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Evidence-Based Practice in Nursing
Get PDFEvidenced-based practice (EBP) as defined by the Institute of Medicine(IOM) is the integration of best research with clinical expertise and patient values for optimum care (IOM, 2003, p.45-46). Evidence-based practice (EBP) is considered a standard for safe and quality care (Carlson & Plonczynski, 2008). Healthcare leaders recognize EBP as an integral part of achieving quality outcomes and attaining high reliability. The Institute of Medicine (IOM) has established a goal that 90% of healthcare decisions in the United States be evidenced based by the year 2020 (IOM, 2009). Despite the fact that EBP has been promoted for many years, inconsistencies in implementation and adoption have been noted. Barriers to the implementation of EBP need to be understood. Assessing organizational culture has been identified as a necessary first step in to overcoming common barriers (Carlson & Plonczynski, 2008; Frasure, 2008). The purpose of this study was to assess the practice, attitudes and knowledge of EBP in registered nurses using the Evidence-Based Practice Questionnaire (EBPQ). The study used a descriptive design with convenience sampling. All staff registered nurses (RNs), Clinical Managers (CMs) and Assistant Clinical Managers (ACMs) on inpatient units within a large medical center in the Northeast were invited to participate in this survey. Study results are similar to those found in literature previously cited: a positive attitude towards EBP with a lower perception of knowledge or practice (Melnyk et al., 2004) and belief that more knowledge is needed (Alspach, 2006; Melnyk et al., 2004; Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). This assessment indicates a degree of environmental readiness and provides relative estimation of educational needs
Parking Lot, Rail Yard, Harris Ave
No full textLooking west from downtown Providence, Interstate 95 runs across center frame. Parking lot in foreground is now the location of the Rhode Island Convention Center (1994) and the Westin Hotel and Residences (1993, 2007). The impressive structure at center right is the Merchant’s Cold Storage Warehouse 160 Kinsley Avenue designed by architects Sonte, Carpenter & Wilson (Woodward, 193). It has since been demolished.https://digitalcommons.ric.edu/smolski_images/1964/thumbnail.jp
Psalm 151 in Anglo-Saxon England
Get PDFThe Psalms were a central aspect of Anglo-Saxon religious and biblical learning, and for this reason they have garnered much attention in recent scholarship. Yet the apocryphal, supernumerary Psalm 151 in particular would benefit from greater sustained attention. By focusing on this individual psalm, the present article situates the apocryphon within its intellectual, material, and literary contexts. In the first part of this essay, the surviving patristic and medieval evidence for learned attitudes toward the psalm in relation to the rest of the canonical Psalter are discussed, as well as the manuscript witnesses in AngloSaxon England. In the second part of this essay, focus is turned toward the two surviving Old English gloss translations of Psalm 151 in the Vespasian and Eadwine psalters. More specifically, it is suggested that the Vespasian gloss translation of Psalm 151 is yet another unidentified Old English poem
Reducing Hospital Acquired Pressure Ulcers
Get PDFPressure ulcers have been a persistent issue in hospitals for many years and continue to remain a major cause of morbidity and mortality. Most hospital acquired pressure ulcers (HAPUs) are considered preventable and are identified by the National Quality Forum as a nurse-sensitive quality indicator. Intensive care patients in particular tend to be at a higher risk to develop PUs and prevention in the intensive care population continues to be a major challenge in many hospitals. Recently, some intensive care units have been utilizing a preventative silicone foam barrier dressing applied to patients admitted to the unit in order reduce the incidence of HAPUs. The purpose of this research was to determine if a silicone foam border dressing applied to medical intensive care patients would result in a decreased sacral HAPU occurrence rate in the medical ICU. The data collection took place at the Miriam Hospital, a 247-bed tertiary care hospital in Providence, Rhode Island. The medical ICU at the Miriam Hospital is a 16-bed unit. A retrospective chart review was conducted on 250 medical records that were coded with ICD-9 codes for pressure ulcers. Group One (treatment group) included medical intensive care unit patients who had preventative dressings applied to the sacrum. Group Two (comparison group) included patients who did not have a preventative dressing applied. Results demonstrated that there was a decrease in the occurrence rate of HAPUs after the preventative dressings were initiated. Recommendations and implications for advanced practice nursing are discussed
Teaching Progress: A Critique of the Grand Narrative of Human Rights as Pedagogy for Marginalized Students
Get PDFDrawing on our experience as professors who teach human rights, social justice, and social movements courses at an urban college in Providence, R.I., with a student body that includes large populations who are of color, first generation, economically disadvantaged, and nontraditional in other ways, we explore the relevance and impact of these grand narratives for the lives of our students and their sense of political agency. In particular, we advocate for a critical approach to human rights pedagogy to counter and overcome the pervasive individualization that undergirds the grand narrative of human rights. We argue that a critical (and radical) human rights pedagogy must evaluate the position of the individual in modern life if liberation through human rights law and activism is to be possible. By challenging the individualization that forms the basis of the grand narrative of human rights, we can unlock the power and promise of human rights and social justice education as a driver of student and community agency
High School Guitar: Building a Successful Four-Year Program
Get PDFHigh School Guitar: Building a Successful Four-Year Program is an instructional text written for teachers who wish to develop or extend a guitar program at the high school level. It includes anecdotal experiences and teaching practices from the successful guitar program built at Mt. Hope High School in Bristol, RI over the past twenty years. Information about starting a guitar program is provided, and class content and curriculum development for each of the four years of high school guitar instruction are discussed. In addition, ideas about developing and maintaining a classical guitar performance ensemble at the high school level are included
Eyeon Ethics: How R U Doing 2Day? Social Work in a Digital Era
No full textSeveral months ago I received a call from a reporter for a national publication who asked me what I thought about what she described as a new therapeutic service whereby therapists and clients communicate solely by text messaging. Run that by me again, please, I said. Do you mean e-mail exchanges and online chat between clinicians and clients? No, the reporter said. Text messaging. That\u27s it
Barriers to Nurses Reporting Workplace Violence in the Emergency Department
Get PDFViolence in healthcare is a global problem and nurses are subjected to workplace violence (WPV) more than any healthcare professional. The International Council of Nurses (ICN) reports that nurses are three more likely to experience workplace violence than any other group. The Emergency department (ED) is one of the most frequent locations where this occurs. There is evidence that this problem is severely underestimated due to the under-reporting of WPV events and as such negative consequences ofWPV impact patient outcomes. Additional evidence suggests that the percentage of individuals reporting such events is low. The purpose of this study was to explore nurses\u27 experiences ofWPV, whether events ofWPV were being reported and if not what were the barriers that contributed to the events not being reported. This mixed method study utilized a 19 item checklist ofWPV behaviors which was adapted from a 2007 Emergency Nurses Association (ENA) study (ENA Workplace Violence Toolkit, 201 0). A total of 54 nurses from a local ED were surveyed. The Theory of Planned Behavior was used to guide this project. Results of the study suggested that while a majority of nurses experienced WPV, there was a dramatic culture of under-reporting. A majority of participants indicated reporting would not result in changes and therefore not worth reporting. This study suggests evidence ofWPV as a flourishing problem and that documenting the extent ofWPV events continues to be problematic due to underreporting. Future research needs to further explore barriers to reporting WPV and develop policies and protocols to increase reporting of WPV and ultimately mitigate WPV