OHSU Digital Collections (Oregon Health and Science University)
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Caring for transgender patients: an educational intervention to improve staff knowledge
Get PDFThis DNP project developed and delivered a healthcare training on transgender health for primary care staff. Pre- and post-intervention surveys showed improved knowledge and comfort in caring for transgender and gender diverse (TGD) patients and overall, participants found the session helpful. These results support literature recommendations and advocate for similar trainings to address health disparities and healthcare barriers for TGD patients
Improving patient access: integrating an in-house physical therapist for streamlined musculoskeletal and neurological care in an internal medicine clinic
Get PDFPrimary care providers frequently encounter patients with musculoskeletal conditions, yet referrals to physical therapy often result in prolonged wait times and limited availability, leading to poor patient compliance (McKay et al., 2021). This quality improvement project aimed to optimize physical therapy services within an internal medicine clinic by integrating a physical therapist into scheduled hours twice a week. The objectives were to identify areas for improvement in the delivery of physical therapy services, enhance patient care experiences, and foster interdisciplinary collaboration among healthcare providers
Improving the medical monitoring of patients on antipsychotic medications
Get PDFAntipsychotic medications can be essential for managing psychiatric disorders, though adverse effects are associated with significant risks that can reduce life expectancy. Despite existing clinical practice guidelines designed to prevent patient harm, adherence to medical monitoring protocols remains inadequate. This quality improvement project aimed to improve medical monitoring practices for 116 patients on antipsychotic medications at an outpatient mental health clinic, utilizing the Institute for Healthcare Improvement’s Plan-Do-Study-Act model. Interventions included the development of a written policy and systematic identification of patients requiring routine monitoring. Although the specific aim of achieving 75% policy compliance was not met, significant improvements were observed across individual parameters and medical monitoring practices overall. The project was limited by the 12-week implementation period and dependence on a specific electronic health record (EHR) system that was subject to change outside the project's control. Recommendations for future efforts were informed by a survey distributed to clinicians, including continued focus on addressing system-level barriers and advocating for practical changes within the EHR to improve sustainability
Celebration of trans joy
Get PDF This poem is about the ways in which community healing contributes to the resilience and joy of transgender and queer individuals.This project was created as part of Narrative Competence for Health Professionals, an interprofessional education course. </p
Interview with Rosalie Caffrey, R.N., M.S., Ph.D.
Get PDFRosalie Caffrey, R.N., M.S., Ph.D. is a nurse and instructor who taught in Southern Oregon University's School of Nursing beginning in 1976. She continued on after the school’s merger with Oregon Health and Science University in 1992 and retired in 2004. She earned a Ph.D. in Philosophy of Anthropology from the University of Oregon. After retirement, Caffrey briefly returned to OHSU to serve as Interim Associate Dean of the Southern Regional Campuses. Notably, Caffrey introduced Anthropology of Medicine courses to the OHSU curriculum after completing her Ph.D. In this interview, Dr. Caffrey discusses the trajectory of her career, her opinions on the healthcare system, the merger of Southern Oregon University School of Nursing with OHSU, and the importance and implementation of nursing theory. She also shares her experiences studying the anthropology of aging and addiction in Thailand, finding community in church, continuing nursing post retirement, and the changing landscape of cultural competency in medical settings
