7277 research outputs found
Sort by
COVID-19 a Global Pandemic
No full texthttps://digitalcommons.ric.edu/covid19_film_gallery/1010/thumbnail.jp
Ideas That Count: PALCUS 2020 Census Coloring Activity - Galo
Get PDFhttps://digitalcommons.ric.edu/mpc2020/1006/thumbnail.jp
Cognitive Representations of Dyadic Relationships: Determinants, Reciprocity, and Egocentric Bias
Get PDFThis study focuses on cognitive representations of one’s own and others’ dyadic relationships and tests the principle that there is a self-serving bias in the assessment of them. Not only do people believe they are superior to other individuals on many psychological dimensions, called egocentric bias, they also believe that their dyadic relationships with others are superior. Participants, called key persons, were brought into the laboratory, and instructed to select three family members and three friends that they know well, and who also know one another within groups but not across groups. After doing so, participants made ratings of their own and others’ dyadic relationships. This study concluded that key persons believe that listening quality is increased when they are present within the dyad, both as a speaker and as a listener. From this, we indicate possible future directions of study, as well as potential explanations for such a phenomenon
Covid-19
Get PDFMy Covid experience this year.https://digitalcommons.ric.edu/covid19/1000/thumbnail.jp
Locked, Loaded, and Ready for School: The Association of Safety Concerns With Weapon-carrying Behavior Among Adolescents in the United States
Get PDFThere is limited, if any, prior research exploring the potential link between adolescents’ safety concerns and their predisposition to possess weapons has been limited. This study aimed to examine the relationship between high school students’ perceived lack of safety and their weapons carrying behavior in a multiyear nationally representative sample of high school students. Information on self-reported weapons carrying in past month and gun carrying in past year, perceived lack of safety at school or during commute, being bullied and/or threatened, involvement in physical fights, and demographic characteristics were retrieved from Youth Risk Behavior Surveillance Survey data for 1991-2017. Generalized linear mixed models were used to address data clustering by survey year. Sampling design and sample weights were accounted for. Of a total number of 195,280 respondents with valid responses during 1991-2017, 18%, 7%, and 5%, respectively, carried weapon(s) in general, weapon(s) to school, and gun. On an average, 5% skipped school due to safety concerns. Missing ≥2 school days was associated with weapon (adjusted odds ratio [AOR]: 2.25; 95% confidence interval [CI]: 1.94 -2.61) and gun (AOR: 3.18; 95% CI: 1.81 -5.58) possessions, as well as weapons possession in school (AOR: 2.47; 95% CI: 1.96 -3.12). Experiences of weapons-induced injury(ies) or threat(s), and involvement in physical fights were other significant covariates in adjusted analyses. Compared with non-Hispanic whites, students of other racial/ethnic groups had significantly lower odds of possessing weapons. Perceived lack of safety emerged as a potential determinant of weapon carrying, a behavior with far-reaching public health concerns. While future research looking into the psychological motivations of possessing weapons is recommended, our findings offer a unique opportunity to address the crucial problems of school absenteeism induced by experiences of aggression and fears for safety as well as preempt the consequences of weapons-possession by adolescents
Examining Knowledge of Pain Management
Get PDFPain places a significant burden on the society and individuals through health care costs, loss of productivity, and loss of income. A widening gap exists between increasing knowledge about pain and the application of this knowledge to treat pain. The Joint Commission (TJC) provides guidelines for nursing care of patients with pain. The purpose of this paper explore the application to practice of TJC guidelines for nursing care of the patients with pain
Exploring Nurses\u27 Knowledge of Medication Error Reporting
Get PDFManaging the care of critically ill patients is a highly complex and stressful position requiring high levels of critical thinking skills and judgment. Medical errors, including medication errors continue to happen in hospitals across the nation. Despite decades of focus and efforts on this area from the Institute of Medicine and other national and federal agencies, literature suggests that medication errors in critical care are highly prevalent and underreported. The purpose of this project was to explore the knowledge base of critical care nurses in relation to medication error reporting. A survey was created, which included 10 questions that were relevant to medication errors and reporting of these in the critical care setting. No demographical data was collected on respondent nurses to protect anonymity and privacy. A total of 77 completed surveys were collected from ten critical care units at a large academic acute care hospital in Rhode Island. The results of the survey showed that the majority of nurses had no knowledge of the hospital’s policy or the official definition of a medication error as adopted by the facility. A significant number of nurses weren’t aware that near miss events are medication errors. This project found that critical care nurses and their patients would benefit from enhanced education programs aimed at closing these knowledge gaps. Providing clarification, guidelines and detailed policies and procedures may enhance their confidence, efficacy and skills to be able to adequately and consistently report all near miss events and actual medication errors thereby improving the overall culture of safety and patient outcomes
Improving Compliance with Best Practice Standards for Patients at Risk for Opioid Use Disorder
Get PDFBackground: Available literature suggests that provider adherence to best practice guidelines regarding the prescribing and management of opioid therapies is low. Documentation of patient screening for present or future opioid use disorder is inconsistent. Provider incorporation of evidence-based guidelines into routine patient care is essential to optimizing outcomes related to opioid use disorders.
Purpose/Specific Aims: The purpose of this scholarly project was to facilitate recognition of patients at high risk for opioid use disorders and facilitate best evidence based practices in the care of this population. Specific aims were to achieve provider compliance with: patient risk screening, PDMP review, completion of signed care plans, and reduction of inappropriate opioid prescriptions.
Methods: A quasi-experimental design was used for this quality improvement project. The sample included patients receiving treatment for acute or chronic pain, or who were identified as having a substance use disorder. The project was conducted at an internal medicine practice in the northeast region. The intervention included an educational program addressing the ASAM guidelines and ORT utilization with implementation of a SmartPhrase in Epic. Baseline data was collected for the two-month period preceding the intervention and post-intervention data was collected for the three-month period following the intervention. Differences in pre- and post- intervention results were analyzed using chi square.
Results: This project resulted in improved compliance with the implementation of urine toxicology screening, PDMP review, and completion of a controlled substance agreement. Compliance with ORT was not achieved.
Conclusion: This project led to an increase in compliance with best opioid prescribing practices. The ORT was not consistently implemented; however, the number of new opioid prescriptions remained negligible. Additional efforts will be necessary to maintain the progress achieved in this project including attention to continued provider education. Real-time auditing and feedback will also be incorporated, and opportunities to involve office staff will be explored
An IV Anesthetic Decision Tree for Cardiac Surgery
Get PDFA thorough literature review was conducted covering the topics Intravenous anesthetics, pathophysiology of structural heart disease, and decision-making in anesthesia. A systematic review of randomized controlled trials was performed guided by the PRISMA protocol. Through the lens of Information Processing Theory, the results of the systematic review were used to guide the creation of a decision tree for the selection of the appropriate intravenous anesthetic for cardiac surgery