11549 research outputs found
Sort by
Goals of Care Intervention to Reduce Moral Distress in Critical Care Nurses
No full textMoral distress (MD) has been studied in the nursing workforce since the 1980s. The critical care setting is at risk of high levels of MD due to advancing technologies and collateral end-of-life (EOL) care provision. This project evaluates the impact of establishing standard triggers for goals of care (GOC) conversations in the intensive care unit (ICU) and the influence on MD in ICU nurses. The Measure of Moral Distress for Healthcare Professionals (MMD-HP) was utilized to quantify a baseline level of MD. After GOC conversations were implemented, MD scores were evaluated with an associated decrease in MD
The Impact of Short-Term Mega Sporting Event Experiences on Student Learning
No full textShort-term mega sporting events provide an opportunity for students to not only gain a memorable career experience but also enhance student skills and learning. However, very few (if any) researchers have explored students’ confidence related to key skills before and after such an event. Thus, the purpose of this study was to assess the effect of experiential learning at the National Football League’s 2023 Super Bowl LVII mega event on students’ learning outcomes. Students (N = 103) responded to an online survey distributed to assess their self-confidence across 18 learning-outcome skills covering problem solving, communication, sport-industry knowledge, and professional development. Each dependent-sample t test done to examine the students’ self-confidence with the individual learning outcome skills was significant (p < .001) and had meaningfully increased (Cohen’s d range: 0.47–0.97) from pre- to postevent. The results suggest that students can experience a notable increase in self-confidence when volunteering at a short-term mega sporting event. From a practical standpoint, the results provide sport management educators with strong evidence of the meaningful student learning related to problem solving, communication, sport-industry knowledge, and professional development that can occur with a single short-term mega-event experience
Assessing Anesthesia Providers’ Perceptions of Ultrasound Use with Arterial Line Placement and the Impact of an Educational Resource: A DNP Project
No full textUltrasound guidance with arterial line placement is associated with increased success rates while lowering the risk of complications related to multiple attempts. Despite multiple studies supporting the advantages of ultrasound guidance, no formal processes are consistently followed. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to develop, implement, and evaluate the perceived adequacy of an educational resource designed specifically for anesthesia providers for improving awareness and utilization of ultrasound for arterial line placement. A literature search and synthesis was performed, a single Plan-Do-Study-Act cycle was implemented, and an educational handout and PowerPoint Voiceover were created. Surveys were created using Qualtrics, and nine participants were emailed instructions, educational resources, and individualized links to the surveys. Participants were asked to utilize the resources during a two-week implementation period and then complete a post-survey. Following data analysis using Microsoft Excel there was an increase in awareness of the advantages of ultrasound-guided arterial line placement and an increase in perceptions that ultrasound use with arterial line placement is superior to traditional palpation techniques. Barriers the participants faced may be why they are unlikely to use ultrasound-guidance despite their positive perceptions of the technique. In the future, evaluating perceived barriers of anesthesia providers related to ultrasound use with arterial line placement may allow the implementation of ways to decrease barriers and improve utilization of ultrasound with arterial line placement. This QI project improved anesthesia providers' knowledge and raised awareness of barriers related to ultrasound use with arterial line placement.D.N.P
The Relationship Between Level of Physical Activity and Speech Perception Abilities
No full textIntroduction: Kearns et al., (2019) observed subjects having an increased ability to recognize speech in noise after 30 minutes. Parbery-Clark et al., (2009) demonstrated a statistically significant relationship between speech recognition in noise results vs. working memory. Curhan et al., (2013), based on collected survey data, reported that women who were more physically active were less likely to develop hearing loss. Kawakami et al., (2021) showed a positive association between level of physical activity (LPA) and risk reduction in hearing loss development. Therefore, it was hypothesized that there would be statistically significant relationships between level of self-reported physical activity vs. pure-tone thresholds, speech-in-noise perception ability, and working memory. The purpose of this research was to investigate the relationship between degree of physical activity, pure-tone audiometry, speech-in-noise perception ability, and working memory.
Methods: Twenty-three native English speakers with normal pure-tone thresholds participated in this study. Bilateral pure-tone average (PTA) was calculated for all participants. Speech recognition in noise ability was evaluated using the Hearing in Noise Test (HINT; Nilsson et al., 1994; Vermiglio, 2008) and the AzBio test (Spahr et al., 2012). Working memory was evaluated using the Digit-Span test (Wechsler, 1991). A questionnaire was used to categorize the participants' LPA. The relationships between self-reported LPA vs. all test results were evaluated with the Spearman rho statistic.
Results: A weak negative relationship was found between LPA vs. binaural PTA (r = -0.21, p = 0.33). A weak negative relationship was found between LPA vs. HINT thresholds (r = -0.36, p = 0.10). A very weak positive relationship was found between LPA vs. AzBio scores (r = 0.15, p = 0.50). A very weak positive relationship was found between LPA vs. Digit Span scores (r = 0.18, p = 0.42).
Discussion: Contrary to the three hypotheses, no statistically significant relationships (p > 0.05) were found between degree of physical activity vs. the test results. The results of this investigation are inconsistent with previous investigations (Curhan et al., 2013; Kawakami et al., 2021; Kearns et al., 2019). Future research should further investigate these relationships using alternative measures of physical activity
Women Living with HIV in the South: How Mental Health Affects Medication Adherence and HIV Care Engagement
No full textIntroduction: Barriers to HIV care engagement and ART adherence in women living with HIV (WLWH) include discrimination, HIV stigma, and mental health issues. 21% of women living with HIV report symptoms of depression creating challenges in maintaining viral suppression.
Purpose: The purpose of this secondary data analysis was to (1) describe how WLWH in the Southern United States (U.S.) perceive their mental health status influences their ART adherence and HIV care engagement and (2) describe the factors impacting their mental health, specifically depressive symptoms.
Methods: Qualitative descriptive study (N=12) using thematic analysis and secondary data from a parent study, my SHP mentor’s project titled “Modeling perceptions of social location and decision-making among women living with HIV in the South” [NIH/NINR: R21NR020164].
Results: Decreased ART adherence and/or HIV care engagement due to depressive symptoms was referenced by ten (N=10) participants. Four (N=4) women reported they were able to access mental health resources and increase their ART adherence and/or HIV care engagement. Multiple themes were identified as co-occurring factors that participants directly related to impacting their mental health. These themes were stigma/discrimination, lack of resources, lack of social support, death/trauma, and substance use disorder.
Discussion: This research addressed the gaps in the literature about women’s perceptions of how mental health affects ART adherence and HIV care engagement in the Southern U.S. Screening for depressive symptoms among all newly diagnosed WLWH can help identify a need for mental health resources and ensure early intervention. The Substance Abuse and Mental Health Services Administration (SAMHSA) identified that screening among people living with HIV (PLWH) is underused but critical. SAMHSA recommended using the Patient Health Questionnaire (PHQ-2 and PHQ-9) and the Substance Abuse and Mental Illness Symptoms Screener (SAMISS) to screen for depression in PLWH. Further research should be conducted to describe the impact of co-occurring factors leading to depressive symptoms of WLWH and to identify which interventions and mental health resources best address depressive symptoms in WLWH. The primary limitation of this research was the use of secondary data not tailored to explore the relationship between depression and ART adherence/engagement in HIV care
Bridging the Gap for Special Operations Medics Pursuing a Nursing Career When Transitioning Out of the Military
No full textMedic to Nurse: Developing a Pipeline for Special Forces Medics
When transitioning from the military, many factors affect Special Forces medics' transition to a civilian career. Career paths that allow them to transfer their prior training, field experience, and education are limited. This study aimed to understand the factors that may contribute to a more effective bridge for Special Forces medics pursuing a nursing career. Furthermore, we focus on the academic factors that may impede the transition from the military and explore how to make a career in nursing a more realistic and obtainable goal.
This study used a quantitative survey with the addition of two open-ended questions to determine the interest of Special Forces medics in a proposed curriculum when they transition out of the military and what previous training they may have obtained. Using this data and field work to understand Special Forces medic training, this study provides a better understanding of the qualifications these medics have already accomplished, field experience, and previous education they may bring to an academic nursing program. Participants were primarily located on the East Coast of the United States; however, responses were dispersed from across the country. Additionally, several international responses were collected from the United Kingdom, Germany, Niger, and Iraq. No demographic data was collected from participants.
Two major categories developed from the data analysis: Positive Interest in a Civilian Nursing Pathway and Acknowledging Academic and Experiential Preparation. While military medics do not initially consider a career in nursing after military service, the development of programs that acknowledge and value their education and experience greatly enhances considerations for pursuing a nursing career. The findings from this study provide a better understanding of interest, preparedness, and suggestions for future program improvement
Typographic Experimentation and Creative Expression
No full textThis creative endeavor embarks on a journey of playful experimentation, exploring the boundaries of type beyond its traditional role of information conveyance. Instead of seeking out entirely new designs, it embraces the philosophy of "there is no such thing as new design" by utilizing existing font families, both historical and modern, as building blocks. Inspiration flows from various sources, fueling an initial phase of exploration where different elements are combined and manipulated until a captivating concept emerges.
A typefaces success is closely related to its legibility. Once a concept takes root, the development process carefully considers established typographic rules to ensure the resulting font remains readable. A flexible system or set of criteria is adopted, guiding the creation of consistent and functional characters throughout the alphabet. This system adapts and evolves alongside the typeface itself, ensuring harmony and clarity.
Ultimately, this project seeks to challenge conventional notions of typeface design. It pushes towards improvement, venturing into the realms of merging and melding existing fonts to create entirely new visuals. Whether the outcome is a refined iteration, a unique hybrid, or a completely unexpected form, the process informs and drives the result. It's a celebration of exploration, discovery, and the limitless potential of type to transcend mere communication and become a powerful tool for creative expression
Psychological impact of prosthetic joint infections following total hip and knee arthrolasty
No full textBackground. Prosthetic Joint Infection (PJI) is a devastating complication of total joint arthroplasty (TJA) with a relative survival rate worse than that of prostate cancer, melanoma, and breast cancer. This study explores the psychological impact of PJI of the hip and knee. Methods. Two separate studies were conducted - a qualitative study, using descriptive phenomenology, and a quantitative cross-sectional descriptive correlational study. Results. Participants reported substantial impact on independence, identity, and relationships. Functional limitations were associated with negative illness impact, anxiety, depression, and decision regret. Social support was an important moderator for negative illness impact, anxiety, and depression. Resilient coping was common, and linked to lower negative illness impact, lower intolerance of uncertainty, and lower depression scores. Poor surgical outcomes, including amputation and death, were common. Conclusion. The significant psychological impact of PJI may be moderated by stage of life. As in previous studies, loss of independence and identity, pain, burden, and emotional responses are impactful experiences in PJI, with social support playing a major role. Additionally, this study supports that decision regret is not as common as previously thought among those with PJI
Factors Influencing Undergraduate Music Majors' Collegiate Decisions
No full textPresented at the 2024 Biennial NAfME Music Research and Teacher Education ConferenceThe purpose of this study was to examine factors influencing undergraduate music majors’ collegiate decisions. Results indicate the strong influence of on-campus musical activities and personal interactions with university music faculty on collegiate selection, including Summer Music Camps, in-person or virtual lessons, and interactions with faculty via social media platforms
Leadership Development Supported by Scientific Tools
No full textLeadership requires ongoing introspection and analysis as one moves through the various stages of professional growth and development. This paper analyzes various leadership styles with the intent of understanding the impact of leadership on an environment that improves team engagement and patient experience in a very busy ED. Through the use of personality assessment tools, leader development plans were creäted and implemented for a novice manager team utilizing evidence-based leadership tactics. Outcomes improved in the areas of staff turnover, patient experience, and team engagement, validating the project’s intent that leader development is essential in today’s ED environment. As young leaders are brought into leadership roles, professional development is essential to the creation of a healthy practice environment not only for staff retention but also for the patients served.D.N.P