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END-OF-LIFE CONVERSATIONS: IMPROVING PROVIDERS’ COMPETENCE IN EOL CONVERSATIONS THROUGH AN EDUCATION MODULE
Get PDFDeath and dying is complex, individual in nature, and often an intimidating topic for many. It is
frequently a subject that is avoided or only discussed in private. However, it is essential for
patients and providers to understand the resources available at the end of one’s life to help
facilitate patient centered care and increased quality of life. Hospice is an end of life (EOL)
service that provides comfort care and support for individuals and their family members.
Comprehensive comfort care and psychosocial and emotional support for both the patient and
their family members are provided with EOL care services. One major barrier to receiving EOL
care services is inadequate communication between providers and patients. This is often due to a
lack of provider education on difficult conversations, which leads to a lack of confidence and
competence in one’s EOL discussion skills. The purpose of this Practice Inquiry Project (PIP)
was to provide education for providers on strategies to engage in difficult conversations. The
goal was to increase providers’ confidence and competence in initiating conversations about
EOL care through an educational module. A logic model was used to guide the designing and
planning of the project and the Knowles’ Theory of Andragogy theoretical framework helped
guide the implementation and evaluation of this project. Participants completed an online
education module. Pre- and post-surveys, pre- and post-Palliative Care Self Efficacy (PCSE)
scale and pre- and post-Thanatophobia Instrument (TI) results were compared to determine if the
education module was successful in increasing provider confidence and competence in EOL
discussions. After providers completed the education module, there was an improvement in both
PCSE and TI scores, which indicate an improvement in knowledge and confidence in EOL
strategies, skills, and application in practice
2021 Tinian Island forest bird abundance estimates
Get PDFTechnical reportThe U.S. Navy, through Micronesian Environmental Services, surveyed landbirds in the Military
Lease Area on Tinian Island in May and June 2021 using point-transect distance sampling
methods. There were 2,074 individuals of 14 species detected during 123 point counts. Six
species were detected during >50% of the counts and were observed at relatively high
abundances, while eight species occurred at <50% of the counts and were uncommon to rare.
Densities of native landbirds in the Military Lease Area ranged from the uncommon Mariana
kingfisher (Todiramphus albicilla) at 0.46 birds/ha (95% confidence interval [CI] = 0.33–0.63)
to the very abundant bridled white-eye (Zosterops conspicillatus) at 102.63 birds/ha (95%CI =
86.70–122.91). Most distances recorded during the 2021 Military Lease Area survey were
rounded to distance intervals of 0 and 5. Measuring exact distances of detected animals is
preferable to collecting distances grouped into bins or rounding. Direct comparison with
previously published estimates was not possible because of changes in the sampling frame;
however, densities of six species were greater, two were smaller, and one was similar to the
2008 survey estimates for the Hagoi, Diablo, and Masalog regions. Our findings indicate that
the landbird community in the Military Lease Area appears to be dynamic and resilient
Recidivism in Hawaii for Foster Care
Get PDFA student presentation to the Spring 2022 Student Research and Creative Works SymposiumThis study was based on an exploratory research approach using a mixture of scholarly and peer reviews articles, including one field study. The articles that were chosen for this research project was used to research if my hypotheses were accurate. My independent variable was living environment, mental health, and finances. My dependent variable was maltreatment, substance abuse and domestic violence (DV)