Dr. Jo-Ann Moore is a Board Certified Adult Nurse Practitioner who has her Doctor of Nursing Practice.  She has over 40 years of experience as a RN, Nurse Practitioner and Nurse Educator.  She has practiced in numerous fields including Oncology. Cardiology, Home Care, Urology, Primary and Urgent Care.

Currently, she is a Board Certified Urology Nurse Practitioner as well as an Associate Professor of Nursing at Johnson and Wales University.  She has taught in both undergraduate and graduate nursing programs as well as a preceptor for  numerous NP students throughout her long career.

She has been an invited speaker on both a local and National level and has presented on various topics for the Nurse Practitioner Alliance of RI, the American Urological Association and the Society of Urological Nurses and Associates.

Dr. Behnke is a highly seasoned nurse practitioner who is an experienced lecturer.  Her wisdom, broad experience, and sense of humor is appreciated by many who attend her lectures.  She has practiced in rural areas for most of her career, served as an assistant professor at the University of Michigan – Flint, and has used telehealth for multiple contacts. As a practicing clinician, she can see the pros and cons of the use of telehealth from the primary care as well as the psychiatric perspective.

Brandon Lucke-Wold was born and raised in Colorado Springs, CO. He graduated magna cum laude with a BS in Neuroscience and distinction in honors from Baylor University. He completed his MD/PhD, Master's in Clinical and Translational Research, and the Global Health Track at West Virginia University School of Medicine.

James Waterson is a registered nurse and has specialist qualifications in Children’s Critical Care, Offshore Medicine and in Renal Nursing.

He has Master’s Degrees in Medical Education from the University of Dundee, and in Health Economics and Pharmacoeconomics from Pompeu Fabra University School of Management, Barcelona.

He has published papers on medication safety, alarm fatigue, medical device interoperability, introducing robotics into compounding and dispensing units, and on managing critically ill paediatric patients in adult facilities, and is a peer reviewer for the Journal of Infusion Nursing, Applied Clinical Informatics Journal, and the Journal of Pediatric Pharmaceutical Therapeutics.

Pediatric Stroke: Improving Diagnosis and Management Strategies
Pediatric stroke is an important cause of mortality and morbidity in children. There is a paucity of clinical trials pertaining to pediatric stroke management, and solidified universal guidelines are not established for children as they are for the adult population. Diagnosis of pediatric stroke can be challenging, and it is often delayed or mischaracterized which can result in worse outcomes. Understanding risks and appropriate therapy is paramount to improving care.

The views and experiences of nursing and midwifery academics regarding LGBTQ+ health education in pre-registration programmes: Qualitative findings from a mixed-methods study
The visibility of LGBTQ+ people within society has increased in recent decades and is supported by inclusive legislation in some countries. Despite these developments many continue to experience discrimination and exclusion and some live in fear of their lives. From a health perspective, LGBTQ+ people can experience significant health needs and health inequalities. This impacts negatively on their health and well-being and life expectancy. Due to their health concerns, LGBTQ+ people require access to all areas of health services. However, some LGBTQ+ people are reluctant to access health services due to barriers and may encounter negative attitudes from health professionals who may lack the knowledge, skills and attitudes necessary to meet their needs.

Development of a Public Health Model for Translation of Best Practices in Addressing Vitamin D Deficiency
Vitamin D deficiency (VDD), defined as 25(OH)D <20ng/ml, is a global public health concern. An international group of vitamin D researchers recommends targeting optimal blood levels of 40-60ng/ml to decrease global prevalence of VDD, improve patient outcomes, population health, and decrease costs. A literature review revealed no public health model of evidence-based vitamin D best practices for translating research into practice, and healthcare professionals lack vitamin D knowledge and confidence in translating evidence into practice.

"Nutritional Status Predicts Fatty Acid Uptake from Fish and Soybean Oil Supplements for Treatment of Cancer-Related Fatigue: Results from a Phase II Nationwide Study."
Cancer-related fatigue is a prevalent and debilitating condition that persists for years into survivorship. Studies evaluating both fish oil supplementation on fatigue and associations between fish oil consumption and fatigue have shown mixed effects; it is unknown what factors contribute to these differential effects. Herein, we investigate whether the nutritional status of cancer survivors was associated with serum omega-3 concentration or change in serum omega-3s throughout a fish oil supplementation study, and then if any of these factors were associated with fatigue. Breast cancer survivors 4-36 months post-treatment with moderate-severe fatigue were randomized to take 6 g fish oil, 6 g soybean oil, or 3 g of each daily for 6 weeks. Baseline nutritional status was calculated using the Controlling Nutritional Status tool (serum albumin, lymphocytes, cholesterol). At baseline and post-intervention, serum fatty acids were quantified and fatigue was assessed using the Multidimensional Fatigue Symptom Inventory.

Changes in the Trauma ICU Staff Mindset After Implementation of Early Mobilization Protocol for Ventilated Trauma Patients
Background: The purpose of this study was to explore multidisciplinary trauma team`s perceptions of a nurse driven early mobilization of mechanically ventilated patients (EMVP) protocol in the Trauma ICU (TICU) setting. Several recent studies suggested that the EMVP in the intensive care unit is effective in shortening the duration of recovery, improving the quality of life and reducing healthcare costs. Methods: The pre and post survey method was used to explore TICU multidisciplinary team`s (nurses, physicians, therapists, patient care technicians, managers) perceptions of EMVP protocol with nursing driven inclusion /exclusion criteria before and after implementation. Exploratory descriptive validated survey tool with seven items and five-point Likert scale evaluation was use. Survey questionnaire was re-administered to TICU multidisciplinary staff five months after the implementation. Pre-survey responses (n=47) were compared to post-survey results (n=47). Data was analyzed by the multidisciplinary Trauma Team

Decreasing 30 Day CHF Hospital Readmissions by Implementing a NP Home Based Clinical Pathway
Congestive heart failure (CHF) is a major health concern in the United States. It affects approximately 5 million people annually, with a cost of $34.4 billion per year in 2015. The cost per year in 2022 was $30.7 billion.. (1) The national average for 30-day readmission rates for CHF patients on Medicare in 2015 was 23%. The readmission rate in 2021 was 21.3%. (2) Purpose/Goal: The purpose of this project was to evaluate the efficacy of a home-based Clinical Pathway for CHF patients > 65 years of age. Methods and Results: 22 CHF patients (mean age 78-78.33 years) were entered onto a CHF Clinical Pathway Program between 12/1/2014 and 3/31/2015. Two out of 22 patients were admitted to an acute facility within 30-days reflecting a 9% 30-day readmission rate.

A Path Model for Burnout in Community Mental Health Professionals
The purpose of this research is to identify a path model to explain burnout in community mental health professionals based on the compassion satisfaction–compassion fatigue (CS-CF) model. A total of 125 mental health professionals, including nurses, social professionals, and psychologists working in mental health welfare centers in various regions across South Korea were surveyed using a structured questionnaire. A path analysis was conducted using SPSS 24.0 and AMOS 24.0. The results showed that compassion satisfaction and compassion fatigue are significant predictors of burnout

Telehealth, increasing access to care
Access to care has been a challenge for people who have lived in rural areas for a long time. COVID-19 highlighted this difficulty and the importance of telehealth in an attempt to improve this social determinant of health. The use of telehealth for specialty consultation and diagnostic assistance has been shown to be beneficial. Concerning patient care, many opportunities exist, especially in the field of mental health. For telehealth to be effective, there are pillars to providing excellence in telehealth care. This talk will review critical issues to enhance a telehealth program. Examples of appropriate interviews/interventions will be presented as well as interviews that may need to be more effective will be provided. Critical information for the telehealth visit will be provided as well.

Leadership behaviors, attitudes and characteristics to support a culture of safety
It has been estimated that medical errors are the third highest-ranking cause of death in the United States. A patient safety culture has been touted for many years as best practice to reduce medical error. While there is a general agreement of its importance, it has remained elusive for many. This study sought to learn how strengthening leadership skills within a health care organization could catalyze patient safety culture improvement. The research asked the following to gain an appreciation for that question: How does a leader ensure consistency in policies, practices, and protocols to create a patient safety culture? What attitudes, beliefs, and collective efficacy are needed to produce a patient safety culture? What leadership characteristics are needed to create a patient safety culture? The research participants were the employees who make up the patient safety department in a large academic health care system. Information was gathered to capture their view of leadership’s role in patient safety culture and to gain knowledge relative to their individual experiences following a medical error.

The associations between lipid profiles and visceral obesity among gastrointestinal cancer patients: a cross-sectional study
Visceral obesity is associated with cancer incidence and prognosis. Altered lipid profiles are frequently seen in visceral obese patients. The blood test of lipid profiles is more convenient and has no radical side effects than computed tomography (CT), which is presently the most accurate way to measure visceral fat area. This article aims to investigate the associations between lipid profiles and visceral obesity in gastrointestinal cancer patients. Methods: In total, 399 patients newly diagnosed with gastrointestinal cancer were enrolled in this observational study. Lipid profiles were obtained from blood samples, and visceral fat mass area (VFA) was measured by CT

With the goal of humanization of intensive care : How can we implement the human-centered care in the ICU?
Patients often feel dehumanized while treated in the ICUs. This is because people tend to dehumanize someone who is unable to express their feelings or intensions, or depends on life-supporting machines. What can we do to pursue patient- and family- centered care in such environment? We implemented an out-of-the-ICU activity program, which includes indoor excursion, outdoor excursion, and bathing, as an early rehabilitation strategy and provide both ICU patients and family members with more enjoyable and meaningful experiences. Herein, we introduce the practice and the safety of the out-of-the-ICU program and the staff’s perception of it.

Student nurses' educational experiences during COVID-19: A qualitative study
Due to the COVID-19 pandemic, many unexpected changes occurred in healthcare. With the abrupt change to online education in 2020, nursing students experienced challenges with virtual learning which impacted their perception of preparedness to practice. There were few qualitative studies completed in the U.S. that investigated the nursing students’ experiences. The aim of this study was to explore pre-licensure nursing students’ experiences with the transition to virtual learning and their perception of nursing amidst a pandemic. Objectives: This study investigated nursing students’ experiences and perceptions of the nursing profession amidst a pandemic and explored whether students would continue pursuing a career in nursing.

Association between Depression, Happiness, and Sleep Duration: Data from the UAE Healthy Future Pilot Study
The United Arab Emirates Healthy Future Study (UAEHFS) is one of the first large prospective cohort studies in the region which examines causes and risk factors for chronic diseases among the nationals of the United Arab Emirates (UAE). The aim of this study is to investigate the eight-item Patient Health Questionnaire (PHQ-8) as a screening instrument for depression among the UAEHFS pilot participants. Methods The UAEHFS pilot data were analyzed to examine the relationship between the PHQ-8 and possible confounding factors, such as self-reported happiness, and self-reported sleep duration (hours) after adjusting for age, body mass index (BMI), and gender.

Challenges and opportunities in the design of multicenter observational studies of severe acute respiratory infections
COVID-19 pandemic, thus motivating the need to study their natural history, prognostic biomarkers, and clinical and personal risk factors. This talk describes the development and implementation of a protocol for, and the associated challenges and opportunities arising through, the Severe Acute Respiratory Infection – Preparedness (SARI-PREP) study. SARI-PREP is a multicenter observational study, featuring the collaboration of multiple clinical networks, of patients admitted to an acute care ward or intensive care unit from a geographically diverse set of hospital systems across the United States.

Applying the Toyota production system to decrease the time required to transport patients undergoing surgery from the general ward to the operating room and reviewing the essence of lean thinking
Delayed patient transport causes the patient to go hungry for a longer time, aggravating the patient’s physical discomfort and psychological stress. The issue of delays in transporting inpatients to the operating room has rarely been discussed in the literature. The Toyota production system (lean management) is a very effective thinking model and an excellent scientific method of reducing waste and increasing efficiency. The main goal of this presentation is to use the Toyota method to decrease the time required to transport the inpatient to the operating room and to review the concepts underlying lean thinking.

Targeting COVID-19 Vaccine Hesitancy among Nurses in Shanghai: A Latent Profile Analysis
A population-based cross-sectional online survey was conducted on Shanghai nurses from July to August 2021 (N = 1,928). In the online survey, participants were asked to report their sociodemographic, the 5C vaccine hesitancy components, their knowledge level of COVID-19 vaccine and vaccination, and the COVID-19 vaccination uptake intention and attention to vaccine news. Latent profile analysis was used to reveal distinct profiles of vaccine hesitancy. The results revealed four profiles, including "believers" (68.9%; high confidence and collective responsibility), "free riders" (12.7%; similar characteristics to believers, except for a low collective responsibility), "middlemen" (14.6%; middle in all 5C constructs), and "contradictors" (3.7%; high in all 5C constructs). Compared to believers, middlemen were younger, more likely to be female, childless, less educated, held lower professional titles, had fewer years of nursing service, sometimes or never complied with recommended vaccinations, had satisfactory or poor self-assessed health status, had no work experience.

Association Between Maternal Plasma Total Antioxidant Capacity And Birth Size Outcomes
: Maternal antioxidants intake and plasma total antioxidant capacity (TAC) concentration during pregnancy might influence on birth outcomes. This study was conducted to determine the association between plasma TAC during pregnancy with birth outcomes. METHODS: Overall, 220 mother–infant pairs were recruited in the first trimester of pregnancy. Maternal whole blood was collected and TAC was determined by the ELISA kit. Birth size measurements including birth weight, length, and head circumference were measured according to standardized protocols. RESULTS: The characteristics of mothers and their children are presented in Table 1. The maternal plasma TAC was positively correlated with birth weight in both unadjusted and adjusted models (beta (SE) =2.75 (1.35); P=0.043, beta (SE) =3.43 (1.50); P=0.023, respectively). In addition, the adjusted model showed a significant positive relationship between the maternal plasma TAC and birth length (beta (SE) =0.023 (0.009); P=0.01). CONCLUSION: This study showed the positive association of maternal plasma TAC with birth weight and length.

Perceptions of Postpartum Mothers of Their Experiences During COVID-19 Crisis: A Phenomenological Study
COVID-19 pandemic led to drastic changes in in-hospital health care delivery causing major policy and protocol changes regarding labor and delivery and postpartum care of maternity patients. We strove to describe and understand the perceptions of laboring and postpartum mothers’ care received through interviews in a hospital during the COVID-19 pandemic. Using a phenomenological study design, we interviewed 13 postpartum mothers. Five major themes and 10 subthemes were extracted. Major themes, both positive and negative, included genuine concern of care givers, adverse breastfeeding experiences, feeling of left alone loss of expectations and uncertainty. Primipara women had major impact on their psychological wellbeing and breastfeeding experiences. Isolation and feelings of left alone adversely affects postpartum mothers’ coping, newborn care, bonding, meeting basic needs of sleep and hygiene, breastfeeding experiences and potential postpartum recovery and psychosocial wellbeing including fear of future pregnancies. Therefore, ‘partner presence’ throughout the L&D and postpartum period should be a ‘call to action’ for the nurses, especially with first-time mothers.

Professionalism and Ethics
Dr. C.Munisekhar Reddy has presented many papers in State and National Level Conferences. He has won over 11 awards in all categories. He has published original articles in the Indian Journal of Surgery and Indian Journal of Thoracic and Cardiovascular Surgery and Annals of African Surgery He achieved Fellowships such as FMAS, FIAGES. He is a highly skilled and proficient surgeon.

Mapping nursing intervention using the Therapeutic Intervention Scoring System in bloodless liver transplantation
The ‘‘King’s-TISS” score’s were analysed by nursing procedures and grouped, scored according to organ systems. The nursing workloads were studied during LT (T1), on arrival on the ICU (T2) and 12– 24-48 hours after LT (T3-T4-T5). Results: The total of ‘‘King’s-TISS” score points were decreased by 20% daily (p = .001). The mean score of 104 ± 3.5 points (CI:104–105) during LT decreased to 84.7 ± 12 points (CI:83–86) in 48 hours (T5). The ‘‘metabolic” and ‘‘haemostasis” points increased (p = .01), the ‘‘immunology” points unchanged (T2-T5) postoperatively. A slight decrease was observed in case of ‘‘basic nursing care”, ‘‘monitoring”, ‘‘neurologic support”, ‘‘renal support” and ‘‘cardiovascular support” points (T2-T5, p < .01). The ‘‘invasive intervention” and ‘‘ventilatory support” points strongly decreased (T2-T5, p < .001). One ‘‘King’s-TISS” point was found to equal 7.4 minutes with a nurse patient ratio of 2:1 intraoperatively and 1:1 postoperatively.

Nociception Coma Scale with personalized painful stimulation versus standard stimulus in noncommunicative patients with disorders of consciousness
Persons with disorders of consciousness (DoC) may perceive pain without being able to communicate their discomfort. Nociception Coma Scale (NCS) and its revised form (NCS-R) have been proposed to assess nociception in coma survivors with DoC. Objective: Aim of the present study was to compare, in non-communicative patients with DoC, NCS-R scores obtained with the standard pressure on fingernail bed (standard stimulus, SS) versus other personalized painful stimuli (PS), to verify possible correlations between NCS-R and Coma Recovery Scale-Revised (CRS-R). Materials and Methods: Twenty-one patients with DoC were included in the study. Responsiveness and pain perception were assessed by CRS-R and NCS-R with standard stimulus (NCS-R-SS) and personalized stimulation (NCS-R-PS). Statistical analysis was performed with the nonparametric Wilcoxon test for comparison of both total NCS-R-SS and NCS-R-PS scores. Results: NCS-R at admission showed that 9 of 21 patients (42.8%) had higher scores in response to personalized stimulus compared to standard stimulus. Significant correlation with CRS-R were found for both NCS-R-SS (R = 0.701, p = .008) and NCS-R-PS (R = 0.564, p = .045). Discussion.

"THE ROLE OF GESTATIONAL WEIGHT GAIN DISORDERS IN SYMPTOMS OF MATERNAL POSTPARTUM DEPRESSION"
To examine the association of gestational weight gain (GWG), categorized according to 2009 IOM guidelines as adequate, inadequate, and excessive, with symptoms of mental disorders perceived by mothers after childbearing as anhedonia, anxiety, and depression, defined by the Edinburgh Postnatal Depression Scale (EPDS). Previous studies indicated that disorders related to GWG are associated with an increased risk of postpartum psychological distress

"Impact of a Machine Learning-Based Decision Support System for Urinary Tract Infections: Prospective Observational Study in 36 Primary Care Practice"
There is increasing attention on machine learning (ML)-based clinical decision support systems (CDSS), but their added value and pitfalls are very rarely evaluated in clinical practice. We implemented a CDSS to aid general practitioners (GPs) in treating patients with urinary tract infections (UTIs), which are a significant health burden worldwide. Objective: This study aims to prospectively assess the impact of this CDSS on treatment success and change in antibiotic prescription behavior of the physician. In doing so, we hope to identify drivers and obstacles that positively impact the quality of health care practice with ML.

The global reach of Appalachian (USA) health disparities: Evaluating social determinants of health and risk with applications for nurses
The Appalachian region of the USA is a “health disparity region” within a wealthy country. As a region, mortality indicators are higher than the national averages. When it comes to health, place matters, and regional health disparities offer important insights and means of understanding how health disparities are created and maintained over time on a regional scale. This paper asks: How do we gain meaningful understanding of place-based and regional health disparities? How can nursing professionals expand their scope of care to better address regional health disparities

Changes in sedentary behavior between European Union adults between 2002 and 2017
Sedentary behavior (SB) has been identified as an important mortality risk factor. Health organizations have recognized SB as a public health challenge with major health, social, and economic consequences. Researchers have alerted the need to develop specific strategies to monitor, prevent, and reduce SB. However, there is no systematic analysis of the SB changes in European Union adults. This study aimed to examine changes in SB between 2002 and 2017 in the European Union (EU) adult population.

Physicians’ perceptions of interprofessional practice with speechlanguage pathologists for dysphagia management
Swallowing disorders affect over 15 million people across the United States. Dysphagia is a complex disorder and occurs co-morbidly with other diagnoses. As such, there is frequent collaboration amongst healthcare professionals, including speech-language pathologists, to appropriately assess and manage the dysphagia. The objective of this research was to explore interprofessional practices between speech-language pathologists and physicians who work with patients diagnosed with dysphagia. To meet this objective, the researcher surveyed otolaryngologists and gastroenterologists about their collaborative relationships and interprofessional practice as it relates to the assessment and management of dysphagia.

"Evaluating the effectiveness of auricular acupuncture in treating stress induced anxiety in adults"
Stress induced anxiety is accompanied by fear, anxiousness, and avoidance of many internal and external stimulating factors which can be significantly disabling. Anxiety is the sixth leading cause of disability worldwide. Anxiety has an estimated lifetime prevalence of 31% in Americans and accounts for more than $40 billion dollars of lost revenue yearly in the United States. Adults with stress induced anxiety would benefit from alternative nonpharmacologic therapeutic options to help control their anxiety. Auricular acupuncture is a Chinese tradition that has been used as a successful therapeutic modality for many physical and mental health conditions for over 2500 years. Method: A meta-analysis of 23 studies on utilizing auricular acupuncture to treat anxiety was conducted. These studies focused on adults experiencing stress induced anxiety, such as patients preparing for a medical or dental procedure, medical and dental students preparing to take an examination, hospitalized COVID-19 patients, and hospital staff working in stressful environments.

Aggression against health care professionals, a critical review
Aggression directed to health care professionals (HCP) is a common occurrence in neuro-psychiatric and other settings. The overall prevalence of patient-perpetrated violence ranges from 9.5% to 74.6%, depending on the studied population. Verbal abuse is most common. The objectives of this review are twofold. First we intended to perform a retrospective analysis of the literature for the last 10 years for workplace violence and aggressive behavior against HCP, nurses in particular. Second, we identified evidence-based interventions to manage and prevent workplace violence or aggressive behavior against HCP.

Pause a Moment: An Adaptive Web-App to Reduce COVID-related Mental Health Concerns for Healthcare Workers
The COVID-19 pandemic has been unprecedented in terms of the global scope and the impact it has had on the healthcare workforce. An estimated 67% of healthcare workers have reported suffering increased burnout, stress, decreases in well-being, and increases in anxiety, depression, PTSD, and insomnia during the pandemic. Groups that are most at risk for negative mental health impacts from the pandemic include women, nursing staff, and those who have worked more directly with COVID+ patients. The scope of individuals affected will far outstrip our current mental health capacity and necessitates more scalable mental health solutions. At the same time, healthcare workers can be difficult to engage in care due to stigma about mental health symptoms, a culture of service, and professional demands on their time.

Moral distress of anesthesia and intensive care nurses
Moral distress is recognized as a serious problem not only among health care providers, but also in the health care system in general. In health care, moral distress is defined as a phenomenon in which a nurse knows how to act ethically in a given situation but feels powerless to do so. Several studies to date have shown that nurses in the anaesthesiology and intensive care units have moderate to high moral distress levels. Before this paper, no research had been conducted on moral distress among anaesthesia and intensive care nurses in Latvia, and no moral distress scale had been adapted in Latvia. The aim of this study was to investigate the rates of moral distress and burnout syndrome in nurses practicing anaesthesia and intensive care. Research methods: quantitative, cross-sectional, descriptive study and correlation study. Sample of the research - nurses registered in the territory of the Republic of Latvia and that are practicing in anaesthesia and intensive care. The sample of the study consists of 184 nurses, ranging in age from 20 to 69 years, with an average length of service of 20.28 years. The results of the conducted research confirmed H0 (null hypothesis), which suggests that there is an association between moral distress and burnout rates in nursing practitioners in anaesthesiology and intensive care

Cultural Differences in Pain Management: A critical review of the literature on Hispanic American
Hispanics in the US experience significant barriers to adequate pain management. This critical review of the literature examined 117 published articles to examine the patient-, cultural-, and provider-level factors that influence pain care. Compared with other US racial/ethnic groups, Hispanic Americans (HAs) are more likely to live in poverty and have lowest rates of health insurance. Surveys found cost of care is a barrier and HAs are less likely to report seeing a physician for pain. Spanish-speaking HAs reported less pain management relative to English-speaking HAs due to difficulties describing their pain and understanding clinical recommendations. Many Hispanic immigrants, regardless of documentation status, do not seek pain care due to fears of disclosing immigrant status and concern over deportation. Greater acculturation is associated with higher rates of health insurance, access to care, and reporting chronic pain.

A booklet on Intraoperative Radiation Therapy for patients
A task force was created within the Study Group with the aim to create a web-based information booklet, for patients who are candidates for IORT, starting from the patients’ most frequently asked questions (FAQs). An e-mail was sent to all the Colleagues of the Study Group mailing list, asking them to collect and e-mail the questions more often asked by their patients during the initial consultation. All the collected questions were examined by the four members of the task force and the most frequent ones were selected and used as a starting point for the booklet.

A Trauma-Informed model to create an Anti-Racist organizational culture
There is considerable literature that suggests that organizational cultures that consider the well-being and inclusion of all members are more effective in delivering high quality services (Davis, 2021; Sabharwal, 2014; U.S. Office of Personnet Management, n.d.). However, given the confluence of multiple stressors in our wake, including COVID-19 and increasing racial divide, organizational leaders have been challenged with addressing issues of structural racism that exist within human service agencies. In order to mitigate the existence of ongoing stress, such as institutional racism in residential care facilities, it is essential to work from a trauma theory perspective, which acknowledges forms of oppression, such as racism (Peacock & Daniels, 2006).

Veterans’ experiences with mindfulness-based eating: A mixed methods study on MB-SAVOR
Disordered eating is prevalent among US Military Veterans who have a high incidence of obesity, diabetes, and mental illness. Mindfulness is an evidenced-based intervention for some mental health disorders, is well received by Veterans, and may be useful in treating disordered eating behavior in this population. The aim of this work was to assess and describe Veterans’ experience with MB-SAVOR, a novel mindfulness-based eating program, and determine if it improved their relationship with food and the body. Methods: In-depth qualitative interviews were conducted among 16 Veterans completing the program. Interviews were audio recorded, transcribed, and analyzed using constant comparative method, an iterative and inductive process. Rapid assessment process was used to understand their views on program structure. Inferential statistics were conducted to assess outcomes of pre- to post- intervention weight, BMI, and HbA1C, and influences of demographics.

Learning the art of leadership and followership through Argentine Tango - an experiential simulation
The role as leader is one that is emphasized in various healthcare disciplines, especially nursing. Frequently, learning about leadership is occurs in the context of readings and discussions, which do not provide student with the visceral experiences needed to critically reflect on what would be required of them to lead. Furthermore, there usually no discussion on followership, or what is required of a good follower in order to collaborate within the healthcare team. The purpose of this simulation was to provide with an experiential activity that emulates the role of leadership and followership in a non-threatening environment. The end goal is to facilitate critical reflection on the role as leaders and followers within a healthcare team.

multimodality approach to lymphedema surgery achieves and maintains normal limb volumes: a treatment algorithm to optimize outcomes
Surgical treatment of lymphedema is challenging and outcomes are suboptimal. Physiologic procedures including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) improve lymphatic flow but cannot reverse fibrofatty tissue deposition, whereas liposuction removes fibrofatty tissue but cannot prevent disease progression. The adjunctive use of nanofibrillar collagen scaffolds (BioBridge) can promote lymphangiogenesis. We report a treatment algorithm utilizing a multimodality approach to achieve sustained normal limb volumes in patients with stage II-III lymphedema.

“Monkeypox, the new Public Health Emergency of International Concern”
Dr. Gordana Simeunovic is an infectious disease specialist. She works as a Clinical Associate Professor at Michigan State University and as the Medical Director of the Research Department for Infectious Diseases. As the Department Chief of the Spectrum Health Community Response Department, located in Grand Rapids, Michigan, Dr. Simeunovic navigates the community through public health emergencies. She is currently leading the team to treat and prevent Monkeypox infection which she will be talking about.

"Prevention is key, starting in the OR: An evidence-based practice bundle approach to pressure injury prevention in the most vulnerable of patients.
It is known that pressure injuries are one of the most prevalent hospital-acquired injuries. These injuries negatively affect patient outcomes, mortality rates, readmission rates, and patient satisfaction, as well as cost hospitals millions of dollars annually. However, little is known about pediatric surgical patients as they relate to pressure injury development. There is an absence of research and literature related to the unique risk factors found in the pediatric surgical patient population. Additionally, there are few evidence-based practice recommendations for preventing these injuries. This project introduced a bundle approach intervention with the question being: Does the implementation of a Cardiac Surgery Pressure Injury Prevention Bundle decrease pressure injuries in the pediatric cardiac surgical population on patients undergoing surgery of greater than 3 hours?

Psychological exhaustion and motivation of health professionals in the COVID era
Despite the range of significant technological advances that have been made in all areas of society, especially during the COVID-19 pandemic, human resources remain the most important and decisive asset for an organization to be able to achieve the goals it has set. Two important parameters for achieving work goals are the exhaustion of staff and their motivation to achieve these goals. In order to investigate these parameters in the health professionals of the prefecture of Pella, a survey was conducted with a questionnaire. The results of the research showed the strong presence of burnout in all participants in the research. There was also a clear separation between the employees who had contact with the patients (doctors and nurses) and the employees in the administration and the technical sector where the first group showed a slightly better relationship between employees and the management but also lack of motivation for the staff.

Emotional and ethical impacts on healthcare professionals performing cardiopulmonary resuscitation
Myriad studies exist outlining poor outcomes related to cardiopulmonary resuscitation (CPR) administered to patients who are elderly and/or have comorbid medical conditions with sudden cardiac arrest (SCA). Patients with asystole or pulseless electrical activity (PEA) have worse outcomes. Studies show 10% of patients with out of hospital cardiac arrest, and initial asystole survive until they reach the hospital. Less than 5% survive until hospital discharge with good neurologic function. Given the data for certain patients undergoing CPR for SCA, the question arises: what are the impacts on the healthcare personnel providing this type of aggressive intervention? Can healthcare systems address these goals-of-care discussions to avoid aggressive interventions that might be considered non-beneficial to patients?

Imagining care after the pharmaceuticalization in Africa
The last decades saw increased expectations that the ubiquitous use of pharmaceuticals can be a rapid and cost-effective method for improving the health of populations in the Global South. Such interventions include universal HIV treatment and mass drug administration to eliminate parasites. This presentation draws on two ethnographic studies concerning HIV treatment in Ethiopia and epileptic care in Uganda. It illuminates the problems accompanied by excessive emphasis on pharmaceuticals and explores ways for alternative actions through which claims of meaningful care are addressed.

An Assessment of Critical Care Nurses' Knowledge of Correct Line Types for Administration of Common Intravenous Medications.
An Assessment of Critical Care Nurses' Knowledge of Correct Line Types for Administration of Common Intravenous Medications.