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2025-05-07 Sinners Review [SPOILERS]
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Teacher-in-the-Loop: Critically Evaluating GenAI\u27s Role in Teacher Preparation
No full texthttps://scholarworks.seattleu.edu/lightning-oct2025/1002/thumbnail.jp
2025-10-08 Redhawks Volleyball Set Attendance Record in a Clash Against Washington State
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Words Matter: Reducing Stigmatizing Language in Clinical Documentation to Advance Equitable Care
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Patient Autonomy and Treatment Adherence in ESRD:A Study of Provider & Nurse Perspectives on Barriers and Choices
No full textMissed dialysis treatments are commonly attributed to barriers such as transportation, mental health challenges, and limited health literacy. However, emerging evidence highlights the complexity of adherence behaviors, including psychological, relational, and ethical dimensions that remain underexplored—particularly from the perspective of dialysis providers and nurses. This qualitative descriptive study examined how nephrology providers and dialysis nurses perceive barriers to adherence, with a focus on patient autonomy, motivation, and decisionmaking.
Using Self-Determination Theory (SDT) as a guiding framework, an anonymous, open- ended survey was distributed to 17 clinicians via the Qualtrics platform. Responses were analyzed using deductive content analysis, categorizing findings into SDT’s core domains: autonomy, competence, and relatedness.
Participants confirmed the persistence of logistical challenges, but also identified deeper psychosocial stressors, including emotional fatigue, strained communication, and ethical tensions surrounding treatment discontinuation. While competence and autonomy-related themes were prominent, relatedness—despite its established role in motivation—was less frequently addressed in responses.
These findings suggest that effective adherence strategies must go beyond logistical interventions to include SDT-aligned approaches such as shared decision-making, individualized education, and relational communication. Future research should further investigate how provider-patient relationships and frontline staff interactions influence long-term engagement in dialysis care
Optimizing Patient Outcomes: The Essential Role of a Consolidated Nutrition Platform
No full textBackground and Purpose: Current research identifies a gap in the data regarding electronic health records (EHRs), signage, and digital tools to improve outcomes for patients on modified diets, as well as a lack of government reports on clinically related events (Hoggle et al., 2006; Limketkai et al., 2021; Prgomet et al., 2019). EHRs can facilitate data sharing, but often overlook clinical realities and user needs, which leads to inefficiencies in nutritional care. This quality improvement project examines the experiences of bedside providers in acute trauma settings to inform evidence-based recommendations for enhancing nutritional care practices and system design.
Methods: This project surveyed bedside providers about their clinical experiences with the current systems and how these systems affect workflow turbulence. The Donabedian Framework for Quality Improvement provided the theoretical foundation for this project, which evaluated end-users through a systematic approach and identified risks within the existing systems.
Results: One hundred and four participants who met the inclusion criteria were recruited from two acute care units that serve patients with surgical needs. Among the participants, 87 completed an 18-question survey consisting of role identification, Likert scale questions, and open-ended responses. Substantial evidence indicates that current nutritional care practices do not adequately align with evidence-based recommendations.
Implications for Practice: Improving nutritional care requires a multifaceted approach that considers both the end user and the limitations of the current physical and technological infrastructure. This approach aims to promote advancements in the physical, psychological, and technological aspects of nutritional care within the clinical environment