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Will The Implementation Of Nurse Competency Days Improve Knowledge And Satisfaction In Nursing Staff Of A Community Health Center?, Christina Morton Apr 2024

Will The Implementation Of Nurse Competency Days Improve Knowledge And Satisfaction In Nursing Staff Of A Community Health Center?, Christina Morton

Epsilon Sigma at-Large Research Conference

Background: Nursing competencies are important for quality of care, patient safety, and identifying gaps in knowledge and skills. Patient harm has been linked to a lack of competency and insufficient policy and procedures.

Purpose: The purpose of this quality improvement project was to achieve standardization of nursing competencies within nurse-led clinics.

Aims: The aims of this project were to validate select competency days and determine the satisfaction of the competency days by the participants. The second aim of this project was to develop an electronic tracking form. A third aim was to develop and present a policy and procedure …


The Effects Of Age, Employment, Marriage, And Education On Academic Motivation In Undergraduate Nursing Students, Jessica Hamm Msn Rn Phd Student Apr 2024

The Effects Of Age, Employment, Marriage, And Education On Academic Motivation In Undergraduate Nursing Students, Jessica Hamm Msn Rn Phd Student

Epsilon Sigma at-Large Research Conference

The Effects of Age, Employment, Marriage, and Education on Academic Motivation in Undergraduate Nursing Students

Purpose: The amount of research on non-cognitive variables affecting motivation is limited in nursing students. By using Self-Determination Theory, faculty can determine what motivates students to learn which will allow the creation of a learning environment that promotes student achievement.

Aim: To determine the effect age, marriage status, employment, and education level have on academic motivation in nursing students in the third semester of a baccalaureate nursing program within the framework of Self-Determination Theory.

Method: A descriptive correlational design was used to identify the effect …


Comparisons Of Using Alcohol, Coping Strategies, Anxiety, And Depression Between Usa And Taiwanese College Students, Pi-Ming Yeh Associate Professor, Cheng-Huei Chiao Professor, Jennchang Liou Professor Apr 2024

Comparisons Of Using Alcohol, Coping Strategies, Anxiety, And Depression Between Usa And Taiwanese College Students, Pi-Ming Yeh Associate Professor, Cheng-Huei Chiao Professor, Jennchang Liou Professor

Epsilon Sigma at-Large Research Conference

Purpose: In this study, we compared United States (US) and Taiwanese college students’ using alcohol, coping strategies, anxiety, and depression.

Research Questions:

1. What were the differences in demographic characteristics, using alcohol, coping strategies, anxiety, and depression between US and Taiwanese college students?

2. What were the relationships between US and Taiwanese college students’ using alcohol, coping strategies, anxiety, and depression?

3. How much of US and Taiwanese college students’ anxiety and depression were predicted by their use of alcohol, coping strategies?

Methods: Four hundred and one US and 180 Taiwanese college students were recruited in this study. This was …


Human-Machine Communication: Complete Volume. Volume 7 Special Issue: Mediatization Apr 2024

Human-Machine Communication: Complete Volume. Volume 7 Special Issue: Mediatization

Human-Machine Communication

This is the complete volume of HMC Volume 7. Special Issue on Mediatization


Artificial Sociality, Simone Natale, Iliana Depounti Apr 2024

Artificial Sociality, Simone Natale, Iliana Depounti

Human-Machine Communication

This article proposes the notion of Artificial Sociality to describe communicative AI technologies that create the impression of social behavior. Existing tools that activate Artificial Sociality include, among others, Large Language Models (LLMs) such as ChatGPT, voice assistants, virtual influencers, socialbots and companion chatbots such as Replika. The article highlights three key issues that are likely to shape present and future debates about these technologies, as well as design practices and regulation efforts: the modelling of human sociality that foregrounds it, the problem of deception and the issue of control from the part of the users. Ethical, social and cultural …


The Perturbing Mediatization Of Voice-Based Virtual Assistants: The Case Of Alexa, Leopoldina Fortunati, Autumn P. Edwards, Chad Edwards Apr 2024

The Perturbing Mediatization Of Voice-Based Virtual Assistants: The Case Of Alexa, Leopoldina Fortunati, Autumn P. Edwards, Chad Edwards

Human-Machine Communication

This study examines the role of voice-based assistants (VBAs), specifically Alexa, in the mediatization paradigm framework. The authors hypothesize that emerging technologies such as chatbots and VBAs intensify the process of online meta-reintermediation of news. Three research questions were investigated through a questionnaire administered to 655 university students in the US and Italy: Do participants try to get news from Alexa? Are participants aware that VBAs represent a case of meta-reintermediation of news? Does Alexa contribute to the potential hybridization of news, information, and knowledge? The analysis of 451 open-ended answers showed that only a fraction of participants searches for …


Communicative Ai And Techno-Semiotic Mediatization: Understanding The Communicative Role Of The Machine, Göran Bolin Apr 2024

Communicative Ai And Techno-Semiotic Mediatization: Understanding The Communicative Role Of The Machine, Göran Bolin

Human-Machine Communication

Mediatization discourse has so far mainly been centered on media from institutional or social-constructionist approaches. The technological developments within communications industries coupled with the wider societal process of datafication might, however, beg for dusting off the smaller, although the long-time existing, technological approach to mediatization as a complement to the two other approaches, in order to understand aspects of automation and human-machine communication. This theoretical article explores how existing mediatization approaches can refocus to include lessons learned from human-machine communication. The first section accounts for the main mediatization approaches. The second section discusses debates on communication, artificiality, and meaning-making. The …


A New Family Member Or Just Another Digital Interface? Smart Speakers In The Lives Of Families With Young Children, Giovanna Mascheroni Apr 2024

A New Family Member Or Just Another Digital Interface? Smart Speakers In The Lives Of Families With Young Children, Giovanna Mascheroni

Human-Machine Communication

Based on longitudinal qualitative research involving twenty families with at least one child aged eight or younger, the article provides an account of how families, as distinctive communicative figurations, adopt, use and make sense of smart speakers through diverse socially situated practices. Findings show that parents and children enter in a communicative relationship with smart speakers based on their attribution of human-like or machine-like traits to the device, and the device response to their expectations. Moreover, engaging in communicative practices through and with smart speakers, family members subvert or reinforce existing power relations. However, smart speakers acquire new agency by …


Mediatization And Human-Machine Communication: Trajectories, Discussions, Perspectives, Andreas Hepp, Göran Bolin, Andrea L. Guzman, Wiebke Loosen Apr 2024

Mediatization And Human-Machine Communication: Trajectories, Discussions, Perspectives, Andreas Hepp, Göran Bolin, Andrea L. Guzman, Wiebke Loosen

Human-Machine Communication

As research fields, mediatization and Human-Machine Communication (HMC) have distinct historical trajectories. While mediatization research is concerned with the fundamental interrelation between the transformation of media and communications and cultural and societal changes, the much younger field of HMC delves into human meaning-making in interactions with machines. However, the recent wave of “deep mediatization,” characterized by an increasing emphasis on general communicative automation and the rise of communicative AI, highlights a shared interest in technology’s role within human interaction. This introductory article examines the trajectories of both fields, demonstrating how mediatization research “zooms out” from overarching questions of societal and …


Smoothing Out Smart Tech’S Rough Edges: Imperfect Automation And The Human Fix, Christian Katzenbach, Christian Pentzold, Paloma Viejo Otero Apr 2024

Smoothing Out Smart Tech’S Rough Edges: Imperfect Automation And The Human Fix, Christian Katzenbach, Christian Pentzold, Paloma Viejo Otero

Human-Machine Communication

In this article, we take issue with an idea of autonomous and efficient automation that is upheld through the paradoxical conjunction of a flawed vision of the technological fix and the under-acknowledged human work required to fill in the gaps between machines and users. Our argument is based on two case studies that sit at opposite tails of automation processes: the front end of self-service checkouts and the back end of content moderation. This juxtaposition allows us to surface three themes on how the hype around automation is enabled by human interventions: the ad-hoc sociality in situated practices of automation, …


Quacking For Noggin: Farm Animal Assisted Therapy For The Traumatic Brain Injury Survivors, Alex Sargsyan Apr 2024

Quacking For Noggin: Farm Animal Assisted Therapy For The Traumatic Brain Injury Survivors, Alex Sargsyan

Epsilon Sigma at-Large Research Conference

The Aim

The aim of this study was to examine the effects of Animal Assisted Therapies with Farm Animals (AATF) with domesticated ducks on depression, anxiety, and self-efficacy in patients with traumatic brain injury (TBI) . Furthermore, the following hypothesis was tested:

Engaging in AATF with domesticated ducks will be associated with decrease in depression, anxiety, and an increase in self-efficacy.

Methods

The study examined the effects of AATF on anxiety and depression among patients with TBI. Time series quasi-experimental design structure was utilized. At the beginning of the study participants received Hospital Anxiety and Depression Survey (HADS) and General …


Integration Of Mental Health And Enabling Services In A Rural School-Based Setting: An Evidence-Based Initiative, Kim Ferguson, Teresa Carnevale Apr 2024

Integration Of Mental Health And Enabling Services In A Rural School-Based Setting: An Evidence-Based Initiative, Kim Ferguson, Teresa Carnevale

Epsilon Sigma at-Large Research Conference

The Rural Expansion Program for At-risk Communities to Promote Health Outcomes through the Integration of Mental health and Enabling services in an Existing Primary Care School-Based Setting (REACH ME) program was established to increase access to mental health services at two existing school-based health centers (SBHC) in rural Hancock County, TN. These SBHCs are among the most unique in the nation, holding designations as federally funded qualified health centers - proving primary care services in a geographically isolated, rural, and medically underserved area. The aim of the project is increasing the number of patients receiving mental health and enabling services …


Optimal Control Of Coefficients For The Second Order Parabolic Free Boundary Problems, Ali Hagverdiyev Apr 2024

Optimal Control Of Coefficients For The Second Order Parabolic Free Boundary Problems, Ali Hagverdiyev

Mathematics Colloquium Series

In this talk I will discuss Inverse Stefan type free boundary problem for the second order parabolic equation arising for instance, in modeling of laser ablation of biomedical tissues, where the information on the coefficients, heat flux on the fixed boundary, and density of heat sources are missing and must be found along with the temperature and free boundary. New PDE constrained optimal control framework is employed, where the missing data and the free boundary are components of the control vector, and optimality criteria are based on the final moment measurement of the temperature and position of the free boundary. …


Nursing Burnout: The Impact Of Fatigue On Patient Outcomes, Leah Mccloud, Kera F. Putnam, Dylan Zeller, Pressley Davis Apr 2024

Nursing Burnout: The Impact Of Fatigue On Patient Outcomes, Leah Mccloud, Kera F. Putnam, Dylan Zeller, Pressley Davis

Epsilon Sigma at-Large Research Conference

Introduction & Background: Nursing burnout is caused by high stress that leads to lack of motivation. Our goal is to review the literature to evaluate the impact of nurse burnout on nursing care.

Purpose Statement & Research Question: The purpose of this literature review was to find the impact on nursing care in response to nursing burnout.

Literature Review: These articles were derived from a variety of databases, including PubMed, JSTOR and CINHAL from the last 5 years by entering search criteria such as: “nursing burnout impact on patient care,” “nursing burnout”, “registered nurses”, “effects of burnout”, “consequences”, “turnover,” “nursing …


Health Literacy And Diabetes Outcomes In Adults With Type 2 Diabetes In Southwest Virginia, Casandra Reyes Arellano Apr 2024

Health Literacy And Diabetes Outcomes In Adults With Type 2 Diabetes In Southwest Virginia, Casandra Reyes Arellano

Epsilon Sigma at-Large Research Conference

Purpose: To determine if a quality improvement project involving individualized, one-on-one Diabetes education will improve health literacy and Diabetes outcomes in adults with Type 2 Diabetes in a rural primary care clinic. Diabetes is a chronic condition affecting the United States with 9.6% of Virginia’s population living with Diabetes.

Aims: To improve patient’s Diabetes literacy scores, BMI, and Hemoglobin A1c levels through Diabetes education.

Processes: There are pre- and post-education phases. Data to be collected at the end of both phases consist of DNT15 scores, BMI, and A1c. In the pre-education phase, BMI was obtained, DNT15 was administered, and Diabetes …


Implementation Of Provider-Made Follow-Up Appointments For Depression In Primary Care, Rebecca Vaughn Apr 2024

Implementation Of Provider-Made Follow-Up Appointments For Depression In Primary Care, Rebecca Vaughn

Epsilon Sigma at-Large Research Conference

Implementation of provider-made follow-up appointments for depression in primary care

Rebecca Vaughn

College of Nursing, East Tennessee State University; Whitson Hester School of Nursing, Tennessee Technological University

Author Note

Rebecca Vaughn https://orcid.org/0009-0007-0731-3316 College of Nursing, East Tennessee State University

There are no conflicts of interest to disclose.

Corresponding concerning this manuscript should be addressed to Rebecca Vaughn

108 Reed Mill Lane Monroe TN 38573

[email protected]

Abstract

Depression is a common condition diagnosed and managed in primary care.

Follow-up is inconsistent and low in these settings, creating a gap in care that

impacts management, adherence to treatment, and patient outcomes. The …


Best Practice: Peripheral Iv Flushing And Catheter Changes, Adrianna Fransman, Joseph Callahan, Madelyn Liudahl, Anna Dewitt Apr 2024

Best Practice: Peripheral Iv Flushing And Catheter Changes, Adrianna Fransman, Joseph Callahan, Madelyn Liudahl, Anna Dewitt

Celebration of Research

A literature review between August 2023 and November 2023 took a closer look into antibiotic peripheral intravenous line flushing and tubing changes. Ten articles were reviewed: five relating to antibiotic line flushing and five relating to peripheral intravenous catheter changes. This review aimed to determine the best and most effective practices related to PIV antibiotic flushing and peripheral intravenous catheter replacement which in turn decreases the risk of infection, injury, and medication errors, along with increased medication efficacy. The evidence for interventions that promote the most effective outcomes in patients with peripheral intravenous lines is presented.


Clinical Relevance Of Adolescent Ocp Use And Depression Risk, Rachael Shafer, Kaitlyn Waldner, Anne Reuter Apr 2024

Clinical Relevance Of Adolescent Ocp Use And Depression Risk, Rachael Shafer, Kaitlyn Waldner, Anne Reuter

Celebration of Research

Prevalence of depression within the United States has risen significantly in recent years.1 Depression in females has increased by 12 percent compared to 3.8 percent in males between 2009 and 2019.3 Hormonal contraceptives are widely used by women throughout the world and often started as early as menarche. Traditionally intended to prevent unwanted pregnancies, contraceptives are frequently used in the symptom management of menorrhagia and dysmenorrhea in females.2 Oral contraceptive pills (OCP) are a popular choice for adolescents due to their ease of use, formulation varieties, and ability to be used long-term. Considering the widespread use, the adverse effects can …


Peer Support Breastfeeding Programs, Charli Bomgaars, Madison Blankespoor, Owen Kolste, Grace Twelmeyer, Macay Van't Hul Apr 2024

Peer Support Breastfeeding Programs, Charli Bomgaars, Madison Blankespoor, Owen Kolste, Grace Twelmeyer, Macay Van't Hul

Celebration of Research

Research and analysis were done between August 2023 - November 2023 to explore the use of peer-support programs for anticipated and active breastfeeding women. Ten research reports were utilized to explore peer-supporting breastfeeding programs' use and potential success. The goal was to determine if peer support breastfeeding programs were impactful on breastfeeding mothers associated with Spencer Hospital. We present the benefits of peer support breastfeeding groups and their influence on maternal perceptions of breastfeeding, maternal confidence in sustaining breastfeeding, and the ability of mothers to achieve their breastfeeding goals.


Phun With Phages: Discovering Novel Bacteriophages In The Soil, Julia Kutz, Ryan Dodds, Logan Dykstra, Taylor M. Rentschler, Emma Steinhardt, Megan Vangarven, Jacie Vanderwaal, Shayler Vangelder, Byron Noordewier, Sara S. Tolsma Apr 2024

Phun With Phages: Discovering Novel Bacteriophages In The Soil, Julia Kutz, Ryan Dodds, Logan Dykstra, Taylor M. Rentschler, Emma Steinhardt, Megan Vangarven, Jacie Vanderwaal, Shayler Vangelder, Byron Noordewier, Sara S. Tolsma

Celebration of Research

We used three bacterial hosts: Mycobacterium smegmatis, Microbacterium foliorum, and Gordonia terrae, to isolate novel bacteriophages from soil samples. We named these phages, created high titer lysates, and purified their DNA genomes. We have archived the high titer lysates at Northwestern College and the University of Pittsburgh. The genomes of three of our phages were sequences at the University of Pittsburgh and we will be sequencing the remaining genomes this summer. Additionally, we are planning to image our phages with transmission electron microscopy at the University of Iowa or Nebraska yet this semester.


Searching For Atlanticus: Isolating Bacteriophages Infecting Marinobacter, Anneka Sterk, Sara S. Tolsma Apr 2024

Searching For Atlanticus: Isolating Bacteriophages Infecting Marinobacter, Anneka Sterk, Sara S. Tolsma

Celebration of Research

Bacteriophages (phages) are viruses that infect bacteria. They have a considerable effect on ecosystems (Focardi et al., 2020). Scientists believe phages are present virtually everywhere, although marine bacteriophages have remained largely undiscovered and understudied. Using ocean water samples from various parts of the United States (Figure 1), protocols adapted from the SEA-PHAGES program (site Discovery Guide), and a flocculation protocol (John, et al 2011) we are attempting to isolate bacteriophages that infect two species of marine bacteria, Marinobacter hydrocarbonoclasticus and Marinobacter atlanticus.


Cost-Effective And Efficient Screening Guidelines For Diagnosing Non-Alcoholic Fatty Liver Disease, Emma Montenegro, Katelyn Ten Pas, Connor Van Peursem, Chelsea Thurm Apr 2024

Cost-Effective And Efficient Screening Guidelines For Diagnosing Non-Alcoholic Fatty Liver Disease, Emma Montenegro, Katelyn Ten Pas, Connor Van Peursem, Chelsea Thurm

Celebration of Research

A literature review was conducted between the months of August 2023-November 2023 to research current guidelines for non-alcoholic fatty liver disease (NAFLD) that were both cost effective and efficient in the adult population. The purpose of this review was to provide current guidelines that could be applied in practice to screen Promise Community Health Center’s patients for the presence of NAFLD. In the review we provide guideline recommendations that are both cost effective and efficient for Promise to apply to their adult population.


Association Between Carpal Tunnel Syndrome And Amyloid Heart Disease May Assist With Early Detection And Reduced Morbidity And Mortality, Kayla Nachbar, Nicole Kirk, Jaclyn Freese Apr 2024

Association Between Carpal Tunnel Syndrome And Amyloid Heart Disease May Assist With Early Detection And Reduced Morbidity And Mortality, Kayla Nachbar, Nicole Kirk, Jaclyn Freese

Celebration of Research

Carpal tunnel syndrome may help identify more systemic issues than previously thought. Multiple research studies establish an association between carpal tunnel syndrome and heart disease, most specifically cardiac amyloidosis. This link is of importance as it requires alternative treatment choices to extend life expectancy for those diagnosed with the disease. Based on this analysis of multiple studies, there may be an indication for a screening criterion in those with carpal tunnel syndrome to identify a previously illusive disease before it progresses. History and certain clinical features may add to the utility of this finding to be applied as a screening …


Gender Bias In The Hiring Process: The Sexism You Don’T See, Jessica Nibbelink Apr 2024

Gender Bias In The Hiring Process: The Sexism You Don’T See, Jessica Nibbelink

Celebration of Research

Men and women have often been seen as opposite sides of a spectrum. The tension between masculinity and femininity is created through forced stereotypes. These gendered stereotypes along with implicit gender bias work together to enforce gender discrimination. An area of society that is impacted by this gender discrimination is the workplace. The current study looks to investigate the gender discrimination that is found in the workplace, and more specifically in the hiring process. Through the use of fake gendered resumes, participants report employer perception scores which are used to dissect gender favoritism in the hiring process. Though this study …


The Last Moon: Delving Into Philippine Culture In A Disney Perspective, Thea Angelee Davis Apr 2024

The Last Moon: Delving Into Philippine Culture In A Disney Perspective, Thea Angelee Davis

Celebration of Research

Disney’s cultural movies have undeniably impacted the world, with films like Moana and Encanto introducing specific cultures to the global audience and receiving widespread recognition. Inspired by this influential way of cultural storytelling and noticing the lack of animated movies that represent my native country, the Philippines, I created The Last Moon as a project in ENG250LC. The creation process involved extensive researching into Philippine legends and developing those in a story and storyboard scenes. Ultimately, I designed all the visual graphics that resemble Disney’s iconic style. By integrating elements of the Philippines into a familiar Disney storytelling framework, I …


Prepplates: Meal Prep For Busy Lives, Alec Coronado Garcia, Luc Roelofs, Kade Fey Apr 2024

Prepplates: Meal Prep For Busy Lives, Alec Coronado Garcia, Luc Roelofs, Kade Fey

Celebration of Research

PrepPlates is an innovative meal idea based in Sioux County. Our purpose is clear: to transform the way people approach mealtime by providing not only nourishment but also a comprehensive dining experience suited to their preferences and lifestyles. Our business venture aims to revolutionize the meal kit industry by providing convenient, affordable, and high-quality meal solutions tailored to the preferences and lifestyles of our demographic. Through research and strategic planning, PrepPlates emerges as a beacon of innovation in the competitive landscape of meal preparation services. Rooted in a comprehensive understanding of demographic and market trends, our business model is tuned …


Dementia Worry In A Young Adult Population: Investigating Its Relationships With Anxiety, Coping Strategies, And Memory, Anneka Sterk Apr 2024

Dementia Worry In A Young Adult Population: Investigating Its Relationships With Anxiety, Coping Strategies, And Memory, Anneka Sterk

Celebration of Research

Dementia worry is a specific form of health-related anxiety in which individuals worry about or fear developing or having dementia. To a severe degree, this may affect their psychological well-being. Previous literature has only studied dementia worry in middle-late aged adults. This study investigated dementia worry in a young adult population and focused on its relationship with possible correlates, coping skills, trait anxiety, and memory. A multiple regression analysis was performed in which only subjective memory and trait anxiety showed significant, positive correlations. All other variables included in the regression analysis showed no significant correlations. There were no significant differences …


Annotation Of Three Actinobacteriophages: Tuktuk, Shamu, And Megatron06, Lauren Fisk, Kylie Foss, Khloe Hester, Yuki Kobayashi, Madelin Kvatek, Elsie Larson, Joshua Lewis, Madilyn Manary, Laura Nelsen, Thomas Ostrem, Cayli Penner, Sydney Rehmke, Taylor Rentschler, Adriana Sandbulte, Dane Shoenborn, Jonas Tiensvold, Shayler Van Gelder, Kallie Van Kley, Megan Vangarven, Brianna Winford, Byron Noordewier, Sara S. Tolsma Apr 2024

Annotation Of Three Actinobacteriophages: Tuktuk, Shamu, And Megatron06, Lauren Fisk, Kylie Foss, Khloe Hester, Yuki Kobayashi, Madelin Kvatek, Elsie Larson, Joshua Lewis, Madilyn Manary, Laura Nelsen, Thomas Ostrem, Cayli Penner, Sydney Rehmke, Taylor Rentschler, Adriana Sandbulte, Dane Shoenborn, Jonas Tiensvold, Shayler Van Gelder, Kallie Van Kley, Megan Vangarven, Brianna Winford, Byron Noordewier, Sara S. Tolsma

Celebration of Research

We annotated three newly discovered bacteriophages. TukTuk and Shamu were isolated on the host Microbacterium folorium and Megatron06 on Mycobacterium smegmatis. Based on based on gene-content similarity (GCS) of 35% or higher to sequenced bacteriophages present in the Actinobacteriophage database, phagesDB, TukTuk was assigned to cluster EB, Shamu to cluster EA, and Megatron06 to Cluster H1. Here we report a summary of our annotation findings along with one in-depth analysis of an aspect of our annotation for each phage.


Metabolic Characterization Of Porcine Hepatocytes, Sophie Swart, Ainslie Robinson, Daiki Jonouchi, Marcus Blankespoor, Kip Cullinan, Zachary Varpness, Ryan Schulze Apr 2024

Metabolic Characterization Of Porcine Hepatocytes, Sophie Swart, Ainslie Robinson, Daiki Jonouchi, Marcus Blankespoor, Kip Cullinan, Zachary Varpness, Ryan Schulze

Celebration of Research

No abstract provided.


How Culture And Language Impact The Way We View Healthcare, Linsy Gonzalez Apr 2024

How Culture And Language Impact The Way We View Healthcare, Linsy Gonzalez

Celebration of Research

The United States is a growing multilingual and multicultural country. Although beautiful, it does present challenges in different areas of life particularly in the healthcare system as there are differences in language and/or cultural beliefs and practices. This leads to asking how cultural differences can impact how we think of healthcare. To challenge and understand this question more, a qualitative study was conducted based on interviews from two different healthcare facilities located in the same town of Sioux Center, Iowa—Promise Community Health Center (PCHC) and Sioux Center Health (SCH)—with interpreters, patients, and providers to understand the role each person has …