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Supporting Students Who Support Students: Creating Systems of Care for Resident Assistants (RAs)
Get PDFResident Assistants (RAs) at institutions of higher education nationwide are responsible for creating community-building opportunities, engaging meaningfully with students, reporting and documenting concerns, generally ensuring the safety of on-campus students, and much more. RAs are expected to manage the mental, physical, and emotional needs of the students they supervise while simultaneously fulfilling other obligations they may face as students, friends, classmates, members of family units, and individuals in society. This project explores the mental and emotional toll the RA position plays on students who participate in the role. Particularly, this project investigates the needs of modern college students, the phenomena that occurs during the college-going transition period, the increasing occurrence of college students experiencing mental health-related challenges, the intersectional identities of RAs, the evolution of the RA position, and the potential for detrimental outcomes resulting from the RA role. In order to combat the potential adverse effects RAs may experience due to the content of their role, on-campus housing departments and colleges and universities more broadly must create intentional systems of support for RAs. A combination of mental health-related education, ongoing wellness check-in surveys, and subsequent RA-processing spaces will address the individual and collective needs of RAs. Together, these interrelated systems of care will create counteractive measures to reduce harm experienced by RAs
Direct Discharge Home from the Intensive Care Unit: A Modern Necessity?
No full textPURPOSE: Decrease delay of transfer from the Intensive Care Unit (ICU) (in days) for patients with Diabetic Ketoacidosis (DKA) by implementing Direct Discharge Home (DDH) from the ICU. Facilitating safe transitions of care between healthcare settings and demonstrating stewardship of limited health care resources are key competencies for the Clinical Nurse Leader (CNL). CHALLENGE: Hospital overcrowding results in transfer delays from the ICU to lower levels of care. Delays may span several days, during which patients improve clinically and become discharge ready. This reality supports DDH from the ICU out of necessity. Evidence demonstrates this trend is not unique to this hospital but is an emerging trend in the healthcare industry overall.EXPERIENCE: This CNL immersion experience took place over two semesters in the ICU of a 240-bed acute care urban hospital in mid-Michigan. In total, the clinical immersion experience was 385 hours. OUTCOMES: Ninety one percent of patients experienced a transfer delay of one day or less, compared to 78% of patients in 2024. Process measure findings included case management involvement; (5/11, 45%), PCP listed in EMR; (3/11, 27%), and referral to outpatient diabetes program; (2/11, 18%). Outcome measure findings revealed no patients with a 30-day ED visit/hospital readmission, or 90-day mortality. IMPACT: There was a 13% increase in patients being transferred in one day or less following implementation of this evidence-based project. It quantitatively supports transfer and discharge delays from the ICU were reduced without adverse outcomes. All 19 CNL role competencies were achieved
How DEI Rollbacks Impact the Economic Segregation Between High-capacity Nonprofits and Grassroots Organizations
No full textPurpose As diversity, equity, and inclusion (DEI) initiatives are being rolled back in corporate settings and the federal government, there is little understanding of the impact that this will have on health-based nonprofit organizations. Subjects Through this analysis, we will study high-capacity (HCNP) and grassroot nonprofit organizations (GRO) in the Michigan area with a focus on health initiatives to investigate how such rollbacks are impacting funding at both the corporate and foundation levels as well as federal grant programs. Methods and Materials Data collection will be completed via survey to the mass audience of health focused nonprofit leaders in the Michigan community. Additionally a small pool of organizational leaders will be identified from each type of organization to complete an interview for qualitative analysis.Analysis Statistical analysis will consist of both quantitative and qualitative methods. From the survey data, descriptive and inferential statistical tests will be used to determine if there is a difference between grassroot and high capacity organizations. We will also consider qualitative data to identify underlying themes that could help explain the statistical results. Results Pending survey and interview results. Study is currently underway. Conclusion Such findings can help identify fund development strategies and potential partnerships to address the economic segregation between organization types. This study is focused in Michigan and would require further analysis to extrapolate to a larger demographic
Volunteer Manager Perceptions and Sentiments About Court-Ordered Volunteers
No full textEvery year 600,000 people return to their communities after incarceration, and there are 3.7 million individuals who are living in the community under community supervision arrangements. These 4.3 million individuals with recent criminal records represent 2.7% of the American workforce. And with over 65% of courts in the US assigning community service hours as part of a sentence, it is estimated that 36 million hours of community service is ordered annually. With an estimated value of 1.14 billion in compelled labor savings annually from court ordered community service; however, the current experience for court-ordered volunteers is transactional in nature. This study explores the perceptions and experiences of volunteer managers regarding court-ordered volunteer programs. This qualitative analysis includes interviews with Michigan-based volunteer management professionals to examine their sentiments, challenges and strategies in overseeing court-mandated volunteers. The study seeks to understand how these programs are structured, the barriers managers face in implementation, and the broader impact on nonprofit organizations. Through interviews, this research aims to identify best practices and management strategies that can enhance the effectiveness of court-ordered volunteer initiatives, benefiting both the volunteers and the organizations involved
Maternal Adverse Childhood Experiences, Postpartum Healthcare and Depressive Symptoms: Pregnancy Risk Assessment Monitoring System Database, 2016-2022
No full textPURPOSE: Adverse Childhood Experiences (ACEs) are a predictor of adverse outcomes later in life, particularly for maternal health outcomes. This project aimed to evaluate the associations between ACEs and postpartum depressive symptoms (PDS) and utilization of postpartum healthcare. SUBJECTS: We analyzed data from the CDC’s Pregnancy Risk Assessment and Monitoring System for 2016-2022, which is a population-based surveillance system implemented by state health departments among women with a recent live birth. METHODS AND MATERIALS: Our sample was limited to four jurisdictions with data on ACEs (n= 21,160). Self-reported outcomes included postpartum check-up, asked about depression during postpartum visit, and PDS (depressed since birth, no interest since birth). ANALYSES: Multivariable logistic regression models accounting for survey complex weighting were used to estimate odds ratios and 95% confidence intervals (CIs) for the associations of ACEs and postpartum outcomes. RESULTS: Black and low-income mothers experienced more PDS, but were less likely to be asked about depression during a postpartum visit. Women who had certain ACEs were more likely to experience postpartum depression and postpartum lack of interest. In adjusted models, women who had 4 or more ACEs had 2.50 times the odds of having postpartum depression (95% CI: 2.08 - 2.99) and 1.85 times the odds of having no interest since birth (95% CI: 1.58 - 2.16). CONCLUSIONS: Women who had 4 or more ACEs were more likely to have PDS. Providing postpartum support and resources for women with a history of ACEs is critical
National Survey of Donor Advised Fund Donors
Get PDFThis report, The National Survey of Donor Advised Fund Donors, is the final of a three-part research series conducted by the Donor Advised Fund Research Collaborative (DAFRC). The report offers a comprehensive look into the characteristics and perspectives of individuals and families who utilize donor advised funds (DAFs) for their charitable giving in the United States. The study surveyed over 2,100 DAF donors, focusing on their demographics, financial characteristics, giving patterns, decision-making processes, motivations for using DAFs, and the role of DAFs in their overall philanthropic strategy
Blood Flow Restriction and the Achilles Tendon
Get PDFBackground: Blood flow restriction (BFR) is gaining popularity in strength gains and muscle hypertrophy.
Purpose: The study aimed to assess if BFR can change Achilles tendon size and to compare the size of the tendon based on the thigh or calf placement of the cuff.
Methods: Participants received an ultrasound guided measurement at baseline, mid-intervention, and post-intervention to assess the cross-sectional area of the tendon. Participants completed a six week BFR intervention where the cuff was randomly assigned to either thigh or calf placement on the non-dominant leg. Participants completed multiple repetitions of straight and bent knee calf raises with the limb occlusion pressure of the cuff set at 50%.
Results: The interaction of group and time measurement was not significant. The groups did not differ in how they responded to BFR. There was a significant effect of time found.
Conclusion: There were significant increases in Achilles tendon growth for both groups with the use of BFR. There appeared to be no difference in tendon hypertrophy outcomes based on where the cuff was placed. Keywords: Blood flow restriction, Achilles tendon, lower extremit
Promoting College and Career Ready Readers and Writers: A Guide for English, Science, and Social Studies Teachers to Support Instruction of SAT Reading and Writing Skills
Get PDFIn Michigan and across the United States, student scores on the Evidence Based Reading and Writing section of the SAT have been steadily declining. This project responds to this decline by developing a set of resources for skills-based literacy instruction that English language arts, social studies, and science teachers can use to revise their approaches to teaching literacy skills. Highly effective curriculum design and literacy instruction strategies were reviewed to design guides, templates, and models for practicing high school teachers at all grade levels to adapt in order to improve literacy instruction in their classrooms. By scaffolding literacy skills across grade levels and content areas, students’ SAT scores will improve, reflecting greater preparedness for the reading and writing required of them in college and in the workforce after high school
Are Community Philanthropic Organizations Planning for Climate Change?
Get PDFAlthough their role is sometimes overlooked, an Indiana statewide study confirms that most community foundations and United Way agencies directly contribute to meeting local disaster response needs.
Although half of all community foundations and United Ways report past service disruptions due to the more severe weather caused by climate change, the majority have not discussed the need to plan for disasters with their boards of directors to assure business continuity.
Community foundations lag behind United Ways and direct service nonprofits in risk mitigation, and their leaders are more likely to downplay the potential impacts of climate change on state residents.
Climate change discussions can be depoliticized by focusing on each community’s lived experiences with disaster, conducting risk assessments, and networking to share information and effective practices