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Improving Mood Scores with Social Robot Dog ‘Pupper’ in Pediatric Cardiovascular Patients
Get PDFObjective Pediatric hospitalization has been shown to increase the risk of developmental delays, social isolation, and mental health disorders. Consequently, decreased happiness also results from hospitalization, leading to reduced motivation and less engagement in their care. Aim The aim of this project is to improve the mood of pediatric patients aged 3-25 years by 50% from the patient’s baseline level within one month, from October 16, 2024 to November 13, 2024, on a pediatric cardiac step down unit by utilizing a social robot dog to motivate patients in engaging in their care. Methods Twelve participants between the ages 4-18 years individually interacted with a social robot dog, Pupper, with the goal to increase their happiness and mood. Each patient completed a pre- and post-intervention survey to assess the impact of Pupper on improving their overall mood and happiness. Results Pupper improved patient mood ratings by 24%, from 3.75 at baseline to 4.67 on a six point scale. Participants also expressed more positive and fewer negative emotions following the intervention and expressed a high acceptability of Pupper. Conclusion Pupper successfully improved the overall mood and emotions of the participants and may be a great resource for enhancing the overall well-being of hospitalized children. However, further research with a larger sample size and wider range of units must be conducted
Stress Management Education Module for Nursing Students
Get PDFAbstract
Background. Stress refers to a state of mental tension caused by a difficult situation. Research indicates that stress negatively affects university students.
Problem. Researchers have found that 30% of undergraduate nursing students have symptoms of burnout resulting from an overaccumulation of stressors and 97.8% were at moderate risk for developing burnout.
Approach. An educational module consisting of a 15-minute YouTube videos was designed, developed, and implemented to increase awareness about stress, reduce feelings of anxiety, and identify integration potential of such a module in nursing education to promote student well-being. Participants completed an online survey before and after watching the video that included five general demographic questions and a 10-item Perceived Stress Scale (PSS).
Outcome. Fifteen students out of a possible 40 (37.5%) completed pre- and post-surveys. Most participants were female (89%), and all were third semester nursing students at a local community college. Mean pre-PSS score was 18, indicating moderate levels of perceived stress. Results indicated no statistically significant difference between mean pre- and post-PSS scores (18 vs 19, p=0.8). Conclusion. Although results were not statistically significant, students did report moderate stress at both time points suggesting nursing schools should integrate stress management content into their curriculum. Students in the study were satisfied with the use of YouTube to discuss stress in nursing school to suggest that social media platforms can help nurses learn to deal with stressful situations in real time and be better caregivers
Food Security and its Impact on Hypertension in Urban Communities
Get PDFThe Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling at least five patients. To achieve this, the QI Team implemented a comprehensive flyer in the adult medicine department of an urban clinic. The utilized Emergency Health Record (EHR), EPIC, was modified with a hypertension column to identify eligible patients. At the onset of the two-week intervention period, staff received 50 revised flyers. Upon completion, four flyers were delivered to patients. A database review demonstrated a 245% increase from the mean of five to 11 enrollments. After the first cycle, the QI Team debriefed with the end-users, who reported that the flyer was user-friendly. Limitations to this study included delayed enrollment into the Program due to insufficient staffing. Environmental barriers and individual workflow variation may contribute to low compliance with the intervention. Future recommendations for following QI Teams include emphasizing referrals over enrollments due to delays in the process, which made enrollment causation hard to identify
WINE-RS OR LOSERS: ASSESSING SOCIO-ECONOMIC IMPACTS OF EU REGULATIONS ON CLIMATE-EXACERBATED PLANT DISEASES AND PESTS WITHIN NORTHERN ITALIAN VITICULTURE
Get PDFAs climate change furthers weather events and unprecedented hot and wet seasons, European farmers are amongst those challenged by these threats. Balancing sustainable and traditional practices while maintaining socio-economic stability can be difficult, especially under European Union (EU) agricultural regulations. A key area of concern for some agro-regulations is viticulture, or grape growing, which is amongst the most climate-sensitive agricultural sectors. These agro-regulations address multiple goals, including sustainability, exports, and cultural heritage protection. Yet, to what extent EU climate-driven agricultural regulations influence regional wine-growing operations’ socio-economics remains unclear, particularly in managing climate-aggravated pests and plant diseases. My thesis aims to examine this through the question: in what ways does the European Union\u27s regulations addressing climate-exacerbated pests and plant disease influence the socio-economics of different vineyard farmer types in Northern Italy? The study focuses on regulatory impacts, and identifies which types are likely to benefit and who are likely to struggle under them. Relevant agro-regulations are sourced from EUR-Lex using keywords like, “climate,” “integrated pest management (IPM),” and “agriculture,” with focus on those in force during both Common Agricultural Policy (CAP) reforms. The Typical Farm Approach proposed by Chibanda et al. (2020) is employed, which assists in determining the identification and characteristics of categorically different farming systems. Three key socio-economic findings emerged from analyzing agro-regulations in relation to viticulture types. First, top-down and research-driven management strategies can subvert local, place-based knowledge, which undermines traditional practices and creates economic uncertainty for farmers with unique terrains and cultivation methods. Second, EU subsidies and aid can provide support but also lead to unintended consequences, making them disadvantageous to certain vineyard types. Finally, Integrated Pest Management (IPM) methods, while beneficial for biodiversity, present barriers that negatively impact Northern Italian viticulture methods and maintenance. EU regulations can overall exacerbate economic inequality, erode trust in the government, and cause loss of agricultural land and traditions. By identifying what types of regional viticulturists benefit and who struggle under regulations, a more balanced and inclusive approach can be explored
The San Francisco Cultural Districts Program: A Potential Answer to Fighting Gentrification and Uplifting Culture and Neighborhoods
Get PDFAs San Francisco neighborhoods are rapidly changing due to gentrification and displacing longtime residents and small businesses, the San Francisco Cultural Districts Program was established in 2018 with the goal to disrupt gentrification by prioritizing the voices of people within these disinvested neighborhoods. Through analyzing government documents, news articles, and conducting personal interviews, I am conducting a hypothesis-generating, qualitative case study on one of the cultural districts, SOMA Pilipinas. This is to determine if the San Francisco Cultural Districts Program is an effective model in giving impacted communities more of a role in decisions about how to best protect their communities from gentrification and displacement, while also having a say in how to celebrate and present each community’s culture. While still a young program, the San Francisco Cultural Districts Program is promising to be that connection between city government and the community, as each cultural district is tasked with creating a CHHESS (Cultural History, Housing and Economic Sustainability Strategy) report through feedback from community members that creates a set of goals for the cultural district to complete. Working with other established community-service organizations, the cultural districts have the opportunity to secure funding from the city to accomplish these goals. The San Francisco Cultural Districts Program can reverse the wrongs of history and provide a powerful partnership between the city and the community to protect the cultural diversity of San Francisco
Herencias y Resistencias desde la Interseccionalidad: Género, Sexualidad y la Reforma Radical
No full textThis article examines how the Radical Reformation movement — although it did not transform gender roles or acknowledge dissident sexualities — left a living theological legacy in inclusive practices and critical theologies that continue to sustain emancipatory struggles today. Through an analysis of the feudal context, peasant revolts, and the tensions between moral control and embodied spirituality, the article explores how gender and sexuality were regulated, repressed, or re-signified. The analysis recovers historical, theological, and mystical elements which —when read through feminist and queer lenses— open new paths for rethinking faith through justice, autonomy, and bodily dignity
Haciéndole el Amor a Dios: Una Lectura de Madame Guyon a Través de los Lentes de las Teologías Latinoamericanas Cuir y Ecofeminista
No full textThrough Pentecostal and Holiness missionaries, Madame Guyon’s ideas influenced Christians around the world —including in Latin America— prompting the need for a reevaluation of her works. This article interprets «pure love» in A Short and Easy Method of Prayer and Guyon’s autobiography, drawing on Marcella Althaus Reid’s Indecent Theology and the ecofeminist insights of Ivone Gebara. The goal is to revive the erotic dimension in Guyon’s relationship with God and her «spiritual children,» showing how she teaches the possibility of developing a healing and resilient relationship with the Divine through painful physical and emotional human experiences, in order to find the benefit of the community
Exploitation in College Sports: No Longer Just a “Man\u27s Game”.
No full textPrevious studies of college athlete compensation have generally focused on the “revenue sports” of football and men’s basketball. Hence, wage exploitation is often considered a “man’s game.” In the 50 years since Title IX, many women’s college sports have reported millions of dollars in revenue, suggesting wage exploitation is possible in college softball. Data on 19,760 athletes from 294 universities from 2012-2021, combined with two different sources of athletic revenue reach the same conclusion: wage exploitation exists in college softball. Furthermore, thousands of players generate more revenue in college than the wages they are likely to earn playing professional softball
Uncovering the Invisibility of Middle School Emergent Multilingual Learners: A Qualitative Case Study
No full textThe population of multilingual learners in the United States has been steadily increasing. While California and the rest of the nation have been experiencing an influx of newly arrived multilingual learners coming from other countries, there is a large group of emergent multilingual learners, or so-called long-term English learners, who were born in the United States and continue to be invisible in secondary classrooms and on schools’ campuses. Over the decades, research has continuously marginalized and labeled this group of students as those who are not able to reach academic English proficiency and be academically successful (Freeman et al., 2002; Menken & Kleyn, 2010; Olsen & Jaramillo, 1999; Rance-Roney, 2009; Ruiz-de-Velasco et al., 2000; Valdes, 2001; Walqui, 2000). Recent research has shifted this perspective and added the value of bilingualism, focusing on these students\u27 assets and cultural and linguistic values (Brooks, 2020; Garcia, 2009; Kleyn & Stern, 2018; Rosa, 2019; Stewart & Genova, 2021; Zacarian & Staehr Fenner, 2020). Even though multiple studies have been conducted around emergent multilingual learners, most concentrate on elementary and high school students, leaving middle school emergent multilingual learners as an understudied area of research.
This qualitative case study examines existing teachers’ and leaders’ beliefs and school-wide practices that support emergent multilingual learners at one public middle school in the Bay Area, California. The study consisted of classroom observations, professional development feedback, and interviews with classroom teachers, school administrators, and teacher leaders. The findings of this research are centered on the following themes: 1) teachers and administrators\u27 conflation; 2) emergent multilingual learners\u27 invisibility at the school-wide level; 3) invisibility in the educators’ instructional practices; 4) glimpses of potential visibility; 5) staff school-wide proposed steps for increasing awareness and accountability around the needs of emergent multilingual learners. Findings underscore that individual teacher and administrator conflation, as well as the invisibility of emergent multilingual learners at the classroom level, derive from the overall institutional invisibility of this group of students. The findings suggest that in order to bring visibility to this group of students, it is vital to start at the systemic level and have a shared understanding of this group of students and their needs
Fostering Interprofessional Collaboration in Community College Mental Health Centers: A Quality Improvement Project
Get PDFBackground The worsening mental health rates among college students in the United States highlight the critical need for campuses to have high-quality comprehensive mental health centers (MHC). This necessity is particularly urgent in community college MHCs, which often lack these attributes. Local Problem An MHC within a large California community college recently introduced telepsychiatry services and is considering integrating a Psychiatric Mental Health Nurse Practitioner (PMHNP) into their team. However, knowledge gaps and limited interprofessional education (IPE) may hinder effective collaboration within the team. Methods A comprehensive literature review was conducted to assess current research on IPE, community college mental health services, and PMHNPs. Subsequently, a quality improvement (QI) initiative utilizing the Interprofessional Education Collaborative (IPEC) Core Competencies framework was initiated. Interventions A QI project focused on IPE was planned, implemented, and evaluated. A one-hour IPE presentation led by the DNP scholar and co-facilitated by the clinical director was delivered to four counseling interns. Pre- and post-session surveys were utilized to collect quantitative and qualitative data. Results Survey outcomes indicated that the IPE session enhanced interns\u27 confidence and motivation for interprofessional collaboration (IPC) and provided practical insights relevant to their roles. Conclusions This IPE initiative was a low-cost approach that helped address counselors’ knowledge gaps and prepared them for IPC with psychiatric providers. Insights for future IPE initiatives, project limitations, and health policy recommendations were also examined