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Who’s asking?: Perception, success, and negotiation dynamics in library acquisitions
Get PDF“Women don’t ask.” The titular phrase of a groundbreaking work from Linda Babcock and Sara Laschever that cemented the popular belief that women are bad negotiators. But are women bad negotiators? Does the gender divide in negotiations intersect with a racial divide? In a field defined by its history of feminization and white women majority, how does this affect librarians? This presentation will draw a line through two decades of literature to examine trends of negotiation outcomes currently underrepresented in library research and share the results of an interview study exploring experiences in academic library acquisition negotiations
Improving Equity in Women\u27s Stroke Outcomes
Get PDFPurpose: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project is to review research-based evidence evaluating the inequities in women’s stroke research and treatments and how this effects women’s stroke outcomes. This paper sought to identify current recommendations for improving sex equity for women’s stroke research and identify further areas of policy change to ensure that women’s health outcomes are prioritized in this historically underrepresented population.
Background: An area of critical importance to society is the significant cause of gender-based inequity in healthcare and research. Historically medical research has primarily involved males and the findings have been generalized to females. An area of healthcare that remains a major cause of morbidity and mortality for women despite decades of research is stroke. Women have different risk factors, presentation, response to treatment and outcomes when compared with their male counterparts and are more likely to experience delays in care.
Methods: The LEAD framework was used to guide decisions related to this policy work. Research articles were compiled and categorized between August 2024 to March 2025.
Results: Women are under-represented in randomized clinical trials for acute stroke treatments. They are more likely to present with headache or altered mental status when compared to men. Women experience higher delays in diagnosis and treatment including onset-to door and door to endovascular puncture times and undergo fewer diagnostic exams. Those with ischemic stroke are less likely to receive thrombolysis or thrombectomy. Women have a lower incidence of intracranial hemorrhage; however, they have a higher 1-year case fatality rate. Women with stroke have higher rates of mortality and use of palliative care and hospice.
Evaluation: Further policy must be enacted to ensure funds are allocated to improve women’s stroke outcomes. Additional research is needed to investigate reasons for under enrollment of women in stroke clinical trials and to promote increased participation. Policy must outline a strategic initiative to ensure equity to lifesaving interventions, promoting health equity in women’s stroke outcomes.
Keywords: Stroke, health equity, sex differences, Women’s research, clinical trials representatio
Improving Social Drivers of Health Screening in an Inpatient Setting for SDoH Data
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Purpose Title of the Project: Improving Social Drivers of Health Screening in an Inpatient Setting for SDoH Data
Purpose: This evidence-based practice project aimed to increase social drivers of health (SDoH) screening compliance by redesigning the workflow to distribute responsibility between nursing and case management, ultimately improving identification and referral of patients with supportive service needs.
Background: Screening for SDoH needs facilitates the provision of appropriate supportive services. The existing workflow required nurses to conduct initial screening in five domains (Housing Stability, Utility Difficulties, Food Insecurity, Interpersonal Safety, and Transportation Needs), with positive responses triggering additional investigative questions. These follow-up questions created discomfort for both patients and nurses, leading to deferred or incomplete screenings. In 2024, the Centers for Medicaid and Medicare Services (CMS) began linking Inpatient Prospective Payment System (IPPS) reimbursement to SDoH screening compliance, further emphasizing the importance of improvement (Gallegos, A. 2024; Newsroom, 2023).
Methods: The Advancing Research and Clinical Practice through Close Collaboration (ARCC) evidence-based practice model guided implementation. Following a literature review conducted from July 2024 to January 2025, a workflow redesign was implemented that limited nursing responsibility to initial screening questions while shifting follow-up assessment to case management. Implementation occurred at a large health system in Southern California with adult inpatients. Data on screening completion rates were evaluated covering a 13-month period
Examining What Matters to Older Adults with Increased Risk of Adverse Functional Outcomes in Emergency Medicine
No full textAbstract
Background: Research has demonstrated that older adults experiencing functional decline are more susceptible to adverse outcomes and diminished quality of life. The Emergency Department (ED), intended for acute care interventions, presents an opportunity to identify and address what matters to ED patients.
Purpose: The purpose of this study was to describe what matters to older adults at risk for functional decline. The research question was: What matters to older adults at risk of functional decline?
Lines of Inquiry: The lines of inquiry for this study included describing what matters during an ED visit among older adults at risk of functional decline, as well as describing what matters in life to older adults at risk of functional decline.
Rationale: The rising trend of ED visits by older adults at risk for functional decline presents a critical demand in healthcare to understand what matters to this population, develop interventions, provide resources, and support care that aligns with personal values.
Methods: This study used content analysis as a methodology and an approach for data analysis. Older adults screened at risk for adverse functional decline using the Identification of Seniors at Risk instrument are routinely seen by a Geriatric Emergency Nurse for a comprehensive geriatric assessment, including semi-structured questions adapting what matters conversations to what matters during their present ED visit and what matters in life. Retrospective data from Electronic Health Records were analyzed.
Findings: The content analysis methodology and approach to data analysis yielded five major themes addressing the two lines of inquiry. Three major themes were identified for the first line of inquiry what matters during an ED visit: (a) health and well-being, (b) health management and (c) autonomy. In the second line of inquiry, two major themes were identified for what matters in life: (a) connections, and (b) health and well-being.
Implications: Study findings suggest that further research is needed in healthcare to understand what matters, develop interventions, explore assessment instruments, create policy, provide resources, and support care that aligns with what matters to this growing resource-intensive population.
Keywords: older adults, what matters, emergency department, adverse functional outcomes, identification of Seniors at risk, geriatric assessmen
Fostering Belonging: Understanding the Transfer Student Experience at USD
Get PDFIn many universities, student affairs programming is primarily designed with traditional students in mind which often overlooks the unique needs of transfer students. This study aims to examine how current USD orientation programming impacts the sense of belonging for transfer students. The central question guiding this research is: How can the sense of belonging for transfer students be improved? The study consisted of three cycles: a focus group conducted during OLÉ Weekend, a survey administered during National Transfer Week, and interviews held during Spring Orientation. The outcomes suggest that transfer students value identity-affirming events, early peer connections, and consistent engagement beyond the first week. My recommendation for the Office of New Student Programs is to increase the number of these events before, during, and after orientation to better support the integration of transfer students into the USD community
Advancing Supply Chain Sustainability through Circular Economy Principles
Get PDFExplore how circular economy principles can significantly enhance supply chain sustainability by reducing waste, optimizing resource use, and improving both environmental and economic outcomes. By shifting from traditional linear models to circular systems, businesses across industries can redesign processes to extend product life cycles, foster resource efficiency, and create closed-loop supply chains
Exploring a Holistic Conceptualization of Destructive Leadership: Perspectives from the Lived Experiences of Latino Law Enforcement Command Staff Officers
Get PDFRecently, there has been an increased interest in destructive leadership or what is characterized as the dark side of leadership. There is, in fact, no consensus in the literature about the definition of destructive leadership, and this murkiness has led to two somewhat different approaches to understanding this phenomenon: 1) a leader-centric approach that emphasizes the bad behaviors and traits of so-called toxic leaders and 2) a much broader, holistic approach, often discussed as the toxic triangle (Padilla et al., 2007), that focuses on how destructive leadership is co-created by a toxic system of bad leaders and susceptible followers within conducive environments. The toxic leader’s role is relatively well documented, but the interactive system that makes destructive leadership possible is often overlooked. The aim of this qualitative study was to utilize Interpretative Phenomenological Analysis to explore destructive leadership from the more integrative, holistic perspective, filling in the void that exists in current leader-centric discussions.
This research also differed from existing work about destructive leadership by focusing on 1) how destructive leadership manifests itself in law enforcement and 2) the experiences and perspectives of Latino officers. Specifically, this study involved interviewing five Latino command staff officers who shared their lived experiences and contributes to our understanding of how Latino command staff officers perceive and make sense of destructive leadership in law enforcement. The research found that the Latino identities of these five officers shaped their experiences with destructive leadership in ways that have not been reflected in the existing literature. For example, the participants discussed how machismo culture was embedded in the fabric of their organizations, and they described toxic leaders as having machismo traits. The police culture also influenced how they chose to express and, at times, suppress their Latino identities.
A novel conception of the toxic triangle emerged from this study, one that contains a taxonomy of destructive leadership that incorporates the Latino perspective in a law enforcement context. As a result, we know a little more about how holistic explorations attend to the complexities of destructive leadership phenomenon from perspectives that are missing in the literature
A Comparative Lifecycle Analysis of the Ford Toyota RAV4 and Tesla Model Y
Get PDFThis report presents a comprehensive comparative lifecycle analysis of the Toyota RAV4, the best-selling internal combustion engine (ICE) vehicle, and the Tesla Model Y, the best-selling electric vehicle (EV). The analysis evaluates each vehicle\u27s environmental impact across all stages of its lifecycle: raw material extraction, manufacturing, use phase, and end-of-life. Key factors examined include greenhouse gas emissions, energy consumption, and material sustainability, with special attention to battery production, vehicle efficiency, and recycling practices. By contrasting the emissions profiles and long-term sustainability of the RAV4 and Model Y, this report aims to assess whether electric vehicles offer a significantly lower environmental footprint than their gasoline-powered counterparts. The findings support a data-driven discussion on sustainable transportation and provide insights into the trade-offs associated with each vehicle type
Implementing the FIB-4 Tool for Liver Fibrosis Screening in Diabetic Patients in Primary Care
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Background: Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly non-non-alcoholic fatty liver disease (NAFLD), affects over 1 in 3 adults with type 2 diabetes mellitus (T2DM) and is a leading cause of advanced liver fibrosis. Despite guideline support from the American Diabetes Association (ADA) and American Association for the Study of Liver Diseases (AASLD), screening practices remain inconsistent in primary care. The Fibrosis-4 (FIB-4) index is a validated, low-cost, noninvasive tool for fibrosis risk stratification, yet it remains underutilized despite its availability in many electronic health record (EHR) systems.
Purpose: This Doctor of Nursing Practice (DNP) evidence-based practice (EBP) project aimed to implement a phased, system-wide FIB-4 based screening initiative in a Federally Qualified Health Center (FQHC) system to increase provider knowledge, improver referral alignment, and integrate evidence-based MASLD triage into routine care for patients with T2DM.
Methods: Guided by the Iowa Model of Evidence-Based Practice and the Iowa Implementation for Sustainability Framework (IISF), this evidence-based project used a two-phase implementation design. Phase I included a live Grand Rounds session with paired pre/post provider surveys (n=9), while Phase II expanded outreach through digital and printed education materials (n=54). Retrospective EHR data (n=9,869) were analyzed to evaluate hepatology referral alignment with FIB-4 risk tiers (low \u3c 1.3, intermediate 1.3-2.67, high \u3e2.67).
Results: Statistically significant improvements were observed in provider knowledge, confidence, and FIB-4 interpretation across both phases (Cohen’s d \u3e 1.0). High-risk referral alignment increased from 25.7% to 28.4%, reflecting a 10.5% relative improvement. Intermediate- and low-risk referral increased modestly, suggesting cautious adoption. A cost-benefit analysis estimated a 208.2% return on investment (ROI), with $13,342.50 in net savings. Sensitivity analysis showed continued fiscal viability under conservative assumptions.
Conclusion: FIB-4 screening embedded in the EHR alone is insufficient for practice change. DNP-led education, interdisciplinary collaboration, and clinical decision support are critical to translating evidence into real-world outcomes. This project highlights a scalable, equity-oriented model for MASLD screening in high-risk primary care populations.
Keywords: diabetes mellitus, type 2, MASLD, NAFLD, FIB-4 index, liver fibrosis, diabetes, primary care, DNP project, implementation science, population health, hepatology referra
Building Peace from Afar: Women-Led Peacebuilding from the Diaspora
No full textDiaspora communities have long played critical roles in peacebuilding efforts in their countries of origin, yet the contributions of women within these communities remain significantly underexplored and underappreciated. This report seeks to address this gap by focusing on the unique roles, challenges and contributions of women in diaspora-led peacebuilding initiatives. Women in the diaspora — often navigating complex identities and facing distinct challenges — are vital actors in promoting peace, reconciliation and social change in their homelands.
Drawing on a comprehensive review of literature, research interviews, and detailed case studies, this report provides a nuanced understanding of how diaspora women contribute to peacebuilding efforts, particularly in conflict-affected regions. The case studies highlight the experiences of Afghan women peacebuilders in the UK, women peacebuilders from Burma/Myanmar in the US, and Iranian women working to advance societal change and progress, currently based in Iran and Australia, offering concrete examples of how these women overcome significant obstacles and contribute to peace.
The report identifies several key findings. First, it highlights a significant research gap in the study of womenled diaspora peacebuilding, particularly regarding how intersecting identities such as gender, age and immigration status shape their contributions. Second, the report underscores the complex challenges these women face, including safety concerns, online and offline threats of violence, lack of funding, time scarcity, and entrenched patriarchal norms — all of which hinder their ability to engage in peacebuilding fully. Third, despite these challenges, diaspora women employ a range of innovative strategies to contribute to peacebuilding. They engage in advocacy, lead mobilization and grassroots initiatives, document human rights violations and use digital platforms to raise awareness and build international support. Their visions for peace and the future are deeply informed by their experiences as diaspora members; many had engaged in activism in their homelands, and some have experienced being a refugee, asylum-seeker or in exile. These leaders envision peace not only as the absence of violence but as a nurturing environment for all people — including women and girls — by emphasizing inclusive governance, justice and social well-being.https://digital.sandiego.edu/ipj-research/1114/thumbnail.jp