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Training on Law Enforcement\u27s Response to Interpersonal Violence
Get PDFThe current study examines how police officers in various settings perceive interpersonal violence response training as well as how they respond to vignettes detailing hypothetical scenarios of sexual assault, domestic violence, and stalking. A common criticism of experience with police following a traumatic occurrence of sexual or interpersonal violence is inappropriate attitude and conduct on behalf of law enforcement agents. Trauma and victim centered training may improve police responding within this field; however, the training received is variable (Campbell et al., 2019; Kinney et al., 2007). In this study, ten participants answered interview or survey items detailing the extent of their training on interpersonal violence and how they perceived such trainings. Additionally, participants completed a survey wherein they read vignettes detailing a hypothetical scenario of interpersonal violence and described how they would respond. The hypothesis for this study, that officers who have completed more training will display more elements of trauma-informed knowledge and response than officers who have completed less training was unsupported. Additionally, three inductive themes were identified in participant response such as de-emphasizing the importance of IV trainings, a victim-centered/trauma informed response, and a need for alteration in trainings
Pectoralis Nerve Block Compared to Thoracic Paravertebral Nerve Block in the Mastectomy Patient: Evidence-Based Practice Recommendations
Get PDFPatients undergoing a mastectomy are at increased risk of becoming opioid dependent. Most patients undergoing a mastectomy are diagnosed with breast cancer, and the use of opioids is known to aid in cancer metastasizing due to the suppression of the body\u27s natural killer cells. In addition, regional anesthesia, also known as a nerve block, has long provided a reduction in sensation by blocking the nerve pathway, thus numbing the feeling of pain in the operative area. The Pectoralis nerve block (PECS) and the Thoracic Paravertebral block (TPVB) are used in patients undergoing a mastectomy to help reduce the severity of pain that the body perceives. These nerve block aid in the reduction of supplemental analgesia postoperatively, allowing a lower number of opioids to be consumed. The project\u27s primary purpose is the development of evidence-based clinical recommendations which can be utilized to reduce the intensity of perceived pain for patients undergoing a mastectomy. The recommendations will be determined by selecting which nerve block provides the most significant reduction in the visual acuity scale (VAS) score. Along with the longest time from when the surgery is completed to when the patient first asks for supplemental analgesia by comparing multiple randomized control trial articles comparing the two nerve blocks. The project includes a plan for implementing these evidence-based practice recommendations through education and training, monitoring outcomes, and providing changes to the recommendations if the results are not desirable
A Systematic Record Review of a Local Quality Improvement Impacts on Anesthesia Provider Knowledge and Attitudes Following a Presentation of Current Evidence-Based Practices Involving Intrathecal Mepivacaine Use in Total Joint Arthroplasty Surgical Patients
Get PDFAbstract Patients undergoing spinal anesthesia for total joint arthroplasty (TJA) must urinate and ambulate within 1-hour before discharge from the post-anesthesia care unit to indicate a healthy return of lower body neuro-function after spinal administration. The most common spinal medication used is bupivacaine which has complications including postoperative urinary retention (POUR), altered proprioception, delayed ambulation, and prolonged motor block, resulting in increased cost and length of stay. One alternative solution is mepivacaine, an intermediate local anesthetic lasting 1.5 to 2.5 hours with comparative surgical blockade but a quicker motor and sensory function return. Research suggests mepivacaine is just as safe and effective with fewer occurrences of POUR, delayed ambulation, increased LOS, and overall care costs than bupivacaine. Reports of increased PACU LOS due to POUR and delayed ambulation in TJA patients receiving spinal bupivacaine anesthesia occurred. So, this project aimed to ensure safe, quality, evidenced-based anesthesia care for patients undergoing TJA surgeries. The specific aim was to conduct a systematic record review of anesthesia provider questionnaire responses to evaluate the effects on provider knowledge and attitudes following a presentation of evidence-based practices involving intrathecal mepivacaine use in TJA surgical patients. A literature review was conducted, followed by a presentation to staff using evidence on spinal mepivacaine administration. Results from a retrospective analysis of pre-and post-presentation questionnaire responses indicate a commonly reported need among providers to improve anesthesia care for TJA patients. Findings demonstrate enhanced anesthesia providers\u27 knowledge and attitudes, and stakeholders reported interest in implementing mepivacaine into their TJA program
2023 Otterbein Honors Convocation Program
Get PDFProgram for the 2023 academic honors convocation.https://digitalcommons.otterbein.edu/commencement/1014/thumbnail.jp
Religiosity as a Moderator of Infidelity in Dark Triad Women
Get PDFPersonality is a major determinant of behavior. The Dark Triad is a cluster of personality traits-- psychopathy, narcissism, and Machiavellianism-- commonly associated with callousness, manipulation, and anti-social behavior. In the realm of relationships, Dark Triad traits have been shown to predict a host of destabilizing behaviors, including infidelity. Infidelity has negative psychological impacts on those involved, with research citing infidelity as a precursor to major depressive episodes for some individuals. High levels of religiosity, on the other hand, predict negative attitudes toward infidelity and fewer instances of cheating overall. The present study investigated whether levels of religiosity moderate infidelity intentions and behaviors in Dark Triad women. An online survey was distributed through varying social groups at different Midwestern universities, collecting data pertaining to participants’ demographics, sociosexuality, infidelity attitudes and behaviors, religiosity, and the Dark Triad traits. Quantitative analysis revealed no significant correlations between Dark Triad personality and infidelity. Dark Triad personality was significantly and positively correlated with sociosexuality, but infidelity did not correlate significantly with sociosexuality. In the absence of the expected link between Dark Triad and infidelity, the moderation question was rendered moot. Results from qualitative analysis suggest a difference in reasoning between those participants who did and did not commit infidelity. Participants who have not cheated provided mostly intrinsic reasons such as love, faith, and trust, while participants who have cheated provided extrinsic reasons such as revenge to explain their behavio
Evidence-Based Guidelines for Prevention of Inadvertent Hypothermia in Total Joint Arthroplasty
Get PDFHypothermia is a core body temperature below 36 degrees Celsius. Hypothermia is a common occurrence for many surgical patients that presents with many complications. When patients experience hypothermia during the perioperative setting, it is defined as Inadvertent Perioperative Hypothermia (IPH). During surgery, the patient typically has large body areas exposed to perform surgery in a room that is kept cool leading to lower body temperature and under general anesthesia the body’s ability to regulate body temperature is impaired. Patients who are undergoing total joint arthroplasties (TJA), a hip or knee replacement, are a high-risk population for IPH, therefore, increasing their overall length of stay postoperatively. Complications that can result from hypothermia include decreased wound healing with a high risk of surgical site infection, decreased coagulation ability leading to excessive blood loss, and delayed awakening from anesthesia due to decreased metabolism of medications. Currently, there are measures in place perioperatively to help regulate patient’s temperature such as heated intravenous fluids, warm blankets, or forced air warmers. With these interventions there are roughly 20 to 70% of TJA patients that unintentionally suffer from IPH. Due to the high incidence of IPH and the associated complications, it is increasing the overall cost to the patients and healthcare systems. Many facilities lack compliance with overall policy and clinical guidelines to prevent IPH in the at-risk population of TJA patients. The goal of this project is to implement evidence-based practice guidelines for perioperative management of hypothermia and maintenance of normothermia with the use of qualitative and quantitative data and assess the effectiveness in a rural hospital in the Midwest
News from the Graduate School- Masters of Business Administration Fall 2023
Get PDFNewsletter that provides updates and highlights from the Graduate School and the Masters of Business Administration
Dr. Nick Ross, Piano: Virtuosic Piano Music for the Left Hand Alone
Get PDFThe recital program for a performance by Otterbein\u27s Dr. Nick Ross. Performed October 20, 2023. This recital focuses on large-scale works for the left hand alone. Three of the four works are well-established masterpieces within this genre, and the fourth is a world premiere of a new work by American composer Kent Holliday. This performance is connected to Dr. Ross\u27s research on left-hand literature.https://digitalcommons.otterbein.edu/concert_programs/1000/thumbnail.jp
Lucinda Lenore Merriss Cornell
No full textDaguerreotype of Lucinda Lenore Merriss Cornellhttps://digitalcommons.otterbein.edu/cornell_images/1015/thumbnail.jp
Unknown Male
No full textDaguerreotype of an unknown malehttps://digitalcommons.otterbein.edu/cornell_images/1016/thumbnail.jp