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Emergency Preparedness Education and Simulation Training for Nursing Students in Southern India
No full textIntroduction
To address the identified gap in emergency preparedness education and training among nursing students at a teaching hospital in southern India, a private university in the southeastern United States partnered with the site to develop a quality improvement initiative aimed at strengthening these skills. Nursing students at the partner hospital have limited access to simulation-based training opportunities due to constraints in both curriculum and availability of simulation resources. This lack of exposure may hinder the development of critical emergency preparedness competencies
Methods
Educational content focused on triage and basic life support (BLS). One hundred twenty-four students participated in the QI project. Participants completed a pre-intervention knowledge assessment, an approximately two-hour lecture, and a simulated learning experience.
Results
Post-test scores (n = 76, M = 6.64, SD = 1.17) were significantly higher than pre-test scores (n = 112, M = 5.08, SD = 1.35), t(186) = 8.21, p \u3c .001, 95% CI [1.19, 1.94]. The effect size was large, Cohen’s d = 1.28, 96% CI [0.90, 1.54]. Students also completed a three-item post-intervention student perception survey. For Item 1 (perceived value to future practice), 98.7% strongly agreed and 1.3% somewhat agreed. For Item 2 (confidence in responding to emergency scenarios), 96.1% strongly agreed and 3.9% somewhat agreed. For Item 3 (perceived improvement in emergency preparedness competency), 93.5% strongly agreed and 6.5% somewhat agreed.
Discussion
The results demonstrate that the education remained effective and well-valued, even in the absence of extensive infrastructure or high-fidelity resources
Caring for Caregivers: Fostering Empathetic Educational Practices Among Undergraduate Nursing Faculty
No full textBACKGROUND: Trauma is highly prevalent among nursing students, and unrecognized responses to that trauma can negatively impact learning, psychological safety, and academic performance (Doughty, 2020). Although trauma-informed care (TIC) principles are described in clinical settings, its use in undergraduate nursing programs remains limited. Faculty often lack formal TIC training, reducing their ability to support students with lived traumatic experiences. TIC education can improve awareness, responsiveness, and educator confidence (Bosse et al., 2021; Doughty, 2020; MacLochlainn et al., 2022). This project aimed to improve faculty knowledge and explore attitudinal shifts following a structured TIC educational intervention.
METHODS: Two Plan-Do-Study-Act (PDSA) cycles were utilized in this quality improvement project. Participants completed four online modules developed by a credible trauma-informed organization and Caring for Caregivers: A Guide for Empathetic Education. Knowledge was assessed through pre- and posttests, while attitudinal changes were measured using the Attitudes Related to Trauma-Informed Care (ARTIC) Scale.
INTERVENTION: Cycle 1: Participants completed a three-fold intervention consisting of a 30-minute in-person TIC session during new-hire orientation, online modules from a credible trauma-informed organization, and Caring for Caregivers. An immediate pretest, immediate posttest, and 4-week sustainability survey were distributed. Cycle 2: Participants completed a two-fold intervention consisting of online modules from a credible trauma-informed organization and Caring for Caregivers. Learning materials were distributed with four weeks of flexible engagement and reminder prompts, which included an immediate pretest and posttest.
RESULTS: Cycle 1 (n=17) showed a 25% increase in knowledge. ARTIC scores remained unchanged (41.7). Cycle 2 (n=20) demonstrated a 36% knowledge increase and a 4.3% ARTIC improvement. Across both cycles, 100% reported the intervention as beneficial and the majority desired additional TIC training.
CONCLUSION: Trauma-informed education can be utilized as a means to improve faculty knowledge and attitudes. Extended access to the learning material strengthened learning outcomes, which align with literature that emphasizes ongoing reinforcement for culture change. Implementing TIC-focused faculty development may enhance empathetic teaching practices, promote psychologically safe learning environments, and better support diverse student needs.
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Standardizing the Use of the Sinc Screening Tool in a Rural Clinic
No full textUnmet contraceptive need represents a persistent quality gap in rural primary care, where reproductive health discussions are often inconsistently addressed. A rural primary care clinic in Shelbyville, Tennessee lacked a standardized, evidence-based process for screening women of childbearing age (15–44 years) for contraceptive needs. This quality improvement project evaluated the feasibility and effectiveness of implementing the Self-Identified Need for Contraception (SINC) screening tool to support routine, patient-centered care. The SINC tool consists of a single validated question designed to identify patients who wish to discuss contraception or pregnancy prevention during clinical visits. Plan–Do–Study–Act cycles were used to integrate the tool into new patient and wellness visits over a six-week implementation period. Screening rates ranged from 20% to 42.8%, with a mean implementation rate of 26.17%, representing improvement from a baseline of 0%. Variability was influenced by provider availability and scheduling constraints. Findings demonstrate that standardized contraceptive screening is feasible in rural primary care and supports improved preventive care delivery, patient–provider communication, and early identification of reproductive health needs
Standardizing Syphilis Screening in Tennessee Correctional Facilities: A Policy Analysis
No full textBackground and Rationale
Congenital syphilis in Tennessee rose 227% from 2017-2021, despite being more than 90% preventable with timely diagnosis and treatment. Women of childbearing age entering correctional facilities represent a key intervention population due to disproportionally high rates of sexually transmitted infections, limited or absent prenatal care, and significant unmet health needs. Tennessee’s female incarceration rate is 57% higher than the national average, and nearly one-third of women tested at intake are positive for syphilis. Current intake practices rely heavily on self-report, assumed adequate health literacy, and lack standardized STI screening requirements, contributing to missed diagnoses and preventable infant morbidity. Fragmentation between public health and correctional healthcare systems further complicate efforts to establish equitable, evidence-based care across all correctional settings.
Policy Analysis Proposal
This policy analysis explored two evidence-based approached to reduce congenital syphilis through early identification in correctional facilities: (1) universal out-out syphilis screening for all incarcerated women of childbearing age in Tennessee, and (2) universal point-of-care (POC) rapid syphilis testing at intake in Tennessee correctional facilities. Both options aim to close gaps in current workflows, reduce reliance on self-reported risk factors, and leverage correctional intake as a consistent point of healthcare contact. These solutions build on national guidelines from the Centers of Disease Control and Prevention (CDC) and the National Commission for Correctional Healthcare (NCCHC), statewide congenital syphilis data, and lessons learned from successful pilot programs across Nevada, Alabama, and Florida.
Methods
Guided by the CDC Policy Analytical Framework and a data-driven model from Southeastern Louisiana University, this project used a comprehensive review of academic literature, Tennessee epidemiological data, and a public health project partner input to analyze feasibility, cost, equity, impact, and implementation requirements for each policy option. In a series of three reports, problem identification, needs assessment, key partner perspectives, financial modeling, and implementation considerations are all outlined and explored thoroughly.
Outcomes
Findings show that both proposed policy options would significantly improve early case detection. Universal opt-out screening aligns with national standards, integrates easily into existing intake workflows, and reduces stigma and provider bias. Universal POC testing provides immediate results, addressing challenges related to high turnover and delays in laboratory testing. Congenital syphilis currently costs Tennessee more than $5 million annually in preventable infant harm. Financial analysis demonstrated that these costs can be substantially offset through the 340B Drug Pricing Program and Section 318 federal funding.
Policy Recommendation
Based on feasibility, sustainability, financial impact, and statewide scalability, universal opt-out syphilis screening at correctional intake is recommended as the primary policy solution. The use of POC testing is supported as a valuable enhancement for facilities with adequate resources or high turnover rates. Both approaches would benefit from a strengthened coordination between public health authorities and correctional healthcare systems to standardize training, workflows, evidence-based practice, and data collection.
Conclusion
Congenital syphilis remains a preventable cause of infant morbidity and mortality, and Tennessee correctional facilities are uniquely positioned to serve as an early intervention point. Implementing a universal opt-out screening protocol represents a practical, cost-effective, and equitable strategy that leverages existing infrastructure and funding while reducing preventable harm. This analysis highlights the critical role of interagency collaboration in order to advance health equity for incarcerated women and their infants
Divine Disruption: The Gift and Challenge of Radical Hospitality
No full textThe Greek word philoxenia is translated in the New Testament as “hospitality,” but the literal meaning of the word is “love of strangers.” In scripture, God repeatedly shows up in the guise of a stranger, offering opportunities to respond with either welcome or hostility. What does this radical biblical vision of hospitality invite us to think about today? How can we follow the example of Jesus and learn to be both a good host and a good guest of the strangers in our midst
Roots So Deep pt. 4 - Documentary Screening
No full textDocumentary Screening and Panel Discussion with Featured Farmer
Don\u27t You Be My Neighbor: Criminalizing Neighborliness Through Zoning
No full textMr. Rodgers’ Neighborhood begins with a title card and the camera slow pulling back to reveal a detailed model of an American Main Street, a fine-grained, mixed-use small city, complete with a streetcar, sidewalks, parks, and a school. It presents a wholesome, family friendly, ideal for American life – a neighborhood that encourages neighborliness. However, land use policies such as zoning makes most of Mr. Rodgers’ Neighborhood illegal to build today. Nashville’s land use policies, which evolved from its segregationist past, determine who your neighbors are and who they are not, how we move about the city, and contributes to housing unaffordability and wealth redistribution. This presentation will reveal the regulations that make Mr. Rodgers’ Neighborhood illegal, show how these regulations shape Nashville, and discuss neighborly reforms that urbanists are proposing in Nashville
Transforming Client Care: A Study of Assessment Scores to Enhance Program Success
Get PDFWorking with the Catholic Charities of the Diocese of Nashville, this project analyzes trends in the Arizona Self-Sufficiency Matrix (ASSM) scores across various departments and programs. Catholic Charities has used ASSM since 2021 to assess client self-sufficiency across 18 categories. Some include housing, food security, mental health, and community involvement, with scores ranging from one to five, five being in the best state for that category. Through statistical modeling, trend analysis, and clustering algorithms, this project identifies patterns and relationships within the data to provide valuable insights for department and program heads. This project aims to visualize similarities, differences, and changes over time in the data of the programs and departments. By painting this picture of the data, we can best visualize the best strategies to maximize program efficiency, optimize resource allocation, and support Catholic Charities\u27 mission to work with clients toward lasting self-reliance
Historic Fashion in Movies: Last Night in SoHo
Get PDF“Last Night in Soho is a psychological thriller that combines the past and present through the eyes of Ellie,the main character, a young aspiring fashion designer with a deep fascination for the 1960s. After moving to London, she suddenly finds herself transported back to the vibrant and glamorous world of 1966, while there she encounters a captivating singer named Sandie. As Ellie becomes increasingly interested with Sandie\u27s life, she experiences the attraction and glamour of the era, but she soon realizes the dark past that lurks beneath the surface. Our project explores themes of ambition, identity, and the consequences of the past. We discover Ellie’s dreamlike journey which turns into a nightmarish reality; she has to face the haunting secrets of the past that threaten her future. The film analysis perfectly blends elements of horror and psychological drama, showcasing amazing visuals and a captivating soundtrack that pays homage to the 60s. For this project, we researched how fashion influenced London culture of the era and how the film bridged the past and present together, and we sketched outfits inspired by the film’s style