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Pre-Visit Planning in the Primary Care Setting from a Patient and Provider's Perspective
No full textUB SON, DNP Research ProjectBackground and Significance: Improvement of preventative medicine is fundamentally important to the health and well-being of the nation's health. One way to improve primary care is through the use of pre-visit planning, which is recommended by the AMA (Sinsky et al., 2015). Purpose, Aims, and Objectives: The purpose of this DNP project was to survey patients and PCPs in a primary care office in Western New York to determine perspectives on PVP, the impact PVP has on face-to-face encounters with patients, and the delivery of care. This project aimed to better understand how PVP has impacted care provided by PCPs in a primary care office from both a provider and patient perspective. The objectives of this DNP project will be to perform a literature review and find a gap in care, survey patients and providers at a primary care office, and disseminate the findings. Theoretical Framework: The theoretical framework for this DNP project is Kurt Lewin's Change Theory, as PVP represents a large-scale change to preventative medicine (Lewin, 1951). Methods and Design: A two-part cross-sectional quantitative survey was designed to assess and evaluate the experience that both providers and patients have with PVP. Using specific inclusion and exclusion criteria, patient participants will answer questions at their appointment via hard copy, and provider participants will complete the survey online via SurveyMonkey. Protection of Human Rights and Ethical Considerations: This DNP project followed IRB protocols and maintained participant anonymity. IRB approval has been obtained
Evaluate the Perception of Increased Support on Improving Job Satisfaction and Intent to Stay for Novice Advanced Care Providers in the Internal Medicine Department
No full textUB SON, DNP Research ProjectPrimary care physicians are in short supply, so Advanced Care Providers (ACPs) are essential in filling this gap. Unfortunately, many new ACPs leave their jobs within a year due to feeling unsupported and dissatisfied with their work conditions. To address this, a Doctor of Nursing Practice (DNP) project investigated how providing more support could improve job satisfaction and encourage novice ACPs in the Internal Medicine Department to stay. The study was guided by Patricia Benner's theory, From Novice to Expert, and Herzberg's Dual Factor Theory of Job Satisfaction. A quantitative, non-experimental survey design was used to test the variables, with a convenience sample of novice ACPs completing three surveys via REDCap: a demographic questionnaire, the Anticipated Turnover Scale (ATS), and the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS). Surveys were administered in weeks one, three, and ten. Data were analyzed using descriptive statistics, independent t-tests, and mean scores based on pre-and post-intervention. The results showed no statistical significance in the overall score for the ATS and MNPJSS, although many variables that addressed support showed trends toward improvement. Moreover, a support liaison and other supportive measures can increase staff contentment and organizational commitment. Further research is needed on this population
Supplementary Notes 4: Words for tobacco
No full textThis undated note lists the Mohawk, Huron, Tuscarora and Cherokee words for "tobacco," citing some noted linguists, inlcuding Blair A. Rudes (1951-2008), Rev. James Bruyas S.J., and Pierre-Philippe Potier (1708-1781)
Health Sciences Library Workshops in the COVID Era: Librarian Perceptions and Decision Making
No full textObjective: We sought to determine how the COVID-19 pandemic impacted academic health sciences library workshops. We hypothesized that health sciences libraries moved workshops online during the height of the pandemic and that they continued to offer workshops virtually after restrictions were eased. Additionally, we believed that attendance increased. Methods: In March 2022, we invited 161 Association of American Health Sciences Libraries members in the US and Canada to participate in a Qualtrics survey about live workshops. Live workshops were defined as synchronous; voluntary; offered to anyone regardless of school affiliation; and not credit-bearing. Three time periods were compared, and a chi square test of association was conducted to evaluate the relationship between time period and workshop format. Results: Seventy-two of 81 respondents offered live workshops. A chi square test of association indicated a significant association between time period and primary delivery method, chi-square (4, N=206) = 136.55, p< .005. Before March 2020, 77% of respondents taught in person. During the height of the pandemic, 91% taught online and 60% noted higher attendance compared to pre-pandemic numbers. During the second half of 2021, 65% of workshops were taught online and 43% of respondents felt that attendance was higher than it was pre-pandemic. Overall workshop satisfaction was unchanged (54%) or improved (44%). Conclusion: Most health sciences librarians began offering online workshops following the onset of the COVID-19 pandemic. More than half of respondents were still teaching online in the second half of 2021. Some respondents reported increased attendance with similar levels of satisfaction
Exploration of Mental Health Staff Attitudes and Perceptions of Care Towards Patients with Borderline Personality Disorder
No full textUB SON, DNP Research ProjectBackground and Significance: Borderline personality disorder (BPD) is a severe mental health disorder characterized by instability and suicidal behaviors. Traditionally, staff holds poor attitudes towards BPD, leading to adverse outcomes, lack of empathy, and inadequate treatment. Purpose, Aims, and Objectives: This DNP project explored mental health staffs' stigma, knowledge, and perceptions towards patients with BPD to develop recommendations based on data results to improve patient care. Theoretical Framework: Jean Watson's Theory of Transpersonal Caring guided this DNP project to enlighten the practice of forming caring and healing relationships between mental health staff and patients with BPD. Methods and Design: A quantitative, descriptive study including 41 participants was conducted to assess knowledge, stigma, and perceptions of care towards BPD among mental health staff. Results: This study determined that participants with past training on BPD and more years of experience have better perceptions of their care. Additionally, there was a significant negative correlation between stigma and perception survey scores. Many non-significant results indicated potential trends in the data and called for further exploration in future studies. Conclusion: This research study recognized the presence of stigma, various perceptions of care, and low levels of knowledge regarding BPD among mental health staff. Future Implications & Recommendations: This study determined a significant need to provide education and improve knowledge, perceptions, and stigma for staff caring for those with BPD. Protection of Human Rights and Ethical Considerations: IRB approval and informed consent were obtained prior to anonymous data collection
Data supporting "Health Sciences Library Workshops in the COVID Era: Librarian Perceptions and Decision Making"
No full textData was exported from Qualtrics in CSV format. NotePad++ is recommended. DO NOT use Microsoft Excel to open this file. Opening in Excel causes error in display of data for Q6 and Q10 (in tabular form, columns I and AR, respectively).This dataset supports the findings in "Health Sciences Library Workshops in the COVID Era: Librarian Perceptions and Decision Making” presented at the Medical Library Association’s 2022 Annual Meeting and discussed further in a paper of the same title
Preconception Educational Needs Identified by Nurse Midwives for Primary Care Providers to Educate Obese Women of Childbearing Age
No full textUB SON, DNP Research ProjectPreconception health promotion education is important to be completed at any encounter with patients of childbearing age, especially among patients with an overweight or obese body mass index (BMI) due to the impact it may play on fertility and pregnancy. The purpose of this Doctor of Nursing Practice (DNP) project was to survey nurse midwives belonging to a local midwife professional association to assess their self-efficacy in the project area of interest and develop preconception health promotion educational recommendations for primary care providers via an educational pamphlet as a means to improve health promotion guidance for overweight or obese women of childbearing age. The aim of the DNP Project was to increase knowledge and understanding regarding primary care provider educational needs for providing preconception health promotion to overweight and obese women of childbearing age. Bandura's (1977) Social Cognitive Theory of Self-Efficacy was the guiding theoretical framework. A quantitative descriptive approach was utilized with online survey administration. Survey responses were analyzed using the Statistical Package for Social Sciences (SPSS version 27) and content analysis. Results identified that nurse midwives have high self-efficacy when educating obese women of childbearing age on preconception health promotion, that overweight or obese patients of childbearing age are missing preconception education including nutrition, exercise, and unsafe medications in pregnancy in primary care settings due to inadequate primary care provider training, and that offering support groups for this population may be beneficial. Future research needs to be conducted with primary care providers to further establish their educational needs
New York State Nurse Practitioners' Experiences During the COVID-19 Pandemic: The Impact on Family Role/Responsibilities, Career Trajectory and Self-Care Needs and Resources for Coping with the Crisis
No full textUB SON, DNP Research ProjectBackground and Significance: Nurse practitioners (NPs) play a pivotal role in facilitating accessibility to safe, quality health care. Among NPs, the COVID-19 pandemic brought forth changing roles and unexpected increased work demands due to healthcare workforce shortages and excessive workloads, leading to concerns regarding personal and professional quality of life (PQOL) and perceived stress. Purpose, Aims and Objectives: The purpose of this Doctor of Nursing Practice project was to quantitatively examine the pandemic's impact on family role/responsibilities, career trajectory, self-care needs and crisis coping resources among NPs practicing in New York State (NYS). The project aim was to promote insight and understanding regarding NP experiences during the pandemic to improve personal and PQOL and coping strategies. Theoretical Framework: The theory of Nurses' Psychological Trauma (NPT) was the theoretical framework guiding this project. Methods and Design: A cross-sectional observational study was conducted via a one-time online survey. Institutional Review Board approval was granted. Results: Practicing NYS NPs appeared to experience greater compassion fatigue, burnout, secondary trauma and perceived stress when they felt less supported or engaged in less self-care activities during the pandemic. Additionally, results revealed statistically significant differences in the effect of NP workload on the ProQOL secondary trauma subscale in the 'no change' group [F (2,9) =5.020, p=.034] compared to increased and decreased workloads. Future Implications and Recommendations: Research is needed examining the degree that the COVID-19 pandemic impacted both personal and PQOL life among NPs living in NYS and nationwide as well as coping strategies for building resilience
Center for Computational Research Facility Description
No full textThis document contains both short and long descriptions of the Center for Computational Research (CCR) facilities for use in proposals, reports, and presentations.The Center for Computational Research, a leading academic supercomputing facility, maintains a high-performance computing environment, high-end visualization laboratories, and support staff with expertise in computing, visualization, and networking. The Center's extensive computing facilities, which are housed in a state-of-the-art 4,000 sq ft machine room, include a generally accessible (to all UB researchers) Linux cluster with more than 20,000 processor cores and high-performance Infiniband/Omni-Path networks, a subset of which contain NVidia Tesla V100 graphics processing units (GPUs). Industrial partners of the university have access to an additional cluster with more than 3,400 processor cores and FDR Infiniband. The Center maintains a 3PB IBM GPFS high-performance parallel file system plus a 1.7PB EMC2 Isilon shared network attached filesystem. A leading academic supercomputing facility, CCR has more than 1 PFlop/s of peak performance compute capacity. CCR additionally hosts many clusters and specialized storage devices for various specific departments, projects, collaborations, and researchers interested in hosting services should contact CCR staff. CCR's high-performance computing infrastructure and the research carried out utilizing it is partially supported through NSF Award 1724891: "MRI: Acquisition of High Performance Computing Infrastructure to Support Computational and Data-Enabled Science and Engineering." and NIH Award S10OD024973: "High Performance Data and Computing Infrastructure"CCR's high-performance computing infrastructure and the research carried out utilizing it is partially supported through NSF Award 1724891: "MRI: Acquisition of High Performance Computing Infrastructure to Support Computational and Data-Enabled Science and Engineering." and NIH Award S10OD024973: "High Performance Data and Computing Infrastructure
Impact of an Educational Intervention on the Use of High-dose Intravenous Dexamethasone for Postoperative Pain Relief and Reduction in Opioid Consumption in Patients Undergoing Surgical Procedures
No full textUB SON, DNP Research ProjectBackground and Significance: Surgical procedure patients are at risk of developing acute pain and inadequately treated pain can lead to negative post-operative complications. Dexamethasone is commonly given perioperatively to attenuate nausea and vomiting, however recent studies have examined the benefits of using higher doses (0.1 mg/kg or 8 mg) of dexamethasone to attenuate pain and reduce opioid requirements.
Purpose, Aims, and Objective(s): The purpose of this Doctor of Nursing Practice project was to evaluate the impact of an educational intervention to state-wide Certified Registered Nurse Anesthetists (CRNAs) on the use of high-dose dexamethasone in surgical patients to mitigate pain and reduce opioid consumption. Specific aims of this project were to provide up-to-date evidence-based research education to CRNAs and identify barriers to change in practice.
Theoretical Framework: Kurt Lewin’s Theory of Planned Change encompassing a dynamic balance of driving force and restraining force guided this project’s design and implementation.
Methods and Design: The project design was an online educational presentation with a postintervention
follow-up survey using a state wide CRNA communication database with questions based on demographics, dexamethasone use and knowledge, and a Mini Z burnout questionnaire.
Results: Findings revealed an increased comfort (76%), consideration (75%), and willingness to educate colleagues (72%) on the use of high-dose dexamethasone based on the research presented. Statistical significance (p=0.418) was not achieved regarding burnout levels as a barrier to change in practice. Protocols and guidelines are needed in facilities as only 30% were reported. Further studies on specific dosing recommendations are needed as well as educational interventions and protocol implementation