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CRNA burnout: a multicenter survey across the veteran affairs health system
Burnout is a syndrome that results from unmanaged chronic workplace stress and is recognized in the 11th Revision of the International Classification of Diseases (ICD-11). A survey was conducted across the VA medical system to assess burnout rates among Clinical Nurse Research Associates (CNRAs). The aim of the survey was to determine the general prevalence of burnout within this population
Uncovering the architecture and Ca2+-dependent mechanism of the human bile acid-sensitive ion channel
The structural and functional characterization of the human bile acid ion channel in the presence and absence of calcium are discussed
Where white coat meets black belt: recognition & prevention of head injury in combat sports
Combat sports such as boxing, wrestling and mixed martial arts are a popular pastime, well-known for key characteristics, most famously being their brutality. The very practice of combat sports carries inherent risks of bodily injury, of particular concern being injuries to the head which have consequences that range from mild and temporary to prolonged and disabling.Despite this, millions of people practice in combat sports daily in the United States alone. Healthy People 2030 highlights that current head injury prevention efforts in the U.S. are inadequate. Fortunately, there are ways to improve these metrics that combine the expertise of coaches, the education of clinicians and the passion of combat sport athletes to improve head injury incidence and outcomes
Improving provider knowledge of chronic wound management strategies: a quality improvement project
This project was designed to disseminate information to established providers about appropriate care for chronic non-healing wounds in a manner that addresses the underlying cause of the non-healing state. A one-hour presentation was delivered that focused on step-wise factors which impair healing
Understanding pupillometry in neuroscience critical care patients: a look at clinician usage, understanding, and perspective
This project performed a historical chart review on patients admitted to the neuroscience intensive care unit with documented pupillometry use, followed by a clinician survey informed by chart findings. Findings showed no consistent indications for pupillometry use. Utilization was highest amongst patients with hemorrhagic strokes, though practice varied. Survey results demonstrated that clinicians perceived pupillometry as a valuable tool, however providers often felt that the data was not regularly utilized in their clinical decision making. The absence of a standardized guideline or protocol contributes to variability in pupillometry use and limited understanding of its clinical significance. Additionally, pupillometry appeared to be utilized in response to clinical deterioration rather than as a part of routine monitoring. These results suggest a potential education gap around device usage and results interpretation
Mindful analysis of informatics tools’ clinical utility in genomics: proposal for an expanded sociotechnical model framework
This work reviews the technical, clinical and ethical complexities related to use of genomic data to provide clinical informaticists a framework to evaluate the utility and risk of tools using genomic data