Parkview Health Research Repository
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774 research outputs found
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“Picture this!“: Innovative Approach to HAPI Reduction in a Surgical Trauma Neuro ICU
No full textPresented at the Nursing Research Symposium 2023
The primary purpose of this qualitative improvement project was to increase frequency of photos by bedside staff leading to a picture-perfect view and a story of the patient’s skin. Additionally, the purpose included: Decrease HAPI rate in STICU Develop Higher Standard of Care r/t Skin Educate patients and families on importance of skin r/t illness while hospitalize
Does Alcohol Consumption Influence People\u27s Perceptions of Their Own and a Drinking Partner\u27s Ability to Consent to Sexual Behavior in a Non-sexualized Drinking Context?
No full textThe purpose of this study was to examine the extent that alcohol consumption affected participants\u27 perceptions of their own and their friend\u27s ability to consent to sex in a non-bar drinking environment. We interviewed 176 people at tailgates in dyads about their own and their friends\u27 alcohol consumption, intoxication symptoms, and ability to consent. Participants reported consuming a mean of 4.6 drinks and had a breath alcohol concentration (BrAC) of .075 on average, but few thought they or their friend had diminished cognitive function. Accordingly, 92.6% indicated they could consent to sex and 81.8% indicated their friend could consent to sex. Number of drinks people reported consuming, self-reported intoxication levels and symptoms, and BrACs were not significantly related to participants\u27 perceptions of their own or their friends\u27 ability to consent to sex. However, gender pairing of the dyad was significant; those in man-man pairs were more likely than those in woman-woman pairs to indicate their friend could consent and they would allow their friend to have sex if approached by an interested party. Participants also indicated that they did not perceive themselves or their friends to be too intoxicated as common reasons why they believed they and their friend could consent. Because alcohol-facilitated sexual assault is common among college students, we recommend sexual assault prevention educators focus on raising awareness regarding alcohol\u27s negative cognitive effects, particularly related to consent communication
Development, Validation, and Reliability of a P1 Objective Structured Clinical Examination Assessing the National EPAs.
No full textThis teaching and learning evaluation describes the process used to develop, validate, and assess reliability of an objective structured clinical examination
ABSTRACT
OBJECTIVE: To document the performance of first-year pharmacy students on a revised objective structured clinical examination (OSCE) based on national entrustable professional activities, identify risk factors for poor performance, and assess its validity and reliability.
METHODS: A working group developed the OSCE to verify students\u27 progress toward readiness for advanced pharmacy practice experiences at the L1 level of entrustment (ready for thoughtful observation) on the national entrustable professional activities, with stations cross-mapped to the Accreditation Council for Pharmacy Education educational outcomes. Baseline characteristics and academic performance were used to investigate risk factors for poor performance and validity, respectively, by comparing students who were successful on the first attempt with those who were not. Reliability was evaluated using re-grading by a blinded, independent grader, and analyzed using Cohen\u27s kappa.
RESULTS: A total of 65 students completed the OSCE. Of these, 33 (50.8%) successfully completed all stations on first attempt, and 32 (49.2%) had to re-attempt at least 1 station. Successful students had higher Health Sciences Reasoning Test scores (mean difference 5, 95% CI 2-9). First professional year grade point average was higher for students who passed all stations on first attempt (mean difference 0.4 on a 4-point scale, 95% CI 0.1-0.7). When evaluated in a multiple logistic regression, no differences were statistically significant between groups. Most kappa values were above 0.4 (range 0.404-0.708), suggesting moderate to substantial reliability.
CONCLUSION: Though predictors of poor performance were not identified when accounting for covariates, the OSCE was found to have good validity and reliability
Overview of Pharmacist Diabetes Outcomes in the Primary Care Setting.
Get PDFPresented at the ASHP Midyear Clinical Meeting. December 2023.
The objective of this project was to evaluate the effectiveness of pharmacist-led primary care diabetes management by measuring changes in hemoglobin A1c in comparison to usual care
Evaluation of Diabetic Ketoacidosis Management: Comparing the Effectiveness of Computer Program-Directed vs Physician-Directed Intravenous to Subcutaneous Insulin
Get PDFPresented at the ASHP Midyear Clinical Meeting. December 2023.
This project compared effectiveness of computer-directed versus physician-directed intravenous (IV) to subcutaneous (SC) insulin transition in patients with diabetic ketoacidosis (DKA) by retrospectively reviewing blood glucose values and DKA recurrence
A Review of Guideline Directed Medication Therapy Adherence for Patients with Asthma.
Get PDFPresented at the ASHP Midyear Clinical Meeting. December 2023.
This project evaluated a health system’s prescribing adherence to the 2022 GINA guideline update for inhaled corticosteroid (ICS) in combination with a long-acting beta agonist (LABA) as preferred reliever/rescue therapy for asthma within the ambulatory setting
Parents\u27 Desire to Change Phone Use: Associations with Objective Smartphone Use and Feelings About Problematic Use and Distraction.
Get PDFWe examined objective smartphone use (via a mobile sensing application) and self-reported desire to change phone use among a sample of 268 U.S. parents of infants. Using the Transtheoretical Stages of Change model as a conceptual foundation, we contextualized their attitudes and behaviors and explored how phone use and desire to change relate to perceptions of distraction and problematic phone use around their child. Latent profile analysis of parents\u27 precontemplation, contemplation, and action scores revealed two classes-precontemplators (15%) and contemplators (85%). Contemplators-those considering or desiring change-showed more bedtime phone use and general social networking than precontemplors; however, there were no significant differences between groups on other objective use measures (e.g., total daily duration of phone use, phone use around child, etc.). Contemplators also showed greater perceptions of problematic use around their child and parenting distraction. Moreover, parents\u27 problematic use and distraction were predictive of higher contemplation scores, even after controlling for demographic and objective phone use variables. Taken together, these results suggest that perceptions of phone use as problematic may be more important than actual phone habits, especially total phone use duration, for desire to change. Suggestions for future research and intervention are provided
Expert Q&A: What to consider for ICU universal MRSA decolonization What’s the break-even point for a CHG bath and nasal decolonization?
No full textExpert Q&A: What to consider for ICU universal MRSA decolonization What’s the break-even point for a CHG bath and nasal decolonization?
Table of contents:
Clinician resistance
Decision makers and stakeholders
Starting with implementation
Pros and cons of universal decolonization
The future of universal decolonization
Full Text available through lin
Pulmonary & Critical Care Insider: Issue 2
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Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The goal of this newsletter is to give a brief summary of the most pertinent articles to everyday practice and an attempt to keep up with literature as best as possible. Newsletters go out every 1-2 months.
Summaries/Topics in this issue: Spontaneous Breathing Trials Enteral feedings EFFORT Protein trial The NUTRIREA-3 trial Veno-venous extracorporeal carbon dioxide removal (vv-ECCO2 R) Acute hypoxemic respiratory failure (AHRF) Penicillin allergy PEN-FAST score Etomidate increases mortality SPICE III Albumin for cirrhotic patients in septic shock Blood cultures from A line
Medication Use Evaluation of IL-17 and IL-23 inhibitors at a Large Health System.
Get PDFPresented at the ASHP Midyear Clinical Meeting. December 2023.
This project evaluated the appropriateness of interleukin (IL)-17 and IL-23 inhibitor usage within Parkview Health, in both inpatient and outpatient settings