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Enhancing Communication and Reducing Near Misses through Comprehensive Handoff Tools at a Residential Nursing Facility
No full textOur quality improvement project at Regina House addresses communication gaps during patient handoffs, which have led to missed or delayed care. The research underscores the critical role of effective communication in patient safety, particularly for vulnerable populations in nursing homes. Current handoff practices at Regina House are inconsistent, especially among Certified Nursing Assistants, resulting in frequent reporting errors and communication disparities.
To enhance patient safety and care continuity, this project introduces a standardized handoff tool and an incident reporting system, aligning with Regina House’s goal of improving care quality. Over three months, CNAs will receive training on the tool, with the aim of achieving 90% compliance and reducing missed or delayed care incidents. Guided by Kotter’s Change Management Model, the project encompasses the development, testing, and refinement of the tool. Baseline data and continuous feedback will be collected to monitor adherence, accuracy, and timeliness of handoffs.
Our initial findings are promising, suggesting that structured handoff protocols and team training can improve patient outcomes, communication efficiency, and staff accountability. By standardizing handoff procedures, we strive to create a safer environment and ensure that critical information is reliably conveyed during patient transitions, especially for those in hospice care
Chronic Disease Screening and Detection in Vulnerable Populations
Get PDFThis quality improvement project aims to address gaps in chronic disease screening by implementing standardized protocols for diabetes, hypertension, vision impairment, and scoliosis within the University of San Francisco (USF) Nurse-Led Clinic in Orange County. Problem: The clinic identified a lack of screening practices, which limited early detection and intervention for two specific vulnerable populations. Context: The clinic serves two high-risk groups: older adults, including formerly homeless individuals, and children in two local grade schools. These populations face significant healthcare disparities, making early detection of chronic conditions critical. Interventions: Guided by Kotter’s Change Theory, the project developed and implemented evidence-based screening protocols tailored to the unique needs of these populations. A collaborative, interprofessional approach was used, involving nursing students and experienced faculty. Measures: Baseline data were collected to assess the frequency and consistency of screenings. Outcome measures included adherence to the new protocols, early detection rates, and the number of referrals for follow-up care. Results: Expected findings demonstrate improved adherence to screening protocols, increased early detection rates, and a rise in follow-up care referrals. Conclusions: This initiative provides a scalable model for reducing healthcare disparities and improving long-term health outcomes through preventative screenings in underserved communities
សត្វកង្ហែនប្រាជ្ញានិងសត្វចាបពូកនិយាយ : The Wise Treeshrew and a Talking Sparrow
Get PDFរួមដើរជាមួយ ច័ន្ទត្រា វុធ្ទ វាសនា និងចេក្ខាប់ ក្នុងបេលយើងធ្វើដំណើរទៅស្រុកថៃ លើក ទី២ ទី២ ទី១០០ និង ទី១។ ជួបបងប្អូនខ្មែរនិងជនកម្ពុជា ក្នុងចំនួនមួយលានដែលរស់នៅក្នុងថៃ នៅចំការនិងក្រុង គង់នៅដោយផ្លាស់ពីកន្លែងថ្លៃខ្ពស់និងធ្វើការខ្លាំងគ្រោះ។ រៀនពីប៉ាវុធ្ទ រៀងប្រវត្តិលំបាក មកពីសម័យទាហានអាមេរិកចូលនិងទម្លាក់គ្រាប់បែក និងសង្គ្រាមគ្នាឯង និងការភៀសខ្លួន និងការបាត់បង់ផ្ទះទឹកដីក្នុងស្រុកខ្មែរ។ សង្ឈឹមអំពីអនាគត ដោយរកឃើញចិត្តសាសនា ពិនិត្យកំហុសខ្ញុំ និងយល់ឫសឡើងវេញ៕
Join Chandra, Voth, Viasna, and Jacob in Cambodia as we travel to Thailand for the second, second, hundredth, and first time. Meet Khmer and Cambodian brethren, out of the million living in Thai farms and cities, surviving via costly migration and precarious labor. Learn, from Pa Voth, a challenging history spanning back to the United States occupation and bombing, through civil war and refugee crises, and the loss of home and environment for Cambodians today. Gain hope for the future through a thorough look at our shared spiritual conditions, examining my own human flaws, and discovering the seeds of revival
The Miseducation of Black Youth: Black youth spittin’ lyrical lessons of Black joy, laughter, and affirmation in the rural south
Get PDFThis counter-storytelling performance highlights the educational experiences of Black youth living in the Rural Black South. In the shadows of critical race theory and critical teaching pedagogy, the researchers draw from BlackMothering scholarship as a theoretical framework to illuminate insights into how Black faculty create critical pedagogy to help make students more critical consumers of their educational experiences and provide them with skills to produce counternarratives. The researchers created a critical teaching project that allowed Black youth participants space to critically reflect, interrogate, and dialogue about their educational experiences and in doing so the youth created verses to song telling their stories. This project highlights three significant findings when teachers use an arts-based approach as a critical teaching practice: Black youth agency to resist, Academic mobility, and Black youth intellectualism and identity
The 10th Amendment: The Preclusion of an Equal Education
Get PDF“The 10th Amendment: The Preclusion of an Equal Education,” scrutinizes how the Tenth Amendment impacts the U.S. public education system. The study argues that the decentralized nature of education policy inadvertently perpetuates educational disparities, despite historical milestones like Brown v. Board of Education. The study actively explores systemic challenges, including uneven resource allocation, disciplinary practices, and culturally insensitive staffing. It contends that the Tenth Amendment\u27s delegation of educational governance necessitates a fundamental constitutional shift to rectify these issues. Advocating for collective action, the study actively proposes a comprehensive reimagining of public education, emphasizing equity, representation, and resource allocation. The abstract actively serves as a standalone overview, providing readers with a concise understanding of the research objectives, methods, and key findings. The study actively concludes with actionable recommendations, emphasizing the urgency of addressing systemic issues to positively impact future generations
“They’re Always Actin Up”: Exploring the Impacts of In-school Disciplinary Policies In Out-of-school Spaces.
Get PDFIn an effort to shed light on the experiences of Black girls in an after-school program, this study captures how their peer and teacher relationships were impacted by in-school suspension(s). Over the course of eight weeks, an ethnographic case study was conducted with two kindergarten Black girls who attended a predominately white after-school program. Using critical race theory and critical race feminism, this study adds to existing literature that reveals the harmful nature of in-school disciplinary practices on Black and Brown students in general, and Black girls in particular. The results of this study reveal how in-school punishment spills over into out-of-school spaces creating another site of Black punishment for Black girls. Informal learning spaces, such as aftercare programs, must consider the barriers associated with in-school suspensions and work with teachers and staff to offer a space that will honor students’ differences and allow children who are culturally misrepresented to have an informal learning experience where there is more grace given by teachers and caregivers, instead of disciplinary practices rooted in anti-blackness. What message are we sending to culturally diverse learners if we continue to punish and criminalize their behavior that is deemed to be problematic, as early as kindergarten
Hopelessly AroAce: An Exploration in the Margins
Get PDFIndividuals identifying as aromantic asexual face challenges living in predominantly heteronormative societies. This essay explains the challenges encountered living in India, a society known for its unique cultural and social structures. The authors use the oral history story-telling technique to understand the lived experiences of being an asexual aromantic. An analysis of the oral history highlights four key themes: liberation from structures, solidarity in the community, the perils of Amato normativity, and awareness of self. The authors call for increased access to mental health support systems in schools and beyond
RESILIENT AF: UNDERSTANDING THE LIVED EXPERIENCES OF WOMEN OF COLOR PSYCHOLOGISTS IN FORENSIC MENTAL HEALTH SETTINGS
Get PDFThis study explored the lived experiences of women of color psychologists who identify as ethnic-racial minorities. This qualitative study used interpretative phenomenological analysis (IPA) to understand the narrative experience of the participants from their perspective. A total of four participants took part in this study. All participants identified as cisgender women psychologists currently working in a forensic mental health setting and identified as an ethnic-racial minority. In the lived experiences of the participants, three themes, and several subthemes, emerged: challenges, self-preservation, and strengths / resilience. The results showed that women of color psychologists working within forensic mental health settings face continuous adverse challenges, such as cultural prejudice, lack of representation, and vicarious trauma. Further, this study explored the shared and nuanced self-preservation strategies of women of color psychologists to mitigate the negative consequences of vicarious trauma and pervasive discrimination, to preserve their overall health and sense of self. The findings of this study additionally demonstrated the resilience and strengths of women of color psychologists, and their ability to leverage their own adverse challenges to inform their clinical work. These interactions demonstrated the critical role of highlighting women of color psychologists’ strengths and resilience, as it pertains to the prevention of burnout and preserving overall well-being, navigating adverse experiences, and deepening their clinical work to be more culturally responsive and relational
