3511 research outputs found
Sort by
Emotional Intelligence and SRNA Success Utilizing a SIM Experience
Get PDFStudent registered nurse anesthetists (SRNAs) face many challenges in meeting the rigorous demands of their doctoral-level training. Research demonstrates that high levels of emotional intelligence (EI) contribute to SRNAs’ academic and clinical success and improve patient safety and quality of care. Simulation is emerging as an educational tool to enhance the EI skills of students training in highly stressful professions and demonstrates promising benefits for SRNAs, such as improved decision-making, critical thinking, self-awareness, and self-regulation (Moriber & Beauvais, 2017; Dix et al., 2021). This doctoral project aimed to determine the efficacy of a high-fidelity simulation for strengthening the EI skills of first-year SRNAs at a mid-sized university in the Midwestern United States in preparation for their first clinical rotation. The students completed an introductory session presented by an EI expert and four active learning sessions presented by two second-year SRNAs. The students then divided into groups and participated in a clinically relevant high-fidelity simulation designed to elicit authentic emotions, followed by debriefing. EI levels were evaluated by comparing pre- and post-intervention Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) scores, and surveys collecting subjective data were distributed after the students completed the simulation and their first clinical rotation. MSCEIT results did not reveal any measurable, statistically significant increases in EI abilities; however, survey feedback was positive overall and indicated that the simulation improved students\u27 self-perceived abilities to respond to challenging clinical situations
Addressing Air Quality Mitigation as a Key Factor in Asthma Management and Prevention
Get PDFAsthma is the most prevalent disease in childhood and disproportionately affects African American (AA) populations in terms of prevalence and frequency of exacerbations. Air quality and environmental factors are strongly associated with the diagnosis and management of asthma and AA children are more likely to live in areas with poor air quality. An air quality flag program was implemented in a daycare located in a county with a predominantly AA population with a high prevalence of asthma diagnoses. The goal of the intervention was to increase staff awareness of air quality and the impact it can have on asthma diagnosis and exacerbations. An educational session was provided to staff regarding the asthma disease process, factors affecting air quality, and its role in the development and management of asthma. Staff were educated about the EPA’s air quality flag program and how to track the daily air quality. Air quality was monitored, and actions were taken according to the EPA’s air flag program for 6 weeks. 12 pre-surveys were completed by staff before the educational session and 8 post-surveys were completed after 6 weeks of the intervention. Post-survey results indicated an increased understanding of the role that air quality exposure plays in the development of asthma (25%) and asthma exacerbations (34%). Additionally, survey results indicated a 30% increase in respondents who agreed there were steps they could take to prevent a child from having an asthma exacerbation. Results were not statistically significant due to sample numbers, but anecdotally significant
Implementing the Edinburgh Postnatal Depression Scale in the Emergency Department and Family Care Settings
Get PDFPostpartum depression affects approximately 10% to 20% of patients who have given birth in the year prior and can detrimentally affect maternal-child relationships. Postpartum depression (PPD) is a mood disorder following birth, whereas postpartum psychosis (PPP) is a severe mental illness and a medical emergency. If untreated, both disorders can have long-term harmful effects on mothers, infants, and families. Utilizing screening tools, providers can identify these disorders in applicable patients. The Edinburgh Postnatal Depression Scale (EPDS) is an effective method of recognizing patients most at risk, with a positive score of \u3e/=10 indicating the likelihood of depression. [SB1] The purpose of this quality improvement project was to increase the number of patients identified and screened for PPD using the EPDS in two settings, the emergency department and a family care clinic. Staff training, education, and EMR hard stops were utilized to guide staff through the initiative. Three of the twelve patients screened in both facilities had positive scores, with two receiving interventions of medication, counseling, and/or hospitalization. A survey of all staff was completed post-initiative, with an overwhelming majority indicating the iimportance of screening patients in these settings. Project limitations were identified as a need for additional time that the screening and charting required,as well as a lack of knowledge about the disorders. Implementing the EPDS screening tool in the ED and family care settings could positively affect patient care and safety by allowing the opportunity to mitigate the negative outcomes commonly associated with these disorders
Communication Beyond Words
Get PDFThis research explores the definition and use of nonverbal communication within the therapeutic setting and the treatment of selective mutism by clinical providers. A phenomenological research method was used to interview three art therapists and two therapists without art therapy training. These interviews were used to explore their understanding and awareness of nonverbal communication within the context of providing treatment to clients with selective mutism. The analysis of participants’ discussions of their experiences of treating those with selective mutism revealed four major themes: Nonverbal Communication, Therapeutic Presence and Alliance, Art Materials and Interventions, and Culture and Society. Findings suggest no significant differences between participants with or without art therapy training. The participants emphasized the importance of patience, attunement, and observation in building therapeutic alliances, and discussed the use of various art materials and defocused communication techniques. Additionally, cultural and societal expectations were identified within the context of the participants and how they may affect their work as therapists and may impact the experiences of the clients
Infinite-dimensional stochastic transforms and reproducing kernel Hilbert space
No full textBy way of concrete presentations, we construct two infinite-dimensional transforms at the crossroads of Gaussian fields and reproducing kernel Hilbert spaces (RKHS), thus leading to a new infinite-dimensional Fourier transform in a general setting of Gaussian processes. Our results serve to unify existing tools from infinite-dimensional analysis
Implementing the Timed Up and Go Test to Prevent Falls
Get PDFFalls are the most reported injury within the geriatric population. Behavioral health patients have the most injurious falls, with falls impacting multiple things such as staffing, cost, injury, and quality of life for the patient (Ocker et al., 2020). Currently, the standardized fall assessment for new patients upon admission is the Morse Fall Scale (MFS). This fall assessment was intended to assess the level of fall risk for patients who are on an acute medical floor during their hospital stay. The Timed Up and Go test (TUG) is a fall assessment that has been used in geriatric patients to assess their level of fall risk but has not been specifically used in a psychiatric geriatric setting to determine if the assessment tool would be more suitable than the MFS. The purpose of this project is to determine if the TUG is a more appropriate tool to aid in identifying fall risk amongst the inpatient psychiatric geriatric population in addition to using the MFS. After the demonstration, education, and implementation of the TUG test by nurses, a survey was conducted with the nurse to determine if the TUG test would be beneficial to use in the mental health geriatric unit. The survey suggests that 20 nurses (95.24%) think that the screening tool is effective in identifying falls. There are 2 nurses (9.52%) that believe the TUG screening tool can be used independently when screening for falls. Twenty-one nurses (100%) reported that one of the benefits of the TUG screening was that it is directly aimed at the geriatric population. Sixteen nurses (80%) reported the benefit of having an extra tool to assess patients for falls upon arrival. Fifteen nurses (71.42%) reported that one of the biggest challenges is the decreased length of hospital stay, so the tool is not used often related to longer hospitalizations. Twenty nurses (95.24%) reported that the TUG screening tool is easy to follow and comprehend, and 21 nurses (100%) reported that the screening tool is time efficient while doing an admission or assessing a patient post-fall. If the nurses continue to use the TUG test on the unit, there could be data collected from the fall rates that sshowimprovement in patients’ falls
Caring for the Adult patient with Autism: Development of staff education and an online toolkit for Healthcare Providers
Get PDFThere are disparities in knowledge among healthcare workers when caring for adult patients with autism spectrum disorder (ASD). Lack of knowledge about the characteristics of this population and strategies to enhance care pose a barrier to treatment during hospitalization. A computer based educational module was developed and assigned to staff at a community hospital. An online toolkit for healthcare providers was developed to aid staff in recognition of triggers and supplied adjunct methods for communication. A pre and posttest of healthcare provider knowledge and stigma regarding autism was performed. Achievement of the training was robust among staff; of the one hundred and eighty-four module assignments, only two were not completed. Evaluation of pre and posttest data showed an increase in knowledge regarding ASD. Notable was the increase in staff confidence reported in identifying stressors and recognizing the signs and symptoms of ASD. Post-test data revealed less than two percent of staff were “not comfortable” recognizing or caring for a patient with ASD. The project succeeded in expanding awareness and starting a dialogue among providers to enhance care for patients with autism and other sensory processing disorders.
Cefazolin Administration in Penicillin Allergic Patients
Get PDFSurgical site infections (SSI) are a type of hospital-acquired infection that are largely preventable. Cefazolin, a first-generation cephalosporin beta-lactam, is the recommended antibiotic for SSI prophylaxis (Bratzler et al., 2013). Approximately 10% of the general population reports a penicillin allergy (Joint Task Force on Practice Parameters et al., 2010). Penicillin is another beta-lactam. Penicillin-allergic patients are commonly prescribed alternative, less effective, antimicrobial agents for SSI prophylaxis, causing suboptimal outcomes. Current literature reports a cross-reactivity potential of less than 2%, with an even lower risk associated with cefazolin (Picard et al., 2019; Sousa-Pinto et al., 2021). This project aimed to review the literature surrounding beta-lactam allergy and cross-reactivity and create an evidence-based cefazolin administration algorithm for anesthesia providers at a tertiary care center in central Illinois. An educational presentation was conducted at the host facility, and participants completed a post-presentation survey to evaluate the algorithm. Implementation of the evidence-based algorithm optimized SSI prophylaxis, potentially improving patient outcomes, and avoiding the negative effects of alternative antibiotic administration
Liaising the Catalog: Collaborating Across Library Departments to Promote Successful Discoverability through Enhanced Cataloging
Get PDFAcademic libraries are increasingly asked to articulate connections between the work of library staff and student success. This article discusses how a team of librarians participating in CARLI Counts, an immersive professional development program funded by a Laura Bush 21st Century Librarian Grant through the Institute of Museum and Library Services, responded to the lack of research investigating the indirect impact of the work of technical services staff on student learning. An anonymous online survey distributed to library staff of the Consortium of Academic and Research Libraries in Illinois (CARLI) member institutions explored the perceived value of enhanced cataloging in supporting student research. Survey results point to opportunities for communication and collaboration among technical services and public services librarians to improve understanding of enhanced catalog functionality and user needs