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Interactive Shoulder Dystocia Simulation Training Impact on Staff Safety Attitudes and Preparedness
No full textShoulder dystocia is a rare yet critical obstetric emergency associated with significant maternal and neonatal complications. Effective management is key to reducing risks like brachial plexus palsy, clavicle fractures, and brain injury. In the United States, shoulder dystocia is uncommon, occurring in approximately 23 out of 1,000 deliveries. Obstetric teams rely on simulation training to prepare staff for this clinical emergency. This quality improvement project employed a pretest-posttest design within the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) framework to investigate the impact of the AHRQ Shoulder Dystocia simulation training on clinical staff performance. The study involved 22 labor and delivery staff, measuring outcomes before and after the intervention using the Safety Attitudes Questionnaire and the AHRQ Shoulder Dystocia Simulation Assessment Tool. Results showed significant improvements in Teamwork and Safety Climate (g=.93-.98), and medium improvements in areas such as Job Satisfaction and Stress Recognition (g=.51 to .58). Key behaviors such as communication, team support, and debriefing showed substantial improvement (Cohen’s h=1.46). Routine multidisciplinary simulation training continues to play a crucial role in ensuring safe and effective management of shoulder dystocia
Recollections of Rose Albert \u2713
No full textRose Albert, class of 2013 and later Associate Director of the Office of Multicultural Programs and Retention, reminisces about her time as a student and a staff member at Salve. She recalls the role Sister Leona Misto and Pam Heroux played in her leaving Haiti after the 2010 earthquake, flying to New York, and driving overnight to Salve so that she would be able to enroll before the cutoff. She speaks of feeling isolated after the trauma of the earthquake, and of friends and staff members who opened their offices to her. She also discusses the community she found with other international students, and of experiencing the life of Salve Regina\u27s mission and racism at the same time. She talks about the formation of the Multicultural Students Office and hiring of Sami Nassim, and of her return to Salve in 2018. She talks about what changed in her absence, and what didn\u27t, and the formation of the Black Student Union in 2016, and the formation of the Inclusive Reading Club, which she started with the library in 2018, and is still running at the time of the interview in 2025
Polypharmacy and Frailty Scores in Geriatric Patients
No full textThis Doctor of Nursing Practice (DNP) project aimed to explore the concept and definition of polypharmacy by examining the number of medications taken and the frailty scores of this study’s sample population. According to Jandu et al. (2024) and Alqahtani (2023), polypharmacy is described as the simultaneous use of multiple medications that pose a significant concern for older adults due to its association with adverse events, including falls, hospitalizations, and even death. Other researchers have placed a numeric value in the definition of polypharmacy, but the most commonly found in the literature review included taking “five plus medications in one day, six plus medicines in one day, seven plus in one day, and ten plus in one day” (Alqahtani, 2023; Fried et al., 2014; Donnell & Ibrahim, 2022). Mortazavi et al. (2016), Reeve et al. (2015), and Tsang et al. (2024), determined that a more substantial definition of polypharmacy could lead to improved medication strategies based on age group, reduction of adverse events, and improved frailty scores. A more substantial definition of polypharmacy could contribute to improved healthcare outcomes (Alqahtani, 2023; Carollo et al., 2024; Chang et al., 2020; Mach et al., 2021). The goal of this DNP research study was to determine if a correlation existed between polypharmacy and frailty.
Frailty is a geriatric clinical syndrome characterized by greater vulnerability (Alqahtani, 2023; Church et al., 2020; Mach et al., 2021). Several studies have researched polypharmacy and frailty scores and have concluded that taking five plus medications daily is associated with increased frailty (Ekram et al., 2022; Van Dam et al., 2022; Veronese et al., 2017). Such studies have also concluded that the association of frailty scores with clinical outcomes have highlighted its usefulness in geriatric persons and have indicated that those with higher frailty scores were sicker and more likely to be hospitalized (Church et al., 2020; Kaeppeli et al., 2020; Mendiratta et al., 2023; Rockwood et al., 2005). This DNP study hypothesized that taking more than five medications increased study participants’ Clinical Frailty Score (CFS) to a score of five or higher. There is a gap in the literature in identifying if the number of medications elderly individuals took correlated with their frailty score.
This DNP study included a retrospective chart review of 50 medical records. The sample population included geriatric individuals aged 65 or older who received a voluntary, community in-home, routine healthcare visit. Among the 50 charts chosen randomly, three did not meet the age criteria of 65-plus and were excluded from this study. The demographic data collected included ages, numbers, and class of medications, as well as frailty scores of the sample population. The primary objective was to identify a threshold for the number of medications indicative of polypharmacy for each age group and the number of daily medications that potentially affected frailty scores. While several studies have evaluated how those taking larger numbers of medications experienced higher frailty scores, there is a gap in the literature regarding the specific number of medications among different age cohorts that correlates with higher Clinical Frailty Scale scores (Alqahtani, 2022; Cheng et al., 2022; Jandu et al., 2024; Mach et al., 2021; O’Donnell & Ibrahim, 2022; Veronese et al., 2017)
Video: Rare Book Salon: A Hippie Encyclopedia: The Last Whole Earth Catalog
No full textThis is a video of the Spring 2025 Rare Book Salon, in which faculty members in Biology, Chemistry, English, Philosophy, and Sociology share their disiplinary impressions of The Last Whole Earth Catalog from Salve Special Collections. The January 1971 issue of the counterculture magazine with the slogan access to tools featured product reviews, articles, and literature focusing on self-sufficiency, ecology, and holism. Salve faculty discussed how the catalog reflected or was a prelude to today\u27s agricultural practices and hydroponics, tensions between embracing Earth and leaving it, food and recipes, the people who were left out of the catalog and the Back to the Land movement it represents, such as indigenous voices and enslaved people, and how women\u27s voices were so conspicuously missing that a group of women created a responding text titled the New Woman\u27s Survival Catalog
Institutionalizing the Rule of Law in Central America: Domestic Sources and Foreign Influences
No full textThis dissertation explores the institutionalization of the rule of law in Central America, specifically in El Salvador, Honduras, and Guatemala, through the lens of structural realism. It demonstrates how the interplay between domestic and international variables undermines internationalist efforts to foster the rule of law. Historically, U.S. interventions prioritized short-term security interests during the Cold War and beyond, often at the expense of building sustainable security and judicial institutions. Domestic factors, such as entrenched corruption and weak political institutions, further undermine and distort international efforts. The case studies rely on textual analysis of institutional documents to uncover the intentions behind institutional behavior. The dissertation proposes a framework for consolidating the rule of law, emphasizing long-term institutional development, prioritizing judicial independence, and utilizing an integrated approach that includes civil society and education. The findings underscore the limitations of past international interventions and highlight the need for more comprehensive, context-sensitive efforts that align with both domestic priorities and global norms. While external actors can contribute to institutional development, success is contingent on their ability to balance power dynamics with genuine support for democratic governance and human rights
Implementation of a Depression Screening Protocol Using the PHQ-9 Instrument to Screen for Depression and Initiate Billing for a Brief Behavioral Assessment in an Outpatient Behavioral Health Office in Southern New England
No full textBackground: Depression has many devastating effects on individuals and families. At the project site, there is no standard operating procedure (SOP) for depression screening, and the office is not reimbursed for these screenings.
Method: This quality improvement project aimed to determine whether implementing a standard operating procedure (SOP) would increase the utilization of the Patient Health Questionnaire (PHQ-9) tool and the addition of the Current Procedural Terminology (CPT) code. Piloted over six weeks in an outpatient Behavioral Health Office in Southern New England, it involved implementing the PHQ-9 in all adult visits and a retrospective chart review. The Institute for Healthcare Improvement (IHI) framework was the theoretical foundation.
Results: Anonymized electronic medical records indicated a rise in PHQ-9 screenings from 3 visits during a 6-week retrospective period to 173 post-implementation. The documentation for 96127 increased from 0 in the pre-implementation period to 170.
Conclusion: Implementing this SOP can enhance depression screening and reimbursement, though a more extended screening period is needed for greater reliability
AI and Business Education: : Ethical Challenges and Practical Applications
Full text linkArtificial intelligence (AI) is reshaping industries, making it essential for business students to develop both technical proficiency and ethical awareness. This study explores AI integration in business education through secondary research and surveys conducted at a Northeast liberal arts university. Findings reveal growing AI usage among students and faculty, with emphasis needed on responsible application. While institutions address concerns like plagiarism, broader issues—bias, misinformation, and overreliance—demand attention. This paper outlines pedagogical strategies to balance innovation with ethical responsibility, preparing students for AI-integrated roles. Fostering critical thinking ensures graduates are equipped for a rapidly evolving, AI-driven professional landscape.
This paper was presented at the 2025 World Conference on Education and Teaching.
Nicholas, A. (2025). AI and Business Education: Ethical Challenges and Practical Applications. Proceedings of The World Conference on Education and Teaching, 4(1), 89–99. https://doi.org/10.33422/etconf.v4i1.1082
https://www.dpublication.com/conference-proceedings/index.php/etconf/article/view/108
The Failure of Poland’s Intermarium Policy in the Interwar Period
Full text linkAfter the collapse of Europe’s continental empires following World War I, a number of national movements established states in Central/Eastern Europe amid the ensuing power vacuum. Amongst these new states was the 2nd Polish Republic, sitting between a defeated Germany and a Russia embroiled in civil war. Recognizing that this situation would not last, Polish federalist thinkers, including Józef Klemens Piłsudski and Józef Beck, opted to create a political alignment of Central/Eastern European states to more effectively resist the traditional German and Russian dominance of the region following the collapse of the Polish-Lithuanian Commonwealth in the late 18th century. In modern academic circles, this policy became known as Intermarium, literally meaning ‘between the seas’. This study will use a historical institutionalist framework and causal process tracing to understand how the rise of nationalism, internal and regional political divisions, and the lack of outside support doomed the policy’s outcome. These institutional forces meant that Central/Eastern European states were unsuccessful in adopting a unified political position during a critical period of weakness in Germany and Russia. Following the recovery of Germany and the consolidation of the Soviet Union, the policy became less and less viable, particularly since Western support to the region declined in favor of adopting an appeasement approach toward Germany. The increasing power disparity between Central/Eastern States and the two surrounding powers led many of its components to adopt a policy of non-provocation eventually contributing to the region’s collapse during World War II
What’s in A Name: The Voyage of the Jolly Bachelor
No full textIn his “What’s in A Name: The Voyage of the Jolly Bachelor,” Peter Fay relates his recovery of a tattered slip of paper that contained twenty names of captives who had been brought to Newport from Sierra Leone on the snow, Jolly Bachelor in 1743. His deeply researched article details the abrupted voyage that brought the enslaved captives to Newport, where they were housed in a “slave pen” and sold at auction at a local coffee-house. Most importantly, Fay asks his reader to consider the theft of birth names from those brought here in captivity. Descendents of Battah, Bungoh, Burrah, Carrie, Morandah, Simboh and other Jolly Bachelor captives may walk among us today. Peter Fay writes and lectures on Rhode Island labor history, slavery and maritime history from a Marxist perspective. He serves on the boards of several historical societies, including Jamestown, where he lives. His new book, co-authored with Valerie Southern, A Peaceful Patch of Earth: Blacks in Jamestown, Rhode Island, in a Time of Racial Turbulence in America, 1850-1920, will be published by Bloomsbury Publishing in January 2026
Vitriol For the Masses: How the U.S. Government Uses Language Within Propaganda to Influence Citizens’ Opinions on Immigrants
No full textPoliticians do not directly express vitriolic words and beliefs; instead, they test the boundaries of what is accepted and slowly push the line until the hate becomes increasingly normalized. The United States government has similar goals in mind when pushing anti-immigration propaganda. The aim is to normalize harmful stereotypes and ideas of what immigrants are, to sway people into supporting their policies. The current immigrant population that is being heavily targeted is Latin immigrants. This paper aims to analyze how harmful the 2024 presidential administrations\u27 language surrounding Latin immigrants is through discourse analysis