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Development of a Resilience Program to Combat Burnout in Nursing Practice
Full text linkBurnout has been identified as a national health crisis, with implications for the retention and health of critical healthcare workers. Acknowledging the innate stressors of providing healthcare it is the responsibility of leaders in the industry to mitigate burnout to sustain the workforce critical to healthcare in the United States. Understanding resilience and how to foster it in nurses will contribute to burnout prevention and consequently improve the quality of health care provided Americans. Resilience training has been identified as a valuable approach to retention of the workforce. This scholarly project developed a resilience training program for newly licensed registered nurses (NLRN) to promote awareness of self-care behaviors and healthy responses to counteract stress and promote a culture of safety. The program teaching plan\u27s content was evaluated by a panel of experts to establish individual and scale level validity. The program was introduced into the curriculum of an existing Nurse Residency Program seminar and training was completed by twenty-five participants. Using the Connor-Davidson Resilience Scale, a statistically significant difference in reported resilience was evident after participation in resilience training. Introduction of resilience training in a nurse residency program positively impacts resilience development with potential to promote burnout prevention
Development of an Evidence-Based Process for Implementing Stanford Cognitive Aids in Offsite Anesthesia Practice Facilities
Full text linkFailure to rescue patients during medical emergencies often results in significant morbidity and mortality outcomes in outpatient surgical settings. The purpose of this Doctor of Nursing Practice project is to develop an implementation process with the Stanford Anesthesia Cognitive Aid manual (Stanford Anesthesia Cognitive Aid Group) for perioperative critical events in outpatient surgical sites to increase emergency preparedness for the surgical team, including anesthesia and other direct care providers. An educational intervention will be used for the surgical team, including anesthesia and other direct care providers, at outpatient surgical sites on utilization of the Stanford Anesthesia Cognitive Aid manual (Stanford Anesthesia Cognitive Aid Group) for perioperative critical events
NuBaptist: An American Baptist Vision of Spirituality, Ecclesiology, and Missiology for the Twenty-First Century
Full text linkWhat began as a movement of Northern Baptists in the United States in the 1800s splitting from Southern Baptist affirmation of slavery and missional funding structures, the American Baptist Churches became one of the Seven Sister Churches of Mainline Protestantism in the early to mid-1900s. Much like their Protestant counterparts, the American Baptist Churches USA developed into a democratic, hub-and-spoke judicatory religious system, and highly corporate in its structure and model in Baptist life. As denominations continue to lose members in the twenty-first century, the American Baptist Churches USA is left with the difficult task of re-visioning to fulfill spiritual directives and missional activity. Changes in American religious identification and congregational affiliation have left American Baptists struggling with a solution to better mobilize and formulate their coordinated efforts to be a Baptist witness of Jesus Christ in the twenty-first century. As society’s culture and attitudes towards religious communities shift and evolve with massive cultural shifts and attitudes toward religious communities, American Baptists must create new models, paradigms, behaviors, expressions, and patterns of theological, spiritual, and missional engagement with the broader American culture.
Several shifts have occurred in American Baptist theology, spirituality, ecclesiology, and missiology. This research will seek to identify, analyze, and contextualize these crucial shifts in American Baptist denominational life for fruitful spiritual, ecclesial, theological, and missional vitality. First, Baptist historically were motivated by a missional spirit of the Great Commission. Articulating and discovering Missional Church theology gives American Baptists a new purpose and mission. Second, the shift of denominationalism from the twentieth century to a new model of networked missional platforms is needed and contextualized for American Baptists. Emerging vi missional church scholarship makes the case that most American denominations have lost their theology of mission and built structures and systems. Instead, leading missional church scholars propose a different framework of Christian ministry, spirituality, and expression. An exploration of a missional church theology is required in order to provide a renewed theological basis for American Baptist spiritual witness for the twenty-first century. Third, historically, American Protestants coopted corporate leadership practices into ecclesial leadership systems, and American Baptists followed this structure as a means of efficient corporate denominationalism. In the twenty-first century, these structures no longer serve their ecclesiastical purpose because of broader cultural shifts in religious affiliation. Instead, American Baptists can move from such ecclesiastical technical strategies to ecclesiastical adaptive change leadership paradigms for a vibrant mission. Fourth, much of the theory and theological assumptions of leadership for national, judicatory, and local church practice followed twentieth-century business corporate leadership models. By examining how missional church theology spiritually frames adaptive leadership models, American Baptists can pivot away from corporate leadership theory and embrace ecclesiastical leadership that is reflective of New Testament apostolic behaviors of leadership. Fifth, Baptists mainly subscribed to a nineteenth-century theology and language of “ordinance” around baptism, communion activity, and spiritual nourishment. However, early Baptist theology for baptism and communion was more closely aligned with “sacrament.” American Baptist identity and spirituality can access a historical sacramentality (or as I term it for those Baptists uncomfortable with sacramental language, “sacred-ment”) that produces a vibrant faith expression. Sixth, early and mid-century American Baptists were active in expressions of Christian catholicity and ecumenism. By exploring modern scholarship of the Baptist Catholicity, twenty-first-century American Baptists can experience a vibrant and robust vii faith expression by participating in the greater community of saints found in a Christianity that is connective and catholic with Christians worldwide, rather than separating themselves from the Church Universal. These revisitations and shifts occurring within Baptist life give American Baptists new hope and future for their theological, spiritual, and missional impact upon the world
Does Mentoring Work with High‑Risk Adult Probationers?: The Implementation and Outcomes of an Adult Mentoring Court
No full textWhile some programs for justice system-involved adults have included mentoring as one of many different program components, a problem-solving court known as the MENTOR (Mentors Empowering Now to Overcome Recidivism) program was recently the first known program to center mentoring as the primary program component. Evaluation results suggested that program participants experienced a high quantity and quality of mentoring and case management. Using a quasi-experimental research design with a matched comparison group, outcome evaluation results revealed that the program was associated with a significant reduction in probation revocations, a marginally significant reduction in new arrests, and no significant effects on employment outcomes in the 12-month study period
Analytic hierarchy process and data envelopment analysis: A match made in heaven
No full textAnalytic hierarchy process (AHP) and data envelopment analysis (DEA) are two popular decision science methods with many business, science, and engineering applications. AHP is a Multi-Attribute Decision-Making (MADM) method for prioritizing alternatives, and DEA is a non-parametric method for estimating production frontiers. Each method has known strengths and weaknesses, and the strengths in one method can overcome the weaknesses in the other. We study several strategies to diminish the weaknesses of DEA with the strengths of pairwise comparisons in AHP. We tackle the low discrimination power inherent to conventional DEA methods. AHP, with its pairwise comparison capability, has been consistently used to increase the discrimination power and accuracy in DEA. We propose and evaluate several new hybrid MADM-DEA models of different computational complexity and consistency, including combinations of the best-worst method (BWM) and its variants with DEA as well as a novel method composed of Measuring Attractiveness by a Categorical Based Evaluation Technique (MACBETH) and DEA. We further develop a new technique for evaluating the similarity among multiple ranking results in MADM. The new simple but powerful technique is called Rank Absolute Deviation (RAD) and is inspired by the mean absolute deviation method. Several numerical examples and a real-world problem are used to demonstrate the applicability and efficacy of the new BWM-DEA, MACBETH-DEA, and RAD methods proposed in this study. We illustrate how less computationally demanding MADM-DEA techniques provide rankings that are highly correlated with the benchmark DEA-AHP and different consensus ranking models
A hybrid multi-attribute decision-making and data envelopment analysis model with heterogeneous attributes: The case of sustainable development goals
No full textThis study presents an integrated multi-attribute decision-making (MADM) and data envelopment analysis (DEA) framework for solving problems with heterogeneous attributes. We classify the heterogeneous attributes into desirable and undesirable classes and provide a model for aggregating the attributes’ weights and the alternatives’ scores. The proposed model is initially designed as a Multiple Objective Decision Making (MODM) problem with a Data Envelopment Analysis (DEA) policy and then reformulated as a linear programming model tackled through a goal programming approach. We apply the proposed model to a set of European countries based on their fulfillment of the 17 Sustainable Development Goals (SDGs) defined by the United Nations. We show the proposed approach minimizes computational efforts and complexities and maximizes the participation and satisfaction of decision-makers. We compare the rankings derived from our model with those obtained from standard MADM techniques such as Euclid and TOPSIS. We illustrate how the different normalization methods are applied to condition the discrimination power of the models and analyze the reversals triggered by TOPSIS relative to the other techniques. We conclude by noting that our model does not rely on the weights defined by the experts to determine the ranking, which constitutes a significant advantage over the standard MADM techniques in strategic evaluation environments
Cognitive Aid for Anesthesia Providers Caring for Lactating Mothers
Full text linkEvidence on the transfer of medications into breastmilk during the administration of anesthesia and sedation medications may not be well known by anesthesia providers. As they teach lactating mothers, anesthesia clinicians may not be comfortable explaining details about breastfeeding, such as the effects of anesthesia on breast milk and when mothers can safely resume breastfeeding. Lack of provider knowledge may be a safety threat that can be decreased by an evidence-based cognitive aid. The purpose of this patient safety project is to develop a cognitive aid that includes anesthetic agents and knowledge components to structure the provision of care to breastfeeding mothers
