13468 research outputs found
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16. Magic Garden with Flying Carpets and 5-Speed Carp
No full texthttps://digitalcommons.otterbein.edu/stichweh_landscapes/1015/thumbnail.jp
07. Catching the Moon in the Millpond
No full texthttps://digitalcommons.otterbein.edu/stichweh_landscapes/1006/thumbnail.jp
02. Clown-Fish with Two Striped Legs
No full texthttps://digitalcommons.otterbein.edu/stichweh_fish/1001/thumbnail.jp
19. A Fish of Her Own
No full texthttps://digitalcommons.otterbein.edu/stichweh_fish/1018/thumbnail.jp
Forever Plaid
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5797/thumbnail.jp
The Importance of Being Earnest
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5825/thumbnail.jp
The Importance of Being Earnest
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5829/thumbnail.jp
Evidence-based Recommendations for the Use of Neostigmine Versus Sugammadex in Patients Undergoing Thoracic Surgery
Get PDFNeuromuscular blocking agents play a vital role in the safe delivery of modern anesthetic practice. These medications provide patient paralysis for anesthesia staff to perform tracheal intubation and for surgeons to have a motionless surgical field. At the end of surgery, the effects of these paralytic agents must be fully reversed by reversal agents. Incomplete reversal impairs the patient’s ability to maintain an airway, which can lead to various postoperative pulmonary complications such as respiratory failure, pneumonia, and atelectasis. Patients undergoing thoracic surgery are at high risk for this incomplete reversal due to deep levels of paralysis required to keep the diaphragm motionless for surgical manipulation. Therefore, optimal paralytic reversal strategies must be analyzed and incorporated into clinical practice to decrease residual paralysis and subsequent complications. Neostigmine has traditionally been the primary agent used for paralytic reversal. However, a newer alternative is available with the relatively recent introduction of Sugammadex. Literature has shown that in patients undergoing thoracic surgery, utilizing Sugammadex for reversal of neuromuscular blockade, compared to Neostigmine, improves patient outcomes by reducing postoperative pulmonary complications. This evidence-based practice project evaluates the most up-to-date literature to identify, plan, and implement recommendations for an optimal paralytic reversal strategy in patients undergoing thoracic surgery at a level-one trauma center in the Midwest United States
Evaluating Nurses’ Turnover Intention and Organizational Commitment Following Stroke Unit Staffing Changes: An Evidence-based Quality Initiative
Get PDFNurses are known to be overworked, overwhelmed, undervalued, and understaffed at dangerous levels throughout various inpatient hospital units across the United States (U.S.). Hospital registered nurse (RN) turnover is a significant issue that has accelerated since the COVID-19 pandemic, resulting in economic impacts and other burdens for organizations, individuals, and communities. Evidence suggests that evaluating Registered Nurses’ Turnover intention (NTI) and Organizational Commitment (OC) can help maintain a ready and capable team of skilled RNs; however, most healthcare organizations (HCOs) do not collect or analyze NTI and OC data and focus on staffing numbers and monetary incentives to get adequate nursing numbers. Research shows that RNs with higher OC tend to demonstrate lower NTI and stay in their profession, jobs, and HCO longer. In a local example of one 32-bed stroke unit at a large regional medical center in the Midwest, high staff RN attrition resulted in inadequate RN staffing and closed unit beds, delaying patients\u27 access to timely care. Despite increasing staffing by 3.6 Full-Time RNs, the degree of NTI and OC among nurses working on the stroke unit remains unknown, placing the unit at increased risk of closing beds and disrupting care access in the future. Therefore, the purpose of this Quality Improvement (QI) Project was to provide new data to the Nursing Leadership and the healthcare executives who oversee RN staffing. The project was guided by the Plan-Do-Study-Act QI framework and aimed to evaluate the relationship between NTI and OC through a systematic record review of staff RN questionnaire response data following a unit’s recent increase in RN staffing levels. Due to the sensitive nature of the data, the project’s data collection could not occur. Despite the limitations encountered, the lessons learned from the project and the proposed use of the NTI/OC Questionnaire in this Report can offer valuable insight to RN leaders in understanding staff RNs’ intent to leave and commitment to the organization, which may ultimately help to maintain a ready and capable nursing team and prevent avoidable nursing turnover and delayed patient access to care services
9 To 5 (2024)
Get PDF9 to 5 The Musical, with music and lyrics by Dolly Parton and book by Patricia Resnick, is based on the seminal 1980 hit movie. Set in the late 1970s. this hilarious story of friendship and revenge in the Rolodex era is outrageous, thought-provoking and even a little romantic.
Pushed to the boiling point, three female coworkers concoct a plan to get even with the sexist, egotistical, lying, hypocritical bigot they call their boss. In a hilarious turn of events, Violet, Judy and Doralee live out their wildest fantasy – giving their boss the boot! While Hart remains otherwise engaged, the women give their workplace a dream makeover, taking control of the company that had always kept them down. Hey, a girl can scheme, can\u27t she?https://digitalcommons.otterbein.edu/production_2023_2024/1006/thumbnail.jp