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Cultural Humility in Patient Education: Development of a Nutrition-Related Simulation for Nursing Students
No full textIntroduction:
The Latinx community is disproportionately impacted by social and structural inequities such as food insecurity and culturally and linguistically appropriate resources. To address a gap in culturally appropriate nutrition education with Latinx individuals among baccalaureate nursing students, a simulation learning experience (SLE) was developed. Methodology:
The SLE was designed using best practice standards by faculty experts and reviewed by consultants. After the SLE, students and faculty provided feedback regarding simulation design and implementation. Results:
Participants reported improved knowledge and confidence when providing culturally appropriate nutrition education and valued working with an interpreter. Discussion:
This innovative strategy using simulation offers nurse educators a guide to teach cultural humility in nutrition education
Automated Analysis of Tie and Dowel Rods in Concrete Using 3DGPR
Get PDFDowel bars and tie rods in concrete pavement hold concrete together when they are placed and positioned correctly and according to specifications provided by the federal and state departments of transportation. However, unintentional misalignments and omissions during pavement construction can adversely impact the integrity of pavements, leading to cracks and other types of pavement failure. Analyzing the positions of the dowel bars and tie rods, although crucial, can be tedious and laborious. Ground-penetrating radar (GPR) can be used to detect objects within a material of mostly constant permittivity. When GPR is combined with multiple scans across a road, a three-dimensional model of the road is created, which is referred to as 3DGPR. This project uses 3DGPR data collected over a concrete roadway to find dowel and tie rods in concrete to extract and assess their geometrical features. Once a civil engineer has identified the locations of the dowel bars and tie rods, they can assess whether the bar/rod-laying machinery is functioning properly, if the concrete is settling correctly, and where future roadwork will need to be planned. Manual analysis of GPR data is incredibly time-consuming. The goal of this thesis is to develop and test an algorithm for the automatic detection and assessment of the tie rods and dowel bars in concrete roadways. To locate the dowels and tie rods within the road, a mask is first created from a 2D depth slice of the 3DGPR, which identifies all the rods and joints in two dimensions. Then the depth in time is found using a cross-correlation function. From this, we can extract individual rods from their respective locations using clustering. Then, a curve-fitting function, in conjunction with the ranging equations, is applied to find the true depth in distance units, and the data and respective rods are further filtered to remove spurious signals. Feature extraction is then performed, where a rod can be represented by its center location in three dimensions along with its orientation angles in two directions. These features, in turn, can be used to analyze and assess the alignment and placement attributes of the pavement. The validation results show that velocities and depths are consistent across all rods, suggesting that the multiple datasets are handled in the same way. Additionally, comparing the depths to the overlay images confirms that the 2D location on the road is correct, and because these are used to find the depth with a curve-fit approach, the extracted depth is therefore accurate too. Another validation measure was a third-party analysis of 1.6 miles of data containing 2552 rods by Infrasense, inc. They found the probability of missing a tie rod detection to be 1.3%, and the probability of falsely labeling a missed rod as present is 0.03%. They also determined 0.2% of tie rods were at false depths, and 0.2% of tie rods detected were not in the roadway. From this analysis, 26 missing sections of tie rods were detected successfully along with 2520 rods. Possible limitations discovered are when tie rods are near a road joint, or when a dowel rod is on the edge of the scan equipment. Methods around these limitations are described in the conclusion
Using a Community-Engaged Research Approach to Prioritize Self-Management Needs of Adults with Sickle Cell Disease
No full textBackground: Sickle cell disease (SCD) is the most common blood disorder in the United States. Self-management is vital for mitigating sickle cell symptoms. However, limited research has reported self-identified priorities and needs for self-management among adults living with SCD, and few researchers have used a community-engaged research approach.
Objectives: We conducted community-engaged, qualitative research to learn about self-management needs among adults living with SCD.
Methods: Focus groups were conducted among adults with SCD and stakeholders in the SCD community (parents of adults with SCD and healthcare providers). A qualitative descriptive design and thematic analysis were employed.
Results: Four focus groups were conducted with 23 adults living with SCD and one was conducted with four community stakeholders. Of the adults with SCD (ages 20-34), 69.6% (n = 16) were ages 25-34 and 87% (n = 20) had sickle cell anemia. All (100%, n = 23) identified as Black and most (69.6%, n = 16) identified as female. All four community stakeholders identified as Black females and were ages 50-55. Thematic analysis generated three themes: (1) unsafe healthcare; (2) mental health needs and psychosocial support; and (3) successfully transitioning from pediatric care to adult care.
Conclusions: Healthcare gaps and healthcare provider bias are barriers to successful SCD self-management. Therefore, for individuals with SCD, interventions should be developed to anticipate the transition from pediatric care to adult care, improve healthcare, and support self-management strategies and skills
Nurse Perspectives on Labor Union Participation Prior to Implementation of a Collective Bargaining Agreement: A Qualitative Study
No full textBackground: Patient advocacy is a duty for professional nurses; however, not all nurses are empowered to advocate for meeting patients’ needs. Participation in labor unions may serve as a venue for nurses with limited institutional decision-making authority to advocate for patient needs; however, unionization can be a time-intensive and fraught process.
Purpose: This study examined how nurses participating in a new union in an urban United States hospital described their reasons for participating in a labor union during collective bargaining.
Methods: Content analysis of participant\u27s interviews that took place between January and March 2023, after the nurses voted to unionize and collective bargaining had commenced but progress had stalled, and before additional actions (e.g., informational picketing, labor strikes) were authorized by union members.
Findings: Content analysis generated three themes: (a) systemic barriers to advocacy, (b) unionization as an advocacy method, and (c) professional empowerment through unionization. Nurses in this study perceived barriers to meeting patient care needs that were insufficiently addressed prior to unionization. They described their motivation to participate in the union due to their desire to advocate despite adversity and finding empowerment through union activities.
Implications for Practice: This study highlights the need for equity in decision-making authority and greater opportunities for nurses to effect workplace changes
Zuckerberg Threads post with screenshot of internal communication about Shengjia Zhao joining Meta
No full textReadiness for Hospital Discharge - Adult Short Form - Arabic Translation
Get PDFThe Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing. PERMISSION TO USE
The Readiness for Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale are available, and permission is granted to use the scales obtained from this website under the following conditions: The scales may not be modified or adapted. The scales may be used for research or for clinical practice. Permission is required from Dr. Weiss to load the scale(s) into the electronic health record and for hospital wide use of the scales. The scales may not be used or incorporated into for-profit/commercial programs. In publications reporting use of the scales, please reference Dr Weiss as the author of the scale and the translator (for non-English Scales) if noted on the scale form. The scales may not be published in manuscripts – only the results of use can be published. You may cite this website as the source of the scales. On publication of results, please send Dr Weiss a copy of the published paper.
No further permission is needed if you are using the scales under the above conditions. As a courtesy, please notify the translator listed on the website.
You must contact Dr Weiss directly ( [email protected]) for use in electronic health record system, hospital or system-wide use or for other purposes not listed above.
To see the scoring rubric, please go to https://www.marquette.edu/nursing/readiness-hospital-discharge-scale.ph