Poster Session
Community-based Participatory Research Applied to Process Evaluation in Nevada: An Application of the Dovetailing with the Reach, Quality Control, Fidelity, Satisfaction, and Management Assessment Model View Digital Media
Poster Session Manoj Sharma
Community-based participatory research (CBPR) is gaining popularity all over the world. It has been applied in various contexts. The purpose of this study is to describe the application of CBPR in the process evaluation of a large community-based initiative to address health disparities in the state of Nevada, USA. The unique part of this application is the dovetailing of the RQFSM (Reach, quality control, fidelity, satisfaction, and management assessment) model with CBPR. Utilizing a mixed methods approach and participation of over 22 community-based, business, and governmental entities data were collected and systematically analyzed to strengthen efforts to address health disparities. Qualitative methods of report analysis, focus group discussions, semi-structured interviews of personnel and community members, and process observations were undertaken. A quantitative method in the form of an online statewide survey was carried out at the end of one year. The results were organized in the form of strengths, weaknesses, opportunities, and threats (SWOT) analysis that were shared with all partners. Identified strengths included good community care and effective outreach while the weaknesses focused on the lack of awareness about some activities of the public health efforts in some communities. An opportunity pertaining to the involvement of state/local officials to encourage local partnerships while a threat was COVID-19 situations pertaining to logistics and travel. The CBPR and RQFSM model described in this research can be replicated in other parts of the US and the world.
Characterizing Emergency Department Use and Misuse at the James A. Haley Veterans’ Hospital View Digital Media
Poster Session Shahid Siddique
Emergency department (ED) misuse at Veterans’ Affairs (VA) hospitals is a subject that is not well understood. Characterizing ED use and misuse in the veteran population, can reveal systems-level successes/shortcomings that can inform future health policies regarding patient management. This study characterizes the patient profiles of veterans seeking care at the James A. Haley Veterans’ Hospital (JAHVH) ED and their respective spatiotemporal relationships to primary care centers during the 2022 fiscal year. The Emergency Severity Index (ESI)–an algorithm used to quantify the acuity and resources needed by a patient–helped define the term “misuse” as an ED visit ranked as ESI 4 or 5 with no record of a performed procedure during the encounter. Visits that did not include any procedure conducted by the ED are likely concerns that could be manageable by the patient’s primary care provider (PCP). Mapping the complex spatiotemporal relationships between PCP and patient via ArcGIS Pro can identify barriers to the ideal flow of care. Encounters at the JAHVH ED were collected using the VA’s Data Access Service. The visits were then classified as “appropriate use”, or “misuse” based on the previous definition. Analysis of the two cohorts identified the clinical and demographic characteristics of both groups including the age, gender, the time of the visit, the patient’s address, ICD-10 code associated with the visit, mode of arrival, Differential cost at ED/PCP, and spatiotemporal PCP-Patient relationships. This characterization can inform future policies that further investigate and remedy ED misuse at VA hospitals.
Supporting Wellbeing at Museums - The ASBA project View Digital Media
Poster Session Claudio Lucchiari, Raffaella Folgieri, Maria Elide Vanutelli
Anxiety can cause significant mind-body changes that can affect psychological wellbeing and reduce the quality of life. The post-pandemic society in many countries suffers from a generalized increase in self-perceived stress and different anxiety disorders. However, active involvement in creative and cultural activities can help individuals and communities to overcome this situation. Museums can be seen as privileged locations where people can care for themselves, by cultivating both culture and psychosocial wellbeing. To address this significant issue, we designed the ASBA project, interdisciplinary and multi-methods research that intended to test the power of museums in supporting individual and community health. In this work, we present data on the first research cavity based on a museum-adapted mindfulness protocol. The hypothesis was that Mindfulness could allow visitors to establish a new way to explore museums and their collections, both promoting immersion and well-being. Seventy-nine volunteers participated in the study at two different museums in Milan, Italy. The analyses revealed that the mindfulness session was effective in reducing stress and anxiety levels, as well as in promoting positive social experiences. However, some individuals' characteristics were found to modulate results, suggesting that the health-related effects of museums can be influenced by psychological and social variables. Our results support the idea that museums can play an important role in the health of visitors and that mindfulness can effectively support both visitors’ well-being and the enhancement of cultural heritage.
Nursing and Climate Action in Canada: For a Broader Vision View Digital Media
Poster Session Lucie Richard, Lisa Merry
Hardly a day goes by when environmental and global health issues are not in the news. Many stakeholders, including healthcare professionals, have been called upon to take action on climate change, to help reduce its causes, find ways to adapt to the climate and its consequences, and to strengthen individual and collective capacities to cope with its disruptive effects. Reflection has already begun within the nursing profession, several position statements from major players including nursing regulatory bodies and professional associations, at both the local and international levels, have been issued on the topic. Climate change is also attracting growing attention from researchers in the discipline. Despite all this, a number of reviews and analyses point to the fact that nursing's involvement in the field remains limited. Based on a review of recent literature, we share reflections on nursing and climate action and make the case for greater involvement of nurses on this front. Our first objective is to highlight a number of issues that nurses face related to addressing climate change, including lack of preparation and resources, and constraints related to the work environment. Our second objective is to present examples of promising and exemplary initiatives spearheaded by nurses towards improving policies, healthcare and health in the context of climate change.
