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Perpetual Weapons
Full text linkPerpetual Weapons is a research paper that explores gun violence in the context of Tommy Orange\u27s /There, There/ and connects it to the ever-growing relevance of gun-related crimes throughout the United States
Effect of Clinical Opiate Withdrawal Scale Educational Intervention on Intensive Care Unite Nurses\u27 Knowledge and Confidence
No full textThe opioid epidemic is a significant concern for the United States. Forty-eight and a half million Americans have either used illicit drugs such as heroin or have misused prescription opioid drugs. The exponential rise in opioid use increases the risk of opioid withdrawal, thus making opioid withdrawal assessment a top priority, especially for hospitalized individuals. The Clinical Opiate Withdrawal scale (COWS) is highly recommended to assess opioid withdrawal in hospitalized individuals and is well supported by the American Society of Addiction Medicine National Practice guideline and the World Health Organization. Despite the availability of reliable opioid withdrawal assessment scales, improper use and underuse of these scales are reported. Nurses education on the use of the COWS could address this gap. The purpose of this quality improvement project was to determine the effectiveness of an educational intervention concentrating on the COWS to improve critical care nurse’s knowledge and confidence in scale use. The quality improvement project utilized a pre-test, educational intervention and a posttest design. Twenty-eight out of the possible 60 critical care nurses participated in the quality improvement session. The mean scores on the pretest and post-test were 41.2 % and 83.5%, respectively. This showed a percentage increase in knowledge of 42.3. Furthermore, participants reported higher level of confidence in their ability to utilize the COWS. Receipt of COWS education could promote proper use of the scale. The advanced practice nurse can assist in establishing and implementing educational programs that focus on the importance of opioid withdrawal assessment through evidence-based practice
Implementation of a Patient-Reported Outcomes Measure for Patients with Advanced Heart Failure
No full textHeart failure (HF) is associated with high morbidity, mortality, and substantial cost. Despite treatment advancements, the quality of care and quality of life (QoL) remains suboptimal. Interventions to improve QoL, like palliative care (PC), are lacking. Aligning clinical management and patient goals of care is critical to improving outcomes and highlights patient-centeredness. Strategies to promote patient-centered care, such as utilizing patient-reported outcome measures (PROM), should be standard of care.
Purpose/Aims: To improve QoL and quality of care for HF patients by integrating the Kansas City Cardiomyopathy Questionnaire (KCCQ-12) as standard clinical practice. The aims were to use the KCCQ-12 as the new standard of care, evaluate the impact on patients’ QoL and evaluate the impact on quality of care
Midazolam-sparing Approach for Nenatal Sedation: A Systematic Review
Full text linkNeonates are in a very vulnerable state, as they adjust to their new environment and experience a period of significant physiological and psychological developmental changes. Therefore, it is important to keep in mind the role this vulnerability plays in the pharmacokinetics of administered medications due to the immaturity of the neonate\u27s developing brain and hepatic function. Properly sedating this population, without over sedating them, can become problematic. The commonly used drug, midazolam, in higher doses, can lead to hypotension and decreased cerebral blood flow to an already underdeveloped cerebral vascular supply, resulting in decreased oxygenation of the brain and potential neurologic injury, principally in the form of periventricular leukomalacia (PVL). There is evidence that the alpha-2 agonist dexmedetomidine could be a safer sedation option, but it is not currently approved by the FDA for neonate use. This systematic review examines the current literature to determine if dexmedetomidine showed superiority to midazolam as a primary mechanism for neonatal sedation while appearing to provide a safer profile. This systematic review used PRISMA as a framework guideline. A literature review was conducted and data was collected in table form. A cross-study analysis was created to compare the results of these studies, which showed that midazolam in fact alters hemodynamics in neonates and had the potential to cause neurologic injury. The results urge further research to gain FDA approval of dexmedetomidine in the neonatal population and to form established guidelines for anesthesia provider reference
Alternative Strategies for Family History Projects: Rethinking Practice in Light of Indigenous Perspectives
Full text linkGenealogy and family history projects can be an excellent way to foster students\u27 sense of identity and connectedness to their heritage and relatives. Such activities can help students develop pride and knowledge in their identities and personal histories. Because knowledge of family histories is often valued within Indigenous communities, and central to many Indigenous social, cultural, and diplomatic traditions, such projects have the potential to be a meaningful form of culturally sustaining and revitalizing pedagogical practice. This article begins with a brief literature review on the value and practice of using family history projects in social studies/history classrooms. Following this review, the authors offer a more detailed discussion of Indigeneity and the ways in which Indigenous identities are entangled with family history projects. To demonstrate the importance of rethinking family history projects, they offer three vignettes that illustrate how normative discourses and practices can live in tension with students\u27 lived experiences. This provides context for their subsequent outline of a variety of considerations for social studies educators that they assert can challenge and complement the approaches described. In so doing, the authors\u27 hope is to foster spaces and practices that support Indigenous students, as well as challenge normative notions of family that constrict the diverse range of cultural and familial expressions that already exist--and should be supported--in classrooms
Stonewalling in the brick city: Perceptions of and experiences with seeking police assistance among LGBTQ citizens.
Full text linkExtant research has documented police interactions between racial and ethnic minority populations, including negative perceptions of and experiences with the police; police corruption and misconduct; and the deleterious effects of negative relationships with the police, such as reduced legitimacy and mistrust. Comparatively, exchanges between lesbian, gay, bisexual, trans, and queer (LGBTQ) populations and the police have received limited attention. This is despite work suggesting that LGBTQ citizens face an elevated risk of victimization, and a possible reticence in reporting their victimization, resulting from negative perceptions of police, fear of mistreatment, or even experiences of harassment and abuse by police. To extend the research in this area, I analyze 12 focus groups with LGBTQ participants (N = 98) in an urban setting to examine the circumstances in which LGBTQ people would seek assistance from the police, when they would avoid doing so, and their justifications for avoiding or contacting the police. I also considered intersectionality in shaping police–citizen interactions between sexual and/or gender minority citizens of color, as the sample was almost exclusively LGBTQ persons of color. I conclude by discussing implications for policing practices and policies
Studies in Literature
Full text linkThe story that really struck a chord with me was Tommy Orange’s ‘There There’. I am a distant relative of the Pequot\u27s and know a lot of the history of this region in respect to the Wampanoags, especially King Phillip and his execution in my backyard of Bristol. I have decided to take the information from this semester and look into another controversy happening at this very moment across the border in Massachusetts, and that is the state emblem of the Commonwealth of Massachusetts as well as the banning the use/representation of Native American’s as school mascots, emblems, etc
Fair Trade: the successes and failures as seen through the sustainable development goals
Full text linkIn this paper I seek to understand fair trade as a social movement and the relationship of fair trade to the 17 Sustainable Development Goals created by the United Nations. I look at the history of the fair trade movement in the context of alternative trade organizations and the sustainability movement during the precipitous rise and stature of nongovernmental organizations (NGOs) in the 1990s. I analyze the growth and scalability of fair trade in the U.S. since 2015 through three of the 17 Sustainable Development Goals: SDG 1: Ending Poverty; SDG 5: Gender Equality; and SDG 12: Responsible Consumption and Production. Using the indicators and targets detailed by the United Nations Department of Economic and Social Affairs, I utilize primary and secondary research to measure fair trade’s alignment and effectiveness as an instrument of sustainable development