1697 research outputs found
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Softball Player at Bat, undated
This photo features a softball player at bat during a softball game.https://fuse.franklin.edu/athletics/1012/thumbnail.jp
Enhancing a Pressure Injury Prevention Bundle in a Skilled Nursing Facility
Problem: The purpose of the project was to address the increase in pressure injuries in a skilled nursing facility, which had risen from 6% to 10% despite the implementation of a prevention bundle. The project aimed to evaluate and enhance the effectiveness of existing interventions.
Aim of the Project: The aim was to add evidence-based interventions to the existing pressure injury prevention bundle. The desired outcome was to decrease the number of acquired pressure injuries.
Review of the Evidence: Research indicated that pressure injury prevention bundles were more successful when incorporating offloading interventions. These offloading measures, including frequent turning and repositioning of patients, utilizing air mattresses for individuals with a Braden score of 14 or below, and implementing a reminder strategy, have proven to be beneficial in reducing pressure injuries.
Project Design: The quality improvement framework guided this practice change project, with the Plan-Do-Study-Act cycle facilitating the testing of changes. Four cycles were conducted to identify and mitigate any barriers. The OhioHealth Change Management Model played a crucial role in communication and addressing potential obstacles.
Intervention: Modifications to the pressure injury prevention bundle involved changing the Braden Scale score cut-off to 14 for air mattress issuance and adding frequent turn and repositioning to nursing duties. This was enabled by making it a standing order and inserting reminders in the electronic medical record. Nursing leaders monitored implementation in weekly meetings.
Significant Findings/Outcome: The incidence rate, which represents the number of patients developing new pressure injuries after admission over a specific time, was 6.2% prior to implementation. After implementation, this rate significantly decreased to 1.74%, a 72% reduction from the baseline. This demonstrates that reviewing and modifying the pressure injury prevention bundle to incorporate evidence-based practices effectively reduced the occurrence of acquired pressure injuries.
Implications for Nursing: Implementing evidence-based interventions for preventing acquired pressure injuries is in alignment with the objectives of the Institute for Healthcare Improvement Triple Aim. This approach not only reduces the incidence of pressure injuries, enhancing patient health and satisfaction, but also curtails care costs. Moreover, it adheres to the Six Aims for Healthcare Improvement by incorporating effective and safe offloading measures to mitigate the occurrence of pressure injuries
Baseball Players and Batboy, undated
This photograph features Franklin University baseball player, Vic Watson, and batboy, Sean McCarthy. Baseball player Rex Smith is identified in the background.https://fuse.franklin.edu/athletics/1023/thumbnail.jp
Mike Nutt, undated
This photograph features Franklin University baseball player Mike Nutt.https://fuse.franklin.edu/athletics/1054/thumbnail.jp
Under Pressure: What Individual Characteristics Lead to Performance of High-Quality Chest Compressions During CPR Practice Sessions?
Aim: Despite well-established protocols for cardiopulmonary resuscitation training, performance during real-life cardiac arrests can be suboptimal. Understanding personal characteristics which could influence performance of high-quality chest compressions could provide insight into the practice-performance gap. This study examined chest compression performance, while employing feedback and introducing code team sounds as an anxiety-inducing factor in registered nurses using a cardiopulmonary resuscitation training manikin.
Methods: Participants included 120 registered nurses with basic life support certification randomized to one of the following groups: no feedback and no code team sounds, feedback without code team sounds, or feedback with code team sounds. Chest compression sessions occurred at baseline, 30-days and 60-days. Demographic variables and anxiety level were also collected. The primary outcome was chest compression performance, defined as average percent of time with correct rate and percent with correct depth as captured by the defibrillator. Statistical analysis included linear mixed effects analysis.
Results: The effect of feedback on chest compression performance depended on the value of other parameters. The benefit of feedback on the primary outcome depended on: age, with feedback less beneficial among older participants (p = 0.0413); and time, with feedback more beneficial with repetition (p = 0.011). These interactions also affected the outcome percent of time with correct compression depth. Increased anxiety was associated with decreased percent correct compression depth (p \u3c 0.001).
Conclusion: Feedback emerged as important in determining chest compression performance. Chest compression quality was limited by the performer’s age and anxiety level. Future research should focus on identifying factors related to individual characteristics which may influence chest compression performance
The Role of Foster Care Organizational Systems’ Components on Financial Independence
This qualitative study examined the relationship between organizational systems’ components within the foster care system and the financial independence of former foster youth. The research explored the perspectives of former foster youth to gain insights into the effectiveness of organizational components in promoting financial literacy and advocating for financial independence. The study focused on the foster care system in Ohio. Data collection involved interviewing former foster youth to understand their experiences and gather narratives related to financial independence. The study employed a qualitative methodology to explore the experiences of foster care alumni within the Ohio foster care system. The researcher aimed to understand the participants’ perspectives, meanings, attitudes, and beliefs regarding their time in foster care. The data collection instrument used in this study was a semi-structured interview protocol consisting of 27 researcher-developed open-ended interview questions. The study used convenience and snowball sampling methods to select participants. Data collected involved interviewing 13 voluntary participants that met specific criteria as Ohio foster care alumni. The researcher also collected demographic data through an anonymous online pre-interview survey to supplement the qualitative data. The findings highlighted four significant themes: Support from Organizational Systems’ Components, Learning from Life Experiences, Self-Sufficiency, and Being Debt-Free. These themes underscored the role of foster parents, independent living programs, and social workers in providing financial literacy support. Participants’ life experiences influenced their financial mindset and fostered their self-sufficiency. Some participants expressed the importance of being debt-free as a significant achievement