Digital Commons Network^™

The Anatomy Of Change: A Scoping Review Of Surgical Curriculum Renewal Processes, Marc A. Seifman, Robyn Woodward-Kron, Roi Y. Kagan, Kirsten Dalrymple, Aimee K. Gardner, Ian Incoll, Lars Konge, John T. Paige, Debra Nestel

School of Medicine Faculty Publications

PURPOSE: Renewal of surgical curricula is critical in maintaining relevance to contemporary healthcare needs. A curriculum document usually describes its purpose, intended outcomes, content, methods, and assessment and evaluation processes. The document may also consider cultural, professional, political, and social contexts. While there are published curriculum development approaches, guidance on renewal processes is limited. This scoping review aims to synthesise literature on surgical curriculum renewal, to understand the key elements of this process, and identify areas for improvement. METHODS: A scoping review was conducted by the core author team, with co-creation involving a Knowledge User Group (KUG). Seven databases were …

Re-Envisioning The Path To Sustainable Practice Change With The Mountain Model, Jayne Jennings Dunlap, Julee Briscoe Waldrop

Biennial Convention (CONV)

Although Evidence-Based Practice (EBP) and Quality Improvement (QI) are frequently used to guide practice change, EBP lacks the sustainability component of QI and QI traditionally favors the use of internal evidence to the exclusion of external (research) evidence. EBP models focus on finding research evidence, critically appraising it and then synthesizing it to identify the intervention best suited to the problem, population, and context. Next, a practice change is developed, implemented, and evaluated but then what? What about continuous monitoring and sustaining the change? EBP models are weak in the continuous monitoring and sustaining of practice change. On the other …

The Value Of Education In Healthcare: Moving Beyond Intuition To Data-Driven Advocacy, Emily Calabro, Robin Petersen

Biennial Convention (CONV)

Background: Healthcare education departments face increasing pressure to demonstrate their value amidst budget constraints and restructuring, often leading to resource cuts that hinder their ability to improve patient care and staff development. This necessitates a robust method for quantifying the return on investment (ROI) of educational initiatives.

Methods/Procedures: This initiative describes the development and validation of a novel ROI calculator designed to empower educators and advocate for their crucial role. Grounded in the Institute for Healthcare Improvement's Plan-Do-Study-Act model, the calculator incorporates advanced data analytics and predictive modeling, drawing data from sources such as the Healthcare Quality Report, historical financial …

Increasing Confidence And Self-Efficacy In Council Leaders In A Multi-Site Healthcare System, Kambree Baxter, Shelby Do

Biennial Convention (CONV)

This EBP project aimed to provide SDM council leaders (CL) across a 27-site healthcare system, including 7 Magnet and 10 Pathway facilities, with resources to build leadership confidence via a virtual workshop. The goal was to improve CL’s self-efficacy, staff engagement, and nurse satisfaction.

A gap was identified in resources to support shared decision making (SDM) CLs during their elected term. Feedback showed CLs lacked knowledge and self-efficacy to lead effectively. Higher self-efficacy predicts leadership success. To improve CLs' confidence and staff engagement, a workshop was developed to support leadership skills, including meeting management, technology, curated role education, open discussion, …

Improving Safe Practices For Firearm Storage In A Pediatric Primary Care Setting, Lisa Callahan, Clark Callahan

Biennial Convention (CONV)

Background: Firearm injury contributed to 15,706 pediatric deaths in 2019 (Xu et al., 2021). The number of children injured in these accidents exceeded motor vehicle collisions for the first time in 2019 (Andrews et al., 2022). While such events are preventable, gun violence is the leading cause of death in children under 19 years of age (Andrews et al., 2022). Thus, there is an urgent need to stop this source of pediatric morbidity and mortality.

Objectives: The aim of this DNP project was to evaluate whether providing a trigger lock safety device with firearm storage training using the Health Promotion …

Assessment Of Cultural Competence Of Nursing Faculty, Nitha Mathew Joseph, Rebecca L. Tsusaki, D’Hania L. Miller, Doncy Joji Eapen, Marie Mcbee, Mary Ellen Trail Ross, Olivia Fitch, Riza V. Mauricio, Sara Lewandowski, Melanie Mcewen

Biennial Convention (CONV)

Introduction: Nurses’ cultural competence is vital in improving patients’ experiences and reducing health disparities. Cultural competence should be integrated into nursing curricula to prepare nursing students to deliver culturally competent care. Unfortunately, not all nursing educational practices are culturally competent. Institutions and agencies for advancing nursing education have acknowledged the importance of cultural competence in nursing education. Few studies have critically examined nurse faculty readiness and preparation in cultural competence in the United States. Therefore, we aimed to assess cultural competence among nurse faculty at a large nursing school in the Southwestern United States.

Methods: Using convenience sampling, a cross-sectional, …

Exploring The Impact Of Caring For Patients Diagnosed With Iv Drug Use Endocarditis At End Of Life, Kendrea Lea Todt

Biennial Convention (CONV)

Purpose/Problem Statement: Caring for patients with substance use disorder is a challenge for nurses, especially patients who use intravenous (IV) drugs and contract endocarditis. Infective endocarditis is a cardiac infection with a high mortality rate, and yet this disease receives little attention in the media or research. IVDU-IE has been referred to as the Cinderella of Cardiology. Nurses disposition young patients in the prime of their lives to hospice care, funeral homes, morgues, or home to die. The purpose of this modified photo elicitation phenomenological study was to explore the impact of caring for patients diagnosed with IVDU-IE at the …

Driving Excellence And Retention Through Professional Development Opportunities, Lourdes Cristina Fernandez, Marilynn Robayo

Biennial Convention (CONV)

Background: Clinical recognition advancement programs are invaluable for sustaining the development of clinical nurses and have been associated with improvement in nursing satisfaction and retention (Mijares & Radovich, 2020). At a large academic teaching institution in New Jersey, a voluntary clinical ladder program recognizes professional advancement through structured opportunities that align with institutional goals.

To participate in the program, criteria for each level are defined in domains of practice that reflect the ANA standards of professional practice and organizational values (Kanaskie & Reynolds, 2020). Submission of an electronic portfolio is required and reviewed by two committee members to ensure standards. …

Effect Of Various Lactobacillus Probiotic Strains On Oral Antihypertensive Drug Response: A Systematic Review, Khoirunnisa Ramadhani, Keri Lestari

Pharmacology and Clinical Pharmacy Research

Hypertension is a major risk factor for cardiovascular disease, and the effectiveness of antihypertensive therapy can be influenced by metabolic and systemic inflammatory factors associated with gut microbiota conditions. Probiotic strains from the genus Lactobacillus have been reported to modulate antihypertensive effects through complex biological mechanisms. This article evaluates experimental evidence from seven in vivo studies on the influence of Lactobacillus strains on the response to antihypertensive drugs, including pharmacodynamic mechanisms and drug–probiotic interactions. The combination of Lactiplantibacillus plantarum with amlodipine enhanced nitric oxide production, increased eNOS expression, reduced IL-6 levels, and improved drug bioavailability, leading to greater blood pressure …

Optimization Of Guava Leaf Extract Cream Formulation Through Variations Of Xanthan Gum And Stearic Acid For Wound Cure In Rats, Ayudia Cipta Khairani, Mia Ariasti

Pharmacology and Clinical Pharmacy Research

Cuts are among the most common skin injuries caused by sharp objects and can lead to infection if not properly treated. Natural ingredients such as guava leaves have been widely investigated for their wound-healing potential. Guava leaves contain bioactive compounds including flavonoids, saponins, alkaloids, and tannins, which contribute to anti-inflammatory, antibacterial, and tissue regeneration processes. This study aimed to formulate and evaluate the physical properties and wound-healing effectiveness of guava leaf ethanol extract cream with varying concentrations of xanthan gum and stearic acid as emulsifiers. The extract was obtained by maceration using 70% ethanol and formulated into four cream formulas …

Drug-Related Problems In Hemodialysis Patients With Chronic Kidney Disease: A Study At X Hospital (January–May 2022), Muhammad Refki Abrari, Jatmiko Susilo

Pharmacology and Clinical Pharmacy Research

The prevalence of chronic kidney disease (CKD) in Indonesia has increased from 2.0 ‰in 2013 to 3.8 ‰in 2018. The presence of complex comorbidities associated with CKD causes varied therapy regimens (poly-pharmacy), leading to an increased risk of drug-related problems (DRPs). To overcome these complications, dialysis is often used to remove metabolic waste and rebalance electrolytes to maintain life in patients experiencing rapid loss of kidney function. This study aims to evaluate drugs consumed as well as DRPs experienced by patients diagnosed with CKD undergoing hemodialysis at X Hospital from January to May 2022. The study procedures were carried out …

What Is The Hospital Pharmaceutical Care? Perceptions And Expectations Of Doctors In Interprofessional Collaboration In 2 Types Of Indonesia Hospitals, Anisyah Achmad, Savvy Augustin Tirta, Titi Annisa Bella, Ratna Kurnia Illahi, Bambang Sidharta, Valentina Yurina, Wara Rejeki

Pharmacology and Clinical Pharmacy Research

Hospital Pharmaceutical Care (HPC) is the pharmacist’s direct responsibility to aim for patient safety and quality of life. HPC is a means of avoiding medication and human errors. Carrying out a HPC requires a good collaboration between doctors and pharmacists in treatment management. The aim of the research was to determine the relationship between doctors’ perceptions and expectations of clinical pharmacists at HPC. This research is descriptive quantitative observational with a cross-sectional approach. The data were collected using purposive sampling (type A hospital) and total sampling (type C hospital) through interviews using perception and expectations questionnaires on doctors’ to pharmacists …

Β-Glucan As A Potential Modulator Of Tgf-Β Signaling And Emt-Driven Resistance In Triple-Negative Breast Cancer, Hanifa Dinda Hayati, Riezki Amalia, Gemilang Lara Utama, Dika Pramita Destiani

Pharmacology and Clinical Pharmacy Research

Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer that lacks expression of estrogen, progesterone, and HER2 receptors, limiting the effectiveness of targeted therapies and making chemotherapy the primary treatment option. However, resistance to chemotherapy remains a major clinical challenge, often driven by dysregulation of the transforming growth factor-β (TGF-β) signaling pathway. TGF-β plays a dual role in cancer, initially acting as a tumor suppressor but later promoting tumor progression through mechanisms such as epithelial–mesenchymal transition (EMT), immune evasion, and the establishment of cancer stemness. This review aims to explore the role of TGF-β signaling and EMT …

Assessing Standardisation Initiatives From The European Data Strategy’S Perspective: A Systematic Review, Nicola M.F. Faraone

Yearbook of Antitrust and Regulatory Studies

The paper seeks to provide for an overview of the most relevant European legislative initiatives related to the process of standardization at EU level. While a specific emphasis will be devoted to the AI Act and the Open Banking/Open Finance framework, also the most recent regulation together with the connected European soft law will be addressed.

Instructional Designers’ Perceptions On Generative Ai Integration In Higher Education, Alison Mclaughlin

Walden Dissertations and Doctoral Studies

The problem addressed through this study is that the rapid evolution of generative artificial intelligence (AI) tools has created challenges for online higher education instructional designers, who must evolve pedagogically and continually evaluate and refine the balance between the use of generative AI tools and human development. The purpose of this basic qualitative study was to explore the perceptions of online higher education instructional designers on what challenges and successes they are experiencing in integrating rapidly evolving generative AI tools in course design and development, and how these experiences have shaped their current perceptions about teaching and learning. Guided by …

Environmental Risk Assessment Of Textile Waste From Bio-Engineered Fibers In The Fashion Industry, Aayush Pankaj Agarwal, Harshit Soral, Irmak Aktan, Karol Montserrat Gonzalez Saad, Maria Daniela Saa Espinosa, Sheetal Suhas Dhanuka, Yi Yang

Harrisburg University Dissertations and Theses

The global fashion industry generates over 92 million tons of textile waste annually, a figure projected to increase significantly by 2030. Bio-engineered fibers, including bacterial cellulose, mycelium-based leather, and recombinant protein textiles emerge as sustainable alternatives to conventional fibers. Despite their promise, recent evidence suggests that these fibers may pose environmental risks at the end-of-life stage, such as incomplete biodegradation in landfills, microfiber shedding, and chemical leaching from dyes and coatings. The purpose of this study is to examine how these risks are represented through scientific literature, corporate sustainability reports, and policy frameworks, and to identify strategies for integrating risk …

Perceived Effects Of Verbal Orders On In-Patient Medication Reconciliation And Safety: A Multi-Center Cross-Sectional Study, Yahaya Jafaru, Abubakar K. Sahabi, Mohammed M. Sani

Pharmacology and Clinical Pharmacy Research

Medication reconciliation presents significant challenges for healthcare professionals, particularly due to communication gaps that contribute to patient safety incidents. The aim of the study was to investigate the perceived effect of verbal orders on in-patient medication reconciliation and safety. The study was a cross-sectional survey with nurse employees of the three tertiary hospitals in Kebbi State, Nigeria as population of the study. The instrument for the data collection was a 21-items researcher-constructed self-administered questionnaire. Chi-square and binomial regression analysis were used in data analysis. Over two-thirds (70.7%) of the respondents reported a negative perceived effect on the patient’s compliance. The …

Crosstalk Between Gut Microbiota And Antihypertensive Drugs: A Systematic Review, Dhiya'ul Haq, Keri Lestari

Pharmacology and Clinical Pharmacy Research

Hypertension is a multifactorial condition characterized by persistently elevated blood pressure. In addition to genetic and environmental factors, recent studies suggest that the gut microbiota contributes to the development of hypertension and modulates the response to antihypertensive therapy. This review aims to summarize the latest knowledge on the bidirectional interaction between gut microbiota and antihypertensive drugs. Original studies published up to May 2025 on this topic were collected from two online databases: PubMed and Scopus. A total of 220 articles were identified, and 9 articles met the inclusion criteria for further discussion. Three of these included articles discussed how gut …

Anti-Inflammatory Actions Of Trigonella Foenum-Graecum L. In Acute And Chronic Inflammation: Insights From Preclinical Studies, Angel Christella, Dzava P. F. Ismail, Eli Halimah

Pharmacology and Clinical Pharmacy Research

Chronic inflammation is a major factor in various degenerative diseases. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is often the main choice, but long-term side effects such as gastrointestinal irritation and nephrotoxicity limit their use. Therefore, natural alternatives such as Trigonella foenum-graecum (fenugreek) have attracted attention due to their bioactive compound contents with anti-inflammatory properties. This narrative review was conducted through a systematic search of articles from the last 10 years in PubMed and Scopus. Keywords used a combination of MeSH and free terms related to fenugreek and anti-inflammatory agents. In vitro and in vivo studies evaluating the anti-inflammatory effects …

Periodontal Precision: Diagnostic Skills And Confidence Of Dentists In Asian Countries In Applying The 2017 Efp/Aap Periodontal Disease Classification- A Cross-Sectional Pilot Study, Kamran Ali, Priti Charde, Daniel Zahra, Ewen Mccoll, Tayeb Al Hadeethi, Nader Hamdan

Peninsula Dental School

Background: The classification of periodontal disease published in 2017 by the European Federation of Periodontology (EFP) and American Academy of Periodontology (AAP), provides a framework for diagnosis and treatment. The aim of this study was to evaluate the diagnostic skills and self-perceived confidence of dentists and dental students based in Asian countries in the use of this classification. Methods: A cross-sectional analytic study design was employed. An online questionnaire encompassing four periodontitis cases was used for data collection. A total of 500 participants were invited to provide a diagnosis and rate their confidence for each case. Results: Responses were provided …

Increased Intermembrane Space [Ca2+] Drives Mitochondrial Structural Damage In Cpvt, Shanna Hamilton, Radmila Terentyeva, Roland Veress, Fruzsina Perger, Zuzana Nichtova, Mark Bannister, Jinxi Wang, Sage Quiggle, Rachel Battershell, Matthew Gorr, Sandor Györke, Bum-Rak Choi, Christopher George, Andriy Belevych, György Csordás, Dmitry Terentyev

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

BACKGROUND: Mitochondrial dysfunction caused by abnormally high RyR2 (ryanodine receptor) activity is a common finding in cardiovascular diseases. Mechanisms linking RyR2 gain of function with mitochondrial remodeling remain elusive. We hypothesized that RyR2 hyperactivity in cardiac disease increases [Ca 2+ ] in the mitochondrial intermembrane space (IMS) and activates the Ca 2+ -sensitive protease calpain, driving remodeling of mitochondrial cristae architecture through cleavage of structural protein OPA1 (optic atrophy protein 1).

METHODS: We generated a highly arrhythmogenic rat model of catecholaminergic polymorphic ventricular tachycardia, induced by RyR2 gain-of-function mutation S2236L(Ser2336Leu)(+/-) . We created a new biosensor to measure IMS-[Ca2+ ] …

Using Evidenced-Based Practice To Remove Hyperkeratosis To Improve Wound Healing In Venous Leg Ulcer Patients: A Case Study, Briony Flello

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Exploring The Impact Of The Nursing Associate Role On Urinary Tract Infections Within An Acute Elderly Mental Health Setting, Ann Mcdonnell

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Establishing An Adhd Post-Diagnostic Support Group: A Quality Improvement Report, Katie Alexandra Jones

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Enhancing Patient Centred Care And Safety By Optimising Team Collaboration And Increasing The Nursing Workforce Capacity, Kayley Pooley

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Société Des Casinos Du Québec Inc. V. Association Des Cadres De La Société Des Casinos Du Québec: The Supreme Court Of Canada Gambles On Liberal Voluntarism To Provide Meaningful Access To Collective Bargaining, Eric Tucker

All Papers

In April 2024, the Supreme Court of Canada (SCC) unanimously ruled that the exclusion of managerial employees from Quebec’s main statutory collective bargaining regime, combined with a failure to provide them with access to any other statutory labour rights, did not violate their constitutionally protected freedom of association. This decision raises many questions about the future of constitutional labour rights at the Supreme Court. In this brief comment I address what is arguably the biggest takeaway for workers such as the casino managers whose freedom of association is poorly or entirely unprotected by statutory rights: that despite the majority judgment’s …

Iconic Voices And Ai: The Legal Battle Against Voice Cloning, Ezra Ashkenazi

Cardozo Arts & Entertainment Law Journal (AELJ) Blog

In a recent interview with The Guardian, the legendary Hollywood actor, Morgan Freeman, expressed his distaste with AI’s use of his voice. Freeman went on to say, “I get paid for doing stuff like that, so if you’re gonna do it without me, you’re robbing me.” Freeman went further and said that his lawyers “[A]re already ‘very, very busy’ tackling unauthorized artificial intelligence uses of his voice.” While that is the last we have heard from Freeman and his legal team on the matter, this article will analyze the potential legal arguments one can bring to enjoin a company’s …

Demonstrating How Consistent Kindness, Presence, And Patient Advocacy Improve Engagement And Dignity In Secure Forensic Mental Health Settings, Patricia Quarshie

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Case Study Report: The Nursing Associate Role Within Education In Practice And Teaching At University Level, Heidi Johnson

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Bridging The Gap: Enhancing Healthcare Support Worker Confidence And Skills Through A Nursing Associate Led Study Day, Lindsay Ewing

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION