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Workplace Violence Prevention Strategies for Nurses in the Acute Care Setting
No full textNurses face a disproportionately high risk of workplace violence (WPV), more than police officers and prison guards, with approximately 70% of assaults occurring in the healthcare setting. Despite this trend, there is a gap in standardized, evidence-based training for inpatient nurses. Effective management of WPV is multifactorial, with evidence indicating that a combination of training, screening, prevention planning, and organizational response is essential. Aim: This QI project revised the WPV prevention protocol on a medical-surgical unit by introducing an evidence-based risk-for-violence screening tool and in-person de-escalation training. Method: Using the Plan-Do-Study-Act (PDSA) framework, 37 nurses received a 30-minute de-escalation training and completed pre- and post-de-escalation training confidence assessments. The Broset Violence Checklist (BVC) was employed to categorize patients upon admission as low, moderate, or high risk for violence. High-risk patients were discussed in preshift staff huddles, and nurses received proactive daily rounds from security. Results: Findings indicated that of the 443 screenings completed, 87% (N=393) scored as low risk, 10% (n=45) as moderate risk, and less than 1% (n=5) as high risk. Notably, there were no reported WPV incidents during the six-week project period, and five potential incidents resulted in no assault or injury after the initiation of the new protocol. Nurse confidence levels increased with the revised protocol and training, especially in the areas of organizational support and security rounding. Conclusion: Proactive identification of patients at risk for violence can reduce assaults against nurses. Security rounding on nurses for high-risk patients enhances perceived safety and confidence in the workplace
Granola Revolution: Crafting a Health-Conscious Snack for the Modern Consuming
Get PDFAs a group, we created this report as a consulting project for Sweet Debbie's, a granola company that currently operates in a direct-to-consumer (DTC) model and has ambitions of growing their business to retail stores and other establishments. The company's ultimate goal is to become a national granola brand sold in grocery stores within the next three years. Our analysis into this company allowed us to identify three main areas of opportunity: 1) the high cost of premium ingredients sourced from retail outlets were eroding profitability, 2) lack of awareness of the brand itself contributed to low sales volume, and 3) the need to scale operations so that time could be spent on the business, not just in the business. Our strategy to assist the owner in mitigating these issues included interviewing industry experts in grocery store operations and food distribution. We collected primary data through a comprehensive survey of more than 80 individuals to gain a better understanding of their purchasing behaviors and then used these responses to provide key recommendations to Sweet Debbie's. In an effort to provide more cost-effective solutions to ingredient sourcing, we contacted a variety of wholesalers and provided cost estimates to the client that would result in higher profitability
Evaluating the impacts of acoustic masking on the garibaldi, Hypsypops rubicundus
No full textHuman activities are increasing ocean noise beyond natural levels, and little is known about how this noise impacts marine fishes. This study aimed to evaluate the impacts of acoustic masking, when noise overpowers a focal sound, on the garibaldi (Hypsypops rubicundus). This species of damselfish is common on shallow rocky reefs in California and Mexico, and it uses sound to communicate. An observational study was conducted to evaluate whether reproductive output or behavior were related to noise level at 10 study sites (rocky reefs) at Santa Catalina Island, California, USA. Additionally, a field experiment was conducted to evaluate whether behavior of garibaldi toward a model garibaldi changed when exposed to sounds of a live boat nearby. At each reef, I measured noise levels during two periods (early and late in the breeding season), as well as reproductive output (via photos of eggs in nests) and behaviors (via remote video) of garibaldi. Noise levels differed among the 10 reefs. Contrary to expectations, early in the breeding season (May/June 2023), noisier sites had higher reproductive output (eggs per clutch) than quieter sites, but later in the breeding season (July/August 2023) reproductive output was negatively related to noise levels. Territorial chasing of heterospecifics was positively related to noise levels, but chasing of conspecifics tended to decrease with noise levels. In the field experiment, conducted at seven of the 10 study sites, behaviors of nest-guarding garibaldi toward a model garibaldi were recorded with remote video cameras, with and without a boat operating above the nest. Exposure to boat noise did not affect territorial or nest maintenance behaviors of the nest-guarding males. Overall, acoustic masking did not appear to have large or consistent impacts on garibaldi behavior or reproduction around Santa Catalina Island. This study shows that increased noise from boating may have smaller impacts on some fishes that communicate through sound than has been previously shown
Second Generation Oral History Project Jane So. Exploring Cultural Identity through the Vietnamese American Experience
No full textJane So, a 20-year-old second-generation Vietnamese American, describes her upbringing in the Bay Area and her relationship with her Vietnamese heritage. She grew up in a predominantly white community with limited exposure to Vietnamese culture, but maintained close ties with her family. Jane discusses her parents' immigration story, educational and occupational backgrounds, and the cultural traditions they practiced at home. She also reflects on her own fluency in Vietnamese, feelings of cultural identity, and experiences with discrimination or prejudice. Overall, Jane emphasizes the importance of family and learning from one's elders, regardless of generational differences
Addressing Eating Disorders Among College Student
No full text[ABSTRACT ONLY; NO FULL TEXT] The Klotz Student Health Center is a campus-based facility that provides medical services to address a range of health issues for students at California State University, Northridge. The center offers services aimed at improving the well-being of students; including promoting healthy eating habits. Given the center's mission and services, Intervention Mapping is the ideal program model for this organization. Eating disorders affect 28.8 million Americans of all ages, genders, races, and backgrounds; with bulimia nervosa commonly affecting both men and women. This condition often begins in adolescence and persists into adulthood, with its prevalence increasing among young adults in college. Research highlights the lack of data on eating disorders for the college student population, although these disorders are influenced by familial genetics, childhood trauma, and their environment. Research on eating disorders have incorporated constructs from the Theory of Planned Behavior, Health Belief Model, and Social Cognitive Theory, and can be utilized by the organization. Utilizing the constructs of the theory models, the goal is to increase the awareness of eating disorders and offer preventive strategies for college students with past trauma through the four key objectives. The goal and objectives are to develop a strategy to enhance the preventive measure of eating disorders within the intended population. Furthermore, the evaluation method for the innovation strategy is discussed in terms of its effectiveness. The strategy will undergo a one-year pilot, and if successful will adapt to a Klotz Student Health Center Healthy Eating program
Improving Awareness of African American Neonatal Intensive Care Unit Babies
No full text[ABSTRACT ONLY; NO FULL TEXT] Glo-Preemies is a non-profit organization founded in 2014 by Ashley Randolph dedicated to the treatment and support of black neonatal intensive care unit (NICU) babies and their families. Glo Preemies is dedicated to serving families in the African American communities who deliver premature babies by providing comprehensive care, access to resources, community involvement, and support. The goals of this organization align best with the PRECEDEPROCEED model (PPM) for program planning. According to the Center for Disease Control and Prevention, the preterm birth rate for 2022 is 10.4%. Preterm birth rates vary across racial and ethnic backgrounds of women with black women having the highest rate of 14.6%. Glo Preemies implementation of the Ebony Embrace: Glo Circles for NICU Families, is a type of program that helps foster support, empowerment, and resources to NICU parents within the community. The research shows that black women experienced more health disparities stemming from racism, lack of resources, and discrimination. The Health Belief Model has been utilized to help prevent premature birth in women in their first trimester of pregnancy and those with intentions of future children. Using the constructs of the Health Belief Model, four objectives were designed to help reach the goal of improving the awareness of African American NICU babies. These objectives and goal will help develop the proposed modern strategy aimed to increase awareness and involvement of NICU parents of the target population. An appropriate evaluation technique for measuring the effectiveness of the proposed strategy will be examined. The proposed strategy will be piloted for three years and if effective, will be an addition to Glo-Preemies Ebony Embrace program
Clearing the Debate: Science of Reading Structured Literacy vs. Balanced Literacy Approach
No full textThe "Reading Wars" has become a hot topic of debate in education for many years. The term Science of Reading has also found its way into most corners of literacy practice. Whether it is during a professional development session or within a purchased reading program. The issue is that there are now many definitions between what Science of Reading is and what it is not. This meta-analysis focuses on the Science of Reading and two prevalent instructional approaches to teaching reading in hopes of bringing better understanding of the strategies that teachers should use in their classroom
Local Government Preparedness in Cybersecurity
Get PDFThis study explores the growing importance of cybersecurity in public administration, emphasizing challenges faced by local governments. The central research problem is the inability of many local agencies to protect public services from cyber threats due to financial, technological, and human resource limitations. Through a review of existing literature and analysis of established frameworks, including the NIST Cybersecurity Framework and institutional initiatives such as CISA and MS-ISAC, the study identifies inconsistencies at the local-level application. Findings reveal significant implementation barriers for smaller municipalities, highlighting resource constraints and a lack of employee training. Policy recommendations include dedicated grants and mandatory training to enhance local cybersecurity capabilities
Beating the silver tsunami: transformational leadership and employee retention
Get PDFDespite the incoming public sector silver tsunami marking the max exodus of a generation from civil service, there is little literature on the preferred leadership style to increase employee retention to combat the incoming silver tsunami. To address this research gap, a systemic literature review was conducted to determine the primary reasons for employee turnover intentions and the effect of transformational leadership in addressing employee retention. The study identifies how transformational leadership's core principles - idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration - can mitigate turnover intentions. The findings suggest that adapting transformational leadership to the unique dynamics of public sector bureaucracy can foster employee satisfaction, loyalty, and organizational commitment, offering a strategic solution to combat the workforce crisis. As a result, a policy implementation for transformational leadership development to enhance employee retention is recommended
The Teachers Are Not Okay: The Complex Emotionality of the Teaching Profession
No full textThe teaching profession is progressively becoming more challenging and leading to issues such as lower job satisfaction and burnout (Palad, 2023). Despite these challenges, teachers are encouraged to remain positive throughout their workday. Teachers' use emotional regulation strategies to suppress negative naturally felt emotions and work to outwardly display positivity towards the students and greater community they serve. Not addressing these negative emotions results in emotional labor for teachers (Hochschild, 2012). This study aimed to understand how K-12 teachers define emotional labor and investigate the coping strategies teachers use to manage the emotional labor of the teaching profession. Utilizing qualitative research, this study employed semi-structured interviews to gain an understanding of how 15 K-12 teachers defined and coped with the emotional labor of the profession. Findings revealed participants defined emotional labor as: teaching as a primary part of one's identity, the emotional labor of finding a work-life balance, the emotional labor of caring for the whole child, the impact of COVID on developmental milestones, the emotional labor of difficult colleagues and administrators, the emotional labor of posed by new and experienced administrators, and the emotional labor of feeling devalued as a professional. Districts should create policies that encourage site level administrators to promote the well-being of teachers. Advocating for better conditions will improve outcomes for teachers and students. Keywords: emotional labor, teachers, work-life balance, burnout, emotional regulation, copin