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Item Bringing Clinical Organizational Ethics into Practice(2024-05) Swartwood, Brigitte Rene; Beckman, Emily; Haberski, Raymond; Hartsock, Jane; Helf, Paul R.; Meagher, AshleyThis dissertation consists of four papers that focus on the integration of clinical organizational ethics (COE) concepts into clinical practice. As defined by Miller and Hartsock, COE is a distinct area of ethics that addresses recurrent clinical ethics dilemmas. These dilemmas are issue-based and arise directly from patient care, yet these issues affect multiple patients. The resolution of these dilemmas are often revisions of procedures, policies, or practices.1 By analyzing specific organizational-level policies and practices, I attempt to ground these theoretical ideas by considering their impact on clinical outcomes. These four papers illustrate the integration of COE into practice in three ways: conceptually, empirically, and through recommendation of change in practice. "Victims of Violence, Hospital Policies, and Potential for Bias" and "Opioid Prescribing, Hidden Influences, and the Cultural Impact of Christianity" conceptually discuss a policy or practice affecting clinical care. "Victims ofViolence ... " investigates the implications of No Information Status policies and suggests that they may burden bedside staff while providing a false sense of safety and may exacerbate existing health disparities. "Opioid Prescribing ... " examines how Christian frameworks may be implicitly shaping clinicians' approaches to opioid prescribing within the setting of chronic nonmalignant pain management. "Evaluation of Security Emergency Responses: Racial Disparities in Activation" uses empirical evidence to discuss racial disparities in security emergency responses (SERs) within a hospital. This paper used a retrospective, descriptive cohort study to illustrate ethical implications of polices that exacerbate health disparities. Finally, "The Importance of Data Collection in SERs" proposes a framework for collecting data and addressing SER challenges within an organization. This improvement in hospital practices will provide opportunities to address some of the complex challenges surrounding SERs. Collectively, these papers aim to fill gaps in the literature, challenge implicit biases, and address specific challenges in clinical care using a Clinical Organizational Ethics framework.Item A Comprehensive Primer to Library Learning Analytics Practices, Initiatives, and Privacy Issues(American Library Association, 2020-04) Jones, Kyle M. L.; Briney, Kristin A.; Goben, Abigail; Salo, Dorothea; Asher, Andrew; Perry, Michael R.; Library and Information Science, School of Informatics and ComputingUniversities are pursuing learning analytics practices to improve returns from their investments, develop behavioral and academic interventions to improve student success, and address political and financial pressures. Academic libraries are additionally undertaking learning analytics to demonstrate value to stakeholders, assess learning gains from instruction, and analyze student-library usage, et cetera. The adoption of these techniques leads to many professional ethics issues and practical concerns related to privacy. In this narrative literature review, we provide a foundational background in the field of learning analytics, library adoption of these practices, and identify ethical and practical privacy issues.Item Demand Controlled Ventilation Energy Savings for Air Handling Units(2021-12) Blubaugh, Matthew; Chen, Jie; Razban, Ali; Goodman, DavidHeat, cooling, and ventilation units are major energy consumers for commercial buildings, they can consume as much as 50% of the total annual power usage of a building. Coherent management of an air handling system’s energy is a key factor of reducing the energy costs and CO2 emissions that are associated with the demand for ventilating and conditioning the air in a building. The issue is that buildings are frequently over ventilated as a full assessment of the air handling unit (AHU) data is not evaluated by building operators. According to ASHRAE standards there are three key parameters that control indoor air quality (IAQ); these are the temperature, humidity, and CO2. Commonly occupancy setpoints implemented by building operators are focused on temperature and humidity control while neglecting the CO2 levels and their impact. While this may seem insignificant additional data proves to be important and can assist with energy management. Additionally, it can develop awareness of implementable procedures which conserve energy. Furthermore, data is not monitored in regard to the continuous assessment of the energy consumption with respect to analysis of opportunities to implement energy saving control strategies. By using these standards as a guide an AHUs energy can be managed more effectively by measuring the data and assessing the outputs compared to the standard. Previous research has shown that up to 75% savings for the ventilation fan energy is achievable when taking into account ASHRAE ventilation standards and controlling outside air ventilation, however, this research has omitted investigating the savings for other energy consumers associated with AHU’s operation. In order to assess the demand, it is required that the CO2 levels of the occupied zones be measured, and the outdoor air ventilation rate be adjusted based on real-time demand. The goal of the research is to assess the number of CO¬2 sensors needed to accurately measure demand-based needs for ventilation and determine an algorithm that will help building operators assess the energy savings by implementing demand-controlled ventilation (DCV) procedures. The scope of this research is to identify what sensors at minimum are required to collect the most pertinent data for implementation of a comprehensive energy saving algorithms and assess the impact on energy consumption of AHUs when demand-controlled ventilation procedures are implemented.Item Evaluating patient-centered care: feasibility of electronic data collection in hospitalized older adults(Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins, 2012-10) Duffy, Joanne R.; Kooken, Wendy Carter; Wolverton, Cheryl L.; Weaver, Michael T.; IU School of NursingEvaluating patient-centered care (PCC) is crucial to its improvement. This pilot study tested the feasibility of an electronic format to assess PCC during hospitalization. Using a validated indicator of PCC embedded on a mobile device, 86 older adults evaluated its delivery by registered nurses. Patients older than 85 years rated PCC poorer than those who were younger (r = -0.22; P = .04). The electronic format was appraised as feasible; it performed well and took on average 30 minutes to complete.Item Manufacturing Automatic Data Collection(2020-05-08) Murray, Phillip P.; Ray, Veto M.; Goodman, David; Cooney, ElaineThe question or purpose of seeking out new technology and actively using it is whether it makes our lives better and more efficient. Today’s state of the art manufacturing facilities and even the ones that are slightly behind the modern curve, have manufacturing processes that produce an enormous amount of data that needs to be captured; Futaba Indiana of America (FIA) is currently not using autonomous data collection measures on their production floor. If FIA’s data was collected and properly utilized it would provide valuable information, which could aid their organization in making business decisions and help to lead them into a significant competitive advantage. Unfortunately, if a facility’s automation development is lacking in the field of equipment network capability, it can make it quite challenging to collect and capture all of its relevant data. Understanding the purpose of automated data collection and trying to move into the age of “real-time” machine data collection is all about helping your facility improve productivity and profitability. However, it is also about making the essential first steps toward becoming a data-driven, high-tech manufacturing sector that makes the company internationally competitive. FIA, in short, will begin this journey to becoming a smart manufacturing facility by implementing the following tasks: upgrading internal server capacities to handle the intense data load, upgrading all equipment PLCs for network capabilities, running network cabling to all equipment desired to be “on network” and create a PLC program to capture all the desired manufacturing data. The goal at the end of this project is to make data collection effortless, done completely without the need for a production control specialist to count a single part on the plant floor.Item Policy Research: Health Workforce Supply Data Collection(Indiana University, 2019-02-27) Bowen Center for Health Workforce Research & PolicyItem Tobacco education in U.S. respiratory care programs(Oxford University Press, 2014-10) Hudmon, Karen Suchanek; Mark, Michael; Livin, Adam L.; Corelli, Robin L.; Schroeder, Steven A.; Medicine Faculty Volunteers, School of MedicineINTRODUCTION: Exposure to tobacco smoke impacts the onset or exacerbation of most respiratory disorders, and respiratory therapists are well positioned to identify tobacco use and provide cessation assistance. The purpose of this study was to characterize the level of tobacco cessation education provided to students in U.S. respiratory care training programs. METHODS: A national survey of 387 respiratory care programs assessed the extent to which tobacco is addressed in required coursework, methods of instruction, perceived importance, and adequacy of current levels of tobacco education in curricula and perceived barriers to enhancing the tobacco-related education. RESULTS: A total of 244 surveys (63.0% response) revealed a median of 165 min (IQR, 88-283) of tobacco education throughout the degree program. Pathophysiology of tobacco-related disease (median, 45 min) is the most extensively covered content area followed by aids for cessation (median, 20 min), assisting patients with quitting (median, 15 min), and nicotine pharmacology and principles of addiction (median, 15 min). More than 40% of respondents believed that latter 3 content areas are inadequately covered in the curriculum. Key barriers to enhancing tobacco training are lack of available curriculum time, lack of faculty expertise, and lack of access to comprehensive evidence-based resources. Nearly three-fourths of the respondents expressed interest in participating in a nationwide effort to enhance tobacco cessation training. CONCLUSIONS: Similar to other disciplines, enhanced tobacco cessation education is needed in respiratory care programs to equip graduates with the knowledge and the skills necessary to treat tobacco use and dependence.