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Guiding the Management of Acute Promyelocytic Leukemia: A Quality Improvement Project
No full textBackground: Despite successful treatment regimens and remission rates of greater than 90%, early death is a concern for patients with acute promyelocytic leukemia (APL). The challenges surrounding proper care for APL are centered on the low volume of patients, which limits healthcare professionals’ knowledge of disease management.
Objectives: The purpose of this project was to develop resources and present an educational module specific to managing patients newly diagnosed with APL. An intervention to evaluate bedside nurses’ knowledge of APL was implemented.
Methods: Thirty-four RNs were recruited for participation. A clinical practice guideline, an algorithm, and a fact sheet were developed to provide resources for providers. An educational module was presented to the RNs to increase their knowledge of APL. Pre- and postintervention surveys were created to assess knowledge and confidence before and after the intervention.
Findings: Thirty-four RNs completed the module, and 27 participated in the pre- and postintervention surveys. Mean knowledge test scores increased significantly from 7.19 preintervention to 14.04 postintervention (p 0.001)
Supplementary Data for Crushability Analysis of Immediate-Release Oral Tablets and Capsules Approved by FDA in 2020-2024
No full textMaximizing Care and Savings in FQHCs: the Synergistic Union of Clinical Practice Pharmacists and the 340B Program
No full textImpact of Order Set Implementation on Institutional Management of Clostridioides difficile in Adult Patients
No full textIn February 2022, the University of Rochester Medical Center (URMC) updated their practice guidelines, in accordance with the Infectious Diseases Society of America, to include fidaxomicin as the preferred agent in patients with initial (non-fulminant) or first recurrence of C. difficile infection (CDI).
Health system protocols were updated to include polymerase chain reaction (PCR) testing for patients with suspected CDI followed by confirmation via toxin enzyme immunoassay (EIA).
In the appropriate clinical context, PCR+/EIA+ test confirms active CDI and warrants antibiotic treatment.
PCR+/EIA- test indicates likely colonization and may preclude the need for treatment.
A CDI order set was implemented in May 2023 to facilitate guideline adherenc
An Examination of Counseling Barriers Related to Black Individuals with an Incarcerated Relative
No full textResearch has indicated that mental health within the Black community has been a consistent challenge. Mistrust, systemic racism, socioeconomic challenges, incarceration, and self-resiliency through faith have impacted the Black community’s mental health. Although mental health education and awareness have increased, Black individuals have continued to progress at lower rates compared to other races. The study’s purpose was to examine the experiences of Black individuals with an incarcerated family member in seeking and accessing mental health counseling in New York State by asking the research question and sub-question. What are the lived experiences of Black individuals with an incarcerated immediate family member in seeking and accessing mental health counseling in New York State? 2) In what ways does the intersection of knowledge gaps and having an incarcerated family member influence Black individuals’ help-seeking behaviors, perceptions of mental health counseling services, and the overall health care system in New York State? Findings show that the race of the counselor, learned silence, mental health challenges, and knowledge of service navigation are the critical barriers for Black individuals in seeking and accessing mental health counseling. Recommendations for future research include broadening the geographical research area, including additional familial layers, and improving clinical enrollment practice
Neuroprognostication in Patients with a Subarachnoid Hemorrhage: A Quasi-Review of Anti-inflammatory Agent Administration versus Blood Pressure Management
No full textA subarachnoid hemorrhage (SAH) is a type of stoke where a blood vessel bursts and causes the subarachnoid space to become filled with blood. Traditional nursing management of SAH includes close monitoring of blood pressure goals in order to prevent complications such as vasospasm. Vasospasm causes delayed cerebral ischemia and neurological deficits secondary to the initial injury. Recent research has expanded understanding of the underlying mechanisms behind the neuroinflammatory cascade that occurs after a SAH. In this study, a methodical search was conducted through the CINAHL and PubMed databases to form a quasi-review of current research. The comparison of traditional nursing interventions of blood pressure management to the administration of anti-inflammatory agents revealed that neuroinflammation may play a significant role in the pathophysiology behind adverse neurological events that occur secondary to the initial stroke
The Prevalence and Experience of Burnout Among Physical Therapists in Home Health Care: A Mixed Methods Study
No full textThe purpose of this dissertation research study was to investigate burnout in physical therapists working in the growing field of home health care. The existing body of literature shows the prevalence and impact of burnout within the general sector of health care; however, evidence is limited in the setting of home health care, and there is less research with physical therapists. A convergent parallel mixed methods approach was used to combine quantitative data from the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS [MP]) with professional demographic information and qualitative data from an open-ended questionnaire. The study recruited 60 home health physical therapists from Upstate New York. Quantitative analysis showed that physical therapists in home health care are at elevated risk of emotional exhaustion, and a few demographic correlations were significant with risk of burnout. Qualitative results revealed four themes which describe the importance of human connection when addressing the demands of working in the home health setting. Mixed method findings included information on the perceived demands and resources of physical therapists working in the field of home health care. The findings provided a new understanding of burnout among home health care physical therapists. The findings also have implications for home health care organizations and suggest providing human connection to manage the unique demands of physical therapy home health care providers
