Public Affairs, Public Policy and Public Administration Commons^™

Co-Production Of The Quality Of Patient-Centered Outcomes Research Partnerships Instrument For People With Mental Health Conditions, Karen L. Fortuna, Amanda Myers, Jessica Brooks, Caroline Collins-Pisano, Skyla Marceau, Sarah Pratt, Kathy Lyons, Robert Walker, Shavon Thompson, Kaycie Greene, Willie Pringle, Katina Carter

Patient Experience Journal

Mounting scientific evidence over the past decades in the field of psychiatry has shown community engagement in research produces more relevant research, increased uptake of research findings, and better clinical outcomes. Despite the need for the integration of community engagement methodologies into the scientific method, doctoral and master's level competencies in the field of psychiatry commonly do not include dedicated training or coursework on community engagement methodologies. Without appropriate training or research experience, attempts to facilitate community engagement are often ineffective and burdensome and leave stakeholders feeling disenfranchised. The goal of this study was to co-produce an instrument designed to …

The Experiences Of Rural British Columbians Accessing Surgical And Obstetrical Care, Aria Jazdarehee, Anshu Parajulee, Jude Kornelsen

Patient Experience Journal

The attrition of small volume surgical and maternity services in rural Canada over the past three decades has made access to these services especially challenging for rural citizens. While many of these closures have occurred as consequences of regionalization, a strategy to regionally centralize healthcare services, many studies investigating outcomes of regionalization have focused on costs and medical endpoints rather than the direct experiences of the rural patients affected. In this study, we aimed to understand and document the experiences of rural residents accessing procedural and maternity care both locally and away from home. This study is part of a …

Needle Phobia: How To Improve The Child's Experience During Blood Drawing, Maria D. Navarro, Helena Illera, Bonaventura Ruíz, Montserrat Naudó, Núria Serrallonga, Sonia Tordera, David Kornmehl, Lola Crevillén, Ana Bosque, David Nadal, Mercedes Jabalera

Patient Experience Journal

Pediatric diseases, pain and hospitalization have an important impact on children and their families. This is especially significant when considering common invasive procedures, such as blood drawing. The objectives of the study were to assess the experience of children and families during the blood drawing procedure and suggest methods for improvement. The study was conducted in a children’s hospital in Barcelona, Spain, between 2018 and 2020. A mix-method design or combination of qualitative and quantitative methodologies was developed. We carried out a search of the literature, a design thinking approach, and a survey. Results from the qualitative approach identified areas …

Surveying Pediatric Caregivers’ Readiness For Dyad Isolation In The Hospital During Covid-19, Shanqing Yin, Mei Zi Quek, Celestine Mun Ting Yeo, Sylvia Mun, Ronghui Li, Derrick Chan

Patient Experience Journal

The onset of any emerging outbreak is stressful for everyone. Singapore was one of many countries affected early by COVID-19. In response, many precautionary measures were quickly initiated, including the isolation of suspected COVID-19 pediatric cases, and their caregivers were isolated together with their hospitalized children as a result. Caregivers play an important role in facilitating their child’s health in the hospital. Rooming in with their children during hospitalization promotes the benefits of parental presence and reduces separation effects. However, sudden admission with strict movement restrictions poses stress to these caregivers too. This study ran a 3-part paper-based survey to …

Patients’ And Family Caregivers’ Perceptions Of Doctor-To-Doctor Advice And Electronic Referral Notifications In Alberta, Yong Li, Annabelle Wong

Patient Experience Journal

Effective communication between health professionals and patients is essential to patient safety and quality care. Primary care providers seeking specialist advice to manage patients’ conditions in the community has recently been adopted to improve timely access to specialty care and increase the efficacy of the referral process. To understand patients’ and family caregivers’ perceptions on doctor-to-doctor advice for non-urgent clinical questions and electronic referral communications with patients in Alberta, a mixed method online survey was conducted by Alberta Health Services’ Access Improvement team. A total of 1,422 patients and family caregivers living in Alberta were included in the quantitative and …

The Association Between An Established Chief Experience Officer Role And Hospital Patient Experience Scores, William Breen, Seongwon Choi, Kristina "Ria" Hearld, Stephen J. O'Connor, Edward Rafalski, Nancy Borkowski

Patient Experience Journal

The healthcare industry is currently reacting to multiple stakeholders demanding improvements to the patient experience. Some healthcare organizations are implementing new management structures, i.e., the role of Chief Experience Officer (CXO). This study statistically reviewed descriptors associated with hospitals that have and have not created and filled the role of CXO and, more importantly, measured the association between the CXO role and results of patients’ perceptions of their experience of care as measured by publicly reported Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results. This study was conducted utilizing data gather on hospitals in three states, California, Florida, …

Safety Participation At The Direct Care Level: Results Of A Patient Questionnaire, Lenora Duhn, Nathaniel Gumapac, Jennifer Medves

Patient Experience Journal

Understanding how patients can be engaged in safety-related activities at the direct care level is of current relevance given global efforts to reduce harm in hospitals. As part of a multiphase study, including a descriptive, exploratory qualitative study (Duhn & Medves, 2018), patients were asked to respond to a brief questionnaire to quantify how they viewed their patient-reported safety participation behaviours while in hospital. This paper is a summary of those responses. The 8-item questionnaire was, in part, used to help address a secondary research question of the larger qualitative study, specifically: What behaviours do patients report in promoting their …

An Evidence-Based Tool (Pe For Ps) For Healthcare Managers To Assess Patient Engagement For Patient Safety In Healthcare Organizations, Ursulla Aho-Glele, Marie-Pascale Pomey, Maiana Regina Gomes De Sousa, Khayreddine Bouabida

Patient Experience Journal

In 1999, the Institute of Medicine had already warned that medical errors caused between 44,000 and 98,000 avoidable deaths per year in the United States. A similar situation was subsequently in 2000, documented in Canadian hospitals. According to a Canadian Patient Safety Institute report (2016), incidents in both acute and home care settings resulted in additional costs of $2.75 billion each year. Research suggests that Patient Engagement (PE) for Patient Safety (PS) can help address this issue. However, the use of PE in various strategies to promote PS has yet to be fully integrated across healthcare systems in OECD countries. …

Reexamining “Defining Patient Experience”: The Human Experience In Healthcare, Jason A. Wolf, Victoria Niederhauser, Dianne Marshburn, Sherri L. Lavela

Patient Experience Journal

In 2014, the authors came together with the explicit purpose of understanding how people were defining patient experience.¹ Our broad review and analysis of the literature led us to a few critical points. One, as our review showed, there was an absence of a commonly used definition around patient experience in healthcare. Two, while consistency in the use of one definition was not revealed, there was great alignment around central components seen as critical to patient experience. Three, we highlighted the recurrence of key concepts from the literature that are also found in the definition offered by The Beryl …

No Visitors Allowed: How Health Systems Can Better Engage Patients’ Families During A Pandemic, Jennifer Schlimgen, Amy Frye

Patient Experience Journal

The ravages of COVID -19 and the no visitor policies that accompany it have forged a tectonic shift in the patient and family experience. This hit home for me with a recent family member health event and hospitalization, leading me to think “we HAVE to do better!” Why should hospitals and health systems care about family involvement during COVID-19?

Experience Framework

This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework).

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The Paradoxical Injunctions Of Partnership In Care: Patient Engagement And Partnership Between Issues And Challenges, Khayreddine Bouabida, Marie-Pascale Pomey, Genevieve Cyr, Ursulla Aho-Glele, Breitner Gomes Chaves

Patient Experience Journal

Partnership in care and patient engagement is an expanding approach and tremendously promising for improving the quality of healthcare services. However, the approach could be subject to many issues and challenges of various kinds. In this paper, we develop a reflection of the challenges and issues that the approach of patient engagement and partnership in care is facing. After a brief presentation of certain key concepts of partnership in care and patient engagement, we discuss in this paper the most worthy of consideration issues that we identified and classified as follows: Political, Financial, Organizational, Clinical, and Ethical Issues. We then …

A Call To Action For Human Experience, Jason A. Wolf

Patient Experience Journal

As we open the 8th volume of Patient Experience Journal (PXJ), we all stand in a world much different than we did just a year ago. A year ago we were in the height of crisis, facing unknowns and uncertainty. We didn’t know if we were tackling an issue that was weeks, months or years in front of us. We were truly not even sure what tomorrow might bring. As I shared in opening Volume 7, we were already experiencing something special in the midst of real tragedy. We were seeing light peeking through heavy clouds. I opened that issue …

Mapping Renewal: How An Unexpected Interdisciplinary Collaboration Transformed A Digital Humanities Project, Elise Tanner, Geoffrey Joseph

Digital Initiatives Symposium

Funded by a National Endowment for Humanities (NEH) Humanities Collections and Reference Resources Foundations Grant, the UA Little Rock Center for Arkansas History and Culture’s “Mapping Renewal” pilot project focused on creating access to and providing spatial context to archival materials related to racial segregation and urban renewal in the city of Little Rock, Arkansas, from 1954-1989. An unplanned interdisciplinary collaboration with the UA Little Rock Arkansas Economic Development Institute (AEDI) has proven to be an invaluable partnership. One team member from each department will demonstrate the Mapping Renewal website and discuss how the collaborative process has changed and shaped …

Channeling Water Conflicts Through The Legislative Branch In Colombia, Angela M. Páez, Catalina Vallejo Piedrahíta

Public Administration Faculty Research

This paper answers the question: has the Colombian Congress been effective at addressing relevant water conflicts and making them visible? While courts and social movements have been key for the advancement of social rights in Latin America, the role of legislators remains unclear. We conduct content analysis of all water-related bills, proposed bills, and constitutional amendments filed in Colombia from 1991 to 2020; we also analyzed Congress hearings of political control related to water, and the statutes of political parties who hold majority of seats in Congress; we also conducted interviews with key actors on water governance in Colombia. We …

Gravely Disabled: The Vestigial Prong Of 5150 Designations, Diane Y. Byun

Journal of Law and Health

Effective July 1, 1972, California’s Lanterman-Petris-Short Act (“LPS Act”) set the precedent for modern mental health commitment procedures in the U.S. named after its authors, State Assemblyman Frank Lanterman and State Senators Nicholas C. Petris and Alan Short, the LPS Act sought to “end the inappropriate, indefinite, and involuntary commitment of persons with mental health disorder”; to “provide prompt evaluation and treatment of persons with mental health disorders or impaired by chronic alcoholism”; and to “guarantee and protect public safety.” Despite citing to these articles of intent, the LPS Act violates its own legislative intent through its inclusion of “gravely …

Extension-Led Demonstration: Grameen Microfinance Methods And Capital Access For Low-Income Female Entrepreneurs, Mark A. Edelman

Journal of Extension

A nonprofit community development financial institution and Extension collaborated to conduct a demonstration project to evaluate efficacy of Grameen peer-group microfinance methodology in addressing barriers faced by low-income women entrepreneurs in a small metro area. Program performance metrics achieved by 284 culturally diverse, low-income entrepreneurs (almost all women) over 5 years included a program loan repayment rate of 99%, increased average client income, bank savings accumulation, and increased opportunities for improved credit scores. Client survey responses indicated program methods developed confidence and skills in finances, leadership, and teamwork. Extension professionals may play various roles in such endeavors.

Whole-Community Response Planning For Pennsylvania’S Ongoing Opioid Emergency, Alexander Siedschlag

Publications

The Penn State Center for Security Research and Education (CSRE), in collaboration with Penn State Homeland Security Programs and the Pennsylvania Emergency Management Agency (PEMA), held a tabletop exercise that addressed first-responder and whole-community response and resilience to the ongoing opioid crisis. The exercise, which took place Sept. 24, 2019, at PEMA headquarters in Harrisburg, Pa., also was supported by the Governor’s Office for Homeland Security and the Pennsylvania Department of Health’s Bureau of Public Health Preparedness. The Dickinson School of Law and Immaculata University were academic contributors. This article summarizes the main outcome in the current COVID-19 context.

Efficiency With Covid-19: Home Vs. Dillon’S Rule States, Jason Kolb

Political Science Theses and Capstones

How does a state measure success when dealing with a pandemic like Covid-19? Can Dillon’s Rule keep their citizens happy and protected during a pandemic better then Home Rule? When local governments wait for the state to create policies, is this the best option for the state? Data will show a trend that states with a higher preemption rate have kept the death rate lower when dealing with the Covid-19 pandemic

Effectiveness Of Plastic Ordinances In Santa Monica, Ca: Do Regulations At The Municipal Level Reduce Plastic Waste?, John W. Hayes

School of Public Policy Capstones

Plastic is a cheap, robust and versatile material with numerous practical uses that contribute to the convenience of modern day life. However the very same properties that make it uniquely diverse and hardy also contribute to the hazards it poses to the ecosystems and human health. If current consumption and manufacturing practices remain unchanged, there will be hundreds of millions of additional tons of plastic introduced into the environment over the coming decades. To mitigate this issue, some cities, such as Santa Monica, have implemented ordinances and policies directly aimed at this growing problem, albeit with ambiguous results. To better …

A Case Study Of French Feminism After The Metoo Movement From The Perspective Of A Feminist Organization, Laura Levensailor

Honors Theses

Feminism is the advocacy for gender equality typically through the propagation of women’s rights. Feminism goes back as far as the human race, and it is constantly evolving. The waves of feminism have been well documented and studied, but as time goes on, there is always more research to be done on modern feminism. The MeToo movement became popularized in 2017 and is still settling into history. It is still not fully researched or documented, and its effects on society are still developing. This thesis seeks to contribute to the understanding of the MeToo movement and its global effects.

Specifically, …

Book Review: Hate In The Homeland: The New Global Far Right, Ann M. Morgan

Journal of Sustainable Social Impact

Miller-Idriss’s Hate in the Homeland provides a timely explanation for the organization and mainstreaming of groups and beliefs that, until recently, were seen in the U.S. as fringe. This book review provides an overview of the spaces and places outlined by Miller-Idriss: virtual, physical, real, and imagined where far-right extremism is showing up and building financial, physical, intellectual, and human capital. The book prompts raising awareness and asking questions for teachers, parents, journalists, law enforcement, and many others.

358— Educational Inequality: Contrasting Local And Federal Funding, Robbie Economou

GREAT Day Posters

For this project, I wanted to observe how the massive reliance on local funding through property taxes for public education in the U.S. exacerbates already existing class inequalities, which are therefore correlated with inequalities by race. A transition towards alternative forms of funding, such as increased federal funding, would help to amend these inequalities.

283— Universal Basic Income: The Answer To Poverty?, Carver Kozlowski

GREAT Day Posters

In the wake of a global pandemic, increased workplace automation and competitiveness, and unprecedented levels of income inequality, welfare reform is among the most salient political issues of the day. As of November 2020, 11.7 percent of Americans are living under the poverty line and an astounding 63 percent report living paycheck-to paycheck-since the onslaught of the COVID-19 pandemic. One possible solution is the implementation of a nation-wide universal basic income (UBI) system. UBI is a relatively new term in American political vocabulary, garnering increased attention during the 2020 Democratic presidential primaries. This paper argues that UBI should be taken …

096— Concealed Carry Laws Throughout The United States, Carver Kozlowski

GREAT Day Posters

Explaining the variance in states’ concealed carry laws (referring to the practice of carrying a handgun in public in a concealed fashion) is a topic that remains underexplored in academic literature. This study looks at nine variables—political, gun and crime-related, economic, and education-related—and uses a multinomial logistic regression analysis to detect differences between states with more or less restrictive concealed carry laws. Out of these variables, only two statistically significant relationships were found: states with the least restrictive concealed carry laws had fewer Republicans in the upper house of their state legislatures (this result was unexpected) and had higher gun …

220— Affirmative Action As Part Of Educational Reform In The U.S, Yadariselt Romano

GREAT Day Posters

Affirmative action is one of the most controversial topics in American politics as many groups fight for more expansive affirmative action while other groups are calling for their complete removal. Affirmative action in higher education is a series of policies that were enacted by the US government to ensure that historically underrepresented people were able to obtain academic opportunities from which they have been historically excluded from. However, almost sixty-one years later after the implementation of the first policies approved by JFK, has anything changed? This research will aim to evaluate whether various affirmative action policies across several states have …

421— Examining Statewide Participation In Early Voting Regulations, Juliana Kuryla

GREAT Day Posters

This research seeks to explain the variance across the federal system in regards to a states choice to adopt early voting regulations. An analysis of the impact of COVID-19 on early voting was also done to display its impact on the 2020 election cycle.

Why The Philanthropic Donations Of Wealthy Individuals Are Not As Great As We May Think, Alyissa Horn

Honors Projects

Largely overlooked when it comes to nonprofit organizations and their influence in society are the practices and influences of wealthy donors. Throughout history, wealthy individuals have been able to find immense amounts of influence through the donation of their wealth to the nonprofit sector. As individuals, we struggle to be critical of a sector that creates such an immense amount of good. However, this article pushes readers to ask: “What are the true motivations of wealthy donors?” Through a critical analysis of the philanthropic practices of Andrew Carnegie, who is often credited with the start of modern-day big philanthropic giving, …

Victimes Ou Criminelles: A Historical And Comparative Analysis Of Sex Work Policy In France, Carver Wolfe

International Relations Honors Papers

This research examines the evolution of sex work policy in France from a regulatory regime during the nineteenth century to an abolitionist stance after World War II to the 2016 adoption of the Nordic model penalizing the purchase of sex. I investigate the ongoing debate between preservationists and abolitionists and examine the arguments raised by each side, making the case that abolitionism has adverse consequences for sex workers. I look at the nineteenth century’s regulatory regime of controlling prostitution through a chapter written in French. I then shift into an analysis of the state’s transition to abolitionism over the course …

Introduction To Special Topic: Rural Education Finance And Policy, Christiana Stoddard, Eugenia F. Toma

Public Policy and Administration Faculty Publications

This special topic takes stock of the current state of rural education finance and policy research. Taken together the articles in this special topic highlight a major point. Rural districts and schools not only differ from those in urban areas but also differ from one another. This is perhaps not surprising given the heterogeneity of school size, community size, demographics, and the degree of rurality of schools across the United States. The articles pose a challenge for policymakers. Policies that serve one state or one rural community may not be relevant or helpful to another. Policy solutions must recognize the …

Parchman Farm Penitentiary Exists As Modern Day Slavery, Savannah Plaisted

Annual Undergraduate Conference on Health and Society

This research explores the connections between convict leasing in the state of Mississippi and the current state of prison labor at Parchman Farm Penitentiary (Mississippi State Penitentiary). The use of unpaid labor, the grossly disproportionate representation of Black men, the inhumane and grotesque conditions of the prison, the abnormally high death rate, and the continued execution of a disproportionate number of Black men of today’s Parchman Farm and the version of the prison at its initial founding in 1901 will be analyzed. All of these factors combined provide the foundation for the argument that slavery never ended in the state …