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Fruit and Vegetable Consumption in College-Aged Students and Associated Barriers
No full textUniversity students experience a variety of life changes during the college years, including an often new-found sense of independence, decision-making, and more. Dietary habits during this time may look significantly different than prior to college. This study aimed to look at fruit and vegetable consumption of university students at Viterbo University in La Crosse, Wisconsin in relation to the United States Department of Agriculture (USDA) dietary recommendations. A total of 61 responses were collected, and 49 were used. Participants were asked a number of questions regarding their average fruit and vegetable consumption, their knowledge of USDA recommendations, how they perceive their intakes, and their barriers to consuming the dietary recommendations. Survey results showed that over 80% of students were not aware of the USDA recommendation for daily fruit and vegetable intake. Additionally, 59% of students reported they do not think they consume enough fruit daily, and 71% reported they do not think they consume enough vegetables daily. The most common barriers reported included cost, access, and preparation knowledge. These results may help in developing future educational materials and providing resources for college-aged students
Bedside Report (BSR) Improves Nursing Communication and Patient Safety
No full textThe purpose of the research is to examine how BSR affects patient safety as well as how it affects communication between all nursing staff
Impact of Chronic Care Management on Diabetes: A Program Evaluation
No full textMore than half of U.S. adults have at least one chronic illness. Individuals with chronic illnesses are more likely access healthcare and pharmaceutical services. A small, independent, rural healthcare system implemented a Chronic Care Management (CCM) program to improve care coordination and health outcomes of patients with diabetes. This project was an evaluation of the CCM program to determine the effectiveness of participation in the program at reducing health outcomes and tertiary healthcare utilization. A retrospective chart review was performed to compare pre-and post-enrollment data. For all patients, the difference between Hb A1c pre-enrollment and Hb A1c post-enrollment was statistically significant (p < .001). Although there was a decrease in the frequency of ED visits, there was not a statistically significant change between pre-enrollment and post-enrollment. Similarly, there was not a statistically significant change between hospital admissions and readmissions when comparing pre-enrollment and post-enrollment. The results of this program evaluation suggest that nurse-led CCM is effective at improving patient health outcomes, such as Hb A1c, in individuals with type 2 diabetes. Participants also experienced fewer tertiary healthcare visits. Patients and healthcare organizations would continue to benefit from a healthcare delivery model which incorporates care coordination services
"More Competency, Please": Exploring Counselor Educators' Experiences Cultivating Disability Competence.
No full textThe purpose of this study was to explore counselor educators' experiences cultivating disability-related competence in counseling programs accredited by the Council for Accreditation of Counseling and Related Programs (CACREP). Consensual qualitative methodology (CQR), semi-structured interviews, and a demographic questionnaire were used to collect data from counselor educators (N = 11) infusing disability-related content into counseling courses across specialty areas. Following the rigorous processes as outlined in CQR methodology, the analysis team examined the data individually and reached consensus on three domains to include: ableism exists, deficiencies, and competence. The findings of the current study require a compulsory focus concerning disability equity in society and within the counseling profession
The Impact of the Covid-19 Pandemic on Burnout in Filipino Nurses
No full textBurnout has been a challenge that nurses have faced throughout history, but the rate of burnout has increased significantly since the COVID-19 pandemic began. Nurses across the world have worked the frontlines of the pandemic through some of the most difficult times healthcare has seen, but their work did not come without a cost. The purpose of this study was to evaluate the impact that the Covid-19 pandemic had on burnout in Filipino nurses. A qualitative study was conducted using surveys, observational data, and interviews with nurses who worked at Western Visayas Medical Center, a government-run hospital, in Iloilo, Philippines. The results showed several commonalities among the nurse's reports that were related to burnout. Some of these common factors included understaffing, lack of resources, high-stress environments, and feelings of isolation. Although these factors increase the prevalence of burnout in nurses, the nurses also reported an increased sense of pride in their work and overall persistence related to the pandemic
Non-Invasive Positive Pressure Ventilation During Endoscopic Procedures
No full textA retrospective quality improvement project was conducted to compare the use of non-invasive positive pressure ventilation (NIPPV) with passive oxygen devices, such as nasal cannulas and non-rebreather masks. The patient population included adult patients aged 18-80 years old, with a body mass index (BMI) ≥ 35 kg/m² and/or a diagnosis of obstructive sleep apnea. The procedures evaluated were esophagogastroduodenoscopy and/or colonoscopy, collectively termed endoscopic procedures. Patients were under moderate to deep sedation with anesthesia care. Results evaluated included hypoxemic events, hypopneic events, and time to discharge. The demographic data showed a statistically significant difference with a higher BMI in the experimental group (p < .001). Five patients had at least 1 episode of hypoxia in the control group compared to 4 patients in the experimental group, which was not statistically significant (p = .542). There were 11 patients that experienced hypopnea in the control group and 11 patients in the experimental group, which also was not statistically significant (p = .526). The mean discharge time in minutes in the control group was 46.5 ± 14.5 and 48.0 ± 15.7 in the experimental group, which was not statistically significant (p = .640). It can be inferred that the anesthetists were already incorporating NIPPV for patients with higher BMIs. Outcomes between the two groups were similar, suggesting that NIPPV is already lowering the risk of adverse events in patients with a higher BMI
Importance of Multimedia Education in Anesthesia: Difficult Airway Cart
No full textEmergency airway procedures are rarely performed during general anesthesia. In many situations, once a difficult airway situation arises anesthesia providers can feel overwhelmed due to lack of hands-on experience. The goal of this project was to increase CRNA knowledge and confidence of the difficult airway cart and the contents within it through a multimedia education intervention. Sixteen CRNAs participated in this project and were asked to complete a preevaluation and then a post-evaluation assessment once they completed the multimedia education intervention. Knowledge levels were assessed by difficulty index scoring and confidence levels were assessed with a rating system. The mean knowledge levels were 53.9% on the preevaluation assessment and increased to 85.9% on the post-evaluation assessment. The mean confidence levels from the five questions were 14.9 points per CRNA on the pre-evaluation assessment and increased to 20.3 points on the post-evaluation assessment. These results from the pre- and post-evaluation assessments demonstrated that multimedia education via a PowerPoint with pictures and video can increase CRNA knowledge and confidence levels of rarely used emergency airway equipment
Sodium Intake in College Students
No full textOverconsumption of dietary sodium can cause high blood pressure (HBP), leading to further health complications such as cardiovascular disease (CVD) and coronary artery disease (CAD). This pilot study aimed to assess salt related knowledge and whether nutrition education effects dietary intake of sodium in college aged student to determine if a larger-scaled study using the same methods was feasible. Ten university students were recruited to participate in a Salt Presentation in which 2 followed-up. Sodium intake was assessed 2 weeks before the evidence-based educational workshop and 2 weeks after. The main outcome measures were consumption of high sodium foods at home and dining out frequency to determine if nutrition education would decrease average sodium intake. A statistical analysis was unable to be performed to assess the relationship of participants reporting sodium intake and outcomes measured due to small sample size. Knowledge and cooking methods related to salt reduction improved post-intervention. Practices that improved following the 4-week intervention period included never adding salt to foods at the table, increase in the use of spices, and decreased convivence food consumption. The educational intervention had a positive impact on salt-related knowledge and practices, but the effect is not able to conclude long term habits to evaluate dietary patterns and overall health benefits
Helping Families Recognize Early Stages of Delirium in Loved Ones on Hospice Services
No full textDelirium is a frequent and often undiagnosed end of life complication yet, many family caregivers with loved ones on hospice services lack the ability to recognize signs of delirium in the early stages. This project was aimed at examining whether providing an evidence-based educational tool regarding delirium to family caregivers with loved ones on hospice services, improved recognition of delirium symptoms and initiated contact with hospice within 12 hours of the onset of symptoms. A quality improvement project was conducted which included the development of an evidence-based educational tool in which hospice case managers were provided education regarding the evidence-based educational tool, they presented the tool to the loved ones on hospice services and the family caregivers, then documented the education. Retrospective pre/post intervention chart review was completed to assess the effectiveness of the educational tool in the caregiver’s ability to recognize and contact hospice within 12 hours of the onset of symptoms. Documentation of the education provided to family caregivers was completed 50% of the time. Results regarding time of notification of delirium symptoms showed no statistical difference. There was a statistical difference in family caregivers recognizing the delirium symptoms. Providing an evidence-based educational tool regarding delirium symptoms, non-pharmacological interventions and hospice contact information remains an important aspect in helping improve family caregivers’ ability to recognize early signs of delirium and to promoting comfort. Further research is needed regarding the outcome, perception, and effectiveness of education given, especially in a home-setting. Consideration of a systematic documentation process regarding delirium education given to family caregivers is warranted
Rural Mental Health Communities with Comorbid Disorders: Trauma Work and Addiction Psychotherapies
No full textThe purpose of this needs assessment was to take a deeper look into the barriers that affect underdeveloped populations such as rural residents when seeking counseling services, particularly within the field of trauma work and substance use. A survey was sent to individuals in the mental health counseling field within the Western Region of Wisconsin to ascertain the level of adequate treatment provided in rural communities. It was hypothesized that rural communities would receive less than adequate treatment services all around. Therefore, the finalized results and need for further research will be discussed in full throughout this action research project to create a better-informed united front of mental health providers. The understanding of various services and what stands in the way for some communities is the first step in making a change in the effort to provide mental health counseling resources for all