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Firearm Violence and Off-Premises Alcohol Outlets: The Role of Outlet Characteristics and Distance
Firearm violence is a leading cause of morbidity and mortality among young men in the US. While an association of alcohol availability with violence is well established, the mechanisms through which it operates are unclear, and the role of alcohol availability in firearm violence specifically is less often studied. In this study we examined the effects of off-premises alcohol outlet characteristics on firearm violence in their immediate environs in Milwaukee, Wisconsin. Firearm violence was 1.5–3 times higher in areas near off-premises retail alcohol outlets, with levels on the higher end of the range when outlets possessed certain characteristics, specifically graffiti, greater foot traffic, loitering, or younger clientele. Examining alcohol outlet characteristics provides insight into mechanisms driving the alcohol-violence association and may aid in harm reduction
Collaborative Innovation: Tackling Health Disparities in Youth Living with Sickle Cell Disease through Co-Design
Background
Sickle cell disease (SCD) is a chronic, progressive red blood cell disorder affecting millions globally. Inequities in determinants of health, stigma, and poor preparation for transition from pediatric to adult-centric care contribute to health disparities among young adults living with sickle cell disease (SCD). Through co-design, young adults can engage in conversations and action to combat negative discourse and co-develop interventions that close the health equity gap in minoritized communities. When using co-design as an approach, end-users, community stakeholders, designers, and other relevant parties are involved as partners from conception to evaluation and beyond. The co-design technique includes stakeholder groups at the center of the design process to identify solutions that address their needs. Strategies are developed in alignment with the needs and priorities of the community.
Aims
The aim for this research was to describe the application of co-design principles in the concept, design, and development for The POSSE Project (Purpose, Opportunity, Support, Scientific Discovery, Empowerment). The POSSE Project is a co-design partnership bringing together key stakeholders to generate community-driven solutions to advance health equity and support young adults living and thriving with SCD. Strategies used to engage diverse stakeholders are described.
Methods
Using a Co-Design approach, young adults, parents of young adults, health care providers, and advocates participated in community advisory board meetings. The advisory board consisted of 10-12 members from January 2022 to June 2023 to discuss the content and structure of The POSSE Project. A second group of community stakeholders included a parent of a young adult living with SCD, an adult who lives with SCD, and two nurse faculty members, also met during this time to specifically discuss the concept, design, and development of the simulation scenarios. Summaries from the meetings were shared with both the advisory board and the second group of community stakeholders.
Results
In community advisory board and community stakeholder simulation meetings, participants identified challenges that are unique for young adults living with SCD including (1) their experience in an emergency department during a pain crisis, (2) their transition from high school to college, and (3) their desire to experience a social life that is uninterrupted by a pain crisis or hospitalization. The content and structure of the simulation scenarios were discussed. During the pilot intervention, one simulation episode with discussion questions was created. During the full-scale implementation, episode one was used as a foundation to design and develop a total of three episodes, each with two scenes. Young adults further emphasized the need for simulated scenarios to generate conversations among the sickle cell and health provider communities to positively impact communications and health outcomes.
Conclusion
Using Co-Design as a strategy, community stakeholders engaged in dialogues about the experiences of young adults living with SCD. Future research is needed to elicit the perspectives of young adults and community stakeholders about innovative solutions to advance health equity. Furthermore, promoting health care providers\u27 allyship in eliminating health disparities warrants using simulation
Ob-PDCDS Chinese
The 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/hospital-discharge-scales-quality-of-discharge-teaching-scale.ph
PDCDS-Adult Bahasa Indonesian
The 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/hospital-discharge-scales-quality-of-discharge-teaching-scale.ph
Ped-PDCDS Norwegian
The 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/hospital-discharge-scales-quality-of-discharge-teaching-scale.ph
Student Use of Electronic Health Records to Inform Decision-Making: A Pilot Study
Background
As health care continues to evolve, the electronic medical record (EHR) has emerged as an important decision-making tool. To ensure that nursing students work toward competency with the EHR, this study sought to gather information regarding how students use the EHR. Method
Students in a direct-entry, prelicensure program were observed using the EHR during a simulation-based experience (SBE). Focus groups gathered qualitative student perceptions of EHR use. Results
Minimal use of the EHR during SBE was identified. Students reported using the EHR for information gathering, validating findings, and nursing tasks. Conclusion
This study highlights the need for more robust EHR development and program integration with SBEs in schools of nursing to better align with the clinical practice environment. More research is needed to evaluate how schools of nursing integrate the EHR and how nursing students use the EHR in health care settings to make patient-related decisions
Genetic Risk for Alzheimer’s Disease Alters Perceived Executive Dysfunction in Cognitively Healthy Middle-Aged and Older Adults
Background:
Subjective cognitive complaints (SCC) may be an early indicator of future cognitive decline. However, findings comparing SCC and objective cognitive performance have varied, particularly in the memory domain. Even less well established is the relationship between subjective and objective complaints in non-amnestic domains, such as in executive functioning, despite evidence indicating very early changes in these domains. Moreover, particularly early changes in both amnestic and non-amnestic domains are apparent in those carrying the Apolipoprotein-E ɛ4 allele, a primary genetic risk for Alzheimer’s disease (AD).
Objective:
This study investigated the role of the ɛ4 allele in the consistency between subjective and objective executive functioning in 54 healthy, cognitively intact, middle-aged and older adults.
Methods:
Participants (Mage = 64.07, SD = 9.27, range = 48–84; ɛ4+ = 18) completed the Frontal Systems Behavior Scale (FrSBe) Executive Dysfunction Scale (EXECDYS) to measure subjective executive functioning (SEF) and multiple executive functioning tasks, which were condensed into a single factor.
Results:
After accounting for age, depression, and anxiety, objective executive functioning performance significantly predicted SEF. Importantly, ɛ4 moderated this effect. Specifically, those carrying the ɛ4 allele had significantly less accurate self-awareness of their executive functioning compared to ɛ4 non-carriers.
Conclusions:
Utilizing an approach that integrates self-evaluation of executive functioning with objective neurocognitive assessment may help identify the earliest signs of impending cognitive decline, particularly in those with genetic risk for AD. Such an approach could sensitively determine those most prone to future cognitive decline prior to symptom onset, when interventions could be most effective
What Makes a Liberal Feminist? Identifying Predictors of Heterosexual Women and Men’s Liberal Feminist Ideology
In the wake of the #MeToo movement, liberal feminism has garnered the spotlight on equal rights for women. However, what factors contribute to men and women developing liberal feminist ideologies? This is important to understand as this ideology is predictive of support for political and social policies that are currently under debate in the United States. In this survey study (149 heterosexual men and 233 heterosexual women) we examined attitudinal and ideological variables that underlie liberal feminist ideology. The results of this study indicate that heterosexual men scored significantly lower on liberal feminist ideology and significantly higher on traditional attitudes toward women, hostile and benevolent sexism, gender-specific justification, rape myths, and conservative political affiliation compared to heterosexual women. Furthermore, traditional attitudes toward women, hostile and benevolent sexism, gender-specific justification, rape myths, political leanings, and gender accounted for almost 70% of the variance in liberal feminist ideology. Participant gender did not moderate the regression analyses, suggesting that men and women are influenced similarly in determining what attitudes predict liberal feminist ideologies. Implications for support for public policy are addressed
The Effects of Attentional Focus Instructions on Approach Jump Performance
Introduction
Attentional focus has been shown to significantly influence motor learning and performance, with external focus instructions enhancing performance compared to internal focus instructions. Research has also demonstrated that novice performance is improved when instructed to focus on skill execution processes rather than outcomes. However, this effect remains untested in complex jumping skills crucial to numerous sports. Purpose
This study aimed to investigate the effect of internally and externally directed process and outcome focus instructions on approach jump height and approach speed in novice participants. Methods
Twelve individuals aged 18 to 22 participated across three sessions: Familiarization, Test Session 1, and Test Session 2. During the test sessions, participants executed approach jumps in various conditions, each emphasizing specific cues: External Focus-Outcome, Internal Focus-Outcome, External Focus-Process, and Internal Focus-Process. Jump-and-Reach Height, Estimated Jump Height by Flight Time, and Approach Speed were assessed through 2 × 2 repeated measures ANOVAs. Results
External focus and outcome conditions led to the highest jump-and-reach height (p \u3c .05). Process conditions yielded faster approach speed compared to outcome conditions (p \u3c .001), irrespective of internal or external focus direction. Estimated jump height by flight time was similar across all conditions. Conclusions
The study suggests that benefits of external focus and process instructions for novices may apply only to certain performance variables in complex motor skills. Practical Applications
Practitioners can optimize novices’ performance using various process- and outcome-based instructions. External, outcome-based cues enhance overall task performance, while process-based cues may improve specific technical components