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Recent Submissions

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    Treatment of Anxiety and Depression in Primary Care: Reducing Barriers to Access
    (Creighton University, 2024-05) Kane, Mallory
    Purpose: The purpose of this quality improvement project was to develop and implement a standardized follow-up plan for all adult patients with anxiety and/or depression who were newly being referred to a counseling center by their primary care provider. Background: The majority of mental health disorders, specifically anxiety and depression, are treated by primary care providers. They identify patients who need referral to mental health specialists. Sample/Setting: The setting was within pod 5 of the family practice department of large semi-rural, multi-tenant medical center in Hudson, Wisconsin. The sample included 4 family practice physicians & two-family nurse practitioners, the medical assistants within pod 5, & Hudson Medical Center’s referral team. Methods: Key outcomes included the percentages of patients receiving handouts on local mental health services, 2-week follow up calls, and clinic notifications from counseling centers. A post-survey assessed the referral team's perception of sustainability. Results: 20 adult patients participated (65% men, 35% women). Ages ranged from 18 to 85 years. Diagnosis: 25% depression, 30% anxiety, 45% both. All patients received mental health service handouts. 40% had follow-up within 2 weeks; 60% after 2 weeks. 40% successfully scheduled outpatient mental health appointments. 37.5% of successful participants had notification letters sent to counseling center. Reasons for declining referrals: lack of time, interest, cost concerns, personal situations. Post-survey themes from referral team: lack of time, insurance issues, patient non-compliance, long wait times. Conclusion: This project sheds light on the challenges and successes of implementing a standardized follow-up plan for mental health referrals within a primary care setting, underscoring the importance of addressing barriers to optimize patient care.
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    Increasing Digital Outreach to Promote Early Initiation of Discharge Education for Families in the Cardiac PICU
    (Creighton University, 2024-05) St. John, Isabelle
    Background: Caregivers of patients with congenital heart disease (CHD) who have never been home before require extensive discharge education to promote positive outcomes. Discharge teaching should be started early, incorporate technology, and provide caregivers with unlimited access to educational materials. Currently, at a large Midwestern pediatric research hospital, discharge teaching for this population is being postponed until late in a patient’s admission, and caregivers cannot access discharge education materials unless they are at the bedside. The result is an overwhelming discharge education process for families. Purpose: The Digital Care Activity (DCA) is a new application within the electronic health record (EHR) at this hospital that provides caregivers with unlimited access to educational materials. The purpose of this project is to evaluate the effectiveness of the DCA as a tool to promote early initiation of discharge teaching for patients with CHD who have never been home before. Methods: This study was implemented over a 14-week period in the hospital’s 24-bed CICU. Bedside nurses were educated on how to assign caregivers the required Infant CPR and Safe Sleep discharge education via the DCA. The DCA sample (n=9) was comprised of patients who had never been home before who were admitted to the CICU during the implementation period. The pre-DCA sample (n=9) was comprised of patients from the same population who were admitted before the DCA was a part of the EHR. A retrospective chart review was completed to compare the average number of days from the date a patient was extubated to the date that discharge education was first documented. The averages were compared between the samples to state on average, how many days earlier discharge education was initiated for families who received education with the DCA versus families who did not. Results: In the pre-DCA sample, there was an average of 21 days from extubation to Infant CPR education initiation, and an average of 16 days from extubation to Safe Sleep education initiation. There was an average of 2.1 days from extubation to both Infant CPR and Safe Sleep education initiation in the DCA sample. Caregivers received Infant CPR education 90% earlier (p<0.05) and Safe Sleep education 86.9% earlier (p>0.05) in their child’s admission when nurses used the DCA to assign education. Conclusions: Using the DCA was successful in helping nurses initiate discharge teaching earlier in a patient’s admission, supporting a more evidence-based approach to discharge teaching on the unit. This study will act as a catalyst for future quality improvement studies to further refine the discharge education process in this hospital’s CICU.
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    The Revolution is Religious: Religion, Peace, and New Public Spheres in Colombia
    (Rabbi Myer and Dorothy Kripke Center, Creighton University, 2024) Bartel, Rebecca C.; Duque, Katerine Alejandra Duque
    This article considers the construction of new and alternative publics in Colombia following the 2016 Peace Accords. Through practices of reconciliation based on collective economic practices, and the moral imperatives that motivate them, this paper traces the discourses and practices of belief that sustain the possibility of peaceful publics in Colombia. Specifically, this essay considers the ways new publics and counter-subjectivities are being created, among others, by communities of victims and former guerrilla combatants in the southwestern region of Colombia. These initiatives to “create anew” emerge as strategies to generate innovative social, political and, above all, economic relations aimed at territorial restoration amid ongoing violence, and to further generate conditions of peacebuilding. Whereas civil wars annihilate the plural public sphere, peace requires multiple publics that are committed to reimagined social relations and economic structures that serve the public good, and guarantee that debate, conflict, disagreement, and negotiation can occur without the use of violence.
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    A Rural Sustainable Farm as Public Sphere: A Place of Interfaith Action
    (Rabbi Myer and Dorothy Kripke Center, Creighton University, 2024) Senda-Cook, Samantha
    The Asian Rural Institute (ARI), based in Tochigi, Japan, is a Christian-based nonprofit. The goal is to train people from around the world—particularly those from countries that have been negatively impacted by colonization—to grow their own food sustainably. I argue that at ARI, interfaith action cultivates public sphere dialogs through the nature and closeness of the work, the trust and (sometimes) affinity that develops, and the space for productive conflict. Interfaith action and dialog play a role in daily life at ARI by enabling it to function as what Catherine Squires (2022) calls a satellite public sphere in this rural place.
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    Eating Food Sacrificed to Idols in the Early Church
    (Rabbi Myer and Dorothy Kripke Center, Creighton University, 2024) Boesenberg, Dulcinea
    Many scholars argue that in 1 Corinthians 8–10, Paul directs the members of the ekklēsia in Corinth to avoid idol food only for the sake of the “weak” members who see eating it as idolatry. Beginning my analysis of Paul’s argument not with 1 Corinthians 8, but with 1 Corinthians 10, in which there are no slogans and there is thus less confusion regarding which lines represent Paul’s own position, I argue that Paul is opposed to the eating of idol food any time it is identified as such because he sees this act as communion with demons. Paul begins his argument by instructing the “knowledgeable” to avoid idol food for the sake of the “weak” as a means of persuasion, which not only will promote unity in the ekklēsia but also will convince the “knowledgeable” to adopt the practice that Paul prefers.