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Evaluating Emergency Prepardness Education: A Gap Analysis of Health Agency and Academic Plans Against AACN Essentials
No full textKey aspects of the literature review included the need for structured disaster preparedness education in nursing, including disaster drills and simulations. The studies in the literature review found that effective education models incorporate simulation, hands-on training, and theory-based approaches, as well as integration with national standards. The literature review also emphasized the importance of addressing educational gaps and supports the use of virtual simulations and collaborations to enhance learning. The current educational curriculum in the public health nursing rotation does not thoroughly align with the American Association of College Nursing (AACN) Essentials, specifically those related to disaster preparedness, creating a significant gap in nursing education. There is an approximate 20% gap in the current educational curriculum that does not align with the AACN Essentials. In this study, a narrative literature review method was employed to gather, analyze, and synthesize existing research on disaster training in nursing education. This approach involved a structured search of relevant academic databases using predefined keywords, followed by screening studies based on inclusion and exclusion criteria. The aim was to identify patterns, gaps, and consensus in the current body of knowledge to provide a comprehensive understanding of disaster preparedness training in nursing education curricula. (Who or what identified the gap) A gap of 20% or greater was identified in the current educational curriculum after comparing the current AACN essentials with the current public health education curriculum. Implications for this study include a refined and improved educational curriculum for the public health nursing rotation that closely aligns with the current AACN Essentials
A Timber Tradition: Pacific Northwest Architecture and the Role of Local Wood Sourcing in Oregon
No full textWithin the study of Portland’s architectural heritage, there is a deep connection to
materials local to the region. The use of these materials, combined with sensitive
architectural design, delineates a building as being from a place rather than an
imposition. The impetus to define the local wood architecture of Portland, Oregon led
me to an understanding that the health of the forest is predominant in design and
construction. I have found that environmental stewardship promotes a distinct typology
of architecture; one that can be recreated and derived from the same source—a tree.
Inferring from local wood sourcing, I have determined that the benefits of this practice
are multi-faceted: boosting the local economy, climate assurance, promoting societal
ethics, and creating localized architecture. By understanding the history of the timber
industry in the Northwest, I have identified how a positive continuation of lumber
utilization may take place. Architecture in Portland will rely heavily on local resources in
the future, utilizing timber in new ways to achieve goals set by innovation and
communities. Regional architecture is present in the Northwest and is separate because
of its rationale regarding the environment and material. I have found reason to
continue, if not engage further, in the practice of local wood sourcing. The relationship
between local architecture and material is innate, creating a holistic presence that
encapsulates Portland’s disposition. Through this study, a comprehensive
understanding of wood sourcing, industry, and geography-specific architecture is
conveyed. As well, an educated presumption for the future of architecture in this
practice
Understanding Healthcare Experiences of Individuals with Intellectual and Developmental Disabilities (IDD): A Mixed-Methods Research Proposal
No full textBackground: Individuals with intellectual and developmental disabilities (IDD) often face persistent barriers to healthcare, which include complex health conditions, persistent health disparities driven by social determinants, insufficient provider training, widespread stigma, and significant communication barriers. While previous studies highlight systemic issues, they often overlook the lived experiences of both patients and providers. Purpose: This paper outlines a mixed-methods study, guided by the theory of planned behavior (TPB) to examine how attitudes, social norms, perceived behavioral control, and past healthcare experiences relate to behavioral intentions—specifically, the intention to attend future healthcare visits among adults with IDD and the intention to provide and learn inclusive care among healthcare providers. Methods: Surveys, measuring TPB constructs and past healthcare experiences, will be administered to 50 adults with IDD and 50 healthcare providers in the San Francisco Bay Area. One-on-one interviews with 15 participants from each group will further examine communication challenges and care delivery. Quantitative data will be analyzed using Spearman’s correlation and multiple linear regression, while qualitative data will be thematically analyzed. Implications: Findings aim to inform inclusive training, practice, and policy improvements in healthcare for individuals with IDD
Enhancing Access to Medication-Assisted Treatment (MAT) for Minority Inmates in the San Diego Prison System: A Quality Improvement through Culturally Competent Approach
No full textAbstract
Background The opioid crisis disproportionately affects racial and ethnic minority groups, particularly in correctional settings. In San Diego’s prison system, only 20% of incarcerated individuals with Opioid Use Disorder (OUD) receive Medication-Assisted Treatment (MAT), highlighting significant care disparities.
Local Problem Limited access to MAT among minority inmates contributes to poorer health outcomes, higher overdose rates, and increased healthcare costs. Addressing these disparities is crucial for improving health equity within the prison system.
Methods A review of 10 studies emphasized the importance of culturally competent care in improving treatment engagement and outcomes among minority populations. To address disparities, the intervention will include culturally sensitive training for healthcare providers, monitored through MAT utilization rates, pre- and post-intervention surveys, and qualitative feedback to assess provider confidence and practice changes.
Proposed Interventions The intervention involves culturally competent training for healthcare providers to reduce treatment barriers and improve engagement with minority inmates. The aim is to increase MAT participation by 5% (from 20% to 25%) over six months while evaluating provider confidence and practice changes using pre-post surveys and feedback.
Outcome Measures The primary goal is a 5% increase in MAT utilization (317 to 396 inmates) within six months. Secondary measures include qualitative feedback on training and pre-post survey results assessing providers’ confidence in delivering culturally competent care. The Project Lead will track progress through regular audits of MAT utilization rates and provider surveys.
Keywords: Opioid Use Disorder (OUD), Medication-Assisted Treatment (MAT), correctional healthcare, cultural competence, health disparities, minority populations, cost savings, San Diego prison system
Is Love a “pathological condition of the soul”? Joyce Carol Oates\u27s \u3cem\u3eBeasts\u3c/em\u3e and \u3cem\u3eRape: A Love Story\u3c/em\u3e
Get PDFThis paper seeks to address the question of Oates’s relation to feminist and gender theories by looking at two novellas published consecutively, Beasts and Rape: A Love Story in the beginning of the 2000s. The short texts share a common storyline based on rape, which is far from uncommon in Oates’s fiction. However, I argue that there is something very specific in these two novellas in the way Oates chooses to handle the testimony of the rape, both overtly and covertly, both in graphic details and in repressed forms of expression, giving way to a reflection on women’s vulnerable position within the symbolic order as defined by psychoanalysis. The Modernist tropes referred to, together with Oates’s glimpse at psychoanalytic theory at a time when approaches to rape would have been predominantly based on trauma theory, contribute to making these two texts fascinating examples of Oates’s trying to rewrite the “rape script”, and therefore challenge it
The Specter of Body Horror Haunting Joyce Carol Oates’s “The Chair of Tranquility” and Charlotte Perkins Gilman’s “The Yellow Wall-Paper”
Get PDFJoyce Carol Oates is the editor of a 2023 collection entitled A Darker Shade of Noir: New Stories of Body Horror by Women Writers. Her own story in the collection, “The Chair of Tranquility (from the Diary of Mrs. Thomas Peele, Trenton, New Jersey, 1853),” takes on a fuller meaning when considered in a dialogic relationship to Charlotte Perkins Gilman’s 1892 story “The Yellow Wall-Paper.” By first outlining how Gilman’s and Oates’s stories can be seen as sister stories, then analyzing some essential differences operated in Oates’s story, the author is finally able to discuss the dialogic effect of reading these stories in parallel to support the hypothesis that Oates\u27s story is also an allegorical denunciation of the Supreme Court\u27s 2022 decision overturning Roe v. Wade
Insufficient Memory
Get PDFArtist Statement
Insufficient Memory examines a window of time from 1999 to 2000, when the Hate Crimes Prevention Act was first being debated in Congress (and not passed). In 2018 I discovered an old Sony Digital Mavica which was the first commercially successful digital camera sold in 1999 to 2000. This camera was considered groundbreaking technology because it shot ⅓-of-a-megapixel images to a 3.5-inch floppy. I began thinking about what was overlooked, invisible, or erased in the same moment as that digital camera began to revolutionize imaging and visibility
Pioneering Pedagogy and Curriculum for a Global Black Consciousness: An Interview with Dr. Kassie Freeman
Get PDFIn 2020, the College Board introduced the AP African Diaspora seminar, the first advanced placement high school curriculum to feature an Africa topic or theme. The seminar proved to be groundbreaking and attractive as it has spread to more than 500 schools within the United States and ten institutions abroad. Much of the curriculum ’ s early success is indebted to the leadership from Dr. Kassie Freeman of Columbia University ’ s Teachers College. A nationally recognized leader in the fields of comparative and international education, Freeman began developing the idea for the AP African Diaspora seminar shortly after founding the African Diaspora Consortium in 2014. The Consortium is a global non-profit organization that envisions a world where students and individuals across cultures and borders have shared knowledge, experiences, and expectations for themselves and others. The following interview with Dr. Freeman explores the development of the Consortium and the trajectory of the AP African Diaspora seminar
Empowering Nurses, Enhancing Mobility: A QI Initiative Using PLOF and CLOF to Promote Patient Ambulation
Get PDFThe quality improvement project involves the intervention of implemented mobility educational flyers about the mobility tools, Clinician Reported Level of Function (CLOF) and Patient Reported Level of Function (PLOF) and aims to increase patient mobility post surgery. The quality improvement project was conducted in two medical surgical units in a San Francisco hospital. To address unmet mobility goals, during change of shift, in-services on the educational flyers about the mobility tools (CLOF and PLOF), were utilized to provide education about the importance of mobility, how to utilize the mobility tools, and correctly document ambulation. More than twenty flyers were posted at the nurses station and education in-services were provided within a one week period (April 14, 2025- April 18, 2025). Methods involved utilization of a 5Ps microsystem assessment, SWOT Analysis, Cause and Effect Analysis, pre-surveys, post-surveys, educational flyers, and educational in-services. Data collected via pre-surveys and post-surveys resulted in supporting the need for more education on mobility and proper documentation