Digital Commons Network^™

Centralized Triage: Working Together To Improve Patient Safety, Quality And Satisfaction - A Focus On Improving Average Speed To Answer, Maria Larner, Tammy Palamitia, Nora Closser, Heather Waske

Nursing Research and EBP Day 2024

The speed in which triage calls are answered affects patient access to care. After addressing workflows and barriers through huddles and team meetings, this quality improvement project adjusted staff schedules, partnered with Access Coordinators, and utilized the Genesys team to streamline calls and monitor call volume, quality and safety.

Results from these initiatives substantially reduced the average speed to answer for both inbound and outbound queues. The team will continue to monitor the data and capture trends in volume to ensure we sustain the gains.

Nurses Busting Burnout: How Self Care Programs Support Nurse Well-Being, Lenard Fernandez, Marguerite Loughrey, Andrea Cooley, Ashley Dilimone, Mariah Luce, Gabriella Rindell

Nursing Research and EBP Day 2024

Nurses working in acute care suffer from high levels of stress, burnout and turnover. Our question: For acute care nurses, what is the effect of self-care program versus no program on moral resilience? A literature review was conducted and results showed that when education on group-based wellness practices was provided, there was increased job satisfaction, moral resilience, and problem solving ability. There were decreases in feelings of burnout, and improved work/life balance. Some studies demonstrated an increase in patient satisfaction. Within Rochester Regional Health, it may not be too difficult to implement group based programs and coaching services.

The Effect Of Interruptions In Surgical Counts, Jaidin Degraw, Brooke Gisel

Nursing Research and EBP Day 2024

Retained surgical items can lead to patient frustration and prolonged hospital stays. They remain the top reason for reoperation despite the tools that are used to maintain accurate counts. Minimizing disruptions and distractions in the operating room may be one way to assist circulating nurses in obtaining correct and consistent counts.

Children In Psychiatric Crises, Elizabeth Mcgarvey, Gabriella Demeo, Jasmine Clark, Carrie Ribbing, Paige Hameister, Sally Hannafon

Nursing Research and EBP Day 2024

Mental illness in children is on the rise and more children are becoming psychiatric boarders while awaiting treatment. Many hospitals lack a separate area to board children in psychiatric crisis who can’t be discharged to home which means that children are housed in the same unit as adult psychiatric patients. This EBP project sought to identify best practices for children experiencing a mental health crisis, but a more thorough review of the literature as well as an evidence synthesis needs to be completed before practice recommendations can be identified.

Improving Incidence Of Hospital Acquired Pressure Injuries, Dena Chapman, Melissa Combs, Heather Lewis, Amanda Spamer, Gracie Young, Hope Van Duyne, Brandon Sproul, Sarah Stripp, Bethany Surline

Nursing Research and EBP Day 2024

Pressure injuries remain a huge concern in both the acute and long term care settings worldwide. It is estimated that nearly 2.5 million people are affected each year by a pressure injury. They contribute to higher costs for care, decrease patient’s quality of life and can increase morbidity and mortality.

This project implemented the use of rounding by both skin care champions and nurse residents for high risk patients, while leadership utilized huddles to reinforce appropriate interventions. Turning and positioning every two hours was endorsed as was daily bathing for patients at high risk for developing pressure injuries.

Roadmap To Address Nursing Recruitment And Retention In Ambulatory Care, Susan Madison, Tiffany Smith

Nursing Research and EBP Day 2024

As hospital stays shorten, ambulatory care must expand to meet the increased patient acuity and need for care. Ambulatory care is the entry point for care delivery and the initiator of disease management and wellness (Ulrich, 2019). The ambulatory care system of Rochester Regional Health includes 400 registered nurses, and 600 licensed practical nurses with a nursing turnover rate of 18.75%.

By leveraging technology and innovation in program development, ambulatory-specific programs have been implemented to target nursing staff recruitment and retention, resulting in a 4% decrease in ambulatory nurse turnover rates.

Family Presence During Resuscitation Efforts, Gabrielle Gavin, Marissa Pecora, Gabrielle Narvaez, Kalpana Rai, Matthew Mendolera, Leanne Coon, Bailey Oldham, Olivia Pino

Nursing Research and EBP Day 2024

Family presence during resuscitation enables family members to be present during the resuscitation efforts of a loved one. The focus of this process is to provide support to the patient and their family, while also providing transparency and trust in the medical process and personnel.

The purpose of this project was to identify the impact on family members of witnessing life saving measures on their loved one.

Decreasing Workplace Violence In Ambulatory Care, Jeanene Case, Christine Cook, Nicole Gemme, Rebecca Hass, Taylor Mikiewicz, Lynn Paladino, Erin Parkinson, Maydelin Reve Padilla, Amanda Thongsirimonghoun, Carolyn Vojtush

Nursing Research and EBP Day 2024

Workplace violence is recognized as a significant public health issue. Staff in ambulatory settings are at high risk for experiencing violence from patients or clinic visitors. Exposure to workplace violence may put staff at risk for depression, chronic fatigue, or poor job satisfaction. Developing a safety plan that incorporates organizational policy, staff training, environmental changes and debriefing may help reduce the risk of workplace violence.

12-Hour Shifts: Heaven Or Hell?, Amy Bontrager, Mary Caprio, Lakysha Grant, Seth Kibler, Savanah Wirth, Sarah Reynolds

Nursing Research and EBP Day 2024

In many hospital settings, the 12-hour shift is the standard. While it may be better for continuity of patient care, many studies have looked at the effect it has on nurses as well as patient safety. This project identified themes in the literature and while it couldn’t see a precise path forward, flexible scheduling may be looming just over the horizon.

Nurse Navigation Supports Implementation Of Guideline Based Care, Michelle Ferguson, Uzma Iqbal, Alyssa Pino

Nursing Research and EBP Day 2024

The European Society of Cardiology has developed guidelines aimed at identifying and mitigating risk for cardio-oncology events in oncology patients. Cardiovascular risk factors, cancer type and therapeutic regimen present unique treatment considerations requiring individualized risk assessment. Use of a nurse navigator to initiate triage with pre-visit testing and to coordinate care with the provider ensures patients receive timely treatment.

State Of Science Literature Review: The Effect Nutrition Has On Wound Healing, Alicia M. Grandy

Nursing Research and EBP Day 2024

Objectives:

• State the steps necessary to conduct a comprehensive review of the literature
• Utilize available resources/tools when conducting a literature search

Flexible Work Schedules To Promote Leader Wellbeing Ambulatory Care Nursing Leadership, Elizabeth Carreira, Rebecca Hall, Rebecca Dellafave

Nursing Research and EBP Day 2024

Nursing leaders in ambulatory care may experience high levels of work-related stress and dissatisfaction with the number of hours they were working, and this dissatisfaction may result in higher turnover among nursing leadership.

The purpose of this evidence-based practice project was to develop a flexible scheduling option for nursing leaders practicing in ambulatory care at Rochester Regional Health to promote leader wellbeing and role satisfaction.

Results indicated that leadership satisfaction with their role and the amount of time spent working with nursing staff increased. Perceptions of work-life balance improved as did their interprofessional relationships. A decrease in the average number …

Morale Wednesday, Sadie Bonetti, Christen Ballard, Desiree Dixon, Casey Legros, Danielle Pickney, Meghan Camp, Alyson Harp, Jonathan Ferrer, Catie Wood, Melissa Combs, Heather Lewis, Dena Chapman

Nursing Research and EBP Day 2024

Many factors lead to low nurse satisfaction and poor morale. Some of the factors identified in the literature include organizational culture, burnout, staff shortages, and lack of leadership support. Nurses who are not satisfied at work may become less engaged and may be more likely to leave the organization

This project implemented manager rounding, break buddies, staff snack sharing and encouraged intentional recognition of peers.

Educational Shabbat, Jewish Law Student Association (Jlsa)

2024–2025 Flyers

No abstract provided.

High-Fat-Diet-Induced Hepatic Insulin Resistance Per Se Attenuates Murine De Novo Lipogenesis, Leigh Goedeke, Jordan W Strober, Rebecca Suh, Lauren M Paolella, Xiruo Li, Jillian C Rogers, Max C Petersen, Ali R Nasiri, Gregori Casals, Mario Kahn, Gary W Cline, Varman T Samuel, Gerald I Shulman, Daniel F Vatner

2020-Current year OA Pubs

Hepatic insulin resistance (IR) is often said to be "pathway-selective" with preserved insulin stimulation of

Clonal Hematopoiesis And Solid Tumor Risk: New Insights From The Women's Health Initiative, Nehali Shah, Koichi Takahashi

Faculty, Staff and Student Publications

No abstract provided.

Violations Of Human Rights And Available Remedies Under International Law: The Case Of The United Arab Emirates (Uae), Cardozo Law Institute In Holocaust And Human Rights (Clihhr), Cardozo International Law Society (Cils)

2024–2025 Flyers

No abstract provided.

A Phase I First-In-Human Study Of Abbv-011, A Seizure-Related Homolog Protein 6-Targeting Antibody-Drug Conjugate, In Patients With Small Cell Lung Cancer, Daniel Morgensztern, Et Al.

2020-Current year OA Pubs

PURPOSE: Seizure-related homolog protein 6 (SEZ6) is a novel target expressed in small cell lung cancer (SCLC). ABBV-011, a SEZ6-targeted antibody conjugated to calicheamicin, was evaluated in a phase I study (NCT03639194) in patients with relapsed/refractory SCLC. We report initial outcomes of ABBV-011 monotherapy.

PATIENTS AND METHODS: ABBV-011 was administered intravenously once every 3 weeks during dose escalation (0.3-2 mg/kg) and expansion. Patients with SEZ6-positive tumors (≥25% of tumor cells with ≥1+ staining intensity by IHC) were preselected for expansion. Safety, tolerability, antitumor activity, and pharmacokinetics were evaluated.

RESULTS: As of August 2022, 99 patients received ABBV-011 monotherapy [dose escalation, …

Symposium: Composition Recital

Bailey School of Music Concert Programs

SYMPOSIUM: Composition Recital November 15, 2024 – 11:15 AM

Morgan Concert Hall

Outcomes Of Patients With Acute Myeloid Leukemia And Bone Marrow Fibrosis, Samuel Urrutia, Et Al.

2020-Current year OA Pubs

The outcomes of patients with acute myeloid leukemia (AML) and bone marrow fibrosis (MF) are not well defined. The study objectives were to evaluate the degrees of MF in AML, and corresponding response rates and outcomes. We performed a retrospective review of 2302 patients with AML. We annotated the clinical and molecular characteristics, response to therapy, and survival outcomes of patients with bone marrow fibrosis. Overall, 492 patients (21.4%) had a reported microscopic evaluation of MF: 344 (69.9%) had MF grade 0-1 and 148 (30.1%) had MF grade 2-3. Patients with MF 2-3 had a higher proportion of complex cytogenetics …

A Case Report Of Grisel’S Syndrome Complicating The Postoperative Course Of Craniotomy For A Massive Cystic Brain Lesion, Takara R. Newsome-Cuby, Kwadwo Darko, Peace Odiase, Sean O'Leary, Charles R. Marchese, Michael J. Valentine, Benjamin J. Pautler, Usama Aldallal, Mohamed Ismail, Fakhar Hayat

Student Publications

This report presents the case of a seven-year-old child diagnosed with Grisel’s syndrome following a craniotomy for a cystic brain lesion. The patient initially presented with persistent, progressively worsening headaches that coincided with neurological symptoms. Imaging revealed a massive cystic lesion causing a significant compression and midline shift. Following craniotomy and insertion of a left frontal Ommaya reservoir, the patient developed Grisel’s syndrome, characterized by painful neck muscle spasms and rotation to the right. Management included the application of halo traction to ensure rigid cervical spine immobilization, closed reduction, and subsequent transition to a halo vest to maintain alignment and …

Non-Typhoidal Salmonella Encephalopathy Infection: A Pediatric Case Report, Madison Willson, Matthew Tandy, Natesh Samaroo, Shawn Sood

Student Publications

No abstract provided.

Looking Beyond Your Digital Repository: Metadata For Storytelling, Emily Baldoni, Maddi Loiselle, Angela Yon

Faculty and Staff Publications – Milner Library

In recent years, the traditional use of digital collections simply as proxies for the physical has shifted to a paradigm of viewing collections as data suitable for computational use and novel research methods. A metadata strategy with robust description can provide access and inspire new contextual narratives and knowledge. The presenters saw great potential for a collections as data exploration in a significant World War I archival collection to highlight lesser-known stories, including those of the Pioneer Infantry, women, and noncombatants.

This case study presentation will discuss approaches to digital collections metadata, digital storytelling, data visualization and mapping, and will …

Navigating The Paradox Between Professional Challenges And Teacher Well-Being: The Role Of Strategies Within The Resilience Process, Isabelle Krummenacher, Tina Hascher, Caroline Mansfield, Susan Beltman, Julia Mori, Irene Guidon

Research outputs 2022 to 2026

Teaching is an immensely complex profession that often requires managing multiple and varied professional challenges. Despite these challenges, teachers tend to report moderate to high levels of well-being. This qualitative study explored this paradox by investigating the professional challenges reported and the coping strategies Swiss teachers use to support their well-being. Relational problem-solving was identified as a commonly used strategy when professional challenges occur. The unique contribution of this study lies in its further elucidation of the complex relationship between teachers’ professional challenges and well-being embedded in a resilience process. The results of this study provide implications for understanding how …

Realist Assessment Of Fidelity During The Implementation Of The Partners Collaborative Care Intervention For People With Diagnoses Of Severe Mental Illness Within A Cluster Randomised Controlled Trial, Charley Hobson-Merrett, Julia Frost, Ruth Gwernan-Jones, Vanessa Pinfold, Michael Clark, Shamiaa El Naggar,, Linda Gask, Bliss Gibbons, John Gibson, Siobhan Theresa Reilly, Debra Richards, Angela Saunders, Debs Smith, Richard Byng

Peninsula Medical School

Many with severe mental illnesses are underserved by disjointed service provision. PARTNERS aims to address this via collaborative care with recovery-based coaching. PARTNERS was evaluated in a randomised controlled trial. Understanding how intervention delivery compared to the model, why this was, and under what circumstances, aids interpretation of trial results and optimisation of future implementation. This paper reports the results of a Realist assessment of fidelity, exploring delivery compared to model and refining programme theory. Practitioners, service users, supervisors, primary care representatives, and researchers (n = 39) were interviewed. Additional data included session recordings, follow up interviews, practitioner reflective logs, …

Veteran Certification: Debunking Myths And Streamlining Processes, Misty Stutsman-Fox, Barbara Carson, John Perez, Rosalinda V. Maury

Institute for Veterans and Military Families

This paper affirms the continued intent of the IVMF and CVOB to demystify and help streamline the VOB certification process by advocating for the establishment of either one nationally recognized certification, or a unified verification process where all certifying bodies work together towards a reciprocal solution.

Place-Based Conservation In Coastal And Marine Ecosystems: The Importance Of Engagement With Underrepresented Communities, Viniece Jennings, Kelly M. San Antonio, Mya J. Brown, Lalah Choice, Queriah Simpson, Imani Ford, Hyun Jung Cho, Pedro Solis, Ashley Lacey, De’Marcus Robinson

School of Earth, Environmental, & Marine Sciences Faculty Publications

Through the years, research has described the importance of community-based approaches in the management of coastal and marine ecosystems. Coastal and marine issues are multifaceted and require place-specific approaches developed in partnership with vulnerable communities who are impacted by environmental stressors. Place-based conservation, a management approach that focuses on unique, place-specific characteristics, and other similar methods. It considers the need to integrate human dimensions and location-centered approaches, which are often lacking in typical natural resource management. Meaningful engagement with underrepresented communities can holistically account for socioeconomic factors and cultural knowledge that inform best management practices. As the health of marine …

Peran Dukungan Sosial Masyarakat Terhadap Stigma Pada Penyintas Covid-19, Silvi Fatmala Sari, Khoiriyah Isni

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. COVID-19 continues to kill people in Indonesia. One of the reasons for the rise in COVID-19 cases is the stigma experienced by COVID-19 survivors and their families in Bumi Jawa Village, Batanghari Nuban District, East Lampung Regency, Lampung Province. The kind of stigma received includes rejection of self-isolation, a lack of community empathy, and social support during the isolation phase.

Objective. The purpose of this study is to assess the impact of community social support on community stigma toward COVID-19 survivors in Bumi Jawa Village, Batanghari Nuban District, East Lampung Regency, Lampung Province.

Method. This study is a …

Persepsi Peserta Didik Terhadap Larangan Merokok Di Smp Negeri 6 Kabupaten Banyuasin Sumatera Selatan, Annisa Indah Zhafirah, Vinna Rahayu Ningsih, Muhammad Ridwan

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background: The smoking ban policy in Indonesia has not been fully complied with by the public, including the smoking ban policy in schools. One of the factors contributing to the lack of compliance with the smoking ban policy in schools is the perception regarding the smoking ban. This research aims to understand students' perceptions regarding the smoking ban in the school environment.

Method: this research uses a qualitative approach with a case study. The subjects of this research consisted of 43 individuals, including 13 informants for in-depth interviews, namely 5 students, 1 principal, 1 guidance and counseling teacher, …

Pengaruh Pendidikan Kesehatan Pemeriksaan Payudara Sendiri (Sadari) Terhadap Perilaku Kader Dalam Mendeteksi Kanker Payudara Di Wilayah Kerja Puskesmas Tamangapa Kota Makassar, Andi Tenri Abeng, Fatma Jama

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. The most common cancer cases in Indonesia are breast cancer, namely 58,256 cases or 16.7% of the total 348,809 cases cancer. One of the causes is the delay for sufferers in independently detecting lumps early. Carrying out BSE will help the early detection program for breast cancer, thereby providing a higher cure rate for cancer sufferers.

Aim. To determine the effect of health education about BSE on the behavior of cadres in detecting breast cancer in the Tamangapa Health Center work area, Makassar City.

Method. This study was a quasi-experimental study with a Pretest and Posttest Group Design. Respondents …