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Gaps in Knowledge and Barriers regarding Nurse Anesthesia Education and Doctoral Degree Preparation among hospital-based Critical Care Nurses and RN-BSN Students attending a large State University
No full textUB SON, DNP Research ProjectCertified Registered Nurse Anesthetists (CRNA's) safely administer more than 49 million anesthetics each year in the US. As of 2007 there was a shortage of 1,282 CRNA's which could limit access to high-quality care, especially in light of a growing demand for surgical procedures. The future supply of CRNAs may be dependent upon new CRNA's entering the workforce. The purpose is to investigate the state of knowledge and interest regarding Nurse Anesthesia education among hospital-based critical nurses and RN-BSN students. Objective was to create an informative brochure for nursing graduate services at a university and community based critical care nurses. The aim was to promote increased understanding of nurse anesthesia education, doctoral-degree preparation, and increased knowledge of the role of the CRNA. Porter and Lawler's Theory of Motivation formed the theoretical framework by explaining the relationship between motivation for a job, efforts expended to enter that career, perceived rewards of the career, and satisfaction. This study had a non-experimental, cross-sectional observation design consisting of a questionnaire which explored associations between demographics and the variables of job satisfaction and current bum-out level with knowledge and interest levels in nurse anesthesia. Participants were recruited via email (n=62). Results showed there was a significant negative correlation between job satisfaction and burnout, and between burnout and interest in a career as a CRNA (p = .000, p = .038). Burnout and CRNA knowledge were positively correlated (p = .038). ANOVA showed that younger participants reported a greater number of barriers to graduate education (p = .035). The mean correct score on knowledge-based questions was 6.87 out of 13, showing a gap in knowledge. Increasing nurse anesthesia knowledge and decreasing barriers to graduate education may help attract more
qualified candidates to CRNA programs. Further research should focus on effects of providing education on CRNA training and scope of practice
Video Abstract for: Ceiling Effects Indicate a Possible Threshold Structure for Working Alliance
No full textThis is an 8-minute video abstract for a journal article entitled, "Ceiling Effects Indicate a Possible Threshold Structure for Working Alliance," which is in-press in the Journal of Counseling Psychology. Topics include a brief rationale of the importance of the study, description of ceiling effects on psychological tests, a brief summary of methodology and results, interpretation of results, and implications. DOI for article and first author's email are supplied.This is an 8-minute video abstract for a journal article entitled, "Ceiling Effects Indicate a Possible Threshold Structure for Working Alliance," which is in-press in the Journal of Counseling Psychology. Here is the publisher's abstract: This review investigated whether ceiling effects on client-reported working alliance measures represent measurement artifacts or valid information related to the formation of the working alliance. Using data from two previously published meta-analyses, a total of 92 estimates of ceiling effects were calculated based on 37 studies with 6,439 participants. Analyses examined the size of ceiling effects, relation with demographic variables, type of alliance measure, and ceiling effect stability across sessions. Moderate to large ceiling effects appeared across score distributions of multiple measures of client-rated alliance, across time administered, and across different sample characteristics such as gender, age, and ethnicity. When examined with the Session Rating Scale (SRS), analyses indicated ceiling effects had a moderate correlation with session number. When SRS ceiling effects were examined in a single study with a large sample of complete cases (N = 2,990) across seven sessions, large initial ceiling effects continued to increase slightly in size across sessions. Higher ceiling effects were also observed with the Working Alliance Inventory. Given the prevalence and relative stability of ceiling effects on score distributions, working alliance scores do not exhibit the characteristics of a normally distributed continuous variable. While the working alliance has typically been defined in terms of theoretical content such as tasks, goals, and bond, study findings suggest another key element may be a threshold structure where clients shift to an experience of the therapeutic relationship as established. Discussion focuses on directions for alliance research and clinical practice as well as study limitations. (PsycInfo Database Record, copyright 2021 APA, all rights reserved
Perspectives on Scholarly Communication: Volume 2
No full text2020, FallPerspectives on Scholarly Communication: Volume Two, like its preceding volume, 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 2020. 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 in library and information science programs at other institutions
Psychological Testing Manual: Basic Concepts in Psychological Testing
No full textCover Image: Authored by: Scott T. Meier. Provided by: University at Buffalo. Content Type: CC Licensed Content, Original. License: CC BY-NC-SA: Attribution-NonCommercial-ShareAlike.This booklet helps the reader learn and review basic concepts of reliability and validity, types of psychological measurements (e.g., self-reports, observational strategies, qualitative assessments), and testing components (i.e., elements of test construction, administration, scoring, and interpretation). All of these elements influence a test's power to detect constructs of interest
Adult Oncology Nurse Practitioners’ Perspectives on Palliative Care: A Qualitative Study
No full textUB SON, DNP Research ProjectPalliative care provides symptom management, support, and care coordination for individuals with cancer. The purpose of this Doctor of Nursing Practice project was to explore the perceived barriers, facilitators, and level of comfort for initiating palliative care conversations, providing initial palliative care, and referring patients to specialized palliative care services among adult oncology nurse practitioners (NPs) working at a Western New York (WNY) National Cancer Institute-designated Comprehensive Cancer Center. The project aim was to increase NPs’ abilities to initiate palliative care conversations, provide initial palliative care, and refer patients to specialized palliative care services. A qualitative descriptive approach was utilized with individual semi-structured interviewing. Watson’s Philosophy and Science of Caring guided development of the semi-structured interview questionnaire. Braun and Clarke’s Reflexive Thematic Analysis method was used to analyze interview transcripts. The analysis of data generated one overarching theme, There Could Be a Better Understanding Throughout the Institution of What Exactly Palliative Care Is, and four key themes, We Don’t Use Our Palliative Care Department as Much as We Should or as Often as We Should, I Think That Any Patient That Needs It [Palliative Care] Should Have the Opportunity to Use It, Doctor and Patient Palliative Care Referral Obstacles, and There’s Not Enough [Palliative Care] Education. Findings revealed that palliative care education is needed for healthcare providers and patients at the project site; that there is a need for provider palliative care referral guidelines, policy, and criteria; and that improved palliative care interdepartmental communication and collaboration is needed
The Impact of a Recommended Clinical Practice Guideline Educational Module on Anesthesia Providers’ and Registered Nurses’ Confidence and Self-Efficacy in Identifying and Managing Postoperative Pediatric Emergence Delirium
No full textUB SON, DNP Research ProjectBackground and Significance: Pediatric emergence delirium (PED) is a postoperative complication that has become increasingly prevalent in the field of pediatric anesthesia. PED is not only a concern for the patient, caregivers, and healthcare providers, it is a complication that increases hospital costs and prolongs successful recovery among pre-school aged children. Anesthesia providers and post-anesthesia care unit (PACU) nurses are at the forefront for identifying and managing this postoperative issue, yet a gap in both knowledge and clinical practice remains. Purpose, Aims and Objective(s): The purpose of this Doctor of Nursing Practice (DNP) project is to examine the impact of a recommended clinical practice guideline educational module regarding the identification and management of pediatric emergence delirium and its correlation with self-efficacy and self-confidence amongst clinicians at a pediatric hospital in Western New York (WNY). Theoretical Framework: The Betty Neuman Healthcare Systems Model. Methods and Design: Anesthesia providers and PACU nurses employed at a WNY pediatric hospital were invited to voluntarily participate in this project via email. A baseline pre-survey regarding self-efficacy and confidence related to PED was emailed along with an educational module regarding a recommended clinical practice guideline. After viewing the module, the participants then filled out a post-survey. Survey Monkey was used to collect data. Results: Paired sample T-tests were used for analysis using SPSS 26. Statistical significance was not achieved regarding baseline knowledge levels in the pre and post surveys (p=0.95). Statistical significance was achieved regarding confidence (p=0.39) and self-efficacy (p=0.008) comparing the pre and post surveys
Healing with Poisons: Potent Medicines in Medieval China
No full textIncludes bibliographical references and index.This book is freely available in an open access edition thanks to TOME (Toward an Open Monograph Ecosystem)—a collaboration of the Association of American Universities, the Association of University Presses, and the Association of Research Libraries—and the generous support of the University at Buffalo Libraries. Learn more at the TOME website, available at: openmonographs.org.At first glance, medicine and poison might seem to be opposites. But in China's formative era of pharmacy (200-800 CE), poisons were strategically employed as healing agents to cure everything from abdominal pain to epidemic disease. Healing with Poisons explores the ways physicians, religious figures, court officials, and laypersons used toxic substances to both relieve acute illnesses and enhance life. It illustrates how the Chinese concept of du-a word carrying a core meaning of "potency"-led practitioners to devise a variety of methods to transform dangerous poisons into effective medicines. Recounting scandals and controversies involving poisons from the Era of Division to the Tang, historian Yan Liu considers how the concept of du was central to how the people of medieval China perceived both their bodies and the body politic. He also examines the wide range of toxic minerals, plants, and animal products used in classical Chinese pharmacy, including everything from the herb aconite to the popular recreational drug Five-Stone Powder. By recovering alternative modes of understanding wellness and the body's interaction with foreign substances, this study cautions against arbitrary classifications and exemplifies the importance of paying attention to the technical, political, and cultural conditions in which substances become truly meaningful. Healing with Poisons is freely available in an open access edition thanks to TOME (Toward an Open Monograph Ecosystem) and the generous support of the University at Buffalo.Healing with Poisons was made possible in part by a grant from the Traditional Chinese Culture and Society Book Fund, established through generous gifs from Patricia Buckley Ebrey and Tomas Ebrey. Additional support was provided by grants from the Chiang Ching-kuo Foundation for International Scholarly Exchange and the Julian Park Publication Fund of the College of Arts and Sciences at the University at Bufalo
An Educational Toolkit for Doctor of Nursing Practice Program Coordinators and Directors for Educating Future Doctor of Nursing Practice Prepared Nurses on Providing Culturally Responsive, Dignified, and Evidenced Based Healthcare for Transgender Individuals
No full textUB SON, DNP Research ProjectIn the United States, an estimated 1.4 million adults (0.6%) currently identify as transgender. On a daily basis, many transgender individuals experience stigma, hardship, and discrimination, including when accessing healthcare due to healthcare provider lack of transgender knowledge, understanding, cultural competence, and/or having an unwillingness to care for this population. Approximately one in three transgender individuals need to teach their healthcare provider about transgender individuals in order to receive appropriate care. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an educational toolkit for DNP Program Coordinators and Directors for their students based on current evidence-based research, recommendations, and guidelines regarding the healthcare needs of transgender individuals. The project aim was to increase knowledge and understanding regarding the healthcare needs of transgender individuals among future DNP prepared practitioners to promote transgender cultural competence and dignified, respectful, and compassionate care. Project objectives were to 1) conduct a comprehensive review of the literature focusing on the healthcare needs of the transgender population; 2) create an evidence-based educational toolkit including a voiceover PowerPoint presentation, test question bank, and educational resources for DNP prepared nurses focusing on healthcare needs of the transgender population; 3) have the toolkit content expert reviewed; and 4) disseminate the toolkit to DNP Program Coordinators and Directors for educational use in their programs. The Expert in Nursing Practice Model was utilized to guide this DNP project. To reduce existing stigma and healthcare disparities among the transgender population, future research and healthcare provider education are critically needed
Health Disparities and Social Determinants of Health: Current Clinical Practice of Screening and Referrals in Erie County
No full textUB SON, DNP Research ProjectBackground and Significance: Social Determinants of Health (SDoH) are economic and social circumstances, impacting health outcomes. These have disproportionately impacted minority communities. Healthcare policy reform objectives have moved toward value-based care to include SDoH, anticipated to impact health disparity. Purpose Aims and Objective(s): The purpose of this project was to assess SDoH screening and referral practices among primary care advanced practice registered nurses (APRNs) and clinicians in Erie County, impacting at-risk minority communities. The aim was to uncover practice plan differences, and barriers in addressing social care in the medical model. The objectives were to: survey clinicians on the implementation of social care in their medical practice. Theoretical Framework: The Donabedian Quality Model created by Avedis Donabedian, which focuses on structure, process, outcomes, and quality of care. Method and Design: Original, self-administered, anonymous, single web-based Survey Monkey. Recruitment included convenience sampling of APRN’s and clinicians in primary care in Erie County. Results: The Chi-Square test of screening frequency based on practice plan type was not statistically significant x2 (12) = 6.245, p=.903. 26% of participants reported that they are collecting SDoH in paper form or not at all. The single domain that showed a statistically significant association when examining practice plan differences was socialization/ isolation /communication x2 (16) = 27.83, p=.033. Clinician’s most frequent perception of barriers for screening and referrals was limited time and patient’s unwillingness to disclose information. Conclusions: This DNP project advanced academic scholarship by exposing the need for consistent screening of domains with an individualized workflow plan to include SDoH screening and referrals in the EHR. This project informed that continuing education is needed on healthcare policy reform that directly impacts patient care. Future Implications: Consistency for screening should be a regional policy goal imbedded within the EHR. Partnering with community organizations who address health equity for bidirectional care should be a priority. The gap in policy level knowledge by APRN’s and clinicians provides an area of opportunity for healthcare leadership. This would serve to improve the patients plan of care, health outcomes, lower cost, and reduce health disparity
Data Supporting "A Cross Sectional Survey of Attitudes and Barriers toward Pharmacist Services at Academic Dental Institutions"
No full textThis is a dataset of survey responses from a project assessing attitudes and barriers to pharmacists and their services in academic dental programs