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Articles 301 - 330 of 761
Full-Text Articles in Public Health Education and Promotion
Addressing Stress In Graduate Nurse Practitioner Nursing Students, Shandria K. Sawyer
Addressing Stress In Graduate Nurse Practitioner Nursing Students, Shandria K. Sawyer
Electronic Theses and Dissertations
This project was developed to address the issue of high stress levels among graduate nursing students, which is a common phenomenon that increases the risks of mental health disorders, professional burnout, and poor-quality patient care among students and professional nurses after earning their degrees. This project sought to utilize a simple educational intervention delivered online to impart coping skills to graduate nursing students to assist them in reducing their stress levels. The intervention was a brief, single-session, self-guided educational module featuring informational and participative elements related to stress causes, the impacts of stress, and stress reduction techniques. In total, 11 …
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Walden Dissertations and Doctoral Studies
Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …
The Development Of Video Podcast As An Innovation In Online Nutrition Education And Its Engagement Data Analysis, Lini Anisfatus Sholihah
The Development Of Video Podcast As An Innovation In Online Nutrition Education And Its Engagement Data Analysis, Lini Anisfatus Sholihah
ASEAN Journal of Community Engagement
Podcasts have become more popular in Indonesia recently. Studies have shown that video podcasts, which incorporate education and entertainment aspects, are effective as a medium to study language and medical subjects among students and clinicians. This study aims to analyze video podcasts’ utilization in nutrition education and how they can engage viewers from the general community. This paper further aims to describe the development of a video podcast, NutriPodcast, as an innovative media to educate the community regarding nutrition topics. The number of audience views was calculated by utilizing the analytical feature on social media. The methodology to develop the …
Lessons Learned Recruiting Comparison Elementary Schools For Impact Evaluation Of Snap-Ed Interventions, Amanda Linares, Phoebe Harpainter, Kaela Plank, Gail Woodward-Lopez
Lessons Learned Recruiting Comparison Elementary Schools For Impact Evaluation Of Snap-Ed Interventions, Amanda Linares, Phoebe Harpainter, Kaela Plank, Gail Woodward-Lopez
Journal of Extension
To determine the effectiveness of Supplemental Nutrition Assistance Program- Education (SNAP-Ed) nutrition and physical activity programming in elementary schools, it is necessary to recruit socioeconomically similar comparison schools not receiving SNAP-Ed programming. We developed a flexible recruitment strategy to tailor our approach to each individual school district and site. Here we discuss the lessons learned during the 10-month recruitment period, including early outreach, emphasizing participation benefits, leveraging and building relationships, and visiting sites.
Patient Portal Use And Patient Education Materials Access Among Mississippi Adult Residents, Anna K. Swann
Patient Portal Use And Patient Education Materials Access Among Mississippi Adult Residents, Anna K. Swann
Dissertations
Patient education plays a vital role in improving the health outcomes of patients with chronic diseases and helps prevent illness in otherwise healthy individuals. Patient portals allow patients to access their EHRs, communicate with their healthcare providers, and access patient education materials. Despite the potential for patient portals and education materials to improve health outcomes, many barriers prevent patients from utilizing them. Uneducated patients are more likely to participate in risky health behaviors, which leads to poor health outcomes. Poor health outcomes lead to higher medical costs. Mississippi has a high rate of chronic diseases. Suppose the barriers to patient …
Find Your Flow: A Menstrual Health Social Media Campaign, Sarah Hamp-Adams
Find Your Flow: A Menstrual Health Social Media Campaign, Sarah Hamp-Adams
Kinesiology and Public Health
In many cultures, menstruation is surrounded by silence and shame instead of being celebrated as a sign of health and vitality. Globally, challenges, including stigma surrounding menstruation, create barriers for menstruators (White, 2013; Crawford, 2014; Garg, 2015). It proves to be difficult for young menstruators to navigate menarche due to the taboos and socio-cultural restrictions surrounding menstruation (Sharma,2015). Encouraging women to have open conversations about their periods is necessary to combat these challenges.
To understand how to address the stigmas around menstruation, the researchers first conducted a literature review, revealing that education messages via the Internet, posters, storytelling, and peer …
Drama Therapy Interventions That Support Students With Asd During Covid-19, Olivia Reyes
Drama Therapy Interventions That Support Students With Asd During Covid-19, Olivia Reyes
Expressive Therapies Capstone Theses
Due to the coronavirus (COVID-19) pandemic that began in December 2019, many people experienced traumatic losses, environmental stressors, and overall daily challenges. One of the populations most at risk during this time were those with an autism spectrum disorder (ASD). Those with mental health illness and developmental differences are experiencing the pandemic in different ways. Individuals with ASD tend to have both developmental differences and mental health challenges that motivate individuals to seek medicinal and therapeutic help, along with other services to support their daily needs. This literature review addresses the negative and positive impacts COVID-19 has had on the …
Increasing Obesity Education In An Underserved Latino Population, Morgan Lippert, Kelsey Beard
Increasing Obesity Education In An Underserved Latino Population, Morgan Lippert, Kelsey Beard
Doctor of Nursing Practice Projects
Obesity is a rapidly growing health problem in the United States. Certain populations are at high risk for developing obesity including the Latino population and underserved communities. This Quality Improvement project aimed to develop a more patient centered approach for primary care providers use to deliver obesity education to an at-risk Latino population. The project was completed at a clinic in southern Illinois where the majority of the population is underserved and Spanish speaking. Obesity education tools in both Spanish and English were given to the patients in order to decrease the language barrier and improve patient education and understanding …
Burden Of Food Insecurity Among College Students: A Cross-Sectional Study During The Covid-19 Pandemic, Saba Sami
Electronic Theses, Projects, and Dissertations
Background: Food insecurity is lack of access to proper nutrition for an individual to obtain a healthy lifestyle. The goal of this research is to determine the frequency of food insecurity among college students at a four-year college institution during COVID-19 pandemic in association to mental and physical health status.
Methods: This study was conducted among college students using cross-sectional study method. All data were collection virtually and kept anonymous. All statistical analyses were conducted using SPSS version 28 with (p<.05), denoting significance.
Results: In the study there were a total of 98 participants who were being analyzed. All the participants were …
Mental Health Burden Among College Students During Covid-19 Pandemic: A Cross-Sectional Study, Jeffrey Bao Truong
Mental Health Burden Among College Students During Covid-19 Pandemic: A Cross-Sectional Study, Jeffrey Bao Truong
Electronic Theses, Projects, and Dissertations
Background: The COVID-19 pandemic is a significant public health issue and has negatively burdened the general population’s health, though assessment among vulnerable groups remain limited. The present study aimed to evaluate the mental health burden of the COVID-19 pandemic among college students.
Method:This study utilized a cross-sectional approach. Courses across multiple departments were used to collect data in order to ensure a diversity of majors. All statistical analyses were conducted using SPSS version 28 with p <.05 denoting significance.
Results: A total of 98 study participants were included in analyses. Among study participants, 32%reported feeling their mental health worsened due to COVID-19 …
Barriers To The Use Of Palliative And Hospice Care Among The Latino Population, Diana Ramirez
Barriers To The Use Of Palliative And Hospice Care Among The Latino Population, Diana Ramirez
Electronic Theses, Projects, and Dissertations
Patients suffering from irreversible and terminal illnesses may benefit from the services provided by Palliative and Hospice Care to control any symptom burden and assist in navigating complex medical decisions. Many patients may express hesitation in accepting and enrolling to this service due to misconceptions. Language barriers may add an additional layer of complexity. This study explored the challenges Palliative Care providers encounter when introducing concept of hospice to Spanish-speaking patients their families for the first time. This study implemented qualitative research methods by using semi-structured one-on-one interviews. Ten members of an In-patient Palliative Care Team at a University Hospital …
Experiential Learning Through Participatory Action Research In An Interdisciplinary Leadership Training Program, Jessica L. Franks, Stephanie D. Baumann, Marvin So, Angela M. Miles, Jorge M. Verlenden, Teal Benevides, Mark Crenshaw, Stephen Truscott, Daniel Crimmins
Experiential Learning Through Participatory Action Research In An Interdisciplinary Leadership Training Program, Jessica L. Franks, Stephanie D. Baumann, Marvin So, Angela M. Miles, Jorge M. Verlenden, Teal Benevides, Mark Crenshaw, Stephen Truscott, Daniel Crimmins
Developmental Disabilities Network Journal
Background: Experience in multidisciplinary collaboration among healthcare providers, leaders in public health, and educators is essential to effectively address the diverse needs of children with intellectual and developmental disabilities (I/DD) and their families.
Purpose: We describe three participatory action research (PAR) projects from an interdisciplinary training program, which used experiential learning to enhance leadership competencies and promote inclusive services. Trainees report their leadership growth as providers and advocates for children with I/DD using experiential learning through PAR.
Approach: Trainees discuss their engagement with organizations serving children with I/DD and ways that experiential learning supported leadership skill development, …
Impact Of A Novel Interdisciplinary Online Course: Student Perspectives Related To Pandemics And Covid-19, Anna Russ
ONU Student Research Colloquium
Misinformation regarding COVID-19 has clouded the judgment and perspectives of many individuals. At Ohio Northern University, a new interdisciplinary online elective course offers students the opportunity to gain evidence-based insight about the far-reaching implications of pandemics and COVID-19. The purpose of this project is to evaluate the impact that this course has made on student perspectives relating to various topics about pandemics and COVID-19.
This semester-long online elective course was taught in an interdisciplinary fashion by professors from different departments and disciplines within Ohio Northern University. Topics covered included: the history of pandemics; public health and healthcare response; COVID-19 transmission, …
Infant Car Seat Safety Education And Confidence Measure For Maternal-Child Nursing Students, Mariah A. Arnett
Infant Car Seat Safety Education And Confidence Measure For Maternal-Child Nursing Students, Mariah A. Arnett
Honors College Theses
Studies have shown that nursing students experience a greater-than-normal amount of anxiety and decreased clinical confidence when in settings involving infants and children, which is said to have a negative impact on the learning experience (Lassche, 2013; Moscaritolo, 2009). Patient education is a vital aspect of nursing, but one that the student nurse may not feel comfortable taking part in, either because of their lack of nursing experience or because of a lack of experience with infants and infant safety (Potter, 2020; Lassche, 2013). This project attempts to assess for a change in clinical confidence after providing a subject specific …
Fall Risk Prediction Model For Older Men And Women Based On Ambulatory Physical Activity Level – A Cross-Sectional Population-Based Study From The Oporto Region, Paulo Jorge Quintela Cardoso-Carmo, Adjane Maria Pontes César, Manuel Rubim Silva Santos, Maria Joana Mesquita Barbosa De Carvalho
Fall Risk Prediction Model For Older Men And Women Based On Ambulatory Physical Activity Level – A Cross-Sectional Population-Based Study From The Oporto Region, Paulo Jorge Quintela Cardoso-Carmo, Adjane Maria Pontes César, Manuel Rubim Silva Santos, Maria Joana Mesquita Barbosa De Carvalho
Baltic Journal of Health and Physical Activity
Introduction. Falls among the elderly are an important community health problem due to its high incidence, functional and social repercussion. Dissimilar results arose in recent studies concerning fall risk and physical activity levels. This study measures the association between physical activity (PA) levels, and fall risk (FR), investigates which levels of PA are influential in FR and presents a fall risk prediction models for the elderly. Material and Methods. One hundred and seventy elderly adults (72.34 ± 6.70 years old, 124 female), completed Performance-Orientated-Mobility-Assessment; PA was assessed by accelerometry. Pearson’s correlation verified the association between FR, Age, and PA. Multiple …
Growing Up Healthy: A Study On Young Adults And Their Readiness To Transition To Independent Healthcare, Annabelle Heddell
Growing Up Healthy: A Study On Young Adults And Their Readiness To Transition To Independent Healthcare, Annabelle Heddell
2022 Awards for Excellence in Student Research and Creative Activity - Documents
Healthcare is a lifelong journey that involves changes, decision making, and awareness of health needs and concerns. As children grow up and age out of the pediatric system, transitioning occurs. Healthcare transitioning (HCT) is a process that assists individuals with the different stages of their health journey. Transition readiness is derived from the concept of health care transitioning, which is generally defined as “the process of shifting from pediatric to adultfocused care” (Kelemen et al., 2014, p. 1062). A more in-depth definition describes health care transitioning as the “process of purposeful, planned movement of adolescents with chronic medical conditions from …
Ua3/10 President's Messages - Spring Semester, Wku President's Office - Caboni
Ua3/10 President's Messages - Spring Semester, Wku President's Office - Caboni
WKU Administration Documents
President's Message emails sent by Timothy Caboni to faculty & staff during spring semester, 2022.
- Budget
- Commencement
- Commons at Helm Library
- Compensation Analysis
- COVID-19
- COVID-19 – Masks
- End of Semester
- Enrollment / Recruitment
- Scholarship Celebration
- Semester Kickoff
- Student Retention
Microgreens Grow Kit: A Novel Pilot Study To Improve Nutrition Awareness, Ben Haslund-Gourley, Chris Para, Swaksha Rachuri, Sascha Enders, Rayna Marshall, Vibhuti Mishra, Simone Udeh, Jessica Nwabeke, Annette Gadegbeku
Microgreens Grow Kit: A Novel Pilot Study To Improve Nutrition Awareness, Ben Haslund-Gourley, Chris Para, Swaksha Rachuri, Sascha Enders, Rayna Marshall, Vibhuti Mishra, Simone Udeh, Jessica Nwabeke, Annette Gadegbeku
Transformative Medicine
Obesity and associated non-communicable illnesses including coronary heart disease, type 2 diabetes, and stroke have steadily increased in prevalence over the last decade. Previous studies identified the involvement of individual, family, and community support intervention strategies used to prevent and manage obesity. Additionally, education on nutrition from the early stages of development is crucial for obesity prevention and control. Therefore, new preventative methods are needed to further engage and educate individuals and communities about health-conscious diets. Microgreen cultivation utilizes a reduced cost, low-footprint, recyclable, weather-independent, and transportable method to provide less nutrition-privileged communities with exposure to healthy foods within one …
Evaluation Of A Hands-On Cooking Class And Its Effects On Self-Efficacy In Relation To Healthy Eating In Type 2 Diabetics, Codi A. Jenshak-Gorzinski
Evaluation Of A Hands-On Cooking Class And Its Effects On Self-Efficacy In Relation To Healthy Eating In Type 2 Diabetics, Codi A. Jenshak-Gorzinski
Doctor of Nursing Practice Scholarly Projects
The prevalence of Type 2 diabetes is alarming and poses a great threat to U.S. national health. Chronic diabetes can lead to serious conditions such as heart attack and stroke, and can result in premature mortality (World Health Organization, 2018). Diabetes can be prevented or treated by eating a healthy diet. Cooking classes are a potential way to improve American’s knowledge of nutritional principles and help them become confident that they have the capacity to eat a healthy diet. The purpose of this DNP project was to determine if participation in cooking classes enhanced self-efficacy as it pertains to healthy …
Development Of A Men’S Health Course For First-Year Undergraduates Using Culturally Responsive Teaching Strategies, Ania A. Majewska, Johnasha D. Stuart, Kelsey M. Gray, Pearl V. Ryder, Ethell Vereen
Development Of A Men’S Health Course For First-Year Undergraduates Using Culturally Responsive Teaching Strategies, Ania A. Majewska, Johnasha D. Stuart, Kelsey M. Gray, Pearl V. Ryder, Ethell Vereen
Biology, Chemistry, and Environmental Sciences Faculty Articles and Research
Purpose
A novel first-year experience course was developed using culturally responsive teaching strategies at an undergraduate liberal arts college in the southeastern USA to promote health advocacy and to provide students with an overview of male health. The course focuses on the biological, sociocultural, economic and gender influences that shape men's health beliefs and practices. It also emphasizes health disparities in the USA among Black/African American men compared to other racial groups and intervention strategies to improve health outcomes.
Design/methodology/approach
The lecture and laboratory components of the course were designed as a blended learning environment with a modified flipped class …
Ua25 Covid-19 Communications, Wku Finance & Administration
Ua25 Covid-19 Communications, Wku Finance & Administration
WKU Administration Documents
Official emails sent to faculty & staff regarding issues involved with Covid-19 Coronavirus from 2020 through 2022.
- WKU COVID-19 Grading Policy, 3/24/2020
- Signage Requests
- Steps to Help Keep Everyone Safe
- Latest Information on Covid-19 Vaccine Distribution, 2/25/2021
- Update on Covid 19 Guidance from Centers for Disease Control, 3/12/2021
- Human Resources / Business Services
- Fraudulent Unemployment Compensation Claims, 3/1/2021
- COVID Vaccines Available on Campus, 4/2021
- COVID 19 Vaccination Update, 7/28/2021
- Fall Semester Covid Message, 8/13/2021
- WKU Covid Vaccination Reporting, 8/20/2021
- Update on Proposed OSHA Rule for Covid 19 Vaccinations in the Workplace, 11/4/2021
- COVID-19, 10/21/2021
- Fall Covid Update, 8/3/2022
Counseling Children And Adolescents: A Call To Action, Rebekah Byrd, Chad Luke, Sonya Lorelle, Emily Donald, Charmayne R. Adams, Edward (Franc) Hudspeth
Counseling Children And Adolescents: A Call To Action, Rebekah Byrd, Chad Luke, Sonya Lorelle, Emily Donald, Charmayne R. Adams, Edward (Franc) Hudspeth
Office of Health Promotion Scholarship
The ACA 2014 Code of Ethics clearly states the mandate for counselor competence in C.2.a. It is noted that “Counselor practice only within the boundaries of their competence, based on their education, training, supervised experience, state and national credentials, and appropriate professional experience” (p. 8). Given the importance of competencies, ethical standards, and the emphasis on best practice, the paucity of these factors in regard to training and supervision for counselors working with child and adolescent populations is concerning. This article offers a conceptualization of the culture of childhood leading to the need for cultural competency. It outlines information specific …
A Systematic Approach To Multiple Case Study Design In Professional Counseling And Counselor Education, Charmayne R. Adams, Casey A. Barrio Minton, Jennifer Hightower, Ashley J. Blount
A Systematic Approach To Multiple Case Study Design In Professional Counseling And Counselor Education, Charmayne R. Adams, Casey A. Barrio Minton, Jennifer Hightower, Ashley J. Blount
Office of Health Promotion Scholarship
Case study research is a qualitative methodology that allows researchers to explore complex phenomena in a structured way, that is rigorous and provides an enormous amount of depth. Three scholars are credited with major contributions to the case study literature: Merriam (1998), Stake (1995/2006), and Yin (1994). The purpose of this paper is to explore case study design for use in the counseling profession. The authors provide instruction on the case study scholars, data collection, analysis, and reporting for both single and multiple case study research designs. Finally, implications for student counselors, counselor educators, and counseling professionals are provided.
Online Teaching Of Program Planning & Evaluation, Manoj Sharma
Online Teaching Of Program Planning & Evaluation, Manoj Sharma
UNLV Best Teaching Practices Expo
Program Planning & Evaluation (PBH 440-1001) offered by the School of Public Health at University of Nevada, Las Vegas was taught asynchronously online by Manoj Sharma to undergraduate students (primarily from public health) in Spring 2021 (n=34). This course is designed to equip students with the knowledge and skills necessary to systematically develop, implement, and evaluate health-related programs, services, and interventions. The specific teaching techniques that were used in teaching this course were organizing the entire course in Canvas and making it available from day 1, recording all lectures beforehand in Panopto, utilizing cases studies in modules, embedding journal articles …
Australian Teachers’ Perceptions And Experiences Of Food And Nutrition Education In Primary Schools: A Qualitative Study, Gozde Aydin, Claire Margerison, Anthony Worsley, Alison Booth
Australian Teachers’ Perceptions And Experiences Of Food And Nutrition Education In Primary Schools: A Qualitative Study, Gozde Aydin, Claire Margerison, Anthony Worsley, Alison Booth
Australian Journal of Teacher Education
Teacher delivered food and nutrition education (FNE) can be effective in improving children’s food literacy and eating habits. However, teachers are known to face some barriers to the delivery of FNE globally. To obtain a deeper understanding of Australian primary school teachers’ experiences and views, 17 teachers were interviewed. The results of the thematic analysis showed that teachers acknowledged the importance of FNE and were willing to include more FNE content into their teaching. We also identified the FNE topics taught, resources used, their teaching partners, and barriers encountered. The discussion presents strategies to overcome these barriers.
The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor
The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor
Capstone Showcase
Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …
The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker
The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Nutrition professionals face implementation challenges due to their lack of knowledge to incorporate D&I science into intervention design. To improve intervention outcomes, nutrition professionals must be trained in D&I science, which are currently absent in the field.
Aims: To identify and assess nutrition educators and practitioners perceived motivations, self-efficacy, and attitudes in using D&I science to inform the educational design and strategies of a nutrition-specific D&I curriculum for nutrition educators. Then to test feasibility of the nutrition-specific curriculum in increasing knowledge, self-efficacy, and attitudes by a case study approach, pre/post intervention design.
Methods: First, scoping review methodology involved the …
Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan
Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan
Walden Dissertations and Doctoral Studies
Negative patient outcomes have been attributed to surgery-related complications. A gap was identified in an acute care unit in southern Texas because postoperative surgical complications were above acceptable rates. The purpose of this Doctor of Nursing Practice project was to educate staff nurses on the provision of evidence-based postsurgical care. This doctoral project was conducted to determine whether completion of a learning module would increase nurses’ level of knowledge in acute postoperative care. The project was grounded on Knowles’s adult learning theory and the Dreyfus model of skill acquisition. Learning material using competency-based education was developed using the analyze, design, …
Emergency Department Operational Strategies, Joyce W. Davis
Emergency Department Operational Strategies, Joyce W. Davis
Walden Dissertations and Doctoral Studies
AbstractEmergency Department Operational Strategies by Joyce W. Davis MBA/MHA, Pfeiffer University, 2011 BS, North Carolina A&T State University, 1980
Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration
Walden University December 2022
Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss
Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss
Walden Dissertations and Doctoral Studies
In the United States, more than 200,000 adult patients die annually from inpatient cardiac arrest with survival rates stagnated at 22%–25% nationally. Recently, the adoption of fully automated life support training modalities by health care organizations has become widespread with limited literature available showing the effects on inpatient, cardiac arrest survival. The purpose of this quantitative study was to investigate the effects of fully automated life support training on inpatient, cardiac arrest survival. Applying Bloom’s mastery learning theory, the impact of the Resuscitation Quality Improvement (RQI) quarterly training and hospital unit compliance on inpatient cardiac arrest return of spontaneous circulation …