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Diamond Valley First Ward; Diamond Valley Second Ward
No full textAddress: 1784 West Diamond Valley Drive, Saint George, UT. The Diamond Valley First and Second Wards also meet here
Central Ward, Veyo
No full textAddress: 176 East Center Street, Veyo, UT. The Veyo and Central Wards meet here
Pine Valley Branch chapel
No full textAddress: 50 West Main St, Pine Valley, UT. A historic chapel built in 1868, it was designed by Ebenezer Bryce, a shipbuilder from Scotland. While it was in use through 2025, it claimed to be the oldest church building in continuous use in Utah, though the Bountiful Tabernacle was completed in 1863. This chapel will be preserved after it is vacated when a new meetinghouse is completed
Addressing Social Determinants of Health (SDOH) in Pediatric Constipation: A Quality Improvement Project
No full textPediatric constipation is a prevalent issue that disproportionately affects children from low socioeconomic backgrounds, where factors such as food insecurity and financial barriers can exacerbate symptoms. Routine management may not fully address social determinants of health (SDOH), which can impact treatment adherence and patient outcomes. The project site provided general recommendations for managing pediatric constipation-such as increasing fiber intake, fluid consumption, and using laxatives-are commonly provided. However, these recommendations did not account for the unique social and economic barriers the patient population faced. Furthermore, there was no structured process of integrating SDOH into personalized care plans for patients with constipation. This quality improvement project aimed to integrate SDOH considerations into clinical workflows, supporting comprehensive and accessible care for underserved pediatric populations. The project team modified existing constipation management protocols using the Johns Hopkins Evidence-Based Practice Model to incorporate interventions informed by SDOH. The team collected baseline data on SDOH screening frequency and documentation through retrospective chart reviews, assessing existing documentation practices and integration of SDOH factors in patient encounters prior to implementation. Evaluation metrics included the frequency and timeliness of SDOH screenings documented in the electronic health record (EHR), frequency of SDOH-informed documentation in clinic notes, and utilization of SDOH-informed intervention. Smart Phrases. A pre-intervention survey assessed provider-reported barriers to SDOH documentation and SmartPhrase use; however, no post-survey responses were received. Key interventions included updates to the constipation action plan to improve clarity and usability and the creation of SmartPhrases in the EHR to facilitate SDOH-informed documentation. To support dietary modifications, Women, Infants, and Children and Supplemental Nutrition Assistance Program eligible high-fiber recipes were introduced, ensuring accessibility for families with limited resources. Additionally, a visual laxative guide was developed to address low health literacy and paired with a pharmacy benefit quick response code to provide access to real-time coupons, reducing medication costs and promoting treatment adherence by minimizing financial barriers. Monthly provider interviews and chart audits guided iterative adjustments to these interventions, ensuring alignment with clinical workflows and meeting provider needs. SDOH documentation rates significantly increased over the course of the project, with the proportion of screenings completed within a year of the visit rising from 54.05% preimplementation to 100% post-implementation, χ²(1, N = 112) = 24.16, p < .001, indicating improved integration of SDOH data into the electronic health record during patient rooming. However, ICD-10 coding remained low, with only 11.8% of encounters including SDOH-related codes (p = 0.138). Provider documentation of social risk factors remained inconsistent, with no documentation for high-risk food insecurity cases. SmartPhrase adoption remained low, with no significant increase in use (p = 0.256). Addressing social factors in pediatric constipation management can reduce health disparities by supporting treatment adherence in vulnerable populations. This project highlights the potential of SDOH-informed interventions used to enhance care quality and provider confidence. Future efforts will focus on refining these strategies and expanding their application across diverse clinical settings, providing a model for addressing SDOH in other chronic pediatric conditions
Improving Nurses Detection and Awareness of Hospital-Acquired Delirium in Postoperative Orthopedic Patients: An Evidence-Based Quality Improvement Project
No full textHospital-acquired delirium (HAD) is a fluctuating neurocognitive disorder that is marked by inattention, disorganized thinking, and altered levels of consciousness. It is particularly prevalent among hospitalized older adults, a concern becoming more critical in our growing elderly population (Ghezzi, 2022). HAD is associated with adverse outcomes that include prolonged hospital stays, increased rates of injuries and falls, higher healthcare costs, and elevated morbidity and mortality (Hirschman et al., 2020; Jain et al., 2011). Risk factors for this condition include advanced age, cognitive impairment, and underlying medical conditions. These factors are often compounded by the environment and the effects of medication, demonstrating the need for early detection and management in a hospital setting. An urban hospital in Utah identified the need for a consistent protocol for delirium screening in care areas outside of the intensive care units (ICUs). A clear process for evidence-based screening and management will improve timely diagnosis and intervention and improve patient safety. This project was conducted on an orthopedic trauma and surgery unit in an urban teaching hospital. This unit has 36 beds and cares for a diverse patient population, including those with traumatic injuries, complex fractures, and those who require elective orthopedic procedures. An evidence-based quality improvement (QI) project was conducted to identify and implement a standardized process for delirium screening. Interventions: After identifying the unit\u27s lack of standardized education and screening protocols, the Confusion Assessment Method (CAM) non-ICU screening tool and a prevention protocol were implemented. Staff completed pre-implementation assessments with questions addressing their knowledge of delirium and available resources. The nurses then received education on the use of CAM and a delirium prevention order set through a PowerPoint presentation. Ongoing monitoring occurred through PDSA cycles, and real-time adjustments to workflow were made. Post-implementation assessments readdressed knowledge about HAD and addressed usability, feasibility, and satisfaction. After this quality improvement project, the unit\u27s nurses reported an overall percentage increase of 31% in their ability to recognize signs and symptoms associated with HAD. Overall, 93% (n=37) of the nurses agreed that the CAM non-ICU screening tool was easy to use and interpret. Knowledge among the nursing staff regarding the steps to take when delirium was suspected based on the CAM non-ICU screening tool rose to 93% (n=37), up from the initially reported 35% (n=7). The high screening rate demonstrates the project\u27s overall feasibility, with 94% (n=164) of all eligible patients screened and 95% (n=18) that screened positive receiving the prevention protocol. Satisfaction with delirium care increased from 25% (n=1) to 95% (n=19), and 90% (n=36) of nurses reported their intent to continue using the CAM non-ICU tool. The CAM non-ICU screening tool and delirium prevention protocol were feasible, well-utilized, and associated with improved nurses\u27 confidence, awareness, and satisfaction. These findings support the continued use of the tool as an effective intervention for HAD prevention and management
Implementing an Evidence-based Toolkit and Protocol for Mental Health Clinicians Treating Youth Adopted from Foster Care: A Quality Improvement Project
No full textChildren adopted from foster care frequently encounter psychological trauma, attachment difficulties, and maladaptive behaviors. Mental health clinicians often lack the necessary training and resources to effectively assess and address the unique needs of youth adopted from foster care despite an increasing demand for adoption-informed care. This quality improvement (QI) project sought to implement an evidence-based toolkit and assessment protocol designed to enhance mental health clinicians\u27 confidence and competence in treating youth adopted from foster care. A community mental health clinic in Provo, Utah, identified gaps in clinician training and resources concerning adoption-specific mental health care. Clinicians expressed limited confidence in assessing and addressing adoption-related concerns and reported a lack of structured tools to guide their practice. A pre-survey assessed clinicians\u27 baseline confidence, knowledge, and perceived barriers in working with youth adopted from foster care. Based on that data, clinicians were given an evidence-based toolkit and assessment protocol and introduced via in-person training presentations. A post-survey evaluated changes in clinician confidence, satisfaction, feasibility, and usability of the toolkit. Quantitative data were analyzed using descriptive statistics, while qualitative responses were thematically coded. The intervention involved developing and implementing a clinician-focused toolkit and assessment protocol. The toolkit provided adoption-specific guidance, screening tools, and therapeutic strategies. Clinicians participated in structured training sessions and exchanged feedback, shaping iterative toolkit improvements. Thirteen clinicians participated in the pre-survey, and twelve completed the postsurvey. After implementing the toolkit, clinician confidence in assessing adoption-related issues increased from 15.4% to 46.2%, while confidence in addressing these issues rose from 46.2% to 61.5%. Most clinicians found the toolkit feasible (46.2%), easy to navigate (69.2%), and beneficial for clinical practice, with 69.2% indicating they would recommend it to others. Qualitative feedback highlighted improved clinician preparedness and the need for further education and hands-on training. Implementing an evidence-based toolkit enhanced mental health clinicians\u27 confidence and ability to assess and address adoption-related concerns in youth adopted from foster care. The toolkit was well received and demonstrated feasibility for integration into clinical workflows. Future research should investigate long-term clinician competency, adoption-related patient outcomes, and broader implementation across various mental health settings
Improving Wellness on a Pediatric Inpatient Psychiatric Unit Using CE-CERT Principles: A Quality Improvement Project
No full textBurnout among mental health professionals (MHPs) in pediatric inpatient psychiatric units is a significant concern, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. This project aimed to address burnout and enhance well-being among staff using the Social Accountability Wellness Program (SAWP) grounded in Components for Enhancing Clinician Experience and Reducing Trauma (CE-CERT) principles. This quality improvement project occurred on a pediatric inpatient psychiatric unit in the Salt Lake City metropolitan area. The unit, a 12-bed facility, serves patients aged 17 and younger who are at risk of harming themselves or others due to mental, cognitive, or behavioral health conditions. Staff in this high-stress and emotionally demanding environment frequently encounter challenges such as burnout and secondary trauma. The project lead implemented a wellness toolkit grounded in the CE-CERT framework and incorporated educational resources, stress management techniques, and a social accountability challenge. The Professional Quality of Life (ProQOL) Questionnaire and free-response questions were administered before and after the intervention to evaluate changes in burnout, secondary traumatic stress, and compassion satisfaction. Weekly engagement surveys monitored participation levels, while qualitative feedback from interviews and focus groups offered additional insights into the outcomes. Key stakeholders, including unit leaders, nurses, and behavioral health technicians, collaboratively developed a wellness toolkit based on the findings from the initial assessment. Grounded in the CE-CERT framework, a model recognized for promoting clinician well-being, the toolkit featured educational materials on wellness practices, stress management strategies, and engagement incentives to encourage participation. A central component of the intervention was a social accountability challenge designed to foster a supportive, peer-driven environment where staff could collectively engage in wellness activities and track their progress. Twenty-seven caregivers participated in the initiative. Seventeen completed the preintervention survey, and eleven completed the post-intervention survey. Compassion Satisfaction scores increased slightly from 38 (SD = 0.96) to 39 (SD = 0.80). Burnout scores held steady at 25 (SD = 1.13 pre, 1.23 post). Secondary Traumatic Stress scores rose slightly from 25 (SD = 1.15) to 26 (SD = 1.09). Weekly engagement declined over the four-week period, peaking during the first week. The SAWP intervention slightly improved compassion satisfaction but did not significantly reduce burnout or secondary traumatic stress. These findings underscore the need for more robust, integrated strategies to mitigate workplace stress. Future efforts should embed wellness practices into daily routines and extend intervention timelines to boost engagement and impact
Oral History Interview with Eileen Quintana, February 3, 2025 [Video]
No full textIn an oral history interview on February 3, 2025, Eileen Quintana shares her experiences and insights as an indigenous Navajo woman, wife, mother, grandmother, educator, and community member. She discusses her childhood growing up in a Hogan without modern amenities and the cultural shock of entering mainstream society, highlighting the contrasting worldviews between indigenous holistic equality with nature and the dominant society\u27s human-centric perspective. Quintana emphasizes the importance of preserving and celebrating Navajo culture through traditional practices, family gatherings, and community involvement, such as her work with Adopt a Native Elders and the Fort Utah Archeology Project. She also discusses the historical contributions of indigenous peoples, the impact of the boarding school system, and her hope for a more inclusive and appreciative societal narrative of Native American history and contributions. Throughout the interview, Quintana reflects on the strong influence of her family, especially her resilient mother and grandfather, who instilled in her a positive outlook on life and a deep respect for cultural traditions and the environment
Oral History with Tetona "Tee" Longhair, April 15, 2025 [Audio & Transcript]
No full textIn this interview, Tetona "Tee" Longhair shares her life story, highlighting her work as Family Programs Coordinator at the Urban Indian Center and director of the Red Tail Organization, as well as her participation in the Utah Indigenous Fashion Show. She discusses her passion for community service, youth education, and cultural traditions like beading, often drawing on her experiences growing up on the Uintah and Ouray reservation in Fort Duchesne as a member of the Ute tribe. Longhair emphasizes the importance of preserving Native American culture, addressing health issues within her community, and teaching traditional skills. She also shares personal anecdotes about her family, including her grandmother\u27s influence on her beading and her father\u27s humorous storytelling, and reflects on her journey of personal growth and resilience