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Discursive Incitement to Violence
Get PDFAnalysis concerns various discursive techniques employed by FOXNEWS.COM in 2008/2009 (the null) and 2016/2017; whether or not those techniques increased with the executive voice influence of Donald J. Trump in 2016/2017; and any associations with hate crime statistics as gathered by the FBI
Recovery Capital as a Mediator Between Stress and Drug-Taking Abstinence Self-Efficacy
Get PDFThe present research was designed to address the gap in research regarding recovery capital, stress, and drug-taking abstinence self-efficacy. Prior research on recovery capital and stress has demonstrated that recovery capital buffers stress in recovery and enhances quality of life. Additionally, prior research has demonstrated that stress depletes self-control, and contributes to continued relapse behaviors, while self-efficacy represents the ability to abstain from drug use. The current research sought to examine the role of recovery capital as a mediator between stress and drug-taking abstinence self-efficacy. Participants in the community completed a survey packet that measure recovery capital, perceived stress, and drug-taking abstinence self-efficacy, as well as additional demographic and psychosocial background information. Results indicated that recovery capital mediated the relationship between stress and drug-taking self-efficacy. Additionally, results indicated significant relationships between the demographics, independent and dependent variables
Efficacy of Transforaminal Epidural Steroid Injections in Symptomatic Spondylolisthesis: A Systematic Review
Get PDFSpondylolisthesis is a known source of chronic back pain due to spinal nerve root compression (Kraiwattanapong et al., 2014). It affects up to 8% of the adult population and is associated with disability, emotional distress, anxiety, and depression (Bouras & Korovessis, 2015; Kreiner et al., 2016; Hsu et al., 2019). Transforaminal epidural steroid injections (TFESI) allow precise delivery of corticosteroids to affected spinal nerves resulting in decreased inflammation and pain (Morgan & Mikhail, 2013). The purpose of this systematic review was to evaluate the efficacy of TFESI as method of pain management in symptomatic lumbar spondylolisthesis. A detailed search was conducted using CINAHL Plus, Google Scholar, Medline, and PubMed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework guided this systematic review. Critical Appraisal Skills Programme (CASP) checklists were used to evaluate article reliability. Data extracted from included studies focused on purpose, design, sample, method, limitations, steroid administered, number of injections, follow up interval, and pain scores. Study demographics, outcomes, and cross-sectional analysis tables were created to facilitate the interpretation of collected data. This systematic review concluded that further statistically significant research is needed to confirm the efficacy of TFESI in treating spondylolisthesis related radiculopathy
Perceptions of the Anesthesia Provider Regarding Opiod Sparing Techniques and the Opiod Crisis
Get PDFMuch of the opioid crisis in the United States is fueled by illicit opioid consumption that has grown from prescription opioids, typically following elective surgical procedures (Brummett et al., 2017). Alternatives to opioid use during and after surgical procedures can lead to a decrease in persistent opioid use and strong evidence in support of using alternatives to opioid prescription in pain management, yet this approach is not readily adopted by anesthesia providers (Soffin et al., 2018; Velasco et al., 2019). The purpose of this project was to assess the knowledge and attitudes of anesthesia providers as it relates to opioid sparing techniques and their effectiveness, as well as the effect of an education intervention on the willingness of anesthesia providers to change practice. The Logic Model was chosen as the theoretical framework for this project due to the fact that it was easily explained, had clearly defined key concepts, and provided both a schematic and textual way of gathering, sharing and evaluating knowledge that is consistent with the nursing process. The design was a one group pre and post-test quality improvement project, involving a 3-step process; a baseline pretest, an educational intervention, and a post-test evaluation. The intervention was a researcher-developed video describing the opioid crisis, addiction as a surgical complication, and the role of the anesthesia provider in relation to this clinical phenomenon. Twenty of a possible 60 anesthesia providers completed the entire program (N=20, 33%), with the mean responses each of the five Likert-scale questions increasing by an average of .41 points after the educational intervention. Overall, this project proved successful by improving the participants\u27 awareness to the opioid crisis, its relationship to surgical patients, and the potential for the anesthesia provider to play a role in mitigating this epidemic
Through the Back Door: Utilizing Dream Work for Insight During Psychotherapy
Get PDFThis poster reviews the outcome of utilizing dream work as an intervention in psychotherapy
Riveting Vietnamese and American Culture Through Jewelry Alchemy
Get PDFMy research involves a deep exploration of the visual and material language found in jewelry throughout history as it relates to deep social, cultural, and personal ideologies. I rivet my Vietnamese and American culture through jewelry alchemy while exploring my identity, sculpting and preserving the four sacred animals of Vietnam. I create boar head chains, the last animal in the Lunar Zodiac, and emerge unapologetically with crowns that proudly pronounce myself. I arrive at my altar with heirloom pendants and brooches, and lastly honor my family history with wearables that feature salt clusters and family gold. This body of work helped me discover deeper parts of my true self
The Impact of Checklist Use on Post-anesthesia Transfer of Care Events: A Mixed-Studies Review
Get PDFThe purpose of this paper is to complete a mixed-studies review, in order to answer the question, “How does the use of a checklist by anesthesia providers for post-anesthesia transfer of care (TOC) impact the objective quality of the handoff?” Checklists are tools used to improve the quality and reliability of high-risk processes both within and outside of the healthcare setting. A specific interest in intraoperative checklist use was the impetus for the clinical question. Due to a lack of available research, post-operative checklist use was reviewed. A link to intraoperative checklist use is made from the findings. Lewin’s Planned Change Theory was used for examining how implementation of a checklist may be successfully completed in the anesthesia arena. The PRISMA checklist was utilized. Current literature was systematically searched to select a sample of studies pertinent to the clinical question. Data from these studies was extracted, analyzed, evaluated, and reported in a manner consistent with the PRISMA guidelines. The following terms were used to complete the search: “post-anesthesia,” “transfer of care,” “handoff,” “checklist,” “standardized checklist,” “anesthesia,” and “patient safety.” Three randomized controlled studies met the inclusion and exclusion criteria, and a fourth study pertinent to the clinical question was included in the review to increase the sample size. Findings were that the use of a checklist by anesthesia providers for post-anesthesia TOC was effective in increasing the percentage of overall items included in the handoff, while the effect of checklist use on handoff duration was inconclusive
Symptom Triggered Therapy versus Fixed-Dosed Scheduling for Alcohol Withdrawal: A Systematic Review
Get PDFAlcohol Use Disorder (AUD) is a significant health problem that is seen widely inall hospitals and in the community. Individuals who have AUD and cease to consume alcohol develop Alcohol Withdrawal Syndrome (AWS). Alcohol Withdrawal Syndrome can either be treated on an inpatient or outpatient basis. Three different pharmacological regimens for treating AWS with medications exist. The three regimens include fixeddosing, symptom-triggered, and loading dose regimens (Sachdeva et al., 2015). As Acute Care Nurse Practitioners (APRNs), AWS will be a common diagnosis treated. Advanced Practice Registered Nurses (APRNs) must be aware of the different treatment modalities and the best evidence-based regimens for treating AWS. The purpose of this project is to conduct a systematic review to determine if the use of symptom-triggered dosing compared to fixed-schedule dosing of benzodiazepines for the treatment of AWS decreases total dosage of benzodiazepines administered during the course of treatment