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Workshop report of general outcomes from stakeholder discussions regarding the planning of the decarbonization of the state of Arizona as part of a regional effort.

Created2021-09
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While the COVID-19 pandemic continues to evolve, America’s nursing work force continue to work in the most challenging of circumstances. While expected to hold the fort and continue on, deep inside, they bury an unprecedented level of acute stress, anxiety and depression. Peer support groups have been posed as a

While the COVID-19 pandemic continues to evolve, America’s nursing work force continue to work in the most challenging of circumstances. While expected to hold the fort and continue on, deep inside, they bury an unprecedented level of acute stress, anxiety and depression. Peer support groups have been posed as a possible coping behavior. This cross-sectional designed project was developed to assess the worth and feasibility of a virtual peer support group with a focus on healthcare provider wellness during a period of surge of the COVID-19 pandemic. Overwhelmed staff, technology/documentation changes and challenges, competing clinical demands, short-staffing and Zoom fatigue were identified as the limiting factors for this project’s completion within its given timeframe. These findings informed of current barriers, providing a basis for future program development to mitigate the impact of psychological distress among healthcare providers. Evolving literature on this topic supports recommendations for further study and action by individual health care providers, organizations and at the state and national levels.

Created2021-12-01
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We analyze current approaches to carbon accounting for removed carbon sold on carbon markets, focusing on carbon crediting under the framing of a remaining carbon budget, the issue of durability, and approaches to accounting methodologies. We explore the topic of mixing carbon with other problems in developing carbon accounting methodologies

We analyze current approaches to carbon accounting for removed carbon sold on carbon markets, focusing on carbon crediting under the framing of a remaining carbon budget, the issue of durability, and approaches to accounting methodologies. We explore the topic of mixing carbon with other problems in developing carbon accounting methodologies and highlight the open policy questions. We conclude with a suggested framework for accounting for carbon removal accounting that simplifies climate action and enables a world with negative carbon emissions.

ContributorsArcusa, Stéphanie (Author) / Lackner, Klaus (Author) / Page, Robert (Author) / Sriramprasad, Vishrudh (Author) / Hagood, Emily (Author) / Center for Negative Carbon Emissions (Contributor)
Created2022-11-01
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Workshop report on socio-economic and technical discussions Direct Air Capture as a technology for the climate transition.

Created2022-01-19
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This document details a conceptual Framework for the Certification of Carbon Sequestration (FCCS). It is based on a system designed to support negative emissions. It provides the minimum requirements for the development of carbon sequestration standards and certificates of carbon sequestration. It allows the certification of standards so that they

This document details a conceptual Framework for the Certification of Carbon Sequestration (FCCS). It is based on a system designed to support negative emissions. It provides the minimum requirements for the development of carbon sequestration standards and certificates of carbon sequestration. It allows the certification of standards so that they in turn produce certification of removed carbon that authenticates durability and verifiability. The framework (i) identifies an organizational structure for the certification system, (ii) clarifies the responsibility of participating entities, (iii) provides certificate designs and usages, (iv) details the requirements to develop measurement protocols, (v) provides mechanisms to support a long-term industry, and (vi) outlines a vision towards durable storage.

ContributorsArcusa, Stéphanie (Author) / Lackner, Klaus (Author) / Hagood, Emily (Author) / Page, Robert (Author) / Sriramprasad, Vishrudh (Author)
Created2022-12-05
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Carbon Dioxide Removal (CDR) is essential to meet the Paris Agreement’s commitment to stay below a 1.5 degrees Celsius average temperature increase. To provide critical foundational support to the development, deployment, and scaling of CDR, certification of carbon removal is needed. The international community is developing rules for the functioning

Carbon Dioxide Removal (CDR) is essential to meet the Paris Agreement’s commitment to stay below a 1.5 degrees Celsius average temperature increase. To provide critical foundational support to the development, deployment, and scaling of CDR, certification of carbon removal is needed. The international community is developing rules for the functioning of carbon markets. To support that process, we explored open questions on four key themes in the development of standards and certification of carbon removal through an international multi-stakeholder consultation process hosted by the Global Carbon Removal Partnership, Arizona State University, and Conservation International. Categories of stakeholders included standard developing organizations, non-governmental organizations, governments, and academics. Discussions covered 1. the treatment of emission reduction, avoidance,and removal in certification, 2. the role of additionality in carbon removal, 3. the choice of certification instrument for carbon removal, and 4. the treatment of durability in certification. They revealed fundamental differences in viewpoints on how certification should work. We highlight areas of further exploration, concluding that providing transparency on assumptions made at the certification level will be crucial to progress and, eventually, the acceptance and success of carbon removal as a climate solution.

ContributorsArcusa, Stéphanie (Author) / Sprenkle-Hyppolite, Starry (Author) / Agrawal, Aditya (Author)
Created2022-11-09
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The purpose of this Doctor of Nursing Practice (DNP) project is to develop and implement a culturally tailored educational program into a community clinic in a northern border community in Mexico to prevent and combat childhood obesity. In Mexico, 33.2% of children are overweight or obese and numbers are

The purpose of this Doctor of Nursing Practice (DNP) project is to develop and implement a culturally tailored educational program into a community clinic in a northern border community in Mexico to prevent and combat childhood obesity. In Mexico, 33.2% of children are overweight or obese and numbers are continuing to rise, which has a significant impact on physical and psychological health and can lead to diabetes, fatty liver disease, thyroid disease, cardiovascular disease, cancer, depression, and other chronic diseases. Guided by Bandura’s theory of self-efficacy, weekly education sessions were delivered to members of the community clinic for two weeks. Content included both a nutrition component and an exercise component. An emphasis was made on increasing physical activity, increasing water consumption, decreasing sugar sweetened beverages, and increasing fruit and vegetable consumption. Videos were developed for each education session. Worksheets and handouts were developed to enhance learning and give participants a tangible reference for individual learning. Content was taken from the CDC and adapted to fit the needs of the community. All content was culturally tailored for low literacy levels and translated to Spanish. Knowledge, behavior change, and self-efficacy were measured by pre and post surveys. Self-efficacy showed statistically significant change from pre and post intervention. These findings suggest that healthy eating and exercise education can potentially increase knowledge, promote behavior change, and enhance self-efficacy, which can, in turn, prevent and combat childhood obesity and related disease states.
Created2022-04-26
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Background: Existing practice standards for discharge education are insufficient to support parents of children with new enteral feeding devices in the outpatient setting which has led to increased clinic and emergency department visits, hospital stays, and preventable complications. The purpose of this Doctor of Nursing Practice (DNP) project was to

Background: Existing practice standards for discharge education are insufficient to support parents of children with new enteral feeding devices in the outpatient setting which has led to increased clinic and emergency department visits, hospital stays, and preventable complications. The purpose of this Doctor of Nursing Practice (DNP) project was to design and deliver a comprehensive evidence-based enteral feeding tube hospital-based discharge education intervention for parents after their child’s gastrostomy tube placement surgery. Guided by Transition’s theory, the project aims to bridge the gap in education by providing the parent with ongoing support and education about their child’s gastrostomy tube. Methods: This project measured the impact of inpatient discharge education with ongoing support and outpatient education on parent knowledge and confidence. All English-speaking parents of pediatric patients ages 0-17 years with new gastrostomy tubes at a large, urban, freestanding pediatric hospital in the southwest United States were eligible for participation. Institutional Review Board approval was obtained. Informed consent was obtained from all participants. The education intervention was delivered at hospital discharge then reinforced at the first follow-up visit in the surgery clinic. Data analysis included demographic items, a Paired Samples T-Test, and a Two-tailed Wilcoxon Signed Rank Test analyses. Results: Results indicated a statistically significant difference in parent knowledge after the educational intervention. Results also indicated a clinically significant increase in parent confidence. Conclusion: Providing ongoing support and education positively impacts parent knowledge and confidence related to the care of their child’s new gastrostomy tube. Future impacts of this educational intervention may demonstrate a decrease in clinic and emergency department (ED) visits, hospital expenditure, and preventable complications.
Created2022-04-29
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Purpose/Background: Children exposed to adverse childhood experiences (ACEs) and toxic stress have an increased risk of developing chronic illness and early death in the absence of protective factors. Many providers feel inadequately prepared to screen for and treat ACEs. This quality improvement project, based on the Health

Purpose/Background: Children exposed to adverse childhood experiences (ACEs) and toxic stress have an increased risk of developing chronic illness and early death in the absence of protective factors. Many providers feel inadequately prepared to screen for and treat ACEs. This quality improvement project, based on the Health Belief Model, investigated if providing ACEs education before a screening program is effective in improving attitudes, knowledge, and the number of completed screenings. Method: The project was conducted at a pediatric primary care practice in the southwestern United States. All providers voluntarily consented to attend four education sessions: 1) Trauma overview, 2) Trauma physiology, 3) Trauma-informed care, 4) Screening tool/referral process. An anonymous pre/post-education Likert-Scale survey was completed to assess knowledge and attitudes about ACEs and screening. The number of completed ACEs screening tools and referrals made were collected four- and eight-weeks post-implementation. Results: Data were analyzed using Intellectus Statistics SoftwareTM. There was a significant increase in ACEs knowledge from the pre-test (p= .011, ?=.05). There was not a significant change in attitudes from the pre-test (p=.066, ?=.05). However, the mean pre- to post-survey scores increased for both categories, indicating improved attitudes. Over the first four weeks, 75% of eligible children were screened and 6% were referred to an ACEs resource program. In the second four weeks, 56% of children were screened and 8.6% were referred. Discussion: A comprehensive education program for providers can improve knowledge about ACEs screening, leading to improved screening practices, early identification, and the introduction of protective resources.
Created2022-04-29
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Background: People with diabetes are at greater risk for comorbid cardiovascular disease, end stage organ damage, disability, and early death. There is substantial evidence that individualizing self-care education, such as eating a healthy diet, greatly improves diabetes management. Objective: The purpose of this paper is to review the

Background: People with diabetes are at greater risk for comorbid cardiovascular disease, end stage organ damage, disability, and early death. There is substantial evidence that individualizing self-care education, such as eating a healthy diet, greatly improves diabetes management. Objective: The purpose of this paper is to review the outcomes of a diabetes education program offered to underserved women in the Southwestern United States. Methods: Four weekly nutrition classes were individualized and taught at a nonprofit organization in the southwest United States. Behavior change was measured using the Summary of Diabetes Self-Care Activities (SDSCA) tool. Classes were advertised via the center’s monthly class calendar and fliers. A total of nine participants (N=9) came to every class and took the SDSCA survey before and after class instruction. Results: Descriptive statistics and two 2-tailed t-tests with the critical value set at p<0.05 were used for data analysis. The participants were Hispanic women, most between the ages of 40-49, and had an income between $0-14,000. The mean difference between the variables of both general diet and specific diet pre and post-tests were significantly different from zero. The assumptions of normality and homogeneity were met. The results of both two-tailed paired sample t-tests were significant suggesting the means of general and specific diet pre-tests were significantly lower than the means of the general and specific diet post-tests. Discussion: The assumptions of normality and homogeneity were met and the results were significant. The pre-intervention scores for both categories were statistically significantly lower than the post-intervention scores for both categories. Thus, the desired outcome of helping clients within the organization modify, adapt, or change self-care behaviors related to diet was met.
Created2022-04-26