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For decades, understanding the complexity of behaviors, motivations, and values has interested researchers across various disciplines. So much so that there are numerous terms, frameworks, theories, and studies devoted to understanding these complexities and how they interact and evolve into actions. However, little research has examined how employee behaviors translate

For decades, understanding the complexity of behaviors, motivations, and values has interested researchers across various disciplines. So much so that there are numerous terms, frameworks, theories, and studies devoted to understanding these complexities and how they interact and evolve into actions. However, little research has examined how employee behaviors translate into the work environment, particularly regarding perceived organizational success. This study advances research by quantitatively assessing how a greater number of individual employees’ pro-environmental behaviors are related to the perceived success of environmentally sustainable workplace activities. We have concluded that the more pro-environmental behaviors an employee embodies, the more positively they perceive the success of their local government's sustainable purchasing policy. Additionally, other factors matter, including organizational behaviors, like training, innovation, and reduction of red tape.

ContributorsFox, Angela (Author) / Darnall, Nicole (Thesis advisor) / Bretschneider, Stuart (Committee member) / Behravesh, Shirley-Ann (Committee member) / School of Sustainability (Contributor)
Created2022-04-19
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BACKGROUND: The City of Phoenix initiated the HeatReady program in 2018 to prepare for extreme heat, as there was no official tool, framework, or mechanism at the city level to manage extreme heat. The current landscape of heat safety culture in schools, which are critical community hubs, has received less

BACKGROUND: The City of Phoenix initiated the HeatReady program in 2018 to prepare for extreme heat, as there was no official tool, framework, or mechanism at the city level to manage extreme heat. The current landscape of heat safety culture in schools, which are critical community hubs, has received less illumination. HeatReady Schools—a critical component of a HeatReady City—are those that are increasingly able to identify, prepare for, mitigate, track, and respond to the negative impacts of schoolgrounds heat. However, minimal attention has been given to formalize heat preparedness in schools to mitigate high temperatures and health concerns in schoolchildren, a heat-vulnerable population. This study set out to understand heat perceptions, (re)actions, and recommendations of key stakeholders and to identify critical themes around heat readiness. METHODS: An exploratory sequential mixed-methods case study approach was used. These methods focused on acquiring new insight on heat perceptions at elementary schools through semi-structured interviews using thematic analysis and the Delphi panel. Participants included public health professionals and school community members at two elementary schools—one public charter, one public—in South Phoenix, Arizona, a region that has been burdened historically with inequitable distribution of heat resources due to environmental racism and injustices. RESULTS: Findings demonstrated that 1) current heat safety resources are available but not fully utilized within the school sites, 2) expert opinions support that extreme heat readiness plans must account for site-specific needs, particularly education as a first step, and 3) students are negatively impacted by the effects of extreme heat, whether direct or indirect, both inside and outside the classroom. CONCLUSIONS: From key informant interviews and a Delphi panel, a list of 30 final recommendations were developed as important actions to be taken to become “HeatReady.” Future work will apply these recommendations in a HeatReady School Growth Tool that schools can tailor be to their individual needs to improve heat safety and protection measures at schools.

ContributorsShortridge, Adora (Author) / Walker, William VI (Author) / White, Dave (Committee member) / Guardaro, Melissa (Committee member) / Hondula, David M. (Committee member) / Vanos, Jennifer (Committee member) / School of Sustainability (Contributor)
Created2022-04-18
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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
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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
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
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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) / Knaggs, Cecilia (Author) / McCrossan, Nico (Author) / Pyne, Chloe (Author) / School of Sustainability (Contributor)
Created2022-05
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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