Digital Commons Network^™

Trauma And Anxiety: The Narratives Of Syrian Youth Resettled As Refugees, Jessica Declercq, Lana Ruvolo Grasser, Rasheed Alahmad, Bassem Saad, Hiba Abu Suhaiban, Dalia F. Mammo, Celine Bazzi, Ragda Izar, Noor Abou-Rass, Ayat Abed Ali, Raya Nashef, Tanja Jovanovic, Arash Javanbakht

Medical Student Research Symposium

Background

Civilian war trauma and forced migration are among the most traumatic life experiences. There are approximately 36.4 million refugees worldwide; 40% are children. There is a paucity of mixed methods approaches that quantify properties of trauma narratives of refugee youth. This approach could assist in identifying individuals who could benefit from early clinical care.

Methods

Participants were 68 youth resettled as refugees of Syria in Southeast Michigan ages 7-17 (31F, M_age = 12.85), originally recruited from clinics during health screenings within one month of arrival in the United States. Those enrolled in this study consented to additional data …

A Systematic Review Of The Social Determinants Of Health In Shoulder Arthroplasty Outcomes, Allison Boland, John Pum, Michael Gaudiani, Matthew A. Gasparro

Medical Student Research Symposium

This systematic review investigates the impact of social determinants of health (SDOH) on outcomes in shoulder arthroplasty (SA). SA, a common orthopedic procedure, has seen an increasing focus on SDOH influencing postoperative results. The study aims to comprehensively assess this impact on both surgical and patient-reported outcomes.

Through a systematic search of databases, 34 studies (2011-2021) met the inclusion criteria, involving 4,825,547 patients. Explored SDOH included insurance status, race/ethnicity, age, sex, income, social support, and veteran status. Outcomes considered were length of stay, American Shoulder and Elbow Surgeons scores, total SA rates, revision rates, complication rates, and discharge status.

Findings …

Volume 72, Issue 2: Windows, Mirrors And Sliding Glass Doors - Bridging The Divide Call For Submissions

Virginia English Journal

No abstract provided.

The Learning Center: Changing Your Writing Center To A Learning Center, Kyle D. Trott Ph.D.

Virginia English Journal

The purpose of this article is to reimagine the Writing Center not as an island removed from the disciplines or resource extending from the English Department, but as the heart of the secondary school. One way to do this is to recognize the need for secondary school writing centers to engage the academic community comprised of the five core disciplines—English, Math, Science, Social Studies, Foreign Language—through advocacy and shared responsibility by means of creating and engaging through agency by utilizing the honor societies in the various disciplines through the local example of the Woodbridge Senior High School’s development of the …

Engaging Students In Writing With Nonfiction Social Justice Texts, Tracy Spurlin-Saravanan

Virginia English Journal

Getting students engaged in writing in a high school setting is usually challenging and often elicits complaints of boredom. However, the utilization of texts that focus on the experiences of marginalized people and that educates about social injustices can get students interested. When students read texts that inform them about such issues that they might otherwise never hear about and when they are invited to share their views through writing, the door to learning to become critical thinkers and global citizens is opened for them.

Write Like The Character: A New Take On Using Mentor Text To Support Writing, Tracy L. Hough

Virginia English Journal

Writing is a complex process that requires the orchestration of cognitive, social, and emotional processes. This analysis explores ways to help our students navigate the complexities of becoming a writer by expanding the use of mentor texts to include an examination of characters who write, modeling the real challenges and rewards associated with becoming a writer. The themes identified within the selected mentor texts focus on finding encouragement and inspiration to write from others, making sense of the world through personal writing, and discovering one's voice and identity as a writer. By extending our use of mentor texts, we help …

“It's The Commonwealth's Attempt To Censor . . . What We Teach”: Anti-Lgbtqia2s+ Educational Policy Influences On Rural Secondary Ela Teacher Practices, Josh Thompson, Clint Whitten, Karin Kaerwer

Virginia English Journal

The shift in political landscape in Virginia from former Democratic Governor Ralph Northam to current Republican Governor Glen Youngkin influenced educational policies in the commonwealth. Waving the banner of parental rights, the Youngkin administration began targeting LGBTQIA2S+ students and educators through legislation and policies such as SB 656 and Model Policies on Ensuring Privacy, Dignity, and Respect for All Students and Parents in Virginia’s Public Schools. To understand the influence on rural school districts, this study asked how rural secondary English Language Arts educators understand and respond to these anti-LGBTQIA2S+ policies as well as the ways in which those educators …

Introduction From The Editor's Desk: Spring 2024, Cinde Wollenberg

Virginia English Journal

No abstract provided.

Preventing And Responding To Workplace Violence In The Emergency Department, Stefanie Lai, Alicia Rodriguez

Providence Nursing Research Conference 2023 – Present

Background: Workplace violence (WPV) is defined as physical violence or verbal threats of physical violence, regardless of whether an employee sustains an injury. Emergency department (ED) staff are at high risk of exposure to WPV, which can lead to burnout, job dissatisfaction, and secondary stress. Effective preparation for and response to WPV incidents can help mitigate these negative effects. Multicomponent interventions, including education, safety huddles, behavioral health rapid response teams, and environmental modifications, have been shown to reduce WPV incidents and increase staff perceptions of safety.

Purpose: The purpose of this evidence informed-quality improvement project was to increase knowledge of …

The Extent Of Medical Student Stigma In Healthcare Delivery To Populations Experiencing Homelessness Or With Substance Use Disorders, Adam Chaban, Maria Tjilos, Neil Garg, Saachi Mittal, Noor Sulaiman, Nedda Elewa, Nicole Ashley Hao, Roxanne A. Ilagan, Abhijay Kumar, Stephen Venable, Richard Bryce

Medical Student Research Symposium

Evaluating the significance of medical student bias towards people experiencing homelessness (PEH) and people who use drugs (PWUD) in Detroit, Michigan.

Of the estimated 30,000 Michiganders experiencing homelessness, 5,000+ of PEH in Michigan reside in Detroit1,2. PEH suffered from a quadrupled rate of hospital readmission demonstrating the stark disparity in health outcomes among this population3. Additionally, 6% of the PEH in the state of Michigan engage in substance use1. PWUD have been historically stigmatized and subject to bias both within the healthcare system and otherwise, contributing to adverse health outcomes. Based on current literature, PWUD experiencing stigma and discrimination in …

A Characterization Of The Operator Entropy In Terms Of An Isometry Property Related To Trace Norms, Ryo Inayoshi

Journal of Stochastic Analysis

No abstract provided.

An Educational Intervention Differentiating Pressure Injuries From End-Of-Life Wounds, Alicia Perez Varela, Annette Callis

Providence Nursing Research Conference 2023 – Present

Background

End-of-life (EOL) wounds are identified in the literature as Kennedy Terminal Ulcers (KTU), Skin Failure (SF), Trombley-Brennan Terminal Tissue Injury (TB-TTI), and SCALE (Skin Changes at Life’s End). EOL wounds have a similar appearance to pressure injuries (PIs) with a fundamentally different etiology. The misclassification of EOL wounds as PIs results in increased Hospital Acquired Pressure Injuries (HAPI), hospital fines, and less-than-optimal EOL wound management.

Purpose

To examine the effectiveness of an educational intervention on EOL wounds in increasing nurse confidence in providing End-of-Life Care (EOLC) and differentiating PIs from EOL wounds.

Methods

This quasi-experimental study used the 28-item …

Panel Session. The Balancing Act: Sustaining Yourself And Your Profession, Mary Collins, Santee Ezell, Kashanta Jackson, Jazmine Kelley, Lynn Wilkins

WHEMN Conference

The Balancing Act: Sustaining Yourself and Your Profession panel session features a group of seasoned professionals to help us navigate the important topics of wellness and work-life balance. The session includes a moderated discussion about their own work in this area; lessons they have learned and how that translates into practical advice for other women; and how they are contributing to the next generation of leaders.

• Mary Collins, assistant professor, University of Southern Mississippi
• Santee Ezell, director, Health Promotion and Wellness, Mississippi State University
• Kashanta Jackson, director, Health and Counseling Services, Delta State University
• Jazmine Kelley, …

Management Of Sepsis With The Quick Sequential Organ Failure Assessment, Jeanna Adams

Providence Nursing Research Conference 2023 – Present

Abstract

Background:

Sepsis can be a source of morbidity and mortality particularly when there are delays in treatment. Early identification may improve time to antimicrobial administration. The quick Sequential Organ Failure Assessment (qSOFA) is an evidence-based practice screening tool that, when in used in conjunction with the Systemic Inflammatory Response Syndrome (SIRS) criteria can enhance recognition and treatment of sepsis. On a suburban Southern California hospital Neurological/Telemetry Unit the qSOFA is automatically calculated in the electronic medical record (EMR) but the bedside nurses were unaware of its availability and value. In addition, sepsis was not being identified in a timely …

Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (Fast), Jerome Codilla, Joanna Arraiza

Providence Nursing Research Conference 2023 – Present

Background

Patient falls are the most common adverse events reported in hospitals and represent a persistent patient safety issue. Annually, roughly 700,000 to 1 million patient falls occur in United States hospitals, resulting in around 250,000 injuries and up to 11,000 deaths (LeLaurin et al., 2019). Nurses are responsible for the identification of high fall risk patients and development of a plan of care to minimize risk. Multifactorial strategies have been shown to reduce falls, but evidence of a sustainability team (fall champions) is lacking. Review of the National Database of Nursing Quality Indicators (NDNQI) data on a 33-bed progressive …

Teaching Leadership In The Classroom: Leadership Theory, Activism, And Unsd Goals, Emma Wilson

Professional Learning Day

No abstract provided.

A Quality Improvement Project To Reduce Hospital Acquired Pressure Injuries In Patients With Darker Pigmented Skin, Ma Fe Chase, Travis Scott, Renee Hoeskel, Yolanda Rodriquez

Providence Nursing Research Conference 2023 – Present

Purpose: This quality improvement (QI) project aims to improve the accuracy and effectiveness of skin assessments for patients with darker skin tones in preventing hospital-acquired pressure injuries (HAPIs) by implementing an evidence-based, standardized skin assessment protocol and training program.

Background: Nursing staff play a vital role in preventing HAPIs. Nearly 2.5 million patients develop HAPIs annually in the United States increasing their risk of prolonged hospitalization, increased readmission, infections, and severe pain. Preventing HAPIs continues to be top priority in acute care facilities. Recent audits at a large urban Pacific Northwest hospital revealed high HAPI rates with a staff …

Characteristics Of Nursing Professional Identity Survey Completers, Teresa Rangel, Crystal Billings, Rose Timmerman, Tulla Landis

Providence Nursing Research Conference 2023 – Present

Background: Magnet and Pathways to Excellence (PTE) designations through the American Nurses Credentialing Center (ANCC) publicly recognize hospitals achieving outstanding nursing excellence. An issue of special interest to clinical nurses working in Magnet/PTE facilities is the professional identity of nurses, which is hypothesized to positively correlate to nursing satisfaction and delivery of high-quality patient care. A valid and reliable survey tool, called Professional Identity in Nursing Scale (PINS), is a low-cost and low-burden strategy for nurses to measure professional identity in nursing. However, survey attrition rate is a significant barrier to collecting robust and representative data. Little is published …

Going Beyond The Pronouns: Caring Well For Lgbtq+ People, Tobias Johnson

Providence Nursing Research Conference 2023 – Present

No abstract provided.

In-Depth Perspectives Of Faith Community Nurses Serving In A Western U.S. State: Findings From A Healthcare-Academic Collaboration, Nathan West, Lauren Kiker (Doctoral Student), Beverly Bateman

Providence Nursing Research Conference 2023 – Present

Background: Faith community nurses (FCNs) implement congregational health programs, address health-related needs, and deliver wholistic care within the faith communities they serve. FCNs have reported certain challenges impacting their ability to deliver care within faith-based settings (e.g., training, funding, resources). Literature, however, documenting the lived experience of FCNs is limited, particularly in (U.S. State blinded for review [i.e., a Western state)]. The ministry’s Faith Community Nurse Resource Center (FCNRC) at a Providence Medical Center supports 150 non-paid professionals by providing: Support (e.g., community-building), Training (e.g., FCN Foundations Course), Continuing education credits, Consulting (e.g., ministry effectiveness), and Resources (e.g., research, …

Building The Future: New Grad Residency As A Response To The Staffing Crisis, Caitlin Silva, Geri Harmon

Providence Nursing Research Conference 2023 – Present

Purpose:

An innovative nursing project was created to evaluate if increasing the total number of nurses entering the Transition into Practice (TIP) program would decrease traveler utilization, resulting in cost savings for the hospital.

Relevance/Significance:

Nursing shortages reached a critical level during the pandemic, and many hospitals throughout the country have not recovered. Many nurses have either left the bedside entirely or moved to the competitive pay of travel nursing requiring hospitals to create competitive hiring practices. The utilization of travel nurses results in increased costs and can have negative patient outcomes.

Strategy/Implementation/Methods:

The clinical education team collaborated with leadership …

Using A Virtual, Case-Based Approach To Developing Clinical Competency In Hospice, Melissa Robinson, Sasha Holden, Tara Poulsen

Providence Nursing Research Conference 2023 – Present

Background:

There has been a shift in nursing education away from a teacher-centered approach that is focused on requiring learners to memorize large amounts of content to a concept-based approach that is learner-centered and focuses on the development of critical thinking, clinical judgment, and problem-solving skills (Giddens et al., 2020). Conceptual learning requires learners to connect facts and exemplars to concepts through active learning experiences such as completing case studies or problem-solving activities (Baron, 2017). This allows learners to ‘practice’ thinking and apply new knowledge to clinical practice.

The clinical education team is applying this knowledge to the current competency-based …

The Application Of Zigbee Technology And Neural Network Algorithms In Street Light Control Systems

Defensive Publications Series

This paper introduces a street lamp control system based on zigbee technology and neural network algorithm. Street lamp control system consists of microcontrollers, sensors, displays, buttons, ZigBee, street lights. This paper mainly introduces the microcontroller as the core of the control street lamp, and uses various sensors and ZigBee to control the switch of the street lamp in different time, different weather and different road conditions to improve the energy saving of the street lamp. It also introduces how to use the neural network algorithm to realize the feasibility of the multi-function of the street lamp and the realization method. …

Malnutrition, Fear Of Falling, And Quality Of Life Are Associated With Frailty In Older Adults, Uratcha Sadjapong, Pongsaton Silangirn, Keng Chaichana, Sakesun Thongtip

Journal of Health Research

Background: Frailty is a common geriatric syndrome associated with diminished physiological reserves. These changes increase frailty and vulnerability to adverse health outcomes. This study aimed to evaluate the prevalence of frailty and risk factors of frailty including nutritional status, risk of falls, and quality of life (QoL).

Methods: This cross-sectional study was conducted with community-dwelling older adults in in Mae Chai Sub-District, Phayao Province, Northern Thailand. A questionnaire collected data from 384 older adults aged 60 or above. Nutritional status from a mini-nutritional assessment (MNA), fear of falling (FOF), QoL, and frailty were also recorded.

Results: The prevalence of …

Association Between Nutritional Status With Serum Low-Density Lipoprotein (Ldl) Level And Triglycerides (Tg) Level Among Adolescents In Yogyakarta, Indonesia, Bambang Edi Susyanto, Harsono Salimo, Bambang Purwanto, Eti Poncorini Pamungkasari, Soetrisno Soetrisno

Journal of Health Research

Background: Triglycerides (TG) and high-density lipoprotein (HDL) levels were significantly higher in children and adolescents with dyslipidemia. Elevated low-density lipoprotein (LDL) levels have been linked to clinical cardiovascular disease. This study aimed to examine the relationship between serum TG and LDL cholesterol levels with nutritional status in adolescents.

Methods: This observational, cross-sectional study was carried out from December 2021 to April 2022. The research participants were 145 teenagers aged 13–18 years old living in the Special Region of Yogyakarta, Indonesia. Participants were chosen by consecutive sampling. At baseline, each participant’s nutritional status and TG and LDL serum levels were measured. …

Histories, Cultural Contexts, Health Status, Wildlife Contact Characteristics, And Perception Towards Covid-19 Of The Urak Lawoi Ethnic Group In Koh Lanta District, Krabi Province Of Thailand: A Qualitative Study, Kanokwan Suwannarong, Paisit Boonyakawee, Thanomsin Ponlap, Kannika Thammasutti, Phitsanuruk Kanthawee, Nisachon Bubpa, Chularat Boonyakawee, Vittaya Pulkird, Junsri Changnum

Journal of Health Research

Background: The Urak Lawoi ethnic group is an indigenous community residing in the Andaman Sea of southern Thailand and are engaged in various activities related to wild animals. This qualitative study was conducted from November 2022 to February 2023 to collect information on wildlife contact characteristics and determine the level of awareness and understanding of zoonotic diseases and COVID-19 risks among this ethnic group in Koh Lanta district, Krabi province.

Methods: This qualitative study collected data through key informant interviews (KIIs) and focus group discussions (FGDs). The study respondents included 29 Urak Lawoi village health volunteers (VHVs), To Mo …

Health Literacy And Ehealth Literacy In The Prevention And Control Of Covid-19 Among Village Health Volunteers In Area Health Region Number 7 Of Thailand, Kangsadal Suwannarong, Sauwanan Bumrerraj

Journal of Health Research

Background: The COVID-19 pandemic has significantly impacted global health security and health. eHealth literacy has played a crucial role in preventing and controlling the disease, particularly among Thai village health volunteers (VHVs).

Methods: This analytic cross-sectional study was conducted from December 2021 to March 2022. It aimed to determine levels of health and eHealth literacy related to COVID-19 among VHVs in four northeastern provinces in Area Health Region Number 7. The measurement tool was the coronavirus-related health literacy (HLS-COVID-Q22) questionnaire with adaptations of Sørensen et al.'s conceptual model of health literacy and the eHealth Literacy Scale (eHEALS).

Results: Among …

Exome Sequencing Reveals A Rare Autosomal Dominant Variant In Msto1 Gene As A Novel Leber’S Hereditary Optic Neuropathy (Lhon) Modifier In A Thai Family With High Penetrance Of G11778a Mutation, Vorthunju Nakhonsri, Supannee Kaewsutthi, Bhoom Suktitipat, Wichit Suthammarak, Wanicha L. Chuenkongkaew, Rujipat Wasitthankasem, Sissades Tongsima, Patcharee Lertrit

Journal of Health Research

Background: Leber's hereditary optic neuropathy (LHON) is a prevalent mitochondrial disease that is predominantly caused by mitochondrial (mtDNA) mutations. However, not all siblings with identical LHON mutations develop visual impairment, suggesting the influence of nuclear genetic variants. This study explores the role of these variants in LHON expression among siblings and relatives with the same maternal LHON mutations.

Methods: A family with a homoplasmic G11778A mutation displaying significant LHON penetrance (50% in female carriers) was examined. Exome sequencing was performed on four members (two affected, two unaffected). Detected variations were predicted using a Variant Effect Predictor (VEP) with …

Employment And Self-Rated Depression Among Older Persons In Thailand, Seung Chun Paek, Ning Jackie Zhang

Journal of Health Research

Background: Increasing attention has been paid to productive engagement as an important protective factor against depression in older persons. This study assessed the impact of employment on self-rated depression among older persons in Thailand using a matched sample obtained from a propensity score matching method.

Methods: This study involved a cross-sectional secondary data analysis using the 2019 Health and Welfare Survey dataset. Descriptive analysis and ordered logistic regressions were used.

Results: The effect of employment was negative for self-rated depression with an adjusted odds ratio (AOR) of 1.417. This indicates that employment could reduce self-rated depression among older …

Multiple Classification Analysis (Mca) Of Key Factors Affecting Women’S Empowerment Through Health Decision Making In Remote Area Of Thailand, Pimnapat Bhumkittipich, Issara Siramaneerat, Nuttakit Iamsomboon, Krischonme Bhumkittipich

Journal of Health Research

Background: Thailand has made progress toward gender equality, but still faces challenges, particularly for women from ethnic minorities and those in conflict-affected areas. Exploring the specific challenges and opportunities facing women in Doi Mae Salong, Chiang Rai province requires an understanding of the factors that contribute to women's empowerment through health decision-making. This study aims to analyze the key factors affecting women’s empowerment through health decision-making in Doi Mae Salong, Thailand.

Methods: The researcher collected data from a total of 375 women using symmetric random sampling and distributed questionnaires. Data analysis included calculating frequency, percentage, mean, and standard deviation. …