Social and Behavioral Sciences Commons^™

Wait Time Reality Check: The Convergence Of Process, Perception, And Expectation, Marian Hill, Lorianne Classen, Andrea Romay, Erika Diaz

Patient Experience Journal

There are few experiences as ubiquitous to patients as the experience of waiting. It is an occurrence that transcends diagnosis, is common to all demographics, and is shared across the continuum of care. The experience can be frustrating and full of ambiguity for patients and their families. Wait time and delays can lead to patients sensing a loss of control and magnify the feelings of anxiety they may already be suffering. In an effort to improve patient experience, a framework was developed to examine patient satisfaction as a function of expectations, perceptions, and reality. The process domain focused on the …

Family Experience Tracers: Patient Family Advisor Led Interviews Generating Detailed Qualitative Feedback To Influence Performance Improvement, Kathryn Taff, Sheryl Chadwick, Deejo Miller

Patient Experience Journal

Patient Family Advisors (PFAs) are integral partners in quality improvement processes at Children’s Mercy Kansas City. Mimicking Joint Commission patient tracers, the Family Experience Tracer program was created to gather perspectives from end users of care and provide valuable insights regarding the patient experience. The Patient and Family Engagement team collaborates with departmental and organizational leadership to define the scope of the tracer project and determine meaningful topics to elicit feedback from patients and families. Tracers are conducted across the continuum of care and are led by a Patient Family Advisor to establish an immediate peer relationship. Patients and families …

Can An Interactive Application Be Used To Collect Meaningful Feedback From Paediatric Patients And Their Parents In A Hospital Setting?, Janelle O'Neill, Graham R. Reeks, Lauren Kearney

Patient Experience Journal

The objective of this study was to determine the acceptability of using an interactive application (Fabio the Frog) to understand the experiences and perspectives of children and parents/carers regarding their health care encounter for the purpose of quality improvement and consumer feedback. Children’s perspectives of their healthcare were collected via the interactive application through the use of a validated survey, the Children’s Perceptions of Healthcare Survey (CPHS). The acceptability of eliciting views from children and parents via an interactive application platform was collected using an additional survey designed for this purpose. Data were collected in two phases. Overall, healthcare experiences …

What Constitutes The Patient Experience Of Children? Findings From The Photo Elicitation And The Video Diary Study, Nina Karisalmi, Hanna Stenhammar, Johanna Kaipio

Patient Experience Journal

Patient experience (PX) is getting attention among researchers and healthcare service providers, but little is known about the experiences of child patients and how to explore those. This paper reports findings from a study in which two participatory research methods, photo elicitation and video diary, were applied to investigate the elements of children’s PX in the context of children’s hospital. The aim was to find out what elements constitute the PX of children aged 7–16 years. The research data were gathered in 2016–2017. Twenty-two child patients participated in the study: eight children aged between 7 and 10 in the photo …

Tertiary Care Centres Must Do More For Patients With Unknown Conditions: Lessons Learned From A Child, Guido Filler, Lana Rothfels

Patient Experience Journal

Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating disease with a commonly non-uniform and unspecific presentation that makes diagnosis difficult. A twelve-year-old girl, recently diagnosed with Addison’s Disease, was referred to paediatric nephrology for Fludrocortisone-induced nocturnal hypertension. She had fallen off the growth curve for both height and weight from the 50th percentile at birth to below the 5th percentile at presentation. The severity and multitude of her symptoms, including muscle weakness, poor body control, dizziness, light headedness, persistent fatigue, excessive sweating, tachycardia, chronic constipation and recurrent infection hinted at the unusual nature of this case of Addison’s. At the …

Breaking Bad News And The Importance Of Compassionate Palliative Care Of The Infant, William S. Sessions Ii, Sean Y. Kow, Elizabeth Waldrop, Kayle Stevenson, Ayo Olanrewaju, Thu Tran, Mubariz Naqvi

Patient Experience Journal

Bad news to parents regarding their infant is information that negatively impacts the parent’s feelings and view of the present and/or future. It is implemented in situations with feelings of no hope or those that induce a threat to a parent’s mental and physical well-being. The term is difficult to define as it is based on parent’s subjective feelings. However, it is important to be aware of the impact of bad news as it can cause severe anguish and stress on the parent’s emotional stability. The style of delivering bad news has a significant impact on the physician/parent relationship and …

Life With My Baby In A Neonatal Intensive Care Unit: Embracing The Family Integrated Care Model, Yasmin Lalani

Patient Experience Journal

This paper is a personal narrative that describes the components of the Family Integrated Care Model in a neonatal intensive care unit in Canada. I begin by introducing the reader with a brief story of how my son came to be admitted into a NICU. Next, I discuss three aspects of the Family Integrated Care Model that I found to be most striking: medical rounds, “do-ups” and skin-to-skin contact. I also discuss how my immersion in this healthcare setting for three months was a form of autoethnographic fieldwork, as I experienced the NICU both as a parent and a health …

What Medicine Can Learn From Pediatrics: A Mother's Perspective, Nancy Michaels

Patient Experience Journal

As a mother of a young adult child with Aspergers syndrome, as well as being a long-term patient myself (liver transplant in 2005), I have extensive experience in both camps. Recently my 20-year old son was admitted to a children’s hospital for a twisted colon that had to be surgically reduced. As the parent of a child with special needs and related physical health-related issues connected to him being on the autism spectrum, I was naturally very concerned about him entering a hospital (perhaps PTSD based on my own experience at moments). Surprising to me, the experience was a very …

Partners For Excellence: Committed To Meaningful Partnerships With Patients And Families In Pediatrics, Rachel Biblow, Msw, Sara Toomey Md, Mphil, Mph, Msc

Patient Experience Journal

Although the landscape in pediatrics continues to shift and change, one of the keys to our continued success remains the same… it’s about partnership. It’s clear the element of partnership is well woven through our organizations as illustrated by many of us having patient and family advisory councils, family consultants, and family partners. While this foundation is strong and essential, we must do more to truly listen, recognize the value of patient and family involvement, act upon the information shared, openly discuss issues, and strive for better together. True partnership with patients and families requires us to shift the paradigm …

Lessons For Patient Experience From The Voices Of Pediatrics And Children’S Hospitals, Jason A. Wolf Phd, Cpxp

Patient Experience Journal

This special issue on patient & family experience in children’s hospitals and pediatric care underlines pediatrics’ position as a leader in the experience journey. In pediatrics and children’s hospitals significant efforts are made to the ensure the environment is welcoming and comfortable, there is a commitment to communicating to patients – the children that are cared for – in a way they can understand, and there is a clear intention of engaging family members as an integral part of the care experience. In acknowledging that this is a special issue on pediatrics, we would miss a significant opportunity if we …

A Distance Based Method For Solving Multi-Objective Optimization Problems, Murshid Kamal, Syed Aqib Jalil, Syed Mohd Muneeb, Irfan Ali

Journal of Modern Applied Statistical Methods

A new model for the weighted method of goal programming is proposed based on minimizing the distances between ideal objectives to feasible objective space. It provides the best compromised solution for Multi Objective Linear Programming Problems (MOLPP). The proposed model tackles MOLPP by solving a series of single objective sub-problems, where the objectives are transformed into constraints. The compromise solution so obtained may be improved by defining priorities in terms of the weight. A criterion is also proposed for deciding the best compromise solution. Applications of the algorithm are discussed for transportation and assignment problems involving multiple and conflicting objectives. …

Assessment Of Hrv After Maximal Exercise In Trained Postmenopausal Women, Julia Orri, E. M. Hughes, D. G. Mistry, A. Scala

Kinesiology (Formerly Exercise and Sport Science)

Increased parasympathetic tone achieved with endurance training may provide cardioprotection after menopause. To compare heart rate variability (HRV) from rest through maximal exercise and recovery in trained postmenopausal women. Thirtysix postmenopausal women who self-reported training at either moderate (MOD; 3-5.9 METS; 58.9±4.4 year) or vigorous (VIG; >6 METS; 59.7±5.2 year) intensities participated. HRV was measured for 5 min in the supine position, in the last minute of the VO2max test and after 2 min of active recovery. HRV in MOD and VIG was compared using a factorial ANOVA with repeated measures on time. MOD and VIG responded similarly over the …

Debating The Permissibility Of Printable Guns, Rachel Robinson-Greene

Languages, Philosophy, and Communication Studies Faculty Publications

In 2013, Cody Wilson, a self-described anarchist, made headlines when he posted plans for a 3D printable pistol called “The Liberator” online. The state department intervened and shut down the site, but not before the plans for the weapon were downloaded over a million times. Wilson promptly sued the government. This week, the government reached a settlement with Wilson. The settlement is quite favorable to Wilson and other gun rights advocates—it allows Wilson and others to proceed with their mission to post the instructions online.

In Pursuit Of Equity: Applying Design Thinking To Develop A Values-Based Open Access Statement, Courtney L. Waugh, Emily Carlisle, Lillian S. Rigling

Western Libraries Publications

We wanted to rethink how our library supported open access, so we attempted to ask ourselves and our staff why they supported “open” and how they defined “open”. By unpacking our institutional and individual understandings of “open” using design thinking principles, we were able to not only create a strong and value-driven statement, but to also open the door for staff at all levels to engage in policy-making for the organization.

Nebraska Monthly Economic Indicators: July 25, 2018, Eric Thompson

Leading Economic Indicator Reports

The Leading Economic Indicator – Nebraska (LEI-N) 1 fell by 0.40% during June of 2018. The decline in the LEI-N, which is designed to predict economic activity six months into the future, suggests that the pace of Nebraska economic growth will slow significantly during the 4th quarter of 2018. The indicator fell due to another sharp increase in the value of the U.S. dollar. A rising dollar puts additional pressure on Nebraska businesses which export. A decline in manufacturing hours and an increase in initial claims for unemployment insurance also contributed to the drop in the LEI-N. Business expectations were …

A Conversation With Mario A. Leiva

LGBTQ Alumni Oral History Project

This conversation represents an oral history interview with a Holy Cross alum who graduated in 2014.

Estimating Adaptation To Climate Change In Groundwater Irrigation, James Keeler

Department of Agricultural Economics: Dissertations, Theses, and Student Research

Understanding the adaptive capacity of irrigated agriculture, including to what extent producers adjust irrigation choices along the intensive and extensive margins, is vital to the development of accurate and holistic estimates of the impacts of climate change on agricultural production and the sustainability of water-related ecosystem services. This thesis proposes and implements a natural experiment using statistical matching methods to estimate how producers adjust groundwater extraction, irrigated crop acreage, and irrigation technology in response to long-term changes in precipitation and evapotranspiration. Results from groundwater irrigated fields in Kansas suggest that intensive and extensive margin water use adaptations are generally limited …

Using Regression Analysis To Determine Land Cover Impacts On Groundwater Levels In The High Plains, Dylan T. Riley

Department of Agricultural Economics: Dissertations, Theses, and Student Research

Many parts of the High Plains region are facing declining aquifer levels, which threatens the long-term viability of irrigated agriculture. Furthermore, some areas of the High Plains region, like the Republican River Basin in Nebraska, need to keep groundwater levels high enough in the short-term to ensure that hydrologically connected rivers have enough streamflow to fulfill surface water obligations, such as Nebraska's interstate river compact with Colorado and Kansas. To better manage groundwater, it is important to understand the unintended effects of policies that may not be aimed at groundwater conservation, such as the USDA- Conservation Reserve Program (USDA-CRP). The …

Ignatian Spirituality In Vocational Career Development: An Experimental Study Of Emerging Adults, Scott Campanario

Industrial-Organizational Psychology Dissertations

Traditional undergraduate students fall in an age range known as emerging adulthood, a development stage of life characterized by freedom and exploration in pursuit of understanding one’s identity. This is an important developmental process because a failure to discern this identity and what one finds meaningful can be associated with numerous harmful outcomes such as depression, anxiety, and substance abuse. Conversely, coming to a better understanding of one’s identity is also associated with the number of positive outcomes such as hope, life satisfaction, and career planning. Therefore, institutions of higher education have both an opportunity and an obligation to consider …

Impact Of Tropical Climate On Selective Attention And Affect, Guillaume R. Coudevylle, Maria Popa-Roch, Stéphane Sinnapah, Olivier Hue, Nicolas Robin

Journal of Human Performance in Extreme Environments

Heat has an impact on several aspects of human cognition but the effects of the tropical climate (i.e., hot and wet) have rarely been explored. The purpose of this study was to determine whether selective attention and affect are negatively impacted by the tropical climate. The study followed a within-participants design: participants responded to an affective scale (PANAS) and performed an attention task (d2 Test) in two experimental climate conditions (tropical vs. neutral) with a one-week interval between sessions. The results indicated that they had lower positive affect and selective attention in the tropical climate than in the neutral climate. …

Geographical, Racial And Socio-Economic Variation In Life Expectancy In The Us And Their Impact On Cancer Relative Survival, Angela B. Mariotto, Zhaohui Zou, Christopher J. Johnson, Steve Scoppa, Hannah K. Weir, Bin Huang

Markey Cancer Center Faculty Publications

Purpose

Despite gains in life expectancy between 1992 to 2012, large disparities in life expectancy continue to exist in the United States between subgroups of the population. This study aimed to develop detailed life tables (LT), accounting for mortality differences by race, geography, and socio-economic status (SES), to more accurately measure relative cancer survival and life expectancy patterns in the United States.

Methods

We estimated an extensive set of County SES-LT by fitting Poisson regression models to deaths and population counts for U.S. counties by age, year, gender, race, ethnicity and county-level SES index. We reported life expectancy patterns and …

Agricultural Market Liberalization And Household Food Security In Rural China, Lia Nogueira, Kathy Baylis, Linlin Fan

Cornhusker Economics

Recent World Trade Organization (WTO) disputes have brought China’s agricultural trade policy back into the spotlight. In November 2008, China issued the nation’s first Outline of Medium and Long-term Plan for National Food Security (China Central People’s Government, 2008), in which they stipulate that the country will seek to stabilize the area sown to grain and achieve more than 95% grain self-sufficiency. Trade restrictions are argued to support implementing this plan because increased imports of grains and soybeans will lower prices, causing grain and soybean farmers to leave farming, thereby generating food insecurity (Wong and Huang, 2012). Others suggest that …

The Ethics Of Artificial Intelligence: Superintelligence, Life 3.0 And Robot Rights, Kati Tusinski Berg

College of Communication Faculty Research and Publications

No abstract provided.

Deaf Lesbian Identity, Noël E. Cherasaro

USF Tampa Graduate Theses and Dissertations

Deaf lesbians are a population that is underrepresented in the academic literature. Through the use of narrative inquiry, the researcher conducted in-depth interviews with a woman who self-identified as Deaf and lesbian. She shared her experiences growing up as a woman who is Deaf and later in her life, realized she is lesbian. The researcher juxtaposed her experiences as a hearing, lesbian woman and an ally to the Deaf community to better illuminate the Deaf lesbian experiences. The research delved into how these dual minority identities have affected the Deaf lesbian participant as she makes her way in the world …

We Have Seen It All. At The Mall, Carla Corroto

Sociology Faculty Scholarship

Many of us have conflicted attitudes toward suburban shopping malls in the United States. Malls are environmentally irresponsible, reinforce a dependence on cars, fortify economic and social stratification, generate private-property, emphasize consumption, and are architecturally disappointing. Malls are also the places where we bought school shoes, where we garnered our first jobs, where we may see a diversity of products and people and tastes, and, remarkably, malls can still surprise us. This article is an overview of mall criticism and a narrative from reluctant mall enthusiasts. We sit at an equivocal place—in between the complexity and contradiction of the suburban …

Residential Zoning And Near-Roadway Air Pollution: An Analysis Of Los Angeles, C. J. Gabbe

Environmental Studies and Sciences

Air pollution from motor vehicles harms the health of those who live near freeways and other high-traffic roads. Land use regulations may permit, prohibit, or impose special conditions on housing near major roadways. This paper answers two questions: First, how is residential development near major roadways regulated? Second, how common are zoning changes near major roadways, and what factors explain these changes? This paper compares the zoning designations of near-roadway parcels with others in the city, and uses two sets of logistic regression models to analyze near-roadway zoning. The results show that residential development is permitted on most near-roadway parcels, …

Individual Differences In Relational Learning And Analogical Reasoning: A Computational Model Of Longitudinal Change, Leonidas A. A. Doumas, Robert G. Morrison, Lindsey E. Richland

Psychology: Faculty Publications and Other Works

Children’s cognitive control and knowledge at school entry predict growth rates in analogical reasoning skill over time; however, the mechanisms by which these factors interact and impact learning are unclear. We propose that inhibitory control (IC) is critical for developing both the relational representations necessary to reason and the ability to use these representations in complex problem solving. We evaluate this hypothesis using computational simulations in a model of analogical thinking, Discovery of Relations by Analogy/Learning and Inference with Schemas and Analogy (DORA/LISA; Doumas et al., 2008). Longitudinal data from children who solved geometric analogy problems repeatedly over 6 …

The New Instruction Librarian: A Workbook For Trainers And Learners, Maren Goodman

Western Libraries Publications

No abstract provided.

The Role Of Race/Ethnicity And Risk Assessment On Juvenile Case Outcomes, Tayler N. Shreve

USF Tampa Graduate Theses and Dissertations

Guided by traditional and micro-level theories, the present study seeks to identify the relationship between race/ethnicity and risk factors in the Florida juvenile justice system. Central to this explanation is the understanding that racial biases and stereotypes have been shown to influence the decision-making of probation officers. The objectives are to examine the extent that race and risk factors influence court outcomes, in addition to the extent to which individual level risk factors influence court outcomes. The results provide insight into the relationship between the influence of racial biases and stereotypes of probation officers and juvenile risk assessment scoring.

Todd Fuist Discussing His Book, Religion And Progressive Activism, Eric Stock

Interviews for WGLT

Assistant Professor of Sociology Todd Fuist speaking with WGLT's Eric Stock about his book "Religion and Progressive Activism: New Stories about Faith and Politics."