Mock Drills to Improve Inpatient STEMI Performance and Self-Confidence

STEMI care can be challenging for med-surg telemetry nurses to recognize among inpatients because it is a high-risk low volume population. Frequently these patients’ present with atypical acute coronary syndrome (ACS), and not the classic chest pain seen when someone calls 911. However, the same treatment and care out-of-the hospital patients receive when calling 911 should be the same gold standard for in-hospital patients. More studies have been conducted to perfect the out-of-hospital STEMI care versus the in-hospital STEMI care. Mock drills can help improve knowledge, self-confidence, and performance with inpatient STEMI care. This DNP project was an evidenced-based quality improvement using quantitative and qualitative methods. The DNP project implemented an educational program for ACS and simulated mock STEMI drills among a convenience sample (N=11) of med-surg telemetry unit nurses in a small 105 bed community hospital. The implementation framework used was the Institute for Healthcare (IHI) Model for Improvement, known as the PDSA model. The same cohort of nurses participated in both the education and simulated mock STEMI drills. The ACS education was created from the American College of Cardiology (ACC) Chest Pain guidelines for accreditation. A pre-post assessment was done prior to and after the education for ACS. During the Mock STEMI drill a performance checklist was utilized to measure if nurses recognized ACS symptoms, obtained an EKG within 10 minutes, and read by physician, and initiated Cath Lab activation. After the drill, a post survey Quantitative-Likert scale was used from the National League of Nursing to measure satisfaction and self-confidence in learning, as well as a debriefing in which qualitative themes were identified

Construction of a Scoring Manual for the Sentence Stem A Good Boss-- For the Sentence Completion Test Integral (SCTi-MAP)

Ego development theory, proposed by Jane Loevinger (1966, 1976), is the study of how an individual\u27s processing of experience and meaning-making of the world develops. The tool used to measure ego development is the Washington University Sentence Completion Test (WUSCT), and its scoring manual is the foundation for the high validity and reliability of the measurement tool. Susanne Cook-Greuter (1999b) constructed a modified version of the WUSCT, the Sentence Completion Test Integral (SCTi-MAP), and in order to continue the trend of strong psychometric properties, a scoring manual needs to be constructed for the new sentence stems found on the SCTi-MAP. This thesis constructs a scoring manual for the SCTi-MAP sentence stem, a good boss- . The first step in creating a scoring manual was to sort the data, which consisted of 836 responses to the sentence stem, into categories within the different stages of ego development. Next, any new categories that seemed to emerge during the sort process were defined, and all of the existing categories were organized into a logical sequence within each stage. The final step was to write the scoring manual and perform basic statistics on the frequency distribution of responses within each category. The results of this thesis include the construction of a scoring manual for the sentence stem a good boss- , and a frequency distribution of the stem responses, which provides evidence that the sentence stem a good boss- has internal validity, as it seems to produce a similar distribution of response data as the assessment tool as a whole provides. This thesis project enhances the reliability and validity of the SCTi-MAP and adds data and conclusions to the pool of research available for the study of ego development theor

Construction of a Scoring Manual for the Sentence Stem A Good Boss-- For the Sentence Completion Test Integral (SCTi-MAP)

Ego development theory, proposed by Jane Loevinger (1966, 1976), is the study of how an individual\u27s processing of experience and meaning-making of the world develops. The tool used to measure ego development is the Washington University Sentence Completion Test (WUSCT), and its scoring manual is the foundation for the high validity and reliability of the measurement tool. Susanne Cook-Greuter (1999b) constructed a modified version of the WUSCT, the Sentence Completion Test Integral (SCTi-MAP), and in order to continue the trend of strong psychometric properties, a scoring manual needs to be constructed for the new sentence stems found on the SCTi-MAP. This thesis constructs a scoring manual for the SCTi-MAP sentence stem, a good boss- . The first step in creating a scoring manual was to sort the data, which consisted of 836 responses to the sentence stem, into categories within the different stages of ego development. Next, any new categories that seemed to emerge during the sort process were defined, and all of the existing categories were organized into a logical sequence within each stage. The final step was to write the scoring manual and perform basic statistics on the frequency distribution of responses within each category. The results of this thesis include the construction of a scoring manual for the sentence stem a good boss- , and a frequency distribution of the stem responses, which provides evidence that the sentence stem a good boss- has internal validity, as it seems to produce a similar distribution of response data as the assessment tool as a whole provides. This thesis project enhances the reliability and validity of the SCTi-MAP and adds data and conclusions to the pool of research available for the study of ego development theor

Construction of a Scoring Manual for the Sentence Stem A Good Boss-- For the Sentence Completion Test Integral (SCTi-MAP)

Ego development theory, proposed by Jane Loevinger (1966, 1976), is the study of how an individual\u27s processing of experience and meaning-making of the world develops. The tool used to measure ego development is the Washington University Sentence Completion Test (WUSCT), and its scoring manual is the foundation for the high validity and reliability of the measurement tool. Susanne Cook-Greuter (1999b) constructed a modified version of the WUSCT, the Sentence Completion Test Integral (SCTi-MAP), and in order to continue the trend of strong psychometric properties, a scoring manual needs to be constructed for the new sentence stems found on the SCTi-MAP. This thesis constructs a scoring manual for the SCTi-MAP sentence stem, a good boss- . The first step in creating a scoring manual was to sort the data, which consisted of 836 responses to the sentence stem, into categories within the different stages of ego development. Next, any new categories that seemed to emerge during the sort process were defined, and all of the existing categories were organized into a logical sequence within each stage. The final step was to write the scoring manual and perform basic statistics on the frequency distribution of responses within each category. The results of this thesis include the construction of a scoring manual for the sentence stem a good boss- , and a frequency distribution of the stem responses, which provides evidence that the sentence stem a good boss- has internal validity, as it seems to produce a similar distribution of response data as the assessment tool as a whole provides. This thesis project enhances the reliability and validity of the SCTi-MAP and adds data and conclusions to the pool of research available for the study of ego development theor

Relationships Between Teacher Attendance and Student Scores on the Tennessee Comprehensive Assessment Program Achievement Test in East Tennessee.

This mixed methods study examined relationships between third, fourth, and fifth grade teacher attendance as well as teacher and administrator perceptions of teacher attendance during the 2005-06, 2006-07, and 2007-08 school years. Third, fourth, and fifth grade student test scores on the Tennessee Comprehensive Assessment Program (TCAP) Achievement test given in the spring of 2006, 2007, and 2008 were also examined. TCAP score data for this study were gathered electronically, with published data from the Tennessee Department of Education. Teacher attendance records were collected using Siesta, a teacher attendance tracking program. Teacher and administrator perceptions were gathered through surveys, interviews, and focus groups. The population for this study included five K-5 schools and two K-8 schools in a small, rural, public school system in Tennessee. All students in grades 3 through 8 take the TCAP test each spring. Students must take a total of 4 subtests. Quantitative variables were analyzed using descriptive statistics including t tests, analysis of variance (ANOVA), Mann Whitney U, and Pearson correlations. Qualitative data including interviews, focus groups, surveys, documents, handbooks, and school calendars were analyzed to better understand teacher and administrator perceptions about teacher absences. The results of this study were mixed. Teachers and administrators who participated in this study agreed that teacher absences do affect student test scores, but the quantitative data did not support this. The null hypotheses were retained in all courses and grades except third grade Math. This means there was no relationship between teacher absences and student test scores

Working Toward Peace: A Holistic Approach to Addressing Youth Violence by Pleasant Hill Baptist Church

The prevalence of unintentional injury and violent behavior among school aged youth in Boston compared to the rest of the country is quite similar. And in the past decade, in spite of attempts both locally and nationally to stymie these behaviors, there has been no change in prevalence. Moreover, such behaviors are the leading cause of death and disability among youth and adults in the United States. This paper will discuss the strategies that have been employed by Pleasant Hill Baptist Church, Boston, MA in response to this trend and will focus on high-risk youth, especially those involved with gangs

The effect of social media communication on consumer perceptions of brands

Researchers and brand managers have limited understanding of the effects social media communication has on how consumers perceive brands. We investigated 504 Facebook users in order to observe the impact of firm-created and user-generated social media communication on brand equity, brand attitude and purchase intention by using a standardized online survey throughout Poland. To test the conceptual model, we analyzed 60 brands across three different industries: non-alcoholic beverages, clothing and mobile network operators. When analyzing the data, we applied the structural equation modeling technique to both investigate the interplay of firm-created and user-generated social media communication and examine industry-specific differences. The results of the empirical studies showed that user-generated social media communication had a positive influence on both brand equity and brand attitude, whereas firm-created social media communication affected only brand attitude. Both brand equity and brand attitude were shown to have a positive influence on purchase intention. In addition, we assessed measurement invariance using a multi-group structural modeling equation. The findings revealed that the proposed measurement model was invariant across the researched industries. However, structural path differences were detected across the models

The effects of optimal time of day on persuasion processes in older adults

Past research demonstrates that the majority of older adults (60 years and older) perform resource-demanding tasks better in the morning than in the afternoon or evening. The authors ask whether this time-of-day effect also impacts persuasion processes performed under relatively high involvement. The data show that the attitudes of older adults are more strongly affected by an easy-to-process criterion, picturerelatedness, at their non-optimal time of day (afternoon) and by a more-difficult-to-process criterion, argument strength, at their optimal time of day (morning). In contrast, the attitudes of younger adults are affected primarily by argument strength at both their optimal (afternoon) and non-optimal (morning) times of day. Process-level evidence that accords with these results is provided. The results accentuate the need for matching marketing communications to the processing styles and abilities of older adults. © 2007 Wiley Periodicals, Inc.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/56012/1/20169_ftp.pd

Twenty questions about design behavior for sustainability, report of the International Expert Panel on behavioral science for design

How behavioral scientists, engineers, and architects can work together to advance how we all understand and practice design—in order to enhance sustainability in the built environment, and beyond.https://www.nature.com/documents/design_behavior_for_sustainability.pdfPublished versio