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Adopting Permissioned Blockchain Models to Enhance Consumer Protection and Comply with Consumer Protection Laws
Get PDFBlockchain technology enables decentralized, peer-to-peer transactions and data management, offering transparency while raising data privacy and consumer protection concerns. As the current administration promotes blockchain adoption, including cryptocurrency, more users and businesses will likely integrate the technology. This thesis provides a framework to help businesses adopt blockchain while ensuring compliance with the California Consumer Privacy Act (CCPA). To prevent data mishandling and legal penalties, consumers and businesses must stay informed about the risks and evolving state privacy laws.
A CCPA-compliant approach retains blockchain’s benefits through a permissioned model, storing only non-personal (neutral) data on-chain while keeping personal information off-chain in a cloud database subject to auditing. This model reduces transmission-stage data breaches common in permissionless blockchains and enhances security through smart contracts. However, blockchain’s immutability poses challenges for data deletion requests. While hashing can obscure consumer data, it does not comply with the CCPA since it restricts a consumer’s right to access collected information. Similarly, while encryption can safeguard sensitive business data, it does not exempt businesses from complying with consumer privacy rights.
Amendments to the CCPA, effective January 1, 2025, classify encrypted data as “personal information” and require pseudonymized data to be separately protected to prevent reidentification. The European Union’s General Data Protection Regulation (GDPR) reinforces this by stating that pseudonymization alone is insufficient to protect personal data. To align with consumer protections, states should mandate that permissionless blockchains share only neutral data and define blockchain developers as data controllers. Given that 70% of blockchain hacks occur at the transmission stage, encouraging permissioned models could mitigate data leaks.
This thesis calls for multistate collaboration to establish uniform regulations supporting seamless business operations. It also acknowledges the federal limitations of H.R. 6572, the Deploying American Blockchains Act of 2023, and the potential for congressional amendments under the current administration, which could preempt state laws under the Supremacy Clause
Reducing Barriers to Timely Indwelling Urinary Catheter Removal
Get PDFProblem Nurse-driven removal protocols (NRDPs) have been shown to reduce indwelling urinary catheter (IUC) days and prevent catheter-associated urinary tract infections (CAUTIs). Communication barriers prevent consistent implementation of the NDRP, leading to delayed IUC removal and increased risk of CAUTIs. Context The project was conducted in a 16-bed adult surgical intensive care unit (ICU) at a teaching hospital in a major metropolitan area. Interventions Urinary catheter reminder posters displaying IUC days were posted at each bedside to prompt discussion of IUC indication and removal. An email describing the project background was sent to all nurses and physicians by the unit director. One-on-one conversations explaining the use of the posters were conducted with bedside nurses. Stickers with a cartoon IUC and the text “Why am I here?” were distributed as a light-hearted conversation starter to promote IUC discussion. Measures Interdisciplinary rounds were observed before and after the intervention to measure the proportion of rounds in which IUC indication or removal was discussed by members of the care team. The catheter utilization rate was compared between the pre- and post-intervention periods. Results The frequency of interdisciplinary rounds discussing IUC indication or removal increased from 23% to 30%. Catheter days per patient day decreased by 20% from a rate of 0.61 in April 2023 to 0.50 from April 1-21, 2024. Conclusions Early findings suggest that promoting interdisciplinary communication with visual reminders increases communication and decreases IUC utilization. More evaluation is needed to determine sustainability and impact over time.
Keywords: NDRP, barriers, CAUTI, empowerment, interdisciplinary communicatio
Impacting Queer Trans-Migrations in Mexico: A Case Study of civil society organization Casa Frida Refugio LGBT+
Get PDFMexico has historically been known as an emigration or transit country. In this context, civil society organizations have played pivotal roles in addressing the voids in support for migrants. Among these organizations, Casa Frida Refugio LGBT stands out as a significant service provider, specifically for LGBT+ migrants. This study engages in a qualitative case study analysis of the organization Casa Frida, drawing from interviews conducted with nine LGBTQ+ migrants and refugees, personal observations, and Casa Frida’s website and social media accounts. The research seeks to answer two central questions: Firstly, what role does an LGBT+ specific service provider like Casa Frida play in the personal development of LGBT+ migrants along the Mexican migration corridor? Secondly, how do civil society organizations such as Casa Frida shape the migration plans and outcomes of LGBT+ migrants in Mexico, especially within the framework of U.S. border externalization? Findings from the study illuminate the transformative role of Casa Frida in the lives of LGBT+ migrants. The research reveals that Casa Frida facilitates a shift in migration destination preferences among LGBT+ migrants, with Mexico emerging as a viable and even preferred destination. Moreover, the migrants express heightened levels of comfort and a newfound willingness to freely express their gender and sexuality after leaving Casa Frida. These insights underscore the crucial significance of specialized civil society organizations in providing holistic support and fostering empowerment among queer migrant communities. Considering ongoing debates surrounding migration policies and border externalization, this research contributes valuable perspectives to the discourse on inclusive support mechanisms for LGBT+ migrants in Mexico
Cultivating an Environment of Black J.O.Y. in Educational Settings
Get PDFJubilantly creating
Opportunities and possibilities to be
You…authentically and unapologetically.
This track focuses on creating and facilitating an environment of Black Joy within educational environments—particularly those environments that have not always been welcoming, affirming, or equitable. The track will first seek to explore current research and literature about Black Joy in schools, and then share strategies and curriculum ideas that promote authentic experiences with learning inside and outside of the classroom. The track closes with 29 tips that promote the uplifting and amplification of Black voices and the Black experience within education
Exploring Liberatory Practices of Dreamkeepers
Get PDFIn this paper, we interviewed four extremely accomplished Black educators who represent a range of disciplines, ages, and levels of education. We relied on referrals from peers in the field, then determined whether those individuals were exemplary Black educators using the extraordinary historian, psychologist, and teacher Dr. Asa Hillard’s definition of a master teacher. The four educators we ultimately selected met those criteria. Our lengthy conversations with each educator explored their drive, inspiration, joy, and practices in the journey toward becoming and being a Black liberatory educator
Book Review: The Human Rights Imperative in Teacher Education: Developing Compassion, Understanding, and Advocacy
Get PDFReducing the Incidence of Nosocomial Aspiration Pneumonia in Adult Oncology Patients
Get PDFObjective: Cytotoxic chemotherapy places oncology patients at risk of complications such as mucosal barrier injuries (MBI) and aspiration pneumonia. Current literature supports the use of high-quality oral hygiene protocols to reduce the frequency and severity of these complications.
Aim: By end of fiscal year 2025, we will achieve a 0.2% reduction in incidences of aspiration pneumonia, from 1.5% to 1.3% of total patient discharges, among adult cancer patients in the oncology units. Methods: A survey was used to gather baseline oral hygiene compliance data on six acute care oncology units. Based on the results of the survey and discussions with nursing staff, the interventions to achieve this goal will include collaboration with hospital leadership to create paired oral hygiene order sets with each chemotherapy order, and staff education emphasizing the importance of oral hygiene in this population. Results: The expected results following implementation of a paired order set is an increase in staff and patient compliance with the oral hygiene protocols. It is anticipated that this will lead to reduced rates of MBI and subsequent aspiration pneumonia in the oncology population. Conclusion: Improved compliance with oral hygiene protocols will lead to a decrease in nosocomial aspiration pneumonia in the oncology population. Measures to sustain this quality improvement include assigning each unit an oral care nurse champion and monthly compliance reviews
Enhancing Disaster Preparedness in Nursing Education: A Quality Improvement Approach Using Simulation and Training
Get PDFBackground: Natural or artificial disasters threaten safety and continuity in educational settings. The University of San Francisco School of Nursing and Health Professions (USF SONHP) identified a critical gap in its disaster preparedness, underscored by the absence of a comprehensive disaster plan. This shortfall highlights the need for an educational strategy encompassing disaster readiness and response, particularly given the potential for such events to cause substantial harm and disruption.
Local Problem: A gap analysis conducted at the USF SONHP revealed the lack of a structured disaster plan, underlining the urgent need for an initiative to develop and implement a comprehensive disaster management educational plan. This plan aims to equip nursing students, faculty, and support staff with the knowledge and skills to respond effectively to disasters.
Methods: This Doctor of Nursing Practice student-led quality improvement project integrates disaster preparedness and response training into the University of San Francisco nursing curriculum. Disaster simulations and partnerships with local emergency services support it.
Interventions: The project included pre-simulation training on triage, first aid, and Stop-the-Bleed techniques, followed by disaster simulations assessed using the Simulation Effectiveness Tool–Modified (SET-M). Data collection involved post-simulation surveys and qualitative feedback from debrief sessions to evaluate confidence, skill retention, and perceived learning outcomes.
Results: Post-simulation results significantly improved participants\u27 confidence (Cohen\u27s d = 0.67), with a 68% increase in nursing students\u27 knowledge and confidence in medical interventions compared to baseline levels. Participants reported enhanced confidence, improved retention of clinical skills, and a strong preference for simulation-based learning. Realistic scenarios further bolstered their readiness for real-world emergencies.
Conclusions: Simulation-based disaster management education effectively enhances nursing students\u27 confidence and preparedness, addressing critical gaps in disaster response training. The project underscores the need to integrate this training into nursing curricula so that students can effectively manage crisis scenarios. Further refinement and scalability efforts are recommended to maximize its impact
Developing a Trauma-Informed Family-Centered Care Toolkit for Neonatal Intensive Care Unit Nurses
Get PDFBackground: The neonatal intensive care unit (NICU) may be a stressful, traumatizing, or re-traumatizing experience for parents of critically ill newborns and infants.
Problem: NICU nurses and other healthcare providers may not realize their impact on parental stress responses as neonatal care providers may not have adequate training to support adults experiencing acute emotional distress.
Methods: Strong evidence supports using family-centered care (FCC) in the NICU to promote bonding and parental involvement in caring for their infants. This manuscript aims to review current research and literature on trauma-informed care training and its impact on nurse confidence in managing dysregulated adults, develop an evidence-based trauma-informed tool, and provide knowledge and skills for NICU nurses and healthcare providers to support these families in crisis better.
Interventions: Adding trauma-informed care (TIC) principles to existing FCC interventions may create psychological safety and support for families experiencing acute stress response to their infant’s hospitalization.
Results: The integrated review yielded good quality evidence to support training effectiveness to increase the confidence and knowledge of nurses and other disciplines to use TIC when caring for dysregulated adults. Evidence is limited in non-mental health settings.
Conclusions: While further studies of TIC in non-mental health environments are needed, FCC trauma-informed practices may reduce parental anxiety and trauma responses while creating a safe environment that encourages effective communication between NICU nurses and parents