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Behavioral strategies for students with developmental disabilities in a virtual classroom
No full textThe shift to online teaching during the COVID-19 pandemic forced schools to swiftly develop strategies for virtual settings to ensure students received effective instruction. Antecedent- and consequence-based interventions have been shown to be effective in classrooms; however, to our best knowledge, there have been no reports on the effects of these interventions when used in virtual classrooms. The purpose of this study was to evaluate the effects of noncontingent attention (NCA) and differential negative reinforcement of other behavior (DNRO) on the levels of on-task behavior, camera off, and inappropriate vocalizations in three students with developmental disabilities in a self-contained virtual classroom. Results indicated that NCA effectively decreased inappropriate vocalizations for two students and improved class participation for one student. For the other two students, DNRO was necessary to promote significant behavior change. These results demonstrate the feasibility of implementing NCA and DNRO for group instruction in a virtual classroom
Disseminating Evidence-Based Assessments to Educators in South Africa and Vietnam Through Behavioural Skills Training
No full textStudents’ interfering behaviour is a common concern among educators working in special and general education classrooms. Interfering behaviour can significantly compromise students’ educational experiences and educators’ ability to create a conducive learning environment. Evidence-based assessments and interventions for interfering behaviour in the classroom involve identifying the variables in the student’s immediate environment influencing these behaviours. There has been little to no dissemination of evidence-based assessments for classroom management in developing nations such as South Africa and Vietnam. In the current study, we used a single-case design to assess the effectiveness and acceptability of behavioural skills training (BST) in teaching educators from South Africa and Vietnam how to assess students’ interfering behaviour in the classroom. The training was divided into four phases, with the different steps involved in teaching participants how to assess interfering behaviour. All participants successfully acquired the trained skills and demonstrated a shift in their explanation of the causes of interfering behaviour
Nazi Propaganda of WW2
No full textNazi propaganda was an essential tool for its consolidation of power, employing a variety of techniques that evolved in response to a changing political climate. As the Nazis changed their focus from Nationalism to waging war, the propaganda adapted accordingly
Enhancing Early Sepsis Detection: Outcomes of an Educational Program in an Emergency Department
No full textSystemic inflammatory response syndrome progressing to sepsis presents a significant challenge in emergency departments (ED), where delayed recognition and treatment increase morbidity, mortality, and costs. This project evaluated whether implementing the Evaluation for Severe Sepsis Screening Tool (SSST) alongside an existing sepsis best practice advisory (BPA) could reduce the interval from sepsis BPA alert to initiation of lab work and treatment in adult patients (18 years and older). A quasi-experimental design compared retrospective control data (n = 81, Group 1) with prospective project data (n = 34, Group 2) over eight weeks. ED nursing staff received specific education on the use of the Evaluation for SSST and what sepsis entails (including early signs and symptoms of sepsis). The nursing staff was then evaluated using pre- and post-tests to assess their knowledge/confidence. The Mann-Whitney U test was used to analyze the differences between Groups 1 and 2. Results demonstrated a significant reduction in the mean time from sepsis BPA alert to treatment initiation, decreasing from 228 minutes in Group 1 to 60 minutes in Group 2 (U = 90, p = .012), representing an average improvement of 168 minutes. Although the nursing staff’s knowledge/confidence scores increased marginally (pre-test M = 23.16 vs. post-test M = 24.08, p = .122), this change was not statistically significant
Electronic-Based Determinants of Health Screening on an Inpatient Behavioral Health Unit
Full text linkProblem: Approximately 14.1 million Americans are diagnosed with a Serious Mental Illness (SMI). These individuals experience death 10-20 years earlier compared to the general population, primarily due to chronic medical comorbidities and unmet health-related social needs (HRSNs). Mortality rates, increased healthcare utilization, and frequent readmissions in patients with multiple, unmet HRSNs are likely to remain high unless developments such as the incorporation of standardized, multi-domain, social determinants of health (SDOH) screenings into electronic health records (EHRs). The purpose of this quality improvement (QI) project, guided by the Institute for Healthcare (IHI) model for change utilizing the Plan-Do-Study-Act (PDSA) cycle, was to evaluate the effectiveness of implementing a multi-domain, EHR-based, SDOH screening tool on its ability to comprehensively identify and address unmet HRSNs of adult patients with SMI and its impact on readmission rates.
Methods: EHR-based, validated screening tools that assessed food insecurity and housing instability were administered to adults ages 18-75 years old, admitted to the inpatient Behavioral Health Unit (BHU), with a diagnosis or history of SMI. This study utilized a descriptive, observational design with a pre-and post-intervention approach to assess the frequency of psychiatric readmissions. Data was analyzed using a Wilcoxon Signed Rank Test, binary logistic regression, and descriptive statistics.
Results: There were (N=119) patients who met the inclusion criteria. There were (n=34, 28.6%) patients who screened positive, with (n=24,20.2%) for housing instability, (n=22,18.5%) for food insecurity, and (n=12,10.1%) for both food and housing instability. The frequency of readmissions did not show a statistical difference (p = .291). The readmission rate was 10.9%, while 89.1% did not experience readmission. The readmission rate of 10.9% (n=13) correlates with the results of housing instability, which has higher odds of readmissions. The results revealed a statistically significant coefficient for endorsing housing instability (β=3.65), with an associated z-value = 13.2, p \u3c .001.
Implications for Practice: Utilization of standardized screening tools integrated into the EHR can be beneficial for identifying food insecurity and housing instability in patients with SMI admitted to an inpatient psychiatric unit
Nietzschean Expressivism
Full text linkWhat is Nietzsche’s metaethical stance? Does he even have one? We can, I argue, reconstruct an interesting metaethical view from his writings. Rather than focusing narrowly on his claims about moral judgement, I explore Nietzsche’s philosophical psychology broadly in order to argue that he is best interpreted as holding an emotivist type of expressivism. The function of moral judgement lies within its affective and action-guiding nature, and its communal role of coordinating our evaluative attitudes with one another
Never Fear, Hope is Here: A Quantitative Analysis of Public Accountants’ Hope During Busy Season
Full text linkNever Fear, Hope is Here: A Quantitative Analysis of Public Accountants’ Hope During Busy Season
Retention has been a serious and ongoing concern within public accounting for decades, but most of the turnover research within the context of public accounting has heavily focused on the antecedents of turnover intentions with a negative lens. The goal of this study was to take an initial step toward examining the effects of a positive psychological factor—hope—on retention within public accounting firms. Specifically, the study investigated whether a public accountant’s level of hope impacted their turnover intentions via their appraisal of stress surrounding busy season and the direct relationships between each of these variables. A non-experimental cross-sectional quantitative research design was employed to gather evidence from public accountants across the United States that worked in attestation or tax, and were at the manager level or below. Findings from the study provide support that public accountants’ hopefulness does directly impact their intent to leave the firm and how they appraise stress. Those with higher levels of hope had lower levels of turnover intentions and more positive appraisals of stress. However, the indirect relationship between a public accountant’s level of hope and their likelihood to leave the firm via their appraisal of stressors was insignificant. Practitioners should utilize the findings to increase retention by motivating public accountants and increasing their hopefulness before stressful times such as busy season. The study does take the initial step towards investigating public accountants’ hope to reveal positive outcomes, which connects positive psychology, positive organizational behavior, and behavioral accounting research streams
A Four-Truth Exploration of Memory, Social Connection, and Belonging in Fairground and Tower Grove Parks in St. Louis, Missouri
Full text linkHistoric racism supported practices such as redlining, discriminatory zoning, and racial steering that separated people and determined the flow of resources and investment into neighborhoods. Communities continue to experience the long tail effects of historic patterns of racism. That is, historic inequities influence the opportunities that residents have to connect with each other and thrive in urban areas. Urban neighborhood parks have the potential to bridge social divides and bring a community together. This basic qualitative research study examines two contested heritage sites in St. Louis, Missouri: Fairground Park, a park in a Black neighborhood that has been historically disinvested in, and Tower Grove Park, a park in a predominantly white area that has received substantial investment. Researchers conducted 22 interviews with park goers, residents, community stakeholders, and organizational leaders, immersed themselves in onsite observations, and examined relevant documents and artifacts to explore people-place connections. Data were analyzed using reflexive thematic analysis, including a priori and in vivo coding of interview transcripts, to understand how participants experience and engage with their neighborhood parks. Our examination of park-community interactions and place attachment in urban parks highlights the importance of memory, social connection, and belonging as factors that support efforts to build and sustain community wellbeing. Researchers produced two research products: (1) a journal article that uses place attachment theory and the PPP Framework to examine how the process and place dimensions of parks create a sustainable community, and (2) a creative nonfiction chapter that harnessed the power of four truth framework to explore the connections that park goers have to their neighborhood park. Respondents from both parks emphasized that memory shapes one’s identity; social connection reinforces memory and belonging; and belonging helps people move from visiting a park to contributing to a community. Our research explored processes that, when combined with policies and investments to address historic imbalances, help dismantle the lingering effects of systemic inequities due to historic racism and ensure that parks are equitable spaces that serve all community members
Implementation of a Human Papillomavirus Vaccination Toolkit Postpartum
Full text linkProblem: Despite strong recommendations from the Centers for Disease Control and
Prevention (CDC, 2021) for HPV vaccination in individuals aged 9 to 26, postpartum women
are often overlooked as a target population. Every year in the U.S., oncogenic human
papillomavirus (HPV) infection causes approximately 330,000 cases of precancerous cervical
dysplasia and 12,000 cases of cervical cancer, the most common female cancer attributable to
HPV (Wang et al., 2024). Many providers miss the opportunity to offer the vaccine during the
postpartum hospital stay and the six-week visit—when patients are insured, motivated, and
more accessible.
Methods: This quality improvement (QI) project used a descriptive, observational design to
evaluate the effect of a postpartum HPV vaccination toolkit on vaccine uptake. The study was
conducted at a nonprofit hospital in the Midwest, focusing on postpartum six-week checkup
visits. A total of 60 postpartum women, aged 18 to 26 years, were included, who were eligible
for HPV vaccination based on CDC guidelines. Data collected during the time of this quality
improvement project included the number of patients receiving HPV vaccine before
implementing the toolkit, and after implementation.
Results: Following the implementation of the HPV vaccination toolkit, vaccine acceptance
among postpartum women improved notably. The proportion of postpartum women who
accepted the HPV vaccine increased from 82.1% to 93.7% following the intervention,
suggesting a positive association between toolkit use and vaccine uptake. Distribution of vaccine administration was consistent over the study period, indicating steady implementation.
Implications for practice: Following the implementation of a HPV vaccination toolkit on an
inpatient postpartum clinic, vaccine acceptance among eligible postpartum women
significantly improved. Prior to the intervention, 82.1% of postpartum patients (n = 28)
accepted the HPV vaccine. After the toolkit was implemented, 93.7% of patients (n = 32)
accepted the vaccine, demonstrating an 11.6% absolute increase in uptake
Unleashing Excellence: Strengthening IT Leaders Through Executive Coaching
Full text linkThis paper explores the impact of executive coaching on Information Technology (IT) leaders. Many organizations across different industries lack strong leadership, as exposed by COVID-19. Companies aim to keep exceptional leaders and establish upbeat workplaces to achieve success. Although previous research has examined leadership effectiveness, it is still unclear how best to manage employees\u27 perceptions of effective leadership. The goal of this research is to provide new insights into what can improve perceptions of leadership effectiveness. I explored the role executive leadership coaching has on managers working in the Information Technology (IT) field. Current literature often mentions the need for management and leadership training. However, training has not seemed to consistently resolve the underlying leadership challenges. The insights gained from this research will serve as a practical approach organizations can leverage for what success looks like for executive coaching