Rhode Island College

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    Comparing Sugammadex in the Adult and Geriatric Population

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    A comparison of using sugammadex for neuromuscular blockade reversal in adult and geriatric populations, examining time to recovery and adverse outcomes related to residual neuromuscular blockade

    The Contested Discourses of Yoga, Youth, and Urban Schooling: Paradox and Possibility

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    Background/Context: Yoga, as a recent cultural phenomenon in the United States, is often marketed as a way to relieve stress and anxiety. This has led to yoga becoming widespread in schools, particularly schools that serve low income youth of color. While some advocates argue that yoga can help students navigate highly controlled, standards-based school environments, others assert that yoga is being used as a tool for student compliance rather than liberation. Purpose/Objective/Research Question/Focus of Study: This study addresses the tensions between schooling discourses and yoga discourses, and how youth use their own discourses and agency to navigate those complications. Setting/Population: This study took place in an alternative high school program for students who were in danger of not graduating because they had too few credits. Reflecting the community, the participants were low income youth of color. Research Design: In this yearlong critical qualitative study, I served as an observer for weekly yoga classes at the school, interviewed the student participants during the fall and the spring, and interviewed the yoga teacher and classroom teacher during the fall and spring. I kept a field journal and wrote memos after every class and analyzed the data from the observations and interviews using critical discourse analysis. Conclusions/Recommendations: Even as yoga may serve as a counternarrative to schooling discourses, it is only with intention and practice that it does not reify narratives of power and patriarchy. This is particularly true when the participants themselves may replicate these narratives, such as the participants’ complex use of heteronormative masculine discourses. For yoga to be liberatory in schools, the following aspects should be included: a sense of community where all students feel valued, classroom teacher participation, explicit instruction in the discourses of yoga around acceptance and compassion for oneself and others, and acknowledging school and youth discourses around sports and heteronormativity

    Eye on Ethics: Ethical Challenges and Coronavirus

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    Decades from now, social workers are likely to recall 2020 as the year their lives were transformed by COVID-19, aka coronavirus. With little notice, legions of social workers suddenly found themselves facing unprecedented roadblocks in their effort to serve their clients. In-person meetings were cancelled. Both clients and social workers scrambled to fashion new ways of connecting remotely. Within minutes of declarations of a public health emergency, I began receiving frantic telephone calls, e-mails, and text messages from social workers throughout the United States who sought clarification about the rules: Am I allowed to use my personal smartphone to talk with clients? How about using FaceTime, Google Hangouts, Google Voice, Zoom, GoToMeeting, Facebook Messenger, Skype, and WhatsApp? What’s HIPAA-compliant and what’s not? Are the major insurance companies authorizing social workers to use these digital tools? Can I serve clients who live in other states where I’m not licensed? These are reasonable and understandable questions, of course

    A Systematic Review to Examine the Effectiveness of Antibiotic Educational Programs in Outpatient Settings at Reducing Antibiotic Prescribing?

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    Antibiotic resistance has been identified by both the Center for Disease Control and the World Health Organization as a worldwide epidemic. Antimicrobial stewardship programs have been utilized at inpatient settings that include educational programs about antibiotic resistance. A systematic review was conducted to evaluate the effectiveness of antimicrobial resistance education in outpatient settings. The databases searched were MEDLINE, PubMed, Google Scholar and CINAHL. PRISMA checklist and flow diagram were used for identifying the randomized control trials for the systematic review. A total of five articles were identified and organized using data collection tables. The Critical Appraisal Skills Programme (CASP) checklist was used to assess the quality of the trials. All five of the articles showed improvement in overall antibiotic prescribing with education in an outpatient setting. Limitations to the studies included patient/provider drop-out rates, changing diagnoses to order antibiotics, lack of inclusion of all antibiotics ordered by practices, time of year the studies took place, and provider access to training regardless of being in sample. Implications for advanced practice nursing were identified as education, starting antibiotic research, utilizing APRN in research and leadership were discussed. Further research is indicated in the effectiveness of outpatient teaching to reduce antibiotic resistance as well as other areas of research the antimicrobial stewardship programs are utilizing in the inpatient settings

    Why Moral Theories Matter: A Review of Ethics and Adoption Literature

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    Gamification: An Innovative Way to Enhance Health Behaviors for people Living with HIV/AIDs Via Mobile Health Appliacations

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    Mobile health applications are known as any wireless technology in medical care and have been considered as one of innovative ways to assist and engage patients in care. This project focused on mobile health applications that were designed specifically for HIV medication adherence and to serve People Living with HIV/AIDs (PLWHA) with their HIV care in Rhode Island (RI) Ryan White Part B program, a federal program that provide HIV care to PLWHA (HRSA,2019). RI-Ryan White program partnered with 360 Medlink, Inc. (a software development company) developed and delivered two advanced digital platforms called TAVIE-HIV (an application with no gamification) and TAVIE-RED (an application with gamification) to Ryan White’s clients in RI

    Musical Theatre and Covid

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    https://digitalcommons.ric.edu/covid19_film_gallery/1009/thumbnail.jp

    Blocked-off basketball hoop

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    A basketball hoop that is taped up to prevent it from being used.https://digitalcommons.ric.edu/covid19_images/1004/thumbnail.jp

    How Can We Improve Hand Hygiene Compliance and its Clinical Implications in Healthcare Professionals?

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    Hand washing is one of the most important things that an individual can do to help prevent and control, the spread of bacteria, infections, and many illnesses from occurring. This study aimed to investigate the importance of hand hygiene compliance in nurses who practice at Rhode Island Hospital (RIH) in Rhode Island. The research in this study focuses on the compliance of hand hygiene created by the nursing staff. The branches of RIH target the Neurosurgery, Pulmonary, Dermatology, and the Dialysis Unit, to examine whether the implementation of visual reminders (i.e., healthy hands posters) create awareness amongst the nurses in each department. In this mixed-method, prospective, and quasi-experimental study, self-reporting was used to study the frequency of handwashing before and after the implementation of visual reminders. An additional method was created to measure the amount of Germ X Hand Sanitizer used in collaboration with visual reminders in a pre and post-intervention. A Focus Group Discussion was also conducted with the participants to obtain feedback that would increase hand hygiene awareness and its compliance. The results indicated that visual reminders create awareness and increase handwashing frequency among Rhode Island Hospital nurses. The implementation of visual reminders provided nurses with the knowledge and understanding of the importance of the issue

    Toward Inclusion: Best Practices for Hiring People with Disabilities

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    Job searches are stressful for everyone, but they can be especially challenging for people with disabilities. According to the US Department of Labor,1 the unemployment rate for people with disabilities remains more than twice as high as for people without disabilities. People with disabilities encounter obstacles at every stage of their career, from obtaining education and credentials to navigating the job search process to thriving within a job. To encourage building a workforce inclusive of people of all abilities, the SAA Accessibility and Disability Section crowdsourced the following ideas on the prompt: ‚ÄúWhat should search committees be aware of when filling a position in terms of accessibility and disability inclusion?‚Ä

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