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Transitions towards sustainability are urgently needed to address the interconnected challenges of economic development, ecological integrity, and social justice, from local to global scales. Around the world, collaborative science-society initiatives are forming to conduct experiments in support of sustainability transitions. Such experiments, if carefully designed, provide significant learning opportunities for

Transitions towards sustainability are urgently needed to address the interconnected challenges of economic development, ecological integrity, and social justice, from local to global scales. Around the world, collaborative science-society initiatives are forming to conduct experiments in support of sustainability transitions. Such experiments, if carefully designed, provide significant learning opportunities for making progress on transition efforts. Yet, there is no broadly applicable evaluative scheme available to capture this critical information across a large number of cases, and to guide the design of transition experiments. To address this gap, the article develops such a scheme, in a tentative form, drawing on evaluative research and sustainability transitions scholarship, alongside insights from empirical cases. We critically discuss the scheme's key features of being generic, comprehensive, operational, and formative. Furthermore, we invite scholars and practitioners to apply, reflect and further develop the proposed tentative scheme – making evaluation and experiments objects of learning.

ContributorsLuederitz, Christopher (Author) / Schäpke, Niko (Author) / Wiek, Arnim (Author) / Lang, Daniel J. (Author) / Bergmann, Matthias (Author) / Bos, Joannette J (Author) / Burch, Sarah (Author) / Davies, Anna (Author) / Evans, James (Author) / König, Ariane (Author) / Farrelly, Megan A. (Author) / Forrest, Nigel (Author) / Frantzeskaki, Niki (Author) / Gibson, Robert B. (Author) / Kay, Braden (Author) / Loorbach, Derk (Author) / McCormick, Kes (Author) / Parodi, Oliver (Author) / Rauschmayer, Felix (Author) / Schneidewind, Uwe (Author) / Stauffacher, Michael (Author) / Stelzer, Franziska (Author) / Trencher, Gregory (Author) / Venjakob, Johannes (Author) / Vergragt, Philip J. (Author) / von Wehrden, Henrik (Author) / Westley, Frances R. (Author)
Created2016-09-03
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Successful management of pediatric procedures is challenging. Many procedures have a detailed list of pre-procedural requirements and post-procedural pain control regimens. Patients and families often get lost in the many requirements needed before scheduling the procedure and often delay intervention. This delay can cost both the families and facility time

Successful management of pediatric procedures is challenging. Many procedures have a detailed list of pre-procedural requirements and post-procedural pain control regimens. Patients and families often get lost in the many requirements needed before scheduling the procedure and often delay intervention. This delay can cost both the families and facility time and money but often leave the patient needlessly suffering. Inadequate pain control results in emergency room (ER) visits or hospital admissions for acute postoperative pain management. The opioid epidemic has significantly impacted postoperative opioid prescriptions at discharge. The limited prescriptions available after discharge, paired with inadequate understanding and support of discharge postoperative instructions by the family, result in increased acute postoperative pain management admissions. Postoperative pain is the leading cause of hospital readmissions within 48 hours of discharge. These ER visits are typically for issues that are easily addressed at home. Teach-back methods have shown to be the cornerstone of education, resulting in knowledge gained and increased pain regimen adherence. A literature review exploring current evidence regarding postoperative pain control and interventions coupled with teach-back was conducted to address this concern, and an evidenced-based intervention is proposed.
Created2021-04-20
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False accusations concerning the development of autism and other hazardous side effects have triggered parental vaccine hesitancy, leading to outbreaks of vaccine-preventable diseases. This opposition to vaccination risks the health of both individuals and entire communities. The purpose of this project was to determine the effectiveness of prenatal education on

False accusations concerning the development of autism and other hazardous side effects have triggered parental vaccine hesitancy, leading to outbreaks of vaccine-preventable diseases. This opposition to vaccination risks the health of both individuals and entire communities. The purpose of this project was to determine the effectiveness of prenatal education on maternal vaccine hesitancy and infant immunization rates. In a pretest posttest design, pregnant mothers greater than or equal to 30 weeks gestation were recruited by The Arizona Partnership for Immunization (TAPI) and virtually educated about infant immunization. A voice-over PowerPoint presentation was delivered to the participants virtually and focused on vaccine knowledge, intention to vaccinate, and vaccine hesitancy. These outcomes were evaluated virtually pre- and post-intervention with the Parent Attitudes about Childhood Vaccines (PACV) survey (⍺ = 0.84), and the infants’ vaccination records were compared against the recommended immunization schedule at two months of age. Using the Wilcoxon Signed-Ranks test, data analysis revealed vaccine hesitancy was significantly reduced between pre- and post-intervention (Z = 27.70, p = .000), and 100% of the 2-month-old infants were fully immunized with the recommended vaccines. The effect size (d = 12.807) also indicated a strong relationship between pre- and post-intervention vaccine hesitancy. Vaccine hesitancy remains a threat to public health. With prenatal education, pregnant mothers will likely become more knowledgeable of vaccine benefits and better prepared to make informed decisions. Confident vaccination will decrease vaccine hesitancy and improve immunization rates, while promoting individual and societal health.
Created2021-04-27
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Breastfeeding provides significant health benefits for mothers and infants, but many women fall short of the breastfeeding goals set by the Healthy People initiative. National guidelines such as the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, the Academy of Breastfeeding Medicine, and the American Academy of

Breastfeeding provides significant health benefits for mothers and infants, but many women fall short of the breastfeeding goals set by the Healthy People initiative. National guidelines such as the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, the Academy of Breastfeeding Medicine, and the American Academy of Family Physicians recommend exclusive breastfeeding through six months of age. Peer support and education are key components in helping women achieve their breastfeeding goals and improve breastfeeding self-efficacy. A private obstetrics and gynecology office in the Southwestern United States did not routinely provide breastfeeding support. As the number of people using online peer support groups has grown in popularity and with the project site having an existing active Facebook© page, a project was created utilizing a private Facebook© group for breastfeeding mothers to receive peer support and evidence-based education. Over 12 weeks, evidence-based education postings and discussion prompts were created to encourage conversation upon participants. Sixteen participants made 30 discussion posts. After 11 weeks, three completed the confidential survey and the Breastfeeding Self-Efficacy Scale Short Form, which showed significant levels of breastfeeding self-efficacy. One hundred percent (n=3) of participants accessed the education handouts and found them helpful. Education and peer support results in high breastfeeding self-efficacy which in turn increases breastfeeding duration and exclusivity.
Created2021-04-28
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Background: Type II diabetes mellitus (T2DM) is a growing issue globally. Social determinants of health (SDH) play a crucial role on patients’ outcomes and complications from the disease. Hispanics are twice as likely to suffer from T2DM when compared to non-Hispanic whites, and they often rely on federally qualified community

Background: Type II diabetes mellitus (T2DM) is a growing issue globally. Social determinants of health (SDH) play a crucial role on patients’ outcomes and complications from the disease. Hispanics are twice as likely to suffer from T2DM when compared to non-Hispanic whites, and they often rely on federally qualified community health centers (FQCHC) for their medical needs. These centers are then faced with high volume of patients with high acuity, which leads to limited time and resources to provide diabetic education. Methods: The Purnell model of cultural competence will be used as a framework to provide unbiased, culturally tailored (CT) education to improve patients’ outcomes. The advancing research and clinical practice through close collaboration (ARCC) model will be used as it focuses on evidence-based practice (EPB) implementation that is sustainable across the system. Purpose: The purpose of this EBP project is to promote culturally tailored (CT) DSME at a low-income FQCHC in greater Phoenix to improve diabetes outcomes and decrease complications from the disease. Consequently, decreasing the costly effects of diabetes complications to patients, FQCHC, and the state of Arizona. Conclusion: Evidence suggest that diabetes self-care management education (DSME) is successful, independent of the format of delivery, in improving diabetes outcomes and patients’ self-care. However, it is underutilized in the United States even though it is a covered Medicare service.
Created2021-04-28
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Objective Health care transition (HCT) for adolescents without special health care needs in the primary care setting has received inadequate attention, as represented by national surveys, when compared to adolescents with special health care needs. Barriers to transition such as lack of knowledge and preparation have been known to hinder HCT

Objective Health care transition (HCT) for adolescents without special health care needs in the primary care setting has received inadequate attention, as represented by national surveys, when compared to adolescents with special health care needs. Barriers to transition such as lack of knowledge and preparation have been known to hinder HCT despite the knowledge gap and weak evidence related to non-special needs adolescent transition. Application of anticipatory guidance education related to care transition may improve transition readiness scores of adolescents without special health care needs. Methods Utilizing Meleis’ transition theory with the Plan-Do-Study-Act framework, a quasi-experimental study was conducted comparing transition readiness scores between baseline and intervention groups of adolescents 14 years or older attending their well checks at a small pediatric primary care site. The intervention consisted of two videos developed from Got TransitionTM's (n.d.) Six Core Elements for specific adolescent age ranges. Results Statistical analysis reveals that the subgroup and overall transition readiness scores for both age groups, 14-15 and 16-18 years of age, when comparing the baseline groups to the intervention groups, have mixed significance (p = .419, p = .074, respectively). However, when asking the respondents about their understanding of the transition process and their role in that process, 75% and 62.5%, respectively, at minimum agreed the intervention was helpful. Conclusion The findings were mixed, indicating the educational videos did have a short-term impact on adolescent transition readiness scores for the 16-18 years old group only. Future focus on long-term follow up throughout the adolescent period may yield better data.
Created2021-04-28
Description

The production and consumption of goods is a global phenomenon that has significant social and environmental impacts and challenges. In 2016, the International Labor Organization (ILO) estimated that 25 million people were victims of forced labor. Forced labor is defined as “work that is involuntary and subject to penalty.” It

The production and consumption of goods is a global phenomenon that has significant social and environmental impacts and challenges. In 2016, the International Labor Organization (ILO) estimated that 25 million people were victims of forced labor. Forced labor is defined as “work that is involuntary and subject to penalty.” It is a subset of modern slavery, and is a complex problem that affects all three pillars of sustainability. Fair labor, on the other hand, is voluntary, requires fair compensation, and is free from penalty. With one in five jobs tied to global supply chains, it is vital that companies and organizations are committed to sustainability within the supply chain (Thorlakson et al., 2018). One critical aspect of this commitment includes a focus on fair labor practices.

ASU’s Trademark Licensing Department currently utilizes third-party vendors to verify that any licensed product, those marked with an ASU logo or trademark, have been sourced and produced under fair labor conditions. Our project focuses on steps that can be taken to elevate fair labor practices across the ASU supply chain for both licensed and unlicensed products. The Fair Labor Solutions Team has developed two primary deliverables: an overarching report and a fair labor problem identification presentation with a script to act as an education tool for ASU staff. The report contains the following elements: a landscape analysis of fair labor, ASU’s current procurement practices, a collection of exemplary case studies, and a tiered vision towards transformational change. Our team understands that ensuring fair labor throughout the ASU supply chain is not a linear process. The goal of our deliverables is to offer a strong foundation for the university's transition to sustainable procurement.

ContributorsFalsone, Paul (Author) / Goethe, Emma (Author) / Hartland, Kate (Author) / LoPiccolo, Ali (Author) / Whitler, Grace (Author) / Vo, Asya (Author)
Created2022-05
Description

Extreme heat, a widespread environmental hazard, is experienced disproportionately by historically disinvested and marginalized communities in Tempe. The City of Tempe has thus identified the importance of preparing the City’s youth to move into positions of power within the community to prepare for a future of rising temperatures and climate

Extreme heat, a widespread environmental hazard, is experienced disproportionately by historically disinvested and marginalized communities in Tempe. The City of Tempe has thus identified the importance of preparing the City’s youth to move into positions of power within the community to prepare for a future of rising temperatures and climate uncertainty, specifically as it relates to intergenerational community resilience. The City’s long-term Cool Kids, Cool Places, Cool Futures project plans to accelerate the City’s existing climate action by activating and empowering local youth as change agents in the co-creation of cooler, more equitable, and healthier futures. This MSUS project aims to develop strategies for the youth and the city that work together to advocate for and implement youth-designed and neighborhood-focused climate action projects in the Escalante and Victory Acres neighborhoods. The envisioned solution for this project is the creation of a dual strategy to connect youths’ visions for the future of Tempe with the City’s capacity (resources, funding, etc.) to adequately implement them. To complete this, the MSUS team facilitated a visioning workshop for local youth at McClintock High School to brainstorm potential climate action projects. As a result of this workshop, an action guide was then developed by the MSUS team with strategies to help jumpstart these youth-designed projects, highlighting the necessary social and physical assets and infrastructures needed for the projects to succeed. In turn, the City received a report outlining how they can best support the youth in the realization of these action projects. Both of these strategy guides will be used in parallel to begin the implementation of the climate action projects in the Fall of 2022.

ContributorsKarr, Camrynne (Author) / Sweis, Fayrooz (Author) / Hernandez Gil, Yaritza (Author) / Provencher, Krisandra (Author) / Acevedo, Valeria (Author)
Created2022-05
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Description

This project is creating a non-profit green building organization called AZ Build Green Coalition. There is currently no statewide neutral organization for knowledge sharing about various green building initiatives throughout Arizona. Multiple municipalities in the state are now interested in and starting to execute green building initiatives through varied processes.

This project is creating a non-profit green building organization called AZ Build Green Coalition. There is currently no statewide neutral organization for knowledge sharing about various green building initiatives throughout Arizona. Multiple municipalities in the state are now interested in and starting to execute green building initiatives through varied processes. Yet, each municipality is remaking the wheel and select green building champions in each city usually lead these efforts without a lot of funding or capacity. A central source for knowledge sharing and education would be instrumental in facilitating faster and more efficient movements with green building initiatives and codes. For example, the city of Scottsdale is in the process of being the first municipality in the nation to adopt the newest version of the International Green Construction Code (IgCC). This project has been involved in and aided in that initiative. The city of Tempe has initiated three IgCC 2018 pilot projects. Other municipalities in the state are interested in the IgCC and several have previously adopted it on a voluntary basis. Sharing resources and code approval barriers through a central forum would be beneficial for faster progress and also navigating the political barriers more effectively. The non-profit aims to assist with this collaboration and future high performance building initiatives through tools such as: public presentations, a central sharable document repository, an online presence, and other collaborative tools.

ContributorsPickett, Anitra (Author)
Created2022-05
Description

ASU’s waste diversion goal is 90% by the fiscal year 2025 and will require collaboration across many departments and programs to be successful. Reducing plastic use, especially single-use plastic, is critical in reaching 90% waste diversion in the supply chain. To reduce supply chain single-use plastics, ASU will need the

ASU’s waste diversion goal is 90% by the fiscal year 2025 and will require collaboration across many departments and programs to be successful. Reducing plastic use, especially single-use plastic, is critical in reaching 90% waste diversion in the supply chain. To reduce supply chain single-use plastics, ASU will need the cooperation of suppliers on efforts like piloting plastic free packaging programs, packaging take back programs, alternative packaging opportunities, or promoting alternative products that contain little-to-no single-use plastic. Creating a proposed approach through identifying strategic external partners, a high-level approach to implementation, and obstacles will impact how future goals and policies are set. Determining impact and added value of the project will help cultivate support from leadership, internal stakeholders, and suppliers. The project focus will include multiple deliverables, but the final output will be a timeline that maps out what plastic streams to eliminate and when to help ASU reach their waste diversion goals. It begins with “low-hanging fruit” like straws and plastic bags and ends with a university free from all non-essential single-use plastic.

ContributorsHarper, Trevor (Author) / Hegde, Sakshi (Author) / McCrossan, Nico (Author) / Knaggs, Cecilia (Author) / Pyne, Chloe (Author) / School of Sustainability (Contributor)
Created2022-05