1697 research outputs found
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Students in Library, circa 1969
No full textStudents studying in the Franklin University Library located in Frasch Hall.https://fuse.franklin.edu/library/1000/thumbnail.jp
Library Entrance in Frasch Hall, circa 1969
No full textThis photograph features the entrance of the library in Frasch Hall.https://fuse.franklin.edu/library/1002/thumbnail.jp
Human Milk at Discharge
Get PDFProblem: In a 16-bed neonatal intensive care unit, there was a lack of support for lactating mothers. As infants were admitted, mothers experienced up to a 48-hour delay in lactation support to initiate breastfeeding or pumping.
Aim of the Project: The aim of this project was to ensure lactating parents had adequate support for breastfeeding and pumping to increase human milk at discharge rate. Project interventions aligned with Ohio First Steps for Healthy Babies.
Review of the Evidence: Evidence showed that human milk discharge rates improved with lactation support. Additionally, noted was a significant increase in exclusive breastfeeding, or a combination of breastfeeding and pumping, compared to infants receiving formula. Direct breastfeeding rate improvements were observed for mothers assisted by a certified lactation consultant.
Project Design: A quality improvement project was implemented to improve human milk at discharge rates. The Ohio Health Change model was used to communicate the roles and responsibilities within the key stakeholder group. Three PDSA cycles were completed to test the implemented changes.
Intervention: To educate on the benefits of human milk, initiation, and sustained breastfeeding and pumping, lactation support was provided. Furthermore, a unit-based lactation team was established, meeting with the mother-baby dyad daily upon admission. During admission, mothers were supported to provide milk and prepared to sustain breastfeeding successfully post-discharge. Charge nurses supported project interventions by ensuring breast pumps were at each bedside daily.
Significant Findings/Outcomes: During the project period, human milk discharge rates improved by 7-13% from baseline. While this did not reach the 80% goal, it demonstrated that human milk consumption increased with support. Three process measures evaluated were breast pump compliance, lactation meeting compliance, and overall compliance with mothers providing human milk, which contributed to achieving the project\u27s outcome measure.
Implications for Nursing: Nursing providers strive for effective care. Lactation support meets the Institute for Healthcare Improvement\u27s Triple Aim of improving parents\u27 satisfaction. Educating mothers on human milk benefits and supporting successful breastfeeding is crucial to improving healthcare outcomes for premature infants. This aligns with Six Aims for Healthcare Improvement, including safe, effective, patient-centered care and population health. Within 8 weeks, a unit-based lactation team improved human milk consumption to within 24 hours of discharge
Arnett Brown Hitting Homer, undated
No full textThis photograph features Franklin University baseball player Arnett Brown at bat during a baseball game.https://fuse.franklin.edu/athletics/1053/thumbnail.jp
Chronic Disease Management Via Telepharmacy From a Pharmacist Perspective: A Qualitative Approach
No full textThe purpose of this qualitative study was to collect information regarding pharmacists\u27 roles in relation to telepharmacy and chronic disease management (CDM). The two research questions being examined were “How can pharmacists be used in the advancement of chronic disease management?” and “What improvements need to be made to telepharmacy implementation and operations for pharmacists to increase their use?” The literature review was conducted on historical overview, CDM overview, social determinants of health (SDOH), disparities, readmissions to hospitals, adverse effects of drugs, best practices, and global implications of telepharmacy. A group of eleven licensed pharmacists from New York was gathered. The participants were interviewed on CDM, readmissions, adverse drug events, best practices, SDOH, and health disparities. The recordings of the interviews were transcribed and coded for each open-ended question, resulting in 136 different codes. According to the comprehensive review of interview transcripts, there is still an urgent need for communication between healthcare providers and patients, pharmacist training for telepharmacy services and SDOH, and healthcare technology support. CDM can be advanced by pharmacists by understanding patient barriers, SDOHs, health disparities, and pill burdens, as well as incorporating a multidisciplinary approach to patient care. Pharmacists are required to promote open communication, overcome technological obstacles, receive assistance from stakeholders in telepharmacy training, and incorporate new mobile applications to enhance the implementation and operation of telepharmacy to provide interventions in telepharmacy. The following recommendations have been made according to the results of this study. Further research into the integration of telepharmacy services into the management of chronic diseases and pharmacists\u27 role in addressing health disparities and SDOH is needed. The researcher has also made recommendations to enhance chronic disease treatment using mobile applications and to improve pharmacy compensation policies according to the pharmacist\u27s involvement with telepharmacy
Increasing Change Effectiveness: Impacts of Emotional Intelligence on Sensemaking, Sensegiving, and Resistance During Organizational Change
No full textSeventy percent of organizational change initiatives fail. Yet, successful organizational change is integral to organizational growth, innovativeness, and competitiveness. Employees’ uncertainty is one of the leading causes of resistance to change. Research indicates that organizational change environments characterized by effective sensemaking and sensegiving diminish uncertainty. Research also indicates that emotions and emotion management play a critical role in employees’ processing of organizational change. This concurrent mixed methods study expands existing literature by examining the unexplored intersections between uncertainty reduction, sensemaking, sensegiving, and emotional intelligence and the implications for increasing support of organizational change. Purposive sampling was used to electronically administer the Self-Report Emotional Intelligence Test to 17 participants. Then, survey respondents participated in a virtual one-on-one interview to determine their sensemaking and sensegiving engagement during an organizational change event occurring in the last three years. The study’s findings indicate that individuals with greater emotional intelligence engage more positively in sensemaking during organizational change. Similarly, the study’s findings indicate that change leaders with greater emotional intelligence are able to engage in more sufficient sensegiving with their employees during the change process. Results from the study underscore employees’ need for effective sensegiving from change leaders to help employees navigate and support the organizational change venture. The study underscores the imperative of involving employees in organizational change planning. The findings also support potential benefits of incorporating emotional intelligence training into organizations’ hiring and employee development processes
Measuring Successful Social Inclusion of Clients With Intellectual Disabilities: A Case Study From The Perspective of Staff Providing Services
No full textThe purpose of this qualitative single site case study was to measure from the perspective of direct service professionals how well clients with Intellectual and Developmental Disabilities (IDD) are being socially included in the community. The research question pursued was the following: How does the Direct Service Professional’s (DSP) measurement of successful inclusion in the community impact clients with IDD living in supportive living homes? A literature review of social inclusion and quality of life for individuals with intellectual and developmental disabilities indicates the focus of studies has been on the family members who are a natural support to the clients. Limited research exists on the perspective or measurement of Direct Support Professionals who are closest to the clients in many cases and provide support and care. Primary data for this qualitative study was from semi–structured, open–ended interviews with 11 (DSPs) at a single site agency. The primary goal of this research is to determine from the lens of DSP staff if clients are being successfully socially included in the community
A qualitative study informed by Critical Race Theory (CRT): Black white-collar workers assess racism, biases, and discrimination in organizational settings
No full textThis narrative qualitative study assessed how Black white-collar workers perceived racism, biases, and discrimination in organizational settings. The research question (RQ) guided the research: What are the perspectives/lived experiences of Black white-collar workers with racism, biases, and discrimination in the workplace? The study’s qualitative research design consisted of semi-structured interviews with seven open-ended questions. There were 18 participants in this study. This study supported a learning outcome of the Doctor of Education in Organizational Leadership program by analyzing organizational problems, developing solutions, and measuring their impact. The theoretical framework for the study was Nickels and Leach’s (2021) Critical Race Theory (CRT), which served as the theoretical lens of the study problem. The problem of practice occurred when organizational leaders utilized Institutional Racial Paralysis (IRP). The research phenomenon flourished when executive members looked the other way or ignored the existence of racism, biases, and discrimination in corporate culture. The researcher managed the data from the study on Zoom and Microsoft Word. The researcher coded the data from the 18 interviews on Atlas.ti and found 23 themes, including Black white-collar workers felt undermined and devalued in their organizations, Black white-collar workers said they were passed over for promotions or received minimal promotions compared to their White counterparts, Black white-collar workers experienced the credit and accolades for their ideas going to other workers. The findings from this study could assist organizational leadership in developing solutions to problems associated with racism, biases, and discrimination in the workplace
Cheerleaders, undated
No full textThis photo features five Franklin University cheerleaders posing on a staircase bannister in casual clothing.https://fuse.franklin.edu/athletics/1010/thumbnail.jp
Assisted Living Person-Centered Practices in Michigan Tri-Counties: Administrators Analysis
No full textThe aging population in the United States has led to an increased use of assisted living facilities, raising concerns about person-centered practices. This non-experimental quantitative correlational design study aimed to examine the relationship between workplace practices, care of residents, care and services offered, atmosphere, and perceived quality of life in assisted living facilities in Michigan’s tri-county areas, including Macomb, Oakland, and Wayne. The study was guided by the person-centered theory (PCT) and person-centered model. Out of 117 participants, 47 responded to the survey, resulting in a 40.2% response rate. The study found a significant relationship among workplace practices, care of residents, care and services offered, atmosphere, and perceived quality of life combined, with a p-value of 0.0001 and an R2 value of 44.3%. Additionally, the atmosphere variable alone had a significant impact on perceived quality of life, with a p-value of 0.0492, while workplace practices, care of residents, and care and services offered were not significant on their own. These findings may encourage future research on person-centered practices and its impact on the quality of life of the aging population in other assisted living facilities outside Michigan’s tri-county areas, as well as healthcare administrators and leaders