6810 research outputs found
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Prevention of Burnout Among Critical Care Nurses
No full textBackground: Nursing burnout is a state of mental and physical exhaustion caused by excessive stress among nurses. Critical care nurses face challenges with direct patient care that contribute to emotional and psychological strain that are greatly influenced by workplace adversity and emotional management. Purpose: This research examines the prevalence of burnout among pediatric and adult intensive care unit (ICU) nurses, highlighting particularly high rates of burnout among those with extended years of service. Method: ICU nurses will participate in a qualitative interview that involves open ended questions relevant among burnout and resilience during shifts. Aspects specifically years of critical experience and gender will play a vital role with collecting the data. Managing exposure includes the methods of protecting, processing, decontaminating, and distancing in the work environment. Results/ Data Collection and Analysis: Differentiating the various levels of challenges pediatric ICU nurses face include emotional, physical and organizational stress. Addressing this issue and developing effective solutions requires identifying the underlying factors and examining how they influence the affected pediatric ICU nurses. The different levels of stress fall within the same spectrum, but all is determined by how the stress is managed. Conclusion: The use of appropriate interventions and screening tools to assess burnout over time can be used to combat contributing factors of emotional and physical stress and potentially decrease levels of burnout among critical care nurses. Understanding the underlying factors of stress as a hospital includes supportive environments and resources.https://scholar.dominican.edu/nursing-student-research-posters/1175/thumbnail.jp
Bridging the Language Gap: The Impact of In-Person versus Remote Interpreter Services on Medication Adherence and Patient Safety in Adult Spanish-Speaking Patients
No full textBackground: Significant health inequities are caused by language barriers between patients and health care staff, resulting in miscommunication among adult Hispanic patients with low English proficiency, reducing medication adherence, impairing patient safety, and raising the possibility of medical errors. To address this issue, interpreter services, both in-person and remote translation, have been introduced in healthcare settings to enhance communication. Objective: The purpose of this study is to investigate the differences in patient safety and medication adherence between in-person and remote translation services for adult Hispanic individuals with limited English proficiency in healthcare settings. Methods: The proposed research involves five local community-based clinics in Marin County that primarily serve Spanish-speaking adults. The clinic\u27s patients will be asked to participate and complete a short survey in Spanish about their experiences and preferences regarding translation services. Results: The studies revealed that in-person translators have better communication outcomes, promoting better rapport and trust, as well as improving medication adherence and patient safety among adult Hispanics with limited English proficiency. Although remote translators are more cost-effective and accessible, issues of technical difficulties, limited nonverbal communication, and a reduction in personal connection have been associated with this type of translation. Conclusion: Patient safety and care for adult Hispanic patients with limited English proficiency depend on effective communication. In-person communication is the most effective as it promotes understanding and stronger patient-provider relationships. To eliminate health inequalities, healthcare facilities should prioritize hiring professional in-person translators and training staff on cultural competence and effective communication methods.https://scholar.dominican.edu/nursing-student-research-posters/1183/thumbnail.jp
The Impact of Nurse-Led Distraction Techniques on Pain and Anxiety During Cancer Treatment in Pediatric Oncology Patients: Examining Virtual Reality and Play Therapy
No full textChildren undergoing cancer treatment often experience pain and anxiety during procedures such as port access or peripheral catheterization. Nurse-led distraction techniques, including virtual reality and play therapy, have emerged as promising non-pharmacologic interventions to reduce pain and anxiety in pediatric oncology patients. Existing data from primary and secondary research articles reveal the effectiveness of virtual reality and play therapy on reducing pain, anxiety, and psychosocial distress in pediatric oncology patients receiving cancer treatment. This study proposes a quasi-experimental design involving 90 pediatric oncology patients aged 6–12 years diagnosed with leukemia. Participants will be placed in a nurse-led VR distraction, play therapy, or standard care group. Pain and anxiety will be measured before and after each invasive procedure. It is anticipated that both distraction groups will show statistically significant reductions in pain and anxiety compared to standard care. Findings may support implementing nurse-led distraction techniques in routine nursing care to promote a more holistic approach to symptom management.https://scholar.dominican.edu/nursing-student-research-posters/1187/thumbnail.jp
Uncovering 3′-UTR regulatory elements with therapeutic potential for haploinsufficiency of VGSCs
No full textVoltage-gated sodium channels (VGSCs) are crucial to the initiation and propagation of action potentials (APs) in electrically excitable cells, particularly within the central and peripheral nervous systems. Given their role in transmitting electrical signals throughout the brain, proper VGSC expression is essential for neuronal communication and plasticity. Genetic screening has linked de novo loss-of-function (LoF) mutations in VGSCs of heterozygous patients to severe neurodevelopmental disorders (NDDs), including developmental encephalopathy (DE), intellectual disability (ID), autism spectrum disorder (ASD), and infantile seizures. These LoF mutations often result in a haploinsufficiency, where one allele fails to produce a functional protein, leading to approximately 50% of normal protein levels. Studies in animal models of VGSC haploinsufficiency have shown that increasing wild-type protein can rescue neuronal phenotypes, suggesting that reversibility of NDD phenotypes in LoF patients may be achievable through upregulation of protein expression in neurons. Therefore, boosting protein expression of VGSCs by enhancing RNA transcription or RNA stability is a viable therapeutic strategy for patients with VGSC haploinsufficiency. Here, I investigate multiple predicted candidate regulatory regions within a human VGSC transcript by evaluating their impact on RNA stability when targeted with sequence-complementary oligonucleotides. Using human induced pluripotent stem cell (hiPSC)-derived glutamatergic neurons and an engineered GFP-3′-UTR reporter system, this study demonstrates that blocking elements near multiple polyadenylation sites and predicted miRNA sites within the target 3′-UTR results in approximately 1.4-fold increase in target RNA and protein levels. Similarly, this study also demonstrates that oligo-mediated blocking of alternative splicing events that result in non-productive RNA, leads to a 1.2-fold increase in productive RNA. Together, these studies uncover destabilizing cis-elements within a VGSC human transcript and demonstrate that oligo-mediated steric blocking of such elements, increases mRNA stability, offering a potential strategy to restore low protein levels in the context of VGSC haploinsufficiency
Dos Hemisferios: Rebranding Strategy for a Nascent Ecuadorian Wine Market
Full text linkThe Ecuadorian winery, Dos Hemisferios, had started as a hobby in 1999 but quickly grew into a business and passion for the Wright family. After receiving an international award in 2009 for its cabernet sauvignon-malbec blend called Paradoja, the winery realized its potential and decided to expand its vineyards and production of wines. As part of the strategy to increase sales, Robert Wright, the Dos Hemisferios President, and his father, Guillermo Wright, developed a rebranding proposal for the next board of directors meeting. This rebranding initiative hinged on the belief that people in the Ecuadorian wine market did not know much about wine. To address this issue, they decided to be more specific regarding what each of the Dos Hemisferios brands represented and to whom each would be sold.
Additionally, Quito represented the largest wine market in Ecuador. However, the market posed several challenges, including a lack of awareness about Ecuadorian wines at bars, restaurants, cafés, and hotels, and an unwillingness to try Ecuadorian wines. Robert understood that overcoming this negative mental paradigm and creating awareness about Ecuadorian wines would be critical for Dos Hemisferios moving forward. Robert wondered if the rebranding proposal they had prepared would be effective
Preparing For Loss: The Impact of Hospital-Based Parental Death Preparation on Sibling Relationships
Full text linkhttps://scholar.dominican.edu/nursing-student-research-posters/1153/thumbnail.jp
The Impact of Sleep Deprivation on Maternal Decision-Making and Risk-Taking Behavior
Full text linkhttps://scholar.dominican.edu/nursing-student-research-posters/1156/thumbnail.jp
Medical-Grade Honey and Standard Dressings in Burn Wound Care: Evaluating Effectiveness, Cost, and Patient Outcomes
Full text linkBackground: Burn injuries burden the healthcare system globally as silver sulfadiazine (SSD) is the standard treatment even though it delays healing and is highly costly. Medical-grade honey (MGH) demonstrates superior antimicrobial and anti-inflammatory properties, however, there are still evidence gaps when comparing effectiveness, cost efficiency, and patient centered outcomes. Purpose: This study aims to compare MGH and SSD amongst these gaps to inform evidence based burn care. Methods: A randomized controlled trial will enroll 100 people between 25-50 years of age with first and second degree burns, \u3c 20% total body surface area within two hospital burn units. Participants will be assigned to either MGH or SSD treatment. The study will be a single blind design where dermatologists evaluating the wound photographs will not know the treatment given. Primary outcomes include wound healing time, infection rates, and patient reported pain scores. Secondary outcomes will focus on cost effectiveness analyses and patient quality of life. Standardized protocols will be implemented for data collection, wound assessment, and safety monitoring. Results: We anticipate that MGH will have lower infection rates, promote faster wound healing, improved outcomes from patient reports, and better cost effectiveness through shorter hospital stays and reduced medical treatments compared to SSD. Conclusion: This study will provide evidence comparing MGH and SSD across economic, clinical, and patient centered outcomes. If our hypothesis aligns with the results, MGH could be a new evidence based standard in burn care as it offers many advantages over SSD in patient comfort, healing efficiency, and medical costs. The findings will provide areas for future research, especially long term outcome and a bigger patient population.https://scholar.dominican.edu/nursing-student-research-posters/1162/thumbnail.jp
Reducing Anxiety and Burden: The Effect of Caregiver Education in Hospice Care for Immigrant Families
Full text linkhttps://scholar.dominican.edu/nursing-student-research-posters/1155/thumbnail.jp
Recognizing the Risk: Enhancing Nurse Preparedness for Postpartum Hemorrhage Through Simulation-Based Education
Full text linkBackground: Postpartum hemorrhage (PPH) is a serious, often unexpected complication after childbirth involving excessive bleeding. It is a leading cause of maternal death and can happen quickly, even in healthy pregnancies. Risk factors may increase the chances of PPH, but it can also occur without warning. Nurses play a key role in recognizing early signs and taking quick action. However, delays still happen due to inconsistent training, unclear protocols, and lack of preparedness. Strengthening nurse education and improving emergency response systems are essential to improve care and achieve better outcomes for mothers. Objective: This study aims to evaluate the impact of simulation-based training combined with a best practice screening tool on nurses’ ability to recognize and manage PPH effectively. Method: A Randomized Control Trial, pre- and post-test design will be used with 100 maternity nurses from four hospitals in Northern California. Participants will be randomly assigned to a control group or an intervention group that receives additional education and simulation training. Knowledge and response performance will be assessed before and after the intervention using validated tools. Results: The intervention group is anticipated to show better knowledge, faster responses, and improved protocol use, with results likely to be significant (p ≤ 0.05). Conclusion: Enhancing nurse training through simulation and structured screening tools may improve early recognition and management of PPH, contributing to better maternal outcomes and safer clinical practice.https://scholar.dominican.edu/nursing-student-research-posters/1168/thumbnail.jp