2313 research outputs found
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Using VoiceThread to Build a Community of Inquiry in Blended RN-to-BSN Education
No full textVoiceThread, a cloud-based social media tool, was used to create a sense of community in an undergraduate blended nursing leadership course. The purpose of this quasi-experimental study was to explore the use of VoiceThread to build a community of inquiry. The Community of Inquiry and IDEA surveys were completed by 163 students enrolled in an undergraduate nursing leadership course within an RN-BS curriculum. Results indicated using VoiceThread increased student-perceived teacher excellence, supported social presence and teacher presence, and promoted a community of inquiry
Directing the Whirlwind: The Trump Presidency and the Deconstruction of the Administrative State
No full textDonald J. Trump ran on a platform that, among other things, promised to drain the swamp that is Washington, DC. Part of that draining would entail what his chief strategist, Steve Bannon, would call the deconstruction of the administrative state. Set in the political environment of 2020, with a raging pandemic and nationwide protests, this work examines the philosophy that guides the Trump Administration’s approach and the mechanisms by which it seeks to accomplish the deconstruction. By combining journalistic accounts with presidential and public administration scholarship, the book raises questions about the impact of Trump’s approach on the future of public administration. As such, this work makes a strong contribution to public administration and presidential studies and casts a scholarly light on treatments of Trump’s contribution to governance and politics.https://digitalcommons.daemen.edu/faculty_books/1035/thumbnail.jp
Review of \u3cem\u3eLaughing at the Devil: Seeing the World with Julian of Norwich by Amy Laura Hall\u3c/em\u3e, by Amy Laura Hall
No full textThe Use of Napping Stations and Aromatherapy to Enhance Sleep in ICU Nurses
No full textThe sleep disorders that shift workers experience can cause an impact on work performance that may include patient safety and medical errors, overall poor sleep quality, and personal relationship with family and friends. The purpose of this evidence-based proposal is to identify methods of improving sleep quality, emotional health, overall quality of life, and safety of patients in the care of nurses that are working shift work jobs. It is important for nurses working shift work to be aware of the quality of their sleep and the various methods to increase the well- being of the self, prevent errors at work, improve relationships among family and friends and to provide a high quality of patient care amid the need to work shift work (CDC, 2019). The PICOT question framing this evidence-based proposal is:
Among nurses that work shift work hours and exhibit poor sleep quality, what is the impact of a napping station and aromatherapy inhalation therapy compared to no interventions, on the nurse\u27s sleep quality and duration, patient’s and medical errors and personal relationships with family and friends within three months?
The findings from the reviewed literature suggest that incorporating nap rooms/stations and implementing aromatherapy inhalation interventions in the nurses’ workplace may help to improve the sleep patterns and quality of sleep among the nurses. The clinical practice change will include an experimental group and a control group. The experimental group will receive an educational plan alongside utilizing a nap room with aromatherapy inhalation for 20 – 30 minutes during breaktime. The benefits of napping in a control setting can result in refreshing the mind and body and increasing alertness and concentration. Improving sleep with utilizing a nap room with aromatherapy can improve the quality of sleep, patient and medical errors, and personal relationships with family and friends
High Frequencies of Theropod Bite Marks Provide Evidence for Feeding, Scavenging, and Possible Cannibalism in a Stressed Late Jurassic Ecosystem
Full text linkBite marks provide direct evidence for trophic interactions and competition in the fossil record. However, variations in paleoecological dynamics, such as trophic relationships, feeding behavior, and food availability, govern the frequency of these traces. Theropod bite marks are particularly rare, suggesting that members of this clade might not often focus on bone as a resource, instead preferentially targeting softer tissues. Here, we present an unusually large sample of theropod bite marks from the Upper Jurassic Mygatt-Moore Quarry (MMQ). We surveyed 2,368 vertebrate fossils from MMQ in this analysis, with 684 specimens (28.885% of the sample) preserving at least one theropod bite mark. This is substantially higher than in other dinosaur-dominated assemblages, including contemporaneous localities from the Morrison Formation. Observed bite marks include punctures, scores, furrows, pits, and striations. Striated marks are particularly useful, diagnostic traces generated by the denticles of ziphodont teeth, because the spacing of these features can be used to provide minimum estimates of trace maker size. In the MMQ assemblage, most of the striations are consistent with denticles of the two largest predators known from the site: Allosaurus and Ceratosaurus. One of the bite marks suggests that a substantially larger theropod was possibly present at the site and are consistent with large theropods known from other Morrison Formation assemblages (either an unusually large Allosaurus or a separate, large-bodied taxon such as Saurophaganax or Torvosaurus). The distribution of the bite marks on skeletal elements, particularly those found on other theropods, suggest that they potentially preserve evidence of scavenging, rather than active predation. Given the relative abundances of the MMQ carnivores, partnered with the size-estimates based on the striated bite marks, the feeding trace assemblage likely preserves the first evidence of cannibalism in Allosaurus
Increasing Gifted Women’s Pursuit of STEM: Possible Role of NYC Selective Specialized Public High Schools
No full textThis study examines female graduates (N = 616) from seven honors colleges in the Northeastern United States and the relationship between attending a New York City (NYC) selective specialized public high school and graduating with a science, technology, engineering, and mathematics (STEM) degree from an honors college. A causal-comparative study design was applied. The study found a significant difference (p \u3c .05) in choice of college major (STEM vs non-STEM) between participants who graduated from a NYC selective specialized public high school and those who graduated from any other high school. These results support a positive relationship for female students between attending a NYC selective specialized public high school and graduating from an honors college with a degree in STEM. The implications of providing an appropriately challenging education for gifted female students are discussed
Outcomes and Characteristics of Wound Healing in an Outpatient Physical Therapy Clinic
No full textIntroduction. Detailed understandings regarding the outcomes and characteristics of healing in wounds of different etiologies are lacking.
Objective. In the present study, data on 265 patients treated at an outpatient physical therapy wound care clinic were extracted.
Methods. Using Kaplan-Meier analyses, wound healing outcomes for different wound etiologies were evaluated and compared.
Results. The results revealed venous leg ulcers (VLUs) healed faster than non-VLUs, pressure ulcers (PUs), diabetic foot ulcers (DFUs), and arterial wounds but not faster than surgical and traumatic wounds (STWs). The estimated medians (mean for arterial wounds) of total treatment durations for complete wound closure were 87, 152, 100, 170, 525.44, 773 days in VLUs, non-VLUs, STWs, DFUs, arterial wounds, and PUs, respectively. Compared with patients with VLUs, patients with non-VLUs were younger (69.72 vs. 61.35, respectively), had a higher proportion of men (odds ratio [OR] = 2.26), were less likely to have more than 1 wound (OR = 0.25), reached complete wound closure upon discharge (OR = 0.41), or had a body mass index value greater than or equal to 25 (OR = 0.39).
Conclusions. Venous leg ulcers and other wound etiologies (ie, STWs, PUs, DFUs, and arterial wounds) appear to differ in wound healing outcomes and certain characteristics. These results may be of interest to clinicians, patients, health care policy makers, and insurers. Future research is warranted to compare wound healing outcomes and patient characteristics among different settings
Primary Care Management of Patients with Pain Complaints and the Influence of Physician Training in Mechanical Diagnosis and Therapy
No full textBackground: Chronic pain affects 20% of the adult population, and pain-related consultations comprise a significant amount of all primary care visits.
Objective: The purpose of this study was to describe health care utilization by primary care physicians for patients with a consultation for pain and to compare subsequent health care utilization and costs for a physician trained in the McKenzie method, or mechanical diagnosis and therapy (MDT), with a group of physicians that were not trained in MDT.
Design, setting, and participants: This study was a single-center retrospective quality and cost metrics data analysis performed at a community regional health-care system; patients seen by primary care physicians for a consultation for pain had subsequent health care utilization and costs compared for a physician trained in MDT with a group of 19 physicians who were not trained in MDT. A total of 22,907 continuously eligible patients were seen during the 12-month period for a pain-related complaint; 1282 patients (6%) were seen by the physician trained in MDT, and 21,625 patients (94%) were seen by the group of physicians that were not trained in MDT (n = 19).
Key results: The patients seen by the physician trained in MDT had a decreased likelihood of medication use including both opioids and non-opioid pain pills, diagnostic imaging, electromyography/nerve conduction velocity testing, specialty referrals, injections (joint and spinal injections), surgeries, emergency room visits, and inpatient admissions. Also, patients who were seen by the physician trained in MDT cost significantly less to the system (4852, p \u3c 0.001), despite being older and having more medical problems and pain complaints.
Conclusions: Although further research is necessary to either support or refute these findings, these results may have important implications for health policy decisions for designing optimal primary care models and consideration of MDT in primary care