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DEVELOPMENT and EVALUATION of a NURSE LEADER -DRIVEN MUSIC INTERVENTION for STRESS REDUCTION in REGISTERED NURSES on the ACUTE REHABILITATION UNIT
No full textNurse burnout and stress are significant challenges in healthcare, negatively impacting nurse well-being, job satisfaction, and patient care. Contributing factors such as heavy workloads, long shifts, emotional demands, and insufficient organizational support exacerbate this issue (Finnerty et al., 2022). Health professionals in acute care or rehabilitation hospitals experience higher levels of burnout and cognitive stress, including difficulties with concentration and decision-making, compared to those in other healthcare settings Peter et al.,(2024). This Doctor of Nursing Practice (DNP) project investigated the effectiveness of music interventions in reducing stress among registered nurses in an acute rehabilitation unit. The DNP project aims to address the ongoing issue of nurse burnout despite the current stress reduction programs in place. By implementing and evaluating evidence-based music interventions to reduce perceived stress and enhance overall well-being among nurses, the project seeks to improve burnout, patient satisfaction, and care delivery. The project aimed to assess the impact of listening to self-selected music on perceived stress, as measured by the Perceived Stress Scale (PSS). Participants (n = 6) completed pre- and post-intervention PSS surveys to assess changes in stress levels. The project used Wilcoxon signed-rank test to analyze the data. Findings suggested that music therapy may offer some benefits in reducing specific stress-related symptoms and indicate overall clinical significance. The project highlights the feasibility of music therapy as a low-cost intervention for improving nurse well-being, however further research is needed to further explore its effectiveness
Appoquinimink School District special inquiry August 2025
No full textThis is a special report from the Auditor of Accounts investigating a funding deficit for the Appoquinimink School District
El Tiempo Hispano, Year 20, No. 2
No full textThis is an issue of El Tiempo Hispano, the statewide bilingual (Spanish and English) newspaper published on March 21, 2025. This issue features an advertisement for the annual ArtAddiction exhibition and contest, brief news updates from Latin America, an article on Delaware's members of Congress working to save Medicaid, a letter to the editor on our current immigration policies, an article on the Delaware Black Chamber of Commerce's Second Annual Minority Health Summit, an article on Maximo Cesar Castellanos giving a bilingual presentation at Georgetown Elementary School, an article on Delaware's Habitat for Humanity traveling to Guatemala, and an article on Sussex Technical High School students helping Delaware State Parks plant trees. Also included is an article on Sussex Technical High School participating in the Sussex County Science Fair, an article on artist Virginia Lockman's exhibition at the Mezzanine Gallery, an article about World Down Syndrome Day, an article about Delaware offering discounted compost bins to encourage sustainable gardening, an article about Delaware residents losing their jobs due to federal job cuts, job opportunities, and a list of community events
Interview with Bernhardt Crystal
No full textCassette recordingInterview conducted by Arthur H. Lewis with Bernhardt Crystal, Director of the Washington Irving Gallery, no date
Affordable Housing Production Task Force final report
No full textThis is a final report from the Affordable Housing Production Task Force. It suggests strategies the state could implement to increase the number of affordable houses and rentals in Delaware
Development and Evaluation of a Nurse-Leader Directed Vertical Track Initiative in an Academic Emergency Department
No full textEmergency department (ED) overcrowding affects healthcare systems across the world resulting in delayed care and increased length of stay (LOS) for patients presenting for emergency care (Savioli et al., 2022). Extended ED LOS has been associated with poor patient outcomes (Siddique et al., 2021). From fiscal year (FY) 22 to FY24, the median LOS for discharged patients was 230 minutes, though the goal, set according to national standards, was 200. The ED at Pennsylvania Hospital was experiencing significant overcrowding and utilized a Plan Do Study Act (PDSA) framework to guide the implementation of Vertical Track (VT). This doctoral project focused on implementing a VT area to reduce ED LOS. The ED utilized current staff to run VT within a section of the main ED to decrease ED LOS. VT staff included an ED provider, a nurse, and a patient care technician (PCT) who autonomously placed patients into VT who met the inclusion criteria. Discharged Emergency Service Index (ESI) level 3 patient ED LOS in the implementation phase (M=208.35, SD 87.8) was compared to ESI level 3 patient ED LOS in the pre-implementation phase (M = 292.71, SD = 126.1). A significantly lower ED LOS t (1016) = 8.58, p < 0.001) occurred, and ED LOS for discharged ESI level 3 patients decreased by 28.83%. Discharged ESI level 4 patient ED LOS in the implementation phase (M=175.51, SD=90.9) was compared to discharged ESI level 4 patient ED LOS in the pre-implementation phase (M = 190.53, SD = 99.2). A significantly lower ED LOS t (601) = 1.64, p = 0.03) occurred, and the ED LOS decreased by 7.87%. The results of this project may assist other EDs to enhance patient throughput and decrease LOS