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Comfort Level and Willingness of Advanced Practice Nurses Providing Care to Women Utilizing Social Media to Augment Patient Care and Health Promotion
No full textUB SON, DNP Research ProjectDuring healthcare appointments, social media can be used by providers as an educational tool to
empower patients through promoting increased knowledge, engagement, and participation in the
health and treatment decision-making process. A lack of research exists investigating advanced
practice nurses’ (APNs) perception of social media use to augment patient care and promote
patient health and well-being. The purpose of this Doctor of Nursing Practice project was to
explore the comfort level and willingness among APNs providing care to women belonging to a
women’s health national nursing organization regarding social media utilization to augment
patient care and promote patient health. The project aim was to promote increased knowledge
and understanding among APNs regarding utilizing social media to increase patient education
and promote patient health and well-being. King’s Theory of Goal Attainment was used as the
guiding framework. A cross sectional survey design was used. Data were analyzed using
descriptive statistics, chi-square tests, and one-way ANOVAs. A total of 22 APNs participated.
Study findings revealed that APNs positively view social media, that they see value in using
social media as a tool to augment patient education and care, and that having more social media
accounts was related to greater likelihood of utilizing social media in patient care practice. Study
limitations included implementation during the Covid-19 pandemic which may have resulted in
the small sample size, similar participant demographics, and limited variability in survey
responses. Future research is needed to better understand social media and technology use among
APNs providing care to women
Examining the background, duties and perceptions of today's map librarians
No full textThis is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Map & Geography Libraries on January 7, 2022, available at:
http://www.tandfonline.com/10.1080/15420353.2022.2025988The traditional map library full of map drawers, aerial photographs, atlases and globes has evolved to include computer terminals and data collection equipment. Library patrons are accessing maps and geospatial data digitally. As the library has changed, so has the role of the map librarian. Historically, specialized coursework for map librarianship has been minimal in graduate library science programs. To effectively support library users of geographic information system (GIS), education is needed in this field, as well. A survey was distributed to map librarians via email listserv with a goal of observing trends in job duties and educational backgrounds of today’s map librarians. The views of 67 responding map librarians regarding training, professional development and the direction of map librarianship as a profession were also collected. The resulting data show a strong need for training opportunities for work with paper maps as well as GIS data and software
Anxiety Among New Registered Nurses Caring for Coronavirus Patients
No full textUB SON, DNP Research ProjectBackground and Significance: The 2019 (COVID-19) pandemic has caused psychological distress among nurses. To lessen the anxiety of newly registered nurses (NRN) caring for COVID-19 patients it is necessary to understand their anxiety and contributing factors. Purpose: To assess anxiety levels and contributing factors among NRNs caring for COVID-19 patients.
Aim: To raise awareness and understanding of anxiety among NRNs caring for COVID-19 patients. Objectives: 1) perform a literature review to determine the current research about NRNs when caring for COVID-19 patients, 2) develop a survey to be distributed to NRNs, 3) based on analysis of data, create and disseminate an evidence-based educational session with recommended interventions and/or supports for NRNs to use in the Alfred State College (ASC) Nursing Department (ND) and University at Buffalo (UB) School of Nursing (SON). Theoretical Framework: The framework used was Lazarus and Folkman’s Stress and Coping Theory.
Methods and Design: The study used a cross-sectional design that assessed demographic data, personal experiences, anxiety through the Generalized Anxiety Disorder (GAD-7) scale and a COVID-19 Stress Scales (CSS) through SurveyMonkey. Anxiety levels were assessed using the GAD-7 and CSS by Pearson correlation. Independent Sample t-Test and Analysis of variance (ANOVA) were used to examine relationships between anxiety levels and age, years of experience, college degrees, and units worked. Results: Most NRNs had anxiety though there were no statistically significant differences among anxiety levels when compared to ages, experience levels, degrees, or units worked. Future Implications: Further research is needed to help NRNs cope with anxiety
Other
No full textUB SON, DNP Research ProjectBackground and Significance: Ketamine is used to treat a variety of medical illnesses with many administration methods, dosing, and side effects. Currently, there are no standardized policies or guidelines for Certified Registered Nurse Anesthetists (CRNA) caring for adult patients prescribed ketamine, leaving CRNAs with no recommendations to follow. Purpose, Aims, and Objectives: The purpose of this Doctor of Nursing Practice (DNP) project was to examine CRNA and Student Registered Nurse Anesthetist (SRNA) knowledge and understanding regarding anesthetic implications for adult patients prescribed ketamine. Project aims were to increase CRNA and SRNA knowledge regarding best evidence and practice concerning anesthetic implications when caring for adult patients prescribed ketamine. Project objectives were to review literature on ketamine, develop a ketamine questionnaire based on literature review findings, recruit participants and administer the ketamine questionnaire and the Readiness to Change Survey via the CRNAs and SRNAs Facebook page, analyze survey data, create policy recommendations and guidelines based on survey findings, and publicly disseminate findings and post a summary of findings on the CRNAs and SRNAs Facebook page. Theoretical Framework: Kurt Lewin’s (1947) Change Theory guided this project. Methods and Designs: This DNP project utilized a quantitative descriptive approach with surveys administered via SurveyMonkey through the CRNAs and SRNAs Facebook page. Results: Survey data showed CRNAs are comfortable dosing ketamine, but less comfortable dosing to patients prescribed ketamine, indicating the need for policy recommendations. Future Implications: Develop guidelines to help direct anesthesia providers in dosing ketamine for adult patients already prescribed ketamine
Assessing Relapse in Patients with Opioid Use Disorder and Chronic Non-Cancer Pain, in Addiction Treatment Center: A Retrospective Chart Review
No full textUB SON, DNP Research ProjectBackground and Significance: In view of the opioid crisis in the United States (U.S), with an estimated 128 opioid overdose related deaths per day in 2018 and relapse rates at 90% or higher, despite the adoption of Medication-Assisted Treatment (MAT), there is a need to prevent relapse. Purpose, Aims and Objectives: The purpose of this DNP project was to determine risk factors for relapse in patients admitted with opioid use disorder (OUD) at a local addiction treatment center in WNY, for the year 2018 through 2020. Aims/objectives were (a) to compare rates of relapse to illicit substances between patients with OUD plus chronic non-cancer pain (CNCP), and those with OUD alone (b) determine factors that predict relapse. Theoretical Framework: Marlatt & Gordon's Relapse Prevention Model guided this project. Methods and Design: A retrospective chart review design was used. Electronic health records (EHR) of 75 patients with OUD were reviewed. Descriptive statistics was used to analyze demographic data. Chi-Square test was performed to compare relapse rates in patients with OUD plus CNCP and OUD alone. Binary logistic regression performed to ascertain the effects of psychiatric comorbidities on relapse. Results: Findings show a statistical similarity in groups demographics. There were no group differences in rates of relapse, but there was a trend that patients with CNCP were more likely to relapse (p = 0.06). Psychiatric comorbidities did not predict relapse (p > 0.05). Conclusion: Further research is needed to determine factors predicting relapse in patients with OUD in addiction treatment centers
Nurse Practitioners Knowledge, Attitudes, and Beliefs regarding Polycystic Ovary Syndrome Diagnosis in Primary Care
No full textUB SON, DNP Research ProjectPolycystic ovary syndrome (PCOS) is one of the most common yet complex metabolic endocrine disorders in women of childbearing age. Despite its prevalence and associated comorbidities, many women report that the diagnosis experience is lengthy, involves multiple providers, and is associated with many unmet needs, suggesting information and education needs of healthcare providers. However, little empirical evidence directly investigates gaps in providers' knowledge, attitudes, and beliefs, including nurse practitioners (NPs) working in primary care, who are uniquely positioned to identify, diagnose, and manage PCOS. The purpose of this project was to directly investigate the current knowledge, beliefs, attitudes, and practice behaviors held by primary care NPs. Ajzen’s Theory of Planned Behavior was utilized as the guiding framework for this project. An online email-delivered survey was distributed electronically through list-serv of a regional NP organization to recruit NPs who currently practice in adult outpatient primary care settings. The 36-item survey instrument consisted of three parts, including questions regarding provider & practice demographics, provider knowledge & practice behaviors, and attitudes & beliefs regarding PCOS. Twelve NPs completed the survey. Descriptive statistics were utilized for data analysis. Results suggest variations in provider knowledge, attitudes, and beliefs that may influence PCOS diagnosis and management in the primary care setting. NP knowledge, attitudes, and beliefs can play an essential role in identifying, diagnosing, and managing PCOS in the primary care setting. Findings may inform future development of resources for NPs to promote timely and evidence-based care for women with PCOS
Certified Registered Nurse Anesthetist Educational Workshop for Intraoperative Ketamine Use as an Analgesic in Adult Surgical Patients
No full textUB SON, DNP Research ProjectKetamine is a promising nonopioid anesthetic agent that presents tremendous potential for
intraoperative analgesic use as it avoids the host of negative effects brought on by opioids.
However, anesthesia providers do not use ketamine for analgesic purposes. This project aimed to
develop and execute an educational workshop for the analgesic use of ketamine in Certified
Registered Nurse Anesthetists caring for adult surgical patients. As result, this project expects to
increase CRNA comfort and usage of ketamine thus improving patient outcomes by the use of a
non-deleterious modality of analgesia. Kurt Lewin’s Theory of Planned Change is the framework
for this project. Lewin’s theory allows its user to introduce change that follows a linear pathway.
The execution of this study was of a non-experimental, post-intervention follow-up type design.
Foundationally, this project is an educational intervention based on extensive review of the
literature and participants acquisition via convenience sampling. This project was a harmless
educational intervention. Furthermore, institutional review board approval, consent, and
allowable participant withdraw from the study ensured safety. Data collected is anonymous and
deidentified for participant protection. Apart from scientific contribution and garnered
knowledge, participants did not receive any direct benefit from the study. The literature finds
immense benefits to intraoperative ketamine use. The delivering of an educational intervention to
practicing CRNA’s concerning the use of ketamine as an analgesic agent in adult-surgical
patients fosters a scientific basis for practice, encourages a less deleterious modality of analgesia,
and addresses a gap in many provider’s practice
Improving Compliance with Pediatric Asthma Treatment Protocols
No full textUB SON, DNP Research ProjectBackground and Significance: The Pediatric Asthma Program works with the pediatric population who present with a diagnosis of asthma to a medical center in Brooklyn, New York. Performance improvement measurements are to ensure that every pediatric patient with asthma receives clinical care in accordance with national guidelines. Purpose, Aims and Objective(s): The purpose of this project was to evaluate best practices in the treatment of pediatric asthma patients in a pediatric emergency department. Specifically, the project evaluated compliance with time from triage to administration of albuterol and prednisone and subsequent disposition to home or admission. Theoretical Framework: This project utilized the Plan Do Study Act framework, a mainstay in quality improvement efforts in healthcare. Methods and Design: A retrospective chart review for three months was conducted followed by an analysis to determine any relationship between timely receipt of albuterol sulfate and prednisone and discharge disposition. Results: There was a significant relationship between time to treatment of albuterol sulfate and between overall compliance with two measures and discharge disposition. However, the results did not indicate support for the time frame standards established by the Quality Improvement Committee. Patients who did not meet the time standard were more likely to go home. Future Implications and Recommendations: The treatment protocol should be revised to include asthma severity at triage. Conclusion: The recommendations in national asthma care guidelines did not correspond with improvement in discharge disposition. More analysis is required to determine what other indicators for treatment were present upon admission to the emergency department
Perspectives on Scholarly Communication: Volume 4
No full text2022, FallPerspectives on Scholarly Communication: Volume Four, like its preceding volumes, is a student-created open monograph. Graduate students in the University at Buffalo's Department of Information Science authored this compilation for the LIS 577: Scholarly Communication course during the fall term of 2022. Each chapter is the culmination of a student's semester-long investigation into an aspect of scholarly communication for which he or she has established an informed position. The text was developed under the Creative Commons license CC BY-NC-SA 4.0 as an open educational resource, which can be adapted for future sections of the Scholarly Communication course or for similar courses offered at other institutions
Evaluating Stress Levels of CRNAs and Their Perceptions of Additional Support in Response to the COVID 19 Pandemic
No full textUB SON, DNP Research ProjectBackground and significance: The emergence of the novel COVID-19 pandemic has increased the need for certified registered nurse anesthetists (CRNAs) to care for hospitalized patients. Working amid the pandemic places CRN As at risk of developing high levels of stress and anxiety. Purpose, Aims, and Objective(s): The aim of this study was to determine the relationship between CRNA role stress, redeployment and coping behaviors and evaluate the need for additional employer support resources. Theoretical Framework: The basis of this project is the Transactional Theory of Stress by Lazarus and Folkman. Lazarus and Folkman identify stress as the individual's perception of the stressor and coping as the continuous appraisal of the stimulus that determines their response. Methods and Design: This study is a descriptive design using a cross-sectional survey that utilized an adapted Perceived Stress Scale-IO and the Brief Cope to measure CRNA stress and coping related to redeployment. Results: The results demonstrated statistically significant associations between high stress and avoidance coping, female gender and increased stress, female gender and avoidance coping, education and approach coping, and redeployment and approach coping. Activities of interest to the sample included peer support, debriefing, education on mental wellness and mindfulness activities. Conclusion: These findings suggest that CRNAs are moderately stressed and they tend to use avoidance coping mechanisms, that are ineffective at managing their stress. Future Implications and Recommendations: additional research is needed to determine the long-term effects of avoidance coping on CRNA role performance