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The Role of Acculturation in the Professional Identity of Art Therapy and Counseling International Students
Get PDFIn a country of immigrants, the concept of acculturation needs to be familiar to almost any professional in the mental health field and it is a reality for immigrants and international students. As international and immigrant students continue to join the Art Therapy Counseling profession, it is important to understand how acculturation plays a role in the development of their counseling professional identity. Unlike most master’s students in the art therapy counseling profession, international and immigrant students go through unique experiences such as being born and raised in a different country with difference in cultures, languages, and immigration statuses that further confound their personal and professional development. This art-based heuristic phenomenological study aimed to understand the personal experience of a Latinx international student in the field of art therapy and counseling and how her journey through her personal and academic world has influenced her counseling professional identity
Educating SRNAs on Barriers and Facilitators of Clinical Learning
Get PDFA national survey of 143 Student Registered Nurse Anesthetists (SRNAs) conducted by Clancy and Bruinius (2022) revealed that factors impeding effective SRNA clinical education include unstable preceptorship, hostile environments, limited autonomy, and heavy didactic burdens. Clancy and Bruinius (2022) also found that facilitators of SRNA clinical education include rapport with preceptors, effective feedback, strong clinical site orientation, and beginning of day discussions. This project aimed to enhance second-year SRNAs\u27 clinical success by mitigating these evidence-based barriers and employing these evidence-based facilitators by developing a presentation for SRNAs and assessing its effectiveness through a pre-implementation survey and post-implementation survey. The literature review and survey results indicated that a preclinical educational intervention on barriers and facilitators of SRNA clinical success may improve SRNAs’ clinical comfort, rapport with preceptors, feedback interactions, and management of stress and anxiety
Best Practice in Airway Management of the Neonatal Population
Get PDFThe historical idea that uncuffed endotracheal tubes (ETT) are the best method for pediatric airway management is being challenged in today’s current anesthetic practice. Whether to use a cuffed or uncuffed ETT in the neonatal population remains controversial. This project involved a comprehensive literature review of best-practice recommendations for neonatal airway management, focusing on the use of uncuffed versus cuffed ETTs. Literature review findings were presented as an educational PowerPoint presentation, and a quick reference guide for pediatric airway management was developed. A post-implementation questionnaire was administered to determine the effectiveness of the presentation and its perceived application in clinical practice. Overall, participants expressed an increase in knowledge and ability to determine the best choice of ETTs for the neonatal population, and indicated they were very likely to incorporate the handout tool in their own practice. Research in patients weighing less than 3 kg is still necessary to provide further recommendations. As the debate between cuffed and uncuffed ETTs continues, great progress has been made in recent years to determine best practice. However, the most significant incidence of airway damage still occurs in neonates, supporting the need for optimizing endotracheal tube standards for this population
Anesthesia Management for the Preeclampsia or Hypertensive Parturient
Get PDFPreeclampsia is a placental disease characterized by abnormal maternoplacental blood vessels and placental dysfunction resulting in fetoplacental hypoperfusion and maternal multi-system organ dysfunction (Wang et al., 2019). Expectant management of a hypertensive or preeclamptic parturient includes antihypertensive medications, magnesium sulfate for seizure prophylaxis, and early delivery of the fetus (ACOG, 2020). Neuraxial anesthetic-induced sympathectomy combined with circulating antihypertensives, magnesium sulfate therapy, and intravascular volume depletion in preeclampsia is thought to contribute to exaggerated hypotension.
Persistent refractory hypotension after neuraxial anesthesia in parturients with preeclampsia or hypertension has been an ongoing issue affecting obstetric providers at the host facility. This project involved the creation of a communication tool to promote early consultation with the anesthesia team in the care of the preeclamptic parturient. Early anesthesia involvement can facilitate improved patient outcomes by providing early epidural analgesia, co-loading IV fluids, and appropriate timing or holding of antihypertensives. An educational PowerPoint presentation and communication tool were presented to the anesthesia providers at the host facility, followed by a short survey. The survey results were positive and indicated the communication tool was user-friendly and effective for improved communication. This project promotes best practice in caring for the hypertensive or preeclamptic parturient
Evaluating the efficacy of perioperative methadone in cardiac surgery
Get PDFCardiac surgery includes a myriad of highly invasive and complex procedures that can lead to the development of chronic pain and delayed patient recovery (Murphy et al., 2015). Despite frequent administration of opioid medications, cardiac surgery is associated with moderate to severe pain in up to 75% of patients (Bolton et al., 2019; Choinière et al., 2014; Wang, Song, & Nault, 2021). Methadone, a long-acting synthetic opioid medication, improves analgesia and decreases the risk of chronic pain syndromes among multiple surgical populations. Literature within the last five years suggests a single dose of intravenous methadone in cardiac surgery (0.1-0.3 mg/kg or 20mg maximum) prior to surgical incision significantly decreases total opioid consumption and improves postoperative pain scores. This project aimed to review the literature surrounding perioperative methadone in cardiac surgery and bridge knowledge gaps among anesthesia providers on its pharmacology, contraindications, and clinical administration, by which future methadone protocols may be developed. A pre-test, PowerPoint presentation, and post-test survey were administered to anesthesia providers at a large tertiary care center in central Illinois. Evidence implementation significantly improved the providers’ knowledge on the topic, and buy-in was achieved for the development of future methadone protocols
Lung Cancer Screening in a Primary Care Clinic for Coal Mine
Get PDFLung cancer is the leading cause of mortality for both men and women in the United States. Guidelines are set by the American Cancer Society for annual screenings of at-risk patients. Early identification of lung cancer risk and screening with low-dose CT scans can increase detection and treatment thereby reducing risk of death or disability. Coal miners are exposed to numerous cancer-causing agents, such as toxic chemicals, dust pollution from coal, and diesel exhaust fumes. However, primary care clinics serving coal miners lack lung cancer screenings despite the increased risk miners face. Patients were screened using criteria set forth by the American Cancer Society: ages 50-80, current smoker or having smoked in last 15 years, and have a 20 pack-year smoking history. Brochures distributed by the American Cancer Society were given and option of pursuing further screening offered. Twenty patients were identified for use in the projectwith only six meeting criteria for a brochure. No patients opted for further screening. Limitations of the study include limited participation and change of clinic from primary care clinic at a coal mine to primary care clinic for all patient populations
Drag Artist Interviews, 2021
Get PDFThis public dataset contains transcripts of 25 in-depth semistructured interviews with drag artists. This follows up on an available dataset of 8 interviews of drag artists conducted by SIUE student Destiny Baxter in 2020, available at https://spark.siue.edu/siue_fac/134/, and 22 interviews of drag artists conducted by SIUE students in 2019, available at https://spark.siue.edu/siue_fac/104/
All 2019, 2020, and 2021 interviews used the same instrument, with the exception of an additional question added in 2021 about the pandemic
Understanding Clay and its Media Properties Through the Expressive Therapies Continuum
Get PDFFor centuries, clay has been used by civilizations to hold food, memories, and records of history. To this day, it is used by engineers, hobbyists, artists, art therapists and many more. This art based, heuristic study explores clay through the researcher’s ongoing practice with the material, within the framework of the Expressive Therapies Continuum (ETC) and examines how its unique media properties make it such a versatile material for both ceramic artists and art therapists. Results exhibit these unique media properties and clay’s ability to reach all levels of the ETC through collected data of images, journals, critiques, and notes. These results conclude and explore the extent of clay’s unique abilities and open future avenues of research on the material
What\u27s in your nursing labor toolkit? Promoting patient satisfaction while decreasing cesarean section rates.
Get PDFCesarean section is a complex surgical procedure with considerable risk for complications during and after surgery, increasing the likelihood of future pregnancy complications. It is crucial to properly educate patients and nursing staff regarding intentional maternal positioning to facilitate successful vaginal delivery through optimal fetal positioning in the vaginal canal throughout the labor process. This study reviewed 28 participants to determine if intentional maternal positioning can promote vaginal birth and increase patient satisfaction. Participants were pregnant women experiencing protracted labor/labor dystocia without a history of prior c-sections, uterine surgeries, or large gestational age (LGA) newborns. Patients who underwent primary cesarean section for indications other than “failure to progress,” “failure to descend,” or “failed induction” were excluded from the study. Data was collected in a “promoting vaginal birth” checklist provided by the investigators. Participants completed a 5-point Likert scale questionnaire regarding their labor experience. Results showed a 3% decrease in primary c-section rates over the 15-week data collection period, and patient questionnaires demonstrated overall satisfaction in the labor experience, specific to intentional maternal positioning and outcome. Limitations included lack of staff buy-in, sample size, and potential for pelvic inadequacy in nulliparous participants. Further efforts include extended data collection periods over larger sample sizes and applying additional educational materials from ILPQC’s Labor Toolkit to promote vaginal birth, including doula support, second-stage huddle, and standardization of protocols, guidelines, and algorithms. Implications conclude that with evidence-based guidance & support, successful vaginal delivery can increase while promoting patient satisfaction