Social and Behavioral Sciences Commons^™

A Conceptual Model Of Organizational Compassion In Healthcare, Rachel Thienprayoon, Eli Awtrey, Teresa Pestian, Beth A. Lown, Naomi Winick, Jason Kanov

Journal of Wellness

Introduction: In healthcare, while the suffering of patients is often evident, the suffering of clinicians receives less focus. Some sources of clinician distress are directly related to constant exposure to patient suffering, but others are caused by the health care system, and thus potentially preventable. Looking at clinician suffering through the lens of compassion fosters a new paradigm of individual, team, and organizational capabilities, and moves the responsibility to alleviate this suffering from the individual onto the organization and team. Yet research into the impact of organizational compassion in healthcare has been extremely limited.

Approach: Our conceptual model of organizational …

Wellness Review 2023, Part 1, Brian A. Ferguson, Martin Huecker

Journal of Wellness

Introduction: The 2023 Part 1 summary reviews research on wellness in healthcare professionals published outside of JWellness from January 1, 2023 to June 30, 2023.

Methods: Editors conducted a Boolean search of titles and abstracts in PubMed utilizing keyword identifiers pairing healthcare personnel (providers, nurses, and other staff) with a well-being metric. Of 416 relevant articles, an intriguing and innovative 30 were selected for inclusion, with two additional articles manually curated.

Literature in Review: This sample of the recent literature into healthcare professional wellness included multiple targeted interventions and studies of resilience. Main themes that emerged include: positive systematic healthcare …

Congressional Briefing: Increasing Access To Medicare-Funded Physician Residency Slots, Julia Mattingly, Sarah Youngman, Ariel Ringo, Sarah Belcher

Commonwealth Policy Papers

The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule designated the Centers for Medicare & Medicaid to implement 1,000 new Medicare-funded physician residency slots to qualifying hospitals authorized by the Consolidated Appropriations Act (CAA) of 2021, phasing in 200 slots per year over five years.However, in its first round of allocation of 200 slots in 2023, only 5 rural hospitals in the country received slots, despite Section 126 of the CAA.

In this brief, we discuss potential solutions to address this allocation shortfall.

A Critical Access Pharmacy Program, Julia Mattingly, Jack Reynolds

Commonwealth Policy Papers

With much light on rural hospital closures and healthcare workforce shortages, a sect of rural healthcare rarely discussed is the availability and accessibility of rural independent pharmacies. Pharmacies are a vital part of healthcare delivery in rural communities, with many not only supplying medications but also offering clinical services such as immunizations, blood pressure and glucose monitoring, medication counseling, and more. As funds are available, Congress should designate the Centers for Medicare & Medicaid Services to establish a Critical Access Pharmacy Care Program to ensure the sustainability of critical access pharmacies throughout the United States. Specifics of the proposed program …

Congressional Briefing: Support America’S Circular Economy By Upcycling Bourbon & Brewing Wastes In Reauthorizing The Farm Bill, Samuel Kessler

Commonwealth Policy Papers

Following state level development of a new spent grain incentive system, leading to KY House Bill 627 in 2022, CPC’s Congressional Summit dialogue considered initial components and possibilities for designing an incentive to upcycle “keystone” organic wastes in regional economies across the US. For member offices, a set of general recommendations are provided for a national spent-grain upcycling incentive pilot program. It is suggested that staff of the Bourbon caucus consult with the references in this briefing and USDA Rural Development to consider further development of an incentive program in the reauthorization of the Farm Bill.

It is further urged …

Congressional Briefing: A Geographically Targeted Approach For A Preceptor Tax Incentive Using Primary Care Health Professional Shortage Areas, Julia Mattingly, Sarah Belcher

Commonwealth Policy Papers

This congressional briefing outlines federal policy implications, following state level use of HPSAs in targeted incentives for healthcare workforce development also published by the Commonwealth Policy Institute.

Draft State Legislation: "Cycle-Based Adoption Of The International Code Council’S Model Building And Energy Conservation Codes", Hailey M. Mattingly

Commonwealth Policy Papers

This draft state legislation crafted with nonprofit partners is created in order to update building codes across the Commonwealth of Kentucky with uniform professional standards also adopted by surrounding states which are provided by the ICC, in order to improve resilience to natural disasters. This bill draft is accompanied with a short brief published in the same volume.

Maximize “West End Opportunity” In America: Alternative Policy Options To Address Perceived Drawbacks Of Tax Increment Financing (Tif) & Opportunity Zones, Justin Avert, Samuel C Kessler

Commonwealth Policy Papers

In March 2021, the Kentucky General Assembly passed House Bill 321 (Acts Chapter 203) authorizing the creation of a tax increment finance (TIF) district within the West End of Louisville. Designed to spur community-wide economic development, it set up a public-private nonprofit partnership. Known as the West End Opportunity Partnership (WEOP), this 21-seat board include community representatives and has sole control over any fund disbursement. Funds can be used towards a broad array of investments including small business loans, financing affordable housing units, home improvements, etc.

Residents within the district have expressed opposition to the TIF, skepticism towards the board …

Does Using Clicker Questions Improve Students' Conceptual Understanding?, Edward W. Goshorn Iv

The Cardinal Edge

Active learning can be incorporated into STEM classrooms in multiple ways. With exploratory learning, students explore a novel activity before learning the concepts or procedures. With personal response devices (e.g., clickers), students respond to real-time questions posed during lecture. The current studies examined whether, and how, clicker question can be used as exploratory learning, to improve students’ conceptual understanding and engagement over traditional instruction. Biology professors integrated clicker questions into a lecture, and either closed the clicker poll prior to (Restricted Clicker Experiment, N = 164) or after (Extended Clicker Experiment, N = 188) giving feedback to the class. Undergraduate …

Exploring Students’ Epistemological Understanding Of Atomic Structure Models, Claire V. Ward, Morgan Balabanoff

The Cardinal Edge

Developing a robust understanding of atomic structure and the nature of matter is foundational across chemistry and STEM courses. The development of this concept is challenging because it relies on models to illustrate something not directly observable. Scientific models are important tools used to explain phenomena, particularly phenomena that are not directly observable. In general chemistry, students are typically asked to consider four different models: (1) the particle model, (2) the nuclear model, (3) the Bohr model, and (4) the Quantum model. Each depiction has its own advantages and limitations, where instructors introduce each model to explain specific parts of …

Concern Over Mistakes And Emotion Regulation Are Uniquely And Synergistically Associated With Eating Disorder Symptoms, Madison Ortman, Aleena Saifullah, Mattison Hale, Taylor Porter, Sara Clark, Maritza Lazo, Caroline Christian, Claire Cusack, Cheri Levinson, Rachel Butler

The Cardinal Edge

Concern Over Mistakes and Emotion Regulation Skills are Uniquely and Synergistically Associated with Eating Disorder Symptoms in Adolescence

Madison Ortman*, Mattison J. Hale*, Aleena Saifullah*, Sara Clark*, Taylor Porter*, Maritza Lazo B.A. *, Caroline Christian M.S. †, Claire E. Cusack M.A.†, Rachel Butler, Ph.D., Cheri A. Levinson, Ph.D. †

*Authors contributed equally to this work. † Provided supervision.

University of Louisville, Department of Psychological and Brain Sciences

Perfectionism and emotion dysregulation are transdiagnostic risk and maintenance factors implicated in eating disorders (EDs). Specifically, increased perfectionism and poorer emotional regulation skills have been associated with increased risk for ED behaviors and …

Sensitivity To Natural Pairing Of Musical Pitch And Timbre, Isabel V. Adames Vergara, Anya Shorey, Christian Stilp

The Cardinal Edge

Two of the primary perceptual properties of music are its pitch and timbre (sound quality). While musical instruments vary widely in their pitches and timbres, there is a tendency to hear higher pitches with “brighter” timbres and lower pitches with” darker” timbres. Here, listeners labeled musical pitches as high or low when played by one of four instruments. In the canonical blocks, instruments with “brighter” timbres (trumpet, oboe) played the higher pitch, and instruments with “darker” timbres (trombone, tuba) played a lower pitch. In the reversed block, these pairings were switched. Performance was excellent in the canonical blocks, but accuracy …

Smart Technology In Autism Care: Is Rootines Usable, Useful, And Acceptable In Clinical Practice?, Isak Beck, Lonnie Sears

The Cardinal Edge

Smart technologies are rapidly appearing in the healthcare landscape. In this study, we evaluate Rootines, a smartphone app offering remote patient monitoring for kids with developmental and behavioral health concerns. We’re asking families served by the Norton Children’s Autism Center in Louisville, Kentucky to use Rootines together with their child’s clinician for two weeks. Following this, we will use surveys and interviews to probe for the usability (how well the technology can be used), usefulness (how valuable users find the technology), and acceptability (whether the technology can meet user needs) of the Rootines app. Trials in clinical settings are crucial …

Children’S Bedtime Difficulties And Parental Psychopathology Predict Children’S Sleep Problems Over Time, Dakshinkumaar Devanand, Alyssa Rodriguez, Sara Bufferd

The Cardinal Edge

Parents play a critical role in preschool-aged children’s (aged 3-5) sleep health (Bell & Belsky, 2008) via facilitation of bedtime routines and other behaviors that influence children’s sleep problems (Coto et al., 2018). In addition, parental anxiety and depression may be related to children’s sleep problems (Roberts et al., 2020). Exploring longitudinal associations, as well as including both parent and coparent report, can help identify early indicators of children’s sleep problems over time. It was hypothesized that children’s bedtime difficulties and parents’ and coparents’ anxiety/depressive symptoms when children were ages 3-5 (Time 1) would predict children’s sleep problems when children …

The Social Determinants Of Health And Reentry: An Exploratory Study, Makayla Lewis, Brian Schaefer, Heather Ouellette

The Cardinal Edge

Being released from jail affects a person’s ability to secure basic needs such as health, housing, and employment. Compounding these barriers are issues related to returning to impoverished communities, complicated relationships with families and support systems, and minimal reentry opportunities within jails and upon release. This study explores how the Opportunity Network’s reentry workbook is working to address the social determinants of health and improve perceptions of successful reentry outcomes.

Emotion Regulation Tendencies Moderate Momentary Associations Between Sadness, Binge Urges, And Overeating, Jacoby D. Banet, Julia Nicholas, Taylor Penwell, Rowan Hunt, Cheri Levinson

The Cardinal Edge

Background: Eating disorders (EDs) are notably adverse, and previous research emphasizes that analysis of momentary triggers may be useful in determining the factors that maintain ED psychopathology. Negative affect (NA) is one momentary trigger of special interest in regard to binge eating tendencies. While current literature differs on the precise mechanisms by which NA maintains ED psychopathology, emotional regulation has been nevertheless implicated in encouraging binge eating behaviors. The present study explores correlations among sadness, binge urges, and overeating, and assesses emotional avoidance and emotional awareness as potential moderators of these relationships. Method: Participants (N = 34) with moderate …

Archival Data On Latinx Students At The University Of Louisville, Bailey Wilson, Isabel Abarca

The Cardinal Edge

In recent years, there has been an increased focus on minoritized students on college campuses and within higher education institutions. This data is situated as background research for a UofL Master’s research thesis titled, Identity and Cultural Expression Among Latinx Students in Higher Education by Isabel Abarca. Based on UofL's Card Analytics program and Common Data Sets, there were numerous disparities found between Latinx students and the total student population, with significant differences when compared to white students. From 2005 to 2022 the proportion of Latinx students increased steadily, more than tripling the number of Latinx degree-seeking undergrads on campus, …

Restorative Survey Of A Human Osteological Teaching Collection: Mitigating Objectification And Structural Violence After Death, Helene Simon, Mekenzie Davis

The Cardinal Edge

Interdisciplinary discussions considering the impacts of dubious acquisition and management of human skeletal collections have identified these assemblages as venues for perpetuating structural violence after death. Lack of provenance across many large and small “legacy” skeletal collections prevents clear solutions for treatment of individuals who cannot be clearly associated with descendant communities or identified as donors. A critical examination of our department’s collection and classroom presentation practices as they pertain to the individuals in the Human Osteological Teaching Collection (HOTC) serves to mitigate this violence and restore a degree of personhood to the individuals who contribute to generations of education. …

White Men In White Coats: Children’S Attributions Of Scientific Knowledge Based On Race And Gender, Lillian C. Holm, Mariel R. Cox, Khushboo S. Patel, Judith H. Danovitch

The Cardinal Edge

Children use others’ characteristics (e.g., intelligence and niceness) to evaluate how much a person knows (Landrum et al., 2016). However, little is known about how gender and race influence children's perception of adults' scientific knowledge. The current study examined how children ages 5-8 (N = 25; 11 girls, 14 boys) perceive adults’ scientific knowledge. In the first task, children saw 8 different adults of varying race and gender (White man, White woman, Black man, Black woman) and rated their knowledge using a five-point scale. Children then chose one person out of two adults who they thought knew more about a …

Resolving Commingling, Restoring Identity: An Interdisciplinary Collaboration And Ethical Study Of Individuals From A Human Skeletal Teaching Collection, Morgann L. Lucas, Morgan J. Elmore, Christine Chen, Carolann Cockerill, Mekenzie Davis, Vivian N. Pham, Matthew Kolmann, Linda Fuselier, Kathryn E. Marklein

The Cardinal Edge

In Fall 2022, human skeletal remains were discovered in the Department of Biology’s Comparative Vertebrate Anatomy Laboratory. No documentation about the acquisition or curation history was found. With no current protocols for repatriating individuals in university skeletal teaching collections, an interdisciplinary research team analyzed the skeletal remains to resolve to commingle and identify the people. Using standardized methods in forensic anthropology, we estimated the minimum number of individuals represented through taphonomic, demographic, paleopathological, and morphological variables and variation. Results indicated, minimally, 36 to 56 individuals represented by 250 bones. Of these individuals, 12 were estimated as probable female, 16 as …

A Citizen Science Experiment: How Well Do Park Visitors Identify Wetland Health?, Madison Cicha, Kassidy Haynes, Andrew Mehring, Mark Tierney, Andrea Gaughan Phd

The Cardinal Edge

Citizen science refers to a discipline of scientific projects that utilize public participation and collaboration to complete or supplement a collected data set. Our study as a whole aims to assess the greenhouse gas (GHG) source-sink status of small, constructed wetlands in Kentucky through field and remotely sensed data. Additional facets of the project include evaluating the influence of the primary producer community on GHG uptake and emissions, and our ability to identify healthy small wetlands from science and community-based perspectives. Specifically, the citizen science aspect intends to assess both (1) gaps between knowledge of the general public regarding wetland …

The Resilient Families Project @ Wayside’S Hotel Louisville: Strategies For Building Resilience, Mindfulness & Happiness In At-Risk Adults, Lexi N. Frederick, Hannah Parker, Angela Ely, Lora Haynes

The Cardinal Edge

The Resilient Families Project (RFP) provides educational experiences to strengthen evidence-based habits of resilience, mindfulness, and happiness in at-risk individuals. RFP holds programs for adults facing homelessness and women in drug/alcohol recovery who are housed by Wayside Christian Mission in their Emergency Shelter or Hotel Louisville.

RFP programs work to promote healthy attachment relations, a sense of belonging/purpose, and interactive reading, and children’s storybooks serve as the foundation for designing programs. The book “The Boy, The Mole, The Fox, and The Horse'' was reviewed through content analysis to emphasize diversity, equity, and inclusion, as well as RFP Core Ideas. Thanks …

Pediatric Providers’ Experiences Assessing Young Children’S Emotions And Behaviors, Vaibhavi Venkataramanan, Akira Isaac B.S., Sara Bufferd Ph.D.

The Cardinal Edge

Introduction: Preschool-aged children experience anxiety and mood-related emotions (e.g., irritability, fears) and behaviors (e.g., tantrums) that are developmentally normative, but can overlap with psychopathology, making assessment challenging (Bufferd et al.,2016). Most children see pediatric medical providers annually, and providers can evaluate them. However, providers face challenges like limited training and time (Bean et al.,2000;Heneghan et al.,2008). Accurate and early identification of emotional and behavioral difficulties is critical to support young children’s mental health and prevent worsening problems.

Methods: Participants included N=22 pediatricians who see 3-5-year-old children in their practice. Pediatricians completed an online survey about their experiences assessing young …

Choosing Sides: Children’S Expectations Of Consequences Of Loyalty Towards Authority, Shelby Knieriem, Megan N. Norris, Nicholaus S. Noles

The Cardinal Edge

Previous research has found that children recognize social group membership and status early in development (Aboud, 2003; Gulgoz & Gelman, 2017). However, children increasingly value loyalty towards authority figures with age, although they prefer members of their own social groups (Norris & Noles, 2022). In this study, we are interested in whether children expect there to be positive consequences associated with loyalty towards authority figures over a subordinate, as well as negative consequences associated with loyalty towards subordinates over authority figures. We presented children ages 6-8, as well as adults, with a situation in which a worker was loyal to …

Excessive Exercise And Its Relationship To Social Appearance Anxiety And Difficulties In Emotional Regulation, Ciaran D. Brown, Hannah Fitterman-Harris Dr

The Cardinal Edge

Background: Excessive exercise is characterized as an eating pathology symptom, often described as an addiction, with typical symptoms of addiction observed such as increased tolerance (i.e., more exercise needed for the same effects), continuation despite acknowledged negative effects, social withdrawal, and withdrawal symptoms when the behavior is discontinued. Our research sought to further understand this phenomenon by exploring its relationship with other characteristics common to eating disorder patients. One such characteristic chosen for this project was Social Appearance anxiety, which is described as a fear or excessive worry about the way you appear to other people, including fears of positive …

Who Gives The Cookies And Who Gets The Grade: Children's Judgements On Intersecting Identities, Brianna Walker, Anabel Puri

The Cardinal Edge

The Stereotype Content Model (SCM) suggests that group stereotypes are reflect differences in warmth and competence. (Fisk et al. 2001). Many studies primarily use White men as a baseline for understanding these judgements of race and gender without combining these identities. We aim to examine how children assess individuals from various race and gender groups. Participants included 90 children ranging from age 5-10. Children were asked to rate individuals with different identities (e.g., White man, Black woman, etc.) on the dimensions of warmth and competence. Children were then asked to compare individuals with different identities and determine which person was …

The Constraints Within Capitalism: An Evaluation Of Ann E. Cudd's "Enlightened Capitalism" In 'Capitalism, For And Against', Phoebe E. Shown

The Cardinal Edge

There is extreme partisanship in the United States regarding whether or not capitalism should continue to be implemented. This partisanship is apparent in Capitalism, For and Against: A Feminist Debate, by Ann E. Cudd and Nancy Holmstrom. The published debate between Cudd and Holmstrom ultimately discusses whether systemic changes can be placed upon capitalism for an ideal "enlightened capitalism", presented by Cudd, or if the United States should adopt a new economic system altogether, suggested by Holmstrom. I address Ann E. Cudd's argument for an "enlightened capitalism" by summarizing her main ideas, and proceed to refute it on the grounds …

Self Determination Theory And Health Behavior Interventions, Anna T. Simpson

The Cardinal Edge

Physical and mental health contribute to a person’s overall sense of well-being. People generally want to live happy and healthy lives, so they make decisions that will increase their well-being. Many factors contribute to our health, but health behavior is something we can modify. Health behavior interventions aim to promote healthy choices and a sense of well-being in patients. Interventions have a theoretical basis that influences the design of the intervention. Public health interventions have used self-determination theory (SDT) and its components to guide interventions that promote health behavior change in various populations. This paper will seek to understand the …

The Legacy Of Racially Restrictive Covenants In Upper Arlington, Ohio, Alicia G. Howe

The Cardinal Edge

Racially restrictive covenants were written into property deeds in the early 1900s as a method of preventing people of color from moving into white communities. Although such covenants were deemed unenforceable by the Supreme Court in 1948, the practice of racially restricting homeownership has not ended in communities where such covenants were previously used. This paper utilizes Upper Arlington, Ohio as a case study for how white communities have maintained their identities into the present day. This includes discussion of the Northwest Arlington Association, local real estate practices, the projected racial attitudes of longstanding white residents, and the community’s treatment …

Writing A Research Paper From Beginning To End, Yaara Aleissa, Amani Ikram, Rebecca Klukowski, Haven G. Romero, Allicen White

The Cardinal Edge

Universities take pride in the research their school produces, as it demonstrates their dedication to advancing knowledge and pushing the boundaries of various fields, not just STEM. Research by definition is an inquiry using current sources to guide and establish new facts in any field of study. Undergraduate student research falls under this umbrella of advancement and is a critical component of the research culture at any institution. A research paper includes four important sections: the abstract, introduction, methods, and results section. Each section takes the audience through the steps implemented by the student to answer their research question and …