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Identifying Patients Requiring a Post Intensive Care Syndrome Clinic Appointment
No full textDefinition: Post Intensive Care Syndrome (PICS) is new or worsening psychological, cognitive, and physical symptoms lasting beyond hospitalization after an ICU stay. Include muscle weakness, visual disturbances, anxiety, depression, difficulty with remembering, concentration, and talking. Background: Concern PICS is becoming a public health crisis. Substantially impacts patients, families, and the healthcare system. Problem: Too many patients meeting the criteria for a PICS clinic appointment but not enough appointments available. Purpose: Determine identifiable risk factors that could help predict those patients most in need of a PICS clinic appointment
Program Evaluation of Registered Nurse/Licensed Practical Nurse Model
No full textThis scholarly project evaluated the effectiveness and efficiency of a newly implemented care model involving RN-LPN team nursing within a midwestern healthcare system. A mixed methods study design was used to complete the program evaluation across the 4 rural critical access hospital sites. Medication error rates (6 months prior to and after implementation) and staff satisfaction were used to evaluate the effectiveness and efficiency of the new care model. Eligible staff members (n = 149) were provided with different options to submit input regarding the new care model; online questionnaire or 1:1 interview. Of the 149 staff members, 6 were non-nursing and 143 were nursing staff. Data were analyzed using non paired t test, ANOVA, and thematic analysis. Results are as follows: non paired t test at three sites; p = .47, .65, and .33; ANOVA: p = .19, indicated there was a change in the occurrence of medication errors with the new model, but it was not statistically significant. Fifty-nine questionnaire participants (n = 59/143, 41%) yielded 67.2% felt it was beneficial to staff LPNs, 83% felt they understood the scope of practice, and 63.3% felt an LPN is a positive addition to staffing. All 12 interview participants agreed the LPN is a positive addition to the staffing mix and felt the scope of practice is understood. This evaluation supports the new RN-LPN model to be as effective and efficient as the previous model; however, further research is recommended
Systemic Racism in American Healthcare
No full textSocial workers are responsible for advocating for positive change in society and policy. Historically, social workers have participated in the marginalization of BIPOC populations within the healthcare system. Even though discrimination has been outlawed, systems still are prejudiced against people of color. This still occurs in the healthcare system, where multiple disparities can be seen between White and marginalized populations
Clinician Experiences: Supervision and Roles on Juvenile Drug Court Teams
No full textResearch has shown that clinical supervision is an important part of a mental health professional's growth and skill development. Some research supports the idea that supervision helps maintain the clinician's wellness and can impact client outcomes. Additionally, in the supervisor-supervisee relationship, the supervisor has the responsibility of protecting the client and the public. Clinicians who serve populations with a high risk of mental health and substance use disorders, traumatic experiences, and self-harm and suicidal behaviors have been shown to be at high risk for compassion fatigue, vicarious trauma, and burnout. An example of this are mental health professionals who work on Juvenile Drug Court Teams. The purpose of this study is to explore the lived experiences of mental health professionals who work on Juvenile Drug Court Teams. Limitations, recommendations for future research, and implications are discussed
Festival Foods Accounting Internship
No full textOn January 16th , 2023, I began my accounting internship with Festival Foods. I worked with the sister company, Hometown Grocers Inc., which has been developing its processes since branching from Festival in 2021. This unique engagement allowed me the ability to work on various projects from basic accounting to unique development tasks in the accounts payable department. From my first day I was completely engaged in the work and values HGI provided. I was immediately able to contribute and manage vital work for core projects and hold meaningful discussions with coworkers and supervisors, hereby providing me with valuable work experiences and connections. My internship was supported by my supervisor, Dora Bollom , who aided me throughout each task and provided me with new and exciting duties applicable to my degree. I enjoyed working in a workplace that shared and supported my values, such as community. Employees regularly get together to work for our communities for various projects and events. On the inside Festival treats its employees like family with team building exercises, such as the daily huddle, where all employees meet and share news and stories
Clinician Experiences: Supervision and Roles on Juvenile Drug Court Teams
No full textResearch has shown that clinical supervision is an important part of a mental health professional’s growth and skill development. Some research supports the idea that supervision helps maintain the clinician’s wellness and can impact client outcomes. Additionally, in the supervisor-supervisee relationship, the supervisor has the responsibility of protecting the client and the public. Clinicians who serve populations with a high risk of mental health and substance use disorders, traumatic experiences, and self-harm and suicidal behaviors have been shown to be at high risk for compassion fatigue, vicarious trauma, and burnout. An example of this are mental health professionals who work on Juvenile Drug Court Teams. The purpose of this study is to explore the lived experiences of mental health professionals who work on Juvenile Drug Court Teams. Limitations, recommendations for future research, and implications are discussed