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The Implementation of a Validated CSEC Screening Tool for Youth Age 11 - 17 in a Pediatric Emergency Room
Get PDFYouth are a vulnerable population due to their age, developmental level, and dependability on others. Child abuse is a public health issue that addresses a broad range of inflicted harm ranging from neglect to physical and sexual maltreatment. A severe form of child sexual abuse is the Commercial Exploitation of Children (CSEC), also known as Child Sex Trafficking (CST), and Human Minor Sex Trafficking (HMST). For purposes of this paper, CSEC is used for CSEC, CST, and HMST. Commercial sexual exploitation of children includes sexual crimes involving children and adolescents for gain. Due to the child being less than 18 years old, no evidence of force must be proven. The prevalence of CSEC is unknown due to the absence of tracking, multiple definitions, lack of awareness and education, and the covert nature of the exploitation. There are risk factors associated with CSEC and residual sequela resulting in physical and mental health disabilities. Due to the health consequences experienced with exploitation, these victims seek out healthcare but are not identified by the healthcare provider. Healthcare providers are in pivotal roles in recognizing these victims with adequate education and an effective screening tool. This translational project aims to increase confidence levels in the pediatric emergency room nurses at the Beverly Knight Olsen Children\u27s Hospital by educating on CSEC and the utilization of a validated screening tool to assist in identifying potential high–risk youth 11 – 17 years, referring them, and connecting them with essential resources
Exploring New Methods for Quantifying Soil Reduction, Redox Potential, and Iron Reducing Bacteria Using the IRIS Method in Wetland Soils.
No full textThe presence of hydric soils is one of the key factors used to identify and delineate wetlands as specified by the United States Fish and Wildlife Service (USFWS). The Indicator of Reduction in Soil (IRIS) Method, accepted by the National Technical Committee for Hydric Soils (NTCHS) can indicate iron reduction in soil which can identify hydric soil for wetland delineation efforts. This thesis was conducted to see if the IRIS method had potential for other uses such as quantifying relative measurements of iron reducing bacteria and to see if a colorimetric scale could be curated to bring less subjection to the method. Real-time Polymerase Chain Reaction (qPCR) and the plate count method were used within the bacteria portion of the study, and X-ray Fluorescence (XRF) was used throughout the iron reduction portion of the current study. Over-estimation of iron reduction did occur using the traditional IRIS protocol and a collection of over 600 photos of IRIS sheet sections were taken and given an average iron concentration for the curation of a future colorimetric scale. General bacterial growth exhibited signs that it may be impacted negatively by the IRIS method. Shewanella oneidensis MR-1 and Geobacter metalireducens exhibited correlations with the iron reduction from the IRIS method and presented that microbial spatial variability amongst the IRIS sheets existed but did faulter the method. The current study serves as a surrogate to other more expensive and complex methods to identify hydric soil, as well as provide more credibility to the role the IRIS method can have within wetland delineation methods
Joy
No full textJoy Digital illustration 81” x 39” 2022
The theme within my artwork is joy. Joy is a feeling people often seek and can even be the driving motive in one\u27s life. I\u27ve always been interested in this because it is such a powerful state of mind that people often associate with many different people, events, or activities. My artwork is meant to convey this feeling through my own style of digital illustration. I am depicting this through a vibrant and complex composition filled with original characters. This gives a sense of celebration which I consider to be one of the most joyous instances in life. I plan to depict this as a unified scene displayed across 3 large prints to create a cohesive environment and add to the scale which I believe heightens the emotion and wonder associated with joy and celebration.https://kb.gcsu.edu/abundance/1000/thumbnail.jp
Wired
No full textWired 2022 Mixed media works consisting of resin, acrylic, and three-dimensional objects
In Wired, a series of mixed media works consisting of resin, acrylic, and three-dimensional objects, I bring awareness to mental health by illustrating pills in patterns. Scattered pills are a common thread among the works to illustrate that medication is the primary route as opposed to nontraditional therapy, such as cognitive behavioral. With this, I briefly delve into chemical imbalances as a side effect. My work invites the viewer to think and experience second hand the life of the one in five adults who live with mental illness. I chose to work symbolically to keep the viewer’s attention on the important message rather than the intricacy of my work. My work is easy to digest but facilitates discussion as it lingers in the mind.https://kb.gcsu.edu/abundance/1015/thumbnail.jp
Developing an Evidence-Based Preceptor Program to Improve the Orientation Process
Get PDFBackground: Creating a positive experience for the new nurse during the orientation period is vital in ensuring safe practice, employee satisfaction, and improved self-efficacy and retention of the employee long-term. Problem: At a 245-bed acute care hospital in the southeastern United States, nursing retention and preceptor practices have surfaced as an opportunity for improvement. Methods: A quality improvement project involving the implementation of an evidence-based preceptor program with formal preceptor education, preceptor application, and a standardized feedback tool was evaluated to determine the effect on preceptor/preceptee self-efficacy, intent to stay, and preceptor engagement. Results: 10 preceptor-preceptee pairs with previous nursing experience participated. Spearman’s Rho testing showed no statistically significant difference pre and post intervention in any category except preceptor intent to stay, which decreased from baseline (M 13, SD 13.4) to 1-month post (M 6.74, SD 4.7) (Z = -2.04, p = .041). Preceptors identified positive, negative, and neutral themes related to precepting; all reported a sense of duty and desire to continue precepting. Conclusion: Well-developed preceptor programs impact the qualitative experience of preceptors, and clinically affect self-efficacy and intent to stay. Additional research needs to be conducted on this topic
Highs and Lows of Cannabis Decriminalization: Twitter Analysis and Ethical and Regulatory Implications for Retailing and Marketing
No full textWe examined public reactions to the U.S. House vote to decriminalize cannabis at the federal level. Using Twitter data, we analyzed public sentiment, top hashtags used, and underlying themes in the discourse. Users with a wide range of profiles were engaged in this chatter, predominantly expressing positive sentiment with various thematic hashtags. The conversations were centered around five major topics: commentary on the House vote, legalization impediment in the Senate, expungement of marijuana-related criminal records, medical use of marijuana, and social and economic impact of the bill. We discussed ethical and regulatory implications for retailing and marketing
No Crystal Stair: Black Women Reaching Landings and Turning Corners in Library and Information Science (LIS)
No full textCOVID-19 Pandemic: Effects of Replacing Clinical Hours With Virtual Simulation in BSN Prelicensure Nursing Education
No full textAt the onset of the COVID-19 pandemic, many academic institutions suspended in-person instruction and clinical experiences. Virtual simulation played an essential role in providing alternatives. The current study used faculty and student surveys, along with standardized exit exams and NCLEX-RN® pass rates, to determine the effect of using virtual simulation instead of traditional hospital clinical experiences during the final semester of a prelicensure BSN program. Results indicated a small decrease in exit exam scores compared to those who completed the traditional clinical experience and no significant relationship between NCLEX-RN pass/fail rates
Sleep Dysfunction in Adolescents with Prolonged Postconcussion Symptoms: A Reciprocal Coupling of Traumatic Brain Injury and Sleep-Related Problems
No full textClinical Scenario: Concussions are often neglected injuries that affect children and adolescents. Two physiological responses to a concussion are an ionic flux and an increased indiscriminate release of glutamate, which leads to an increase of intracellular calcium and extracellular potassium. This can ultimately result in sleep dysfunction, which often occurs after concussion and has long been thought of as simply another concussion symptom. Focused Clinical Question: Does the likelihood of prolonged postconcussion symptoms increase with reported sleep-related problems (SRPs) in young athletes (8–18 y) compared to concussed young athletes without SRPs and healthy controls? Summary of Key Findings: Four cohort studies with level 2/3 evidence measured subjective and objective sleep dysregulations in concussed and healthy populations. Overall, there was a difference in subjective SRPs between concussed and healthy patients. This correlated with other studies where worse sleep scores during the acute phase of concussion and increased SRPs led to worse ImPACT scores in patients 3 to 12 months postconcussion and longer overall recovery. Objective sleep dysfunction measures were significantly worse in concussed patients than in healthy controls, but no significant difference existed in melatonin measures. Clinical Bottom Line: There is strong evidence that sleep dysfunction is both a symptom of concussion as well as a causal factor of prolonged postconcussion symptoms. These studies show that sleep dysregulation is not always evident in objective measurements, leading to the strong possibility of a functional dysregulation of the sleep–wake cycle that is evident solely from subjective reports. Strength of Recommendation: While there are strong cohort studies researching the role of sleep in those with postconcussion symptoms, the nature of sleep studies prevents the production of strong, high-level evidence studies such as randomized control trials. Thus, there is level B evidence that the likelihood of prolonged postconcussion symptoms is increased by a higher amount of SRPs