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Parenthetical Elsewhere(s)
Full text linkThis creative project focuses on the grammatically interrogative, elusive and allusive sound, and the interrelation between landscape and language. Music and sound, not only in terms of musicality as a poetic device with potential for meaning, but sound as historical sound-vestige(s), runs throughout the collection, as does experimentation with form, syntax, foreign languages and etymology. The research portion of this project was grounded in movements such as French Symbolism, Anglophone Imagism, and Postmodern American Poetry, especially those considered to be experimental such as Susan Howe, Ronald Johnson and Gustaf Sobin
Implementing Palliative Care Referrals For Patients Being Discharged From Hospice Services: A Quality Improvement Project
No full textBackground: Patients discharged from hospice services are not regularly or consistently offered palliative care referrals. Purpose/Specific Aims: The purpose of this project was to comprehensively explore the referral process from hospice to palliative care within the study institution, including barriers and enhancers. The project aimed to examine the referral processes and communication between hospice and palliative care teams, educate the hospice nurses on palliative care, and extend outreach to patients and families during the hospice discharge process. Methods: The gaps impacting the referral process were explored through a needs assessment. An educational intervention with a pretest-posttest design survey to assess palliative care knowledge was utilized with a convenience sample of 20 hospice Registered Nurses (RNs). Strategies to improve communication between levels and teams were implemented and palliative care outreach to patients/families was planned. Results: Hospice patients pending discharge were identified during weekly meetings. Barriers to referral were identified and an open-door policy to remove barriers to communication was established. Data entry of pre- and post-test knowledge scores were analyzed using Microsoft’s Excel. Mean scores increased from 63.8 on the pre-test to 87.6 on the post-test. A paired t-test was performed and was highly significant (p \u3c 0.001). Communication within and between teams was enhanced and palliative care nurse practitioners have reached out to patients and families to discuss palliative care after hospice discharge. Conclusion: These findings helped develop a culture change in the institution to embrace the importance of referrals to palliative care when discharging patients from hospice
Effects of Telehealth Education and Simulation on Graduate Students
No full textBackground: Concerns exist regarding the preparedness of health care providers’ ability to provide adequate care via telehealth compared to in-person visits. Since the COVID-19 pandemic shifted, patient and provider expectations have changed for accessing and delivering care via telehealth (Thielman, 2020). A knowledge gap exists in preparing providers for telehealth practice due to various factors, the most obvious being the lack of telehealth education in nursing (Rutledge et al., 2017). The increased use of telehealth and technologies has transformed telehealth from a basic to essential competency for all graduating APRN’s (Dzioba et al., 2022). Purpose: The purpose of the quality improvement project was to determine if implementing telehealth education via didactic and simulation increases graduate nursing students’ knowledge, skills, and attitudes. Method: This quality improvement project used the simulation and didactic methods of a multimodal approach to provide telehealth training to advanced practice nurse practitioner students (N=11). Using van Houwelingen et al. (2016), telehealth knowledge, skills, and attitudes (KSAs), identified 52 KSA competencies categorized under 14 nursing telehealth-entrustable professional activities (NT-EPAs) critical for an educational foundation in telehealth. Results: KSA scores significantly increased post-education and simulation content. A paired t-test between pre and post-test demonstrated significance in knowledge (p= \u3c.001), skills (p= \u3c.001), and attitude (p=\u3c.05). A Wilcoxon signed-rank test further verified significance between pre and post-test scores knowledge (p= \u3c.001), Skills (p= \u3c.05) and attitude (p=\u3c.05). Conclusion: Results of this quality improvement project demonstrates additional evidence that utilizing the multimodal framework to provide telehealth education increases graduate students’ KSAs
A Systematic Review Evaluating the Effectiveness of Vagal Methods for Conversion to a Sinus Rhythm in Stable Supraventrical Tachycardia
Full text linkThe preferred first line treatment for adults in stable supraventricular tachycardia (SVT) presenting to an emergency department varies between practitioners. Some practitioners will choose a non-pharmacological intervention as a first line treatment while others will choose a pharmacological intervention. This study analyzes the efficacy of vagal maneuvers in the termination of SVT to sinus rhythm, more specifically comparing Standard Vagal Maneuvers (SVM) to Modified Vagal Maneuvers (MVM). This study was conducted through a systematic review of the literature. The main goal was to increase the use of non-pharmacological interventions as a first line treatment and to raise awareness of the importance efficacy of the intervention to convert SVT to a normal sinus rhythm. The Stetler Model of Evidence-Based Practice guided this systematic review, serving as an example of how research findings are applicable to daily practice, by using evidence to implement change (Stetler, 2001). This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Using PRISMA, current literature was searched to select randomized control trials in the databases Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed, with the search words “SVT” or “supraventricular tachycardia” or paroxysmal supraventricular tachycardia”, “vagal maneuvers” or “vagal methods”, and “nonpharmacological treatment”. Data from the studies were then appraised using Critical Appraisal Skills Programme (CASP) checklist, then tables were created to organize data clearly, and finally, a cross study analysis table was developed. Three randomized-control trials met the inclusion and exclusion criteria. The findings of the cross-study analysis determined that the modified vagal maneuver is more successful in the conversion of SVT to a sinus rhythm than the standard vagal maneuver
Impact of COVID-19 Healthcare Policies on Postpartum Depression
Full text linkThis paper reviewed changes and effects of postpartum mental health during the COVID-19 pandemic. A comprehensive literature review presents topics related to postpartum depression and mental health during the COVID-19 pandemic. Policies established during the COVID-19 pandemic affecting postpartum women were analyzed using Russell and Fawcett’s Conceptual Model of Nursing and Health Policy (2005). During this analysis, potential policy impacts on postpartum mental health are discussed. The primary aim of this paper is to review care delivery changes that impacted postpartum mental health, changes to care that can potentially be made in the future to lessen that impact, and factors that need to be considered when making policy changes during a time of health crisis
Factors Contributing to Turnover Among Critical Care Nurses During theTransition to Practice Period
Full text linkBackground: New nurses are the major source of hiring for most hospitals. They fill vacancies left by seasoned nurses. As a result, an experience-complexity gap is created. The turnover of new graduate nurses is as high as 85% in the first two years of employment. A cycle of turnover has been created. Purpose/Specific Aims: The purpose of this study is to determine the most important factors contributing to turnover and the opportunities to mitigate or reduce turnover in the critical care setting. The specific aims are to evaluate the perceptions of the new graduate nurse and experienced nurses related to the transition to practice period and to evaluate the perception of all nurses’ health of the work environment. Methods: The AACN’s Healthy Work Environment Assessment Tool was distributed to all nurses permanently employed on four study units. The Casey Fink New Graduate Nurse Survey was distributed to all permanent nurses on the study units with less than one year of experience on the unit. The survey was in effect for three weeks during February 2022. Results: Nurses with less than two years’ experience note staffing, true collaboration, and meaningful recognition as elements of the work environment most challenging. New nurses indicated dissatisfaction with staffing, length of orientation, and multiple preceptors. Conclusion: This study has provided a more detailed understanding of the local practice environment related to the health of the work environment and the experiences of new nurses during their transition to practice
Nurses\u27 Perception of Resilience: Does Experience Matter
Full text linkNurses and other healthcare professionals work tirelessly to care for others, often putting others\u27 needs before their own. Over time, this can have a harmful effect on the mental health and wellbeing of nurses who encounter high stress levels on the job. Since the start of the COVID-19 pandemic, there has been even more stress and burnout amongst nurses around the globe. Resilience is a trait that can help nurses cope with stress and burnout. Several studies (Blackburn et al., 2020, Duchemin et al., 2015) have shown resilience training to be beneficial in helping nurses navigate the stressful world of healthcare and improve their coping skills, however, there has been little research identifying a correlation between nurses\u27 perception and willingness to participate in resilience training based on years of experience. The purpose of this paper is to present a Quality Improvement project proposal to determine whether years of nursing experience impacts nurses\u27 perception of resilience training. A suggested method to explore this question includes dissemination of an informational packet about resilience and a survey measuring resilience among critical care staff nurses in a Level 1 Trauma Center. Using the data collected and analyzed in this proposed project may help in addressing the need for resilience training programs and the target populations who would gain the most from such programs
Healthcare Professional\u27s Perspective on Telemedicine - Individuals Living with HIV/AIDS
Full text linkBackground: With the outcome of the pandemic, telemedicine has become a popular healthcare delivery service across multiple organizations and providers over the past couple of years. This study examines the influences telemedicine has on those living with HIV/AIDS. Objective: To resolve the initiative to end the ongoing HIV/AIDS epidemic, organizations and healthcare professionals need to continue to identify ways to maintain care for those living with HIV/AIDS. The perspective that health care professionals have on how the use of telemedicine affects patients\u27 living with HIV/AIDS will help provide more insight into what they believe about telemedicine, as well as if it can help improve patient outcomes. Methods: This study involved the use of a seven-question survey, which was administered electronically to healthcare professionals at three selected HIV/AIDS agencies in Rhode Island: AGAPE, ACOs, and APRI. Results: The sample (N=14) consisted of healthcare professionals. The data collected from the survey responses revealed three distinct themes: accountability, healthcare outcomes and satisfaction rates. Discussion: This study explored the perspectives of healthcare professionals and how it relates to the influence of telemedicine, utilization and satisfaction rates and improvement of health outcomes. Conclusion: The participants who took part in the survey provided insight and knowledge into a topic with very limited data
Seeing Red: Effects of Practice Interventions on Woodwind Students’ Accuracy in Performing Articulation
Full text linkMusic reading is a central part of most band programs, yet research about music reading has rarely included articulation markings. The purpose of this study was to explore the effect of four experimental practice conditions to a control condition on woodwind players’ performance of slur, accent, and staccato markings. A secondary purpose was to examine the role of working memory in performing articulation. The practice conditions used visual and kinesthetic approaches: colored notation, tracing over articulation marks, and speaking syllables. University woodwind players (N = 26) practiced short etudes on 1 day, and they returned approximately 24 hours later for retention testing. Participants’ working memory was strongly related to playing articulation on the first day of practice. Woodwind players prioritized playing slurs over accents and staccatos, and there was some support for tracing with color to support accurate performance of articulation
Mentorship Functions and Educational Outcomes in Higher Education
Full text linkThe mentorship experience in higher education may be viewed as a holistic support system for many students who report not receiving adequate academic and social support during their enrollment in a higher education institution, which could positively impact their abilities to succeed in college (Astin, 1984; Hurtado & Carter, 1997; Nora, 1987; Nora & Crisp, 2007; Pascarella & Terenzini, 1991). The purpose of this quantitative study was to examine student-teacher mentorships in higher education and its influence on educational outcomes using undergraduate and graduate students at Rhode Island College. In this study, I hypothesized that students who identify as having a mentor will report more positive school engagement and membership in their learning experience than students who do not have a mentor (Hypothesis 1). I also hypothesized that other variables will impact positive school engagement and membership for students who do not identify as having a mentor (Hypothesis 2). A sample of participants (N = 262) recruited for this study completed a self-report demographic questionnaire, the College Student Mentoring Scale, the College Student Experience Questionnaire, the Psychological Sense of School Membership, and the Belief in the Utility of Education. The measures assessed students’ perception of their college experience, faculty mentorship, school engagement, and school membership. Results indicated that formal mentorship did lead to better academic performance, attendance, and students’ satisfaction at the institution. Graduate students overall reported lower student engagement and school membership than their undergraduate counterparts. The current study is one of the first to examine the impact faculty mentorships have on both undergraduate and graduate students while assessing the same constructs in one study and considering factors such as student engagement and school membership