Digital Commons Network^™

A Quality Initiative To Reinforce Nursing Staff Education On Fall Prevention Interventions To Enhance Patient Safety And Outcomes On A Medical-Surgical Unit, Jolena Senesombath

Master's Theses and Capstones

Background:

Patients are at an increased risk for falls on a medical-surgical unit due to a variety of factors such as increased age, medications, altered mobility, and more. Several fall prevention interventions are used to prevent falls, including use of call bells, bed and chair alarms, maintain a clutter free environment, using a fall risk assessment upon admission, and providing patient and staff education. Reinforcing education for nursing staff has been shown to be one of the most effective interventions in preventing and reducing the number of falls as it increases awareness of falls.

Local Problem:

Within the microsystem, patient …

Improving Intensive Care Unit Nurses' Knowledge And Confidence In Performing Effective Spontaneous Awakening Trials: A Quality Improvement Project, Sophia T. Merry-Carreiro

Master's Theses and Capstones

Abstract

BACKGROUND

Mechanically ventilated ICU patents often require sedation for comfort and ventilator compliance. However, oversedation is linked to negative outcomes such as delirium, prolonged ventilation, and increased duration of ICU stay. Current best practices now support the use of daily sedation interruptions such as Spontaneous Awakening Trials (SATs). Despite these recommendations, implementation of SATs remain inconsistent and suboptimal.

LOCAL PROBLEM:

Within the ICU in a northern new England hospital, there was a need to improve nurse confidence and knowledge in SATs practices through staff education.

METHODS:

Using the Plan-Do-Study-Act (PDSA) model, a quality improvement project was developed to improve …

War-Displaced International Students: A Qualitative Study Of Factors Influencing The Integration Of Ukrainians At A Midwestern Healthcare College, Ivan Riapolov

Dissertations

Problem

The war in Ukraine has disrupted the country’s higher education system, displacing Ukrainian students and affecting their mental well-being. These students encounter numerous challenges while adapting to new academic and cultural environments abroad. Higher education professionals must recognize and address the unique experiences and needs of international students by region of origin to better serve these populations. This study aimed to explore the factors that influence the social and academic integration of Ukrainian international students into a new culture and to inform institutions of the best practices for creating supportive environments for international students.

Method

The qualitative study explored …

Large‐Vessel Occlusion Stroke Knowledge And Training For Stroke Severity Assessment Among Emergency Medical Services Personnel In The United States, Kaiz S. Asif, Robin Novakovic, Thanh N. Nguyen, Santiago Ortega‐Gutierrez, Youngran Kim, Amanda Jagolino‐Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ameer E. Hassan

School of Medicine Publications

Background

Prehospital identification of large‐vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. This requires stroke education of emergency medical services (EMS) personnel to improve stroke recognition, severity assessment, and prenotification. However, the current state of EMS personnel's knowledge of LVO stroke, their training for stroke severity assessment, and their preferences for educational methods are unknown. We conducted a nationwide EMS survey across the United States to glean insights that can inform and customize future EMS educational efforts.

Methods

The Society of Vascular and Interventional Neurology, …

Moving Beyond Simplistic Research Design In Health Professions Education: What A One-Group Pretest-Posttest Design Will Not Prove, S Beth Bierer, Gary Beck Dallaghan, Nicole J Borges, Sam Brondfield, Cha Chi Fung, Kathryn N Huggett, Cayla R Teal, Satid Thammasitboon, Colleen Y Colbert

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Educational research presents unique study design challenges. Novice researchers in health professions education (HPE) frequently misuse the one-group pretest-posttest design, highlighting the need for improved training in research design. This workshop aimed to enhance understanding of research design among novice HPE researchers, specifically addressing the inherent limitations of the one-group pretest-posttest design and offering alternative approaches.

Methods: Experienced HPE researchers developed this workshop to address common misunderstandings of research design. Leaders from the AAMC Medical Education, Scholarship, Research, and Evaluation section facilitated 60-75-minute workshops conducted at the four 2024 regional meetings hosted by the AAMC Group on Educational Affairs …

Sleep Promotion In Neonatal Intensive Care Units, Maelyn G. Cranford

Doctor of Nursing Practice Projects

Sleep is a fundamental requirement for the human body to achieve and sustain overall health and well-being. In Neonatal Intensive Care Units (NICU), sleep is a vital step in an infant’s routine to allow for proper neurodevelopment and growth. Parents of infants in the NICU may be unaware of the critical role sleep plays in their child’s health. Without realizing it, they can unintentionally disrupt their infant’s sleep by speaking loudly, using bright lights, or playing loud sounds from their phone. This DNP project was created to increase NICU parent education on the importance of sleep promotion and involve them …

Recognizing Opioid Withdrawal: An Educational Intervention To Increase Nurses' Knowledge And Improve Quality Of Patient Care, Keyannah L. Glover

Doctor of Nursing Practice Projects

Opioid abuse, prescription and illicit use, remain a problem in the United States. Recognizing signs and symptoms is important because lack of recognition can lead to misdiagnosis and mismanagement. The target population for this study was nurses in the emergency department. This quality improvement project was developed to provide education to the nurses in the emergency department to recognize opioid withdrawal signs and symptoms. This project evaluated the baseline knowledge of nurses working in the emergency department. The project was implemented over a 3-week time frame. The pre-test was sent out to participants via email to test their baseline knowledge. …

Increasing The Knowledge And Access To Naloxone (Narcan) For High-Risk Populations, Jessica E. Jones

Doctor of Nursing Practice Projects

This study investigated the knowledge and access to Naloxone (Narcan) in high-risk populations in Robeson County, NC. In order to mitigate the rate of overdose in tribal members who are part of the Lumbee Tribe of North Carolina. Indigenous populations have had the highest overdose rate of increase since 2019. In collaboration with CORE Pathways, a quality improvement project was implemented at the Harvest Moon Fall Powwow. Opioid overdose education was provided to voluntary participants, free Naloxone was provided to individuals, along with a created video presentation of Naloxone education. Pre- and post-surveys were utilized to gauge participants' knowledge before …

Homelessness: An Emergency For Many, Casey Almond

Doctor of Nursing Practice Projects

This DNP project implemented nursing staff education on the importance of recognizing homeless individuals early during the initial triage process within the emergency department. Nursing staff were educated on community resources available for homeless individuals. This DNP project helped to promote the collaboration of care by nursing staff with the case management team to help provide resources, which can result in a safer and more effective discharge of homeless patients within the emergency department. Participation consisted of 125 nursing staff who reviewed the online training module and attended one of the 15-minute in-person poster educational sessions. About 53 nursing staff …

Evaluating The Efficacy Of A Serious Game To Deliver Health Education About Invasive Meningococcal Disease: Clustered Randomized Controlled Equivalence Trial, Lauren Bloomfield, Julie Boston, Martin Masek, Lesley Andrew, Donna Barwood, Amanda Devine

Research outputs 2022 to 2026

Background: Invasive meningococcal disease (IMD) is a serious, vaccine-preventable infectious disease that can be life-threatening. Teaching adolescents about the early detection and prevention of IMD can be challenging in a school environment, with educators reporting they lack confidence or expertise to cover this in the classroom environment. Professional guest educators are an alternative to cover specialist topics such as IMD; however, time and resourcing constraints can mean that these educators are not always available. Serious games may be an alternative to face-to-face education, where complex health information may be delivered via self-directed gameplay. Objective: This study aims to develop a …

Grand Challenges For Human Factors And Ergonomics, Waldemar Karwowski, Gavriel Salvendy, Mica Endsley, William Rouse, Paul Salmon, Kay Stanney, Andrew Thatcher, Tony Andre, Jessie Yang, Hasan Ayaz, Ahmet Cakir, Vince Duffy, Colin Drury, Qin Gao, Yinni Guo, Peter Hancock, William S. Marras, Patrick Rau

Faculty Research, Scholarly, and Creative Activity

Contemporary society faces a growing set of complex global issues representing significant human health, well-being, and sustainability threats. Human Factors and Ergonomics (HFE) has a critical role to play in responding to these issues; however, there remain a set of grand challenges that require resolution. This paper presents and discusses six grand challenges for HFE and related key research thrust areas for each of the challenges. The grand challenges are (1) Evolution in Societal Thinking; (2) Future of Human Work in Industry 5.0; (3) Climate Change and Sustainability; (4) Future of Education and Training; (5) Future of Personalized Health, and …

Multifactorial Fall Interventions For People Over 65 Years In The Acute Hospital Setting: Pre–Post-Test Design, Allison Wallis, Christina Aggar, Deb Massey

Research outputs 2022 to 2026

Background: Falls are the most reported patient safety incident for patients >65 years in acute hospital settings worldwide. While multifactorial fall interventions reduce the number of falls in subacute and rehabilitation settings, fall interventions in acute hospital settings are unknown. Aim: To evaluate the effectiveness of multifactorial fall interventions on the number of falls using codesigned education targeting staff and the patient and review the environment in acute hospital settings in NSW, Australia for patients over 65 years of age. Method: A pre–post-test design with a non-equivalent group was conducted. All acute hospital inpatient falls occurring both pre- and post-intervention …

Implementing A Gerontological Nursing Competencies Programme In Aged Care: Participant Experiences, Victoria Traynor, Nicole Britten, Diane Gibson, Stephanie Munk, Lynn Chenoweth, Jolan Stokes, Tracey Moroney, Karen Strickland, Toni Donaghy, Kasia Bail

Research outputs 2022 to 2026

Aims: To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development. Background: The global population is ageing and needs a reliable aged-care nursing workforce. Introduction: Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation. Methods: Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria. Results: …

Assessment Practices For Dietetic Students: An Updated Systematic Review (2017–2024), Janica Jamieson, Claire Palermo, Margaret Hay, Simone Gibson

Research outputs 2022 to 2026

Aim: Evaluate assessment practices and outcomes for dietetic students and compare findings with those from a previous systematic review. Methods: A systematic review was conducted whereby four databases (MEDLINE, Embase, Cumulative Index in Nursing and Allied Health Literature, and Education Resources Information Centre) were searched on 11 October 2023 with terms related to dietetics, students, and assessment. The search was repeated on 8 January 2025 to identify new publications. Eligibility criteria were primary research published after 1 June 2017 reporting at least one assessment method for dietetic students with an assessment-related outcome. Assessment practices and outcomes were evaluated using Miller's …

Game-Based Learning Contributions To Clinical Leadership In Times Of Resource Scarcity, Scott James Andrews, Olivia Gallagher, Alecka Miles, Carol Crevacore, Jessica Watson, Sean Cashman, Wyatt De Souza, Martin Masek, Julie Boston, Lisa Holmes, Brennen Mills

Research outputs 2022 to 2026

Background: Early progression of Registered Nurses into leadership roles is commonplace in clinical settings. Student nurses can prepare for leadership by gaining exposure through simulation-based learning. A novel and expanding modality are Game-based learning (GBL) simulation.

Aim: To understand if a GBL simulation is useful in preparing student nurses for leadership roles during times of resource scarcity, student nurses were asked to evaluate a novel GBL simulation requiring learners to manage patient triage and hospital resources during a pandemic.

Methods: The study design leveraged Kirkpatrick's Training Evaluation Model. Nursing students (n = 74) from one university in Perth, Western Australia, …

Integration Of Virtual Simulation Within A Nursing Curriculum: A Mixed Methods Study, Martina Costello, Hugh Davies, Fiona Williams, Michelle Gay, Jennifer Jennings, Joyce Muge-Sugutt, Olivia Gallagher

Research outputs 2022 to 2026

Background: Virtual simulation is a valuable learning tool for health professionals to facilitate knowledge, skills, and confidence. Simulation-based learning in Nursing has increased with advances in digital technologies, embedding diverse virtual modalities. The integration of virtual simulations requires careful consideration of pedagogical approaches and implementation strategies. The vSim® for Nursing platform was integrated into the curriculum of an undergraduate nursing program at an Australian university to enhance clinical learning experiences. Aim: To evaluate the implementation of the vSim® for Nursing learning platform within the second-year curriculum. Methods: A mixed-methods cross-sectional survey design was used, guided by Kirkpatrick's training evaluation model. …

Analysing The Behaviour Change Techniques In An Effective Food Literacy Program To Inform Future Program Design, Lucy M. Butcher, Caylah Batt, Sophie Royce, Eamon Barron, Roslyn Giglia, Andrea Begley

Research outputs 2022 to 2026

Aim: Food literacy programs aim to improve food related skills and knowledge and are selected Governments as a strategy to address dietary intakes at a community level. The purpose of this research is to identify behaviour change techniques in a food literacy program, which were assessed by the achievement of participant goals related to food literacy and dietary behaviour changes. Methods: Consensus methods were applied to map behaviour change techniques to an adult food literacy program. A second phase investigation applied content analysis of participant process evaluation data (collected between 2016 and June 2021) to align target behaviours and behaviour …

Performance Health For Saxophonists: Saxophonists Perspectives And Experiences With Playing-Related Health, Wellbeing, Injuries And Education (Cohort Study), Nicola Demandolx, Joanna Nicholas, Luke Hopper, Matt Styles

Research outputs 2022 to 2026

Saxophonists experience a high rate of performance-related injuries and wellbeing concerns, with limited research on player perspectives and lived experience to inform preventive or interventional methods. To address this gap, a cohort study was conducted with 14 saxophonists from around Australia, to gather perspectives and experiences on playing-related pain, injury, health, and wellbeing. A baseline survey and semi-structured interviews were used to gather a range of qualitative and quantitative data to provide a holistic overview of the cohort and their lived experience. Results indicated that the lifetime prevalence of a performance-related musculoskeletal disorder (PRMD) for saxophonists in this cohort was …

Dentistry’S Best Advocate—You, Michaela Mishoe

Virginia Dental Journal

The document discusses strategies to address the shortage of dental hygienists in Virginia by promoting dentistry as a career. It suggests partnering with educational institutions, hosting career fairs, empowering staff to mentor, leveraging social media, and using patient interactions to inform about dental careers. It highlights the importance of community involvement and provides resources like the G3 tuition assistance program for aspiring dental professionals. The document also outlines various dental career roles, including dental assistants, hygienists, office managers, and administrators.

Bridging The Gap: Clearing The Pathways To In-Demand Careers In Dentistry, Ryan Dunn

Virginia Dental Journal

The document discusses the critical shortage of dental professionals in Virginia, particularly dental hygienists and assistants, which is hindering patient access to essential dental care. Despite high demand for dental programs, limited capacity restricts student admissions. The Virginia Dental Association (VDA) is working with political and educational leaders to address this issue by advocating for increased investment in dental education and training. Efforts include expanding program capacities, improving licensure portability, and supporting mental health initiatives for dental professionals. The goal is to ensure a robust dental workforce to meet the growing oral health care needs in Virginia.

Va Dent J April, May And June 2024

Virginia Dental Journal

The April-June 2024 issue of the Virginia Dental Journal (VDJ) explores significant themes affecting the dental profession in Virginia. Key highlights include a feature on the dental workforce crisis, addressing shortages and its impact on patient care and practice expansion. The Virginia Dental Workforce Council provides a comprehensive report with recommendations to enhance workforce capacity through educational investments, policy changes, and collaborative efforts. Other topics include scientific studies, such as a pilot investigation on non-invasive treatments for xerostomia, advocacy updates on legislative successes like the SafeHaven™ program for mental health support, and industry insights on sustainability and cybersecurity in dental …

Challenges And Change, Dustin Reynolds Dds

Virginia Dental Journal

Dr. Dustin Reynolds, President of the Virginia Dental Association (VDA), reflects on the past three months and outlines key challenges and initiatives for 2024. He emphasizes the importance of supporting dental education programs to address workforce shortages and highlights the need for legislative support for interstate licensure compacts and transparency in dental insurance. Dr. Reynolds also discusses the impact of staffing challenges on dental practices and the importance of innovative technology in shaping the future of dentistry. He remains optimistic about improving access to oral healthcare in Virginia.

Addressing Unprofessional Behaviors In The Clinical Learning Environment: Lessons From A Multi-Year Virtual, Intergenerational, Interdisciplinary Workshop, Stacey Rose, Anita Kusnoor, Phuong Huynh, Jocelyn Greely, Yesenia Rojas-Khalil, Doris Kung, Anne Gill, Nadia Ismail, Nital Appelbaum

Faculty, Staff and Students Publications

INTRODUCTION: Optimizing the clinical learning environment (CLE) is a medical education priority nationwide.

MATERIALS AND METHODS: We developed a virtual, one-hour workshop engaging students, housestaff and faculty in small-group discussions of five case scenarios adapted from reported unprofessional behaviors in the CLE, plus didactics regarding mistreatment, microaggressions and bystander interventions.

RESULTS: Over two sessions (2021-2022), we engaged 340 students and 73 faculty/housestaff facilitators. Post-session surveys showed significant improvement in participants' ability to recognize and respond to challenges in the CLE.

DISCUSSION: Our innovative workshop, including scenarios derived from institutional reports of unprofessional behaviors, advanced participants' knowledge and commitment to improve …

Moving Forward, Dustin Reynolds Dds

Virginia Dental Journal

Dr. Dustin Reynolds, the new President of the Virginia Dental Association (VDA), reflects on the evolution of dentistry and the VDA's ongoing mission to advocate for the profession, support dental education, and improve public health. He shares his non-traditional path to dentistry, emphasizing the importance of leadership, teamwork, and service. Dr. Reynolds acknowledges the challenges ahead, such as workforce shortages and third-party payer issues, and calls for member involvement and support for the VDA's advocacy efforts. He looks forward to engaging with members and addressing their concerns during his tenure.

Patient And Parent Knowledge, Understanding, And Concerns After A New Diagnosis Of Ehlers Danlos Syndrome., Jordan T. Jones, Lora L. Black, William R. Black

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: After diagnosis of Ehlers Danlos Syndrome (EDS), it is unclear what information patients and parents need and understand about EDS. The objective of this study is to characterize patient and parent knowledge and concerns about EDS after a diagnosis of EDS is made to determine patient and parent concerns and identify barriers that cause discomfort with the diagnosis.6 METHODS: A convenience sample of patient and parent dyads were recruited after new diagnosis of EDS. Patients and parents completed questionnaires that assessed knowledge, comfort, and barriers of EDS before and after diagnosis, EDS education materials accessed, and additional clinical needs …

Dampak Faktor Ekonomi Dan Non Ekonomi Terhadap Jumlah Anak Di Indonesia: Analisis Data Demographic Health Survey 2017, Maysarah Qonita Munthe, Nasywa Nayifa Salsabila, Achmad Kautsar

Jurnal Ekonomi Kesehatan Indonesia

Indonesia has a large population, with a declining annual growth trend. Economic and non-economic factors contribute to the desired number of children. This study uses the latest data from the 2017 Demographic and Health Survey (DHS) to analyze the relationship between these factors and the desired number of children. A logit model is employed to evaluate the probability of having more than two children.The findings indicate that higher economic status is associated with a lower likelihood of having more than two children. Women in the middle economic group are 7.1% less likely to have more than two children compared to …

Food For Thought: A Qualitative Assessment Of Medical Trainee And Faculty Perceptions Of Nutrition Education, Olivia Kunitsky, Mahdi Taye, Karla Feeley, Hugh Johnson, Abigail Glynn, Avery Stivale, Matthew Hamers, Alexis Notarianni, Sireesha Mamillapalli, Gabi Waite, Sonia Lobo

Department of Neurology Faculty Papers

BACKGROUND: The American Society of Clinical Nutrition recommends 37 to 44 h of undergraduate medical nutrition education. The Total Health Curriculum at Geisinger Commonwealth School of Medicine (GCSOM) contains 14 h of objective-based nutritional instruction. This study aimed to examine the perceptions of key stakeholders regarding the role of nutrition in medicine and to identify barriers, opportunities for improvement, and roles/responsibilities for innovative implementation of nutrition education.

METHODS: This exploratory, qualitative study employed a phenomenological approach and inductive coding process. Purposive sampling recruited medical students, undergraduate medical education (UME) faculty, physicians, and other healthcare professionals at GCSOM and affiliated clinical …

Assessing Parental Stress And Self-Efficacy: A Multisite Feasibility Study Of Parent-Mediated Physical Activity Interventions For Children With Developmental Disabilities, Luis Columna, Scott Mcnamarra, Beth A. Myers, Nienke Dosa, Ashlyn Barry, Kristi Roth, Christine E. Ashby, Byungmo Ku, Timothy Davis, Nikkia Borowski, Lisa M. Hooper

Faculty Publications

Background: Children with developmental disabilities often face barriers to engaging in physical activity (PA), impacting their health and quality of life. Parent-mediated interventions (PMIs) have shown promise to reduce these barriers, but little research explores online PMIs for parents of children with developmental disabilities. Thus, the purpose of this study was to assess the feasibility and impact of a multi-site collaborative online parent-mediated PA intervention on stress levels and self-efficacy among parents of children with developmental disabilities over a 12-week period.

Methods: Participants (n=55) were parents of children with developmental disabilities, randomly assigned to intervention (n=27) or control (n=28) groups. …

Escaping The Pedagogical Cabin In The Woods, Tony Kemerly, Davis Ritenour

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

The American educational system, because of its seemingly innocuous yet ubiquitous nature, has become, to borrow a term from Roland Barthes, naturalized. By being naturalized, it has become a system that has somehow slipped beneath the radar of the American populace and operates on an autopilot of sorts that allows it to employ practices that don’t necessarily have the best interests of its constituents at heart. Murray Rothbard (1979) argued that compulsory schooling is not guided by altruism, but rather a desire to coerce the population into a mold that is desired by those possessing power in society. This need …

Full Issue: Access To Education, Angie Holzer

Journal of Nonprofit Innovation

No abstract provided.