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Addressing Gaps in Respiratory Assessments: A DNP Project
Respiratory assessments by healthcare workers, particularly counting the respiratory rates, have been found to be inadequate and ineffective. As a result, patient care may be delayed, reimbursement may be inaccurate, and the nurse may risk legal consequences. The purpose of this project was to fully examine the current accuracy of respiratory rate counts and documentation on two identified units within an acute care hospital, offer evidence-based solutions in the accurate count and documentation of respiratory rates, and perform follow-up chart audits to evaluate if application of learning occurred. Baseline audits demonstrated that respiratory rate counts were not even skewed and, therefore, were not accurately being counted and recoded. The comprehensive post education and re-training audits showed respiratory rates were more evenly skewed and, therefore, more accurately counted and documented. A Background Survey, Video Respiratory Assessment, Student Satisfaction and Self-Confidence in Learning (SSSCL), and Evaluation via Survey Monkey was also administered.
Keywords: respiratory assessment, current practice, documentatio
Intimate Partner Violence Screening in the Veteran Affairs\u27 Ambulatory Care Clinics: A Quality Improvement Project
Intimate Partner Violence is a type of Domestic Violence (DV), referring to physical, verbal, emotional, or sexual violence, or stalking between current or former intimate partners. Veterans may be at higher risk than those identified in the civilian population. The rate of IPV across military populations ranges from 13.5% to 58% with rates among female Veterans ranging from 29% to 74% (Veterans Affairs, 2023). This project\u27s purpose was to evaluate the effectiveness of an awareness campaign on IPV screening and referral rates in a federal healthcare facility. Results from this DNP project indicate that ongoing training and education are vital in improving intimate partner violence (IPV) screening outcomes.
Keywords: Intimate Partner Violence training, Interventions, Screenings, Veterans affected by IPV, healthcare providers, Relationship Health and Safety Screening, universal education, and awareness
Looking through the Prism: changing from collection development to collection strategy
The University of Kentucky has long seen itself as the flagship University of the state and its Libraries have a collection development policy geared toward just in case collections and trying to be comprehensive in a world deluged with information and data. With all the changes in terms of moving instruction more online, budget challenges, and collecting more perspectives and viewpoints (DEI), the University of Kentucky is shifting towards a model of collection strategy based on core values and the mission of the Libraries and Institution. This shift affects how Acquisitions manages the budget and handles requests from users and librarians. This presentation will discuss the theory and what changes Acquisitions is making to deal with this new perspective
Time to Get Technical about Technical Services: Reorganizing Technical Services at Bowling Green State University
Technical Services in libraries has been undergoing changes in the past ten years and Bowling Green State University (BGSU) is no exception. Changes in technology, processes, and attrition in staffing have been just a few of the reasons for this significant change. University Libraries (UL) at BGSU has recently made a change in its organizational structure that has been affected by some of these factors. Previously, our Technical Services area included numerous classified staff catalogers, a head of cataloging, head of serials, head of acquisitions, an e-resources librarian, and several other support staff members to assist with processing and cataloging of our main stacks collection and Special Collections (SC) materials. As of 2023, UL will have one faculty catalog librarian and one classified staff cataloger for the main stacks and to assist with Special Collections cataloging. Other technical services duties (acquisitions, serials, etc.) have been transferred to other staff and there will no longer be a Technical Services Department. While there are other professional faculty catalogers in the SC, none of them can take on additional main stacks’ duties on a permanent basis. This change has affected all UL departments and will have a significant impact on our upcoming transition to a new ILS system. I plan to provide the steps made in the reorganization process, the challenges and opportunities, and our hopes for the future of Technical Services duties in the UL
Dialectical Behavior Therapy application efficacy in the world of an athlete: Addressing special considerations
The current project aimed to analyze the potential that Dialectical Behavior Therapy Skills Training (DBT-ST) could have on the student-athlete population. The project necessitated a research exploration of both DBT and sports psychology treatment. This was accomplished by searching Eastern Kentucky University (EKU) Library’s extensive databases, such as Academic Search Complete, PsycINFO, SportDISCUS, and Psycharticles. Considerations are discussed on athlete-specific concerns, such as stigma, athlete cultural views on mental health, eating disorders, coping through injury, and performance anxiety. Current sport psychology interventions are reviewed, and they are compared with the efficacy of DBT treatment literature. Similarities in sport psychology interventions and DBT-ST are drawn on to point future researchers towards studying DBT-ST and its effectiveness in treating athlete concerns. The research discussed is then used to create a framework for an adapted DBT skills training group for athletes
Don’t Forget the Importance of Leisure Occupations for the Community Dwelling Elder
Leisure exploration is important to the community dwelling elder (CDE) as research indicates that social and leisure activities correlate with well-being in this population (Adams et al., 2011). This research project aimed to gain insight on the CDE’s perspective on leisure as they age in place and the role occupational therapists play in leisure promotion for this population. This mixed method study included quantitative data from the Activity Card Sort (ACS) assessment which provided data on how leisure and activities of daily living have changed with aging. Qualitative data was gained through semi-structured interview and explored the perspectives of the elderly population through their lived experience of aging in the community. The reason for collecting both quantitative and qualitative data was to gain stronger evidence on the changes elders in the community face while aging in place. There were originally 5 participants in this study recruited through convenience sampling, however only 3 completed the full study. The CDEs in this study experienced a decline in their participation in leisure occupations based on self-reports. Occupational therapy has a role in promoting healthcare among this population and can be beneficial to the CDE’s emotional, physical, and social well-being
Defining Best Management Practices for Bee Conservation in Agroforestry Systems
Wild bees are an indispensable part of neotropical ecosystems because of their role in agriculture and native flora pollination. Despite their importance, wild bees are threatened throughout their distribution by pesticides, habitat loss, land use change and climate change. The objective of this study was to understand how to better manage agroforestry systems for wild bees by asking if wild bee abundance is influenced by the level of shade cover or agroforest type. A total of 10 agroforests were selected in San Luis de Monteverde, Costa Rica. Bees were collected three times in each agroforest between June-July 2022. The statistical program R was used to conduct all statistical analyses. A total of 3,135 bees were collected: 1,833 from coffee agroforests and 1,302 from silvopasture. No statistical significance was found between any of the variables. Our findings may be due to (1) the agroforests were small (1 hectare) and embedded in a forest matrix, (2) we have not yet analyzed species richness and data was collected to emphasize differences in species richness, (3) 2022 was a La Nina year, with poor weather conditions during the study period for wild bees. This study indicated that both coffee agroforests and silvopastoral systems can host many economically important bees. Specimens will be identified to species and further analyzed to understand if any agroforestry management practices are related to wild bee richness or community composition
Holidone: The Strategy to Success
This report details the marketing techniques provided in Leonard Lodish’s “Marketing That Works: How Entrepreneurial Marketing Can Add Sustainable Value to Any Sized Company” in relation to the growing business, Holidone. The analyses completed using Lodish’s tips as well as industry and marketing research ensure steady growth of the business. Holidone is a holiday decorating service that frees up time and storage space for customers. The target market was established as middle to upper class families through industry and marketing research. Holidone’s competition is also introduced and dissected to compare and contrast the two companies\u27 marketing strategies. Lodish states that nearly all businesses are set up for success or failure based upon where they have positioned themselves within the market. Holidone’s positioning, name, and slogan are explained in regards to Lodish’s suggestions. A SWOT analysis is completed in which the strengths and weaknesses (internal) as well as opportunities and threats (external) are cross examined and used to develop sustainable strategies. Furthermore, the sales and distribution methods that Holidone will use are also chosen. Finally, any economic, sociocultural, and technological factors that have and will continue to affect the retail market for seasonal decorations are deconstructed
Understanding the Mental Health of Occupational Therapy Students During the COVID-19 Pandemic
The COVID-19 pandemic has impacted the mental health of health professional students across the world. Although there are a growing number of studies regarding the mental health of other health professional students, there are currently limited studies regarding the mental health of entry-level occupational therapy (OT) and occupational therapy assistant (OTA) students in the United States, especially within the context of the COVID-19 pandemic. The purpose of this mixed methods survey study was to understand the mental health status of entry-level OT and OTA students in the United States during the COVID-19 pandemic in order to better support their mental health needs within academic programs. The results from 457 participants showed that among OT and OTA students combined, 20.3% (n = 93) were in the severe to extremely severe ranges for depression, 38.3% (n = 175) were in the severe to extremely severe ranges for anxiety, and 29.7% (n = 136) were in the severe to extremely severe ranges for stress. Additionally, the scores for anxiety (0.06, p \u3c 0.05) approached significance indicating that OTA students had higher anxiety scores than OT students. Furthermore, five themes emerged: (1) Occupational Disruptions, (2) Intense Pervasive Negative Feelings, (3) Flexibility and Understanding from Faculty and Program, (4) Awareness, Access, and Availability of Mental Health Supports, and (5) Graduate School Stress Compounded by the Pandemic. These findings highlight the need for targeted mental health supports within occupational therapy educational programs in light of the mental health impacts of the COVID-19 pandemic