Programs and Communities
The collection collates collections by schools, centers, programs, and research groups.
Displaying 1 - 10 of 20
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- All Subjects: Asthma
- All Subjects: Greenhouse gas mitigation
Description
Objectives: Asthma education is essential for every pediatric asthma management plan. This Doctor of Nursing Practice (DNP) Quality Improvement (QI) project, guided by the Social Cognitive Theory, aims to explore effective and innovative interventions for asthma management and determine if telehealth is an effective way to deliver asthma education to parents.
Methods: Parents (n = 5) of children with asthma at an urban pediatric primary care clinic were recruited to attend four weekly, 60-minute asthma education sessions over Zoom®. Participants were recruited with flyers and clinic referrals. Participants answered pre- and post-intervention online questionnaires following informed consent, including the Parental Asthma Management Self-Efficacy Scale (PAMSES), the Asthma Control Test (ACT), and a parent program evaluation. Paired sample t-tests were conducted to analyze data and measure mean differences in pre-and post-parent self-efficacy and asthma control in their child.
Results: The results include a statistically significant change in pre-intervention and post-intervention mean PAMSES scores. There was no significant difference between pre-intervention and post-intervention ACT scores; however, there was an increase in mean ACT scores from baseline.
Conclusions: Telehealth is a practical and cost-effective way to address gaps in asthma education and improve patient outcomes. The use of telehealth may be an effective way to address gaps in parent/patient education regarding the prevention of and management of asthma symptoms. Ongoing assessment is needed to evaluate if asthma telehealth education can be effective in other settings, languages, and age groups.
ContributorsFlores, M. Cynthia (Author) / Jacobson, Diana (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated, triage-based CS administration and determine the effect on overall length of stay (LOS). Methods: For this quality improvement initiative, ED nurses at a large, freestanding, children’s emergency department in the southwestern United States were given education on inclusion and exclusion criteria for nurse-initiated CS in ED triage. Time to CS administration, LOS, and whether the ED nurse or provider ordered the CS were evaluated through chart reviews of patients presenting with a chief complaint of difficulty breathing. These metrics were compared to charts from the previous year during the same timeframe to evaluate for improved timeliness of CS delivery. Results: Time to CS administration decreased from a mean of 98.6 minutes to 57.6 minutes. LOS decreased from an average of 259.3 minutes to 169.6 minutes. The effect of timely CS on LOS was significant for December p =.003, January p =.002, and February p = <.001. Conclusion: A streamlined process for CS delivery to pediatric patients experiencing an asthma exacerbation can enable providers to achieve efficient and effective care in the ED and decrease a patient’s overall LOS.
ContributorsBain, Ilyssa D. (Author) / Bucci, Aimee (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-23
Description
Purpose: Improper management of asthma leads to poor patient outcomes and increases in both costs and resources. This study aims to increase provider adherence to asthma clinical practice guidelines.
Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and the Friedman’s ANOVA by rank.
Results: Provider education, EHR adjustments, provider toolkits, and changes to office workflow improved provider adherence to key aspects of asthma clinical practice guidelines. A significant difference was found between the pre and post implementation groups (p < .01).
Conclusion: Increased adherence to clinical practice guidelines leads to fewer complications and an overall improved quality of life. Continuing provider education is critical to sustained adherence.
Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and the Friedman’s ANOVA by rank.
Results: Provider education, EHR adjustments, provider toolkits, and changes to office workflow improved provider adherence to key aspects of asthma clinical practice guidelines. A significant difference was found between the pre and post implementation groups (p < .01).
Conclusion: Increased adherence to clinical practice guidelines leads to fewer complications and an overall improved quality of life. Continuing provider education is critical to sustained adherence.
ContributorsFeith, Megan (Author) / Crawford, Daniel (Thesis advisor)
Created2018-04-27
Description
The Arizona State University (ASU) Masters of Sustainability Solutions (MSUS) program connects student teams with real-world clients to solve real-world sustainability problems as a part of the students’ Culminating Experience in the program. This report details the project assigned to our group, the Emissions Data Detectives (EDD), in partnership with our client, Gannett Fleming. This project focuses on calculating greenhouse gas (GHG) emissions from the client’s leased office spaces across the United States and Canada.
In excess, GHGs trap heat in the atmosphere, negatively affecting global air quality and human health. In addition, top companies similar to our client are already disclosing their emissions, new legislation is aiming to require such reporting, and stakeholders are trending to gravitate towards firms measuring and reducing their environmental impact. During the first semester of this project, we noticed that Gannett Fleming lacked data on specific utility usage in their leased office spaces, as not all data is shared, standardized, or robust enough for accurate emissions calculations.
After conducting a landscape analysis where group members interviewed companies facing a similar problem, the team identified best practices for addressing this issue. Such practices included using mixed methods for calculations based on data availability, leveraging organizational connections for efficient communication with landlords, creating custom communication plans, and using concise language with landlords. The team also conducted an sTOWS analysis to understand better how our research could best be applied to Gannett Fleming’s problem. From there, we developed a project plan that included an Invitation to Participate and Data Request to collect the necessary data. Next, the team outlined strategies for emissions calculations, including applying calculations from the GHG Protocol and compiling all calculations in a navigable spreadsheet.
Greenhouse gas calculations were made using a mix of asset-specific data from the Data Request forms and average data from the EPA estimates using equations from Scope 3, Category 8, or Leased Upstream Assets per the Greenhouse Gas Protocol. Emissions were categorized under Scope 3 since the client has no control over the leased offices, and the control approach was used. Final results showed that the emissions calculated for the 8 offices where asset-specific data was used combined with the 31 offices where average data was used totaled 2,390 metric tonnes of CO2e for FY2022.
In order to ensure that this project can be helpful to Gannet Fleming long-term, we came up with three main deliverables including a GHG spreadsheet including all calculations and findings, a GHG roadmap with simplified step-by-step instructions of our methodology, and a Sustainable Leasing Policy information to ensure the client’s emissions reduction goals are communicated and considered in the decision-making process for future lease agreements.
This version contains results that have been edited to ensure client confidentiality. Offices have been anonymized, and numbers used are not representative of actual emissions findings.
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
Description
These documents were developed as part of the culminating experience project for the Masters of Sustainability Solutions (MSUS) graduate program.
This report was developed for the ASU Foundation and the Fulton Center by Team Green Impact with the goal of establishing a facility based year for the foundation to meet their 2035 net-zero target. Contents of this report include: Scope 1 and Scope 2 GHG emission measurements for the Fulton Center, GHG emission reduction recommendations, an infographic for internal stakeholder engagement, and an example net-zero strategy the foundation can utilize in their current and future building. The purpose of the report and the infographic is to inform next steps for reducing GHG emissions and to help the ASU Foundation make progress towards their net-zero target.
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01