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Social Determinants of Health: A Health Care System's Strategy to Improve the Culture of Care
No full textSocial Determinants of Health (SDoH), including housing, transportation, food, socioeconomic status, education, employment, and other factors, influence an individual's health status. Health equity occurs when “every person has a fair and just opportunity to attain their optimal level of health (Centers for Disease Control and Prevention, n.d.). Research indicates SDoH must be addressed to achieve health equity. Recognizing the unique role hospitals play in identifying and addressing health and social needs, regulatory and accrediting bodies now require hospitals to screen for SDoH; however, these entities have provided little to no guidance on how hospitals should implement and integrate SDoH screening and referral programs into their workflows. Hospitals that fail to comply with new regulations risk jeopardizing their accreditation by The Joint Commission and potentially losing reimbursement from Medicare and Medicaid. This dissertation thoroughly explores the challenge of standardizing the SDoH screening and referral system in a hospital setting. The research evaluates a pilot program that implements an SDoH screening and referral process in the ED of a medium-sized nonprofit hospital in a rural Mid-Atlantic region
Certification and licensure of Delaware special education teachers, special report July 2025
No full textThis is a special report from the Auditor of Accounts investigating the certification and licensing status of Delaware special education teachers. The investigation was initiated after an article published in the Delaware News Journal on April 22, 2025, showed that 453 Delaware public school teachers were unlicensed, 62 of whom were special education teachers
Development and Evaluation of a Nurse Leader Driven Interdisciplinary Safety Huddle Intervention on Perceptions of Psychological Safety and Teamwork Amongst Night-Shift Nurse Leaders in an Acute Care Hospital
No full textHealthcare errors have a profound negative impact on patients, families, healthcare providers, and organizations. Globally, preventable patient harm is the 14th leading cause of disease burden (Lee, Dahinten, Kim et al., 2023). The Joint Commission Center for Transforming Healthcare found that poor communication is a major contributor to 70% of medical errors, costing the United States about $2.2 million per year per healthcare system (Guttman et al., 2021; McCain et al., 2023). A synthesis of studies surrounding safety huddles, also referred to as safety briefings, found related improvements in identification of risk, mitigation of risk, information sharing, coordination of care, psychological safety with a flattened hierarchy, connectivity, and collaboration (Ryan et al., 2019). Published literature has pointed towards a culture of teamwork and psychological safety as ways to promote the crucial safety behavior of speaking up for safety without fear of punishment or humiliation. For this project, nursing leaders who work on the night shift were surveyed for baseline perceptions of psychology safety and teamwork, which were measured again six weeks after the introduction of a nightly interdisciplinary safety huddle intervention. Ten nurse leaders participated in the project, including five nursing supervisors and five non-supervisors (generalist educators and clinical support nurses). There was a slight increase in overall levels of psychological safety from 28.4 to 28.5 (within a possible range of 7-35) and in levels of teamwork perceptions from 27.6 to 28.0 (within a possible range of 7-35). Overall mean scores increased in both psychological safety (28.8 to 31) and teamwork perceptions (27.4 to 29) among non-supervisors but decreased in psychological safety (28 to 26) and teamwork perceptions (27.8 to 27) among nursing supervisors. Safety huddles have the potential to improve perceptions of psychological safety and teamwork while improving situational awareness and collaboration to improve patient safety, but it is important to consider how to best engage nurse leaders, such as the nursing supervisors, to maximize perceptions of value and effectiveness
To me, Delaware is… Delaware State Fair
No full textThis file contains postcards created by visitors to the Delaware State Fair. Each postcard features the prompt, "To me, Delaware is…" Responses to the prompt include "home," "Dover AFB," "Pride," "my first memory as a teenager," "my first job," and "UD Blue Hens.
From Access to Success Implementing a Belonging Activity to Improve First Year Student Retention
No full textA student's sense of belonging plays an important role in shaping academic success, well-being, andretention. Research shows that within academic environments, when students feel accepted, valued, and included, they are more likely to be deeply invested in learning, engagement, forming connections, and dealing successfully with challenges (Pedler et al., 2022). This is especially critical during transitional periods such as the first year of college, when feelings of isolation can lead to dropouts or disengagement from educational pursuits. Open access institutes of higher education provide accessibility for a diverse range of students, including adult students, working professionals, and those who may not have followed a traditional educational path. This approach allows for the removal of barriers that might otherwise prevent individuals from pursuing higher education. But these institutions, particularly those that use online learning modalities, can struggle to retain students and help them realize their graduation goals. Past studies have often found that student connection or a sense of belonging is an issue for online learning (Peacock et al., 2020). Thus, this study focused on a belonging activity to help increase retention at an open-access, predominantly online university. This study used a quasi-experimental mixed methods design to test the usefulness of a belonging activity for increasing retention. Quantitative data were collected using post intervention surveys measuring social and academic fit and comparing them to reenrollment status. Qualitative data were obtained from open-ended reflective writing. Data analysis focused on social and academic fit and its relation to retention. Themes emerged in the reflective writing giving clues to the differences in students who re-enrolled versus those who did not. Although the sample size was small, the results indicated that expanding the activity and incorporating it into first-year programs may be helpful in increasing retention at open-access universities
K-3 evidence-based reading curricula and professional learning annual report, 2025-2026
No full textThis annual report provides Senate Bill 4 Early Literacy Reporting Survey Responses for Delaware's public and charter schools. Each survey response provides the following information: the name of the person responsible for approving the school's literacy curriculum, the name of the curriculum, and the types of evidence-based reading professional development activities educators in the district completed.
Senate Bill 4 refers to Senate Bill 4 of the 151st General Assembly: An act to Amend Title 14 of the Delaware Code Relating to Evidence-Based Reading Curricula (Delaware Code, Title 14, Chapter 41, Subchapter 1, Section 4145)
El Tiempo Hispano, Year 20, No. 8
No full textThis is an issue of El Tiempo Hispano, the statewide bilingual (Spanish and English) newspaper published on December 19, 2025. This issue features an editorial on U.S. politics and its impact on the immigrant community, brief news updates from Latin America, an article on Paola Subervi (a certified tax preparer helping the immigrant community), a letter to the editor on Governor Matt Meyer and SNAP benefits, an article on Sarah McBridge (D-DE) and Jay Obernolte (R-CA) introducing the Resources for Evaluating and Documenting AI Models Act, coverage of the annual Caroling on the Circle event in Sussex County, and coverage of the Our Delaware Cultural Festival. Also included is an article on The Mezzanine Gallery's new art exhibition featuring Renita Coursey's work, an article on 2027 federal grant applications for Delaware arts and community-based organizations, an article on bronchial asthma, an article on the upcoming Southern Delaware 2026 photo contest, an article on the Wilmington City Council passing Ordinance 25-063 (expanding public access to all government meetings), job opportunities, and a list of community events