13468 research outputs found
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Beehive: The \u2760s Musical (2024)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5794/thumbnail.jp
Beehive: The \u2760s Musical (2024)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5796/thumbnail.jp
Implementation and Evaluation of a Structured Mentorship Program
Get PDFThe project addresses mentorship in a graduate nursing anesthesia program. The goal is to improve the existing mentorship program and to implement a durable and consistent system that gathers and responds to feedback from the students. Two literature reviews form the underpinnings of the structure and evaluation components of the project. Three structural components were identified in the review as highly effective in multiple studies of diverse mentorship programs. The first component is establishing an effective dyad matching scheme. The second component is establishing clear goals. The third component is maintaining the relationship and achieving goals through frequent and consistent meetings. In evaluation, an effective tool to assess the program was identified, with small modifications to allow for both quantitative and qualitative responses. A Plan, Do, Study, Act model forms the core of the implementation process. Finally, baseline and ongoing data collection will be used to further guide continuing improvement of the mentorship program
Therapeutic Art: Stress Reduction Through Tattoo Therapy?
No full textStress can be chronic, debilitating, and difficult to effectively combat. Research on alternative methods for minimizing the negative effects of stress is limited. However, there could be untapped potential in alternative interventions yet to be empirically explored by researchers. One plausible alternative stress intervention may be found by examining whether the process of receiving a tattoo helps to alleviate stress symptoms. Thus, the objective of this study is to determine: if select physiological stress indicators are lowered during the tattoo process, whether self-report measures of stress correlate with those selected physiological responses, and if these outcomes have implications for how the process of tattooing can contribute to existing treatments for stress
The Lost Daughter
No full textThis project expands the idea of Neverland and Peter Pan. Growing up I’ve always loved the story of Peter Pan and thought the world could be flushed out to be more than it already is. I always wondered how there were people in Neverland and what their lives were like, so this story allowed me to explore said ideas. This project expands the world we know as Neverland, the people within it, and creates new characters that show us the next generation to explore the land. Within these first pages of my story, we see a new depth to the Villagers on Neverland, encounter new elements of the island, and explore a new path where Peter ends up with Wendy. These pages are the beginning of a newer perspective of this world and show what it has to offer
Assesment of Equine Stress and Relaxation and Human Stress in Equine-Assisted Psychotherapy Sessions
No full textAs equine-assisted therapies grow in popularity, it is important to consider the welfare of horses because they play an essential role in the therapeutic experience. The focus of our study was to evaluate stress in horses as well as human stress and anxiety within the context of equine-assisted psychotherapy (EAP) for clients with mild to moderate anxiety. Equine stress was quantified by salivary cortisol concentrations and count of observed equine stress and relaxation behaviors. We compared salivary cortisol, and stress and relaxation behaviors between horses that participated in EAP with a licensed mental health professional, equine specialist, and a client present, and a control session where the horse pair were in the same space without the presence of the therapy team or client. When comparing the EAP and control sessions, there were no significant differences in equine salivary cortisol concentration or number of equine stress or relaxation behaviors. Additionally, we quantified human/client stress and anxiety using salivary cortisol concentrations and the Subjective Units of Distress Scale (SUDS) before and immediately after the EAP session. There was no significant difference between client salivary cortisol concentration before and after the EAP session, but client SUDS ratings were significantly lower following the EAP session. There was no association between client and equine salivary cortisol concentration. Our findings indicate that incorporating horses in EAP sessions with a single client with mild to moderate anxiety was acceptable from a welfare standpoint, though it is recommended that future research focus on larger, more diverse sample sizes to get a wider view of the field
Evidence-Based Practice Recommendations for the use of a Cardiac Optimization Algorithm in Patients Undergoing a Whipple Procedure
Get PDFA fundamental responsibility of a certified registered nurse anesthetist includes intraoperative fluid and hemodynamic management. While Enhanced Recovery After Surgery protocols advocate goal-directed fluid therapy, the methodology remains controversial. An algorithmic approach systematically optimizes cardiac function and fluid volume status based on stroke volume variation, cardiac index, and mean arterial pressure. This project aims to evaluate the effects of placing intraoperative guidelines for patients undergoing a Whipple procedure when using a cardiac optimization algorithm to guide fluid and vasopressor management. The outcomes evaluated included the amount of fluids delivered intraoperatively, vasoactive medication administration, urine output, amount of blood transfusions, cardiac and respiratory outcomes, and pancreatic fistulas. The findings of this project present an effective way to manage a patient\u27s fluid status to help improve patient surgical outcomes and postoperative complications
Final Scholarly Project: Implementation Guidelines of Ultrasound-Guided Regional Anesthesia in Pediatric Cardiac Surgical Patients
Get PDFIn the United States, around 40,000 surgeries are conducted on pediatric patients yearly to address congenital heart disease. These surgeries involve a variety of complications beyond cardiovascular problems, including pain management. Traditional pain management involving intravenous opioids has drawbacks such as sedation, respiratory depression, and prolonged recovery times. As the healthcare industry moves away from opioid-centric pain management, the use of multimodal analgesia, including ultrasound-guided regional anesthesia, is being utilized. Regional anesthesia techniques, such as the transversus thoracis muscle plane block and the thoracic erector spinae block, are being considered for the ability to provide adequate pain relief while reducing opioid usage. The goal of using ultrasound blocks for congenital heart patients is to decrease postoperative opioid consumption and decrease the time to extubation in pediatric cardiac surgical patients in the first 24 hours postoperatively. A 12-month timeline outlines the development of guidelines, staff training, and clinical practice change integration. The project follows the Iowa Model for Evidence-Based Practice to guide its implementation, focusing on reducing opioid use, improving postoperative outcomes, and enhancing patient safety
Enhancing SRNA Confidence: Integrating Simulation-Based CRM Training with Didactic Education to Improve Intraoperative Recognition, Communication, and Management of Intraoperative Cardiac Arrest
Get PDFWithin the operating room (OR), the ability to identify deteriorating patient conditions and effectively communicate, is essential to delivering safe and efficient care. Although rare, the critical nature of emergent events necessitates early recognition and prompt intervention by an experienced anesthesia provider. The complexity of emergency management is often related to diagnostic ambiguity, individual provider experience, and disruptions of the fast-paced OR environment, requiring appropriate training methods for proficient execution. However, student registered nurse anesthetists (SRNAs) often lack sufficient exposure to emergent clinical scenarios, leading to delayed intervention and diminished confidence during crisis management. An evidence-based simulation education guideline for intraoperative emergency management was developed following a comprehensive literature review. The goal of this project is to implement evidence-based practice guidelines for crisis resource management education using simulation for nurse anesthesia students in central, Ohio. The evidence suggests that simulation learning is effective in improving recognition of deteriorating patient conditions, critical decision making, interdisciplinary teamwork, and student confidence
Development of Evidence-Based Practice Guidelines for Perioperative Multimodal Analgesia during Spine Surgery
Get PDFThe most common cause of adult disability is chronic back pain. As medication maintenance therapy becomes ineffective, surgical intervention is the last resort for treatment. Patients with chronic pain often rely on pain medication such as opioids for relief. The exposure and dependency of opioids can create unique challenges for anesthesia providers to deliver safe and adequate anesthesia for surgery. Patient’s dependent on chronic opioids develops many adverse effects including sleep disordered breathing, suppression of the immune system, and higher risk of developing cardiovascular events under stress. There is a lack of consistent perioperative guidelines for patients undergoing spinal surgery with or without opioid exposure. This doctoral project seeks to develop evidence-based practice guidelines for perioperative management for patients undergoing spinal surgery. The Johns Hopkins evidence-based practice model was utilized to develop this doctoral project and to analyze the impact of non-opioid analgesia on visual analogue scale (VAS) scores, postoperative opioid consumption, and length of stay in the hospital (LOS). The non-opioid perioperative analgesic medications include ketamine, lidocaine, and dexmedetomidine. The project includes a plan for implementing the evidence-based practice guidelines, preparation and training staff, measuring outcomes, and potential revisions to the guidelines if there are undesirable effects