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Using Virtual Learning Labs To (Re)Mediate Exclusionary Discipline Practices For Young Children Of Color With Disabilities, Saili Kulkarni, Sunyoung Kim, Nicola Holdman

Faculty Research, Scholarly, and Creative Activity

Disabled children of color (ages 3-8) face multiple, intersecting oppressions in schools and are more likely to be excluded and/or harshly punished for minor behavioral issues compared to white and/or non-disabled peers. Approaches that center multiple stakeholders (families, teachers, and administrators) using a formative intervention called a Learning Lab (LL) have worked to reduce discipline disparities among secondary and upper primary students of color with disabilities (Bal, 2016). Knowing that discipline disparities can start as early as preschool (Kulkarni et al., 2021), however, we examined how LL (re)mediates exclusionary and harsh discipline practices for young children of color with disabilities. …

Borderline Personality Disorder: A Narrative Review On Effective Psychotherapies, Marina Neri, Antonino Reitano, Lavinia Rinnone, Antonio Bruno, Fabrizio Turiaco, Felicia Matilde Ferreri, Carmela Mento, Maria Rosaria Anna Muscatello, Fiammetta Iannuzzo

Journal of Mind and Medical Sciences

Borderline personality disorder (BPD) is a severe mental disorder characterized by pervasive patterns of relational instability, chronic feelings of emptiness, sense of abandonment, self-injurious and anticonservative attempts. Pharmacological treatment has been found useful only for the management of severe symptoms and management of comorbidities, while psychotherapy is the main treatment for BPD. Although the disorder has long been considered resistant to any treatment, in recent years research has not only shown that BPD can be treated but also provided several manualized and empirically validated psychotherapeutic treatments. This paper set out to examine the most effective current psychotherapies for the treatment …

Avoiding Common Pitfalls In Medical Writing: An Editor’S Advice, Deanna Erin Conners

Milne Open Textbooks

Avoiding Common Pitfalls in Medical Writing is a useful companion text to comprehensive style guides for the biomedical sciences. This book walks authors through best practices for writing scientific papers and grant proposals in a concise and accessible format. Authors and teachers worldwide will benefit from these shared insights of an experienced scientific editor.

Read this book online at: https://milnepublishing.geneseo.edu/medical-writing/

Reimagining Crisis Management With An Organizational Learning Framework, Erika J. Schneider

Media Studies - All Scholarship

Technological advancements have altered the landscape of crisis management, making many crises potentially preventable and controllable. Moreover, these technological advancements have provided opportunities for organizations to implement an informed learning approach in crisis responses. The interconnectedness and complementary aspects of three theories within crisis management, including the situational crisis communication theory's base crisis response strategies, image repair theory's corrective action, and discourse of renewal theory's organizational learning, were assessed and integrated into a proposed framework for understanding a comprehensive approach to crisis management. In this research, technology is regarded as both an asset for facilitating organizational learning (e.g.,informed decision‐making through …

Heal, Not Harm: Embracing A Trauma-Informed Approach As An Act Of Transformative Care, Carrie R. Giboney Wall

International Christian Community of Teacher Educators Journal

Desperate to decrease problematic student behaviors and increase desirable ones, many teachers employ traditional behaviorist models of discipline through the use of rewards or punishments. Although well-meaning and perhaps temporarily effective, these transactional barter systems can do more harm than good, especially for students who are trauma-impacted. By disrupting these practices that can re-traumatize students and embracing trauma-informed practices, teachers can extend transformative care to students and promote healing. The purpose of this qualitative investigation was to explore the manifestations of trauma on student classroom behavior and learning at a Title I public elementary school as well as multipronged elements …

The Curriculum Beyond The Curriculum: Developing The Whole Nursing Professional, Tiffani M. Wise, Lauren Sullivan, Venisa R. Morgan

Leadership Connection

The success of graduate nurses is dependent on development of the whole nursing professional, encompassing the abilities to engage, critically think, self-reflect, and manage stress. An effective partnership between faculty and the Office of Student Affairs allows for a holistic approach to learner-centered education giving students the skills for success.

Telling Our Story: From Change Resistance To Readiness, Nancyruth Leibold, Mary Bemker

Leadership Connection

Stories, transformational leadership, and change in the workplace intersect in this presentation! Change in the workplace is a challenging process. The use of stories or narratives by transformational nurse leaders is a positive strategy to promote the change process. A surgical nursing change project narrative is included.

Using Systems Thinking Leadership And Qsen Competencies To Design A Nursing Career Development Framework, Noreen T. Bernard, Cynthia A. Oster

Leadership Connection

The purpose of this presentation is to share the journey one Accountable Care Organization (ACO) took to meet the changing needs of the community by addressing current and future workforce shortages through building a sustainable nursing career development framework supported by Quality Safety Education for Nurses (QSEN) competencies.

Transforming Nurse Leaders Through A Mentored Leadership Experience, Karen M. Beranek, Kay Clevenger, Jennifer L. Embree, Jennifer L. Declercq

Leadership Connection

Session presented on Saturday, September 17, 2016.

The 2010 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, calls for health organizations, including nursing organizations and nursing schools, to “provide nurses greater opportunities to gain leadership skills and put them into practice.” In an effort to prepare the next generation of nurse leaders, the International Leadership Institute (ILI) at Sigma Theta Tau International offers leadership development for academic and clinical nurse leaders, who wish to increase their leadership expertise. Often times, faculty members are promoted into leadership positions without adequate preparation. To facilitate this transition, the ILI …

Reboot And Refresh: How To Start Over, Jenny Paugh Hoffman, Jessica R. Wendorf

Leadership Connection

Session presented on Sunday, September 18, 2016:

Do you find that your chapter does something because 'that's the way we've always done it'? Settling into a rigid routine can make for a stale chapter experience. This session will show your leaders how to start fresh! This session is not eligible for continuing nursing education credits.

Medication Error Reduction Using Pda Technology By Nursing Students At The Point Of Care, Laly J. Joseph

Leadership Connection

Session presented on Monday, September 19, 2016:

Purpose: The purpose of this evidence-based pilot study was to determine if nursing students could calculate medications in a case study with greater speed and accuracy using a personal digital assistant (PDA) compared to students using textbooks and a calculator thereby reducing medication errors. Medication errors are a major cause of harm to patients in health care settings and reducing medication errors is a main concern in today's healthcare setting. Nurses are the main professionals involved in administering medications and administration is the part of the medication process with the least safeguards in …

Interprofessional Collaboration: A Leadership Imperative To Value-Based Care, Susan Thurman

Leadership Connection

Top priorities in all healthcare organizations are improving patient safety and the patient experience. Nationally, The IOM published concerns with fragmented processes causing harm. The Joint Commission highlighted ineffective communication as a factor in medical errors. It is crucial for leaders to promote
evidence based practices to improve patient outcomes.

Influencing Change In Developing Countries Through Mentoring Leaders: A Nursing-Led Quality Improvement Project In Peru, Patrick Albert Palmieri, Joan Elaine Edwards, Juan M. Leyva-Moral

Leadership Connection

Nurses are best positioned to lead large organizationa-

Aprn Transformational Leadership: Implementation Of Advanced Practice Nursing Leadership Structure Within An Academic Medical Center, Pam Jones, April Kapu

Leadership Connection

Session presented on Tuesday, September 20, 2016:

To meet the health care drivers of cost-effective, high quality and safe patient care, there has been a rapid growth in the number of APRNS across multiple clinical settings. More and more APRNs are rising to executive leadership levels, leading APRNs in both professional and operational practice. Bridging from clinical expert to expert organizational leader can be challenging without role development, mentorship and structural empowerment. In 2008, nursing executive leadership of an academic healthcare system recognized the need for specific leadership for APRNs deployed across multiple settings. Over a 6 year period, APRN …

Nursing Workload And Its Relationship To Patient Care Error In The Paediatric Critical Care Setting, Ruth M. Trinier

Leadership Connection

Session presented on Sunday, September 18, 2016:

Patient care error, a leading cause of death and disability in the critical care setting, contributes to suffering of the patient and family; can precipitate an emotional crisis for health care staff; and creates an increased financial burden to the health care system. Nurses, who provide the majority of direct patient care in the hospital setting, have reported a perception that increased workload contributes to many of these errors. Nursing practice, which requires complex knowledge work and vigilant patient assessment to promote best outcomes, may be compromised by time and manpower constraints. To …

Clinician Education Intervention: Adolescent Depression Management, Gina Botello

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Major depressive disorder is a mental illness that impacts adolescents' mental health. Effective treatments for major depressive disorder are available. Barriers such as clinicians' perceptions that adolescents should be referred to a child and adolescent psychiatrist when seeking mental health services marginalize the value of screening. This evidence-based quality improvement project aimed to implement a clinician-education intervention in an outpatient behavioral health clinic in a border town in Southwest Arizona using established guidelines from the American Academy of Pediatrics and the Canadian Network for Mood and Anxiety Treatments. This quality improvement project aimed to strengthen clinician use of the patient …

Promoting Safe Infant Sleep: The Creation And Appraisal Of A Practice Guideline For Nurses, Sharon C. Hitchcock

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Background: Every day in America, healthy infants are dying from sudden infant death syndrome (SIDS) and other sleep-related deaths. Once a terrifying mystery, these deaths, also called sudden unexpected infant death (SUID), are now considered preventable (American Academy of Pediatrics [AAP], 2016). SUID rates in the United States have remained stagnant and unacceptably high since the late 1990’s despite known modifiable risk factors (Centers for Disease Control and Prevention [CDC], 2017). These rates are higher than most other developed nations (MacDorman, Matthews, Mohangoo, & Zeitlin, 2014). Although prevention strategies are evidence-based and generally known and understood by nurses, studies have …

Implementing Evidence To Improve Chronic Insomnia Treatment For Older Adults In Primary Care: A Quality Improvement Project, Mariama Bayoh

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Background: Chronic insomnia (CI) affects over 50% of American adults 65 years and older. The most currently used treatment approach for this problem is inconsistent with the most up-to-date evidence-based clinical guidelines and research. Despite the apparent benefits of cognitive-behavioral therapy for insomnia (CBTI) as an effective tool for the treatment of CI in adults, pharmacologic treatment remains the standard care for CI in the primary care setting. This health care improvement project aimed to improve the application of evidence for CI treatment by increasing the clinic providers' awareness of CBTI as first-line treatment for CI.

Methods: The Plan Do …

Evidence Based Change: A Protocol To Reduce Ambulance Diversion Using The National Emergency Department Overcrowding Scale Tool, Kathryn S. Rogers

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Background: Ambulance diversion (AD) occurs when emergency departments (EDs) experience over-demand of available resources and can no longer accept ambulance patients. Current evidence however, shows that AD delays critical care, negatively impacting quality and cost. The purpose of this project was to reduce AD by creating an evidence-based protocol in the ED setting. Methods: Underpinned by Kurt Lewin's Change Theory and following a Plan Do Check Act model, a healthcare quality improvement team implemented an AD protocol in a busy urban ED. Baseline data was taken from historical hours of AD use and ambulance arrivals over the previous three years. …

Compassion Fatigue: A Leadership Driven Quality Improvement Project, Peggy Bradley

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Compassion fatigue, defined as the physical and mental exhaustion experienced by those who care for sick or traumatized people over an extended time-period (Merriam-Webster, 2019; Berg, et. al., 2016), has emerged as a leading concern for healthcare professionals and organizations locally, nationally, and globally. It negatively impacts personal and professional relationships, physical and mental health, personal and professional performance, as well as standards of patient care. Approximately 16% to 85% of the healthcare workforce suffers from compassion fatigue, putting them at increased risk for poor personal and professional judgment, reduced job satisfaction, increased turnover, and costs the economy billions of …

Evidence-Based Practice Change: Implementation Of A Collaborative Practice Model For Diabetes, Emma L. Edwards

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Background: The prevalence of type II diabetes mellitus (T2DM) in the United States is high, especially in underserved populations. Many patients with T2DM do not receive the optimal interprofessional collaborative care that has been shown to improve outcomes. A model of care that incorporates these evidence-based recommendations is integral to improving the quality of diabetes care. A growing body of literature identifies the use of a provider-clinical pharmacist collaborative practice (P-CPCP) model of care as an effective, innovative, and evidence-based practice that will improve patient outcomes.

Purpose: In response to an identified need to improve T2DM patient care in an …

Procalcitonin As A Prognostic Indicator Of Risk For Sepsis In The Neonate, Tara L. Cecil, Intermountain Healthcare, Janine Marie Saulpaugh, Paul Repass Iii Umberger

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Introduction. Procalcitonin (PCT) is a biomarker that rises at the onset of bacterial infection while remaining relatively low in other inflammatory processes. Diagnosing serious bacterial infection (SBI) in neonates presenting with fever without a source (FWS) is challenging and utilizing PCT can improve this process. This paper presents a synthesis of the evidence supporting PCT as a prognostic indicator in neonates.

Methodology. A comprehensive literature review was conducted to develop practice recommendations. A guideline, the Intermountain Healthcare Care Process Model (2013), was modified to include PCT, which was then validated by a panel of clinical experts.

Results. Evidence supports the …

The Effects Of Racial Battle Fatigue In Students Of Color: Increasing Awareness And Improving Coping Skills, Meyokia Smith

Group: Nebraska Methodist College

Students of color who attend predominately white institutions have reported experiencing racism, discrimination, or racial microaggression which has led to physiological, psychological, or behavioral stress responses coined as racial battle fatigue (RBF), a newer term describing these effects. This project sought to understand students of color's experiences of RBF through a focus support group while formulating coping mechanisms to assist students of color who may face RBF to build resiliency. The focus support group discussion concentrated on three main themes: Racial Battle Fatigue Awareness, Racial Battle Fatigue Experience, and Coping and Racial Battle Fatigue. Results from this study sought to …

A Multistudy Validation Of An Instrument For Nurse Job Satisfaction, John W. Nelson, Georgia J. Persky, Mary Ann Hozak, Alice Albu, Pamela S. Hinds, Kay Savik

General Submissions: Instruments, Tools, and Measurements

This study aims to validate an instrument of nurse job satisfaction, the Healthcare Environment Survey (HES), across settings and time through an organizational change.

Self Less: A Book Talk Featuring Dr. Len Jessup, Len Jessup

Lincy Institute Events

The Lincy Institute hosted a book talk with Len Jessup, Ph.D., author of Forbes and Amazon best-selling book, “Self Less: Lessons Learned from A Life Devoted to Servant Leadership, in Five Acts.”

Self Less follows Jessup’s story of emotional vulnerability. Blending personal narrative with research, Jessup argues selfless leaders can maximize impact by guiding teams, not controlling them. He stresses the power of constant learning, surrounding yourself with people far smarter than you, and service to others. For leaders seeking to create meaningful change through personal growth, Jessup provides inspiration along with practical advice on inclusive leadership and securing stakeholder …

Selected Indiana Government Statistical Agencies And Their Data, Bert Chapman

Libraries Faculty and Staff Presentations

Provides coverage of Indiana state government agencies statistics and selected Tippecanoe County, Indiana local government statistical publications. Presentation describes state agencies such as the Indiana Departments of Agriculture, Education, Health, Local Government Finance, and State Budget Agency. Examples of historical and current data are presented.

Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly

Walden Dissertations and Doctoral Studies

Ineffective leadership styles among healthcare administrators can negatively impact employee and patient satisfaction, ultimately reducing organizational revenue. Grounded in transactional, transformational, and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by healthcare administrators to enhance employee and patient satisfaction. The study involved six healthcare administrators from three rural hospitals in Arkansas, with data gathered through semi-structured interviews and public records. Thematic analysis revealed four key themes: (a) communication, (b) employee engagement, (c) ethics, and (d) monitoring key performance indicators (KPIs). A key recommendation is for healthcare administrators to invest in leadership development …

Barriers And Facilitators For Successful Integration Of Nurse Practitioners Into Interdisciplinary Care Teams, Laura Stankovic

General Submissions: Clinical Settings Materials

The purpose of this review is to explore the barriers and interventions for successful NP integration to healthcare teams. Research aims are to study the evidence related to autonomy, empowerment, and physician oversight on NP practice; role ambiguity and incivility in healthcare teams; and interventions at the educational and professional levels to promote successful integration.

Workplace Health, Safety And Well-Being Of The Nurse, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This guideline addresses the many factors that contribute to nurses' health, safety and well-being and makes specific recommendations that may influence the overall health and well-being of the individual nurse. This guideline also goes beyond global recommendations - such as developing broad-based strategies for nursing recruitment and retention - and includes recommendations specific to organizations, nursing education programs, researchers and, at the systems level, accrediting organizations.

Developing And Sustaining Nursing Leadership, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This guideline is intended to assist nurses and others performing both formal and informal nursing leadership roles from the point-of-care to the board room, across a variety of practice domains and settings. It identifies evidence-based leadership behaviour that nurses can implement individually and collectively to benefit patients, health-care team members, organizations, systems and health-care policy, research and education.