Digital Commons Network^™

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 …

Aorto-Septal Angle As A Predictor Of Left Ventricular Outflow Tract Obstruction In Pediatric Patients With Subaortic Stenosis And Subaortic Membrane Development: A Study At Prince Sultan Cardiac Center, Buraydah, Saudi Arabia 2023, Rehab N. Alharbi, Ali A. Alakhfash, Abdullah M. Alqwaiee, Abdulrahman A. Almesned, Abdulrahman O. Alharbi

Journal of the Saudi Heart Association

Background: The angle between the interventricular septum and the anterior aortic wall is shallow and measured at 120 degrees in normal individuals. In patients with LVOT narrowing, aortic valve anomalies, and a subaortic membrane, this angle is more acute. This will change the flow hemodynamics and might lead to the formation or progression of the subaortic membrane. Objectives: This study aims to assess the IVS/Anterior Aortic wall angle in patients with abnormal aortic valves and/or LVOT obstruction and its association with SAM development. Methodology: A one-year prospective observational study (September 2022 to June 2023) at PSCC-Qassim's pediatric cardiology department included …

Retention Of Evidence-Based Practice Skills And The Association Between Beliefs, Behaviors, And Workplace Culture, Angela M. Lis, Lauren Snowdon

Journal of Innovation in Health Sciences Education

Introduction: Guidelines for teaching evidence-based practice (EBP) in Doctor of Physical Therapy (DPT) curricula have been published. There is limited evidence on the role of workplace culture in retaining these skills in entry-level clinical practice. This study evaluated the retention of self-perceived EBP skills, and the association of EBP beliefs and behaviors with cultural readiness once graduates join the workforce.

Methods: Two cohorts of DPT students completed a baseline questionnaire at graduation and a 12-month follow-up. Participants’ beliefs about EBP, implementation behaviors, and the organizational culture to support EBP were assessed using short versions of the EBP beliefs, implementation, …

Mollusks From Crusader-Period ‘Akko, The Knights’ Hotel Site, Inbar Ktalav

'Atiqot

This study analyzes mollusk remains collected during the 2007 excavation season at the Knights’ Hotel site in ‘Akko, which was part of a Crusader-period residential neighborhood. A total of 538 shells were identified, including marine shells from the Mediterranean and Red Seas, freshwater shells and land snails. The analysis of these shells sheds light on the lives of the Crusader-period residents of ‘Akko, including their trade connections and use of shells for construction, ornamentation, pigment containers and raw material for the inlay industry.

The Metal Finds From ‘Akko, The Knights’ Hotel Site, Joppe Gosker

'Atiqot

The 2007 excavation at the Knights Hotel Site yielded about 170 metal finds, mostly iron or copper alloy, though silver and gilded items were also found. Some objects associated with warfare may have been linked to the final battle of ‘Akko in 1291 CE, but most of the finds relate to daily life, encompassing activities such as horse keeping, dress, foodways, medicine and construction. The dominance of Eastern-type arrowheads indicates that local traditions were sometimes adopted, certainly for the arrows if not the bows. Concerning dress accessories, the overall impression is of European traditions. It seems that the Franks preferred …

Fragments Of A Crusader-Period Chancel Screen From ‘Akko, The Knights’ Hotel Site, Vardit R. Shotten-Hallel

'Atiqot

The phrase ‘where [or: when] least expected’ is rarely used in archaeology. In fact, when excavating a cesspit, the opposite is often true. Cesspits are precisely where archaeologists expect to uncover hoards of household artifacts, like pottery and glass, or sometimes valuables, dislocated sculptures and even skeletons. In this regard, the excavation at the Knights’ Hotel site in ‘Akko is no exception. Four richly decorated marble fragments were found in a cesspit, integrated in the shaft’s wall as part of repair work. A stylistic analysis, and consideration of the historical context of their deposition, revealed an unexpected possibility regarding their …

Stone Objects From ‘Akko, The Knights’ Hotel Site, Anastasia Shapiro

'Atiqot

Four stone objects were retrieved during the 2007 excavation season at the Knights’ Hotel site: three whetstones and one bead. Besides the routine registration of measurements and visual description, the specimens were examined under a binocular microscope at ×20 and ×40 magnifications, with the aid of 5% dilute hydrochloric acid and a steel needle. This procedure made it possible to define the lithology of the rock that the objects were made of and to trace use features like minor scratches, which usually receive little attention.

Crusader-Period Glass Finds From ‘Akko, The Knights’ Hotel Site, Yael Gorin-Rosen

'Atiqot

This article discusses the glass finds uncovered during the 2007 excavation season at the Knights’ Hotel site and complements the report of the 1995 season. This collection of glass vessels is significant as it expands our knowledge concerning the variety of types produced in the local workshops and includes a variety of vessels from other production centers. Together, the finds from both seasons emphasize the richness and diversity of Crusader-period glassware and artifacts during the thirteenth century, before the fall of ‘Akko in 1291.

Tobacco Pipes From ‘Akko, The Knights’ Hotel Site, Anastasia Shapiro

'Atiqot

The study of 111 Ottoman tobacco pipes and three nargile heads from the excavation of the Knights’ Hotel site in ‘Akko illuminates the smoking habits of the population of this quarter of the city between the early seventeenth and mid-nineteenth centuries. The dates, provenance and typology of the pipes are based on the results of previous studies. The latest date of most of the pipes in this corpus may be related to an explosion during the siege of 1840, after which the quarter remained unoccupied.

Petrographic And Microscopic Examination Of Crusader-Period Pottery From ‘Akko, The Knights’ Hotel Site, Anastasia Shapiro

'Atiqot

A petrographic and microscopic study was undertaken for 14 Crusader-period vessels from the Knight’ Hotel site in ‘Akko. The petrographic analysis confirmed the presumed Egyptian origin of twelve vessels, while the microscopic examination of two pithoi suggested that their raw material originated within an ophiolitic complex found in Venice and its vicinity.