7277 research outputs found
Sort by
Managing Hospitalized Adults with Alcohol Dependence
Get PDFAlcohol withdrawal is a common clinical condition with a variety of presentations, complications and morbidities. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 17 million Americans, or one in every 12 adults, have an alcohol use disorder (AUD). An unanticipated hospital admission can precipitate alcohol withdrawal syndrome that can develop six hours after the cessation of alcohol. Early assessment of potential alcohol dependence, as well as symptoms of withdrawal and utilizing the CIWA tool, is important in identifying and managing this at risk population and reducing the potential incidence of complications. The purpose of this project was to develop and implement an educational program for nurses targeted at management of hospitalized adults with alcohol withdrawal through assessment skills and utilizing the CIWA protocol. The goal was to increase the nurses’ knowledge of assessing, monitoring and treating this patient population. A needs assessment was conducted and an online education program was developed based on a review of the literature and clinical experience. The project included a pre and post survey surrounding the education module, followed by a program evaluation. Results indicated higher scores on the post-survey suggesting an increase in nurses’ knowledge, awareness and skills related to managing AWS in hospitalized adults utilizing an online education program. The APRN is in the position to improve nursing practice through evidence-based best practice, an important element in improving patient outcomes and safety
Intraspecific Variation in Leaf Traits Across an Environmental Gradient in the Cape Floristic Provence of South Africa
Get PDFIntraspecific variability has been an overlooked and under-investigated driving force behind biodiversity. Both interspecific and intraspecific variability contribute to species community assembly, and the South African Cape Floristic Region (CFR), as an area of remarkable biodiversity, provides the perfect opportunity to the latter. The objective of this research is to study intraspecific variability in leaf traits across three biomes that span rainfall and temperature gradients, and to assess the partitioning of that variability across biomes, across shrubs within biomes, and within shrubs of four focal species - Rushia intricata, Aridaria noctiflorum, Diospyros austro-africana and Chrysocoma ciliata. All collections were made in the towns of Calvinia, Nieuwoudtville, and Sutherland from July 28-August 27, 2014. ANOVAs were performed using the statistical package R. The results suggest that for all species except Diospyros austro-africana, most of the variability occurs at the within-shrub level. This study also suggests that the focal species, with the exception of Rushia intricata, are in fact responding to environmental conditions
Teaching History of the English Language with the Blickling Homilies
Get PDFThe increasing digitization of medieval and early modern archives provides a wealth of materials for teaching with primary sources beyond printed textbooks. The growth of online manuscripts is especially a boon for presenting primary sources in facsimiles of their original forms for History of the English Language courses.[1] While a general textbook works to give students a sense of the overall scope of each period and the developments in the language—for this iteration of the course, I used the second edition of The English Language: A Historical Introduction, by Charles Barber, Joan C. Beal, and Philip A. Shaw—primary materials allow for examination of particulars. Working with primary texts like this leads to sustained, critical discussion about details of abstract concepts like Grimm’s and Verner’s Laws, dialects, the inflectional systems of Old and Middle English, multilingualism, and the linguistic implications of medieval handwritten orthography and modern printed texts
Eyeon Ethics: Cultural Diversity in Social Work Ethics
No full textWhat my international travels have taught me repeatedly is that social workers\u27 understanding and application of professional values and ethical standards vary enormously. One size does not fit all
HE
Get PDFThis small collection of essays addresses the author\u27s relationship to men in her life, in particular her father and stepfather. In Somewhere Else, she writes about her often changing and unstable relationship with her biological father. She continues this exploration in What They Don\u27t Tell You in a different way, addressing her father and mother\u27s relationship and comparing it to an unhealthy dating relationship in her own life. In her last piece, she writes about her stepfather dealing with the death of his brother and simultaneous adoption of his nephew, while also coming to terms with the reality of her stepfather aging. These essays are all concerned with the complexities of relationships, growing up, and being a young woman in the world
Development of an Education Program for Nursing Staff Related to Obtaining Standardized and Accurate Daily Weights
Get PDFObtaining daily weights is an integrated process in daily nursing practice and considered useful data in treatment options. Literature reviewed revealed evidence based knowledge that daily weights are routinely used in everyday practice. However this data obtained is not always reliable and the task is not performed based on a standardized practice. The purpose of this education program was to educate nursing staff regarding procedures to obtain accurate daily weights. The program development used a pre-survey, intervention and post-survey design. The educational program for nursing staff served as the intervention. The sample included nursing staff employed on 4 East, a 30-bed medical surgical unit at the Miriam Hospital. This unit has a cardiac and vascular focus and also 24 telemetry beds available. Results revealed that nursing staff was aware of the daily weight policy, CNAs were simply obtaining the daily weights as a delegated task, and that nursing staff were unsure as to what to do if the equipment malfunctioned. Basic nursing educational programs should further stress the importance of daily weights as well as the reasoning for ensuring accuracy. Recommendations would include education of nursing staff that is geared toward evidence-based approaches to obtain an accurate daily weight. Further research is needed to understand the barriers to obtaining accurate daily weights and the effects on patient outcome
Is There a Difference in Pain Management of Patients with Upper Extremity Injuries in Relation to Age?
Get PDFTimely and appropriate analgesia for the treatment of long bone fractures is a primary goal of Emergency Departments. Despite incentives from the Centers of Medicare and Medicaid and accreditation agencies studies have found the existence of pain management disparities. The purpose of this research study was to conduct a retrospective chart review to investigate if patients with an upper extremity long bone fracture received pain medication within 60 minutes of arrival to the ED and to identify if there was a difference in the pain management of patients, with identical injuries, by age. Katharine Kolcaba’s comfort theory was used to guide the implementation of this project. Pain medication was provided within 60 minutes in 63% of the participants aged 69 and under and 56% of those aged 70 and older. A larger disparity occurred between the groups being medicated appropriately according to the World Health Organization’s guidelines for pain management with 63% of participants aged 18-69 receiving the appropriate pain medication compared to 45 % of participants in the 70 and over age group. The APRN has the opportunity to educate the nurses and members of the interdisciplinary team through evidence based practice in the safe and effective methods for treating acute pain across the lifespan
A Pre-Service Art Educator\u27s Explorations of Design Education
Get PDFThis research was meant as an exploration of design education from a variety of angles. These investigations informed me, a pre-service art educator, in how I can teach design within my curriculum as well as advocate for design education in my professional career. I focused on two aspects of design: designed products representing the human made world that surrounds us, sometimes referred to as applied arts; and the design process, or design thinking, a reflective process. In an attempt to get a full view of the importance of and applications for design in the art education classroom, I researched through both literature and practice
KNOTSWITHSTANDING!
Get PDFKnotswithstanding! is an internet based application built using HTML5, CSS, and JavaScript. It is a pedagogical utility that facilitates the construction and analysis of mathematical knots, as well as the demonstration of knot theory fundamentals. It uses a stick based tile layout system, allowing a user to draw a knot by dragging the mouse pointer across a grid. Once a knot is complete, functionality is available to check for validity, identify the number of crossings, and determine other invariants including tricolorability and Dowker notation. It features 500 iterable storage banks, and functionality for a sequence of knot renderings to be played back in a style resembling flipbook animation. Playbacks can be edited, reversed, slowed down and sped up
Going with your gut: How William James\u27 theory of emotions brings insights to risk perception and decision making research
Get PDFThe basic premise of William James’ theory of emotions - that bodily changes lead to emotional feelings - ignited debate about the relative importance of bodily processes and cognitive appraisals in determining emotions. Similarly, theories of risk perception have been expanding to include emotional and physiological processes along with cognitive processes. Taking a closer look at Principles of Psychology, this article examines how James’ propositions support and extend current research risk perceptions and decision making. Specifically, James (1) described emotional feelings and their related cognitions in ways similar to current dual processing models; (2) defended the proposition that emotions and their expressions serve useful and adaptive functions; (3) suggested that anticipating an emotion can trigger that emotion due to associations learned from past experiences; and (4) highlighted individual differences in emotional experiences that map on well with individual differences risk-related decision making