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Barriers and Facilitators for the Reduction of Illicit Opioid Use in the Peripartum Period
Get PDFIntroduction: There has been a steady rise in the incidence of Opioid Use Disorder (OUD) in pregnant women in the past decade, becoming a leading cause of maternal morbidity and mortality and prompting the need for a deeper understanding of challenges and strategies for improving care. The purpose of this integrative review is to identify barriers and facilitators for sobriety in individuals with opioid use in the peripartum period. Methods: An initial online search from CINAHL, PubMed, ScienceDirect, and PsychInfo was conducted with Boolean operators that yielded 1159 articles to be reviewed and uploaded to Covidence for screening. Original research from 2010 to 2014 addressing barriers or facilitators to reducing opioid use in the peripartum period were included, resulting in 26 studies for analysis. A journal hand search yielded one additional study. The studies were evaluated using the Johns Hopkins appraisal tool and organized using the Social Ecological Model (SEM) framework. Results: This study identified key SEM themes at each level that impacted the patient\u27s ability to access and continue treatment for OUD in the peripartum period. Key barriers identified included fear of losing custody, and stigmatization from society. Whereas peer groups, support from friends, family and providers, and clinic availability were identified as key facilitators. Conclusion: In order to address the rising challenge of OUD in the peripartum period, an informed understanding of key barriers and facilitators can help healthcare providers and policymakers improve accessible and equitable care
So Much Fear
Get PDFIntroduction: Many women suffer from fear of childbirth, which often goes undiagnosed. Recent studies have shown that women suffering a severe fear of childbirth have several treatment options to help them achieve a healthy childbirth experience. The focus of this review was to explore the different ways in which midwives can support and treat women who have a severe fear of childbirth. Methods: A search on keywords in the literature, carried out using the PubMed database, yielded 19 original studies that satisfied both inclusion and exclusion criteria. Pertinent research findings and demographics were selected and assembled using the Jean Watson theory of human caring model. Results: Results from these trials revealed multiple ways to lessen the fear of childbirth and anxiety including mindfulness-based stress reduction, hypnobirthing, eye movement desensitization and reprocessing therapy (EMDR), mindfulness-based childbirth and parenting, cognitive behavioral therapy, haptonomy, and integrated childbirth education. Additional findings revealed the importance of continued education and guidance. Discussion: Most recent research centered on the individual, institutional, and interpersonal levels. Opportunities still exist for delivering and assessing resources and treatments for women who suffer with severe fear of childbirth and this vulnerable populatio
Caffeine’s Impact on Heart Rate Variability During Short-Term Exercise in University Students
Get PDFThe primary objective is to explore the physiological effects of caffeine on intra-bout exercise-induced blood pressure (BP) and heart rate (HR) deceleration resulting from repeated anaerobic exercise cycling in active university students. Use of caffeinated stimulants has increased in recent years, particularly in the exercise setting. The cardiovascular system (CS) is an essential piece of exercise physiology and is controlled by the autonomic nervous system (ANS). Caffeine has a known effect on the CS during acute exercise. What is not well solidified is the connection between caffeine and exercise-induced markers, such as heart rate recovery (HRR) and BP. Participants underwent a comprehensive informed consent process, baseline physiological measures, including BP and BPM. A double-blind design to assess the effects of caffeine on HRR and BP were measured during two separate appointments. Participants received either 3 mg/kg of caffeine or placebo drink. Following a 15-minute holding period, upon ingesting the drink, participants performed two 30-second maximal-effort cycling bouts on an assault bike, separated by 30 seconds of active recovery. Post-exercise HR measurements were obtained immediately after each bout. Following the exercise session, participants’ BP and HR were recorded in 5-minute intervals for a duration of 15 minutes to assess post-exercise recovery dynamics. Independent t-tests were conducted to determine differences between participants. There were no significant differences (p \u3e 0.05) between the utilization of caffeine administration on, HR and HR deceleration in the present study. The results demonstrated no statistically significant difference between caffeine and non-caffeinated subjects relative to HRR in an acute anaerobic setting. This aligns with previous findings and warrants further research to aerobic settings. Studying caffeine\u27s impact on HRR in aerobic exercise could provide insight into its broader effects on the ANS and CS
Commit Suicide or Die by Suicide
Get PDFRandomly assigned Bethel students had the opportunity to take an online 8 minute Qualtrics survey based on questions about Determinism vs Free Will. AT the end of the survey, participants had the option to pick the phrase Die by Suicide or Commit Suicide Me and my Co Researcher Elsie Broersma will do a JASP analysis on which phrase is more common to say and why
Facing History: A Systematic Literature Review of the Intersection of Trauma-Informed Education, Critical Race Theory, and Ubuntu in K-12 History Classrooms
No full textSince the publication of the 1619 Project in 2019, history classrooms have encountered heightened scrutiny, prompting a profound examination of pedagogical practices. The discourse surrounding the teaching of history to K-12 students has engendered vigorous debate, underscored by a profound socio-political schism surrounding the appropriateness of emotionally challenging historical content. There are noted tensions between White guilt and societal concerns regarding the integrity of historical scholarship. This dichotomy has emphasized anxieties about society’s collective capacity to engage with modern challenges, due to the insufficient comprehension of historical antecedents as a consequence of K-12 history classrooms failing to adequately teach history. This research endeavored to ameliorate this schism by proposing a trauma-sensitive approach to the teaching of divisive historical topics. By leveraging a systematic review to investigate the intersections among SAMHSA\u27s Six Guiding Principles to a Trauma-Informed Approach, critical race theory, and Ubuntu, a rigorous analysis of pertinent literature was conducted. This study identified numerous points of intersection between SAMHSA\u27s Guiding Principles and the aforementioned ideologies, along with notable convergences and divergences between critical race theory and Ubuntu. The findings suggest that a synergistic application of critical race theory and Ubuntu may effectively address the mental health needs of students within the history classroom and foster an inclusive educational environment that respects lived experiences of diverse students and their histories
Strategies Teachers in the United States Can Use to Support English Language Learners With Special Needs
No full textSupporting English language learners (ELL) with special needs is critical due to the increased number of ELL students in the United States. The National Education Association (2020) predicted that by 2025, one in four students in general education classrooms will be second language learners. Educators can significantly impact the education of ELLs by implementing proven teaching strategies. Strategies such as co-teaching (Friend and Reising, 1993), teaching through a cultural lens (Garcia and Tyler, 2010), and vocabulary (Alshahrani, 2019) are critical. This paper discusses effective teaching strategies targeting special education students concurrently learning English while considering legal mandates requiring education in the least restrictive environment
Effective Practices in the Pulpit Ministry That Mitigate Ecclesial Adoption of Popular Culture Among Converge Worldwide Churches in Minneapolis and St. Paul
No full textThis study sought to address the need for effective practices in the pulpit ministry that would mitigate ecclesial adoption of popular culture. To achieve this goal, the researcher carried out a review of the host cultures of the 1st century church and a content analysis of the speeches of Peter in Jerusalem on the Day of Pentecost and Paul in Pisidian Antioch. He also carried out a general overview of the apostolic speeches to ascertain whether the two aforementioned speeches would be considered representative. He identified and isolated several common practices. Further, he performed an ecclesial impact analysis of those speeches relative to then prevailing Jewish and Greco-Roman culture. Subsequently, this researcher carried out a review of the contemporary literature on the pulpit ministry. He identified Post-modernism as the prevailing American culture. He focused on and did an overview of consumerism as an expression of Postmodernism and its impact on the American Church over the past sixty years. He also carried out an overview of the parallel developments in the pulpit ministry over the same period before identifying what contemporary academicians and scholarly pulpit ministry practitioners consider to be effective pulpit ministry practices for mitigating ecclesial adoption of popular culture. These practices were harmonized with those identified in the apostolic speeches to form twelve salient issues. The twelve salient issues provided the basis for analyzing the twenty four messages from three Converge Worldwide churches located in Minneapolis and St. Paul and eight messages from one Mega-church based in Houston, Texas. A number of findings were made which showed a general imbalance in the speeches emanating from the American pulpit which, if corrected, have the potential to mitigate ecclesial adoption to negative aspects of the popular culture
Jump Into Poetry and Celebrate! 2024 Poetry Celebration
No full textCelebrate Poetry Month with the Bethel Community!https://spark.bethel.edu/primetime-presentations/1010/thumbnail.jp
The Role of a Leader: Establishing Psychological Safety in the Church
No full textAbuse is an intentional attempt to cause harm to others. Within any environment there is the possibility of abuse; abuse can be physical, sexual, psychological, and more. This project addressed the phenomena of psychological safety in the church to reduce psychological abuse. Psychological abuse, also referred to as emotional abuse, is a form of abuse that induces fear and intentionally affects one’s emotional health. Psychological safety in the church is a phenomenon that needs to be addressed. This project examined biblical and psychological resources to gain a better understanding on how to create psychologically safe environments that will discourage emotional abuse and encourage psychological safety. Psychological safety refers to an environment characterized by its safeness in taking interpersonal risk. These types of environments encourage trust and create a perspective in which one knows that the people in their group are on their side and desire what is best for them. In a psychologically safe environment, abuse is not tolerated and inappropriate speech and actions are addressed. Through the awareness of psychological safety and the intentional creation of psychologically safe environments, psychological abuse can be exposed and even prevented in the church. The researcher conducted a survey on psychological safety in which she was able to examine how people define psychological safety, how people are affected by emotional abuse, and what characteristic people expect to find in a psychologically safe person or environment. In response to the need to address psychological safety in the church, the qualitative research methodology, with an emphasis on the phenomenological approach, was used to obtain an understanding of the perspectives of the participants in this study about psychological safety in the church. The researcher believes that the church has an obligation to be proactive by encouraging psychological safety in the church
Border of Dreams
No full textTwo families tried to cross the Mexico-U.S. border. One made it. One didn’t. Mardoqueo wanted his family to have its own home. Its own land. But he felt forced to split up his young family and cross into America to achieve security and happiness. He tried once and didn’t make it. He feels compelled to try again despite his wife’s objections. Abel had to make that same choice in Mexico. But he made it. He brought his wife and daughters with him. He achieved a prosperity he sought, but he still dreams of crossing the border again. Back home