Digital Commons Network^™

Preventing Aggression In A Pediatric Inpatient Unit: A Best Practice Implementation Project, Johnna C. Riddick

Creating Healthy Work Environments (CHWE)

In pediatric settings, there has been an increase in patients with mental health problems, who experience aggressive and threatening behavior. Without proper policies, education, and means to identify triggers for aggressive behavior, nurses are unable to safely care for these children and are at risk of being injured. The objective of this project was to promote evidence-based practices regarding the prevention of aggression in hospitalized pediatric patients in medical-surgical units.

Using the JBI Evidence Implementation framework, this project sought to optimize compliance with best practices for early identification of aggressive behaviors in pediatric inpatient units. Three barriers to best practice …

Sustained Effects Of Resiliency Training On Well-Being In Nurse Leaders, Shirley D. Martin, Stephanie Bailey, Regina W. Urban

Creating Healthy Work Environments (CHWE)

Post-pandemic, as many as 40% of nurse managers considered leaving their jobs due to burnout.^1,2 Resilience is the ability to bounce back after stress, a trainable skill related to well-being that may help mitigate burnout.^3,4 There is a need to study factors to promote well-being in healthcare professionals.⁵ Research on sustainable outcomes of resiliency training in nurse leaders is lacking.

The purpose of this study was to prospectively examine effects of a 6-hour resiliency training program⁶ on well-being outcomes in nurse leaders. The team conducted a longitudinal study in the spring through fall 2022 and offered …

Mixed Methods Triangulation: Applying Just Culture Principles In Nurses' Transition To Practice, Manisa Baker, Rebecca Toothaker, Lora Hromadik, Randi Flexner, Linda Mcquiston, Danielle Walker

Creating Healthy Work Environments (CHWE)

The transition from nursing student to registered nurse is fraught with challenges, including stress, knowledge gaps, miscommunication, and insufficient constructive feedback, which can cause uncertainty for new graduate nurses (NGNs). Although Just Culture principles are taught in nursing education, they are often difficult to apply in practice. The gap between theoretical knowledge and practical application can result in hesitation when reporting errors, communicating effectively with the healthcare team, or participating in quality improvement initiatives. This disconnect underscores the need for more robust support systems and education that bridge the transition from student to practicing nurse. This study aims to triangulate …

Cultivating Civility And Sense Of Belonging Amongst Nurse Leaders, Dajanae Gresham-Ryder, Sandy Phan

Creating Healthy Work Environments (CHWE)

The goals were to identify learning needs and implement evidence-based educational interventions to close identified gaps to foster civility, belonging, and inclusive leadership practices.
PICOT: How does implementing civility and belonging best practices among experienced clinical nurses affect the knowledge, skills, attitudes, and practices within five months?

The outcomes of this project have substantial implications for nursing leadership practice. Conducting needs assessments and adopting evidence-based strategies improved nurse leaders’ knowledge and skills to foster a practice change in civility and inclusive environments to support nurse satisfaction and patient outcomes. Leadership considerations to mitigate perceived challenges include supporting a just culture, …

Crisis Intervention Training To Improve Nurse’S Job Satisfaction In Mental Health Settings, Maria Josephine Torres

Creating Healthy Work Environments (CHWE)

This study addresses a specific issue in the psychiatric and mental health residential nursing setting. The objective of the study was to address the problem identified based on evidence-based practice and literature showing that there are weaknesses and gaps within the population. In a psychiatric and mental health care setting, would more specific and extensive crisis intervention training for nurses provide improved job satisfaction for those nurses in a 6-week period? The population included to address the clinical practice problem and objective is registered nurses with all levels of experience in residential psychiatric and mental health nursing, ranging from new …

Supporting The Well-Being Of Critical Care Nurses At A System-Level, Heidi K. Holtz, Guy Weissinger, Lindsay Tessmer

Creating Healthy Work Environments (CHWE)

Critical care nurses (CCNs) are a crucial part of the health care system, however, the long-term stressors and traumatic stress they are exposed to affect their health, well-being, and create work environments that make it difficult to provide safe and quality patient care. A healthy work environment for nurses will maximize the health and well-being of nurses, decrease burnout, lower turnover, and improve the quality of patient care[1]. There is limited evidence from previous studies carried out that can inform the selection of interventions to foster healthy work environments for nurses and manage traumatic stress[2,3].Therefore, indicating a critical need to …

Assessing Market Potential And Swot-Based Strategies For Betong Chicken In Pattani, Yala, And Narathiwat Provinces Of Southern Thailand, Talerngsak Angkuraseranee, Chaiyawan Wattanachan, Kettawan Boonthep

The Thai Journal of Veterinary Medicine

This study aimed to evaluate market opportunities and formulate strategic pathways for the sustainable growth of Betong chicken, an indigenous premium poultry breed in southern Thailand known for its distinctive meat quality. Recent declines in the Betong chicken population and productivity have created a supply–demand imbalance, threatening the Betong chicken’s long-term economic viability. Using a mixed-methods design, data were collected from 280 stakeholders—farmers, processors, retailers, and consumers—in Pattani, Yala, and Narathiwat provinces. SWOT and Internal–External (IE) matrix analyses were applied to identify internal strengths and weaknesses and external opportunities and threats. The External Factor Evaluation (EFE) score of 2.773 indicated …

Impact Of Fault Resistance On The Performance Of Ann-Based Faults Classification In The Farm Of Pv Systems, Anwer Mahmood Fadhil, Omar Sharaf Al-Deen Al-Yozbaky

AUIQ Technical Engineering Science

This research provides an analytical study of the effect of fault resistance on the accuracy of fault classification in solar farms, with the aim of evaluating the performance of classification algorithms in realistic environments where the characteristics of electrical signals resulting from faults change. A model of a 290kW photovoltaic farm, consisting of 100 strings each containing 7 solar panels, was adopted, and the simulation was carried out using MATLAB/Simulink software. The study included different scenarios for electrical faults, such as line-to-ground (LG) and line-to-line (LL) failures, with the failure impedance changing from 0 to 500 ohms by a step …

Assessment Of The Thermal Performance Of Cables At Zummar Station, Considering The Impact Of Harmonics, Riyad Zaki Sabri Younis, Khaled Mohammed Othman

AUIQ Technical Engineering Science

This study evaluates the thermal impact of harmonic distortion on underground power cables through a real-life case study conducted at the Zummar 33/11 kV substation. Field measurements indicated that the cable most exposed to thermal stress was the one supplying an industrial area, where a Total Harmonic Distortion (THD) level of 23.8% was recorded due to nonlinear loads. Numerical simulations were carried out using the Finite Element Method (FEM) to analyze the thermal performance of the cable system under different seasonal loading conditions. The results showed that harmonics not only increased the temperature of the affected cable but also indirectly …

Standards For Appropriate Staffing: One Element Of A Healthy Work Environment, Sarah Delgado, Michelle Kidd

Creating Healthy Work Environments (CHWE)

The session describes AACN’s Standards for Appropriate Staffing in Adult Critical Care and their inextricable link to Healthy Work Environment standards. National work on acute and critical care staffing will be reviewed and strategies for applying the staffing standards will be discussed. The presentation emphasizes leveraging the other five Healthy Work Environment standards to implement the staffing standards. Audience questions and participation encouraged.

Healthy Work Environments: Introduction To The Standards, Michelle Kidd

Creating Healthy Work Environments (CHWE)

Creating a healthy work environment (HWE) is now more important than ever. Substantial evidence exists demonstrating the impact of HWEs on nurse/healthcare team, patient, and organizational outcomes. This session focuses on the importance of HWEs and highlights ways to operationalize AACN’s six HWE standards to better achieve and sustain them. An interactive exercise will be offered for practical application of the standards.

Cognitive Rehearsal Training For Nursing Workplace Incivility: A Quality Improvement Project, Tynesha Wade, Amy Gow, Salem Dehom

Creating Healthy Work Environments (CHWE)

Andersson and Pearson (1999) introduced the concept of workplace incivility as “low-intensity deviant behavior with ambiguous intent to harm the target, in violation of workplace norms for mutual respect” (p. 457). A systematic review of the literature noted nearly two-thirds of healthcare employees have witnessed incivilities perpetuated by nurses and cited a study in which 85% of responding nurses reported experiencing incivilities in the past year (Keller et al., 2020). It has been estimated that 44% of nursing staff have been bullied in the healthcare environment (The Joint Commission, 2021).

While often used interchangeably in practice and in the literature, …

Mindful Movements: Cultivating Resilience & Well-Being In Academia, Meghan Marie Pontz, Allison Maloney

Creating Healthy Work Environments (CHWE)

There is a growing crisis of burnout and mental health concerns in post-secondary educators, with nearly 70% of faculty experiencing significant stress due to increased workloads, job insecurity, and the demands of teaching. This has led to higher rates of anxiety, depression, and burnout, contributing to decreased job satisfaction and higher turnover intentions within academia. These challenges are particularly acute in the nursing workforce, which is already grappling with significant shortages of practicing nurses and faculty. Out of this critical concern the Mindfulness and Movement project was cultivated by nursing faculty, both of whom are practicing mental health professionals and …

Oncology Caregiver Wellness Series: Boosting Resilience And Combating Burnout, Pakeeza Ali, Miles Kotchevar

Creating Healthy Work Environments (CHWE)

Burnout is an increasingly pressing issue in healthcare, especially for oncology caregiver teams who face immense emotional and physical demands. While wellness programs are often introduced to address burnout, the lack of clear definitions for both burnout and wellness makes it difficult to design effective solutions. Many wellness initiatives, though well-intended, fail to address the daily stresses caregivers face, particularly during crises like the COVID-19 pandemic.

From a leadership perspective, the issue becomes even more complex. As healthcare costs rise and take up a larger share of the economy, organizations are pressured to increase productivity and maximize staff efficiency. Unfortunately, …

Empowered Nursing: Maintaining Regulatory Compliance And Safeguarding Your Professional Practice, Madison Edwards

Creating Healthy Work Environments (CHWE)

Join us as we understand the role of state boards of nursing and regulation of licensure. It is a nurse's duty be deeply familiar with the statutes that define our scope. Learn resources and tools to understand the statute and administrative code that govern your scope of practice. We will discuss licensure complaints and what to do if this happens to you. Learn how a strong foundation in your nursing practice defends against malpractice claims and ensures peace of mind in your practice.

The Art Of Saying No: Empowering Nurses To Set Boundaries For Well-Being, Sara Kaylor, Abby Horton, Haley Townsend, Meridith Rice, Susan Prevost

Creating Healthy Work Environments (CHWE)

The nursing profession, long dominated by women, is shaped by societal norms that encourage selflessness and compliance, leading nurses to prioritize others over their own well-being. This expectation to always say yes, coupled with the demands of various practice settings, contributes to burnout and stress. This presentation advocates for a feminist approach to boundary-setting, offering strategies to help nurses confidently say no, establish healthy boundaries, and maintain a balanced career.

Healing Toxic Healthcare Work Environments: Strategies For Nursing Leadership, Zelia Taylor-Pearson, Melanie A. Horning

Creating Healthy Work Environments (CHWE)

Nurse leaders in academic and clinical settings play pivotal roles in developing and sustaining healthy environments. Examples of toxicity are bullying, harassment, ostracism, retaliation, discrimination, favoritism, poor staffing and support, and poor communication (Chong et al., 2021). Nurse leaders can create supportive, nontoxic work environments that enhance nurses’ well-being, job satisfaction, patient care, and organizational outcomes. Leaders are crucial in integrating evidence-based practice (EBP) to transform unhealthy healthcare settings (Melnyk & Fineout-Overholt, 2023). The transformational framework supports promoting positive work atmospheres. Lappalainen et al. (2020) identified core components of transformational leadership: idealized influence, inspirational motivation, intellectual stimulation, and individual inspiration. …

Putting People First: Nurse Leaders' Role In Prioritizing A Culture Of Workforce Wellbeing, Kimberly A. Bernard

Creating Healthy Work Environments (CHWE)

Leadership should prioritize the deliberate cultivation of healthy work environments to mitigate burnout. Nurses' lack of workplace well-being has been well-documented for decades, with significant exposure during the COVID-19 pandemic. These conditions can lead to poor mental health, as exhibited by feelings of stress, anxiety, depression, and physiological symptoms, which can ultimately contribute to burnout.
The literature suggests that nurse leaders are responsible for adopting and implementing healthy work environments that build, nurture, and sustain a positive, healthy culture. Leaders who cultivate a safe and supportive workplace and contribute to staff well-being will likely experience improved staff retention, increased productivity, …

When Good Clinicians Don’T Make Good Leaders: Closing The Gap With Multifaceted Leader Development, Rachel E. Wood, Jennifer Schmitz, Andrew Slifko

Creating Healthy Work Environments (CHWE)

Nurse leaders have significant opportunity to impact the health and well-being of the workforce. Leadership behaviors impact empowerment, motivation, performance, culture, and retention.^1–3 Often great clinicians are promoted to leadership roles with little to no training or support in developing their leadership style and practices.⁴ It is crucial to develop intentional, effective leaders to promote safe and healthy work environments and adaptable and enduring teams.^1–3 An effective leadership development program can advance a healthy work environment and reduce leader turnover.
Leaders play a critical role in promoting empowerment of their teams.^2,5 Nurses who are empowered formally …

Educational Use Of Artificial Intelligence In Doctor Of Health Sciences Programs, G. Zipp, Christina B. Gunther, Douglas Kuperman, Jill Moore, Lori Rainchuso

Journal of Innovation in Health Sciences Education

Introduction: Artificial intelligence (AI) has gained increased attention in higher education with the identification of several strengths, weaknesses, opportunities, and threats regarding its utility. The aim of this study was to ascertain how doctoral programs in health sciences utilize AI as academicians and instructors.

Methods: An electronic survey was distributed to all Association of Doctoral Programs in Health Science (ADPHS) members on the mailing list (n=51), with n=19 (37.3%) voluntarily responding.

Results: The findings revealed both enthusiasm and caution regarding the use of AI in doctoral health sciences education, reflecting similar broader trends identified in the literature. Despite institutional …

Antibiogram Development For Neonatal Intensive Care Unit In A Referral Hospital In Sana'a City, Yemen, Mohammed A. Kubas, Massoud K. Rassam, Amaal A. Alsayani

AUIQ Complementary Biological System

Neonates have an immature immune system, making them highly susceptible to infections. Treatment failure in newborns may result from antibiotic resistance, a significant challenge in the management of infectious illnesses worldwide. So the main objective of this research was to develop a newborn-specific antibiogram at the University of Science and Technology hospital (USTH) in Sana’a, Yemen. A retrospective analysis was conducted using microbiological data from the USTH database during the period from January 2021 to March 2022, antibiogram was generated and analyzed using the WHONET application. Gram-positive bacteria were the most frequently isolated pathogens in neonates, followed by gram-negative bacteria. …

Biosorption Of Crystal Violet Onto Fenugreek Seed Powder: Comprehensive Optimization Through Response Surface Methodology And Elucidation Of Dye Uptake Mechanism, Hasan M. Agha, Zaher Mundher Yaseen, Wafaa Raji Alfatlawi, Khansaa Al-Essa, Abdallah Reghioua, Hussein A. Kazem, Lee D. Wilson

AUIQ Complementary Biological System

This work investigates the efficacy of fenugreek seed powder (FSP), an agricultural product, as an economical and sustainable biosorbent for the extraction of crystal violet (CV) dye from aqueous environments. The biosorbent was analyzed using XRD, FTIR, and SEM-EDX, validating its amorphous structure, surface functional groups, and porous shape. Batch biosorption tests were adjusted utilizing a Box–Behnken design (BBD), incorporating three independent variables: FSP dose (0.02–0.1 g/100 mL), pH (4–10), and time (5–60 min). The model exhibited exceptional prediction accuracy (R² = 0.99, CV = 2.12%) and recognized all three variables as statistically significant (p < 0.05). The maximum CV removal attained was 91.8% efficiency at an FSP dose of 0.1 g/100 mL, pH 7, and a time of 60 minutes. FTIR examination indicated changes in the –OH, C=O, and C–O functional groups, signifying their participation in dye interaction, whilst SEM pictures validated dye deposition on the biosorbent surface. The biosorption process was ascribed to electrostatic forces, hydrogen bonding, π–π stacking, and pore filling. These findings underscore FSP as a viable, economical biosorbent for the removal of cationic dyes in wastewater treatment applications.

Learning Temporal Embedding Of Telemetry Via Neural Odes, Hp Inc

Defensive Publications Series

The invention provides a modular machine learning pipeline that preprocesses structured telemetry logs, applies attention over tokenized key–value pairs, uses a hybrid Neural ODE/SDE-RNN architecture to evolve the embedding over time, employs self-supervised learning for training, supports both offline and online updates, and generates natural language summaries via a language model. Effectively each user’s environment is represented as an embedding which captures the time evolution

Supervisory Recovery Process For Windows Devices With Dynamic Error Handling, Hp Inc

Defensive Publications Series

The supervisory recovery method addresses these challenges by offering flexible restoration options, including automatic retries, retry from, failure impact, alternative solution, failure dependency, skip functions, and repairs for unexpected issues after OOBE. This approach minimizes manual steps, streamlining the recovery process and increasing the likelihood of a successful outcome.

Platform Validation Framework Sequence Diagram Conformance, Hp Inc

Defensive Publications Series

This disclosure describes a framework for clearly demonstrating that an SDK provider and Solution Clients in a distributed system conform to spec via exacting documentation utilizing sequence diagrams. The framework ensures that sequence diagrams which are shared with Solution Clients can be validated independent of release schedules.

Shielding With Dissipation Solution, Hp Inc

Defensive Publications Series

Traditionally, shielding can is an effective way for blocking RF interference from circuits and chips on PCB to impact antenna. Ideally it should be well grounded, and the gaps that may cause leakage should be as small as possible. However, some cases have limited grounding points which resulted in relatively large gaps, the leakage of RF interference could possibly be bad, and thus further absorber is required to suppress RF interference. The idea here is to apply resistors between shielding can and PCB ground to act as absorber or damping to absorb unrequired RF energy.

Dual Radio Headset, Hp Inc

Defensive Publications Series

When a user using a Bluetooth Headset (call/music) and moves away from the Bluetooth Host, he experiences the audio becoming choppy or completely lost depending upon the various factors which culminates into Bluetooth range/coverage. Some headsets can operate up to 100 feet/ 30 m from the host by switching from class 2 to class 1 operation (based on proximity to the host) this helps to optimize the battery life.

Cross-Vendor Print Quality Diagnostics Via Genai, Hp Inc

Defensive Publications Series

Our idea, Print Quality Diagnostics with GenAI, employs proprietary prompt engineering techniques and specialized large language model (LLM) integration methods that create a unique approach to print quality diagnostics. By utilizing carefully crafted LLM prompts and specialized system architecture, our product enables cross-vendor compatibility, going beyond existing solutions which tend to be vendor specific. The system integrates defect classification, reasoning explainability, and remediation generation into a unified architecture. Our solution dramatically reduces model development time while maintaining diagnostic accuracy comparable to traditional models.

Vision Ai-Based Audio Transcription Enhancement, Hp Inc

Defensive Publications Series

This article describes an AI-based enhancement for audio transcription that utilizes video data to improve accuracy and context during conference calls. By analyzing participant gestures, facial expressions, and non-verbal actions, the technology aims to create a more engaging communication experience for both in-person and remote participants with an enhanced audio transcription that captures deeper levels of communication and a detailed collaboration context in a meeting.

Transcatheter Pulmonary Valve Replacement (Tpvr): A Saudi Consensus Statement, Khalid Alnajashi, Ahmed Al Zahrani, Atif Al Qabani, Mohamed Al Humaid, Mishael Binobaidan, Ahmed Krimley, Ahmed Al Omrani, Dhafer Al Shahrani, Ahmed Al Samman, Abdullah Al Quei, Khalid Al Twirqi, Wail Alkashkari, Adel Tash

Journal of the Saudi Heart Association

Objectives: To provide an expert consensus on the appropriate use of transcatheter pulmonary valve replacement (TPVR) in managing chronic pulmonary regurgitation (PR), particularly in patients with congenital heart defects such as Tetralogy of Fallot (TOF). The consensus aims to address current practices, patient selection criteria, procedural planning, and device-specific considerations to guide clinicians in optimizing outcomes. Methods: A multidisciplinary panel reviewed existing literature, clinical guidelines, and real-world practices. Key domains covered include epidemiology, anatomical and hemodynamic evaluation, pre- and post-procedural imaging, device characteristics, and patient selection. Imaging modalities such as echocardiography, cardiac magnetic resonance (CMR), and computed tomography (CT) were …