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Evaluation of the Utilization of a Checklist for Management of Heart Failure Patients on a Cardiac Medical Unit in an Urban, Underprivileged Center for Cardiac Excellence
No full textUB SON, DNP Research ProjectBackground and Significance: Heart failure (HF) is a common, expensive, unpleasant, and deadly disease process that claims thousands of lives annually. HF affects those most vulnerable at higher rates than those of greater socioeconomic means. HF can have positive outcomes given evidence-based practice (EBP) measures such as standardization of care and close follow up. Purpose, Aims, and Objective(s): To evaluate factors contributing to frequent readmissions of HF patients on a cardiac medical unit in an urban, underprivileged center for cardiac excellence. A literature review, checklist tool development, data collection/analysis of 30-day HF readmissions, and preparation of a summary of recommended guidelines for the unit to administration which may lead to policy change or staff education. Theoretical Framework: Ronald Lippitt’s Theory of Planned change drove the projects path using his seven-phased approach. This framework will assist others who wish to pursue further study and change. Methods and Design: A comprehensive retrospective chart review using a tool modified from a validated reliable tool including 101 adult patients > 18years old, excluding those < 18 years old, readmitted within 30 days with a diagnosis of HF to a 61-bed cardiac medical unit in an urban center for cardiac excellence
Exploration of Mental Health Staff Levels of Occupational Stress and Their Perceptions of Care Related to Patients with Borderline Personality Disorder
No full textUB SON, DNP Research ProjectBurnout in mental health staff is associated with worsened productivity, staff well-being and patient outcomes (O'Connor et al., 2018). This project addresses a gap in literature regarding levels of staff burnout specifically related to care for patients with BPD. The purpose of this DNP project was to explore mental health staff members’ levels of burnout and perceptions of care related to patients with BPD at Brylin Hospital. This study aimed to guide future recommendations in order to improve staff well-being and patient care. Objectives of this project included a review of the literature, performance of a quantitative study, data analysis, determination of staff levels of burnout and perceptions of care, and recommendations for future guidelines. This project was guided by Jean Watson's Philosophy and Theory of Transpersonal Caring. A quantitative quasi-experimental study was conducted using a descriptive design through the administration of questionnaires. The sample size was 41 participants. One-way analysis of variance, cross-tabulations, chi-squares, and bivariate correlation tests were used to determine trends. Results of this study found that older participants and those with more years of experience had higher perceptions of care. Providers were found to have higher burnout scores compared to other job titles. A significant positive correlation was also found between personal, work-related and BPD-related burnout. This study concluded that Brylin staff would benefit from interventions to improve knowledge and reduce burnout and these recommendations were made to Brylin. Future studies should further evaluate the relationship between burnout levels and treatment of BPD
Self-Care for Mental Health Students and Professionals
No full textCover Image: "Photograph of a tree with three trunks, with the leaves beginning to turn from green to yellow." Authored by: Scott T. Meier. Content Type: CC Licensed Content, Original. License: CC BY: Attribution.This e-book shares and preserves the good work produced by University at Buffalo doctoral students who read the self-care book, Leaving It at the Office, as part of their advanced practicum course. Online links for the two editions of this book precede the preface. In our doctoral practicum course, students summarize and lead class discussions about each chapter, and these summaries are presented by chapter. Consequently, we used the chapters of this book as the framework for our e-book
Perspectives on Scholarly Communication: Volume 3
No full text2021, FallPerspectives on Scholarly Communication: Volume Three, 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 2021. 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
Effect of Ketamine on Postoperative Opioid Requirements among Colorectal Surgery Patients: A Retrospective Analysis
No full textUniversity at Buffalo, School of NursingColorectal cancer is primarily treated with surgery which involves high morbidity and mortality. Opioids are standardly administered during surgery for pain and cause complications such as ileus, respiratory depression, and death. An enhanced recovery after surgery (ERAS) protocol at a local community hospital includes administration of ketamine as an adjunct pain medication to minimize opioid use. This project determined the effect of intraoperative ketamine on postoperative opioid requirements 24 hours after induction of anesthesia as part of the ERAS protocol for adult colorectal surgery patients (age 18 or older) in comparison to adult colorectal surgery patients who did not receive ketamine. The Donabedian framework guided the project design, method, and data collection. The objectives were to: (a) conduct a retrospective chart review to compare opioid requirements of colorectal surgery patients who are pre-and post-ERAS protocol implementation, and (b) contribute evidence in support of or against the use of intraoperative ketamine as an analgesic adjuvant for colorectal surgery patients. The aim was to provide statistical evidence that supported or refuted the use of ketamine for colorectal surgery patients.. A total of 97 charts were included in the retrospective analysis. There was a negative correlation between the variables of age and total intravenous (IV) Morphine Milligram Equivalents (MME), r=-.382, n=97, p=0.00. ANOVA, ANCOVA and Chi Square Tests revealed no statistical significance in total opioid requirements between the ketamine group and the non-ketamine group. This project revealed that half of the patients in the ketamine group did not receive ketamine correctly. Future research implications include encompassing a larger sample size, extending the chart review to include a more balanced sample, and increasing compliance with correct ketamine administration
Data supporting "MLA Colleague Connection: A Transition to a Virtual Mentoring Program"
No full textA survey was distributed to people that participated in a virtual mentoring program called Colleague Connection, which is run by the Medical Library Association Membership Committee. The survey was completed in February 2021
Faculty Perceptions of an OER Stipend Program
No full textThis is an Accepted Manuscript of an article published by Taylor & Francis in New Review of Academic Librarianship on 2021-11-16, available online:
http://www.tandfonline.com/10.1080/13614533.2021.2000452This study recounts the experimental implementation of a stipend program to incentivize and reward instructor use of open educational resources (OERs). The authors leveraged a statewide initiative to develop an award system based on specific criteria, and 24 instructors qualified. The authors surveyed awardees to explore their perceptions of using OERs and the utility of incentivizing that practice. All survey participants reported that the use of OERs had a highly or moderately positive impact on student learning and engagement. The majority of participants indicated curricular needs and textbook costs as the primary motivations for originally creating or adopting OERs; only one-third qualified the stipend program as either highly or moderately incentivizing. Participants also reported how they used their stipends, the challenges to OER adoption, and their recommendations for how to incentivize the practice. The authors discuss the implications for OER stipend programs generally, and they propose future research directions
Ordinary Beauty: An Unashamed Manifesto for LibGuides
No full textI’ll admit it upfront: in our present moment, LibGuides are nothing new or revolutionary. Especially in the last decade, LibGuides have gone from being the latest shiny object to an established tool among academic librarians for the organization and presentation of library resources. Nearly everyone thinks about their guides, or even worries about them; spends time creating and maintaining them; expends energy pushing them out to their various audiences; and nearly everyone grumbles about them – about the cost of the licensing, the learning curve for the software itself, the limitations of available design options, or the difficulty of creating a guide that the target audience of patrons takes up as their own, explores independently, and uses consistently. Most of us necessarily view the creation of clear and effective guides as a vital part of the work we do, and yet most of us would also admit that the chief users of the public-facing guides we create, despite our best efforts, are typically other librarians. Having faced pressure on many occasions to create or revise guides quickly, we tend to continue doing so even when we might have leisure to go about the job with more circumspection. Having encountered countless guides created by other librarians that mostly follow the same design script, we tend to reproduce that same script, whether from the need to save time and energy, the need to make the guide itself comprehensible according to accepted conventions and expectations, or from sheer lack of imagination. In other words: having performed a task ourselves, or seen others perform it, in the same way over and over again, we imagine that the way it’s always been done is the only way to do it
Defining Barriers to the Use of High-Flow Nasal Cannula by Certified Registered Nurse Anesthetists for Difficult Intubations among Cancer Patients
No full textUB SON, DNP Research ProjectBackground and Significance: Certified Registered Nurse Anesthetists (CRNAs) are often required to perform difficult intubations that require periods of apnea, especially in patients with head and neck cancer pathology. The use of High-Flow Nasal Cannula (HFNC) in these patients can preserve safe oxygen and carbon dioxide levels for a prolonged time during establishment of an airway. However, despite its known efficacy, HFNC is underused. This gap in practice was explored in this Doctor of Nursing Practice (DNP) project.
Purpose: The purpose of this project was to determine barriers to using HFNC during difficult intubations of adult, cancer patients.
Physiologic framework: HFNC provides apneic oxygenation because of the disparity in oxygen absorption and carbon dioxide excretion.
Methods and Design: A 24 question survey was created to identify CRNA perceptions of barriers to the use of HFNC and was distributed via SurveyMonkey. Three questions were text based; 12 used Likert scales to measure level of agreement with potential barriers.
Results: The COVID-19 pandemic prevented in person recruitment and only six of the 11 CRNAs participated in the study. Text based comments confirmed difficult intubations in cancer patients, HFNC knowledge deficits, and difficulty changing practice. Descriptive statistics suggested support for more education and guidelines for HFNC use in difficult intubations.
Conclusion: A policy was drafted and presented for review at the study site.
Future Implications and Recommendations: Future research is needed to explore the impact of the policy presented