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Servant Leadership and Fund Distribution Philosophies of Grantmakers: An Action Research
No full textThis paper explores the intersection between grantmaking and servant leadership by examining characteristics of servant leadership in literature and comparing those characteristics to three primary fund distribution philosophies; responsive, strategic, and participatory. While grantmaking has come under fire for not creating adequate social change, lacking meaningful accountability for their decision making, and for the vast amounts of wealth they hold, the leadership held by foundations and other grantmakers is compared to characteristics of servant leadership to develop a theory for how grantmaking might be improved through the application of servant leadership characteristics
School-Based Behavioral Health Integration: Rural Access to Services
No full textThe purpose of this study was to investigate the perceptions of need for integrated or co-located school-based behavioral health services by key stakeholders in rural areas. Potential participants were provided the definition of a rural demographic area to ensure prerequisite for participation. Demographic questions and consent were collected through an online Qualtrics questionnaire. Key informant, semi-structured interviews were fulfilled via Zoom platform. Consensual qualitative research approach was utilized for data analysis. A research team consisting of three analysts first examined the data individually and then sought consensus on domains and categories. An external auditor reviewed the data results as part of the validation process. Domains identified through this process were stigma, COVID, awareness of services, access, and challenges. These domains were further broken down into categories relating to the overarching domain. This research is important for the field of counseling as we work collaboratively in multidisciplinary teams
Complicated Grief: Identifying Training Needs for Professionals
No full textThe purpose of this study was to explore the training needs of professional counselors to effectively diagnose and treat complicated grief. Data was collected from 8 counseling professionals through a mixed-methods electronic questionnaire asking about training received regarding complicated grief. Using a 5-point Likert scale, respondents reported a mean of 4.5 had considered themselves to be prepared to treat clients that met diagnosis for complicated grief. In addition, 4.1 out of 5 stated that they would likely engage in additional training in the diagnosis and treatment of this disorder. The prospect of adding complex bereavement disorder (complicated grief) to the DSM-5 and the International Classification of Diseases (ICD-11) will require clinicians to provide evidence- based treatment approaches to clients meeting criteria for diagnosis
Sodium Intake in College Students
No full textThis research study will be looking at an overview if there is a correlation between s odium intake and college students and if education would bring more awareness around intake. W hile looking at literature, it strongly supported that decreased sodium leads to a decreased risk of hypertension and other long-term health effects. For methods, two nutrition education sessions w ere conducted with participants providing ways to decrease overall sodium intake. The p participants took a survey assessing their sodium intake, 50% of participants reported a high s odium intake. Before and after receiving nutrition education, participants took a study assessing w hat they typically eat without knowing the amount of sodium in each item. Findings showed t hat nutrition education was effective and 100% of participants did decrease their sodium intake. There were several limitations to our study such as small sample size and limiting our target p population
Screening for Social Determinants of Health in Women With Low Birthweight Babies
No full textIt has been well documented that social determinants of health (SDOH) can influence pregnancy outcomes. Poor birth outcomes, such as low birthweight, are extremely costly to families, hospital systems, and society. Low birthweight deliveries are increasing at the included health care organization (B. Rooney, personal communication, January 26, 2021). Because SDOH can impact birth weights, evaluating the screening process for SDOH may help slow the increasing trend. This project was a retrospective case-control study to investigate the relationship of SDOH to birthweight. The cases were women who delivered low birthweight babies weighing between 1,500 and 2,499 grams, and the controls were women who delivered babies ≥ 2,500 grams. Data were collected through a review of the electronic medical record and analyzed with statistical software. Results found a trend for more SDOH risks among the cases than controls (15% versus 7%, p = .089). Women with any SDOH risk were more likely to have Medicaid, Medicare, be uninsured, unmarried, have less education, have blue collar occupations, or be unemployed. Women with any SDOH risk were more likely to start prenatal care later, have inadequate prenatal care, and have unplanned pregnancies. In fact, nearly 25% of cases had inadequate prenatal care compared to only 7% of controls (p = .004). While this study did not find a statistically higher rate of SDOH risk for women who delivered low birthweight babies, the strong connection of these risks overall to a healthy pregnancy suggest that standardized SDOH screening is very important
Evaluating The Effectiveness of Computerized Provider Order Entry on Medication Error Rates
No full textThis program evaluation was conducted in two long term care facilities that implemented a computerized provider order entry system in November 2020. The objectives of this paper are (a) to examine the impact of the CPOE system on transcription related medication errors, (b) estimate its efficiency, and (c) to evaluate end-user satisfaction with the system. Using a pre- and post- implementation methodology with retrospective chart review, paper-based medication orders were compared to their electronic counterpart to evaluate erroneous transcriptions. A survey was distributed to end-users for evaluation of satisfaction and an estimate of efficiency. A total of 184 medication orders were evaluated in the pre-implementation sample; 6 (3.26%) transcription errors were noted. The post-implementation sample, also consisting of 184 orders, revealed 1 (0.54%) transcription error. Prior to implementation of the CPOE, an estimated 390 minutes per week was spent on the medication ordering process compared to 300 minutes after the CPOE system was employed. The program evaluation also demonstrated high levels of satisfaction with the system amongst all interested parties
Certified Peer Specialists for Individuals with Suicidal Ideation in the Emergency Department
No full textImproving how individuals experiencing suicidal ideation (SI) are cared for outside of the hospital is vital as suicide has become a leading cause of death in the United States. The objective of this Project was to evaluate a new program that offers a certified peer specialist (CPS) to patients experiencing SI following discharge from the emergency department (ED). Data were collected from the electronic health records (EHR) of 584 patients who presented with SI, along with interviews with social workers (SW), and survey responses from registered nurses (RN). While 75 patients said yes to the program, only 5 patients connected with a CPS following discharge from the ED. The findings suggested that patients experiencing higher levels of SI preferred the option of a CPS, but a barrier seemed to exist in connecting patients with a CPS. Interviews with SWs suggested that patients were not fond of a phone call being the method to communicate with a CPS. The findings also showed a varying degree of knowledge regarding the program among RNs. Several RNs expressed receiving little to no education regarding the program, while SWs also alluded to limited understanding of the program among RNs. The findings suggested RN knowledge on the program and the method of communication utilized for patients and CPSs may have been contributing factors to the program's high attrition rates. However, a vast number of patients presented to the ED with SI, indicating this program has the potential to impact several patients
Supplemental Oxygen Use Extending Hospitalization
No full textCardiac specialties focus on adequate perfusion and maintaining oxygenation when issues arise with the heart muscle. Supplemental oxygen is a protocol that nurses can administer without prior consent from a physician (Wong & Elliott, 2009). It is important for nurses to have this protocol for efficient administration of oxygen in hypoxic clients. However, when patients are recovering from cardiac issues, excessive use of supplemental oxygen directly becomes a barrier to their discharge process and timeline
First-In-Family College Students: Coping with Financial Strain Through A Wellness Model
No full textThe purpose of this study was to conduct a formative program evaluation aimed at reducing financial strain for first-in-family college students. A presentation was created that outlined a 10-week program, combining individual and group counseling sessions, utilizing a wellness-based approach. It was predicted that such a program could be helpful to first-in-family college students. The presentation was shared with college counselors and other college staff who interact with first-in-family students. The survey participants reviewed the proposed program presentation and completed a survey regarding the program's content, importance, helpfulness, and integration with existing campus support services as well as the likelihood of program recommendation to students. Importance and helpfulness resulted in mean scores of 4.5 and 4.4, respectively on a five-point Likert scale and 100% of the participants indicated they were likely or very likely to recommend the proposed program to college students. Such a program could give college counseling centers the opportunity to reach underserved populations
Interprofessional Relationships Between Emergency Medical Service Providers and Emergency Room Nurses
No full textInterprofessional collaboration is an important cornerstone of the nursing profession. Nursing has explored how interprofessional collaboration can improve communication, teamwork, and role understanding which leads to improved patient outcomes within the hospital setting. Unfortunately, limited research exists between emergency room nurses and pre-hospital emergency medical service providers. This performance improvement project sought to improve communication, teamwork, and role understanding with the use of a 4-hour ride along/job shadow experience and group debriefings. A pre- and post-survey design was used along with qualitative surveys to capture individualized responses to project interventions. While the project participant size was small, with 11 participants, a positive impact can be seen within all 7 dimensions of the relational coordination theory survey that was used to capture participant experiences. Positive results were established by an increase in post-survey mean values in all 7 dimensions, which included 3 grouped subjects: improved communication, improved teamwork, and improved role understanding. Qualitative survey results included a positive value associated with the ride along/job shadow experiences, along with positive recommendations from participants to have others experience these interventions. Three themes were established from the qualitative surveys that include importance of role within the healthcare system, teamwork through communication, and knowledge and resources as an important aspect to providing complex care