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Title: Predicting Hospital Readmissions for Pneumonia in a Single Center.
Creator: Frehn, Marcelle Laurene
Abstract/Description: PURPOSE: In a North Florida hospital, 20% of patients with pneumonia are readmitted within 30 days of discharge, exceeding the national average of 17%. These patients have higher rates of morbidity and mortality. The Centers for Medicare and Medicaid Services reduce Medicare payments when a hospital’s readmission performance for pneumonia falls below the national average. Identifying those patients would improve care and reduce costs. METHODS: A retrospective chart review of 136 adults with a...
Show morePURPOSE: In a North Florida hospital, 20% of patients with pneumonia are readmitted within 30 days of discharge, exceeding the national average of 17%. These patients have higher rates of morbidity and mortality. The Centers for Medicare and Medicaid Services reduce Medicare payments when a hospital’s readmission performance for pneumonia falls below the national average. Identifying those patients would improve care and reduce costs. METHODS: A retrospective chart review of 136 adults with a primary discharge diagnosis of pneumonia unspecified organism (ICD-10: J8.9) who were then readmitted within 30 days of discharge from their initial hospitalization was completed for 2017. De-identified data points of age, substance abuse, comorbidities, BMI, total hospital 2017 registrations, original length of stay, and discharge disposition were extracted pre- and post-readmission and were analyzed using the Mann-Whitney U and Chi-square tests. RESULTS: The Mann-Whitney U test revealed significant differences between frequent users of hospital services and readmission; however, there were no significant differences in hospital length of stay, age, or BMI. The Chi-Square test indicated significant associations between substance abuse, discharge location, and the number of comorbidities and readmission. DISCUSSION: The finding that readmissions were more likely with those who were frequent users of hospital services, substance abuse, discharge location and the number of co-morbidities was consistent with the literature. However, the finding that those who were > 65 years of age was not associated with readmission rates was the opposite of what was found in the literature. CONCLUSIONS: In this setting, those younger than 65 years of age were as likely to be readmitted within 30 days than those 65 years of age or older. This may be due to the fact that chronic diseases seem to be occurring in the younger populations. However, generalizability is limited due to the small, single-site sample.
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Date Issued: 2018-04-30
Identifier: FSU_libsubv1_scholarship_submission_1525113603_440f61d0
Format: Citation

Title: Music Therapy and Post-Operative Pain.
Creator: Radcliffe, Jessica Anne, Porterfield, Susan
Abstract/Description: Purpose: The purpose of this project was to investigate music as an adjunct therapy to pain management in the post-operative setting. More specifically, the study was intended to explore the impact of self-selected music on individual pain level as well as patient satisfaction during the recovery period. Methods: Participants in this study underwent elective outpatient surgery. Subjects were selected using a convenience sampling technique. Participants listened to pre-recorded music of their...
Show morePurpose: The purpose of this project was to investigate music as an adjunct therapy to pain management in the post-operative setting. More specifically, the study was intended to explore the impact of self-selected music on individual pain level as well as patient satisfaction during the recovery period. Methods: Participants in this study underwent elective outpatient surgery. Subjects were selected using a convenience sampling technique. Participants listened to pre-recorded music of their choice on a personal music device in the post-operative period. Data was gathered using the Numerical Rating Scale for pain (0-10), a post-intervention discharge survey, and a demographical questionnaire. Results: A p value of 0.001 demonstrated a statistically significant reduction in patient’s pain levels after listening to music. In addition, 50% of the patients expressed satisfaction with overall pain control and 59% felt that listening to music was extremely effective in decreasing their pain. Of the 12 eligible participants in the study, 11 said they would recommend music as an adjunct therapy. Discussion: The results of the study showed that music can indeed be beneficial in the post-operative period for the reduction of patient pain. Furthermore, music can enhance patient satisfaction. Conclusions: The incorporation of music into the post-operative recovery area is a viable option. Music can be considered as an adjunctive therapy to traditional nursing care.
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Date Issued: 2018-04-23
Identifier: FSU_libsubv1_scholarship_submission_1524522463_c06dae03
Format: Citation

Title: Unprofessional Conduct In Nursing and its Impact in Nurse Retention and Job Satisfaction.
Creator: Komolafe, Genevieve Uchechukwu, Porterfield, Susan
Abstract/Description: Purpose: This study was designed to examine the existing gaps and awareness among nurses regarding unprofessional conduct and its impact on job retention and satisfaction as well as devising an intervention to alleviate this behavior. Methods: A descriptive study design with a convenience sample of 51 active licensed nurses in long term care facility in North Florida was used over a period of three months using a hand delivered needs assessment survey questionnaires. Results: This study...
Show morePurpose: This study was designed to examine the existing gaps and awareness among nurses regarding unprofessional conduct and its impact on job retention and satisfaction as well as devising an intervention to alleviate this behavior. Methods: A descriptive study design with a convenience sample of 51 active licensed nurses in long term care facility in North Florida was used over a period of three months using a hand delivered needs assessment survey questionnaires. Results: This study reveals that neither level of education, nor years of experience increased nurse’s confidence level to avoid workplace inactivity. The “putdown” syndrome is the most common misconduct experienced by the nurses in their workplaces, it occurs in multiples with other types of unprofessional conduct, in most cases, on hourly and daily basis. Additional findings showed that the put down syndrome were more common between certified nursing assistants and licensed nurses. Discussion: This research indicates that disruptive clinician behavior exist in the workplace and it is key in undermining the organizations mission and culture. There can be overt and direct disruptive behavior by physician and nurses that are more passive-aggressive and are directed more at peers. In addition, reports from certified nursing assistants revealed that the “putdown syndrome” continues to exist largely between certified nurse assistants and licensed nurses and is very harmful to patient care. This is strong call for another study to investigate “put down syndrome” between licensed nurses and certified nurse assistants and its impact on patient care outcome.
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Date Issued: 4/26/2018
Identifier: FSU_libsubv1_scholarship_submission_1524231616_2eac3fd6
Format: Citation

Title: Sleeping Safe: A Review of Safe Infant Sleep in Florida.
Creator: Daniels, Tessa Maria
Abstract/Description: Purpose: The purpose of this study is to determine the impact sleep related infant deaths have in the state of Florida by determining sleep related infant mortality rates for each county. Methods: Maternal and infant health data obtained from FLHEALTHCHARTS between 2010 and 2015 was analyzed for trends in infant sleep mortality related to maternal characteristics including race, maternal country of origin, and timing of prenatal care status were evaluated. Results: There are six counties...
Show morePurpose: The purpose of this study is to determine the impact sleep related infant deaths have in the state of Florida by determining sleep related infant mortality rates for each county. Methods: Maternal and infant health data obtained from FLHEALTHCHARTS between 2010 and 2015 was analyzed for trends in infant sleep mortality related to maternal characteristics including race, maternal country of origin, and timing of prenatal care status were evaluated. Results: There are six counties where the SIDS rate exceeds the state average indicating that an educational intervention to increase compliance with the AAP safe sleep recommendations would be most beneficial. Analysis of the Kotelchuck index (KI) shows there is statistically significant evidence to demonstrate initiation of adequate prenatal care results in a decrease in infant mortality related to unsafe infant sleeping. Discussion: Healthy People 2020 identified infant mortality as a key factor in overall poor maternal and infant health. National and statewide statistics continue to indicate that SUID is a significant killer of infants and SIDS is the third leading cause of infant death nationally. Review of literature indicates that providing better prenatal and postnatal safe sleep education for infant caregivers is a key component in improving overall infant mortality. Conclusions: The knowledge that improved education can have an impact on infant mortality is a key finding in the continued quest to improve overall U.S. maternal and child health. Specifically, targeted educational interventions in the acute care setting can be effective at improving compliance with the AAPs recommendations and decrease overall infant mortality. Further research is needed to develop a tool to utilize in the acute care setting to streamline education received by infant caregivers.
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Date Issued: 2018-04-24
Identifier: FSU_libsubv1_scholarship_submission_1524617792_47dcd496
Format: Citation

Title: Identifying Turtle Shell Rattles in the Archaeological Record of the Southeastern United States.
Creator: Peres, Tanya, Gillreath-Brown, Andrew
Abstract/Description: The construction of rattles from turtle (Testudines) shells is an important consideration when distinguishing between food and non-food uses of archaeological turtle remains. However, the identification of turtle shell rattles in prehistoric contexts can be quite challenging. Equifinality is a major problem for being able to distinguish rattles from food refuse, particularly when a carapace is not burnt or modified. In addition, diversity, abundance, and distribution of chelonian taxa varies...
Show moreThe construction of rattles from turtle (Testudines) shells is an important consideration when distinguishing between food and non-food uses of archaeological turtle remains. However, the identification of turtle shell rattles in prehistoric contexts can be quite challenging. Equifinality is a major problem for being able to distinguish rattles from food refuse, particularly when a carapace is not burnt or modified. In addition, diversity, abundance, and distribution of chelonian taxa varies throughout the southeastern United States, creating differential access for indigenous groups. Thus, multiple lines of evidence are needed from archaeological, ethnographic, and ethnohistoric records to successfully argue for the production and use of turtle shell rattles in the prehistoric southeastern United States. In this article, we present examples of turtle shell rattles in the southeastern United States to highlight their function and use by indigenous groups, the construction process, and several common characteristics, or an object trait list, that can aid in the identification of fragmentary turtle shell rattle remains. Accurate functional identification of turtle remains is important for identifying turtle shell rattle artifacts and may be of interest to indigenous groups claiming cultural items under the Native American Graves Protection and Repatriation Act (NAGPRA).
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Date Issued: 2017-09-18
Identifier: FSU_libsubv1_scholarship_submission_1518811286_7589f544, 10.14237/ebl.8.1.2017.979
Format: Citation

Title: NSF Makes Award to Florida State University (FSU) Information Institute To Study Information Technology (IT) Education and Rural Broadband: Project Abstract.
Creator: McClure, Charles R.
Abstract/Description: Chipola College, Tallahassee Community College, and nonmetropolitan industry leaders join with the Florida State University Information Use Management and Policy Institute and School of Library and Information Studies to examine the educational and career pathways of information technology (IT) technicians supporting broadband deployment in communities in Northwest Florida. The mixed methods research project investigates the region's broadband staffing needs to identify the roles of broadband...
Show moreChipola College, Tallahassee Community College, and nonmetropolitan industry leaders join with the Florida State University Information Use Management and Policy Institute and School of Library and Information Studies to examine the educational and career pathways of information technology (IT) technicians supporting broadband deployment in communities in Northwest Florida. The mixed methods research project investigates the region's broadband staffing needs to identify the roles of broadband technicians, education needed to develop the knowledge and skills to be successful in these roles, and the process to sustain long-lasting partnerships between educational and industry stakeholders. The pervasive nature of broadband indicates a need for IT/broadband workers who can handle a broad range of issues associated with the needs of commerce and communities in the region. In addition, the study conceptualizes and establishes the use of the term, nonmetropolitan, to describe communities that are adjacent to metro or urban areas and comprise a population of both rural and urban residents. The study deliverables include 1) a gap analysis that supports curriculum development; 2) creation of a network of nonmetropolitan stakeholders that includes employers, industries, community institutions, and technician educators; 3) an iterative curriculum/labor needs assessment that ensures depth and breadth of findings; 4) multiple faculty/industry workshops that deliver recommendations and solicit faculty/industry review of research findings; and 5) an array of activities that supports broad dissemination of the findings to inform local educators and industry, and engage all stakeholders in ongoing discussion. The research study contributes to a growing, though limited body of knowledge on the intersecting needs of IT technicians, educators, and employers in broadband technologies.
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Date Issued: 2013-05-13
Identifier: FSU_libsubv1_scholarship_submission_1534183799_cbad8162
Format: Citation

Title: Planning for a Rainy Day: A Lesson Study Model Eliciting Activity Toolkit.
Creator: Tazaz, Amanda M., King, Lance, Dyehouse, Melissa, Schoen, Robert, Wilson, Rachel, Blumsack, Steve, Green, Carmen
Abstract/Description: This lesson study toolkit supports the development of an integrated STEM instructional unit on stormwater management that aligns with Florida’s Common Core State Standards (CCSS) for seventh-grade mathematics, and English language arts, as well as NGSSSs for seventh-grade science. The elements of this toolkit were assembled based upon their suitability for constructing a 3-5 day unit that focuses upon a Model Eliciting Activity (MEA) on stormwater runoff mitigation.This MEA toolkit is also...
Show moreThis lesson study toolkit supports the development of an integrated STEM instructional unit on stormwater management that aligns with Florida’s Common Core State Standards (CCSS) for seventh-grade mathematics, and English language arts, as well as NGSSSs for seventh-grade science. The elements of this toolkit were assembled based upon their suitability for constructing a 3-5 day unit that focuses upon a Model Eliciting Activity (MEA) on stormwater runoff mitigation.This MEA toolkit is also designed to support the incorporation of close reading strategies for informational text that is included in the MEA.
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Date Issued: 2013-01
Identifier: FSU_libsubv1_scholarship_submission_1517867082_54fe3456, 10.17125/fsu.1517867082
Format: Citation

DNP Project 2018 (4)	+ -
Faculty Scholarship (1)	+ -
Information Institute (1)	+ -
Learning Systems Institute (1)	+ -

Porterfield, Susan (2)	+ -
Blumsack, Steve (1)	+ -
Daniels, Tessa Maria (1)	+ -
Dyehouse, Melissa (1)	+ -
Frehn, Marcelle Laurene (1)	+ -

Gillreath-Brown, Andrew (1)	+ -
Green, Carmen (1)	+ -
King, Lance (1)	+ -
Komolafe, Genevieve Uchechukwu (1)	+ -
McClure, Charles R. (1)	+ -
Peres, Tanya (1)	+ -
Radcliffe, Jessica Anne (1)	+ -
Schoen, Robert (1)	+ -
Tazaz, Amanda M. (1)	+ -
Wilson, Rachel (1)	+ -

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