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El Cielo: Creating Heaven on a Plate
No full textResearch methodology
This case was developed using a grounded theory approach and ethnographic observation. The authors conducted 14 semistructured interviews with internal stakeholders − including the founder, family members and staff − and gathered on-site field notes during immersive visits to elcielo’s Bogotá and Medellín locations. Partial financial data were disclosed to support internal projections and scenario planning. In addition, experiential data were collected through customer sessions, and preliminary biometric analyses (EEG and GSR) were reviewed to illustrate the potential business applications of neuromarketing. No external benchmarking was included, which enhances internal validity by preserving the authenticity of the firm’s perspective, though it limits direct cross-case comparison.
Case overview/synopsis
This case examines elcielo, a pioneering fine-dining restaurant founded in Medellín, Colombia, by chef and entrepreneur Juan Manuel Barrientos (JuanMa). Celebrated for its inclusion among Latin America’s 50 Best Restaurants, elcielo redefines traditional dining through a series of immersive “moments” − multisensory culinary experiences that blend neuroscience, storytelling and Colombian heritage. Rather than allowing customers to choose their dishes, elcielo curates a journey designed to trigger emotions, memories and sensations through food. After successful expansions to Bogotá and Miami, JuanMa now stands at a strategic crossroads. The case centers on a critical decision: how to scale elcielo without compromising its creative integrity. Three strategic paths are under consideration: optimizing operational efficiency and lunchtime traffic in domestic markets, accepting investor funding to accelerate international growth − at the risk of losing creative autonomy or launching a standalone venture focused on neuromarketing and experiential design that extends the brand beyond restaurants. Each alternative presents distinct trade-offs in terms of scalability, control, brand coherence and long-term sustainability. Students are challenged to evaluate the feasibility and alignment of each strategic option with elcielo’s core identity and values. The case is designed for MBA and executive education audiences and is particularly relevant for courses in strategy, innovation, entrepreneurship and brand management. It encourages critical reflection on the growth dilemmas faced by founder-led businesses operating in creative industries, and prompts debate around the balance between artistic vision and commercial scalability
Exploring Law Enforcement Officers\u27 Experiences with Athletic Trainers and Work-Related Injury
No full textLaw enforcement is an emerging clinical setting for athletic trainers (ATs), yet little is known regarding law enforcement officers (LEOs) perceptions of the profession. This qualitative study following a general inductive approach explored LEOs\u27 experiences with musculoskeletal injury and their interactions with ATs. Seven officers (N = 7) participated in one-on-one semi-structured interviews. Three themes emerged: (1) roles and responsibilities of ATs, (2) education and training, and (3) impact of injury on LEOs. While participants viewed ATs positively, they demonstrated limited understanding of the profession\u27s scope and expertise. Participants commonly described managing musculoskeletal injuries on their own due to cultural expectations to push through pain, limited organizational support, and administrative barriers to care. These patterns reflect broader occupational health and safety concerns within law enforcement and highlight opportunities for ATs to enhance injury prevention and early intervention by promoting a more supportive safety climate and improving access to musculoskeletal care
Exploring Educator Attitudes and Their Impact on Racial Inequities In School Discipline
Get PDFThis dissertation presents a mixed methods research study conducted within the framework of the Improvement Science Dissertation in Practice (ISDiP). The primary objective of this research is to investigate targeted interventions and resources designed to enhance educators\u27 cultural awareness and social-emotional competence. These enhancements aimed to foster identity-affirming learning environments for students of color, serving as a mechanism to address and mitigate racial discipline disparities in educational contexts.
The validation of student identities, alongside the establishment of inclusive learning environments, is paramount for promoting academic success and addressing the distinct needs of students of color. Nonetheless, the enduring presence of racially detrimental educational contexts—especially in the absence of effective interventions—subjects these students to exclusionary practices that significantly impede their academic prospects. Such conditions not only diminish their potential for success but also perpetuate systemic inequities within the educational framework.
In the absence of proactive strategies aimed at mitigating these challenges, the academic and social development of the affected students faces considerable restrictions, resulting in long-lasting repercussions that extend well beyond the classroom setting.
Such contexts create barriers to learning and engagement, ultimately diminishing the overall effectiveness and ability of educational institutions to foster an inclusive and equitable atmosphere for all students.
To address these challenges, a structured eight-week asynchronous professional learning series was developed. This series aimed to deepen participants\u27 understanding of the biases and discrimination faced by students of color in schools and society. The ultimate aim of the series was to enhance the educational experiences of students of color and reform the punitive disciplinary practices that disproportionately affect them.
Participants engaged in critical self-reflective activities designed to foster transformative growth in their teaching methodologies to better support students of color. This dissertation establishes a foundation for future research focused on designing professional learning experiences that challenge entrenched assumptions, promote critical self-reflection, cultivate intercultural sensitivity, and encourage transformational learning.
The findings of this study resonate with current literature on reflective practices in education, particularly emphasizing the significance of critical reflection in achieving transformative learning outcomes. This research emphasizes the necessity of addressing cultural competence and bias as fundamental components in fostering equitable educational environments for all students
Pioneer Times, Volume 1, Number 13
No full textHighlights include: Celebrating Valentine’s Day: Alums Share Stories of Love and Friendship, Groundbreaking show brought SHU alum Kevin Nealon ’75 fame and transformed TV comedy, Prof William Zhou embarks on fellowship to research strategies for helping minority entrepreneurs, How a former superintendent\u27s pre-K-12 experience put him on a mission to improve teaching in higher educatio
Mental Health Screening and Its Effects on Obese and Overweight Patients: Quality Improvement Project
No full textObesity is a growing, multifactorial epidemic. The CDC recommends a 5% weight reduction in order to prevent potential complications associated with overweight or obese status. Mental health, particularly depression, contributes to weight issues with obese individuals having an 18% greater risk of depression, and those with depression having a 37% greater risk of obesity. Both conditions may increase the risk of cardiovascular disease and mortality. Evidence suggests screening and managing depression in overweight/obese patient may lead weight loss and better health outcomes in this patient population.
Project Goals To improve weight loss outcomes in obese or overweight patients with a current target goal to obtain 1-2% monthly decrease in body weight for those who receive medical weight loss and mental health treatment over the course of 2 months. To implement a formal depression screening protocol at practice site and ensure adherence to protocol via weekly on-site chart audits. To establish the number of obese or overweight patients with depression (PHQ-9 Score \u3e5) and compare weight loss of those who obtained referral and/or treatment for depression over 2 months.
Methods
BMI and PHQ-9 screening were collected at the initial visit. Participants who presented as overweight or obese received BMI screening at each monthly visit for 2 months thereafter to assess for change in BMI and analyze current treatments for weight loss and mental health.
Results
Thirty-three participants were included in this project. With implementation of PHQ-9 screening, 10 participants were found to have minimal depression, 8 with mild depression, and 1 with moderate-severe depression. Individuals with mild to moderate-severe depression scores (PHQ-9: 5-10+) had greater fluctuation in BMI than those with minimal depression (PHQ-9: 0-2). Men on average had a lower PHQ-9 score yet had greater weight loss percentages when compared to women. Results revealed an overall average of 1.39% (SD 3.29) BMI reduction at the second follow-up (week 4), and an overall 1.93% (SD 3.76) reduction at the final follow-up. Those who received mental health therapy referrals did not achieve weight loss goals (average of -0.79% [SD 3.48] reduction) as anticipated. However, the average PHQ-9 scores of those referred to therapy was 6.2 (SD 5.12) which was higher than the overall average of 3.67 (SD 3.92) which may have impeded weight loss progression. Lastly, this project accomplished the goal of implementing a formal depression screening protocol within this site though this was only noted after completion of the implementation phase.
Conclusion
The data suggests that mental health and weight loss treatment applied concurrently result in greater weight loss outcomes than alone. This supports the idea that weight loss is multifactorial as adherence, lifestyle or baseline characteristics play a significant role which may also be resulting in the variance in weight loss outcomes seen in those suffering from depression. Future studies may further analyze treatment type, physical activity, or dietary changes
Provider-Nurse Rounding Checklist: A Quality Improvement Project
No full textBackground/Introduction: Communication and collaboration between healthcare providers and nurses are essential for a good working relationship. Increased collaboration has been shown to improve staff attitudes and job satisfaction. Using a checklist provides an organized way to perform rounds and increase satisfaction with teamwork as well as decrease miscommunication. At this DNP project site, a rounding checklist is not being used, resulting in a disconnect between the nurses and healthcare providers.
Objective/Purpose: Project goals include: Assess nurses\u27 and providers’ thoughts and feelings on current collaboration and rounding done. Assess what nurses and providers find as barriers for using a rounding checklist and what needs to be improved on the current checklist. Improve and implement rounding checklist daily in nurse/provider rounds from September to December 2024. See a measurable increase of 2 points of the Likert scale from baseline in both nurses’ and healthcare providers’ satisfaction and views on collaboration and communication with use of the rounding checklist.
Methods: The guiding framework for this project’s implementation and evaluation is the Model for Healthcare Improvement. A total of two, plan, do study, act (PDSA) cycles were completed. A pre-survey was provided to assess nurses’ and healthcare providers’ feelings on their collaboration without the rounding checklist. Education was then provided on the use of the rounding checklist, and it was implemented into practice for daily use. Weekly to biweekly audits of the use of the checklist were performed throughout the project. The same survey was handed out midway and post implementation to assess the changes in nurses ‘and healthcare providers’ feelings on the collaboration with use of the rounding checklist.
Results: This project took place for a total of 8 weeks, from October 22, 2024 to December 16, 2024. A total of 86 surveys were completed, 34 by healthcare providers and 52 by RNs. A total of 387 rounding checklists were completed throughout this project. The results showed an increase in the feeling of collaboration by both nurses and healthcare providers in all areas except one. The one area that did not increase the feelings of collaboration was how often the nurses and healthcare providers felt they had to follow up after rounding with the checklist occurred. RNs felt the healthcare providers who rounded with them using the checklist valued their opinions and working relationships.
Conclusion: The results of this project show that a rounding checklist improves the feelings on collaboration between nurses and healthcare providers. All objectives were met during implementation and the manager of this project site plans to continue auditing the use of rounding checklists daily
Hypertension & Diabetes in the ED: Unpacking Uncontrolled Co-morbities
Get PDFHypertension and diabetes are two of the most prevalent yet under diagnosed chronic conditions that disproportionately affect underserved populations. Often asymptomatic in early stages, these silent killers frequently remain undetected until patients present to the emergency department (ED) with severe, life-threatening complications. This project explores the recurring issue of patients arriving at the ED with uncontrolled hypertension and diabetes, many of whom are unaware of their diagnosis or lack the resources to manage these conditions effectively. Through a detailed analysis of patient data, clinical case studies, and current literature, the project identifies systemic gaps in chronic disease education, early screening, and follow-up care within the ED setting.
Focusing on Bridgeport Hospital as a model site, this intervention aims to empower ED nurses to take a proactive role in chronic disease management by implementing individualized education, culturally competent care strategies, and digital health tools such as QR code-accessible resources. These tools are designed to enhance patient understanding, promote self-management post-discharge, and reduce repeat ED visits. By addressing healthcare disparities and integrating inclusive practices, this work proposes sustainable solutions to improve long-term health outcomes and reduce the economic burden on emergency departments. Ultimately, it demonstrates the ED as a critical point of intervention for chronic disease management and equitable care delivery
Using Discussion-Based Techniques to Elicit Student Perspectives
No full textThis presentation explores the use of discussion-based techniques to elicit student perspectives in educational settings. These techniques not only create a dynamic learning environment but encourage students to share details and perspectives unique to their culture and identities
Evidence-Based Interventions for Prevention of Ventilator Associated Pneumonia (VAP)
Get PDFVentilator associated pneumonia is an hospital acquired infection that can cause severe illness in critically ill patients who are susceptible to complications. Ventilator associated pneumonia or VAP, is defined as an infection in the lungs that develops after 48 hours of intubation in patients receiving mechanical ventilation (Yesilbag & Seker 2020). Specific interventions, such as the use of antibiotics, can be vital in preventing the development of VAP for patients following intubation. Furthermore, the use of endotracheal suctioning in mechanically ventilated patients, to remove secretions containing bacteria, has proven to be effective in reducing the incidence of ventilator-associated pneumonia (Ardehali et al., 2020). These interventions not only improve the patient’s quality of life by shortening their hospital stay, but help reduce medical costs for hospitals. In an effort to help reduce hospital costs associated with treatment and high rates of patient mortality associated with VAP, we must decipher which evidence-based interventions are most useful in preventing the development of the infection. In this case, it is evident that when compared to the use of prophylactic antibiotics, endotracheal suctioning is a more effective method of reducing VAP in ICU patients