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Title: Factors Influencing Controlled Substance Prescribing Behaviors Following Changes in Prescriptive Authority.
Creator: Reynolds, Annie M
Abstract/Description: Purpose: This evidence-based policy project was developed to examine the factors that influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice following legislative changes in 2017.Methods: Using a quantitative design, 1,850 Florida actively licensed APRNs met inclusion criteria from the online email distribution via the Florida Health Care Public Data Portal with a Qualtrics survey link. We...
Show morePurpose: This evidence-based policy project was developed to examine the factors that influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice following legislative changes in 2017.Methods: Using a quantitative design, 1,850 Florida actively licensed APRNs met inclusion criteria from the online email distribution via the Florida Health Care Public Data Portal with a Qualtrics survey link. We specifically focused on evaluating participants perceived readiness to prescribe, barriers to utilization of this prescriptive authority, and impacts on APRN practice. The data was analyzed using descriptive and nonparametric statistics with SPSS Version 23. Results: Overall, two years post-legislative change, 55.2% of Florida APRNs have DEA registration (n = 1021), with 59.1% of participants currently prescribing controlled substances in their practice (n = 1093). A large group of Florida APRNs felt very or extremely comfortable with prescribing (45.8%), with more continuing educations hours increasing feelings of preparedness ( = .418, p < .001), and overall feelings of preparedness improving comfort levels when prescribing ( = .703, p < .001). The most commonly selected response for impact to practice from prescribing controlled substances was the ability to efficiently meet patient’s needs (62.3%, n = 713) and the most commonly selected barrier to practice was that the APRN did not want to prescribe controlled substances (33.9%, n = 254).Implications: The DNP project results revealed that Florida APRNs are reporting impactful changes through the utilization of their prescriptive authority for scheduled II-IV substances, having proactively increased their education and feelings of preparedness, but there are some barriers that continue to persist in practice. Major Professor: Dr. Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
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Date Issued: 2021-05-01
Identifier: FSU_libsubv1_scholarship_submission_1599772258_90ab7d3a
Format: Citation

Title: Nutrition in Primary Care: An Evaluation of Providers’ Knowledge, Confidence, Attitudes, and Barriers to Incorporation in Practice.
Creator: Snipes, Jaimie Lyn
Abstract/Description: Purpose: The purpose of this project was to identify primary care providers’ self-perceived knowledge, confidence, attitudes, and barriers to providing nutritional counseling to patients with lifestyle-related chronic illness. Determining where knowledge deficits exist in order to assist in establishing the need to incorporate nutrition education within medical curricula. Methods A descriptive cross-sectional designed study was employed, with a convenience sample, and used an online...
Show morePurpose: The purpose of this project was to identify primary care providers’ self-perceived knowledge, confidence, attitudes, and barriers to providing nutritional counseling to patients with lifestyle-related chronic illness. Determining where knowledge deficits exist in order to assist in establishing the need to incorporate nutrition education within medical curricula. Methods A descriptive cross-sectional designed study was employed, with a convenience sample, and used an online assessment survey that was distributed through the Florida Department of Health (DOH) public database via Qualtrics targeting licensed Primary Care Providers in the state of Florida. Descriptive statistics were used to analyze data for examination of the project aims.Results: Positive attitudes towards incorporating nutritional counseling in the management of patients living with diet-related chronic conditions were found, yet despite this awareness, a majority of providers offered nutritional counseling to their patients’ half the time, rarely, or never; and when provided, the amount of time spent discussing nutrition with their patients was reported as 5 minutes or less. Providers expressed the continued need for further nutrition education and training to support them in their current role.Implications: To improve providers nutrition knowledge and confidence and increase nutritional counseling within practice, an expansion of nutritional education in medical and advanced practice nursing curricula is warranted. This project focused on primary care providers self-perception of their nutrition confidence, knowledge, and attitudes, but other specialties should be considered in future research as nutritional counseling does not solely take place within the primary care setting. Major Professor: Dr. Alicia Craig-Rodriguez DNP, MBA, APRN, FNP-BC
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Date Issued: 2021-04-23
Identifier: FSU_libsubv1_scholarship_submission_1606846555_4571b090
Format: Citation

Title: Finding a Rhythm between Thinking and Doing: Learning How to Reflect.
Creator: Volpe White, Jillian M., LeBlanc, Julie B., Guthrie, Kathy L
Date Issued: 2020-12
Identifier: FSU_libsubv1_scholarship_submission_1607090972_7d492d37
Format: Citation

Title: Statistical significance under low power: A Gettier case?.
Creator: Dunleavy, Daniel
Abstract/Description: A brief idea about on philosophy and statistics.
Date Issued: 2020-11-10
Identifier: FSU_libsubv1_scholarship_submission_1605828553_5254922b, 10.5281/zenodo.4281535
Format: Citation

Title: Spectral Analysis Modal Methods (SAMMs) using Non-Time-Resolved PIV.
Creator: Zhang, Yang, Cattafesta, Louis, Ukeiley, Lawrence
Abstract/Description: We present spectral analysis modal methods (SAMMs) to perform POD in the frequency domain using non-time-resolved Particle Image Velocity (PIV) data combined with unsteady surface pressure measurements. In particular, time-resolved unsteady surface pressure measurements are synchronized with non time-resolved planar PIV measurements acquired at 15 Hz in a Mach 0.6 cavity flow. Leveraging the spectral linear stochastic estimation (LSE) method of Tinney et al (2006), we first estimate the cross...
Show moreWe present spectral analysis modal methods (SAMMs) to perform POD in the frequency domain using non-time-resolved Particle Image Velocity (PIV) data combined with unsteady surface pressure measurements. In particular, time-resolved unsteady surface pressure measurements are synchronized with non time-resolved planar PIV measurements acquired at 15 Hz in a Mach 0.6 cavity flow. Leveraging the spectral linear stochastic estimation (LSE) method of Tinney et al (2006), we first estimate the cross correlations between the velocity eld and the unsteady pressure sensors via sequential time shifts, followed by a Fast Fourier transform to obtain the pressure-velocity cross spectral density matrix. This leads to a linear multiple-input / multiple-output (MIMO) model that determines the optimal transfer functions between the input cavity wall pressure and the output velocity eld. Two variants of SAMMs are developed and applied. The first, termed \SAMM-SPOD", combines the MIMO model with the SPOD algorithm of Towne et al (2018). The second, called \SAMM-RR", adds independent sources and uses a sorted eigendecomposition of the input pressure cross-spectral matrix to enable an efficient reduced rank eigendecomposition of the velocity cross-spectral matrix. In both cases, the resulting rank-1 POD eigenvalues associated with the Rossiter frequencies exhibit very good agreement with those obtained using independent time-resolved PIV measurements. The results demonstrate that SAMMs provide a methodology to perform space-time POD without requiring a high-speed PIV system, while avoiding potential pitfalls associated with traditional time-domain LSE.
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Date Issued: 2020-10-10
Identifier: FSU_libsubv1_scholarship_submission_1607021703_b067bfb4, 10.1007/s00348-020-03057-8
Format: Citation

Title: FSU Libraries Office of Digital Research and Scholarship Annual Report: 2019-2020.
Creator: Hunter, Matthew, Rodriguez, David, Soper, Devin, Thomas, Camille, Miller, Laura, Smart, Rachel, Stanley, Sarah
Date Issued: 2020-09-25
Identifier: FSU_libsubv1_scholarship_submission_1601056780_81f71973
Format: Citation

Title: A Bibliography on the Use of Communication and Information Technology in Counseling and Career Interventions.
Creator: Sampson, James P., Reardon, Robert C., Osborn, Debra S., Peterson, Gary W., Lenz, Janet G., Vuorinen, Raimo, Kettunen, Jaana, Panke Makela, Julia, Dozier, V. Casey
Abstract/Description: This bibliography contains citations from publications or papers presented at professional meetings concerning the use of information and communication technology in the delivery of counseling and career interventions based on work completed at Florida State University and other organizations in various locations. Topics have evolved over time and include computer-assisted career guidance systems, career information delivery systems, assessment, information, distance counseling, social media,...
Show moreThis bibliography contains citations from publications or papers presented at professional meetings concerning the use of information and communication technology in the delivery of counseling and career interventions based on work completed at Florida State University and other organizations in various locations. Topics have evolved over time and include computer-assisted career guidance systems, career information delivery systems, assessment, information, distance counseling, social media, research and evaluation, ethical issues, and professional standards. The bibliography is organized by publication year and then author in reverse chronological order by date in order to highlight most recent publications first.
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Date Issued: 2020-09-01
Identifier: FSU_libsubv1_scholarship_submission_1599077016_cec105e4
Format: Citation

Title: Navigating Challenges to Facilitate Success for College Students with Autism.
Creator: Cox, Bradley E., Edelstein, Jeffery, Brogdon, Bailey, Roy, Amanda
Abstract/Description: Roughly 1 in 59 children in the United States is diagnosed with an autism spectrum disorder (ASD), a rate that has more than doubled during the last 10 years. As students with autism increasinglypursue higher education, college educators must understand these students’ experiences and actively address issues that affect their college outcomes. This paper draws from interviews with autistic students who have had widely varying experiences and outcomes in higher education. Using an iterative...
Show moreRoughly 1 in 59 children in the United States is diagnosed with an autism spectrum disorder (ASD), a rate that has more than doubled during the last 10 years. As students with autism increasinglypursue higher education, college educators must understand these students’ experiences and actively address issues that affect their college outcomes. This paper draws from interviews with autistic students who have had widely varying experiences and outcomes in higher education. Using an iterative analytic strategy that combined elements of grounded theory, multiple case study, and constant comparative approaches, researchers developed a series of propositions that were subsequently deconstructed and reconstituted as a conceptual model. The resultant conceptual model not only provides a descriptive portrait of how these students experienced interactions with their postsecondary institutions but also outlines specific ways in which tensions between the student and institution manifest as acute problems that students were often able to recognize, sometimes able to reframe, and occasionally able to resolve. The model can be used to help students and their institutions anticipate, address, and overcome challenges in ways that improve college experiences and outcomes for students on the autism spectrum.
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Date Issued: 2020-08-25
Identifier: FSU_libsubv1_scholarship_submission_1599244258_73d25d3e, 10.1080/00221546.2020.1798203
Format: Citation

Title: COVID-19 in Florida: A Breakdown of Disparities in the Black Population June & July 2020.
Creator: Beatty, Cameron C, Wright II, James E, Gaozhao, Dongfang, Wiborg, Erica R., Clay Jr., Allen, Davis, Keandra
Abstract/Description: This brief will examine the impacts COVID-19 has had on FL residents across counties, racial and ethnic demographics, and the FL school population. We ran a multiple linear regression to determine our tested correlations.
Date Issued: 2020-08-13
Identifier: FSU_libsubv1_scholarship_submission_1597298714_e2d33148
Format: Citation

Title: A Bibliography of CIP Theory, Research, and Practice.
Creator: Sampson, James P., Lenz, Janet G., Dozier, V. Casey, Osborn, Debra S., Peterson, Gary W., Reardon, Robert C.
Abstract/Description: This bibliography contains citations from publications or papers presented at professional meetings concerning CIP theory, research, and practice based on work completed at Florida State University and other organizations in various locations.
Date Issued: 2020-08-03
Identifier: FSU_libsubv1_scholarship_submission_1597415022_543a38b8, 10.33009/fsu.1597415022
Format: Citation

Title: High Resolution Real-Time PCR Melting Curve Assay for Identification of Top Five Penaeidae Shrimp Species.
Creator: Sharma, Laxmi, Watts, Evelyn, Singh, Prashant
Abstract/Description: In the United States shrimps is the most popular seafood. Penaeidae shrimp species are known to share morphology characteristic and identification based on morphological appearance becomes more challenging when shrimp is processed into ready-to-eat products. Misrepresentation of shrimp is common in commercially available shrimp. The objective of the study was to develop a high-resolution melting (HRM) real time PCR assay targeting the 16S rRNA gene fragment for specific identification of top...
Show moreIn the United States shrimps is the most popular seafood. Penaeidae shrimp species are known to share morphology characteristic and identification based on morphological appearance becomes more challenging when shrimp is processed into ready-to-eat products. Misrepresentation of shrimp is common in commercially available shrimp. The objective of the study was to develop a high-resolution melting (HRM) real time PCR assay targeting the 16S rRNA gene fragment for specific identification of top five penaeid species, Litopenaeus vannamei, Penaeus duorarum, Penaeus monodon, Litopenaeus setiferus and Pleoticus muelleri. The applicability of assay was evaluated using two DNA extraction kits and two real-time PCR master mixes. The HRM assay was evaluated using 43 shrimp samples and results were validated by sequencing shrimp 16S rRNA gene fragment. Assay standardized in this study formed distinct melt curve profile for each species in the normalized and differential melt curve plots. The assay using Apex qPCR 2× GREEN master mix showed 100% sensitivity and specificity. Further, species identification results obtained by HRM assay was in complete agreement with identification achieved by 16S rRNA gene sequencing. The HRM assay developed in this study can be used as rapid, low-cost, and reliable method for the identification of abovementioned shrimp species.
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Date Issued: 2020-08-01
Identifier: FSU_libsubv1_scholarship_submission_1596128652_08afc3e8, 10.1016/j.lwt.2020.109983
Format: Citation

Title: Examining Open Access Article Performance: Taking a Nearsighted Approach to a Farsighted Problem.
Creator: Mouratidis, Roxann, Wood, Martin
Abstract/Description: Objectives: To determine if open-access journal articles receive more citations, downloads, and social media attention than toll-access articles in the health sciences.Methods: Using our university’s CV database, we generated a list of faculty names and articles published between 2013-2016. The following criteria were used to refine this list: 1) the faculty member must have an active appointment in the College of Medicine, and 2) the publication must be a scholarly journal article. After our...
Show moreObjectives: To determine if open-access journal articles receive more citations, downloads, and social media attention than toll-access articles in the health sciences.Methods: Using our university’s CV database, we generated a list of faculty names and articles published between 2013-2016. The following criteria were used to refine this list: 1) the faculty member must have an active appointment in the College of Medicine, and 2) the publication must be a scholarly journal article. After our master list was generated and refined, we identified the open access articles by looking up each journal in the Directory of Open Access Journals, and in the case of hybrid journals, viewing the article’s access options on the journal’s website. We then manually retrieved article level metrics for each article on our list. These metrics included altmetric scores and the number of citations, downloads, and views each article received. Our primary source of data was the journal’s website. Secondary sources of data included Dimensions and the Altmetric bookmarklet.Results: On average, articles published open access or available in the institutional repository received at least a 20% increase in number of citations, as compared to articles published exclusively behind a paywall.Conclusions: Open-access articles receive more citations on average than their toll-access counterparts, and we expect to find a similar increase in the number of views, downloads, and altmetric scores. As such, authors and their institutions or funding agencies would benefit from utilizing open access publishing venues to increase the visibility of their research. Libraries have a role in facilitating open access to research by establishing institutional repositories as an alternative venue for freely sharing faculty-authored publications.
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Date Issued: 2020-07-22
Identifier: FSU_libsubv1_scholarship_submission_1597409725_dd605d03
Format: Citation

Title: An Introduction to CIP Theory, Research, and Practice.
Creator: Sampson, James P, Osborn, Debra S, Bullock-Yowell, Emily, Lenz, Janet G, Peterson, Gary W, Reardon, Robert C, Dozier, V Casey, Leierer, Stephen J, Hayden, Seth C W, Saunders,...
Show moreSampson, James P, Osborn, Debra S, Bullock-Yowell, Emily, Lenz, Janet G, Peterson, Gary W, Reardon, Robert C, Dozier, V Casey, Leierer, Stephen J, Hayden, Seth C W, Saunders, Denise E
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Abstract/Description: The primary purpose of this paper is to introduce essential elements of cognitive information processing (CIP) theory, research, and practice as they existed at the time of this writing. The introduction that follows describes the nature of career choices and career interventions, and the integration of theory, research, and practice. After the introduction, the paper continues with three main sections that include CIP theory related to vocational behavior, research related to vocational...
Show moreThe primary purpose of this paper is to introduce essential elements of cognitive information processing (CIP) theory, research, and practice as they existed at the time of this writing. The introduction that follows describes the nature of career choices and career interventions, and the integration of theory, research, and practice. After the introduction, the paper continues with three main sections that include CIP theory related to vocational behavior, research related to vocational behavior and career intervention, and CIP theory related to career interventions. The first main section describes CIP theory, including the evolution of CIP theory, the nature of career problems, theoretical assumptions, the pyramid of information processing domains, the CASVE Cycle, and the use of the pyramid and CASVE cycle. The second main section describes CIP theory-based research in examining vocational behavior and establishing evidence-based practice for CIP theory-based career interventions. The third main section describes CIP theory related to career intervention practice, including theoretical assumptions, readiness for career decision making, readiness for career intervention, the differentiated service delivery model, and critical ingredients of career interventions. The paper concludes with regularly updated sources of information on CIP theory.
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Date Issued: 2020-06-25
Identifier: FSU_libsubv1_scholarship_submission_1593091156_c171f50a
Format: Citation

Title: Lagrangian and Eulerian Measurements in High-Speed Jets Using Multi-Pulse Shake-The-Box and Fine Scale Reconstruction (VIC#).
Creator: Sellappan, Prabu, Cattafesta, Louis, Alvi, Farukh
Abstract/Description: Accurate measurement of high-speed flows in the presence of elevated levels of shear and turbulence is a challenging yet necessary endeavor in order to understand ubiquitous flows that are of great engineering importance. While Eulerian methods, such as Particle Image Velocimetry, represent the traditional approach, Lagrangian alternatives, such as Particle Tracking Velocimetry, has witnessed a resurgence recently due to improved technology and interest in Lagrangian analysis methods. In this...
Show moreAccurate measurement of high-speed flows in the presence of elevated levels of shear and turbulence is a challenging yet necessary endeavor in order to understand ubiquitous flows that are of great engineering importance. While Eulerian methods, such as Particle Image Velocimetry, represent the traditional approach, Lagrangian alternatives, such as Particle Tracking Velocimetry, has witnessed a resurgence recently due to improved technology and interest in Lagrangian analysis methods. In this research, a recently developed implementation of a volumetric Lagrangian technique for tracking particles in densely seeded flows, namely, Multi–Pulse Shake-The-Box (MP–STB) with the specific implementation referred to as Four–Pulse Shake-The-Box, is described and its performance in high-speed jet flows is evaluated. The MP–STB technique is based on recent developments in the Shake-The-Box method (Novara et al. 2019) and uses low-speed cameras combined with a double exposed image acquisition strategy and multi-pulse tracking. Its use of four laser pulses in quick succession with an uneven pulse timing scheme allows for high-accuracy estimates of velocity and acceleration, and repeated ensembles of short-duration, time-resolved measurements in realistic high-speed flows. Experiments with circular jets operating at exit Mach numbers of 0.31 and 0.59 in two different configurations, namely, free jets and jets impinging on a ground plate located 4.75 jet diameters away from the nozzle, were performed to evaluate MP–STB. Scattered four particle tracks from MP–STB were mapped onto a regular Eulerian grid through the Fine Scale Reconstruction implementation of the VIC# data assimilation method (Jeon et al. 2018). Unique information, including acceleration fields, are presented for these well-known canonical flows. Comparisons with traditional Eulerian measurements from Tomographic PIV, Stereoscopic PIV, and planar PIV are provided to validate the accuracy and comparative cost of volumetric MP–STB measurements combined with the VIC# data assimilation technique.
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Date Issued: 2020-06-22
Identifier: FSU_libsubv1_scholarship_submission_1607027191_f2fa4fe3, 10.1007/s00348-020-02993-9
Format: Citation

Title: A Bell-shaped Dose-response of Topical FGF-1 in Accelerating Dermal Wound Healing in Aged Female BALB/cByJ Mice.
Creator: Hagerott, Brooke, Blumstein, Alli, McGarry, Lauren, Cohen, Hannah, Tenorio, Connie, Powell, Brett, Nagy, Tamas, Blaber, Michael
Abstract/Description: The objective of this study was to characterize the therapeutic dose-response characteristics for topical FGF-1 in the full-thickness dermal healing of aged female BALB/cByJ mice. The approach utilized a splinted excisional model of dermal healing, and a novel fine-sampled photographic methodology, to quantify key wound healing parameters for different doses of topical FGF-1. The histology of healed wounds, representative of each dose cohort, was also evaluated by section and staining. The...
Show moreThe objective of this study was to characterize the therapeutic dose-response characteristics for topical FGF-1 in the full-thickness dermal healing of aged female BALB/cByJ mice. The approach utilized a splinted excisional model of dermal healing, and a novel fine-sampled photographic methodology, to quantify key wound healing parameters for different doses of topical FGF-1. The histology of healed wounds, representative of each dose cohort, was also evaluated by section and staining. The results show that topical FGF-1 pharmacotherapy for accelerating dermal healing in aged BALB/cByJ female mice yields a narrow dose-response curve, with diminished therapeutic effect at high concentration (i.e. “bell-shaped” dose-response). The physiological response of FGF-1 in wound healing involves a combination of cell types (including vascular endothelial cells, epidermal keratinocytes and dermal fibroblasts). These individual cells types in culture can have different FGF-1 dose-response curves; however, only the response of fibroblasts is bell-shaped. The bell-shaped dose-response in dermal healing therefore principally reflects the effect upon fibroblasts. A narrow bell-shaped dose-response requires precise dosing of FGF-1 for therapeutic benefit. The results identify the practical dose range to elicit such a benefit.
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Date Issued: 2020-06-20
Identifier: FSU_libsubv1_scholarship_submission_1591883645_68fa5c0c, 10.1007/s42485-020-00040-z
Format: Citation

Title: Conserved Buried Water Molecules Enable the β-Trefoil Architecture.
Creator: Blaber, Michael
Abstract/Description: Available high-resolution crystal structures for the family of β-trefoil proteins in the structural databank were queried for buried waters. Such waters were classified as either: 1) unique to a particular domain, family, or superfamily, or 2) conserved among all β-trefoil folds. Three buried waters conserved among all β-trefoil folds were identified. These waters are related by the threefold rotational pseudo-symmetry characteristic of this protein architecture (representing three instances...
Show moreAvailable high-resolution crystal structures for the family of β-trefoil proteins in the structural databank were queried for buried waters. Such waters were classified as either: 1) unique to a particular domain, family, or superfamily, or 2) conserved among all β-trefoil folds. Three buried waters conserved among all β-trefoil folds were identified. These waters are related by the threefold rotational pseudo-symmetry characteristic of this protein architecture (representing three instances of an identical structural environment within each repeating trefoil-fold motif). The structural properties of this buried water are remarkable and include: residing in a cavity space no larger than a single water molecule, exhibiting a positional uncertainty (i.e., normalized B-factor) substantially lower than the average Cα atom, providing essentially ideal H-bonding geometry with three solvent-inaccessible main chain groups, simultaneously serving as a bridging H-bond for three different β-strands at a point of secondary structure divergence, and orienting conserved hydrophobic sidechains to form a nascent core-packing group. Other published work supports an interpretation that these interactions are key to the formation of an efficient folding nucleus and folded thermostability. The fundamental threefold symmetric structural element of the β-trefoil fold is therefore, surprisingly, a buried water molecule.
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Date Issued: 2020-06-12
Identifier: FSU_libsubv1_scholarship_submission_1591989294_c7b69320, 10.1002/pro.3899
Format: Citation

Title: Scientific practice in the time of COVID-19: It's time to commit to change.
Creator: Dunleavy, Daniel J., Tennant, Jonathan, Francuzik, Wojciech
Abstract/Description: In order to make progress on society's most pressing problems, we argue that scientists will need to continue to foster the open and transparent research practices taken during the current Coronavirus pandemic.
Date Issued: 2020-06-02
Identifier: FSU_libsubv1_scholarship_submission_1591199815_e415fb55, 10.5281/zenodo.3873630
Format: Citation

Title: Anemia at Discharge and Risk of Readmission in Elderly Patients.
Creator: Teklie, MD, Yeshanew, Patel, MD, Niraj, Campdesuner, DO, Victoria, Marini, DO, Kayla, Rodriguez, DO, Yorlenis, Hamad, MD, FAAP, FACP, Karen, Geary, PhD, RN, Mary E, Wiese...
Show moreTeklie, MD, Yeshanew, Patel, MD, Niraj, Campdesuner, DO, Victoria, Marini, DO, Kayla, Rodriguez, DO, Yorlenis, Hamad, MD, FAAP, FACP, Karen, Geary, PhD, RN, Mary E, Wiese-Rometsch, MD, FACP, Wilhelmine
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Abstract/Description: Title: Anemia at Discharge and Risk of Readmission in Elderly Patients Authors: Yeshanew Teklie MD, Niraj Patel MD; Victoria Campdesuner DO; Kayla Marini DO; Yorlenis Rodriguez DO; Karen M. Hamad MD, FAAP, FACP; Mary E. Geary PhD, RN; and Wilhelmine Wiese-Rometsch MD, FACPAffiliation: Florida State University Internal Medicine Residency Program at Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota FL 34239, 941-917-7799Type of Project: Practice-based Quality...
Show moreTitle: Anemia at Discharge and Risk of Readmission in Elderly Patients Authors: Yeshanew Teklie MD, Niraj Patel MD; Victoria Campdesuner DO; Kayla Marini DO; Yorlenis Rodriguez DO; Karen M. Hamad MD, FAAP, FACP; Mary E. Geary PhD, RN; and Wilhelmine Wiese-Rometsch MD, FACPAffiliation: Florida State University Internal Medicine Residency Program at Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota FL 34239, 941-917-7799Type of Project: Practice-based Quality ImprovementIntroduction: Anemia is defined by the World Health Organization (WHO) as a hemoglobin (Hb) concentration less than 12.0 g/dL for females and less than 13.0 g/dL for males. Objective of this quality improvement initiative was to test if anemia independently is associated with readmission in elderly patients discharged from the medicine service of a community teaching hospital. Methods: We conducted a retrospective cohort study declared exempt by our Institutional Review Board involving electronic medical record data from patients at least 65 years old hospitalized between September 2009 and June 2019 discharged not to hospice care. Severity of anemia classified by the WHO was applied for Hb concentrations obtained at hospital discharge for females as mild (11.0 – 11.9 g/dL), moderate (8.0 – 10.9 g/dL), severe (<8.0 g/dL); and males as mild (11.0 - 12.9 g/dL), moderate (8.0 - 10.9 g/dL), severe (<8.0 g/dL). Time to readmission after index hospitalization within 30d, 90d, and 180d with mild, moderate, severe, or no anemia was compared using Kaplan Meier survival curves with covariates (age; sex; multiple chronic conditions; length of stay; APR-DRG Severity of Illness and Risk of Mortality; and discharge destination) controlled using Cox Proportional Hazard modeling with relative impact assessed using Random Forest modeling. Readmission after 180d was considered a new index hospitalization. Continuous variables summarized as mean (SD) or median (interquartile range) were contrasted using Kruskal-Wallis ANOVA. Categorical variables summarized as proportions were compared using chi square or Fisher exact test. Statistical tests were two-tailed with p<.05 considered significant.Findings: Among 13,526 inpatients with 18,793 discharges median age of 78 (14) years was statistically similar by sex (49% females, 51% males) exhibiting an anemia distribution of no (31.0%), mild (20.5%), moderate (47.1%) and severe (1.4%). Race distributed as 89.9% white; 5.9% African American or Black; and 4.2% Other. Females differentiated distribution across anemia spectrum at no (95.7%) (p<0.001), mild (26.4%) (p<0.001), moderate (51.0%) and severe (43.5%). No, mild, moderate and severe anemia corrected for putative confounders impacted (p<0.001) respectively cumulative risk of readmission at 30 d (7.0%, 7.9%, 17.2%, 21.3%), 90 d (12.0%, 15.3%, 28.1%, 34.8%) and 180 d (16.4%, 20.7%, 34.4%, 42.6%).Conclusion: An essential patient-centric question is whether anemia in elderly inpatients affects poor outcomes and/or whether anemia is a surrogate marker for underlying overt and/or subclinical disease(s). Although present quality improvement initiative was not designed to unravel mechanisms of anemia, we controlled for putative severity of illness confounders while demonstrating readmission risk escalating with severity of anemia. Implications for Practice: Findings herald readmission risk associated with “no anemia” as defined by the World Health Organization. Tailored anemia care could offer clinical advantages to mitigate risk for readmission.Reference: WHO. Hemoglobin concentrations for the diagnosis of anemia. Accessed May 16, 2020 at https://www.who.int/vmnis/indicators/haemoglobin.pdf
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Date Issued: 2020-06-01
Identifier: FSU_libsubv1_scholarship_submission_1590113078_481e3993
Format: Document (PDF)

Title: Evaluation of the Florida Tax Credit Scholarship Program Participation, Compliance and Test Scores in 2018-19.
Creator: Kisa, Zahid, Dyehouse, Melissa, Benz, Marisa, Herrington, Carolyn
Abstract/Description: To expand educational opportunities for children of families that have limited financial resources and to enable children in this state to achieve a greater level of excellence in their education, the Florida Legislature created the Florida Tax Credit Scholarship Program in 2001. This report examines the effectiveness of the Tax Credit Scholarship Program for the 2018-2019 school year in general as well as at various sub-group levels.
Date Issued: 2020-06-01
Identifier: FSU_libsubv1_scholarship_submission_1604001971_326f11f6
Format: Citation

Title: Political corruption and the congestion of controllability in social networks.
Creator: Solimine, Philip C
Abstract/Description: By viewing political and social corruption through the lens of the control theory of complex systems, this paper will provide some insight into the effects of corruption and outside control on incentives which direct the formation and evolution of social networks, and the intrinsic hierarchies which they encode. This paper proposes and tests the hypothesis that changes in the rate of competition among nodes to raise their control capacity, incentivized by the anticipation of payment through...
Show moreBy viewing political and social corruption through the lens of the control theory of complex systems, this paper will provide some insight into the effects of corruption and outside control on incentives which direct the formation and evolution of social networks, and the intrinsic hierarchies which they encode. This paper proposes and tests the hypothesis that changes in the rate of competition among nodes to raise their control capacity, incentivized by the anticipation of payment through political corruption opportunities, can be identified by changes in an indicator of the controllability of the network at points where the network undergoes a structural change. A theoretical model of control input preference is formulated which leads to a testable hypothesis about the direction of correlation between controllability of a network and the presence of corruption. Results support the hypothesis that as corruption increases, the network becomes more difficult to control as all members alter their linking strategies to ensure that they get a piece of the action. We describe this novel effect as “hierarchical congestion”, to reflect the emergent phenomenon in which individuals making effort to move themselves to the top of the controllability hierarchy increase the number of driver nodes required to fully control the network.
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Date Issued: 2020-05-04
Identifier: FSU_libsubv1_scholarship_submission_1603169569_eb3ee178, https://doi.org/10.1007/s41109-020-00263-5
Format: Citation

Title: Personality and psychological health in caregivers of older relatives: A case-control study.
Creator: Luchetti, Martina, Terracciano, Antonio, Stephan, Yannick, Aschwanden, Damaris, Sutin, Angelina
Abstract/Description: Objectives: Being a caregiver of an older adult is often associated with poor psychological outcomes and stress. Individual differences, such as personality, may moderate responses to caregiving. In this study, we examined (a) personality and psychological health of family caregivers compared to non-caregivers and (b) tested interactions between caregiver status and personality (both domains and facets) in predicting psychological outcomes.Methods: Data were from an online sample of...
Show moreObjectives: Being a caregiver of an older adult is often associated with poor psychological outcomes and stress. Individual differences, such as personality, may moderate responses to caregiving. In this study, we examined (a) personality and psychological health of family caregivers compared to non-caregivers and (b) tested interactions between caregiver status and personality (both domains and facets) in predicting psychological outcomes.Methods: Data were from an online sample of caregivers of older relatives (N = 491; 71.9% females) and matched controls (N = 491). Participants completed the Big Five Inventory-2 and a comprehensive set of psychological health and well-being measures.Results: Compared to non-caregivers, caregivers had higher neuroticism, lower energy level (extraversion facet) and higher compassion (agreeableness facet). They also reported higher depression, anxiety, loneliness, and lower well-being and life satisfaction. Personality traits and facets had strong associations with psychological outcomes, and these associations were similar across the two groups. Only a few significant interactions between caregiver status and personality were found: For instance, higher neuroticism (in particular, higher scores on anxiety and depression facets) exacerbated anxiety among caregivers.Conclusions: Personality is a relevant correlate of psychological health. In the context of caregiving, its assessment may help to identify caregivers at risk of poor outcomes and inform intervention programs. Further research is needed to replicate the findings and investigate longitudinal interrelations among variables.
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Date Issued: 2020-04-29
Identifier: FSU_libsubv1_scholarship_submission_1594324435_a3fa46d5, 10.1080/13607863.2020.1758907
Format: Citation

Title: Adolescent Mental Health Literacy: Be In The Know.
Creator: Thomas, Casmere L., Dickey, Sabrina L
Abstract/Description: The purpose of this study was to increase mental health literacy among adolescents from a socioeconomically disadvantaged community through an evidence-based educational intervention, in a community center setting.
Date Issued: 2020-04-27
Identifier: FSU_libsubv1_scholarship_submission_1587967418_c4f22ad3
Format: Citation

Title: An Evaluation of the Modified Early Warning Scoring System in an Acute Care Hospital.
Creator: Trocki, Kathleen K., Craig-Rodriguez, Alicia
Abstract/Description: Title: An Evaluation of the Modified Early Warning Scoring System in an Acute Care HospitalPrimary Investigator: Kathleen K. Trocki, BSN, RN Purpose: The purpose of this project was to evaluate the effectiveness of the Modified Early Warning Scoring system (MEWS) on improving patient outcomes in an acute care hospital. The patient outcomes measured included mortality rates, rate of adverse events (AE), rate of patient transfers to a higher level of care and patient discharge dispositions....
Show moreTitle: An Evaluation of the Modified Early Warning Scoring System in an Acute Care HospitalPrimary Investigator: Kathleen K. Trocki, BSN, RN Purpose: The purpose of this project was to evaluate the effectiveness of the Modified Early Warning Scoring system (MEWS) on improving patient outcomes in an acute care hospital. The patient outcomes measured included mortality rates, rate of adverse events (AE), rate of patient transfers to a higher level of care and patient discharge dispositions. Methods: This project was a retrospective study evaluating pre and post-implementation data specific to patient mortality rate, rate of patient transfers to a higher level of care, and rate of patients discharged alive post adverse event. Results: Improvements in adverse event outcomes and patient discharge dispositions were seen after the MEWS system was implemented house wide. A decrease in mortality rate for patient’s experiencing an AE was demonstrated as well as an increase in the rate of patients discharged alive. Discussion: The results of this review were able to demonstrate improved patient outcomes with the implementation of the MEWS system in an acute care hospital. The increase in rapid response calls seen in this project suggests more patients were receiving clinical evaluations for physiological changes in condition, leading to earlier intervention. The reduction in cardiac arrests and mortality rates seen in the post-implementation period suggests the impact of the process change was able to demonstrate improvement in early clinical assessment, intervention and treatment. Conclusions: The Modified Early Warning Scoring System demonstrated a reduction in adverse event mortality rates and improvement in patient discharge dispositions. The use of an early warning system in the acute care setting has the potential to decrease adverse events, improve patient outcomes and lower healthcare costs. Major Professor: Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
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Date Issued: 2020-04-27
Identifier: FSU_libsubv1_scholarship_submission_1587998808_ff69b5d1
Format: Citation

Title: Recognizing Perinatal Mood and Anxiety Disorders: What Every Nurse Needs to Know.
Creator: Simpson, Amanda J
Abstract/Description: Purpose: To determine the potential benefits of an educational training video on perinatal mood and anxiety disorders (PMADs), interventions, and community resources that were presented to undergraduate nursing students who had previously completed mental health and women’s health courses in nursing school.Methods: This study utilized a quasi-experimental pre/post-test design to assess nursing students’ knowledge on recognizing signs and symptoms of PMADs prior to viewing an educational...
Show morePurpose: To determine the potential benefits of an educational training video on perinatal mood and anxiety disorders (PMADs), interventions, and community resources that were presented to undergraduate nursing students who had previously completed mental health and women’s health courses in nursing school.Methods: This study utilized a quasi-experimental pre/post-test design to assess nursing students’ knowledge on recognizing signs and symptoms of PMADs prior to viewing an educational training video. Students were recruited from two local colleges, Florida State University and Tallahassee Community College. After the training video, students completed the post-test to determine if knowledge had increased. The pre- and post-tests were completed via Qualtrics. Descriptive statistics and an independent t-test were used to determine effectiveness.Results: There was a statistically significant increase in scored questions t(52) =-3.21,p =.002 post educational intervention. A Cohen’s d was estimated to be .88, which is a large effect based on Cohen’s (1992) guidelines. There was an increase in percentages for participants in comfort levels associated with talking to women about depression and locating community resources for these patients; however, there was a slight decrease in comfort levels reported when it comes to administering screening tools for this population. Discussion: Perinatal mood and anxiety disorders (PMADS) have long-term effects on the mother and children involved. PMADs goes undiagnosed and untreated in 75% of those who suffer from these disorders. This educational video was 12-minutes long but had a significant impact on the knowledge of these students Conclusions: More extensive studies need to be conducted to determine the need for a stronger emphasis on these disorders while nurses are early in their didactic learning. It is imperative that nurses are educated on recognizing these disorders. Nurses are in a perfect place to educate, advocate, and guide these patients to the right resources. Major Professor: Susan Shelton, PhD, APRN, CNM
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Date Issued: 2020-04-27
Identifier: FSU_libsubv1_scholarship_submission_1587922970_30fdc77c_P
Format: Set of related objects

Title: Withdrawal Confounding in Studies of The Pharmacological Management of Substance Use Disorders.
Creator: Dunleavy, Daniel J.
Abstract/Description: Nanopublication on Substance Abuse Clinical Trial Design
Date Issued: 2020-04-27
Identifier: FSU_libsubv1_scholarship_submission_1596333966_aecc8325, 10.5281/zenodo.3767449
Format: Citation

Title: An Evaluation of a Prevention Protocol of Hospital Acquired Pressure Injuries.
Creator: Davis, Sandy Lee, Craig-Rodriguez, Alicia
Abstract/Description: AbstractThis project aimed to evaluate the effectiveness of a nurse-driven prevention protocol to decrease the number of hospital-acquired pressure injuries in hospitalized patients who participated in a hospital-wide prevalence study. Four time points during 2018 and 2019 were used to determine the incidence of pressure injury development. Two of the time points were prior to implementation of a skin prevention protocol and the other two time points were after implementation. Prevalence data...
Show moreAbstractThis project aimed to evaluate the effectiveness of a nurse-driven prevention protocol to decrease the number of hospital-acquired pressure injuries in hospitalized patients who participated in a hospital-wide prevalence study. Four time points during 2018 and 2019 were used to determine the incidence of pressure injury development. Two of the time points were prior to implementation of a skin prevention protocol and the other two time points were after implementation. Prevalence data was collected over a thirteen-month period and included timepoints prior to and after the implementation of the pressure injury prevention protocol. A total of 1,812 patients were assessed during the pre and post intervention period. Twenty-three pressure injuries were identified on hospitalized patients during the prevalence studies conducted prior to implementation of the skin prevention protocol, and seven pressure injuries were found during prevalence after the protocol was implemented. Pressure injury incidence per 100 patients was 2.59 prior to the intervention, and 0.87 per 100 patients post-interventionResults demonstrated that implementation of a skin prevention protocol did decrease the number of pressure injuries developed during hospitalization.
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Date Issued: 2020-04-25
Identifier: FSU_libsubv1_scholarship_submission_1587827946_62b600f4
Format: Citation

Title: From the Classroom to the Exam Room: Using Education and Simulation to Improve Communication Skills, Teamwork, and Collaboration in Nursing Practice.
Creator: Okaro, Nwando Vivian
Abstract/Description: Title: From the Classroom to the Exam Room: Using Education and Simulation to Improve Communication Skills, Teamwork, and Collaboration in Nursing PracticePrimary Investigator: Nwando Vivian Okaro, BSN, RN Purpose: To determine if confidence levels and communication skills of final semester undergraduate nursing students could be increased using education and simulation. Methods: This study took place at a southeastern university in the US with a convenience sample of ten participants from...
Show moreTitle: From the Classroom to the Exam Room: Using Education and Simulation to Improve Communication Skills, Teamwork, and Collaboration in Nursing PracticePrimary Investigator: Nwando Vivian Okaro, BSN, RN Purpose: To determine if confidence levels and communication skills of final semester undergraduate nursing students could be increased using education and simulation. Methods: This study took place at a southeastern university in the US with a convenience sample of ten participants from the final semester, Baccalaureate Student Nurses, and Accelerated Baccalaureate Student Nurses. An educational intervention utilizing the Situation, Background, Assessment, and Recommendations (SBAR) tool describing effective and ineffective communication was followed by simulation. Data collection was completed online utilizing Qualtrics.Analysis: Descriptive statistics were used to analyze the demographics, confidence levels, and the importance of teamwork perception. Team member communication was analyzed using the t-test for paired samples using the Statistical Package for Social Sciences version 25. Results: Eighty percent (n=8) of participants showed improvement in their post-intervention scores with significant results at p < .05. The results of the study showed a statistically significant improvement using the SBAR method of communication.Discussion: Although the sample size limits the generalizability of the study results, the findings support the need for education and practice as a means to improve clinical competencies in communication, teamwork, and self-efficacy in final semester nursing students. Conclusions: This study should be replicated with larger samples and in diverse locations. Education, in conjunction with simulation, is becoming more integrated into the undergraduate nursing curriculum and has been deemed an effective way to improve clinical skills, confidence levels, reduce anxiety and promote teamwork before the start of clinical practice (Aebersold, 2018). Education backed up with practice is an effective way to improve clinical skills in undergraduate nurses and new graduate nurses.Major Professor: Denise Tucker, Ph.D., RN, CCRN
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Date Issued: 2020-04-24
Identifier: FSU_libsubv1_scholarship_submission_1587738504_37c95e93
Format: Citation

Title: Risk of developing Dementia/Alzheimer’s in patients with Atrial Fibrillation.
Creator: Juszczyk, Kayla Anne
Abstract/Description: Problem statement: Patients diagnosed with atrial fibrillation (AF) are at an increased risk of developing dementia/Alzheimer’s. Current education for Registered Nurses (RN) and Advanced Practice Registered Nurses (APRN) regarding this association between AF and dementia/Alzheimer’s is not discussed within the literature. Purpose: The purpose of this project was to evaluate current nursing knowledge on the associated increased risk of dementia/Alzheimer’s in patients with atrial fibrillation...
Show moreProblem statement: Patients diagnosed with atrial fibrillation (AF) are at an increased risk of developing dementia/Alzheimer’s. Current education for Registered Nurses (RN) and Advanced Practice Registered Nurses (APRN) regarding this association between AF and dementia/Alzheimer’s is not discussed within the literature. Purpose: The purpose of this project was to evaluate current nursing knowledge on the associated increased risk of dementia/Alzheimer’s in patients with atrial fibrillation and to provide education to RN’s and APRN’s in the form of an evidence-based educational PowerPoint presentation. The presentation was developed following an integrative review of the literature and was distributed to members of the Preventative Cardiovascular Nurses Association.Methods: An evidence-based educational PowerPoint providing information on the increased risk of dementia/Alzheimer’s in patients with AF was provided to the Preventative Cardiology Nurses Association via a post in the online monthly newsletter. Twenty-five participants (7 APRNs and 18 RNs) completed the entire survey which included: a demographic questionnaire; a pretest; the educational PowerPoint; and a post-test. Descriptive statistics were run in SPSS and the mean pre-test and post-test scores were compared using a paired samples t-test with significance set at p < 0.05. Results: Participants in the study had a significant improvement (p = 0.011) in test scores from the pre-intervention (mean score of 71%) when compared to the post-intervention test (mean score of 83%). Discussion: The current project demonstrated the effectiveness of an educational PowerPoint in improving the knowledge of cardiovascular nurses on the association between AF and dementia. Using this information, nurses’ can improve their care of AF patients, and the patient education provided to this population for reducing their risk of dementia/Alzheimer’s Disease. Conclusions: Recent research has described an increased incidence of cognitive decline in patients diagnosed with AF. However, after a thorough review of nursing education literature, no studies could be found to demonstrate nurses’ knowledge of this association. The evidence-based PowerPoint provided education to cardiovascular nurses on this important relationship. Nurses will subsequently use this information to educate patients and caregivers on the need to monitor cognitive function in those diagnosed with AF.
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Date Issued: 2020-04-24
Identifier: FSU_libsubv1_scholarship_submission_1587741628_114bbd0b
Format: Citation

Title: Handling Emotions After Patient Death: Helping Students Experience Death of a Patient Through Simulation.
Creator: Hall, Brittany
Abstract/Description: To determine if an educational intervention using simulation of a death event with debriefing could increase the confidence and preparedness of senior nursing students in coping with patient death.
Date Issued: 2020-04-24
Identifier: FSU_libsubv1_scholarship_submission_1587761519_5ba1418a
Format: Citation

Title: A Molecular and Acoustic Analysis of a Gray Treefrog (Hyla Versicolor) Hybrid Zone.
Creator: Zdyrski, Christopher
Abstract/Description: Polyploidy is widespread across the tree of life, yet there remain large gaps in our understanding of polyploid evolution. After their formation, the genome and gene expression architecture of polyploids may undergo rapid changes. What is unclear is how independent changes in isolated populations may affect the evolution of a polyploid species when these populations come into contact. In this study, we aimed to elucidate the area of contact between two tetraploid lineages of the gray treefrog...
Show morePolyploidy is widespread across the tree of life, yet there remain large gaps in our understanding of polyploid evolution. After their formation, the genome and gene expression architecture of polyploids may undergo rapid changes. What is unclear is how independent changes in isolated populations may affect the evolution of a polyploid species when these populations come into contact. In this study, we aimed to elucidate the area of contact between two tetraploid lineages of the gray treefrog (Hyla versicolor). Although previous research provided a rough estimate of where these different lineages co-occur, we lack information about the extent of these lineage across large geographic regions and about the position of possible contact zones. In preliminary work, we sequenced a mitochondrial marker (containing fixed differences between lineages) along a transect spanning the putative contact region, to identify the exact zone where the lineages co-occur. Despite fine-scale sampling along a transect with multiple populations, we were unable to identify sites where the mitochondrial lineages co-occurred. This Honors in the Major project analyzed additional samples from the Northeast region of the United States. In this project, I aimed to locate populations of H. versicolor, determine their lineages, and characterize acoustic differences between previously and recently collected samples to further compare the characteristics of both lineages.
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Date Issued: 2020-04-23
Identifier: FSU_libsubv1_scholarship_submission_1587685115_09bbeb2a_P
Format: Set of related objects

Title: Zero Harm During Transitions in Care- Post Implementation Evaluation.
Creator: Drinkwater, Bliss Hahn
Abstract/Description: The purpose of this project is to evaluate the effectiveness of and adherence to the Zero Harm During Transitions in Care process for a full year post implementation.
Date Issued: 2020-04-23
Identifier: FSU_libsubv1_scholarship_submission_1587689347_f73759bf
Format: Citation

Title: Bridging the Gap Between Medical Care and Social Needs.
Creator: Kay, Tracy R
Abstract/Description: Title: Bridging the Gap Between Medical Care and Social NeedsPI: Tracy KayPurpose: This quality improvement (QI) project sought to evaluate the effectiveness of a screening tool for social determinates as well as the implementation of a referral process at Turning Point Medical Clinic (TPMC ) for services offeredMethods: The Social Screening Assessment and Referral (SScAR) project was a four-step process: (a) social needs screening, (b) clinician assessment, (c) referral, and (d) verifying...
Show moreTitle: Bridging the Gap Between Medical Care and Social NeedsPI: Tracy KayPurpose: This quality improvement (QI) project sought to evaluate the effectiveness of a screening tool for social determinates as well as the implementation of a referral process at Turning Point Medical Clinic (TPMC ) for services offeredMethods: The Social Screening Assessment and Referral (SScAR) project was a four-step process: (a) social needs screening, (b) clinician assessment, (c) referral, and (d) verifying follow-through. Retrospective chart review was conducted to collect baseline information on social screening prior to the implementation of the SScAR intervention. The clinic integrated the new assessment process during new patient intake interviews for patients ages 18 to 64 that fit the inclusion criteria. Data analysis compared the pre and post-intervention groups on the categorical outcomes using Chi-square analysis. Results: The study involved a total of 116 patients with 60 patients in the pre-intervention and 56 in the post-intervention. There were no significant differences between the groups for demographic variables. Participants in the post-intervention cohort were 12 times more likely to have an assessment and 6.6% higher rate of referral in comparison to the retrospective cohort. There were no differences between the two cohorts for the follow-up outcome or the time in days to follow-up.Discussion: The results indicate that adoption of systematic process to evaluate, assess and refer participants in the pilot project were effective and beneficial to the study population. This quality improvement project demonstrated that having a system in place using staff to help in the screening and referral process improved patient outcomes. Unfortunately, there were no differences between the two cohorts for the follow-up outcome.Conclusion: Using social screening tool for assessing a patient social need does assist in better patient outcomes. The SScAR project brought awareness to the providers of what social deterrents a patient may be facing and to introduces resources that could help address the needs. More research is need to investigate varied approaches in improving adherence to suggestion follow-up referrals. Major Professor: Susan Porterfield, PhD, FNP-C
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Date Issued: 2020-04-22
Identifier: FSU_libsubv1_scholarship_submission_1587606356_64414867
Format: Citation

Title: Older Adults’ Perceptions of Differences in Levels of Services Provided by Emergency Rooms.
Creator: Morgan López, Leilani, Porterfield, Susan
Abstract/Description: This quality improvement project is designed to increase knowledge in the older adult population of the differences between Emergency Rooms and Urgent Care Facilities and the services they provide so that they can make informed decisions regarding which facility is best suited for their healthcare needs. As the numbers of ERs increase, educating older adults on these differences and reducing inappropriate ER use will help minimize overcrowding in ERs and reduce costs associated with wasted...
Show moreThis quality improvement project is designed to increase knowledge in the older adult population of the differences between Emergency Rooms and Urgent Care Facilities and the services they provide so that they can make informed decisions regarding which facility is best suited for their healthcare needs. As the numbers of ERs increase, educating older adults on these differences and reducing inappropriate ER use will help minimize overcrowding in ERs and reduce costs associated with wasted resources, improve patient satisfaction and improve outcomes.
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Date Issued: 2020-04-21
Identifier: FSU_libsubv1_scholarship_submission_1587068674_1079d9fc
Format: Citation

Title: Physical Activity and the Enhanced Recovery After Surgery Program in Cystectomy Patients.
Creator: Patel, Amber Isley, Whyte, James
Abstract/Description: The Enhanced Recovery After Surgery (ERAS) program is a multimodality concept aimed at improving surgical outcomes. The ERAS program currently lacks structured guidelines for preoperative exercise. The purpose of this project is to determine the relationship between self-reported level of physical activity and surgical outcomes in patients who have undergone cystectomy with and without ERAS.
Date Issued: 2020-04-21
Identifier: FSU_libsubv1_scholarship_submission_1587673598_ca977f22
Format: Citation

Title: The Career State Inventory (CSI) as a Measure of the Career Decision State and Readiness for Career Decision Making: A Manual for Assessment, Administration, and Intervention (Second Edition).
Creator: Leierer, Stephen J., Peterson, Gary W., Reardon, Robert C., Osborn, Debra S.
Abstract/Description: The Career State Inventory (CSI) was developed initially as the Career Decision State Survey (CDSS) to facilitate research and practice in vocational psychology and career development. The primary purpose of this measure was to assess readiness for career problem solving and decision making. The CSI was developed by the authors working through Florida State University’s Center for the Study of Technology in Counseling and Career Development. Career practitioners and researchers may freely use...
Show moreThe Career State Inventory (CSI) was developed initially as the Career Decision State Survey (CDSS) to facilitate research and practice in vocational psychology and career development. The primary purpose of this measure was to assess readiness for career problem solving and decision making. The CSI was developed by the authors working through Florida State University’s Center for the Study of Technology in Counseling and Career Development. Career practitioners and researchers may freely use the instrument with proper citation of the instrument and credit as noted below. Sale of the CSI for profit is not authorized by the authors or FSU. A link to the CSI and the CSI Manual is provided at DigiNole the Florida State University Digital Library: https://fsu.digital.flvc.org/islandora/search/tech%20center?type=edismax&collection=fsu%3Aresearch_repository. CSI Manual topics include (a) an examination of the Career Decision State construct as a state of consciousness through the perspective of cognitive information processing theory (CIP); (b) prior research examining the concurrent validity of the CSI in relation to similar constructs; (c) procedures for administering and scoring the instrument; and (d) ways in which CSI results could be implemented and interpreted in the process of career service delivery or training of career services providers.
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Date Issued: 2020-04-20
Identifier: FSU_libsubv1_scholarship_submission_1587411085_afa0b2e3, 10.33009/fsu.1587411085
Format: Citation

Title: African American Men's Knowledge Regarding Contraception: An Intervention Study.
Creator: De Leon, Ruben
Abstract/Description: Purpose: The purpose of this project was to determine the effect of an educational intervention designed to improve African American men’s knowledge of common contraception methods.Methods: The study used a Pre-test/Post-test design with a convenience sample of African American men aged 18-30. Baseline knowledge was tested followed by an educational intervention and post-test. The study was conducted in a local fitness studio. The educational intervention consisted of a graphic presentation...
Show morePurpose: The purpose of this project was to determine the effect of an educational intervention designed to improve African American men’s knowledge of common contraception methods.Methods: The study used a Pre-test/Post-test design with a convenience sample of African American men aged 18-30. Baseline knowledge was tested followed by an educational intervention and post-test. The study was conducted in a local fitness studio. The educational intervention consisted of a graphic presentation embedded in Qualtrics. Topics include intra-uterine devices (IUDs), oral contraceptives, injectables, vaginal ring, condoms and common misconceptions.Results: The results indicated statistically significant differences on 5 out of the 20 items (p<0.001), involving advanced methods of female contraception. The results indicated moderately strong correlations between ‘confidence on topic’ and ‘notion of control in contraception’(r=0.554). Additionally, ‘previous education on topic’ and ‘confidence on topic’ also produced a moderate strength correlation (r=0.534). Overall, 96% of participants stated varying degrees of improvement in notions of confidence and control on the topic after the activity. 100% of participants reported increased likelihood of taking the initiative regarding contraceptive matters in their relationships and 93% wished educational tools such as this activity were more readily available in this area.Discussion: The study indicated knowledge deficits that were subsequently addressed through a brief intervention. It further emphasized the role of individual factors such as knowledge and confidence in improving male participation in contraceptive decision-making.Conclusion: This study was important because it served to fill a void in the dearth of research focusing on African American men and their role in unwanted pregnancies.
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Date Issued: 2020-04-20
Identifier: FSU_libsubv1_scholarship_submission_1587427202_9b88d5f5
Format: Citation

Title: Culturally Sensitive Obstetrical Care.
Creator: Cooke, Taylor Jean
Abstract/Description: Purpose: The purpose of the study was to assess obstetrical health providers (OHP) knowledge on providing care that is culturally sensitive and congruent. Identifying gaps in current obstetrical practice exist and create a toolkit for OHP utilization based upon study findings.Methods: A cross sectional survey design was used, and participants were recruited through Florida licensing databases. Participants were OHPs that met inclusion and exclusion criteria. A Likert-type Qualtrics survey was...
Show morePurpose: The purpose of the study was to assess obstetrical health providers (OHP) knowledge on providing care that is culturally sensitive and congruent. Identifying gaps in current obstetrical practice exist and create a toolkit for OHP utilization based upon study findings.Methods: A cross sectional survey design was used, and participants were recruited through Florida licensing databases. Participants were OHPs that met inclusion and exclusion criteria. A Likert-type Qualtrics survey was e-mailed to qualifying OHPs to gauge attitudes, opinions, and knowledge concerning culturally sensitive care. A Pearson’s correlation coefficient was conducted to determine if correlations existed between participant characteristics and their knowledge, use, and opinions on cultural sensitivity. Moreover, a one-way analysis of variance was conducted to explore between group differences.Results: Study findings indicated differences between current research and study results. Participants indicated that they were knowledgeable on the importance in providing culturally congruent care and the impact on birth outcomes; but, indicated that they did not always provide care that was culturally centered. Significant differences existed between gender, age, and race with the implementation of culturally congruent prenatal care. Women, midwives, and African American (AA) providers were more likely to implement culturally congruent care. Discussion: Findings of this study will help close the gap between OHPs and AA women. The results of this study are the foundation for the OHPs provider toolkit created based on the findings. Moreover, findings will aid future research to focus on educating OHPs on the importance of providing congruent culturally sensitive care. Conclusion: In summary, study findings and resulting provider toolkit will aid providers and future researchers to focus on the value of OHPs who are not only knowledgeable in culturally congruent obstetrical care, but who also provide that care to AA women.
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Date Issued: 2020-04-17
Identifier: FSU_libsubv1_scholarship_submission_1587174548_f6ab189e
Format: Citation

Title: Improving Heart Failure Readmission Rates, Patient Education, and Nurse Confidence in the Hospital Setting.
Creator: Poston, Jennifer
Abstract/Description: AbstractTitle: Improving Heart Failure Readmission Rates, Patient Education, and Nurse Confidence in the Hospital SettingPrimary Investigator: Jennifer Poston, BSN, RNPurpose: The purpose of this project was to evaluate the effectiveness of a heart failure nutrition education workshop for cardiac nurses that was implemented in 2018 by a previous nurse practitioner student. Methods: The project used a quality improvement design on the cardiac floor and cardiac intensive care unit (ICU) in a...
Show moreAbstractTitle: Improving Heart Failure Readmission Rates, Patient Education, and Nurse Confidence in the Hospital SettingPrimary Investigator: Jennifer Poston, BSN, RNPurpose: The purpose of this project was to evaluate the effectiveness of a heart failure nutrition education workshop for cardiac nurses that was implemented in 2018 by a previous nurse practitioner student. Methods: The project used a quality improvement design on the cardiac floor and cardiac intensive care unit (ICU) in a hospital in northwest Florida. Participants were registered nurses who were working on these floors. A survey was emailed to participants which gathered demographic data and also tested their knowledge of heart failure. Readmission rates for 2018 and 2019 were also obtained and analyzed. Results: It was found that there was not a statistically significant decrease in readmission rates between 2018 and 2019; however, the readmission rates were decreased. It was also found that nearly half of participants incorrectly answered questions about heart failure diet, fluid, and sodium intake. The majority of participants did answer that they provided heart failure discharge education with the hand-out supplementation toolkit every time. Discussion: Because of hurricane damage at the hospital during this survey period, there was only one functioning medical-surgical floor and one ICU. For the first aim, there was no significant decrease in the heart failure readmission rates between 2018 and 2019. For the second aim, more nurses than expected incorrectly answered pertinent questions about fluid and sodium intake for CHF patients. This indicates a lack of nursing confidence when educating patients at discharge and may be related to non-cardiac nurses working with cardiac patients. The expected outcome of the third aim was successfully met because most nurses used both verbal education and printed toolkit handouts during patient discharge education.Conclusions: This study suggested that heart failure education workshops for nurses are beneficial and should be further studied to determine if they help reduce heart failure readmission rates.Major Professor: Laurie Abbott, PhD, RN, PHNA-BC
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Date Issued: 2020-04-08
Identifier: FSU_libsubv1_scholarship_submission_1586394130_97e1543c
Format: Citation

Title: Loneliness is associated with risk of cognitive impairment in the Survey of Health, Ageing and Retirement in Europe.
Creator: Luchetti, Martina, Terracciano, Antonio, Aschwanden, Damaris, Lee, Ji Hyun, Yannick, Stephan, Sutin, Angelina
Abstract/Description: Objectives: To test whether loneliness is associated with risk of cognitive impairment up to 11 years later in a European sample of middle-aged and older adults. The study examines whether this association is independent of measures of social isolation, depression and other risk factors for cognitive impairment and dementia.Methods: Participants (N = 14,114) from the Survey of Health, Ageing and Retirement in Europe (SHARE) answered a single item on loneliness at baseline and were assessed...
Show moreObjectives: To test whether loneliness is associated with risk of cognitive impairment up to 11 years later in a European sample of middle-aged and older adults. The study examines whether this association is independent of measures of social isolation, depression and other risk factors for cognitive impairment and dementia.Methods: Participants (N = 14,114) from the Survey of Health, Ageing and Retirement in Europe (SHARE) answered a single item on loneliness at baseline and were assessed for cognitive impairment every two-to-three years for 11 years. Participants who scored at least 1.5 standard deviations below the age-graded mean on both a memory recall task and verbal fluency task were classified as impaired. A 3-item measure of loneliness was available for a sample of respondents followed up to 4 years.Results: Feeling lonely was associated with increased risk of incident cognitive impairment (HR = 1.31, 95%CI = 1.19-1.44), after accounting for age, sex, education, and SHARE country strata. The association was robust but reduced in magnitude when controlling for clinical and behavioral risk factors, health-related activity limitations, social isolation, social disengagement and depressive symptoms. The association was not moderated by socio-demographic factors and was also apparent when using the 3-item loneliness scale instead of the single-item measure.Conclusions: These findings expand the extant literature on loneliness and risk of cognitive impairment in older adulthood. Loneliness is one modifiable factor that can be intervened on prior to the development of severe impairment or dementia.
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Date Issued: 2020-04-06
Identifier: FSU_libsubv1_scholarship_submission_1594325146_b8714a85, 10.1002/gps.5304
Format: Citation

Title: Education of the Congestive Heart Failure Patient in the Home Environment after Discharge.
Creator: Glaze, Daniel
Abstract/Description: AbstractTitle: Education of the Congestive Heart Failure Patient in the Home Environment after DischargeInvestigator: Daniel Glaze BSN,RNPurpose: The purpose of this project was to investigate whether an educational intervention would improve knowledge about CHF among CHF patients and decrease hospital readmission rates related to CHF after discharge.Methods: This project had a quasi-experimental design with one group that received the same treatment and completed the same measures. An in...
Show moreAbstractTitle: Education of the Congestive Heart Failure Patient in the Home Environment after DischargeInvestigator: Daniel Glaze BSN,RNPurpose: The purpose of this project was to investigate whether an educational intervention would improve knowledge about CHF among CHF patients and decrease hospital readmission rates related to CHF after discharge.Methods: This project had a quasi-experimental design with one group that received the same treatment and completed the same measures. An in-home educational intervention was implemented among participants with CHF who had recently been discharged from the hospital. Data were collected at baseline and after the educational intervention at the posttest and 30-day follow-up points. The data were analyzed using the two-tailed T test. At the 30-day follow-up session, participants were also asked whether they had been readmitted to the hospital related to CHF. Results: There were statistically significant findings in participant knowledge from baseline to post-intervention (p < .001) and from baseline to the 30-day follow-up (p < .001). There were no significant (p = 0.171) score increases from posttest to the 30-day follow up period. Readmission rates were compared using the chi-square test, and the results showed no significant (p = 0.10) differences between groups.Discussion: The study findings indicated that the in-home educational intervention improved the participants’ knowledge concerning CHF, but it did not have an impact on the hospital readmission rates. The overall scores increased after the educational session at post-intervention, and the higher scores were sustained at the follow-up time point. Conclusions: The results of the study suggest that an in-home educational intervention can improve knowledge about disease management among people living with heart failure. Specifically, there were statistically significant differences in scores on the knowledge tests at the post-intervention and one-month follow-up time points compared with the baseline scores. These results are encouraging because they promote inter-disciplinary collaboration in efforts toward developing standardized educational interventions for people self-managing heart failure after hospital discharge. Major Professor: Laurie Abbott PhD, RN, PHNA-BC
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Date Issued: 2020-04-05
Identifier: FSU_libsubv1_scholarship_submission_1586098451_d6a5330a
Format: Citation

Title: Emerging Adults with Diabetes.
Creator: Poslaiko, Sara
Abstract/Description: AbstractTitle: Emerging Adults with DiabetesPrimary Investigator: Sara E. Poslaiko, RN, BSNPurpose: Behavioral and psychosocial factors increase the risk of adverse health outcomes as emerging adults living with diabetes progress into independent life. This project examined psychosocial factors associated with young adult diabetics’ transition from family-centered pediatric care into adult healthcare services as a basis for recommendations to improve transition frameworks.Methods: A mixed...
Show moreAbstractTitle: Emerging Adults with DiabetesPrimary Investigator: Sara E. Poslaiko, RN, BSNPurpose: Behavioral and psychosocial factors increase the risk of adverse health outcomes as emerging adults living with diabetes progress into independent life. This project examined psychosocial factors associated with young adult diabetics’ transition from family-centered pediatric care into adult healthcare services as a basis for recommendations to improve transition frameworks.Methods: A mixed methods design was used. A community-based sample of 85 young adults with diabetes, aged 18 to 30 years, was recruited through social media (College of Diabetes Network, Facebook: “Young Adults Living with Diabetes”). Diabetes-related distress, self-efficacy and empowerment in self-care behaviors were measured and correlated with last reported HgbA1C. Two open-ended questions identified unmet needs during the transition into adult healthcare. Results: Participants’ perceptions of self-efficacy and empowerment in relation to management of their diabetes were rated as high but diabetes-related burdens and challenges created a level of distress worthy of clinical attention. ‘Emotional burden’, ‘physician related stress’, ‘regimen related stress’ and ‘self-care’ demonstrated a strong relationship with HgbA1c. Unmet needs during the transition to adult healthcare were emotional support and validation, education and guidance, and healthcare provider sensitivity to developmental challenges specific to diabetes.Discussion: Participants viewed themselves as competent in managing their diabetes but indicated emotional distress commanded considerable mental and emotional energy to meet the demands of diabetes care. The relationship between diabetes related distress and HgbA1C was the most significant correlated psychosocial variable which was validated in the qualitative data regarding distress associated with unmet needs during the transitional period.Conclusion: The findings of this project highlight the need for emotionally supportive and developmentally sensitive healthcare with focused interventions to enhance self-care skills and self-efficacy of young adults transitioning from pediatric to adult health care. Major Professor: Dr. Eileen Cormier, PhD, RN
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Date Issued: 2020-04-02
Identifier: FSU_libsubv1_scholarship_submission_1585926696_1bac137e
Format: Citation

Title: Evaluating Barriers to Learning and Performing Cardiopulmonary Resuscitation in a Rural Community with a High Prevalence of Out of Hospital Cardiac Arrests: Evaluating Barriers to Learning and Performing CPR.
Creator: Turnage, Megan Lynn
Abstract/Description: Purpose Identify and reduce barriers to learning and performing bystander cardiopulmonary resuscitation (CPR) in Newberry, Florida to improve bystander CPR initiation and performance and decrease mortality related to out of hospital cardiac arrests (OHCA). Methodology This quality improvement project took place from October 2019 to January 2020. A CPR education course was provided to a convenience sample within Newberry. Three surveys (pre-, immediate post-, and three-months post-education)...
Show morePurpose Identify and reduce barriers to learning and performing bystander cardiopulmonary resuscitation (CPR) in Newberry, Florida to improve bystander CPR initiation and performance and decrease mortality related to out of hospital cardiac arrests (OHCA). Methodology This quality improvement project took place from October 2019 to January 2020. A CPR education course was provided to a convenience sample within Newberry. Three surveys (pre-, immediate post-, and three-months post-education) collected data on participant demographics, perceived barriers to CPR education, bystander CPR initiation, and bystander CPR performance. Results The initial survey revealed the greatest learning barrier of bystander CPR was lack of information, while the greatest bystander CPR performance barrier was lack of confidence. The two post-education survey results indicated the threat of contracting a disease was the greatest concern in performing bystander CPR. ConclusionResults from this intervention support the need for timely and consistent CPR training in remote, rural, areas of the United States. This quality improvement project identified and reduced perceived bystander CPR learning and performing barriers when comparing median scores before, immediately after, and three months after the CPR education intervention.
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Date Issued: 2020-04-02
Identifier: FSU_libsubv1_scholarship_submission_1585862877_2c5139b2
Format: Citation

Title: Common Themes in Emergency Department Super-Utilization: A Retrospective Chart Review.
Creator: Hausmann, Carson Tyler
Abstract/Description: Title: Common Themes in Emergency Department Super-Utilization: A Retrospective Chart ReviewPrimary Investigator: Carson Hausmann, BSN, RN, DNP CandidatePurpose: As emergency department (ED) use continues to rise locally and nationally, it is imperative that super-utilization be understood so that interventions can be tailored to conserve hospital resources. Using retrospective chart review, common themes in ED super-utilization were identified as a basis for planning interventions by nursing...
Show moreTitle: Common Themes in Emergency Department Super-Utilization: A Retrospective Chart ReviewPrimary Investigator: Carson Hausmann, BSN, RN, DNP CandidatePurpose: As emergency department (ED) use continues to rise locally and nationally, it is imperative that super-utilization be understood so that interventions can be tailored to conserve hospital resources. Using retrospective chart review, common themes in ED super-utilization were identified as a basis for planning interventions by nursing management at a local hospital.Methods: This DNP Project examined demographics and common trends among ED super-utilizers using retrospective chart review. Characteristics of patients with two visits over a 6-month period (n=1367) were extracted and compared to the total population that utilized the ED during the same period (n= 41869). Odds ratios were computed to determine relative risk factors for ER super-utilization. Results: The average super-utilizer was approximately 52 years of age, 2.3 times as likely to be classified as a behavioral health patient (P < 0.0001) and presented most often with chief complaints of abdominal pain/GI related, musculoskeletal/extremity pain, fever/flu-like symptoms, non-urgent, and GU/vaginal bleeding, with the notable difference being the increased incidence of fever and flu like symptoms when compared to the total ED population. These patients are generally classified as lower acuity than the average ED patient (3.06 and 2.97, respectively), 10 times as likely to be admitted to the hospital (P < 0.0001) and 3.4 times as likely to leave against medical advice (P < 0.0001).Discussion: There were several parallels between the findings of previous research on super-utilization/recidivism and this DNP project, including the coexistence of behavioral health comorbidities, average age of super-utilizers and chief complaint frequency. However, differences were noted in average acuity level, admission rates and most common presenting complaints, with super-utilizers reporting select complaints at a higher frequency.Conclusions: Utilizing the findings of this retrospective chart review, practice can be augmented to better care forecast those patients at higher risk for super-utilization. When a patient presents meeting several of these criteria, a query can be made to identify number of recent visits. This query could confirm the pattern of super-utilization and extra effort could be employed to arrange follow-up with an outpatient provider using case-management services and/or instruction on appropriate reasons for return to the ED.Major Professor: Eileen Cormier, PhDKeywords: super-utilization, emergency department, recidivism, retrospective chart review
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Date Issued: 2020-04-01
Identifier: FSU_libsubv1_scholarship_submission_1585752614_c1a36a6e_P
Format: Set of related objects

Title: Enhanced Recovery After Surgery: Adherence Affects Outcomes of Colorectal Surgical Patients.
Creator: Dailey, Tess
Abstract/Description: Purpose: This project evaluates the outcomes of colorectal surgical patients following the implementation of the ERAS program at a community hospital to determine the effects of adherence on LOS and opioid use. The investigator hopes to demonstrate a reduction in opioid use for acute surgical pain when utilizing the ERAS pathway. Methods: A retrospective chart review was performed on patients who underwent standard and enhanced recovery colorectal surgeries at a community hospital in 2018....
Show morePurpose: This project evaluates the outcomes of colorectal surgical patients following the implementation of the ERAS program at a community hospital to determine the effects of adherence on LOS and opioid use. The investigator hopes to demonstrate a reduction in opioid use for acute surgical pain when utilizing the ERAS pathway. Methods: A retrospective chart review was performed on patients who underwent standard and enhanced recovery colorectal surgeries at a community hospital in 2018. Data on LOS and opioid use (MEQ/D), were extracted from a corporate and hospital database. Independent sample t-tests and descriptive statistics were used to examine correlations among the surgical pathways, LOS, and opioid use.Results: A total of 82 colorectal surgical patients were examined: 42 ERAS patients and 40 standard colorectal surgery patients. ERAS patients had a shorter LOS (M = 3.24 ± 1.45 vs M = 5.80 ± 3.09; p < .001) and utilized less MEQ/D (M = 7.62 ± 10.45 vs M = 41.25 ± 38.07; p < .001). Adherence with the pathway items was associated with shorter LOS; the impact on MEQ/D were mixed. Discussion: The impact of individual pathway items on LOS and opioid use requires further investigation. Surgical prescribing culture influences the use of opioids for pain management. A reduction of opioid use should translate to fewer opioid prescriptions at discharge. Conclusion: The ERAS pathway reduces LOS and MEQ/D compared with the standard surgical pathway. Compliance with the ERAS pathway items were correlated with shorter LOS, however the impact of compliance on MEQ/D was mixed. Preoperative carbohydrate drink administration and postoperative ambulation are areas of improvement opportunity. More research is needed to determine whether opioid use decreases upon discharge and which pathway items most significantly impact outcomes.
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Date Issued: 2020-03-19
Identifier: FSU_libsubv1_scholarship_submission_1584657130_7d2c900c
Format: Citation

Title: Reproducible Social Work Research.
Creator: Dunleavy, Daniel J., Lacasse, Jeffrey R.
Abstract/Description: This syllabus was created as a discussion piece as part of the Research Reproducibility 2020 Conference (Topic: Educating for Reproducibility: Pathways to Research Integrity) at the University of Florida, Gainesville, FL, USA on March 17, 2020.
Date Issued: 2020-03-12
Identifier: FSU_libsubv1_scholarship_submission_1594049247_923f1468, 10.17605/OSF.IO/PX62B
Format: Citation

Title: Comparing Career Development Outcomes Among Undergraduate Students in Cognitive Information Processing Theory–Based Versus Human Relations Courses.
Creator: Osborn, Debra Sue, Sides, Ryan D., Brown, Caitlyn A.
Abstract/Description: The effectiveness of undergraduate career courses has been demonstrated for a variety of variables, such as career certainty, career maturity, career decision-making skills, and reducing dysfunctional career thoughts. While such studies used the career course as an intervention, most failed to include a comparison course and were not grounded in career theory. Therefore, 152 undergraduate students enrolled in four sections of a career development course and 47 students enrolled in three...
Show moreThe effectiveness of undergraduate career courses has been demonstrated for a variety of variables, such as career certainty, career maturity, career decision-making skills, and reducing dysfunctional career thoughts. While such studies used the career course as an intervention, most failed to include a comparison course and were not grounded in career theory. Therefore, 152 undergraduate students enrolled in four sections of a career development course and 47 students enrolled in three sections of an undergraduate human relations course completed pre and post tests on career-related constructs. Results indicated that the career course yielded significant improvements in career development variables, such as career decision state, cognitive information processing skills, career decision-making stage, knowledge of next steps, and anxiety about current career concern, but the human relations course did not. The CIP-based career course is supported as a valid career intervention, and individuals may benefit from targeted interventions depending on their stage in the CASVE Cycle. Future research might compare different career-theory based or a-theoretical career courses on career development outcomes.
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Date Issued: 2020-03-10
Identifier: FSU_libsubv1_scholarship_submission_1556414861_35981ada, 10.1002/cdq.12211
Format: Citation

Title: Ab initio Folding of a Trefoil-fold Motif Reveals Structural similarity with a β-propeller Blade Motif.
Creator: Tenorio, Connie, Longo, Liam, Parker, Joseph, Lee, Jihun, Blaber, Michael
Abstract/Description: Many protein architectures exhibit evidence of internal rotational symmetry postulated to be the result of gene duplication/fusion events involving a primordial polypeptide motif. A common feature of such structures is a domain-swapped arrangement at the interface of the N- and C-termini motifs and postulated to provide cooperative interactions that promote folding and stability. De novo designed symmetric protein architectures have demonstrated an ability to accommodate circular permutation...
Show moreMany protein architectures exhibit evidence of internal rotational symmetry postulated to be the result of gene duplication/fusion events involving a primordial polypeptide motif. A common feature of such structures is a domain-swapped arrangement at the interface of the N- and C-termini motifs and postulated to provide cooperative interactions that promote folding and stability. De novo designed symmetric protein architectures have demonstrated an ability to accommodate circular permutation of the N- and C-termini in the overall architecture; however, the folding requirement of the primordial motif are poorly understood, and tolerance to circular permutation is essentially unknown. The β-trefoil protein fold is a threefold symmetric architecture where the repeating ~42-mer “trefoil-fold” motif assembles via a domain-swapped arrangement. The trefoil-fold structure in isolation exposes considerable hydrophobic area that is otherwise buried in the intact β-trefoil trimeric assembly. The trefoil-fold sequence is not predicted to adopt the trefoil-fold architecture in ab initio folding studies; rather, the predicted fold is closely related to a compact “blade” motif from the β-propeller architecture. Expression of a trefoil-fold sequence and circular permutants shows that only the wild-type N-terminal motif definition yields an intact β-trefoil trimeric assembly, while permutants yield monomers. The results elucidate the folding requirements of the primordial trefoil-fold motif, and also suggest that this motif may sample a compact conformation that limits hydrophobic residue exposure, contains key trefoil-fold structural features, but is more structurally homologous to a β-propeller blade motif.
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Date Issued: 2020-03-03
Identifier: FSU_libsubv1_scholarship_submission_1583283654_54e07068, 10.1002/pro.3850
Format: Citation

Title: Coronavirus as impetus for a lasting change in research culture.
Creator: Dunleavy, Daniel J.
Abstract/Description: The coronavirus outbreak has provoked a dramatic change in research culture. Such changes embody the essence of the scientific enterprise and should be fostered going forward, in order to solve other pressing global problems.
Date Issued: 2020-03-01
Identifier: FSU_libsubv1_scholarship_submission_1583597211_2d1837b4, 10.31235/osf.io/2ryt3
Format: Citation

Title: Reduce Burnout in the Critical Care Setting.
Creator: Relyea, Cierra
Abstract/Description: Purpose: The purpose of this study was to develop, implement, and evaluate the effectiveness of an educational program designed to help reduce burnout among critical care nurses. Methods: The use of pre-intervention surveys, an educational toolkit, and post-intervention surveys were used to collect data for this study. The pre-survey included demographic information, the Maslach Burnout Inventory (MBI), and the Areas of Work-life survey (AWS). The MBI was used to identify burnout presence and...
Show morePurpose: The purpose of this study was to develop, implement, and evaluate the effectiveness of an educational program designed to help reduce burnout among critical care nurses. Methods: The use of pre-intervention surveys, an educational toolkit, and post-intervention surveys were used to collect data for this study. The pre-survey included demographic information, the Maslach Burnout Inventory (MBI), and the Areas of Work-life survey (AWS). The MBI was used to identify burnout presence and severity among participants before and after the intervention. The AWS survey was utilized to search for a correlation between burnout and six key areas of the workplace (workload, control, reward, community, fairness and values). The educational tool created by the PI and a licensed mental health counselor was designed to teach nurses about burnout and provide effective coping mechanisms to help reduce or prevent burnout. Data was analyzed using SPS 25.0 to calculate descriptive statistics, a Wilcoxon signed-rank test, and a Pearson Correlation coefficient. Results: A total of 42 registered nurses in the ICU at Gulf Coast Regional Medical Center participated in this study, with 34 nurses completing the post-intervention survey. Sixty-nine percent of participants (n=29) were experiencing burnout; 48.3 percent (n=14) of those were experiencing mild burnout, 34.5 percent (n=10) had moderate burnout, and 17.2 percent (n=5) were suffering from severe burnout. There was not a significant change in scores for Emotional Exhaustion (EE) (p=0.11), Depersonalization (DP) (p-0.695), or Personal Accomplishment (PA) (p=0.120) following the educational workshop. There was no decrease in the prevalence of burnout following the intervention but there was a reduction in burnout severity among some of the nurses (32%, n=8). The Pearson Correlation Coefficient analysis showed a significant inverse relationship between workload and emotional exhaustion (r= -.328, p < 0.05); values and emotional exhaustion (r= -.367, p < 0.05); and between values and depersonalization (r= -.353, p < 0.05).Discussion: The majority of nurses that participated in this study had burnout, which is consistent with the literature review with critical care nurses. The educational tool did not decrease prevalence of burnout among participants but was successful in reducing severity of burnout among some nurses. Finding ways to help reduce the workload and improve the organizations values would also help to reduce burnout. Conclusion: Burnout remains highly prevalent among critical care nurses. It’s imperative that more research be done to find effective solutions for reducing and preventing BOS. Educating and reinforcing effective coping strategies coupled with improving certain workplace factors would likely be an effective solution.
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Date Issued: 2020-02-18
Identifier: FSU_libsubv1_scholarship_submission_1582065937_f2bcea9b
Format: Citation

Title: Recognition of Compassion Fatigue in Healthcare Providers.
Creator: Salter, Marta M
Abstract/Description: Purpose: The purpose of this project is to enable healthcare providers to recognize compassion fatigue and provide them with coping mechanisms to deal with the phenomenon.Methods: This is a quality improvement project for the healthcare providers at the Panama City Surgery Center (PCSC). The structure of the project is a pre and post questionnaire with an educational intervention to identify gaps in the knowledge of compassion fatigue and treatment. Convenience sampling was utilized with a...
Show morePurpose: The purpose of this project is to enable healthcare providers to recognize compassion fatigue and provide them with coping mechanisms to deal with the phenomenon.Methods: This is a quality improvement project for the healthcare providers at the Panama City Surgery Center (PCSC). The structure of the project is a pre and post questionnaire with an educational intervention to identify gaps in the knowledge of compassion fatigue and treatment. Convenience sampling was utilized with a sample size of 40 participants.Results: Repeated-measures t-tests were used for each of the three primary analyses. There was a significant increase in recognition of compassion fatigue over time, t(39) = -2.47, p = 0.018, and there was a statistically significant decrease in burnout from pre-intervention to post-intervention, t(29) = 2.09, p = 0.023. There was not a significant change in STS across time, t(29) = 1.22, p = 0.23. As for demographics and compassion fatigue, there was a significant correlation between years of practice and compassion fatigue post educational intervention, r=0.32, p=0.048. It was found that there was not a significant correlation between other demographics, such as age and gender, and compassion fatigue.Discussion: The implications from this study reiterate the importance of educating healthcare providers about compassion fatigue and ways to deal with the phenomenon. Research has proven that with yearly education on compassion fatigue, the incidence and severity of compassion fatigue decreases. Conclusion: This research study provides insight into the detrimental effects of compassion fatigue on healthcare providers. Through education and awareness of compassion fatigue, there is a potential to reduce the negative outcomes that may affect healthcare providers.
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Date Issued: 2020-02-09
Identifier: FSU_libsubv1_scholarship_submission_1581287637_8b41ffd9
Format: Citation

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