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Application of Preceptorship Bundle to Enhance New Graduate RN Success
New graduate Registered Nurses (RN) are experiencing a difficult transition to practice. In turn it causes increased stress and job dissatisfaction. The quality improvement project focused on a bundled intervention to bridge this gap. It involved a preceptorship enhancement bundle to improve training with an emphasis on intentional pairing of preceptor/preceptee and use of the One-Minute Preceptor Model. People of like temperament were paired using the Ntrinsx personality profile to enhance the learning relationship. The One-Minute Preceptor Model was used to train preceptors how to engage critical thinking and clinical reasoning in the new RN. The actions of intentionally pairing preceptors with new grads as well as the use of the One-Minute Preceptor Model led to a reduction in preceptorship extensions with a decrease from 25% to zero, and improved preceptorship outcomes. Nurses reported satisfaction in their relationships with preceptors and confidence in their clinical reasoning skills. There was an had an overall result of satisfaction in their preceptorship and training. This overall improved satisfaction in preceptorship is expected to improve patient outcomes and will be carried into generations of future nurses in the facility as job satisfaction and retention is expected to improve
Decapitated Dancers: An Investigation of Nineteenth-Century Social Status and Class Representations in Degas’s L’Orchestre de l’Opéra
Edgar Degas is famous for depictions of ballet dancers. However, his earliest rendition of the subject in L’Orchestre de l’Opéra (Figure 1) is ignored for its ballerinas, who are beheaded by the pictorial frame. Despite the prevalence of dancers in his catalogue afterwards, scholarly discussion mostly focuses on L’Orchestre’s primary subject, bassoonist Désiré Dihau, and his peers, making it an innovative portrait which conveys modern life with formalist techniques. Most prior discussion contends these dancers were not beheaded for content, but for a formalist exercise in dramatic cropping. Recent discourse relegates the ballerinas to the background as erotic objects. However, these discussions fail to consider the painting within the socio-economic and political context which gave ballerinas their status. By including context, I argue that L’Orchestre’s dancers were decapitated by Degas in a final stage of decision making precisely because of their debased socio-economic class, incited by the Paris Opera’s exploitation
Perceptions of Occupational Therapy Practitioners in Recognizing and Addressing Older Adult Food Insecurity
Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.
Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food insecurity through the use of client-centered interventions tailored to food-related activities. The study aimed to answer the following research questions:
1. How do occupational therapy practitioners perceive their role related to food insecurity in older adults?
2. How do occupational therapy practitioners use strategies and barriers to enhance food-related activity participation in later life?
Theoretical Framework. The Model of Human Occupation (MOHO) is a holistic model that considers multiple factors that influence a person’s occupational performance (Kielhofner, 2008; Taylor, 2017). This study embraced the assumption that engagement in meaningful tasks could help develop skills, build confidence, establish habits, and increase occupational performance.
Methods. The capstone project implemented a qualitative descriptive design, using interviews. The respondents were occupational therapy practitioners practicing primarily with the older adult in the home health care and subacute settings in Northwest Georgia. Convenience sampling was utilized to obtain the sample. The study enrolled 8 occupational therapy practitioners from two practice settings.
Results. Once a priori coding was completed and categories were determined, three main themes emerge: Knowledge is power, but whose role is it really? Knowledge is power, but actually applying what you know is even more powerful. It’s inevitable; your environment will influence what you do.
Conclusions: Engagement in food-related activities and occupations has been highly valued for many older individuals, impacting healthy aging and quality of life in later years. This requires urgent attention from occupational therapy practitioners due to the growing population of older adults who experience food insecurity
The Impact of Brief Mindfulness Training on Occupational Therapy (OT) Students\u27 Perceived Level of Stress
Background: Mental health issues and burnout are becoming more common among students in healthcare programs (Dyrbye et al., 2014). As demands placed on healthcare professions continue to increase, there has been an increased interest in researching the practice of mindfulness to promote self-care (Irving et al., 2009). Mindfulness has been defined as “the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment by moment” (Kabat-Zinn, 2003, p. 145). Mindfulness has been shown to decrease stress and anxiety among pre-healthcare college students (Burgstahler & Stenson, 2020). Little research has investigated the impacts of mindfulness on occupational therapy (OT) students specifically. The purpose of this capstone project is to address the evidence gap on the effect that an array of mindfulness strategies may have on perceived stress in OT students at various curricular levels. Research question: Does brief and information education and training in basic mindfulness techniques and strategies impact perceived levels of stress among occupational therapy students? Methods: This study used a quantitative one-group pre- post-test design. Results: A significant difference (p\u3c0.05) was shown from pre- test to post-test scores following the intervention. Conclusion: The results of this study indicated that brief, informal mindfulness training and education designed to be incorporated into daily life can have a significant impact on OT students’ perceived level of stress. Continued research using a mixed-methods approach is recommended to help optimize the intervention based on students’ preferences
Notions of Liberty- Traditional and Modern
This essay examines, primarily, how notions of liberty have evolved over time in America. Starting from the point of establishing America’s foundation in Thomistic natural law, the essay then seeks to identify, define, and analyze different segments of American political thought that have sprung off from this staring point. Three segments are identified, Conservatism, Liberalism, and Progressivism, and then defined on how they view the self. The conservatives from God, the liberals from reason, and the progressives from how the individual interacts with society. After this, these different segments of American political thought are contrasted by viewing how they offer different prescriptions on how gender should be legislated. From this contrast, it becomes clear that, as America has progressed from its natural law beginnings to modernity, notions of liberty and the self-have moved in a decidedly inward fashion, from God and his prescriptions to the self and its desires. While this essay does not make any assertions on the positivity or lack thereof of this shift, it does make substantive claims on the strengths and weaknesses of these segments of thought, primarily on the grounds of how much order they provide for both the self and society
The Honeysuckle Myth: Confronting Appalachian Liminal Space
Combining ethnographic interviews of self-identifying Appalachian individuals with my own experiences informs a humanistic anthropological collection of vignettes to evoke the diversity of perspectives of those who share an Appalachian identity. The goal is to collect stories and promote understanding through discourse. Individuals who choose to be a part of the creative project post interview have agency in how their stories are presented and if they will be included in the creative work. This project is a byproduct of the necessity to promote freedom of voice and expression for individuals with deep ties to this land who may feel displaced or who do not fit the stereotypical definition of the quintessential “Appalachian.” Simultaneously, this project attests that creative writing as an artform is both a valid research method and byproduct of research that provides a deeper insight into how real people feel which cannot be fully expressed by collection of data and objectivity
Past, Present, Future: Violence Against Native American Women in the United States
Violence against Native American women has been an issue for centuries in the United States. Europeans arrived in the Americas in the 1400s and immediately changed the traditional way of Native American life. Because of this, Native American women were no longer respected in their communities and often subjected to violence. Before Europeans came to the Americas, Native women controlled everything in their communities. Indigenous communities operated under matrilineal culture. Under European influence, native tribes started operating under patrilineal culture, which also contributed to the way native women were treated differently over the years. As the respect for Native women started to dwindle, they experienced violence through boarding schools, sterilization, sexual violence, man camps, and murder