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Item2014 Indiana Family Medicine Residencies Exit Survey Report(2014-11) Kochhar, Komal; Buente, Bryce; Tandukar, EugeneIn order to plan effective healthcare workforce development initiatives, it is important to understand the reasons why Indiana family medicine residents choose to practice in specific locations. Thus, having a better understanding of the factors that influence how residents choose a practice location will help improve efforts to recruit and retain family medicine physicians in areas of need within the state. The 2014 Indiana Family Medicine Residencies Exit Survey© determines what these physicians plan to do after graduation; and, for those planning to primarily provide clinical care, to determine where they plan to practice. In addition, the survey also obtained overall feedback on the residents’ training and their program’s curricula, as well as ideas and suggestions for improvement. ItemFostering Awareness of the Community by Engaging Students (FACES)(Office of the Vice Chancellor for Research, 2014-04-11) Robison, Lisa; Stegink, Jason; Buente, Bryce; Ying-Hsuan, Sherri; Church, AbbyFostering Awareness of the Community by Engaging Students (FACES) is a program created by students and faculty of the IU School of Medicine and Richard M. Fairbanks School of Public Health at IUPUI to provide medical and public health students structured volunteer opportunities to engage with adults experiencing homelessness, allowing for an increased understanding of vulnerable populations and community exposure. Despite poor health outcomes and a need for primary healthcare services, adults experiencing homelessness often do not seek or receive the medical care they need1, 2. In response to this issue, FACES seeks to provide safe group settings (art, educational, and focus groups), in which students can discuss barriers to quality healthcare and public health services with a small group of homeless individuals and better recognize methods to improve service delivery. Through the support of the IUPUI solution center, data has been collected to inform the development of FACES and to promote program sustainability. An evaluation of the student volunteer training module was performed to assess the quality of information provided within the training. Two in-person pilot training sessions were conducted for this evaluation, using a mixed methods approach. Each pilot session consisted of a pre- and post-assessment of self-perceived knowledge to obtain quantitative data regarding the impact of the training on knowledge levels, as well as an information recall test to provide quantitative data on the ability of the participants to become engaged in the training. Qualitative data for the evaluation was collected through focus groups conducted at the completion of both training sessions. To further advise program development, FACES’s developers conducted focus groups with small groups of homeless individuals to collect input from the participating community and obtain qualitative data concerning the details of program organization, future topics of discussion, and willingness to participate. ItemIndiana Licensed Practical Nurse 2012 Licensure Survey Report(2013-08) Sheff, Zachary T.; Zollinger, Terrell W.; Harper, Kimberly; Crawford, Elizabeth K.; Buente, BryceThis is the first technical report describing the licensed practical nurse (LPN) workforce in Indiana. In addition to describing the LPN workforce, this report compared LPNs to Indiana’s registered nurse (RN) workforce. The data in this report will serve as a baseline for future analyses of the LPN workforce in Indiana. In the 201 2 LPN licensure period, there were 26,755 total LPNs currently licensed in Indiana. The overall response rate for the 2012 Indiana LPN Licensure Survey was 94.2 percent. Of the 26,755 licensed LPN’s, individuals included for analysis: (1) actively working in nursing; (2) responded to the electronic survey, and (3) gave an Indiana practice address on their survey. A total of 16,937 LPN s included in the sample for analysis met these three criteria. Therefore, the sample analyzed (16,937 LPNs) in this report represents 63.3 percent of the total number of active LPN licensure in Indiana (26,755 LPNs). When the mean age and length of license was compared between LPN s included in the sample and those who listed an Indiana address on their license but did not respond to the survey it was found that individuals in the sample were younger (p < 0.001) and had been licensed for a shorter period of time (p < 0.001). ItemAn Interim Analysis of an Advance Care Planning Intervention in the Nursing Home Setting(Wiley, 2016-11) Hickman, Susan E.; Unroe, Kathleen T.; Ersek, Mary T.; Buente, Bryce; Nazir, Arif; Sachs, Greg A.; IU School of NursingObjectives To describe processes and preliminary outcomes from the implementation of a systematic advance care planning (ACP) intervention in the nursing home setting. Design Specially trained project nurses were embedded in 19 nursing homes and engaged in ACP as part of larger demonstration project to reduce potentially avoidable hospitalizations. Setting Nursing homes. Participants Residents enrolled in the demonstration project for a minimum of 30 days between August 2013 and December 2014 (n = 2,709) and residents currently enrolled in March 2015 (n = 1,591). Measurements ACP conversations were conducted with residents, families, and the legal representatives of incapacitated residents using a structured ACP interview guide with the goal of offering ACP to all residents. Project nurses reviewed their roster of currently enrolled residents in March 2015 to capture barriers to engaging in ACP. Results During the initial implementation phase, 27% (731/2,709) of residents had participated in one or more ACP conversations with a project nurse, resulting in a change in documented treatment preferences for 69% (504/731). The most common change (87%) was the generation of a Physician Orders for Scope of Treatment form. The most frequently reported barrier to ACP was lack of time. Conclusion The time- and resource-intensive nature of robust ACP must be anticipated when systematically implementing ACP in the nursing home setting. The fact that these conversations resulted in changes over 2/3 of the time reinforces the importance of deliberate, systematic ACP to ensure that current treatment preferences are known and documented so that these preferences can be honored.