The Crisis Intervention Team (CIT) training program is a community partnership that provides education, understanding, interventions, relationships, and protection for responding officers, individuals in crisis and the community. The purpose of this study is to assess the effectiveness of CIT training amongst law enforcement officers in reducing stigmatizing attitudes and opinions on mental illnesses. The study uses a dependent means t-test to test the study participant’s attitudes and opinions on mental illnesses using a pre/post-test survey. A modified version of the Attitudes to Severe Mental Illness Scale was used to measure attitudes, beliefs, and opinions of mental illness. This modified version was developed based on CIT course material. The ultimate goal of this study was to gain insight within the law enforcement community as to whether or not CIT training is raising awareness on the issue of mental health. Findings from this study suggest that after participation, those in the CIT training reported lower levels of non-stigmatizing opinions and attitudes in two of the four factors being analyzed.

A Child and Family Team Meeting (CFTM) is an engagement tool utilized by child welfare agencies across the state of California to strengthen families and ensure the protection for a child in the foster care system by making decisions in a group setting. This research study examines social workers’ perspectives of CFTMs in a county child welfare agency in Southern California. The literature review supports the utilization of CFTMs as a practice to enhance engagement with families and achieve better outcomes for the organization. A constructivist research paradigm was used in conducting this study, which collected qualitative data through interviews from key stakeholders at the study site. Social workers who work closely with families and participate in CFTMs contributed to the shared construction. The data was analyzed using a thematic analysis technique, and member checking in meetings was used to reflect on the shared construction of the usefulness of CFTMs. The findings of study revealed that CFTMs are widely accepted by social workers and agency staff as an engagement tool to induce positive outcomes for the children and families involved. The perspectives of the participants revealed themes of increased engagement, communication, involved decision‑making, transparency in services and improved social work practice. The data gathered from this study provided a better understanding of CFTMs and may enhance social work practice by highlighting the need for agency support in workload reduction to allow for adequate time to prepare families for the CFTM and improve outcomes for safety, permanency and well‑being.

ABSTRACT This cross-case study of building and district administrators was designed to describe and explain the experience of elementary school administrators implementing a Problem-Solving Team (PST), the core feature of a Multi-Tiered System of Supports (MTSS) framework. The Multi-Tiered System of Support Problem-Solving Team (MTSS-PST) organizes the review of student learning data to identify problems, apply solutions, and evaluate progress towards grade level learning outcomes (Cook, Burns, Browning-Wright, & Gresham, 2010; Eagle et al., 2015; Gamm et al., 2012; Tilly, 2008). Outside of the MTSS framework, the PST is recognized as a best practice approach to identifying and implementing academic and social emotional interventions to improve learning outcomes (Algozzine et al., 2014; Burns & Symington, 2002; Doll et al., 2005; Shinn, 2005). Contemporary policy implementation research frames MTSS-PST as complex educational policy whose implementation is contingent upon, and situated by, interactions between the people implementing it, the policy itself, and the place where implementation occurs (Honig, 2006). There is little research, however, on MTSS-PST implementation. This study was designed to add to scholarly understanding of the MTSS-PST implementation process by examining how and why school building-level administrators were thinking about and planning for it. Analysis of the data revealed the following: (a) MTSS-PST implementation is understood by building-level administrators as an essential component in fulfilling the school district’s K-12 directive to reduce special education referrals with a Multi-Tiered System of Support framework; (b) Building-level administrative thinking and planning for MTSS-PST implementation is focused on reorganizing and improving how the school’s support team sorts students for support services; (c) Building administrator’s implementation decision-making is influenced by the simultaneous feeling of relief and burden brought on by the early success of implementation and the significant challenges it faces due to limited planning and resources. Analysis also showed that implementation is rooted in a transactional approach to change focused entirely on meeting districtwide objectives to increase the efficiency and efficacy of the school’s teaching and learning services with no reference to the transformative potential cited in the research literature. Lastly, analysis of the findings revealed that more than 70 different interactions that occurred between people, policy, and place shaped the MTSS-PST implementation process demonstrating that implementation of this policy is both situated and contextual.

Bedside reporting is one way to improve communication among the health care team. At the study site, at least 50% of bedside reporting was being conducted at the door of the patient's room instead of at the patient's bedside. The project question addressed whether a computer-based education and training video on bedside reporting and a standardized bedside reporting checklist would increase the rate of bedside shift-to-shift reporting among a medical surgical unit (MSU) to 100%. The project addressed the implementation of standardizing bedside reporting through education and training using Agency for Health Care Research and Quality's (AHRQ) Guide to patient and family engagement. The project also promoted use of a standardized tool to conduct bedside reporting and a surveillance tool to ensure bedside reporting was being conducted. Data was collected through surveys and surveillance. The data was tabulated for frequencies displayed in percentages. Post-implementation findings indicated that bedside reporting went from 0% to 86% during the 2-week surveillance period. MSU nursing staff improved their knowledge and skill on how to conduct bedside reporting, but their attitude did not change as they thought the practice of bedside reporting was not an effective use of their time. Findings may be used to increase involvement of patients and families in their inpatient health care.

The Critical Incident Team (CIT) training program equips police officers with knowledge regarding mental illness and practical skills for effectively interacting with a mentally ill suspect. In addition to improving officer and suspect safety by decreasing the number of violent encounters between police and the mentally ill, CIT goals include reducing the number of mentally ill individuals who are arrested and providing them with assistance through community resources. However, there is a lack of empirical research on whether CIT training decreases arrest rates and increases diversion rates for mentally ill subjects. The purpose of this quantitative study was to measure the effects of CIT training on arrest and diversion rates of mentally ill subjects. The theoretical foundation for the study was evidence-based policing. Reports from a single police department in the southwestern United States were reviewed, and arrest and diversion incidents from 6-months pre and post CIT training for 30 police officers were collected. A paired-samples t test was used to analyze the data, which indicated that there was not a statistical difference in arrest rates or diversion rates between pre and post CIT training. Results corroborated the findings of other studies showing that arrest and diversion rates are not affected by CIT programs. Law enforcement agencies that currently have or are looking to implement a CIT program may find the study useful, as it reports an increase in resources being provided to mentally ill subjects following contact with a CIT officer. Recommendations include additional research into the effectiveness of the CIT program as well as the continuation of collaboration between community mental health organizations and police, both of which may lead to positive social change.

During childbirth, multiple providers deliver care at the bedside that requires optimal teamwork and communication to prevent patient harm. The complexity of caring for obstetrical patient demands a well-coordinated team to relay information and respond to conditions that can change quickly during childbirth. A patient safety strategy to prevent perinatal harm is Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is an evidence-based program based on crew resource management (CRM) principles developed in the aviation and military industries. This process improvement project used the Plan-Do-Study-Act framework and Kotter's change theory to implement TeamSTEPPS training after an increase in patient safety events from 2014 to 2016. A convenience sample of 200 physicians, nurses, respiratory therapists, scrub techs, and patient care techs from perinatal units completed the training in a community hospital setting. The Teamwork Perceptions Questionnaire administered pre- and posttraining show a statistical improvement in teamwork, communication, and situational awareness among nursing staff that correlated with a decrease in safety events. Project limitations include lack of a control group for comparison and lack of physician involvement with training. The positive social impact of TeamSTEPPS training is the decrease in maternal and newborn adverse events surrounding childbirth due to perinatal teams using CRM principles. Over the long term, TeamSTEPPs training may become the standard team training method to improve birth outcomes and support the establishment of a patient safety culture, which may be replicated in perinatal centers around the world.

Organizations attempting to optimize productivity are seeking new ways to develop psychological capital in teams. The researcher conducted a quantitative study to determine whether team cohesion, as assessed by the Revised Group Environment Questionnaire (RGEQ), impacts team productivity, as assessed by the Performance Measurement Team (PMT) Manufacturing Resource System (MRS); whether this relationship can be attributed to a team's level of psychological capital, as assessed by the Psychological Capital Questionnaire (PCQ-12); and whether psychological capital mediates the relationship between team cohesion and team productivity. Forty-five PMTs in a large U.S. defense manufacturing organization were surveyed using the PCQ-12 and the RGEQ, and their respective PMT MRS productivity levels were recorded. Barron and Kenny's 4-step mediation analysis was employed using simple and multiple regression to determine whether a team's level of cohesion significantly contributes to its productivity and if its level of psychological capital mediates the relationship between cohesion and productivity. The results indicated that team cohesion does not predict team productivity and that psychological capital is not a mediator of team cohesion and productivity. Although cohesion and psychological capital have a significant positive effect on supervisor performance ratings, the effect is diminished when viewing the objective measure of productivity. The study promotes positive social change in the workplace by elevating awareness of the effect of team cohesion on the psychological states of manufacturing workers. Understanding these relationships will help organizations to implement teaming methods that support the efficiencies and well-being of employees.

Timely activation of the rapid response team (RRT) depends on the nurse's willingness and ability to make a rapid decision. The practice-focused questions for this DNP project sought to identify barriers that contribute to delays in activating the RRT when needed in medical-surgical patients. The self-efficacy theory was the guiding theory and was used to examine self-confidence and performance along with Donabedian's health care model. Qualitative data were obtained through focus groups and identified 2 prominent thematic barriers among nurses with less than 3 years' experience: a lack of self-confidence and the of lack of knowledge and experience. Results of a chart review included 34 charts to determine if the RRT were called appropriately and were inconclusive. Finally, an 11 item survey with 9 demographic questions showed a statistically significant difference on the summed survey score between nurses with less than 3 years of experience and more tenured nurses, indicating a lack of perceived support, self-confidence, and knowledge among the nurses with less than 3 years of experience (Pearson chi square = 7.403 with 2 df and p = .025). Results were presented to leaders at the site and the recommendations resulting from these observations include the use of high-fidelity simulation education. Nurse educators and senior leadership from the medical surgical units agreed to accept the recommendations and proceed with developing an educational solution to address the barriers. Building knowledge, skills and self-confidence in nurses reduces the barriers to effective use of the RRT, and results in better outcomes for hospitalized medical-surgical patients, a positive social change.

“The Future of Football is Feminine”: A Critical Cultural History of the U.S. Women’s National Soccer Team,focuses on the historical and cultural construction of the U.S. women’s national soccer team. The public and academic discourse that constitutes women’s soccer in the U.S. consistently links the game with the feminist legislation of Title IX, and positions male coaches as benevolent patriarchs who grant young girls and women the right to play. The combination of these two dominant narratives confronts the historical narrative of women’s soccer from an uncritical and celebratory space, which represses and decenters lines of power. I challenge these steadfast discourses by locating this team, and thus, women’s soccer, in the larger cultural frame of neoliberal, postfeminist, post-racial, and sexual politics. Through an examination of U.S. newspapers and magazines, United States Soccer Federation (USSF) and Fédération Internationale de Football Association (FIFA) documents, and extensive soccer-specific journals and magazines, I explore the intersection of capitalism, feminism, and racism in women’s professional sport. This research also examines how the media and other corporations have cultivated the U.S. women’s national team and its individual stars, such as Mia Hamm, Brandi Chastain, Kristine Lilly, Abby Wambach, and Hope Solo to promote themselves as consumer conduits through which moral and ethical behaviors circulate and influence civil society. Since the mid-1990s, young female soccer players find themselves at an ideological crossroad of individual choice and self-discipline. The soccer field has been promoted as a space of gender and racial inclusion as well as economic and political freedom while subtly reinforcing the exact opposite. Moreover, I examine the historical and ever-shifting landscape of women’s soccer, and how neoliberalism as an economic and cultural theory is central to the use of race, class, gender, and sexual ideologies to develop women’s soccer in the United States.

A team's performance in any sport can be predicted by many factors. Some of these factors include team collective efficacy, team cohesiveness, and coaching competency. Currently, there is little research investigating the relationships among teams' beliefs about their capabilities, their level of cohesion, and their perceptions of coaching competency on overall sport performance. The purpose of this study was to document the relationship among collective efficacy, cohesion, and coaching on sport performance in a sample of university athletes. The objectives of this study were to identify the level of cohesion, collective efficacy, and perceptions of coaching competency by each athletic team at the university, and to identify the relationships among each of these variables in regard to sport performance. Participants were 163 collegiate athletes involved in eight sports at Utah State University during the 2005-2006 academic year. Correlational analysis revealed significant positive relationships with collective efficacy, cohesion, and coaching competency. Multi-level modeling and linear regression analyses revealed that collective efficacy was a significant predictor of win/loss percentage, whereas some aspects of cohesion and coaching competency were seen as predictors of collective efficacy.