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Implementation Of A Hospital-Wide Surge Plan To Reduce Emergency Department Length Of Stay, Laura Massey 2023 University of St. Augustine for Health Sciences

Implementation Of A Hospital-Wide Surge Plan To Reduce Emergency Department Length Of Stay, Laura Massey

Student Scholarly Projects

Practice Problem: Suboptimal patient flow throughout the hospital has resulted in an increased length of stay (LOS) for emergency department patients and the potential for adverse events.

PICOT: In admitted and discharged emergency room patients (P), how does a hospital-wide surge plan (I) compared to current throughput plan (C) affect the length of stay (O) within 8 weeks?

Evidence: The literature evidence reviewed supported the implementation of a hospital-wide surge plan approach positively impacts the emergency room length of stay and patient outcomes.

Intervention: The primary intervention for this project was the implementation of a hospital-wide surge policy. Targeted …


Mapping Abortion Access: Teaching About Abortion Through Geography, Molly Broscoe, Elaina Johns-Wolfe, Michelle L. McGowan 2023 University of Cincinnati - Main Campus

Mapping Abortion Access: Teaching About Abortion Through Geography, Molly Broscoe, Elaina Johns-Wolfe, Michelle L. Mcgowan

Feminist Pedagogy

No abstract provided.


“Mira Cómo Tejemos”: La Construcción De Una Red Comunitaria Y La Educación Ambiental En La Organización Frente Insular De La Reserva Marina De Galápagos, Katie Draeger 2023 SIT Study Abroad

“Mira Cómo Tejemos”: La Construcción De Una Red Comunitaria Y La Educación Ambiental En La Organización Frente Insular De La Reserva Marina De Galápagos, Katie Draeger

Independent Study Project (ISP) Collection

El Frente Insular de la Reserva Marina de Galápagos (FIRMAG o Frente Insular) es una organización para la conservación comunitaria, ubicada en la isla de Santa Cruz. Para explorar el significado del trabajo comunitario de esta organización, este estudio examina dos elementos de la estructura organizativa: los valores y las fortalezas. Al analizar tanto las perspectivas de los líderes y miembros de FIRMAG como las observaciones sobre el trabajo mismo, los valores que buscan construir y servir la comunidad se revelan como 1) un rechazo a la institucionalidad/burocracia y 2) a los fondos extranjeros, 3) la educación ambiental comunitaria sin …


To: Earth Love, Ecofeminism, Amy Loberger 2023 Butler University

To: Earth Love, Ecofeminism, Amy Loberger

Sociology 323 Racial and Ethnic Relations

The Earth does not belong to us. We belong to the Earth.


Community-Based Approach To Assess Obstructive Respiratory Diseases And Risk In Urban African American Churches, Lorriane A Odhiambo, Ezinne Anaba, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo 2023 The Texas Medical Center Library

Community-Based Approach To Assess Obstructive Respiratory Diseases And Risk In Urban African American Churches, Lorriane A Odhiambo, Ezinne Anaba, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo

Faculty, Staff and Student Publications

Asthma, and chronic obstructive pulmonary disease (COPD) are significant health problems that have disparate effects on many Americans. Misdiagnosis and underdiagnosis are common and lead to ineffective treatment and management. This study assessed the feasibility of applying a two-step case-finding technique to identify both COPD and adult asthma cases in urban African American churches. We established a community-based partnership, administered a cross-sectional survey in step one of the case-finding technique and performed spirometry testing in step two. A total of 219 surveys were completed. Provider-diagnosed asthma and COPD were reported in 26% (50/193) and 9.6% (18/187) of the sample. Probable …


Evaluating The On-Site Impacts Of The Ambatovy Project Through The Lens Of Environmental Justice, Nick Karlik 2023 SIT Study Abroad

Evaluating The On-Site Impacts Of The Ambatovy Project Through The Lens Of Environmental Justice, Nick Karlik

Independent Study Project (ISP) Collection

In Madagascar, sustainable development has been established and maintained by dominant foreign actors to reconcile neoliberalism with globalized conceptions of environmental protection. The Ambatovy mining and refining project has emerged as a prominent example of this developmental mode; Ambatovy is the largest economic enterprise in the history of the country and one of the largest and most productive mining operations in the world, generating billions of dollars in revenue for a country that remains among the poorest in the world while offsetting its impact on endemic biodiversity and forest habitat through conservation initiatives. At the same time, the evaluative framework …


The Archetype Of The Ocean In Balinese Culture, Ava Hull 2023 SIT Study Abroad

The Archetype Of The Ocean In Balinese Culture, Ava Hull

Independent Study Project (ISP) Collection

An archetype is essential for expressing an understanding of symbols and adding depth to the meaning derived from everyday life. It is a connection of source and meaning through the lens of the human experience. In the case of the ocean, people all over the world turn to the sea as a source of healing and a symbol of the murkiness of the unconscious mind. This holds true for the people of Bali as their beautiful Island is in deep connection with the force of the ocean. From the everyday contact like fishing and relaxing at the beach, to the …


Belonging And Identity In Mustang: Lived Experiences, Social Identities, And Mobility Patterns Among Himalayan Peoples Of Nepal, Lauren Carter 2023 SIT Study Abroad

Belonging And Identity In Mustang: Lived Experiences, Social Identities, And Mobility Patterns Among Himalayan Peoples Of Nepal, Lauren Carter

Independent Study Project (ISP) Collection

This paper delves into an immersive exploration and contemplation of a pivotal transformation unfolding in the heartland of Lower Mustang, Nepal. What began as an endeavor to channel my creative expression and unearth the diminishing world of yak herding soon necessitated a broader, more nuanced analysis of the profound changes sweeping across the region. This paper, mainly drawing upon the narratives of the inhabitants, seeks to portray the contemporary cultural and capital significance of yaks, as well as the various factors— climate change, outmigration, national policy discrepancies, conservation initiatives, and shifting cultural paradigms— that render specific patterns of movement increasingly …


Strengthening The Role Of Corporate Social Responsibility In The Dimensions Of Sustainable Village Economic Development, I. Gusti Ayu Purnamawati, Gede Adi Yuniarta, Ferry Jie 2023 Edith Cowan University

Strengthening The Role Of Corporate Social Responsibility In The Dimensions Of Sustainable Village Economic Development, I. Gusti Ayu Purnamawati, Gede Adi Yuniarta, Ferry Jie

Research outputs 2022 to 2026

Implementing green growth and digitalization programs as sustainable village economic development dimensions encounter challenges related to human resources, institutional design, and trade-offs between economic growth, environmental sustainability, and corporate social responsibility. This study aims to analyze the role of the green economy and digitalization for sustainable village economic development with corporate social responsibility as a moderating variable. This research is quantitative descriptive research conducted in the province of Bali. Research data using primary sources were collected using a questionnaire with a Likert scale. Respondents in this study were the community and village officials who carried out activities using technical assistance …


Public Cleanliness Satisfaction Survey 2022, Paulin STRAUGHAN, Mathews MATHEW 2023 Singapore Management University

Public Cleanliness Satisfaction Survey 2022, Paulin Straughan, Mathews Mathew

Research Collection School of Social Sciences

The Singapore Management University undertook the fifth wave of the Public Cleanliness Satisfaction Survey (PCSS) with 2,020 Singapore residents providing responses to the survey from July to October 2022, amidst the COVID-19 pandemic.

The 2022 wave of the PCSS continued to reflect an overall satisfaction with public cleanliness in Singapore, similar to the last PCSS in 2021. Majority of survey respondents (92%) were satisfied with the cleanliness of public spaces that they had recently visited, with no change from 2021. Satisfaction with the cleanliness of food outlets saw the largest decrease (by 2.1%) among all location types, to 82.7%. Nevertheless, …


Hourly Associations Between Heat Index And Heat-Related Emergency Medical Service (Ems) Calls In Austin-Travis County, Texas, Kijin SEONG, Junfeng JIAO, Akhil MANDALAPU 2023 Singapore Management University

Hourly Associations Between Heat Index And Heat-Related Emergency Medical Service (Ems) Calls In Austin-Travis County, Texas, Kijin Seong, Junfeng Jiao, Akhil Mandalapu

Research Collection College of Integrative Studies

This paper aims to investigate the following research questions: (1) what are the hourly patterns of heat index and heat-related emergency medical service (EMS) incidents during summertime?; and (2) how do the lagged effects of heat intensity and hourly excess heat (HEH) vary by heat-related symptoms? Using the hourly weather and heat-related EMS call data in Austin-Travis County, Texas, this paper reveals the relationship between heat index patterns on an hourly basis and heat-related health issues and evaluates the immediate health effects of extreme heat events by utilizing a distributed lag non-linear model (DLNM). Delving into the heat index intensity …


Youth Perceptions And Constructions Of Urban Space In Morocco, Hadwynne Gross 2023 SIT Study Abroad

Youth Perceptions And Constructions Of Urban Space In Morocco, Hadwynne Gross

Independent Study Project (ISP) Collection

Moroccan urban spaces are influenced by 800 years of history, and in particular, legacies of colonialism. This research seeks to examine urban space in Morocco through the lens of youth between the ages of 18 and 25 in the capital city of Rabat. Inspired by the book The Image of the City by Kevin Lynch, this research uses a variety of qualitative methods, namely a semi- structured interview and two mental mapping exercises, to explore how youth in Rabat perceive the city’s ability to both adhere to its historical roots and adapt to a rapidly changing world. Exploring urban geography …


Biocultural Diversity Of Medicine In Tsum Valley, Ashira Weinreich 2023 SIT Study Abroad

Biocultural Diversity Of Medicine In Tsum Valley, Ashira Weinreich

Independent Study Project (ISP) Collection

Health is intrinsically connected to biodiversity in the Himalayan mountains of Tsum Valley. Medicinal plants have historically been integral to primary health care in this region. The main objectives of this paper are to explore the role of biocultural diversity on perceptions of health and to demonstrate that medicinal plant knowledge contributes to health sovereignty in times of cultural and environmental change. The nutritional and medicinal significance of plants were examined in the daily lives of villagers. Semi-structured interviews were conducted from April to May 2023. Preliminary results are analyzed ethnographically. Interviews and participant observation will provide a rich understanding …


Ecological Living In Nepali Food Systems: A Synthesis Of Circular Nutrient And Knowledge Flows In The Kathmandu Valley, Kaitlyn Feely 2023 SIT Study Abroad

Ecological Living In Nepali Food Systems: A Synthesis Of Circular Nutrient And Knowledge Flows In The Kathmandu Valley, Kaitlyn Feely

Independent Study Project (ISP) Collection

Researching food-systems in Nepal can feel like drinking from a fire hydrant. Sixty-six percent of the population is directly involved in agriculture and a diverse set of ecocultural understandings influence the practice across the country’s landscapes, ranging from the Himalayas to urban centers to southern plains. In the Kathmandu Valley and peripheral hills where I conducted my research, seemingly any spare land was under cultivation, enabled by fertile ground, optimal climate, and market potential. But despite the prevalence of farming in daily life throughout the country, Nepal’s food system is not domestically self-sufficient. A complex web of imports and exports …


Are Deficit Perspectives Thriving In Trauma-Informed Schools? A Historical And Anti-Racist Reflection, Cora Palma, Annmary S. Abdou, Scot Danforth, Amy Jane Griffiths 2023 Chapman University

Are Deficit Perspectives Thriving In Trauma-Informed Schools? A Historical And Anti-Racist Reflection, Cora Palma, Annmary S. Abdou, Scot Danforth, Amy Jane Griffiths

Education Faculty Articles and Research

Mental health research concerning adverse childhood experiences and neurocognitive trauma has prompted many school districts to pursue the development of trauma-informed schools that attend specifically to the emotional and instructional needs of affected students. Researchers and practitioners are fast proliferating trauma-informed professional practices. Given research findings indicating disproportionate impacts of trauma on students of color and those living in poverty, in this article, we examine the risks of trauma-informed educational programs reanimating cultural deficit theories from the 1960s about marginalized students and families. Educators are challenged to thoughtfully fortify trauma-informed schooling by increasing awareness of deficit perspectives and incorporating critical …


Environmental Enrichment Devices Are Safe And Effective At Reducing Undesirable Behaviors In California Sea Lions And Northern Elephant Seals During Rehabilitation, Kirsten Donald, Amanda Benedetti, Vinícius Donisete Lima Rodrigues Goulart, Alissa Deming, Hendrik Nollens, Grey Stafford, Sabrina Brando 2023 The Texas Medical Center Library

Environmental Enrichment Devices Are Safe And Effective At Reducing Undesirable Behaviors In California Sea Lions And Northern Elephant Seals During Rehabilitation, Kirsten Donald, Amanda Benedetti, Vinícius Donisete Lima Rodrigues Goulart, Alissa Deming, Hendrik Nollens, Grey Stafford, Sabrina Brando

Faculty, Staff and Student Publications

Environmental enrichment devices (EEDs) have been proven to promote positive wellbeing in zoos and aquariums, and support animals' reintroduction success; however, their use in rehabilitation centers is still limited. This pilot study investigated the safety and efficacy of three EEDs, Artificial Kelp, Horse KONG™ and Wubba Kong™, and their ability to decrease and/or eliminate undesired stereotypic behaviors or looking at staff/staff areas in seven wild California sea lions (CSLs) and eight northern elephant seals (NESs) undergoing rehabilitation in Southern California. Observers conducted instantaneous sampling once a minute during a 30-min baseline, followed by a 30-min EED implementation on one focal …


Obesity Heterogeneity By Neighborhood Context In A Largely Latinx Sample, Ashley W. Kranjac, Dinko Kranjac, Zeev N. Kain, Louis Ehwerhemuepha, Brooke N. Jenkins 2023 Chapman University

Obesity Heterogeneity By Neighborhood Context In A Largely Latinx Sample, Ashley W. Kranjac, Dinko Kranjac, Zeev N. Kain, Louis Ehwerhemuepha, Brooke N. Jenkins

Sociology Faculty Articles and Research

Neighborhood socioeconomic context where Latinx children live may influence body weight status. Los Angeles County and Orange County of Southern California both are on the list of the top ten counties with the largest Latinx population in the USA. This heterogeneity allowed us to estimate differential impacts of neighborhood environment on children’s body mass index z-scores by race/ethnicity using novel methods and a rich data source. We geocoded pediatric electronic medical record data from a predominantly Latinx sample and characterized neighborhoods into unique residential contexts using latent profile modeling techniques. We estimated multilevel linear regression models that adjust for …


Peace Studies And The Limits To Growth, Selina Gallo-Cruz 2023 Syracuse University

Peace Studies And The Limits To Growth, Selina Gallo-Cruz

The Journal of Social Encounters

150 Peace Studies and the Limits to Growth Selina Gallo-Cruz Scientists have issued increasingly dire warnings about the present and future danger posed by ecological overshoot. Peace scholars’ entrée into this discourse is often through a concern over extractive politics, a central locus for how conflicts are bound up in environmental destruction at the hands of the same industries responsible for ecological decline. Policy and practical responses to the urgent need to scale down production lag behind reality, however, and a global growth-based economy continues to prevail. Here, I explore the dilemmas faced by peace studies scholars who may want …


Subsidiarity: A Central Principle For Justice, Peace, And Sustainability In Mining, Caesar A. Montevecchio 2023 University of Notre Dame

Subsidiarity: A Central Principle For Justice, Peace, And Sustainability In Mining, Caesar A. Montevecchio

The Journal of Social Encounters

The Catholic social teaching principle of subsidiarity states that problems should be dealt with at the lowest level possible, but the highest level necessary. It attempts to create structures of social power that can best protect the dignity of individuals and families and promote their human flourishing. In the case of mining, subsidiarity would say that the communities impacted by mining need to be centered and empowered to the greatest extent possible, but that the national, regional, and/or global nature of the issues at stake, like climate change, violent conflict, or economic justice, mean that community goals and decisions need …


Working Across Organizational Lines: Grassroots And Grasstops Tensions And Possibilities, Corrie Grosse 2023 College of Saint Benedict/Saint John's University

Working Across Organizational Lines: Grassroots And Grasstops Tensions And Possibilities, Corrie Grosse

The Journal of Social Encounters

The climate justice movement is increasingly stressing the importance of building broad-based coalitions for addressing climate change. Two important elements in these coalitions are grassroots and grasstops organizations. The former bring creativity and flexibility to coalitions whereas the latter bring resources, staff, and specialized expertise. Drawing on 106 in-depth interviews and ethnographic fieldwork in Idaho and California, this chapter from the book Working Across Lines: Resisting Extreme Energy Extraction (University of California Press, 2022) analyzes how grassroots and grasstops organizations work to build effective coalitions. Contributing to emergent theory on social movement coalitions, I argue that organizational form, particularly nonprofit’s …


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