Vision Statement: Our patients deserve the best continuity of care possible. With that said, our nurses should effectively communicate patient information with our physicians in order to ensure the best treatment for acute condition changes in order to prevent hospital readmissions.

This presentation explains the role of skilled nursing facilities in the reduction of hospital readmissions.

"In attempts to reduce nosocomial infections, the focus of PPE is shifted to include patient protection.

This innovation project will help lead the healthcare organization to better health deliver and better service because it will prevent transmission of nosocomial infections between patients via hospital staff. Patients with HAI’s tend to have a longer duration hospital stay as well as more costs. Likewise, current healthcare reform restricts reimbursements for treatments associated with nosocomial infections. By minimizing these costly infections, the healthcare organization will be able to realize a greater profit."

A short and thickened lingual frenulum characterizes tongue-ties. Infants with this condition are likely to have issues with their latch, weight gain, and the ability to breastfeed exclusively. Mothers typically struggle with nipple pain and trauma. Tongue-tie procedures have become increasingly more popular as families turn to this intervention when struggling with breastfeeding.

The purpose of this quality improvement project is to collect data on tongue-tie revision procedures to explore the benefits, risks, and patient satisfaction with the clinical process. Questionnaires were created to collect information on tongue-tie revisions. Participants were asked to identify symptoms related both to the mother and infant. The type of feeding was assessed before and after to identify if the tongue-tie revisions increased exclusive breastfeeding. Likert-type scales were used to address maternal nipple pain, overall improvements in breastfeeding, and patient experience.

A total of 36 participants completed the pre-op questionnaire, and 22 completed the post-op questionnaires over four months. The results found that this was a low-risk procedure that helped improve breastfeeding or maternal and infant symptoms. There should be continued efforts to find ways to continue to collect this data, as it will increase the awareness of tongue-tie’s effect on breastfeeding.

Changing from current unsustainable production, consumption, and disposal patterns will clearly require technological, political and other structural changes, but also individual behavior change. Consumer demand and individuals’ purchasing power exerts pressure on many parts of the production system, including how crops are produced (i.e., organic), products are packaged and labeled (i.e., rBGH-free labels on milk), and even where products are distributed and how they are disposed of. Individual consumer behaviors have even led to political and structural changes overtime, such the consumer boycott of tuna which led to 1990 US legislation creating the "Dolphin Safe" tuna label.

One of the central ways to foster responsible citizenry and promote sustainable production is to harness the capacity of teachers and schools to create change. Educating for conscious consumerism is a critical part of creating changes in production, consumption and disposal systems, but our current education system and approaches often reinforce unsustainable practices that neglect subjective ways of knowing as well as action and change. Research and experience suggests that traditional, information intensive teaching about sustainability alone does not motivate the behavior change a transition to sustainability will require. Utilizing a previously developed framework that identifies four distinct types of knowledge—declarative, procedural, effectiveness and social—we hypothesize that procedural, effectiveness and social knowledge are important predictors of an individual’s participation in sustainable behaviors, while declarative (information) knowledge is not. While the knowledge domain framework has been theoretically detailed by other researchers (Kaiser & Fuhrer, 2003; Frisk & Larson, 2011) and qualitatively assessed through an intensive case study education program (Redman 2013), to date, this is the first quantitative assessment of the relationship between the four domains of knowledge and sustainability-related behaviors.

We tested our hypothesis through an extensive survey of 346 current and future K-12 teachers about sustainable food and waste knowledge and behaviors. The survey results supported our hypothesis that high levels of declarative knowledge alone did not predict increased participation in sustainable behaviors while procedural and social knowledge were statistically significant predictors of sustainable food behaviors and procedural, effectiveness, and social knowledge were all statistically significant predictors of sustainable waste behaviors. Through active incorporation of appropriate forms of procedural, effectiveness, and social knowledge into the K-12 classroom, educators can empower the next generation to make individual changes based on their vision of the future and insist on structural and institutional changes that are essential for a successful transition to sustainability.

Teacher education for sustainability is a central part of integrating sustainability into classrooms and schools. However, educating for sustainability is not limited to increased content knowledge; rather it encompasses different forms of knowledge that embrace the normative, dynamic and action-oriented nature of sustainability. Curriculum for a summer sustainability program had previously been developed based on an interdisciplinary approach which incorporates research and practice from the fields of education pedagogy, sustainability and behavior change.

This article synthesizes the insights provided by K-12 teachers who participated in this program and another teacher who utilized the curriculum during a sustainability unit in her 8th form science class in Phoenix, AZ. Data was collected through surveys and interviews over the course of a year. The key findings indicate that one of the major barriers to moving away from traditional, didactic approaches to education is the importance placed on standardized tests. As long as external forces and incentive structures reinforce methods of lecture and assess, teachers will struggle transitioning to more experiential, real-world methods that enhance a multiplicity of knowledge. One important suggestion made by the teachers was for increased support by universities through pre-service and in-service programs focused on educating for sustainability.