College of Saint Benedict and Saint John's University
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Culturally Inclusive End-of-Life Simulation for Undergraduate Nursing Students
Background End-of-life (EOL) care is a challenging yet essential aspect of nursing practice. Nursing students often report low confidence and competence in managing culturally and spiritually diverse EOL scenarios. Simulation-based learning has proven to be effective in enhancing students\u27 preparedness for complex clinical situations. Purpose This project aimed to evaluate the impact of a high-fidelity, culturally, and spiritually diverse EOL simulation on undergraduate nursing students’ perceived competence in delivering culturally sensitive EOL care. Methods A quantitative pre/post design was used with a convenience sample of 50 junior-year nursing students enrolled in a chronic care management course. Students participated in a culturally diverse EOL simulation involving Catholic Caucasian, Muslim Somali, and Mide Ojibwe scenarios. The CARES Perceived Competence Measure 2.0, along with an additional question on advance care planning, was administered before and after the simulation. Data was analyzed using descriptive statistics and Wilcoxon signed-rank tests. Results Fifty students completed both pre- and post-surveys. Statistically significant improvements were observed across all survey items (α=0.05), with the most significant increases related to providing culturally sensitive care and discussing advance care planning. The simulation experience increased students’ confidence and perceived competence in EOL care. Conclusion A high-fidelity EOL simulation that incorporates cultural and spiritual diversity significantly enhances nursing students’ perceived competence in EOL care. Integrating such experiential learning into nursing curricula is essential to developing culturally competent future nurses
Implementation of Intimate Partner Violence Education to Improve Practice and Attitude Amongst Healthcare Providers
Background Intimate partner violence (IPV) is a serious and costly public health issue. It is vital that patients are screened at least annually for intimate partner violence. Screening increases disclosure of abuse and allows primary care clinicians to provide comfort, education, and resources to patients experiencing IPV. Evidence strongly suggests that a major barrier to regular screening for IPV is a lack of knowledge and comfort amongst healthcare providers. Purpose This project’s purpose was to provide educational tools for healthcare providers related to the importance of screening for IPV, guidelines for most effective screening, common IPV misconceptions, and local resources. Methods This project involved the development of two IPV educational videos. One video was aimed at support staff such as registered nurses and clinical assistants. The other video was designed to educate providers. These videos described IPV, how to screen for IPV, and how to start conversations about IPV. The goal was to improve healthcare workers\u27 knowledge and confidence in addressing IPV. Participants’ knowledge and confidence were measured utilizing a validated Domestic Violence Health Care Provider Survey before and after viewing the educational video (Maiuro et al., 2000). Results The post-intervention survey showed improvements in IPV screening rates and perceived access to local IPV resources for patients, though these were not statistically significant. There was also some progress towards decreasing IPV stigma and negative healthcare provider beliefs about victims of IPV. Conclusions The project supports the hypothesis that an educational video for providers and support staff on IPV improves provider knowledge of resources, belief in IPV myths, and engagement in screening. Key Words Intimate partner violence, education, screening, primary car
Implications of palliative care education amongst critical care nurses and applicable screening criteria for consultation
Background: Palliative care is underutilized and/or consulted too late in the patient stay to provide optimal benefits to patients and families. There is a gap in nursing knowledge and confidence surrounding the topic of palliative care and the ability to advocate for specialty involvement for patients. Objectives: This project\u27s purpose is to educate registered nurses in critical care about palliative care and introduce the idea of an objective palliative care screening tool. The project involved implementation of pre and post-test analysis of knowledge and confidence following a presentation of educational content. The content also included mock patient scenarios that require the utilization of an objective palliative care screening tool provided to decipher if the patient would meet criteria for consultation. Methods: Quality Improvement Results: Twelve participants completed the pre- and post-test. The pre and post-test comprised 15 identical knowledge questions, and the average score increased from 68.3% to 82.2%, respectively. There were also five identical confidence questions on both tests based on a Likert scale 1-5, and there was an increase in total mean score from 17.5 to 21.67, respectively. There was statistical significance at an alpha set at \u3c 0.03 for both knowledge and confidence questions. Conclusions: Palliative care education amongst critical care nurses increases knowledge and confidence to advocate for specialty care involvement
Fluorescence Lifetime of Bulk Cadmium Sulfide Excited by Two-Photon Absorption
An attempt was made to measure the fluorescence lifetime of bulk cadmium sulfide excited by two-photon absorption. The excitation source was an 800-nm unamplified Ti:sapphire laser that produced 50-fs pulses at a repetition rate of 82 MHz. An acousto-optic modulator (AOM) driven by a waveform generator was used as a pulse-picking device. A sufficiently fast AOM could pick a single pulse from the pulse train to excite the cadmium sulfide. Due to limitations on the speed of the available AOM, it was not possible to pick a single pulse. Instead, packets with a minimum of three pulses could be picked from the pulse train. Another difficulty was that the cadmium sulfide fluorescence was not intense enough to be measured with the available photodiode detectors. Future work could be conducted using a faster AOM and a sensitive single-photon counter to measure the fluorescence lifetime
The Conflict in Sudan: An Overview
It has been more than two years since the war erupted in Sudan. Although the crisis initially started between two warring parties, it has expanded beyond the two with the involvement of multiple actors. However, the current conflict is complicated and has deep historical origins. It increased after the 2019 revolution, with the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF) battling for power and control. On the other hand, the situation has deteriorated dramatically, as the economy suffered from the continuation of the war, according to the International Monetary Fund (IMF). Additionally, Health systems have crumbled, schooling has been badly disrupted, and food shortages are spreading throughout the country.
Furthermore, Political differences and conflicting interests affected the ability to make unified decisions. Meanwhile, other countries are interested in issues related to their strategic interests, which negatively affect mediation efforts to resolve the conflict in Sudan. This necessitates a comprehensive and coordinated response from local, regional, and international partners to address humanitarian needs and the underlying causes of violence
Embracing Repair: Seeking truth and healing for the Church\u27s role in Native boarding schools
In March 2023, the Vatican formally repudiated the Doctrine of Discovery - a political policy based on papal documents that was used to justify the violent colonization of the Americas and 500 years of land theft, genocide, and the forced assimilation of children through boarding schools. And yet, while apologies are necessary, alone they are insufficient. Hear about the ways that a small but growing movement of people within the Catholic Church are working to repair the harms of colonization through research, relationship, repatriation, and land return.
Brenna Cussen Anglada is a founding member of Catholic Truth and Healing: a collaborative group of archivists, historians, concerned Catholics, and tribal members who, over the course of two years, compiled and refined a list of 87 Catholic-Operated Native Boarding Schools in the United States and who are dedicated to facilitating transparency and access to Catholic archival and burial records regarding the Catholic operation of Native boarding schools. She most recently worked with Land Justice Futures as the Coordinator of the Focus Communities Program, a growing movement of communities of Catholic women religious working for racial and ecological healing through building land justice into their property plans. Brenna is a founding member of Saint Isidore Catholic Worker Farm in Southwest Wisconsin, the homelands of the Ho-Chunk, Meskwaki, and Sauk