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Book Review: Borderland Dreams: The Transnational Lives of Korean Chinese Workers, by June Hee Kwon
No full textTHINK PIECE: New South Korean Framework for Conceptualizing NonKoreans?: Taehanoegugin and the Politics of National Boundary-Making
No full textTaehanoegugin is a newly coined Korean term that gained popularity around 2018 when a television program of the same name began airing on one of the Korean cable networks. It is a mixture of two independent and preexisting terms: the first part of the word, Taehan (대한), refers to the Republic of Korea; the latter part of the term, Oegugin (외국인), means foreigner. Hence, translated, the term means the Republic of Korean-foreigners. The term gained popularity enough to be adopted by other television entertainment programs and a sector of the government. What can we make of the term’s popularity? Does it indicate that Korea, which had previously prided itself on ethnic nationalism, has changed its stance? Through analysis of the television program that originally popularized the term, I suggest that the term’s popularity is symbolic of the ways in which Korea is attempting to rebrand itself as a cosmopolitan nation
Say It. Check It. Chart It. Share It.: A VR Approach to Better Handoffs and Stronger Documentation
No full textObjective: Gaps in peri-anesthesia documentation contribute to poor handoff communication, adverse events, and increased hospital costs. AORN (2021) identifies accurate documentation as a professional standard. Nearly 67 percent of sentinel events involve communication failures (Joint Commission, 2024). These lapses can cause adverse drug events and prolonged hospital stays (McCarthy et al., 2025), costing more than $20 billion annually (Rodziewicz et al., 2024). Improving documentation education can strengthen communication and enhance patient safety.
Aim: This project aims to increase the accuracy and compliance rate of electronic health record documentation in the pediatric perianesthesia unit from 85% to 95%, thereby improving the quality of nurse-to-nurse handoff communication. Progress will be measured through on-site documentation audits and handoff evaluations. The project will begin on September 1, 2025, and conclude on December 5, 2025.
Method (Interventions): The intervention was delivered in eight 3-hour sessions to train all peri-anesthesia nurses on the unit. Each session included a didactic review of OP-Time documentation requirements and I-PASS expectations, followed by a VR demonstration, and a brief quiz. Nurses completed a confidence survey before and after their session, and baseline and follow-up chart audits were performed to measure changes in documentation accuracy.
Results: Documentation compliance increased from 85% to 89% post-intervention, indicating a 4% positive trend towards the target goal.
Conclusion: The implementation of VR-supported education showed a 4 percent improvement in documentation accuracy in the initial post-training audit, indicating a trend toward the project’s 95 percent benchmark. Continued education and regular audits are recommended to sustain improvement and support patient safety in the perianesthesia microsystem
From Incomplete to Impactful—Finalizing Unfinished Nursing Projects in NaRT and Polypharmacy for Lasting Improvement
No full textThis quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project sustainability. Thus, the central aim was to enhance the sustainability of clinical initiatives by adopting Kotter’s 8-Step Change Model and to complete the two prioritized projects. The methods involved a mixed-methods approach: Kotter’s model was introduced to leadership, the NaRT tool was refined and paired with simulation training for nursing staff, and a Polypharmacy protocol was developed using expert consensus methods. Key measures included leadership validation rates, expert consensus on clinical tools via Delphi methods, and nursing staff competency assessed through simulation checklists. The results demonstrated a 100% leadership validation and adoption of Kotter’s model, a 100% expert validation rate for both the revised NaRT tool and the new Polypharmacy protocol, and a 100% pass rate among trained nurses (16/16) on competency assessments. In conclusion, the application of a structured, evidence-based change management model successfully enabled the completion of previously stalled QI projects. It established a replicable process for achieving sustainable clinical improvements, thereby directly addressing the core problem of initiative failure
Nurses’ Voices in Prevention: Evaluating Enhanced Bedside Signage to Reduce Hospital-Acquired Pressure Injuries
No full textAbstract
Objective: Hospital-acquired pressure injuries remain a patient safety concern despite standard practice of nurses’ prevention protocols (National Pressure Injury Advisory Panel, 2022). Barriers include: inconsistent two-hour repositioning, documentation burden, inadequate staffing, lack of visual cues of patient risk level, and inconsistent compliance with the overall comprehensive prevention bundle (Agency for Healthcare Research and Quality, 2023).
Aim: HAPIs occur within two adult medical-surgical and telemetry units at a tertiary hospital. In response, staff were surveyed on potential interventions, resulting in the production of a visual cuing system.
Methods: Pre- and post-surveys were conducted on the two medical-surgical units to assess staff knowledge of HAPI prevention methods. Specific unit needs were assessed to identify feasible interventions. Results were compared to determine the effectiveness of quality improvement measures.
Intervention: A two-week intervention distributed modified visual flyers featuring the Braden Score protocol during huddles on both units. The flyers outlined moderate- and high-risk criteria and reinforced two-hour repositioning. Floor-wide audits during the intervention assessed the flyers’ viability, compliance, and use.
Results: About 67% of staff nurses reported adopting the HAPI Prevention Tool flyer into their daily practice for its potential effectiveness in decreasing HAPIs and improving patient care.
Conclusion: Staff strongly supported the cuing tool. However, audits revealed inconsistent implementation and low-fidelity signage despite higher self-reported use, indicating a knowing–doing gap
The Pressure is On: A Quality Improvement Project to Educate Nurses on Hospital Acquired Pressure Injuries
No full textObjective Hospital acquired pressure injuries (HAPIs) are injuries developed by admitted patients, from treatment interventions that they encounter during their hospital stay. If a patient acquires a HAPI during their stay, the hospital is required to cover all expenses related to the injury. An in-patient trauma unit at a large medical center wishes to improve patient care by educating nursing staff on preventive measures of HAPIs. A review of relevant literature on HAPIs from the past five years was conducted to identify HAPI preventions tools, such as the Braden Scale and SKINS bundle, as well as the best methods to inform registered nurses (RN) of HAPI prevention. Aim A quality improvement (QI) project has been selected to implement a nurse education program on the proper use of the Braden Scale and SKINS Bundle to prevent further HAPIs on the in-patient trauma unit for the remainder of 2025. Methods The QI project was composed of a pre-intervention survey to assess nurses’ knowledge utilizing the Braden Scale and SKINS bundle. An educational in-service was directed to RNs to increase their knowledge of the Braden Scale and SKINS bundle, as well as improve their performance with patient care. A post-intervention survey was then performed to determine any changes in RN knowledge/confidence. Results Data gathered from the pre-and-post-intervention surveys demonstrated that RNs confidence in utilizing the Braden Scale increased from 91% to 100% and their confidence in utilizing the SKINS Bundle increased from 65% to 88%. Conclusions The educational in-service increased the nurse’s confidence in accurately utilizing the Braden Scale and SKINS Bundle to prevent or treat HAPIs. From September to November 2025, the unit has not identified a HAPI from their patient population, suggesting that interventions of continuous RN education can increase knowledge/confidence to improve patient outcomes and decrease hospital expenses
Enhancing Psychotropic Medication Documentation Through Staff Education to Promote Increased Compliance Rates and Patient Safety
No full textObjective: Inappropriate psychotropic medication use and documentation poses a risk to patient safety and health as well as premature death while also leading to regulatory noncompliance (Bednarczyk et al., 2022). Improving nurse documentation can help patients maintain safe and adequate prescriptions and doses. Context: Baseline data collected within our microsystem revealed gaps in nurse comfort and knowledge around documentation requirements. The nursing staff (LVNs/RNs), who we received the baseline data from, are responsible for assessments, documentation, and patient monitoring, for which there is significant variability in understanding the required expectations. Interventions: The education for the skilled nursing staff as well as the standardized flow sheets were provided to increase staff knowledge, comfort, and adherence to documentation standards. Methods: Pre- and post-intervention surveys assessed nursing staff knowledge, confidence, and documentation methods over a 6 week period. Results: Average staff confidence in psychotropic medication documentation increased from 44.4% to 60.7%. Nurse knowledge of the documentation processes improved from 80% to 85.7%. Conclusion: Focused education paired with structured tools enhance nursing staff competency, supports compliance, and promotes safer, high-quality patient care. Improvements were observed, but findings also show a need for a continued education on psychotropic medication use in addition to standardizing documentation practices due to the percentage decrease in knowledge between the pre and post intervention surveys. Future efforts will include ongoing staff education on psychotropic medication requirements and evidence-based interventions and EHR charting review and training as requested by staff
Developmentalism, Christianity, and Population Decline in East Asia
Get PDFIn 2024, Taiwan and South Korea had the lowest fertility rates in the world. Instead of solving this demographic conundrum, this paper examines the ways in which women, family and fertility have been described, measured, and discussed across time and space in East Asia and introduces the role of US Christian ideology in propagating population control. US Christian missionaries and networks forged in China and Korea in the nineteenth century built a foundation for the social sciences of the family in early twentieth century China that developed into US modernization theory-led demography in the Republic of China on Taiwan and the Republic of Korea during the Cold War. Missionary attempts to liberate women from the shackles of the East Asian family informed research, policy and political systems that continue to make her the political target of population policies today
Citizenship Education for Trans Inclusion
Get PDFAmidst a backdrop of rising hate crimes and hostility towards the trans community, educational institutions have emerged as an area of contestation. How can educators navigate this to create rights respecting classrooms that empower active citizens who advocate for trans equality? This piece provides a community-based commentary that considers the legal responsibilities and duties of teachers to safeguard children and young people. It informs us on opportunities for the consideration of educators’ duties through the lens of Yogyakarta Principles+10 and the UNCRC
Cal High’s March Towards Equity: A Documentation of Strength and Empowerment at California High
Get PDFThis first edition, composed by nine co-authors and one talented illustrator, is not the first, nor the last, to seek something more from our community. We hope this book will be expanded by passionate students who come long after us, as they record, examine, and lend their voices to the social issues of their age. It’s hard work changing a system, whether it be a mechanical wonder or our society as a whole, but such work is never meant to be done alone and must be tackled with the utmost determination. For this, our book also aims to show the power that derives from our united community and the sheer dedication it has shown to the betterment of itself