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Enhancing Diabetic Patient Teaching on Continuous Glucose Monitoring Using the Teach-Back Method
No full textProblem: Patients with diabetes enrolled in primary care clinic A face challenges with access to care. Many diabetic patients are placed on the diabetic nurse educator’s schedule for continuous glucose monitoring, reteaching, or troubleshooting. Same-day appointments cause the diabetes nurse educator to be overbooked, and newly diagnosed diabetics are unable to schedule their initial appointment for up to a month.
Context: Primary care A clinic provides high-quality care to promote a healthier and happier community by providing various resources, including individualized diabetes management. The current patient education process uses demonstration when applying a new device and troubleshooting devices and readers.
Intervention: This issue was addressed by developing a foundational baseline for the current process, evaluating the registered nurses\u27 confidence in patient education using the teach-back method, and educating staff registered nurses on the standardized process.
Measures: The measures used to monitor the study are the percentage of the nurses’ confidence level in using the teach-back method during patient education. Quantitative surveys were used before and after their training.
Results: Two training sessions were conducted for registered nurses. After the first training, 66.7% of registered nurses expressed confidence using the teach-back method. The second training focused on more visual aids, hands-on practice, and practicing the teach-back method. At the conclusion of the project, all nurses expressed 100% confidence in their ability to use the teach-back method.
Conclusion: This intervention accomplished and exceeded the project\u27s goals by increasing registered nurses\u27 confidence in applying the teach-back method. After the project concludes, the teach-back method is expected to be used in all patient encounters and adopted in other primary care clinics and specialty clinics within the organization.
Keywords: continuous glucose monitoring, teach-back, patient education, Type 1 Diabetes, health literac
An Examination of Contemporary Fundraising Trends and Support for a Sustainable Shift to Full-Cost Funding
Get PDFFor decades, nonprofit organizations have faced immense challenges securing adequate funding that will not only run their programs, but cover all operational and overhead costs. Traditional funding models often restrict funds to specific projects or services, leaving nonprofits with financial instability, and potentially hindering their ability to fully deliver on their missions. Recently, there has been a shift in the philanthropic landscape that challenges these more restrictive fundraising models. As this conversation has grown, the concept of “Full Cost Funding” has gained traction, which calls for a more comprehensive funding approach that covers the full costs of running an organization, including indirect costs such as overhead, infrastructure, and fundraising costs.
This study seeks to provide an in-depth examination of the challenges and influences that affect nonprofit fundraising. A comprehensive understanding of these issues is crucial for nonprofits to enhance their fundraising strategies, and for funders to better align their funds with the real needs of the organizations they support. Further, this study aims to contribute a recommendation to the Full Cost funding discussion by proposing a Sustainable Full-Cost Coalition Philanthropy Framework. This framework envisions a collaborative approach to Full Cost Funding, involving a coalition of major funders working collaboratively with nonprofit organizations. This analysis and framework are presented in hopes of offering a potential recommendation to enhance Full Cost funding support and strengthen the sustainability of the nonprofit sector
Online ESL / EFL Instruction for Korean Children Under 7 Years Old: A Curricular Design
Get PDFEarly bilingual education is currently implemented in many countries around the world. There has been much research on the effects of early second language learning on children\u27s language development and school performance, and the results are positive.
Koreans focus on learning foreign languages to communicate with other people around the world and approach to lots of information and experience. For Koreans to become fluent English speakers, the best time to learn a foreign language is during early childhood. It is a critical period for mastering pronunciation and developing language skills, making it an ideal time to easily learn a foreign language and speak like a native speaker. English education during early childhood allows Korean children to easily learn English while preserving their mother tongue, so that they can grow into bilingual children.
In this article, I provide a brief history of the English education policy of the Korean government through a literature review. I also explained successful bilingual programs and factors that make the program effective. In addition, I discussed the impact of bilingual education on young children. Based on this research, I provide a platform and curriculum for online Zoom classes so that young children in Korea can attend ESL or EFL classes with native English-speaking teachers. This is to provide educational opportunities for children to listen and speak English in online class to support their bilingualism. Through the development of an effective English curriculum, children can learn English easily and in a fun way.Therefore this program can contribute to the expansion of early childhood English education and help improve Koreans\u27 English skills
“Bad Hombres”: Trump Era Politics and Media in Shaping the Perceptions of the Mexican Diaspora in the United States
Get PDFMy research delves into the anti-Mexican immigrant rhetoric spread throughout the United States under Donald Trump’s presidency by himself, mainstream media news outlet Fox News, and the U.S. government. Furthermore, examining the social identity of ethnic Mexicans in the United States in response to and as a consequence of the negative rhetoric. This thesis analyzes discourse including the harmful rhetoric and its impact on policy formulation, public perception, and the lived experiences of Mexican immigrants and ethnic Mexican communities. By looking at existing discourse, this research provides a critical discourse analysis of political speeches, media coverage, and ethnic Mexican testimonios. This analysis reveals a pattern of demonization, stereotyping, and scapegoating of Mexican immigrants in the United States. These mechanisms contribute to existing social tensions and generate a hostile environment not only for Mexican immigrants but the broader Mexican demographic in the United States
Nurse-led Telehealth Visits for Patients with Multiple Sclerosis During the COVID-19 Pandemic and Beyond
Get PDFBackground: Nearly one million individuals are affected with Multiple Sclerosis (MS) in the United States, and it was estimated the annual economic burden of multiple sclerosis in the U.S. at over $85.4 billion in 2022.
Problem: During the outbreak of COVID-19, the number of nurse-led patient education sessions has decreased due to the conversion of in-person clinic visits to telehealth visits. Despite the widespread use of telehealth for MS patients post-COVID-19 pandemic, limited data is available about the use of nurse-led telehealth visits with a standardized workflow.
Method: A quality improvement project was implemented at the MS clinic in Northern California, by developing, implementing, and evaluating the nurse-led telehealth visit with a standardized workflow. An educational presentation on the use of the nurse-led telehealth visit with a standardized workflow was provided to clinical staff in this MS clinic to improve their effectiveness and confidence level in utilizing and promoting nurse-led telehealth visits and to increase the number of referrals to nurse-led telehealth visit.
Intervention: The educational presentation session was held on January 13, 2023, during the MS clinic staff meeting. The Standardized Workflow for Nurse-Led Telehealth Visits Experience Survey that this author developed was used to collect the baseline data pre- and post-training to measure the project outcome.
Result: In total, eleven clinic staff in the MS clinic, including seven MS physicians, one NP, one RN, and two MAs, participated in the educational presentation about nurse-led telehealth visits with the standardized workflow. After the educational presentation, the knowledge base and confidence level of MS clinical staff in utilizing and promoting nurse-led telehealth was increased by 41.7%. Comparing the three months pre- and post- intervention, the number of nurse-led telehealth visits was increased by 220%.
Conclusion: The standardized workflow for nurse-led telehealth visits has been shown to improve the effectiveness and confidence of MS clinical staff in utilizing and promoting nurse-led telehealth visits, as well as increase the number of nurse-led telehealth visits in the MS clinic
Impacts of Atmospheric Rivers on Communities in Northern California: Comparative Analysis of Sonoma County Hazard Mitigation Plans
Get PDFClimate change increases the frequency of extreme weather events and affects California’s hydroclimate, thereby increasing flood vulnerability of all communities in Sonoma County. An example of extreme weather phenomena is atmospheric rivers (ARs), which are long narrow water vapor transported by winds across the Pacific Ocean. ARs have a history of causing major flood events that have swept through Sonoma County and negatively impacted cities along the lower Russian River, such as the unincorporated town of Guerneville, California. Major floods cause detrimental impacts to the economy. Social inequalities become evident when unincorporated communities located along floodplains are more vulnerable to floods than incorporated communities. This risk may continue to rise due to the lack of maintenance on existing infrastructure and the unpredictable extreme weather. A comparative analysis between three hazard mitigation plans (HMPs) from Sonoma County, Sonoma County Water Agency, and Sweetwater Springs Water District was conducted to determine the efficacy of ongoing flood mitigation actions established in each local government HMP. While not all evaluated mitigation actions across the three HMPs compared were effective, actions that were effective had high flood mitigation benefits
Hafekasi: The History, Identity & Cultural Perspectives of Multi-Ethnic Tongans
Get PDFTongans are a Polynesian people similar in identity to their close cousins in neighboring Samoa, Hawai’i, New Zealand, and Tahiti. Tonga is the last surviving Polynesian kingdom in the Pacific. It is a nation comprised of over 170 islands which are both coral and volcanic. The islands were also called “The Friendly Islands” by British Captain James Cook in the 1700s because of their warm and welcoming people. Tongans have intermarried for many centuries, more so than ever before in recent decades. They have intermarried amongst other Polynesians like Samoans. The first official mixing across racial lines occurred with Fijians who are Melanesians which began from 900 AD to the present. Tongan marriages with Fijians and Samoans were mainly chiefly. Now, Tonga has only been mixing with other cultures such as the Middle East, Europe, the Americas, Africa and Asia fairly recently. Even though the number of mixed-race Tongans are growing, their Tongan identity is still very strong and intact. In the year 2000, the American Census Bureau declared that one in four Tongans in the country were more than one nationality. In this research paper, I interview Tongans of mixed heritage, and non-Tongans married to Tongans to explore their experiences, I found that the majority of these mixed Tongans identified with their Tongan side and non-Tongans married to Tongans also love the culture
Can aspiration and financial literacy interventions relieve internal constraints? Evidence from Uganda and India
Get PDFCan aspiration and financial literacy interventions relieve internal constraints? We address this question through a novel experiment in Uganda and India, using 617 participants in 89 already existing borrowing groups of microfinance institutions. We carry out aspiration and financial literacy treatments as well as a combined treatment group which received both treatments to measure effects on aspirations, hope, agency, and pathway indices. Results show that receiving the aspirations treatment led to 0.34, 0.42, 0.18, and 0.40 standard deviation increases in aspirations, agency, pathways, and aspirational hope, respectively. The game and combined treatment groups also showed positive effects but lacked statistical significance. We also broke down the effects to observe the relationships by country and saw varying degrees of significance and magnitude across countries and treatment groups. Most surprisingly, the financial game had a large impact on several psychological components for Indian participants. The most notable effect is a 0.60 standard deviation increase in aspirational hope, which was our broadest, most all-encompassing psychological measure. However, we also observed significant and large effects on agency across all treatment groups in India. Furthermore, this study aims to determine whether these treatments can relieve internal constraints but does not answer whether this relief improves participants’ economic states, which would be an interesting question for further research. Because estimate and significance vary across Uganda and India, this study would need to be run in more countries, with a greater number of participants to help find external validity across different cultures and environments
UNRWA and the Education of Palestinian Refugees: An Interview with Anne Irfan
Get PDFThis article discusses the history and educational activities of the United Nations Relief and Works Agency for Palestine Refugees (UNRWA), an agency created in 1949 immediately after the founding of the state of Israel and the initial dispossession and displacement of the Palestinian people (1948). The trajectory of this organization and current uncertainty about its future, as well as how it has integrated human rights into its curriculum, sheds light on the rights and realities of Palestinian refugees
In Memoriam
Get PDFThe International Journal of Human Rights Education honors the lives and contributions of the following scholars and human rights advocates who recently passed away: Betty Reardon, Ian Harris, Johan Galtung, and J. Paul Martin