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Combating Moral Distress in Critical Care Nurses
No full textNursing is known as a caring, empathetic profession where nurses have deep responsibility to their patients. Nursing practice is complex, with increasingly ill patients and difficult situations that can produce ethical dilemmas; these situations can result in moral distress. Despite being common within the nursing profession, moral distress is not often discussed in nursing education or practice, and there is a lack of literature supporting effective interventions to combat moral distress in the nursing profession. The purpose of this project was to implement a pilot study introducing educational debriefing sessions and reduce moral distress in the selected critical care nursing populations by 25% post-intervention. The project included two critical care nursing units. Five, hour long educational debriefing sessions were conducted once per month. The MMD-HP was used to measure moral distress scores pre/post-intervention. A post-session survey was collected for feedback on the intervention. No significance can be designated to results as correlational studies could not be completed. Overall mean MMD-HP composite moral distress scores decreased; a 18.5% decrease in adult critical care participants and 19.7% decrease in neonatal critical care participants. Findings from the post-session survey and informal verbal feedback stressed the importance of education that focuses on the experience of moral distress in nursing in order to promote a healthy and sustainable nursing work force. Moral distress needs to be addressed in nursing
The Effects of Explicit Reading Comprehension Strategy Instruction on Comprehension of Elementary At-Risk Readers
No full textThe purpose of this study was to investigate the effects of explicit reading comprehension strategy instruction on the comprehension of elementary at-risk readers. This action research was a quasi-experimental study that included both quantitative and qualitative data. Participants within this study consisted of third-, fourth- and fifth-grade at-risk readers who received Title I pull-out small group reading intervention. The experimental group received lessons within their designated intervention program as scripted by the program that were accompanied with explicit reading comprehension strategy instruction. The scaffolded experience included explicit instruction, modeling, guided practice, and independent practice. Overall, the quantitative data collected indicated that explicit reading comprehension strategy instruction did not significantly impact the comprehension or fluency of at-risk readers. Eight of ten categories within the qualitative data also indicated no significant impact; however, two areas showed a significant difference. Despite the lack of evidential support, the data allowed for reflection of a variety of instructional practices. Due to a variety of limitations, it was planned that the explicit reading comprehension strategy instruction would continue with further data collection
The Importance of Early Screening for Post-Stroke Depression
No full textTo assess the need and significance of screening for depression in stroke patients early and often to decrease the incidence of post-stroke depression going undiagnosed
The Effectiveness of Dialectical Behavior Therapy in Reducing Suicidal Ideation
No full textTo assess the effectiveness of dialectical behavioral therapy on the reduction of suicidal ideation in adult populations with a diagnosis of a personality disorder and the proposition of implementing this treatment in a Veteran population
The Impact of Narcan Training & Availability on Opioid Overdoses
No full textTo assess the impact of availability and training of Narcan use to lay-persons in communities where emergency care may not be immediately availabl
Minimizing Patient Deterioration Using Early Warning Scores (EWS)
No full textTo determine the efficacy of Early Warning scores (EWS) for minimizing deterioration in acute hospitalized patients
Preventing Central Line-Associated Bloodstream Infections (CLABSI) in Intensive Care Unit (ICU) Patients
No full textTo assess the effectiveness of the use of the central venous catheter (CVC) insertion bundle in preventing bloodstream infections that are a common complication of catheterization among patients in the intensive care unit
Telehealth Counseling: Continuing Care
No full textTelehealth modalities had been used in the mental health counseling profession prior to the COVID-19 pandemic, though the recent pandemic has compelled more counselors to employ and consider the implications of use. Therefore, this research project surveyed licensed professional counselors and licensed marriage and family therapists to determine current and anticipated usage of telehealth modalities for counseling, as well as counselor perceived benefits, limitations, and barriers to continuing to provide telehealth counseling services after COVID-19. Twenty-six participants completed the online survey regarding tele-behavioral health counseling. According to the results, 65% of participants indicated that tele-behavioral health was not offered previously. However, 100% indicated that it was currently offered in different forms. With the evolving pandemic, it is important for counselors to consider how to access to continue care
