In the Moroccan society, digitalisation plans and the skyrocketing numbers of internet users necessitate coping literacy policies. While several community initiatives have been taken to improve the quality of media literacy, they, as bottom-up efforts, cannot suffice to meet the needs of the whole Moroccan population. Rather, the absence of a central, nationwide, cross-sectoral media literacy policy significantly challenges the effective coordination of official strategies and community initiatives in media education. This article investigates current practices in media literacy in Morocco. Using document analysis, it delves into data …

Pediatric Endocrinology Milestones 20-Guide To Their Implementation, Cara V Tillotson, Imen Becetti, Katherine Hwu, Laura Page, Sowmya Krishnan, Dianne Stafford, Takara Stanley, Patricia Vuguin, Jennifer M Barker

Faculty, Staff and Students Publications

The Milestones were initiated by the Accreditation Council for Graduate Medical Education (ACGME) to provide a framework for monitoring a trainee's progression throughout residency/fellowship. The Milestones describe stepwise skill progression through six core domains of clinical competency: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Practice-based Learning and Improvement, Professionalism, and Systems-based Practice. Since their introduction in 2013, several barriers to implementation have emerged. Thus, the ACGME launched the Milestones 2.0 project to develop updated specialty-specific milestones. The Pediatric Endocrinology Milestones 2.0 project aimed to improve upon Milestones 1.0 by addressing common limitations, providing resources for faculty to easily incorporate …

A Phenomenological Approach: How Hopelessness Affects Achievement In The Areas Of Socio-Economic, Criminality, And Educational Success Within The African American Community, Shawn A. Parker

Doctoral Dissertations and Projects

This phenomenological study was designed to examine how the concept of hope or lack thereof has an impact on the negative discrepancies in the areas of education, criminal behavior, and socio-economic status among African Americans as it compares to Whites. There may be other ethnicities who have significant inconsistencies as well, but for the sack of this study, the comparisons were primarily among African Americans and Whites. The theory guiding this study is the psychodynamic approach. This approach was guided by Sigmond Freud’s desire to understand human behavior; provided a path to studying the events of the past and present …

Ontological Inquiry In An Undergraduate Communication Course, William B. Strean

Turning Toward Being: The Journal of Ontological Inquiry in Education

This essay explores how ontological and somatic approaches were applied in an undergraduate communication course. Beginning by contrasting the assumptions of traditional knowledge and skills-based approaches with the shift to a focus on being within ontological methods, the author expands to show specifically how somatics informed the learning activities and students’ development in communication. After providing examples of the core content of public speaking and interpersonal communication and shares students’ learning and feedback, the author concludes by considering broader possibilities for ontological inquiry and transformative education.

Cultural Educational Narratives: An Exploration Of Latina Stories The Impact Of Cultural Educational Narratives On Decision-Making For Latinas, Marymargaret Carrillo

Graduate Liberal Studies Theses and Dissertations

This study examined the impact of cultural educational narratives for six Latinas earning an undergraduate or graduate degree. Each Latina earned their degree from Southern Methodist University, a private university in Dallas, Texas. Specifically, this study examined the college decision-making process based on the Perna Conceptual College Choice Model. Using the lens of Intersectionality and Latino Critical Race Theory, the focus of this study is to understand the narratives shared by Latinas about the stories told to them by the Latino culture about decision-making relating to education. This study employed a qualitative research design. During the study, Latinas were interviewed …

Las Honduras De Este Déficit Escolar The Pandemic And Its Impact On The Educational And Schooling Experiences Of Front-Line Responders Working At A Private High School In Honduras, Esther María Claros Berlioz

Journal of Inquiry and Action in Education

Centered on the testimonios,“a narration marked by the urgency to make public a situation of oppression or injustice and of resistance against that same condition” (Forcinito, 2016, p. 239) of four female frontline workers employed at a private bilingual high school in a city in Honduras, this ethnographic study provides details and themes about how these essential workers grappled with the shutdown and lengthy interruption of their children's face-to-face schooling. Offering insight into the contextual realities of Honduras and the differences and commonalities between private bilingual and private and public schooling institutions, this study relies on testimonio as a critical …

A Work Readiness Scale For Allied Health Graduates, Vidya Lawton, Emre Ilhan, Verity Pacey, Taryn M. Jones, Arlene Walker, Catherine M. Dean

Internet Journal of Allied Health Sciences and Practice

Purpose: The transition for allied health graduates from university to the workforce has been perceived to be difficult and overwhelming, leading to early attrition within healthcare professions. Work readiness is a crucial aspect of successful transition to the workforce, however, the elements of work readiness are not clearly defined. The purpose of this project was to refine the measurement of work-readiness in allied health graduates. Method: A 62-item Work Readiness Scale for Allied Health Professionals (WRS-AH), based on a work readiness scale for a generic population of graduates, was validated and refined using an exploratory factor analysis. Results …

Feasibility Of Using Podcasts For Knowledge Dissemination To Reduce Health Disparities For Women Targeting Preventative Initiatives And Lifestyle Medicine Interventions, Kristin Stovern

Doctor of Nursing Practice Scholarly Project

The purpose of this feasibility project was to look at podcasts to shed light on the issues that affect the well-being of women with gender-based disparities in healthcare. Women face persistent obstacles when it comes to the quality of healthcare they receive. One of the barriers that has been ever-present is with failure of the medical system to rigorously study the effects of diseases and drugs on women or to fund studies on women’s health conditions. Implicit biases and lack of access to care inhibit the quality of healthcare. Collectively, these issues result in unnecessary sickness, disability, and decreased quality …

Implementing An African American Cultural Awareness Program For Skilled Nursing Facility Staff, Adekemi T. Adedipe

Doctor of Nursing Practice (DNP) Projects

Background: Patient care is most effective when patients and providers establish a therapeutic connection in a cultural context. Nurses’ lack of awareness of a cultural context for patient care impairs establishing a therapeutic provider/patient relationship, with care of lesser quality and poorer health outcomes as consequences.

Local Problem: Staff at a Northern Californian skilled nursing facility (SNF) caring for African American patients with mental illness lacked self-awareness of the cultural context of care. Staff did not consider cultural constructs of care in treating patients and developing care plans.

Methods: Educational intervention to increase the cultural competence of a skilled …

Improving Preeclampsia Education And Assessment Frequency Among Nurses And Patients With Non-Severe Features In A Postpartum Unit, Monica Heredia

Master's Projects and Capstones

Problem: This Quality Improvement project aimed to improve preeclampsia education among Registered Nurses (RNs) and simplify the preeclampsia assessment frequency for patients with non-severe features in the Mother-Baby Postpartum Unit at Hospital Y.

Context: The Quality Improvement project occurred in a 25-bed Mother-Baby Postpartum unit at Hospital Y. The nurse educators at Hospital Y requested that University of San Francisco (USF) nursing students focus on increasing preeclampsia education among nurses and reducing the nursing assessment frequency.

Interventions: Collect quantitative data through observation and hand anonymous questionnaires to the registered nurses and clinical nurse leaders (CNLs) to determine …

Optimal Tax Theory For Investment In Human Capital And The Role Of Family, Sylwia Radomska

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Purpose: Parents spend more than half of all education expenditures on children’s education, thus the role of the family cannot be omitted in determining the optimal educational policy. The main aim of the article is to present economic literature on optimal taxation with human capital, focusing on studies concerning the impact of the family (parents) on the investment in children’s human capital. Design/Methodology/Approach: Insights from two workhorses are reviewed: the RAMSEY approach and the MIRRLEES approach. The literature in the field considers two instruments: Income-Contingent Loans (ICL) and Education Subsidies (ES). Results from theoretical and simulation studies are summarized. Findings: …

Living Among Wildlife: Elevating Human-Wildlife Interactions And Coexistence, Bridget Rebecca Murphy

Graduate Student Portfolios, Professional Papers, and Capstone Projects

After a semester of learning, both in class and in nature, my writing honed in further on this human-nature divide. To me, I see humans as part of nature – as we are mammals, animals, part of the food chain, biological beings no higher than others on our planet. We have simply constructed this false narrative around us within our societies, minds and media that embeds this division between us and nature, between us and wildlife. Humans have been managing, stewarding, living off and within landscapes for thousands of years. As time and technology evolved, a lot of people began …

Give Love With Lovenox: Improving Nurse Education On Lovenox Prophylaxis To Reduce Pulmonary Embolism Risk On The Postpartum Unit, Jennifer G. Domingo Rn

Master's Projects and Capstones

This quality improvement project aims to improve nurse education about Lovenox prophylaxis to reduce the risk of pulmonary emboli – post-discharge – amongst high-risk postpartum women who underwent vaginal and cesarean deliveries on the family baby unit. This project took place in a Family Baby/Postpartum Unit at Hospital SC. This unit has a total of 25 beds with an increased prevalence of pulmonary embolism following cesarean delivery. Nurses were given anonymous pre- and post-survey questionnaires and provided educational sessions with distributed handouts. A unit needs assessment was conducted using the 5 P’s. Out of the 72 nurses on the staff …

Improving Education On Preeclampsia With Non-Severe Features And Frequency Of Assessment Among Nurses In The Maternal-Child Postpartum Unit, Alyssa J. Willsher

Master's Projects and Capstones

Problem: This Quality Improvement (QI) project aims to improve preeclampsia education among nurses and reduce the frequency of preeclampsia assessments among patients(without severe features) (SF) in the Mother-Baby postpartum unit at Hospital A. Nurses often stated that patients are unable to have uninterrupted rest periods with frequent assessments, which research shows is necessary for reducing patient blood pressure.

Context: The QI project is implemented in a 25-bed postpartum unit that cares for women and their newborns in the postpartum period. The unit’s nurse educator and nurse manager requested that the visiting University of San Francisco research group focus on simplifying …

Improving Triage Accuracy In The Emergency Department, Catriona E. Clohessy

Master's Projects and Capstones

Problem: Hospital Z’s emergency department was experiencing a triage inaccuracy rate that exceeded the accepted national benchmark of 10%. This quality improvement project aimed to reduce triage inaccuracy to less than 10% in the emergency department at Hospital Z, through improved education and availability of supplemental reference materials.

Context: This quality improvement project was conducted in a 40 bed emergency department at Hospital Z. This microsystem serves a diverse patient population from the surrounding community that experience a variety of conditions requiring emergency medical intervention.

Interventions: Clinical Nurse Leader nursing students partnered with unit leadership to create a new ESI …

Enhancing Diabetic Patient Continuous Glucose Monitoring Access, Colleen Ildefonso

Master's Projects and Capstones

Problem: Diabetic patients utilize treatments that require frequent monitoring and medication changes based on their blood sugar results. Continuous Glucose Monitoring (CGM) is more commonly used for diabetes management as time in range is becoming more prevalent to measure diabetes outcomes. Many diabetic patients find CGM use more accessible than finger sticks and glucometers. In contrast, others utilize the technology to closely monitor their blood sugars for interventions throughout the day. However, older adults have difficulty facilitating new CGM technology and may require further reinforcement using additional education methods such as teach-back.

Context: The endocrinology clinic serves a patient population, …

Barriers To Hiring And Retaining Educators In New Hampshire, Melissa N. Fazlic

M.S. in Leadership

The COVID-19 pandemic brought to light the teacher shortage; however, school districts across the country have faced shortages for many years. While the state of New Hampshire is not alone in the shortage of teachers, New Hampshire faces additional barriers when it comes to recruiting and retaining a diverse group of certified educators. This project explores barriers to hiring educators that include: the demand for teachers, the COVID-19 pandemic, teaching reciprocity challenges, budget constraints and low wages, and local competition. The methodology used includes a combination of research using online tools such as Google Scholar, the UNH virtual library, and …

Beyond The Bell: Rebuilding Care, Civic Learning And Creativity Within Youth Spaces, Michelle R. Haapala

Masters Projects

The purpose of this research is to investigate high school age students’ opportunities within formal classroom settings to engage in care, civic learning, and creativity within a suburban, publicly-funded charter school. This study used thematic analysis and coding methods to organize and find patterns in the qualitative data from surveys distributed to education professionals at Canton Preparatory High School in Canton, Michigan. The goal is to establish a foundation of the perception of care, civic learning, and creativity within school environments and classroom settings. Overall, education professionals rated these categories positively, but with a closer investigation, a disconnect is found. …

Teaching Anne Finch In "Partisanship In Restoration And Eighteenth-Century Britain", Jennifer Wilson

ABO: Interactive Journal for Women in the Arts, 1640–1830

The works of Anne Finch, a writer doubly exiled as a female poet and Jacobite, stand out as eminently teachable examples of a compelling political outsider view that provokes us to consider how we can better attend to perspectives of principled opposition. Her poems in response to what has been called the "first modern revolution," together with her odes upon the deaths of King James II and Queen Mary Beatrice, showcase the subversive power of indirect articulation, expressing values through emotions and affects in veiled forms such as allegory and alternate history.

Challenging Florida’S Parental Rights In Education Act, Aka The “Don’T Say Gay” Law: Finding Equality Through Equal Protection Doctrine, Nelson Garcia

University of Miami Race & Social Justice Law Review

No abstract provided.

An Analysis Of The Efficacy Of Disciplinary Methods, William Hewitt

Masters Projects

The practice of punitive discipline is the most common response to misbehavior in American school systems, despite having no evidence to support its continued use. However, there is research that demonstrates its active harm to students in multiple capacities. Punitive discipline has been found to only exacerbate students’ behavior issues, as well as negatively impact their academic performance. Additionally, research has pointed out that punitive discipline impacts students of minority demographics at a significantly higher rate than students belonging to majority demographics. More research in the way of alternative restorative policies, such as Positive Behavior Interventions and Supports (PBIS), is …

The Role Of Social And Personal Competencies In Quality Teacher Instruction, Jane Blair Laoo

Ed.D. Dissertations

Despite the appropriate and high level of concern about providing high-quality core instructional practices and educating the whole child, teacher stress and inability to understand and manage emotions stood in the way of making progress. Teaching is a highly stressful profession. Researchers highlighted the need for interventions to enhance teacher abilities and promote student success, particularly in understanding social and personal competencies. The purpose of my qualitative, interpretive study was to explore elementary school teachers’ perceptions of social and personal competencies in public K-12 rural Tennessee schools to determine how schools supported teacher social and personal competencies as a way …

Culturally Responsive Education: Creating A Safe And Inclusive Environment For Lgbtq+ Students, Kassidi M. Adams

Masters Projects

This paper explores research that discusses the impact of a culturally responsive education and lack-of for LGBTQ+ students and recommends a solution to ensure all students are safe and represented in schools. The research cited varies in their definitions and uses of the term LGBTQ+. This paper will use the term LGBTQ+, an abbreviation for lesbian, gay, bisexual, transgender, queer, and more communities; however, the abbreviation used in the referenced research may be shortened to LG, LGB, LGBT, or LGBTQ to reflect only specific communities included in LGBTTTQQIAAP (VandenBos, 2015). This paper will also focus on inclusion, which refers to …

Synergizing Occupational Science And Occupational Therapy: Designing An Integrated Foundations Course For Health Education, Natalie A. Perkins, Guy Mccormack, Anne Dunlea

Pacific Journal of Health

The Occupational Therapy Department at University of the Pacific embarked on a tailored initiative to reshape the occupational therapy foundations course for entry-level Occupational Therapy Doctorate (OTD) students. Collaboratively designed and co-taught by the first and second authors, experienced occupational therapists in both clinical and academic realms, alongside the third author, a seasoned occupational scientist with a rich background in instructing graduate and undergraduate professionals, this innovative course aligns with the program's biopsychosocial philosophy.

The primary objective of this course was to provide students with an expansive perspective on the fundamental role of occupation in human life. Various assessment methods …