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Lived Experiences of People with Substance Use Disorder as Healthcare Education to Develop Empathy for this Population
Get PDFThe negative attitudes and feelings of healthcare workers towards patients with substance use disorder are well documented. These include, but are not limited to, believing a person with this disease is “drug seeking”, “violent”, and “unmotivated”. While this population has challenging issues to address, these beliefs can decrease the quality of care provided and results in less people seeking out needed treatment. Reducing stigmas through alternative education methods, like learning the life story of a patient, can help health care workers develop feelings of empathy and compassion. Subsequently, this education can result in better care and outcomes for these patients. Relevant research included in this study were those discussing the experience of patients with substance use disorder (SUD) in healthcare settings, providers\u27 experiences treating patients with SUD, and studies that used various interventions related to increasing empathy levels among nursing students towards the SUD patient population. Healthcare workers need to be nonjudgmental and have the ability to empathize with their patients. The theory of caring by Jean Watson is a valid framework to improve the interaction between patient and provider; it fosters acceptance and compassion. If these changes are made, patients who use drugs or have struggled with addiction will feel they are in a safe and trusting environment and will continue to seek care when it is needed. This study will recruit undergraduate nursing students enrolled in a psych-nursing course, occurring in their sophomore year. Additionally, the same students will be asked to participate once they are seniors, enrolled in their community health course. Each participant will be provided pre- and post-intervention surveys testing empathy levels. The intervention will consist of a presentation given by a doctor specializing in addiction and a registered nurse diagnosed with SUD. This RN will speak on their life story and experiences with addiction. When the same student participants are seniors, they will take the same survey in order to assess long-term effects of this intervention. This intervention addresses a vital gap in healthcare education—learning how to be compassionate and empathize with another’s situation or experience. As most healthcare workers will care for people with addiction issues in their career, it is important to develop empathy towards this population for better patient health outcomes. Key words for this research include: addiction, stigma, lived experiences, healthcare, negative attitudes, empathy
Cultural Wounds Find Release: Art Therapy and First Generation Immigrants’ Mental Health
Get PDFBackground: First-generation immigrants in the United States confront significant mental health challenges rooted in cultural identity conflict. Specifically, these challenges are linked to elevated rates of anxiety, depression, and post-traumatic stress disorder (PTSD), as indicated by Lindert et al. (2009). Art therapy holds promise as an intervention for treating mental health and identity conflicts in a variety of populations. Yet, little is known about how art therapy can improve the experience of first-generation immigrants experiencing cultural identity conflicts.
Objective: This study aims to assess the effectiveness of art therapy in improving the mental health and cultural identity conflicts of first-generation immigrants in the United States, a departure from conventional therapeutic strategies.
Method: The mixed-method study will involve 20 first-generation immigrants aged 18 and above who self-identify as experiencing mental health issues linked to cultural identity conflicts. For two months, participants will be attending eight art therapy sessions. To assess mental health symptoms and cultural identity, participants will complete the Symptom Checklist-90-Revised (SCL-90-R) and the Multigroup Ethnic Identity Measure (MEIM). A survey will be conducted pre-intervention and post-intervention to measure the effectiveness of the art therapy. In the qualitative portion of this study, the participants will be interviewed to gather more insight about their experiences. We will use inferential statistics to calculate the p-value. If the p-value is under 0.05, the results are considered statistically significant and not due to chance.
Hypothesis: Art therapy can enhance the mental health of first-generation immigrants with cultural identity conflicts
Assessing Disparities in Culturally Competent Care for Ethnic Burn Patients
No full textAbstract
In modern healthcare, despite the technological advances, patients’ still face insufficient care for certain populations, immigrant/ethnic patients. Specifically, there is a severe disparity in culturally competent care and a prioritization on allopathic treatment in burn care. Despite receiving allopathic treatment, many of these patients faced higher mortality rates and patient satisfaction. By diving into the research the goal is to identify what barriers did minority populations face to receive the proper culturally competent care they deserve? For research the plan is to use social media to recruit individuals that fall into this minority population. By conducting a qualitative set of studies, it will be easier implementing semi-structured interviews to gain the opportunity to analyze the specific barriers. Hopefully, the study will identify the challenges there were to culturally competent care in ethnic burn patients. In the end the hope is to gather at least 20-30 interviewees. Thematic analysis will be conducted once the pertinent information is gathered. By analyzing the transcripts of the interviews, overarching themes and qualities can be applied to a more culturally competent model of care to implement into the future. Hopefully this proposal can properly identify the barriers that so many ethnic/immigrant patients deal with in burn care to alleviate these issues. There is also a literature review to show an overarching theme of ethnic patients facing certain barriers in accessing culturally competent care. Moving forward, hopefully, the information provided can create a better future for culturally competent care
Tackling Fall Risk in Geriatric Dementia Patients: The Impact of Medication Reconciliation Relating to Polypharmacy & Falls
Get PDFOver half of the elderly population are taking three or more prescription drugs daily. For those aged 65 and older, polypharmacy, taking five or more medications, is common due to conditions like hypertension, heart disease, arthritis, and diabetes (CDC, 2019). Managing these medications can be challenging, especially for those with dementia, who may also take drugs for conditions such as diabetes or depression, which can worsen cognitive impairment (Chippa & Roy, 2023). The complex regimens and increased sensitivity to medications heighten the risk of adverse events, particularly falls, a major cause of injury, hospitalizations, and loss of independence in older adults (Mueller et al., 2018). Studies suggest that medication reconciliation, or regularly reviewing a patient’s medications, could help reduce falls and improve safety for elderly individuals with dementia.https://scholar.dominican.edu/nursing-student-research-posters/1130/thumbnail.jp
Expansion and Ineffectiveness: The Evolution of the Mexican Healthcare System
Get PDFIn the 1917 Mexican Constitution, Article 123 Section Number 14, health became an occupational right in which the employer paid for sickness and injuries, a right advocated in the Mexican Revolution. Despite this, it was not until 1943, with the creation of Instituto Mexicano del Seguro Social (Mexican Social Security Institute), that it became a reality. Following the creation of social security, other programs were established for federal workers (the Institute for Social Security and Services for State Workers), oil workers (Mexican Petroleum Company), and the armed forces (Ministry of National Defense and Secretariat of the Navy). Even then, the new healthcare system was not for everyone, generally leaving out informal laborers. There were varying degrees of quality and access to healthcare within subsystems. In 1983, a more meaningful attempt was made to include everyone and provide healthcare access for all Mexicans. A 1983 amendment to Article 4 of the Constitution added, Every person has the right to health protection. The law will define the ways and means for access to health services and will establish the concurrence of the Federation and the federated entities in matters of public health…” This led to subsequent healthcare reforms in the hope of a quality, equitable, and efficient universal health system in Mexico. The reforms attempted to unite and improve the health sectors, such as the Sistema Nacional de Salud (National Health System), the Programa de Reforma del Sector Salud (Health Sector Reform Program), and Seguro Popular (Popular Insurance), but many increased divisiveness and inequality. By piecing together this long history of reform, this paper analyzes the overall strategy and effectiveness of the Mexican Healthcare System, specifically focusing on the more contemporary reforms from 1983 to 2003, ultimately concluding that the Mexican healthcare system remains divided and inefficient
Racial and Geographic Disparities in the Management and Care of Sepsis
Get PDFSepsis, a severe condition triggered by the body\u27s response to infection, requires prompt treatment to prevent tissue damage and organ failure. The SEP-1 Sepsis bundle, developed by Center for Medicare and Medicaid Services (CMS), aims to standardize care, particularly in rural hospitals with limited resources. However, disparities in bundle adherence and mortality rates persist, with rural areas facing more significant challenges. Studies show racial differences in care quality, emphasizing the need for interventions to address systemic biases. While sepsis bundle adherence and simulation training are strong indicators of care improvement, the literature review underscores the need for targeted interventions in rural settings and addresses racial inequities in protocol activation. This research proposal utilizes a quantitative quasi-experimental design to examine the impact of nurse-led training programs on sepsis recognition and treatment initiation. Data collection relies on Medicare and Medicaid Quality service measures, emphasizing the time from first contact to sepsis alert activation and treatment. Pre-intervention data collection will establish baselines, while the educational program aims to enhance nurses\u27 sepsis management skills. Post-intervention data evaluation will assess changes in mortality rates, alert activation times, and treatment adherence. Using descriptive statistics and t-testing, analysis of post-intervention data will determine significant differences between pre-and post-intervention measures; a p-value \u3c 0.05 will indicate rejection of the null hypothesis
Blinking Icons: Letters to Saint Augustine
No full textBlinking Icons:Letters to Saint Augustine is a hybrid contemporary epistolary historical novel in conversation with Saint Augustine’s Confessions. Sarah Ruden’s translation inspires an exploration of interiority, states of consciousness, memory, voice, and more broadly, the parallel socio-political and spiritual realities of contemporary America and the late Roman Empire.
Central to Augustine’s legacy is the Cartesian mind/body split’, explored from the perspective of a contemporary menopausal woman suffering mysterious pain. Alternate fictional narratives of Augustine’s mother and his partner explore universal female experiences of trauma, servitude, ancestral memory, dreams, motherhood, and faith.
The climacteric (menopause) is considered in relation to the ravages of climate change.
Gender and Intertextuality as theme: the narrator is in dialogue with female philosophers and writers whose work specifically and/or thematically addresses Augustine: Woolf, Mantel, Arendt, Toews, West, and Tokarczuk, among others. In counterpoint, dialogue with male writers, including Borges, Salter, Beckett, Freud, Foucault, Jung, Yeats, and Job, enables confrontation with the anxiety of male influence on female consciousness, thought, and experience.
Kairos and Chronos, screwball comedy and tragedy, elective affinities, fate and personal agency, astrology, history of belief and the Soul, Catholicism, electricity, fateful names, wordplay, translation, and language’s ability to inspire, connect, transport, liberate, and divide culture are all at play.
In letters to Augustine, the narrator projects on him various roles: lover, confidant, confessor, muse, judge, scapegoat. To paraphrase Foucault, she uses Augustine to think with, in order to untwist the patriarchal legacy of Catholic misogyny from spiritual matters in the Confessions. The narrator\u27s intellectual and spiritual crisis is to identify and reach detente with Saint Augustine’s broad legacy in Western literature, psychoanalytic theory, theology, philosophy, and political thought, in order to liberate her artistic voice and regain agency
Freedom to Flourish: Housing as a Social Good
Get PDFOne cause of gentrification and displacement of multi-generational communities of color has been the increase of private equity firms buying affordable homes, upgrading them, raising rents, and evicting tenants. This paper focuses on housing financialization and the increasing shift from the use value of housing as a place to live to the exchange value of housing as a commodity and investment for corporate profit. After identifying the problem of gentrification and housing speculation in Oakland, California, the paper draws on ecowomanist/mujerista/feminist sources to offer a theological foundation in support of housing as a social good for the freedom of households and communities to flourish. It also argues that religious organizations have a moral commitment and role to play in offering an alternative vision of community and in organizing for housing and racial justice
Developmental Effects of Child Abuse: The Relevance of Timing
Get PDFBackground: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal ideation. Results: Multivariate analysis of variance (MANOVA) procedure, descriptive statistics, and a t-test will be used to interpret the data and identify a correlation between participation in psychosocial therapy and the improvement of posttraumatic stress symptoms, depression symptoms, and suicidal ideation in young Hispanic adults who have been victims of child abuse. Conclusion: Determining emotional outcomes of the implementation of a psychosocial therapy program on children with a history of child abuse into young adulthood is related to nursing as nurses are often the first to recognize and initiate treatment for this vulnerable population. This proposal will help healthcare professionals understand the importance of treatment in the development and mental health of child maltreatment victims
You’re Not the Boss of Me!
No full textWhether in your personal life or at work, you’ve probably experienced what it’s like to have people reject your requests. To be told that what you want is unfair, or heavy-handed. And you’ve likely been in the opposite position as well — pushing back against requests that step on your freedom. This week, we talk to psychologist Benjamin Rosenberg about how we respond to infringements on our sense of autonomy, and how we can avoid sparking this resistance in our interactions with other people