Programs and Communities
The collection collates collections by schools, centers, programs, and research groups.
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- All Subjects: Food Systems
Interview with Ashley Schimke, Farm to School Specialist for Arizona Department of Education
Ashley Schimke is the Farm to School Specialist for the Arizona Department of Education. Her experience working in the Phoenix community gave her an introduction to the struggles of the less fortunate within the Valley. Working with the Arizona Department of Education Ashley had the opportunity to bridge the gap between the education system and local producers. She seeks to give students the nutrition to focus and learn as well as the education to make healthy choices. Understanding food systems become more of an experience for students, which promotes a continual interest. Her work engages the next generation in an effort to change how they understand their environment and their food.
The original intent of the project was to attempt to mitigate the complex sustainability issue of systematic food waste via creating a guide that would educate users how to create a food saving organization that prevents edible food from ending up in landfills. The guide was going to be based on a nonprofit organization my family and I founded called Epic Cure, that has activated programs that serve to relieve community food insecurity, encourage community connectedness, support environmental health, and empower youth with entrepreneurial opportunity. The development of the guide was going to be based on my personal experience developing and running the organization, as well as my understanding of sustainable systems and frameworks. However, the original scope and plan of this project has shifted considerably since the outbreak of the COVID-19 virus. I have decided to put the guide on hold so that I can step into a space of agency via working in real time, to adapt my organization so that we can continue to operate when we are most needed. This shift is a response to the health and economic crisis that continues to unfold daily. In order to sustain the wellbeing of communities, the adaptation of a food aid service in the time of the crisis is an imminent need. This project shift not only serves to provide emergency relief, but also to identify gaps in the food distribution system and the supply chains that NGOs like Epic-Cure rely on so that we might be more resilient in the face of future shocks to the systems.
Purpose: This project sought to evaluate the gap that exists between best practice and current practice, for sepsis identification and EGDT implementation.
Methods: The project was completed over a four-month period with prior Institutional Review Board (IRB) approval and consisted of evaluation of sepsis knowledge and barriers to EGDT. Questionnaires included demographics, sepsis knowledge, barriers to EGDT and AHRQ quality indicators toolkit.
Results: Sample (N=16) included registered nurses (RN) and healthcare providers. Descriptive statistics were utilized for evaluation of questionnaires. Results indicate staff have sound understanding of signs and symptoms of sepsis, however application through case studies demonstrated lower performance. Overall system barriers were minimal, with greatest barriers in central line monitoring and staff shortages. High level unit teamwork exists within the ED, however collaboration is lacking between ED staff and upper management. Results demonstrate moderate disengagement between upper management and staff leading to miscommunication. Recommendations included increased, consistent sepsis education, utilization of Institution for Healthcare Improvement (IHI) triple aim framework for evaluating systems, implementing a closed loop approach to communication, and having a staff champion for sepsis be included in meetings with upper management.
Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in screening for and detecting child physical abuse.
The purpose of this evidence-based quality improvement project was to implement a comprehensive screening program that included ED HCP education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. After a 20-minute educational session, there was a significant increase in ED HCP knowledge and confidence scores for child physical abuse screening and recognition (p < .001). There was no difference in diagnostic coding of child physical abuse by ED HCPs when evaluating a 30-day period before and after implementation of the screening protocol.
In a follow-up survey, the Escape Instrument and educational session were the most reported screening facilitators, while transition to a new electronic health system was the most reported barrier. The results of this project support comprehensive ED screening programs as a method of improving HCP knowledge and confidence in screening for and recognizing child physical abuse. Future research should focus on the impact of screening on the diagnosis and treatment of child physical abuse. Efforts should also be made to standardize child abuse screening programs throughout all EDs, with the potential for spread to other settings.
For the community engagement piece of the project, existing community engagement protocols and frameworks were compared. The most effective strategies were then selected and combined into a single adaptive framework. Assets Based Community Development, the Sustainable Neighborhood for Happiness Index, and the six types of capital are used as the foundational structure of the Community System Map. A Community Food System map was then organized using a “hub” approach, and the Residential Edible Landscaping map was organized based off of field experience. The nested systems illustrate just how complex the community food system really is. The outcome of the project is the first iteration of an adaptive tool that can be used by for-profit or non-profit organizations to co-create and interdependently manage local community food systems.
The project focuses on the creation of 300 pest identification booklets that provide five villages in Kaffrine the proper education to prevent locust plagues from forming. I have partnered with the Global Locust Initiative (GLI) to help make these booklets come to fruition as the booklets target the lack of early detection awareness that is at the root of locust plagues. By providing the villages with these booklets, the farmers and community members, will be more educated on how to identify and act on the early threats of a plague. Additional outcomes of creating these booklets are as follows: improved well-being of the farming community, increased millet yields, and enhanced global food system sustainability. As locusts are a migratory pest, it is recommended that more stakeholders are provided the proper educational material to help them identify the early threats of a locust plague to prevent negative externalities from being imposed on the surrounding ecology, individuals, and agriculture.
