Where the Money Goes: Private Wealth for Public Good

With this report, Gina Anderson offers a glimpse into the world of Australian philanthropy through the prism of 12 major philanthropic foundations. The report complements the work of the Australian Charities and Not-for-profits Commission in its efforts to promote accountability through regulation and mandatory information disclosure. When it comes to transparency, however, regulation and compulsion are no substitute for a willingness on the part of philanthropic foundations to invite public scrutiny by voluntarily sharing their data and metrics. The report marks a major commitment on the part of 12 leading private foundations toward greater transparency, data gathering, and evidence-based reporting of grants and programs, and in so doing establishes their pioneering leadership in this important initiative

Impact of Tranexamic Acid (TXA) on Hemoglobin Levels in Elective Total Knee Arthroplasty Patients

Over the last 2 years, the Bone and Joint Center has focused on blood utilization for total knee and total hip arthroplasty. With the use of a blood transfusion protocol, we significantly reduced blood transfusion rates and standardized the approach to care. As an expansion of this work, other ideas to further decrease blood utilization were considered. The purpose of the data collection of preoperative and postoperative Hemoglobin (HGB) levels was to evaluate the effect of Tranexamic Acid (TXA) on the average change in Hgb levels compared to Hgb levels of patients that did not receive the medication. In addition, a review of the consistency of practice for Hgb draws and review of the quality of patient care related to the number of lab draws, cost to the patient, and blood re-infusion per drain were recognized as other opportunities. The use of a post-operative drain has been shown to be associated with an additional cost to the patient and hospital, increased length of stay, possible risk of infection, potential increase in blood loss and increase in the need for a blood transfusion.https://digitalcommons.centracare.com/nursing_posters/1027/thumbnail.jp

Defining and Measuring Excellence in the Changing World of Higher Education: Case Stories from Five Colleges of Education

This paper presents a collection of case stories from five Educator Preparation Programs (EPPs) within colleges of education, four from institutions in Texas and one from California, to present a micro cross-sectional narrative interpretation of what constitutes excellence in educator preparation. The broad framework utilized in this interpretation focuses on the individual approaches used by each institution for creating and sustaining positive cultures of data-informed decision-making, with the ultimate objective of continuous program improvement, while also meeting the accreditation expectations of each institution

Blood Transfusion in Elective Total Hip and Total Knee Arthroplasty Patients

To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.https://digitalcommons.centracare.com/nursing_posters/1008/thumbnail.jp

Utilizing a Protocol to Reduce Post-Operative Urinary Retention in Total Joint Arthroplasty

Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our team to choose urinary retention as a performance meansure in 2012 for The Joint Commission Disease Specific Care Certification. Objective: Describe the clinical and cultural impact the total joint urinary protocol has on decreasing urinary retention.https://digitalcommons.centracare.com/nursing_posters/1054/thumbnail.jp

Hard Times Ahead: Creating Alternative Revenue Streams for Extension

Many 4-H professionals have overlooked the largest source of charitable funding in the United States--individual donors. Former members and volunteers are a likely source of donations. Many former members and volunteers fall into two main generational cohorts: Generation X and the Millennials. Understanding the characteristics of these two groups can improve your chances of turning them from prospective donors to actual donors

Moti-faction: retaining and engaging employees using motivation profile-based rewards

Organizations are searching for opportunities to increase job satisfaction, motivation for higher performance, and retaining their top talent. This study explores an assessment tool to aim rewards to individual motivation profiles so that companies can reach their potential. A survey exploring employee\u27s attitudes on these types of rewards and an assessment tool to determine employee\u27s individual motivation profiles was created and tested within a manufacturing corporate office through use of an online survey tool, Survey Monkey. Results showed that motivation profiles are evident and a relationship exists between rewarding based on the motivation profile\u27s reward preferences and employee satisfaction and performance. In conclusion, this study has made apparent a need for further research including a possible longitudinal study that explores how age groups, job titles, and change in personal desires over time can affect an employee\u27s motivational profile

Beyond rescue: Implementation and evaluation of revised naloxone training for law enforcement officers

ObjectiveThis study describes the implementation and evaluation of revised opioid overdose prevention and education of naloxone training for law enforcement officers (LEOs) that added: (1) a recovery testimony and (2) the process for deputy‐initiated referrals postnaloxone administration.Design and SampleEvaluation regarding the naloxone training included a pre‐ and postopioid overdose knowledge surveys (N = 114) and subsequent 1‐year postnaloxone training outcomes.ResultsPre‐ and posttest scores for all knowledge outcome measures were statistically significant (p < .001) with favorable comments pertaining to the recovery testimony. Out of 31 individuals who received naloxone, 6 individuals (19.4%) continue to be in treatment or received some treatment services. The most common symptoms reported were unconsciousness/unresponsiveness (40.5%), abnormal breathing patterns (24.3%), and blue lips (16.2%). The majority of the calls (65.6%) were to a residential area, and the time for naloxone revival ranged <1–10 min (M = 3.48; SD = 2.27).ConclusionAs nearly 20% of individuals sought treatment after a LEO‐initiated referral, it is recommended that other agencies consider the referral process into the training. Future research will investigate the impact of the recovery testimony in reducing the stigma of addiction.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/139953/1/phn12365_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139953/2/phn12365.pd