Digital Commons Network^™

Raas Festival: A Catalyst For Tourism Development In Assam, India, Madhuchhanda Das Gupta Dr., Chandana Bhattacharjee Dr., Rosemary Debbarma

Journal of Tourism Insights

Traditionally religious practices have been central to any celebration and have greatly influenced the shaping of the cultural identity of any society. With time, these celebrations have transitioned into mega festivals with larger participation from within and outside the community. Through the display of songs, dances, and other art forms, these festivals are upholding and preserving the ethnic identity and culture of the community. They are not only sources of relaxation and entertainment, but also provide visitors with unique cultural experience. By attracting tourists, festivals exert strong influence on the local economy, thereby, driving growth and development. The paper attempts …

Exploring Boondocking Through Time: Evolution And Challenges For Outdoor Hospitality In The United States, Julien Bousquet

Journal of Tourism Insights

This study delves into the evolution of boondocking from a survival strategy to a lifestyle choice among RV enthusiasts, called boondockers, who cherish nature and self-reliance. Through a historical approach, it charts boondocking's evolution and assesses its societal, economic, and environmental impacts. The analysis highlights a dynamic progression, driven by advancements in RV technology, a shift towards sustainability, and digital community engagement. Environmental challenges underscore the necessity for sustainable practices, while future outlooks point to innovations in eco-friendly RV technologies and a stronger focus on Leave No Trace principles. The study forecasts a significant role for boondocking in the future …

An Importance-Performance Analysis Of The Bike Virginia Event, Joshua Carroll Ph.D., Thomas K. Duncan Ph.D.

Journal of Tourism Insights

Road cycling has grown in popularity, and events that cater to these dedicated recreationists can fulfill needs for both participants and hosts alike. The Bike Virginia Tour is a 6-day cycling event that celebrates long distance riding while participants enjoy scenic and natural environments. This event is held at a new location within the state of Virginia each year and it has significant economic impacts for the host sites. Event location attributes lead directly to participant satisfaction and subsequent decisions of where to hold the event each year. The purpose of this study was to use Importance-Performance Analysis to investigate …

Why Do Consumers Switch? The Role Of Relational Uncertainty In Service Failures, Jungyun Hur, Soocheong (Shawn) Jang

Journal of Tourism Insights

This study explores the role of relational uncertainty in consumers’ switching intentions in a service failure encounter. The results reveal that in an established consumer-service provider relationship, relational uncertainty plays a significant role in the process of consumers’ switching intentions whereas dissatisfaction with service failures does not influence switching intentions. Further, the findings suggest that relational uncertainty mediates the effect of perceived loss on switching intentions. These findings were integrated into a discussion of theoretical and managerial implications for effective service management emphasizing the influential role of long-term relational value in comparison with incident-specific transaction value in an established relationship.

Host And The Hosting! Modelling The Post Disposition Behavior Of The Providers Of Shared Accommodation, Diksha Shingari, Dr. Hansdeep Kaur

Journal of Tourism Insights

The present study makes an endeavor to apply the consumption values, erstwhile associated with the acquisition side to the disposition of accommodation sharing services and their impact on the satisfaction of the hosts which would further impact their continued disposition intention. The study employs self-administered questionnaire to collect data from accommodation providers listed on Airbnb, from the state of Punjab, with a total of 229 valid responses. The findings indicate that economic gains, empowerment and cosmopolitan capital contribute significantly to host’s satisfaction, thereby positively affecting their continued disposition intentions. Contrarily, community belongingness and sustainability turned out to be insignificant contributors. …

Understanding The Factors Influencing Tourist Adoption Of Peer-To-Peer Accommodation Services: Attitudes, Intentions, And Behavioral Insights, Maya Talwadker, M.S. Dayanand Dr., Edgar Dsouza Dr.

Journal of Tourism Insights

This study investigates the factors influencing the adoption of peer-to-peer (P2P) accommodation services among Indian tourists, integrating Behavioral Reasoning Theory (BRT), Technology Acceptance Model (TAM), and Theory of Planned Behavior (TPB). Data were collected from 526 tourists using self-administered online and paper-based surveys. The findings reveal that modern lifestyles significantly enhance perceived ease of use and perceived usefulness, which positively influence behavioral intentions toward P2P accommodations. Psychological ownership emerged as a critical factor, indicating that emotional attachment to the accommodation enhances user engagement and satisfaction. Interestingly, privacy concerns did not significantly impact behavioral intentions or perceived usefulness but did influence …

Nursing And Supply Chain As Critical Partners In Enterprise-Level Efforts To Prevent Hemodialysis Associated Central Line-Associated Blood Stream Infections: A Case Study, Dana L. Blayney, Julia Moody, James Pittman, Noah Zanville, Missy Pennington, Sarah A. Fraker, E. Jackie Blanchard

HCA Healthcare Journal of Medicine

Background

Preventing central line-associated bloodstream infections (CLABSIs) remains a critical national focus for health care facilities. This notion is particularly true for patients undergoing hemodialysis (HD), where the associated mortality rates for HD-CLABSI range from 12% to 25%. Studies show that the use of central venous catheter (CVC) end caps coated with antiseptic agents, such as chlorhexidine gluconate (CHG) on HD-CVCs, can reduce the incidence of CLABSIs. However, issues ranging from difficulty finding and maintaining an adequate (and fully standardized) supply of CHG-impregnated HD end caps and ensuring consistent practice by clinicians can prevent the use of this valuable tool. …

Enhancing Patient Safety: The Role Of Interdisciplinary Teams In Reducing Blood Culture Contamination, Austin Patrick Eisenberg, Fady M. Awad, Brian Watson, Mohammed Faris

HCA Healthcare Journal of Medicine

Background

Blood cultures are vital to diagnostic workups among many hospitalized patients, providing valuable information about bloodstream infections (BSIs), which cause roughly 250 000 deaths annually between North America and Europe. Despite advances in health care, blood culture contamination remains a substantial problem, with deleterious effects on patient mortality, patient and hospital costs, and microbial resistance. This article reviews the repercussions of blood culture contamination on the health care system and delineates evidence-based strategies to decrease contamination rates.

Methods

To reduce blood culture contamination rates, our health care facility undertook a quality improvement initiative. A task force was created, consisting …

Central Line-Associated Bloodstream Infection Reduction In Hemodialysis Patients Across 9 Hospitals And 3 States, Nicki Roderman, Kasadi Moore, Shandlie Wilcox, Jennifer Jellerson, Zoey Bridges

HCA Healthcare Journal of Medicine

Background

This quality improvement project was initiated to reduce hospital-acquired catheter-associated bloodstream infections (CLABSI) in hospitalized patients receiving dialysis. A team dedicated to reducing hospital-acquired infections led the implementation of evidence-based interventions across all the included hospitals. This innovative approach demonstrated substantial enhancements in outcomes for patients on hemodialysis.

Methods

To enhance patient safety in patients receiving hemodialysis, new strategies were implemented, including (1) transitioning from a vendor model to an internal model, enabling dialysis program standardization, (2) empowering intensive care nurses with increased autonomy and ownership, (3) transitioning to a standardized dialysis machine, and (4) introducing chlorhexidine gluconate (CHG) …

Assessing The Effectiveness Of A Non-Punitive Fall Prevention Program, Nicki Roderman, Shandlie Wilcox, Cynthia Lang

HCA Healthcare Journal of Medicine

Background

Our single-center, quality improvement project evaluated the impact of a fall reduction plan while using a Just Culture Algorithm that included weekly fall reviews involving front line staff using a non-punitive structure. The project has shown successful results.

Methods

Prior to starting the program, data at this institution indicated falls were higher than the national fall rate of 3-5 per 1000 patient days. To achieve the goal of reducing the fall rate to below 3.1, an interdisciplinary fall committee was formed, consisting of nurses, nursing leaders, patient care technicians, pharmacists, and physical therapists. The committee operated in a non-punitive …

Nursing Informatics: The Vital Nursing Link Between Technology And Patient Care, Sherri L. Hess, Caryn Alper

HCA Healthcare Journal of Medicine

Advances in technology offer additional health care tools to improve the health of patients and efficiencies for our clinicians in innovative ways. These technologies cover a huge variety of therapeutics, ranging from wearable devices, such as insulin pumps, to robotic-assisted surgeries. Nursing informatics is firmly embedded in the use of technology to improve nursing care and science. One of the most recent developments in nursing is the exploration of virtual nursing. This paper will present the past, current, and future projections for this unique blend of nursing art and science with cutting-edge technology.

Revitalizing Emergency Rooms Nationally: Strategies And Insights, Jeffin Dejanovich, Noah Zanville

HCA Healthcare Journal of Medicine

Throughout the United States, the post-COVID-19 pandemic period has been marked by profound disruption to health care operations, coordination, and care capacity. These disruptions have been especially serious in the emergency room (ER) setting. While intensely challenging, the post-pandemic period has also presented opportunities for health care systems to approach classic challenges facing the ER with fresh eyes. In this editorial, the authors discuss key strategies being used to help revitalize ERs nationally and reflect on future challenges and directions.

Infection Prevention: The Small But Mighty Teams In Health Care, E. Jackie Blanchard

HCA Healthcare Journal of Medicine

Infection prevention is a team within health care facilities and systems whose members are vital to reducing and mitigating patient harm secondary to infectious disease. Infection preventionists are subject matter experts who reside in the quality department and are responsible for multiple areas beyond infectious disease spread. They assist nursing teams, employee health programs, and epidemiologists in decreasing the spread of illness. They are widely under-recognized, though they have a significant impact on the overall stability of the health care system and the communities they serve.

Inspiring And Supporting Nurses’ Scholarly Works Through A Special Issue Highlighting Nursing-Sensitive Indicators, Sammie Mosier, Elizabeth Card, Caryn Alper

HCA Healthcare Journal of Medicine

Nursing represents the largest discipline in health care, with just over 5 million nurses in the United States, and the discipline is under increasing pressure to make evidence-based decisions in the delivery of patient care. This special issue of the HCA Healthcare Journal of Medicine can inspire and support nurses’ scholarly work with an eye to dissemination in peer-reviewed medical journals. This issue highlights nursing’s contributions to improving patient outcomes through nurse-sensitive indicators, with the hope of elevating the quality of tomorrow’s health care.

Fixing A Broken System: Reconciling State Foreclosure Law With Economic Realities, Yianni D. Lagos

Tennessee Journal of Law and Policy

No abstract provided.

A Statistical Look At The Supreme Court's 2009 Term, John M. Schleb Ii, Colin Glennon, Hemant Sharma

Tennessee Journal of Law and Policy

Whether a change in membership occurs or not, every Supreme Court term presents a unique set of controversies and decisions for legal scholars to examine. Herein, we offer a discussion of the Court's recently completed 2009-2010 term. Rather than analyzing specific opinions in detail (as many have already done), we generate a comprehensive statistical analysis of justice voting behavior for the term. In particular, we examine consensus and division on the Court, the ideological tenor of the term, voting alignments among the justices, the production of opinions, and the Court's overall ideological spectrum based on individual voting patterns. Ultimately, we …

Agricultural Technology, Mike Buschermohle, John Dillard

Tennessee Journal of Law and Policy

No abstract provided.

Agritourism, Csas, And Direct To Consumer Sales, Julie Bowling, Rob Holland, Cari Rincker

Tennessee Journal of Law and Policy

No abstract provided.

National Agricultural Law Update, Cari Rincker

Tennessee Journal of Law and Policy

No abstract provided.

On-Line Internet Learning Resources For Distant Giseducation, Shivaji Prasad

The Geographical Bulletin

Knowing where to find GIS-related information in Cyber Space for beginners of GIS is crucial. This paper provides some of the important Universal Resource Locator (URL) addresses for various GIStopics. The intent is to encourage distantlearning in Geographic Information System (GIS). It is hoped that this paper will encourage on-line learning and will provide an opportunity to seek knowledge from the vast on-line Web-based resources for novice distant learners of Geographic information System (GIS). It will also provide flexibility toward timeand place-constraints as is with the traditional methods of classroom oriented environment. Distant Learners in GIS can set their own …

Public-Private Partnerships In Tourism Development: An Analysis Of The Kuwait Experience, Obaid Al Otaibi

The Geographical Bulletin

Tourism and recreation has become one of the important and influential sectors in most of the modern economies. This sector has been accepted as one of the alternative sources of national income, employment, and foreign exchange. The state of Kuwait has many potentialities in tourism and recreation, and exploitation of this leads to more diversification of the economy besides augmenting its contribution to the GDP. Because Kuwait is an import oriented economy, it requires hard currencies (foreign exchange) to meet the import cost as well as to maintain stability in the international market. To compensate for the revenue fall stemmed …

A Geriatric Interprofessional Education Workshop: A Mixed Method Study, Patricia Watford, Meghan Hall, Colleen Hergott, Wanda Jirau-Rosaly, Shilpa Brown, Elena Wood, Nicole Rockich-Winston

Journal of Applied Disciplines

Interprofessional healthcare teams are essential for meeting the needs of our older population. To prepare for interprofessional collaboration, educational programs should offer opportunities for interprofessional education. We created a four-hour geriatric interprofessional workshop addressing cognition, macular degeneration, dysphagia, home safety, fall risk, and pharmacotherapy to examine student perceptions of working in interprofessional teams and their attitudes toward geriatric patients. Participants included 189 second-year medical (MD) students, 41 first-year occupational therapy (OT) students, and 36 second-year physical therapy (PT) students. We utilized a sequential explanatory mixed-method approach. Data analysis comprised descriptive statistics, paired t-tests for the pre/post surveys, and inductive content …

The Troubling Case(S) Of Noncitizens: Immigration Enforcement Through The Criminal Justice System And The Effect On Families, Juan C. Quevedo

Tennessee Journal of Law and Policy

No abstract provided.

If It Ain't Broke, Break It - How The Tennessee General Assembly Dismantled And Destroyed Tennessee's Uniquely Excellent Justice System, Penny J. White

Tennessee Journal of Law and Policy

In Tennessee, the wolf has entered the fold. The Tennessee General Assembly has assumed judicial power by reasserting its role as the “preeminent” branch of government and reclaiming its historic dominance over the state judiciary.5 This unfortunate development has led me to write this article for a variety of reasons. For future generations, I wish to chronicle the events that led to the dismantling of Tennessee’s unique, high-quality judicial system. 6 In this way, I seek to archive essential information for those who trumpet the important role that fair courts play in our society. I hope to inspire vigilance, triggering …

Toward More Equal Access To Justice: The Tennessee Experience, Douglas A. Blaze, R. Brad Morgan

Tennessee Journal of Law and Policy

No abstract provided.

Dictionaries Denied: Information Poverty In Michigan Prison Libraries, Nicholas Norton, Meghan Mcgowan

Journal of Civil Rights and Economic Development

(Excerpt)

In June of 2022, the Michigan Department of Corrections (“MDOC”) made national news when NPR reported that non-English language dictionaries were banned in state prisons. The rationale for this policy was specious—with an MDOC spokesperson stating: “If certain prisoners all decided to learn a very obscure language, they would be able to then speak freely in front of staff and others about introducing contraband or assaulting staff or assaulting another prisoner.” For instance, Spanish and Swahili dictionaries were restricted or banned based on safety, even though both languages are spoken by millions of people. Dictionaries and other reference materials …

Equalizing Disproportionate Death And Punishment In Black And Brown Communities: An Emergency Shutdown On Death, Inequality, And Deliberate Indifference, Angela Dixon

Journal of Civil Rights and Economic Development

(Excerpt)

According to an old saying, “death is the great equalizer.” But is it? It may be in the sense that absent a contravening force, it is an appointment that all must keep. Yet data indicates that all do not die equally. Socioeconomic status (“SES”), which includes levels of occupation, education, income, and wealth, all delay or advance mortality. People of a higher SES outlive, generally, people of a lower SES; moreover, such disparities continue to widen as trends of income inequality intensify.

Perhaps predictably, race, just like class, exacerbates inequities. Black Americans in the United States remain the pivotal …

Entire Issue Vol. 15 No. 25

Yearbook of Antitrust and Regulatory Studies

No abstract provided.

Ramat Razim, Near Ẓefat: A Middle Bronze Age Rural Site In The Tel Ḥaẓor Polity, Karen Covello-Paran, Anat Cohen-Weinberger, Barak Tzin, Shlomit Bechar

'Atiqot

An archaeological excavation carried out at Ramat Razim, near Ẓefat, exposed a Middle Bronze Age rural settlement, dated by the ceramic assemblage within Middle Bronze Age II–III. Spatial analysis identified communal workspaces and possible domestic cult practices in specific rooms, and the distribution of the ground stone tools and ceramic storage vessels reflected food-processing activities and a decentralized grain-storage approach. In addition to agriculture, pastoralism—specifically sheep rearing—played a significant role in the settlement’s economy, probably engendering economic exchanges under the influence of Ḥaẓor, the major city in the region. Petrographic analysis linking the pithoi to the Ḥula Valley raised questions …

Rural Complexity In The Intermediate Bronze Age: Settlement Patterns And Intra-Site Spatial Organization In Lower Galilee, Karen Covello-Paran

'Atiqot

This study explores the settlement patterns in Intermediate Bronze Age Lower Galilee, focusing on the Ḥorbat Qishron sites and their socio-economic organization. The spatial arrangement and the hierarchical structures of the settlements are analyzed, particularly in light of the discovery of a walled settlement at Ḥorbat Qishron South, a unique feature in this period. The study also considers the implications of settlement patterns for economic activities, social organization and communal endeavors, shedding light on the role of households as basic economic units and the potential of centralized economic models. Furthermore, it discusses the significance of ceramic assemblages, radiocarbon dating and …