Sigma Repository
Not a member yet
16599 research outputs found
Sort by
Harnessing the LISTEN-SORT-EMPOWER Framework to Engage the Nursing Workforce in Understanding their Drivers of Burnout
No full textBurnout in nursing has become a pandemic in and of itself during the COVID-19 pandemic. This presentation provides an evidence-based strategy for healthcare leaders and teams to identify the upstream drivers of burnout among their nursing workforce, thus empowering nurses and healthcare leaders to develop appropriate and relevant solutions.
Detailed abstract attached
Let’s Move! Using Exercise Apps to Encourage Nurses’ Physical Activity and Well-Being and Reduce Burnout
No full textNursing leaders collaborated with a university-based health psychologist and his research team on a study to support a healthy nursing workforce by promoting nurses’ physical activity through the use of mobile exercise apps. Preliminary results will be shared.
Detailed abstract attached
Diabetic foot ulcers: Prevention, assessment and management (3rd ed.)
Get PDFThe purpose of this guideline is to provide nurses and members of the interprofessional team, persons at risk of or living with a diabetic foot ulcer (DFU) and their care partners with evidence-based recommendations on the prevention, assessment and management of DFUs.This BPG is to be used by nurses and members of the interprofessional team across the health care continuum and in all domains of practice supporting adults at risk of or living with DFUs (i.e., greater than 18 years of age) and their care partners. It is also to be used by employers, including health service organizations and academic institutions.The following populations and topics are not covered within the scope of this BPG: persons less than 18 years of age prescribing treatments adjunctive or alternative treatment
Intimate Partner Violence Screening Education for Nurses in Emergency Department
Get PDFThis quality improvement project aims to increase nurses\u27 knowledge, confidence, and skills in IPV assessment in the ER using an education program and the PREMIS tool
Building Strong Foundations: A Community of Practice Approach to Supporting International Nurses
Get PDFExplore the fundamentals of international nurse staffing and its vital role in US hospitals. Learn how integrating international nurses not only addresses turnover and ensures long-term staffing stability but also fosters a healthier, more supportive work environment. Discover strategies to build a diverse, collaborative team that enhances both patient care and staff well-being
Alleviation of Tourniquet Pain in Orthopedic Surgery
Get PDFTourniquets (TNQ) are used in many orthopedic procedures. When used correctly, they safely reduce blood loss in the surgical field and facilitate the cementation of the hardware placed in the various locations that need repair. One of the main negatives associated with TNQ use is pain. The research indicates that TNQ pain can begin as early as 30 minutes from the onset of application. TNQ pain does not resolve until deflation, and in many cases, pain persists for days. TNQ pain is associated with increased sympathetic stimulation, leading to hypertension and tachycardia that is unresponsive to analgesics. Modern medications like gabapentin and ketamine can be useful in preventing the increased pain signals transmitted by the C-fibers while decreasing activation of N-methyl-D-aspartate receptors (NMDA)
The Use of Dexmedetomidine for Emergence Agitation in Adult Patients
Get PDFEmergence agitation (EA) is a common adverse effect of general anesthesia. Dexmedetomidine is an intravenous (IV) anesthetic agent that provides sedation without respiratory depression. Common risk factors for EA include obesity, male gender, elderly patients, use of inhaled anesthetics, use of an endotracheal tube (ETT), placement of a foley catheter, preoperative anxiety, presence of pain, type of surgery [ear, nose, and throat (ENT), orthopedic, abdominal], and premedication with benzodiazepines
BIS-Guided Anesthesia to Blunt Oculocardiac Reflex
Get PDFIn pediatric patients undergoing strabismus surgery, is BIS-guided anesthesia compared to anesthesia not BIS-guided more likely to prevent OCR during the procedure
Preoperative Non-pharmacological Anxiolysis for Pediatric Patients
Get PDFThe most common medications used for anxiolysis in pediatrics include midazolam, dexmedetomidine, fentanyl, and ketamine. Unfavorable outcomes from pharmacological management of preoperative anxiety consist of respiratory complications, hypotension, drowsiness, and delayed recovery. Based on literature review, nonpharmacological distraction techniques are as beneficial in alleviating preoperative anxiety levels in pediatric patients without the known adverse effects as compared to pharmacologic treatment options. Nonpharmacologic techniques mentioned include maskless induction devices, gamification, preferred cartoons, coloring, use of electronic devices, and animated stories about surgery and anesthesia. Distraction techniques are cost efficient and hold minimal to no adverse effects when utilized in patient care
Perioperative Utility of the SuperNO2VA Device for Airway Obstruction
Get PDFCurrent literature supports the utility of positive pressure ventilation devices in reducing airway obstruction in patients at high risk for respiratory complications during sedation. The SuperNO2VA device has been shown in several studies to improve oxygenation and reduce hypoxemic episodes in high-risk patients, particularly those with OSA and obesity. Studies comparing nasal CPAP to traditional oxygen delivery methods indicate that nasal CPAP is more effective in maintaining airway patency and preventing hypoxemia during sedation. Studies specifically examining the SuperNO2VA device demonstrate its effectiveness in improving respiratory stability and reducing the frequency of hypoxemic events as well as airway interventions in obese patients during sedation procedures. Additionally, studies have shown that the SuperNO2VA device is effective at maintaining ventilation and oxygenation in this patient population during anesthesia induction as well as postoperatively during anesthesia recovery