Matching Items (19)
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Research has shown that the ability to smell is the most direct sense an individual can experience. With every breath a person takes, the brain recognizes thousands of molecules and makes connections with our memories to determine their composition. With the amount of research looking into how and why we

Research has shown that the ability to smell is the most direct sense an individual can experience. With every breath a person takes, the brain recognizes thousands of molecules and makes connections with our memories to determine their composition. With the amount of research looking into how and why we smell, researchers still have little understanding of how the nose and brain process an aroma, and how emotional and physical behavior is impacted. This research focused on the affects smell has on a caregiver in a simulated Emergency Department setting located in the SimET of Banner Good Samaritan Medical Center in Phoenix, Arizona. The study asked each participant to care for a programmed mannequin, or "patient", while performing simple computer-based tasks, including memory and recall, multi-tasking, and mood-mapping to gauge physical and mental performance. Three different aromatic environments were then introduced through diffusion and indirect inhalation near the participants' task space: 1) a control (no smell), 2) an odor (simulated dirty feet), and 3) an aroma (one of four true essential oils plus a current odor-eliminating compound used in many U.S. Emergency Departments). This study was meant to produce a stressful environment by leading the caregiver to stay in constant movement throughout the study through timed tasks, uncooperative equipment, and a needy "patient". The goal of this research was to determine if smells, and of what form of pleasantness and repulsiveness, can have an effect on the physical and mental performance of emergency caregivers. Findings from this study indicated that the "odor eliminating" method currently used in typical Emergency Departments, coffee grounds, is more problematic than helpful, and the introduction of true essential oils may not only reduce stress, but increase efficiency and, in turn, job satisfaction.
ContributorsClark, Carina M (Author) / Bernardi, Jose (Thesis advisor) / Heywood, William (Committee member) / Watts, Richard (Committee member) / Rosso, Rachel (Committee member) / Arizona State University (Publisher)
Created2013
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ABSTRACT Nursing physical fatigue is a critical issue that may lead to degradation of care delivery and ultimately result in medical errors. This issue is equally relevant due to the looming shortage of nurses, which has been linked to the physical demands and potential occupational hazards intrinsic to the profession;

ABSTRACT Nursing physical fatigue is a critical issue that may lead to degradation of care delivery and ultimately result in medical errors. This issue is equally relevant due to the looming shortage of nurses, which has been linked to the physical demands and potential occupational hazards intrinsic to the profession; as well as to the graying of the nursing workforce who experiences gradual loss of strength and agility that accompanies aging as time in the career advances. In a hospital Emergency Department, the level of nursing physical fatigue can potentially reach its threshold in light of challenging workloads, scope of job assignments and demanding schedules. While in other safety-sensitive industries such as aviation and nuclear plants, similar concerns have been the object of systematic research and addressed with consequent regulations, just recently, the healthcare sector has been engaged in further investigations. This study proposed to explore the linkage between Emergency Department design-layout and nursing physical fatigue. It was expected that further understanding on this relationship would support evidence-based design propositions linking nursing wellness, job satisfaction, and performance to a higher quality of care and improved patient safety levels. To this end, data collection was performed during four weeks in a community-based hospital. A convenience sample of twenty-four eligible nurses was invited to participate in this two-part study. The first section consisted of the completion of a self-administered questionnaire, which assessed nurses' perception of the impact of working conditions on nursing physical fatigue. The second section included the monitoring, through the use of accelerometers, of nurses' actual activity intensity levels during three consecutive shifts. Among other findings, data demonstrated that nurses perceive several attributes or components of the built environment as potential contributors to physical fatigue. In addition, various operational practices and organizational protocols were linked to physical fatigue. Contrary to nurses' perception of physical fatigue, their actual physical activity levels fell mostly between sedentary or light intensity ranges. This paradox offers the opportunity for design interventions that, in alignment with operational practices and organizational protocols will enhance nurses' performance and improve nurses' retention.
ContributorsShakman, Karen (Author) / Bender, Diane (Thesis advisor) / Stein, Morris (Committee member) / Lamb, Gerri (Committee member) / Arizona State University (Publisher)
Created2011
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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,

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.
Created2021-04-23
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Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to

Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to identify sex trafficking victims through staff education centered around sex trafficking. Method: A quality improvement project, guided by the Social Cognitive Theory, was implemented in an Arizona emergency department. ED staff were provided with a 40-minute education video about sex trafficking, including victim identification and appropriate responses. Participation in this project was open to all current healthcare workers employed at this emergency department. Stakeholders within the facility assisted with recruitment via weekly staff emails over a three-week period. A pre- and post-survey, consisting of a self-evaluation Likert scale, was used to assess confidence in identifying victims. Case studies were included to measure the participants’ ability to identify victims of trafficking. All aspects of this project were approved by Arizona State University’s and the organization’s Institutional Review Board. Results: One hundred percent of staff agreed to feeling confident in their ability to identify sex trafficking victims post intervention. However, there was no improvement in staff’s actual ability to identify victims through case studies post intervention. Conclusions: Education can be a valuable tool to improve confidence in identifying victims of sex trafficking in an emergency setting.
Created2021-04-28
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Over the last ten years, a dramatic increase in Emergency Department (ED) visits has been prominent. Non-emergent chief complaints, such as repeat chronic care needs, are causing increased ED visits. The underutilization of primary care resources has been correlated with the overutilization of emergency care resources. ED overutilization is having

Over the last ten years, a dramatic increase in Emergency Department (ED) visits has been prominent. Non-emergent chief complaints, such as repeat chronic care needs, are causing increased ED visits. The underutilization of primary care resources has been correlated with the overutilization of emergency care resources. ED overutilization is having a negative rippling effect on the ability of the US healthcare system to care for patients. Emergency department personnel and other resources are strained, leading to overcrowding and decreased quality of care. Health insurance and provider accessibility has been linked to the high rates of ED usage by adults age 18 – 64, with the highest rates seen in those under public health coverage, such as Medicaid, compared to those who were uninsured. To encourage primary care visits and discourage non-emergent ED usage, the United States health system includes patient education on the appropriate ED use, higher-copayment as financial disincentives, and encouragement of provider-patient relationships with Primary care providers (PCP). The public health clinics, including Federally Qualified Health Centers, provide patient education on the appropriate use of PCP versus ED resources, and offer extended office hours during evenings and weekends; trimming the rate of non-emergent ED visits can significantly reduce health care costs.
ContributorsMarcus, Toyin (Author) / Ochieng, Dr. Judith (Author, Thesis advisor)
Created2019-05-04
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Attitudes and habits are extremely resistant to change, but a disruption of the magnitude of the COVID-19 pandemic has the potential to bring long-term, massive societal changes. During the pandemic, people are being compelled to experience new ways of interacting, working, learning, shopping, traveling, and eating meals. Going forward, a

Attitudes and habits are extremely resistant to change, but a disruption of the magnitude of the COVID-19 pandemic has the potential to bring long-term, massive societal changes. During the pandemic, people are being compelled to experience new ways of interacting, working, learning, shopping, traveling, and eating meals. Going forward, a critical question is whether these experiences will result in changed behaviors and preferences in the long term. This paper presents initial findings on the likelihood of long-term changes in telework, daily travel, restaurant patronage, and air travel based on survey data collected from adults in the United States in Spring 2020. These data suggest that a sizable fraction of the increase in telework and decreases in both business air travel and restaurant patronage are likely here to stay. As for daily travel modes, public transit may not fully recover its pre-pandemic ridership levels, but many of our respondents are planning to bike and walk more than they used to. These data reflect the responses of a sample that is higher income and more highly educated than the US population. The response of these particular groups to the COVID-19 pandemic is perhaps especially important to understand, however, because their consumption patterns give them a large influence on many sectors of the economy.

Created2020-09-03
Description
In the emergency department of a hospital, providers are responsible for diagnosing and treating multiple critical patients at a time. Their ability to make quick and careful decisions often will determine whether their patient lives or dies. Because of this, emergency department (ED) providers experience significant amounts of stress during

In the emergency department of a hospital, providers are responsible for diagnosing and treating multiple critical patients at a time. Their ability to make quick and careful decisions often will determine whether their patient lives or dies. Because of this, emergency department (ED) providers experience significant amounts of stress during each shift which consequently may lead to burnout (Lall et al., 2019). It is crucial to investigate strategies to help control burnout among ED providers, as their own well-being directly affects the physical health of their patients. Furthermore, female providers are subject to increased stress from unique challenges within the workplace due to their gender. The purpose of this study was to determine which strategies are the most effective in the mitigation of burnout among female emergency department providers. A survey was administered to emergency department providers (M.D., D.O., P.A., and N.P.) from three hospitals in Arizona. It was found that spending time with family, maintaining good nutrition, and exercising were the most effective strategies in the mitigation of female provider burnout. These results should be considered by providers who work in the ED, female providers working in other medical specialties, other ED staff, hospital administration, and ED patients. With the implementation of these three strategies into their daily life, female ED providers may find a decrease in burnout and, consequently, an improvement in patient care.
ContributorsZurbriggen, Hannah (Author) / Kappes, Janelle (Thesis director) / Lewis, Stephen (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor)
Created2024-05
Description

In March 2020, the COVID-19 pandemic triggered a sudden and severe economic downturn. Between February and May 2020, the number of unemployed individuals rose by more than 14 million, resulting in an unprecedented increase in the unemployment rate, which went from 3.8% in February to 14.4% in April. Even though unemployment

In March 2020, the COVID-19 pandemic triggered a sudden and severe economic downturn. Between February and May 2020, the number of unemployed individuals rose by more than 14 million, resulting in an unprecedented increase in the unemployment rate, which went from 3.8% in February to 14.4% in April. Even though unemployment has declined in recent months, with some individuals returning to work, the rate is still much higher than it was one year ago (7.9% in September 2020 vs. 3.5% in September 2019). Further, as of September 2020, there are 19.4 million persons unable to work due to the pandemic, as well as 6.3 million persons working only part time even though they would prefer to work more.

Created2020-11
Food Assistance Program Participation among US Household during COVID-19 Pandemic
Description

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised on delivery modalities or temporarily increased benefits.1 To examine food assistance program participation and participant experiences during the first few months of the pandemic, we collected online survey data in July 2020 from a sample of over 1,500 U.S. households, representative of the US population. This brief summarizes participation in key food assistance programs, namely, the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Program for Women Infants and Children (WIC), School Food Programs, as well as emergency food assistance provided through Food Pantries

Created2020-11
Description

The coronavirus (COVID-19) pandemic has affected employment and food security globally and in the United States. To understand the impacts of COVID-19 on food security in Arizona, a representative survey of Arizona households was launched online from July 1 to August 10, 2020. This brief provides an overview of changes

The coronavirus (COVID-19) pandemic has affected employment and food security globally and in the United States. To understand the impacts of COVID-19 on food security in Arizona, a representative survey of Arizona households was launched online from July 1 to August 10, 2020. This brief provides an overview of changes in food security rate, perceived worries and challenges about food security, as well as behavioral changes and strategies adopted since the pandemic. Additional briefs from the Arizona survey covering topics on economic consequences, food access, and participations in food assistance programs during the pandemic are also available.

ContributorsAcciai, Francesco (Author) / Yellow Horse, Aggie J. (Author) / Martinelli, Sarah (Author) / Josephson, Anna (Author) / Evans, Tom P. (Author) / Ohri-Vachaspati, Punam (Author)
Created2020-11