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Articles 47851 - 47880 of 1519281
Full-Text Articles in Entire DC Network
Supporting Men As Fathers: The Value Of A Uk Community Dads’ Project During The Covid-19 Pandemic, Ian Blackwell, Rebecca Carter Dillon
Supporting Men As Fathers: The Value Of A Uk Community Dads’ Project During The Covid-19 Pandemic, Ian Blackwell, Rebecca Carter Dillon
More Faculty of Health Research
This paper presents a study of a community dads’ project during the COVID-19 pandemic. Data were gathered via a questionnaire, semi-structured interviews and by attending eleven on-line Conversation Cafés. Men described how the project supported and affirmed their fathering practices as they were able to speak with other father figures about their challenges, to celebrate the rewards of parenting, and to socialise with others. Participants described how their confidence was enhanced and their identity as a father was validated through successful solo parenting activities, opportunities to bond with their child, by creating shared memories, and by being playful and physically …
The Implementation Of The Pause Debrief Process In An Emergency Room, Sophia Robinson-Harris
The Implementation Of The Pause Debrief Process In An Emergency Room, Sophia Robinson-Harris
Creating Healthy Work Environments (CHWE)
This presentation is a review of findings after the implementation of the Pause Debrief Process following sudden patient death in an emergency room setting and it's effects on the perception of support and resilience among clinicians.
Detailed abstract attached.
Executive Committee - Minutes, 10/21/2025, Academic Senate
Executive Committee - Minutes, 10/21/2025, Academic Senate
Academic Senate Minutes
No abstract provided.
Cognitive-Behavioral Psychoeducational Community Music Therapy For Enhancing Students’ Learning Motivation, Dominikus David Biondi Situmorang
Cognitive-Behavioral Psychoeducational Community Music Therapy For Enhancing Students’ Learning Motivation, Dominikus David Biondi Situmorang
Buletin Konseling Inovatif
Motivation is an important determinant for students’ academic achievement; however, many pupils report that their learning motivation decreases in particular prior to exams. Preventive steps, guidance and counseling teachers or school counselors reported lack of concentration, high anxiety, and low enthusiasm among high school students. This study investigated the utility of a Cognitive-Behavioral Psychoeducational Community Music Therapy Seminar/Workshop in improving students' motivation to learn before exams. A pre-experimental one-group pretest-posttest design was used with 213 senior high school students in Jakarta, Indonesia, aged between 15 to 18 years old. The Motivated Strategies for Learning Questionnaire (MSLQ) was employed to assess …
Integration Of An Artificial Intelligence–Based Autism Diagnostic Device Into The Echo Autism Primary Care Workflow: Prospective Observational Study, Kristin Sohl, Erik Linstead, Kelianne Heinz, Elia Eiroa Lledo, Alicia Brewer Curran, Melissa Mahurin, Valeria Nanclares-Nogués, Carmela Salomon, Minda Seal, Sharief Taraman
Integration Of An Artificial Intelligence–Based Autism Diagnostic Device Into The Echo Autism Primary Care Workflow: Prospective Observational Study, Kristin Sohl, Erik Linstead, Kelianne Heinz, Elia Eiroa Lledo, Alicia Brewer Curran, Melissa Mahurin, Valeria Nanclares-Nogués, Carmela Salomon, Minda Seal, Sharief Taraman
Engineering Faculty Articles and Research
Background: Pediatric specialist shortages and rapidly rising autism prevalence rates have compelled primary care clinicians to consider playing a greater role in the autism diagnostic process. The ECHO Autism: Early Diagnosis Program (EDx) prepares clinicians to screen, evaluate, differentiate, diagnose, and provide longitudinal care for children with autism in primary care settings. Canvas Dx is a prescription-only Software as a Medical Device designed to support clinical diagnosis or rule out of autism, including in primary care settings. It is authorized by the Food and Drug Administration for use, in conjunction with clinical judgment, in 18‐ to 72-month-olds with indicators …
Exploring Effective Technological And Innovation Strategies For Sustaining Fintech Startups In Nairobi, Kenya, Beyond 5 Years, Esay Kollie
Walden Dissertations and Doctoral Studies
Some small financial technology, or fintech, startup leaders in Nairobi, Kenya, lack the technological and innovation strategies required to sustain operations beyond 5 years. High failure rates among fintech startups in the early stages of operation affect financial inclusion and economic development in the region. Grounded in resource-based view theory, this qualitative pragmatic inquiry was to explore effective technological and innovation strategies fintech startup leaders in Nairobi use to sustain operations beyond 5 years. Data was collected through semistructured interviews with eight fintech startup leaders from different firms. Thematic analysis revealed seven major themes: (a) leveraging technological infrastructure, (b) innovating …
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Walden Dissertations and Doctoral Studies
Despite the Americans with Disabilities Act of 1990 promoting equality for people with disabilities, parents with developmental and intellectual disabilities experience high rates of involvement with child welfare services due to outdated terminology, information about disabilities, and policies. The purpose of this study was to identify the challenges of parents with intellectual and developmental disabilities and determine if they differ from those of parents without a disability. This was a generic qualitative study grounded in intersectionality theory. Education, employment, health and safety concerns, independence, assistive technology, social services involvement, and supports or resources were examined through the perspective of the …
School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito
School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito
Walden Dissertations and Doctoral Studies
Minority students are often omitted from social, economic, cultural, and political life due to ethnicity or poverty, which increases their risk of adverse childhood experiences, such as abuse or neglect, and increases their likelihood of discrimination that can obstruct their normal childhood development, including academic performance. Child-centered play therapy (CCPT) is a multiculturally appropriate approach that creates a safe and nonjudgmental environment, supporting adjustment and coping. However, many school counselors are not using CCPT. The research question was as follows: What are the lived experiences of school counselors who use CCPT in their work at high-diversity elementary schools? This study …
Spartan Daily, October 21, 2025, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, October 21, 2025, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, 2025
Volume 165, Issue 25
Research Progress On The Effect Of Grafting Technology On Disease Resistance And Stress Resistance Of Watermelon, Xuena Liu, Shikai La, Chang Chen, Ainong Shi, Mingjiao Wang, Yingying Zhang, Jinghuai Guo, Lingdi Dong
Research Progress On The Effect Of Grafting Technology On Disease Resistance And Stress Resistance Of Watermelon, Xuena Liu, Shikai La, Chang Chen, Ainong Shi, Mingjiao Wang, Yingying Zhang, Jinghuai Guo, Lingdi Dong
Horticulture Faculty Publications and Presentations
Grafting is an effective horticultural technique that significantly enhances disease resistance and stress tolerance in watermelon. This review systematically summarizes the types of rootstocks used in watermelon grafting and analyzes the effects of grafting on plant responses to biotic stresses, such as viral and fungal pathogens, root-knot nematodes infections, and abiotic stresses, including drought, temperature extremes, and salinity. Furthermore, it discusses the changes in fruit quality and explores the underlying mechanisms associated with graft-induced resistance. By synthesizing recent research advances, this review aims to offer valuable insights and practical references for improving resistance and promoting sustainable production in cucurbit and …
Decision-Making During A Crisis: A Case Study Of How A University Responded To The Covid-19 Pandemic, Ryan Joseph Iocco
Decision-Making During A Crisis: A Case Study Of How A University Responded To The Covid-19 Pandemic, Ryan Joseph Iocco
Electronic Theses and Dissertations 2020 - Present
Scant research is available on how university leaders make decisions and communicate those decisions to their stakeholders during times of crisis. The purpose of this case study was to better understand the decision-making process used by administrative leaders at a higher education institution during a time of organizational crisis. This study examined decision-making by higher education leaders within and across different functional areas at a single higher education institution between February 2020 and September 2020, following the onset of the COVID-19 pandemic. Data was collected through interviews and document analysis. Although research exists on decision-making during crises, there is limited …
Fort Brooke After 200 Years: A Public Heritage Approach, Alex F. Fawbush
Fort Brooke After 200 Years: A Public Heritage Approach, Alex F. Fawbush
USF Tampa Graduate Theses and Dissertations
Fort Brooke, established in 1824 at the mouth of the Hillsborough River, shaped the growth of Tampa and Florida’s west coast for nearly sixty years and served as the nucleus for the forced removal of Indigenous people. Though the Fort itself has long since vanished beneath the modern city, archaeology has preserved its legacy. Excavations since the 1970s have uncovered rich assemblages of ceramics, glass, military equipment, faunal remains, and domestic refuse. These materials reveal daily life at the post, highlighting the interactions of soldiers, Seminoles, African Americans, white settlers, and Cuban fishermen, while also uncovering the deeper prehistoric, referred …
The Orange Glow In The Sunshine State: Three Visions Of Plato In Florida (1970-1990), Ryan Mcgahan
The Orange Glow In The Sunshine State: Three Visions Of Plato In Florida (1970-1990), Ryan Mcgahan
USF Tampa Graduate Theses and Dissertations
The PLATO network, a collection of mainframe computers, terminals, and educational software, has received an increasing amount of scholarly attention in the last decade as a social precursor to the modern internet. Existing histories have neglected to investigate the ways in which PLATO and its related business enterprise worked to accelerate the shift in university governance away from classical liberal ideas centering the public good and towards a more profit-centered neoliberal rationality. By tracing the rise of PLATO in Florida universities, this paper argues that PLATO aided and was aided by the shifting priorities of American universities in the 1970s …
The Marriage Of Reason And Imagination In British Romantic Poetry, Evelina Mykhovska
The Marriage Of Reason And Imagination In British Romantic Poetry, Evelina Mykhovska
Electronic Theses and Dissertations Archive
There is a general consensus among literary critics that the Romantic Era stands for a celebration of Imagination and an elevation of the latter to a status of a superior mental faculty. This generalization, however, fails to acknowledge that the project of the Romantics was not so much to extol Imagination over Reason, as to unify the two faculties. In fact, the work of major Romantic poets in Britain reveals that what the Romantics mean by “Imagination” is actually Imagination unified with Reason (that is, “Primary Imagination” unified with “Primary Reason,” the merging of which forms the “One Mind”), and …
Sustainfed-Llm: Renewable Energy Aware Client Selection For Energy Efficient Federated Training Of Large Language Models, Sunbal Iftikhar, Hassan Khan, Steven Davy
Sustainfed-Llm: Renewable Energy Aware Client Selection For Energy Efficient Federated Training Of Large Language Models, Sunbal Iftikhar, Hassan Khan, Steven Davy
Research Outputs: 2025-Present
Federated Learning (FL) offers a decentralized approach to training large language models (LLMs), addressing critical concerns around data privacy and transmission costs. However, FL's inherent distributed training paradigm can lead to increased energy consumption and carbon emissions, especially with random or uninformed client selection. To tackle this issue, we propose SustainFed-LLM, a novel Q-learning-based client selection framework that integrates real-time renewable energy availability, carbon intensity data, and fairness considerations. By dynamically assessing client performance, spare capacity, and sustainability metrics, SustainFed-LLM optimizes client participation to minimize environmental impact while maintaining model accuracy. SustainFed-LLM significantly reduces energy consumption by up to 50%, …
Emergency Department-Initiated Palliative Care Screening Among Older Adults: A Systematic Review And Meta-Analysis Protocol, Dimitri E Lin, Satheesh Gunaga, Fabrice I Mowbray, Eric D Isaacs, Daniel Markwalter, Naomi George, Alison E Hay, Rita Manfredi, Erica Westlake, Murtaza Akhter, Jason K Bowman, Naomi Rebollo-Lee, Brian Gacioch, Alexander D Ginsburg, Justin Kenneth Brooten, Sarah Pajka, Katie Selman, Paul Bain, Joshua J Davis, Shan Liu, Kei Ouchi
Emergency Department-Initiated Palliative Care Screening Among Older Adults: A Systematic Review And Meta-Analysis Protocol, Dimitri E Lin, Satheesh Gunaga, Fabrice I Mowbray, Eric D Isaacs, Daniel Markwalter, Naomi George, Alison E Hay, Rita Manfredi, Erica Westlake, Murtaza Akhter, Jason K Bowman, Naomi Rebollo-Lee, Brian Gacioch, Alexander D Ginsburg, Justin Kenneth Brooten, Sarah Pajka, Katie Selman, Paul Bain, Joshua J Davis, Shan Liu, Kei Ouchi
Faculty, Staff and Students Publications
Introduction: The rapidly growing population of older adults (individuals aged 65 years and older) presents a new set of challenges for healthcare providers in the emergency department (ED), given the prevalence of severe and life-threatening conditions among this group, such as chronic cancer, Alzheimer's disease/dementia and congestive heart failure. ED encounters often represent a critical point in an older patient's trajectory of care and can thus be an important opportunity for various interventions such as palliative care consultation. Therefore, identifying those who will benefit most from palliative care is of high importance, especially in determining the course of future treatment. …
2025-10-21 Master Of Education Arts - Secondary, Morehead State University. Faculty Senate., University Graduate Committee.
2025-10-21 Master Of Education Arts - Secondary, Morehead State University. Faculty Senate., University Graduate Committee.
Faculty Senate Records
Proposed revisions to the Master of Arts Education for the Secondary track approved on October 21, 2025.
2025-10-21 Master Of Education Arts - Middle Grades Revision, Morehead State University. Faculty Senate., University Graduate Committee.
2025-10-21 Master Of Education Arts - Middle Grades Revision, Morehead State University. Faculty Senate., University Graduate Committee.
Faculty Senate Records
Proposed revisions to the Master of Arts Education for the Middle Grades track approved on October 21, 2025.
2025-10-21 Master Of Arts Education - Elementary Revisions, Morehead State University. Faculty Senate., University Graduate Committee.
2025-10-21 Master Of Arts Education - Elementary Revisions, Morehead State University. Faculty Senate., University Graduate Committee.
Faculty Senate Records
Proposed revisions to the Master of Arts Education for the Elementary track approved on October 21, 2025.
A Quality Improvement Project To Standardize Sexual Dysfunction Screening In Primary Care, Ashley M. D’Anna
A Quality Improvement Project To Standardize Sexual Dysfunction Screening In Primary Care, Ashley M. D’Anna
Electronic Theses and Dissertations 2020 - Present
Sexual health is an essential aspect of overall well-being but is often overlooked in primary care due to provider discomfort, time constraints, and lack of standardized screening protocols. This quality improvement (QI) project aimed to implement a consistent approach to screening for sexual dysfunction using the Arizona Sexual Experiences Scale (ASEX), a validated five-item tool assessing sex drive, arousal, orgasm, and satisfaction. Guided by Swanson’s Theory of Caring and Pender’s Health Promotion Model, the project emphasized compassionate, patient-centered care and the promotion of health-enhancing behaviors.
Using the Plan-Do-Study-Act (PDSA) framework, the ASEX tool was incorporated into annual wellness visits following …
A Hybrid Model For Youth Engagement In Adolescent Health Studies: Insights From The Teen Research Advisors Program At A Midwestern Pediatric Academic Medical Center In The United States., John Tumberger, Alaina N. Burns, Michael Bartkoski, Mariah E. Brewe, Amelia Whittier, Kendyll Gethers, Ailisi Bogdon, Emerie Peterson, Stephani L. Stancil
A Hybrid Model For Youth Engagement In Adolescent Health Studies: Insights From The Teen Research Advisors Program At A Midwestern Pediatric Academic Medical Center In The United States., John Tumberger, Alaina N. Burns, Michael Bartkoski, Mariah E. Brewe, Amelia Whittier, Kendyll Gethers, Ailisi Bogdon, Emerie Peterson, Stephani L. Stancil
Manuscripts, Articles, Book Chapters and Other Papers
BACKGROUND: Engaging adolescents in research ensures studies are relevant, ethical, and beneficial while fostering authentic and applicable findings. Traditional in-person advisory boards face barriers to equitable participation, highlighting the need for innovative, flexible models tailored to specific research programs and individuals with lived experience. The primary aim of this article is to describe a novel hybrid youth advisory board suitable for informing ongoing operations of a research program while supporting youths' education and career exploration. Our secondary aim was to evaluate initial impact over the first 2 years of the program (2023-2024).
METHODS: Adolescents aged 12-21 with prior involvement in …
Algorithmic Collusion Among Ev Charging Stations With Independent Reinforcement Learning Agents, Yulin Zeng, Yiheng Zhao, Yuanliang Li, Yefeng Yuan, Jie Gao, Hepeng Li, Xiao'ou Yang, Hohyun Lee, Yuhong Liu, Jun Yan
Algorithmic Collusion Among Ev Charging Stations With Independent Reinforcement Learning Agents, Yulin Zeng, Yiheng Zhao, Yuanliang Li, Yefeng Yuan, Jie Gao, Hepeng Li, Xiao'ou Yang, Hohyun Lee, Yuhong Liu, Jun Yan
Faculty Research, Scholarly, and Creative Activity
Recent advancements in reinforcement learning (RL) have significantly enhanced the autonomous decision-making capabilities of energy systems. In the realm of electric vehicle (EV) charging stations, operators aim to autonomously learn optimal pricing strategies based on local observations and user behavior. Traditional multi-agent reinforcement learning (MARL) approaches often assume cooperative settings with reward sharing or communication, real-world EV charging infrastructures are typically decentralized and competitive. This paper investigates the potential for tacit collusion in such realistic, non-cooperative environments. By leveraging decentralized MARL, we show that independently trained agents can still exhibit emergent collusive behaviors. Our findings highlight a critical need for …
Exploring The Role Of Culture And Bilingualism In Programming Activities: Lessons From African Educators, Emma R. Dodoo, Katharine Childs, Ethel Tshukudu
Exploring The Role Of Culture And Bilingualism In Programming Activities: Lessons From African Educators, Emma R. Dodoo, Katharine Childs, Ethel Tshukudu
Faculty Research, Scholarly, and Creative Activity
The delivery of culturally relevant content in K-12 computing education is widely recognized as essential for engaging students and fostering meaningful learning experiences. However, in many African contexts, K-12 computing teachers feel unprepared to address this need. Course materials often fail to reflect the cultural and linguistic diversity of the students they serve. In this study, we conducted participatory design sessions with education stakeholders, including primary and secondary school teachers, to develop culturally relevant programming activities for a national programming outreach initiative in Botswana. Our findings emphasize the importance of relatable examples and a balanced approach to integrating cultural elements …
Contextualizing Introductory Computer Science: Insights From African Faculty, Ethel Tshukudu, Ismaila Temitayo Sanusi, Oluwakemi Ola, Sally Hamouda, Linda Marshall, Oluwatoyin Adelakun-Adeyemo, Emma R. Dodoo, G. Ayorkor Korsah, Sandani Luvhengo, Jack Parkinson
Contextualizing Introductory Computer Science: Insights From African Faculty, Ethel Tshukudu, Ismaila Temitayo Sanusi, Oluwakemi Ola, Sally Hamouda, Linda Marshall, Oluwatoyin Adelakun-Adeyemo, Emma R. Dodoo, G. Ayorkor Korsah, Sandani Luvhengo, Jack Parkinson
Faculty Research, Scholarly, and Creative Activity
Contextualizing computer science education has been recognized as a key factor in enhancing student engagement and learning outcomes. This study investigates the initial perceptions of university computer science faculty in Africa regarding the benefits, adoption challenges, and institutional support required for the successful integration of contextually relevant materials into introductory computer science (CS1) courses. Faculty then assessed a set of previously developed contextually tailored materials, grounded in Banks' Additive Approach to curriculum reform and aligned to the CS curricula 2023. The research adopted qualitative methods, gathering data through open-ended surveys from 22 CS faculty across 9 African countries. Thematic analysis …
Immortality, The Philosophical Discussion Group
Occurrence Of Delphinids Off Egmont Atoll, Chagos Archipelago: Detection, Characterisation, And Temporal Variability Of Vocalisations, Udayanga Sampath, Clare B Embling, Danielle V Harris, Tom B Letessier, Isha Shyam, Simon N Ingram, M F M Fairoz, Samina Sharmin Rouf, Asha De Vos
Occurrence Of Delphinids Off Egmont Atoll, Chagos Archipelago: Detection, Characterisation, And Temporal Variability Of Vocalisations, Udayanga Sampath, Clare B Embling, Danielle V Harris, Tom B Letessier, Isha Shyam, Simon N Ingram, M F M Fairoz, Samina Sharmin Rouf, Asha De Vos
School of Biological and Marine Sciences
Passive acoustic monitoring techniques are useful for studying vocally active marine species, particularly in remote and difficult to access areas. In this study, three months of acoustic recordings were collected off Egmont Atoll, Chagos Archipelago in the central Indian Ocean to detect, characterise, and investigate temporal variability of delphinid whistles. A subsample (3.6% of the total dataset) was used to manually annotate whistles and test automated whistle detectors. Higher frequency whistles (6-25 kHz, n = 126) were manually classified into six categories: upsweep (56%), convex (19%), downsweep (13%), concave (5%), sine (4%), and constant frequency (3%). An automated whistle detector …
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Walden Dissertations and Doctoral Studies
A lack of effective strategies to transition from print publishing to web publishing can adversely impact newspaper publishers’ sustainability and profitability. Business leaders of established newspaper publishers are concerned, as they require such strategies to enhance and maintain financial viability. Grounded in Christensen’s disruptive innovation theory, the purpose of this qualitative pragmatic inquiry was to explore the effective strategies some Jamaican newspaper publishers used to transition from print publishing to web publishing to improve and sustain profitability. The project participants included six business leaders from established Jamaican newspaper publishers. Data were collected from semistructured interviews, public websites, and other publicly …
Apoa1 Binding Protein Promotes Lymphatic Cell Fate And Lymphangiogenesis By Relieving Caveolae-Mediated Inhibition Of Vegfr3 Signaling, Jun-Dae Kim, Surbhi Chaudhary, Weiqing Chen, Jonathan Astin, Philip S Crosier, Pengchun Yu, John P Cooke, Henry J Pownall, Hugo J Bellen, Nhat-Tu Le, Daniel L Kiss, Guangyu Wang, Stanley G Rockson, Hong Chen, Longhou Fang
Apoa1 Binding Protein Promotes Lymphatic Cell Fate And Lymphangiogenesis By Relieving Caveolae-Mediated Inhibition Of Vegfr3 Signaling, Jun-Dae Kim, Surbhi Chaudhary, Weiqing Chen, Jonathan Astin, Philip S Crosier, Pengchun Yu, John P Cooke, Henry J Pownall, Hugo J Bellen, Nhat-Tu Le, Daniel L Kiss, Guangyu Wang, Stanley G Rockson, Hong Chen, Longhou Fang
Faculty, Staff and Students Publications
The lymphatic system maintains tissue fluid balance, and its dysfunction can result in lymphedema. Although cholesterol is essential for cellular function, its role in lymphatic development has remained unknown. Here, we identify APOA1 binding protein (AIBP) as a key regulator that promotes lymphatic endothelial cell fate specification and lymphangiogenesis. Mechanistically, AIBP reduces plasma membrane cholesterol content, thereby enhancing VEGFR3 signaling by disrupting caveolae—small plasma membrane invaginations formed by the scaffolding protein caveolin-1 (CAV-1)—and relieving CAV-1–mediated inhibition. In zebrafish and mice, AIBP loss impairs VEGFR3 signaling and lymphatic development, defects that can be rescued by CAV-1 deletion or by a VEGFR3 …
A Secret Chord: Finding Meaning In Music, Science, And Faith, John Macinnis
A Secret Chord: Finding Meaning In Music, Science, And Faith, John Macinnis
Faculty Work Comprehensive List
"Through the harmony and beauty of music, we are resonating with the deeper harmony of creation and perceiving the Triune God who calls it good."
Posting about how music affects the whole person from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.
Facilitation As An Effective Strategy To Reduce Excessive Antibiotic Prophylaxis In Children's Hospitals: A Stepped-Wedge Cluster Randomized Controlled Trial, Virginia Mckay, Sara Malone, Emmanuel Tetteh, Jacqueline Saito, Shawn Rangel, Kelly Bono, Jade Tao, Jingxia Liu, Harry Obeng, Andrew Atkinson, Jason G Newland
Facilitation As An Effective Strategy To Reduce Excessive Antibiotic Prophylaxis In Children's Hospitals: A Stepped-Wedge Cluster Randomized Controlled Trial, Virginia Mckay, Sara Malone, Emmanuel Tetteh, Jacqueline Saito, Shawn Rangel, Kelly Bono, Jade Tao, Jingxia Liu, Harry Obeng, Andrew Atkinson, Jason G Newland
2020-Current year OA Pubs
BACKGROUND: Excessive use of postoperative prophylactic antibiotics in children's hospitals is a significant public health concern, leading to increased risks of infections like Clostridioides difficile, multidrug-resistant organisms, and unnecessary healthcare costs. Antibiotic stewardship programs (ASPs) are designed to optimize antibiotic use, but ideal strategies for implementing evidence-based guidelines remain unclear. We tested facilitation, a dynamic process where trained individuals support healthcare personnel in bridging evidence-practice gaps, as a promising strategy for the de-implementation of unnecessary postoperative antibiotics in healthcare.
METHODS: The OPerAtiC trial employed a stepped-wedge cluster randomized controlled design across nine hospitals to compare the effectiveness of two ASP-led …